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Academic Medicine: Journal of the Association of American Medical Colleges

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https://www.readbyqxmd.com/read/30024477/interprofessional-practice-and-education-in-clinical-learning-environments-frontlines-perspective
#1
Paul N Uhlig, Joy Doll, Kristy Brandon, Christopher Goodman, Josephine Medado-Ramirez, Michael A Barnes, Mary A Dolansky, Temple A Ratcliffe, Kanapa Kornsawad, W Ellen Raboin, Maggie Hitzeman, Jeffrey Brown, Les Hall
This Invited Commentary is written by co-authors working to implement and study new models of interprofessional practice and education in clinical learning environments. There are many definitions and models of collaborative care, but the essential element is a spirit of collaboration and shared learning among health professionals, patients, and family members. This work is challenging, yet the benefits are striking. Patients and family members feel seen, heard, and understood. Health care professionals are able to contribute and feel appreciated in satisfying ways...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024476/a-prognosis-for-health-systems-science-courses-observations-from-current-students
#2
Andrew R Pines, Aditya Khurana, George M Mastorakos, Kent R Richter, Walker L Asprey
Certain medical schools have begun teaching courses in health systems science (HSS) to train medical students in skills aimed to improve health care in the United States. Although substantial research has been done on the potential benefit of HSS courses, reactions from students have not been reported. In this Invited Commentary, five medical students who have completed the first year of a longitudinal HSS course at the Arizona campus of the Mayo Clinic School of Medicine offer their observations of how early exposure to HSS affected their reactions to subsequent coursework and current events in health care...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024475/it-s-time-for-medical-schools-to-introduce-climate-change-into-their-curricula
#3
Caroline Wellbery, Perry Sheffield, Kavya Timmireddy, Mona Sarfaty, Arianne Teherani, Robert Fallar
Climate change presents unprecedented health risks and demands universal attention to address them. Multiple intergovernmental organizations, health associations, and health professions schools have recognized the specific importance of preparing physicians to address the health impacts of climate change. However, medical school curricula have not kept pace with this urgent need for targeted training.The authors describe the rationale for inclusion of climate change in medical education and some potential pathways for incorporating this broad topic into physician training and continuing medical education...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024474/does-reducing-clerkship-lengths-by-25-affect-medical-student-performance-and-perceptions
#4
Seetha U Monrad, Nikki L Bibler Zaidi, Larry D Gruppen, Douglas J Gelb, Cyril Grum, Helen K Morgan, Michelle Daniel, Rajesh S Mangrulkar, Sally A Santen
PURPOSE: Transforming a medical school curriculum wherein students enter clerkships earlier could result in two cohorts in clerkships simultaneously during the transition. To avoid overlapping cohorts at the University of Michigan Medical School, the length of all required clerkships was decreased by 25% during the 2016-2017 academic year, without instituting other systematic structural changes. The authors hypothesized that the reduction in clerkship duration would result in decreases in student performance and changes in student perceptions...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024473/examining-demographics-prior-academic-performance-and-united-states-medical-licensing-examination-scores
#5
Jonathan D Rubright, Michael Jodoin, Michael A Barone
PURPOSE: To examine whether demographic differences exist in United States Medical Licensing Examination (USMLE) examination scores and the extent to which any differences are explained by students' prior academic achievement. METHOD: Hierarchical linear modeling of data for U.S. and Canadian allopathic and osteopathic medical graduates testing on USMLE Step 1 during or after 2010, and completing USMLE Step 3 by 2015. Main outcome measures were computer-based USMLE examinations: Step 1, Step 2 Clinical Knowledge, and Step 3...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024472/ethical-issues-and-recommendations-in-grateful-patient-fundraising-and-philanthropy
#6
Megan E Collins, Steven Rum, Jane Wheeler, Karen Antman, Henry Brem, Joseph Carrese, Michelle Glennon, Jeffrey Kahn, E Magnus Ohman, Reshma Jagsi, Sara Konrath, Stacey Tovino, Scott Wright, Jeremy Sugarman
Grateful patients provide substantial philanthropic funding for health care institutions, resulting in important societal benefits. Although grateful patient fundraising (GPFR) is widespread, it raises an array of ethical issues for patients, physicians, development professionals, and institutions. These issues have not been described comprehensively, and there is insufficient guidance to inform the ethical practice of GPFR. Consequently, the authors convened a summit, The Ethics of Grateful Patient Fundraising, with the goal of identifying primary ethical issues in GPFR and offering recommendations regarding how to manage them...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024471/advancing-holistic-review-for-faculty-recruitment-and-advancement
#7
Toi Blakley Harris, William A Thomson, Nancy P Moreno, Sarah Conrad, S Elizabeth White, Geoffrey H Young, Erik D Malmberg, Bonnie Weisman, Alicia D H Monroe
PROBLEM: The challenges to developing a physician and scientific workforce that both reflects and provides quality care for the complex and richly diverse population of the United States are considerable. APPROACH: One medical school (Baylor College of Medicine) sought to adapt the Holistic Review in Admissions process developed by the Association of American Medical Colleges (AAMC) and apply it to faculty. In the fall of 2016, academic leaders received on-site training and completed several workshop exercises...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/30024470/the-evolution-of-the-clinician-educator-in-the-united-states-and-canada-personal-reflections-over-the-last-45-years
#8
Larrie Greenberg
The challenging and changing face of medicine over the last 45 years of the author's career has dictated where faculty members' primary interaction with patients occurs, how they teach trainees, and how they measure educational outcomes. The transfer of patient care from the inpatient to the ambulatory setting in the late 20 century was instrumental in creating a "new' model for faculty; that is, the clinician educator (CE). This individual has been defined as a faculty member whose primary responsibility as part of the academic mission is patient care and whose focus is on the theoretical constructs that inform excellent teaching and effective learning, applying these to create and inform educational scholarship...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29995669/competencies-milestones-and-a-level-of-supervision-scale-for-entrustable-professional-activities-for-scholarship
#9
Richard B Mink, Angela L Myers, David A Turner, Carol L Carraccio
PROBLEM: Scholarship is an important element of both undergraduate and graduate medical education, and scholarly activity is required for all pediatric fellows. However, despite the creation of entrustable professional activities (EPA) for scholarship, the specific progressive levels of performance and the appropriate level of supervision for a given performance level have not been defined. The authors developed competencies and milestones for the scholarship EPA to provide a framework for assessment across the continuum; a level of supervision scale was also developed...
July 10, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29995668/toronto-addis-ababa-academic-collaboration-a-relational-partnership-model-for-building-educational-capacity-between-a-high-and-low-income-university
#10
Dawit Wondimagegn, Clare Pain, Yonas Baheretibeb, Brian Hodges, Melaku Wakma, Marci Rose, Abdulaziz Sherif, Gena Piliotis, Admasu Tsegaye, Cynthia Whitehead
Educational partnerships between academic health sciences centers in high- and low-resource settings are often formed as attempts to address health care disparities. In this Perspective, the authors describe the Toronto Addis Ababa Academic Collaboration (TAAAC), an educational partnership between the University of Toronto and Addis Ababa University. The TAAAC model was designed to help address an urgent need for increased university faculty to teach in the massive expansion of universities in Ethiopia. As TAAAC has developed and expanded, faculty at both institutions have recognized that the need to understand contextual factors and to have clarity about funding, ownership, expertise, and control are essential elements of these types of collaborative initiatives...
July 10, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29995667/a-guide-to-reproducibility-in-preclinical-research
#11
Greg Samsa, Leigh Samsa
Many have raised concerns about the reproducibility of biomedical research. In this Perspective, the authors address this "reproducibility crisis" by distilling discussions around reproducibility into a simple guide to facilitate understanding of the topic.Reproducibility applies both within and across studies. The following questions address reproducibility within studies: "Within a study, if the investigator repeats the data management and analysis will she get an identical answer?" and "Within a study, if someone else starts with the same raw data, will she draw a similar conclusion?" Contrastingly, the following questions address reproducibility across studies: "If someone else tries to repeat an experiment as exactly as possible, will she draw a similar conclusion?" and "If someone else tries to perform a similar study, will she draw a similar conclusion?"Many elements of reproducibility from clinical trials can be applied to preclinical research (e...
July 10, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979211/exploring-the-role-of-self-motives-in-postgraduate-trainees-feedback-seeking-behavior-in-the-clinical-workplace-a-multicenter-study-of-workplace-based-assessments-from-the-united-kingdom
#12
Anne Gaunt, Deborah H Markham, Teresa R B Pawlikowska
PURPOSE: To explore trainees' feedback-seeking behavior in the postgraduate surgical workplace using a self-motives framework. Self-motives include self-assessment "to obtain accurate information about the self," self-improvement "to improve ones' traits, abilities and skills," self-enhancement "to enhance the favorability of self views," and self-verification "to maintain consistency between ones' central self-view and new self-relevant information...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979210/tenure-appointments-for-faculty-of-clinical-departments-at-u-s-medical-schools-does-specialty-designation-make-a-difference
#13
Anne Walling, Kari M Nilsen
PURPOSE: To describe differences and trends among clinical specialty departments in the number and percentage of tenure-related appointments for full-time faculty. METHOD: Association of American Medical Colleges Faculty Roster annual snapshot reports were used to calculate percentages of full-time faculty holding tenure-related appointments in each of the database's 17 groupings of clinical specialty departments. Faculty numbers and percentages by track were compared to investigate trends 2006-2016...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979209/open-access-what-it-means-for-your-article
#14
Lauren A Maggio, Kevin Stranack
No abstract text is available yet for this article.
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979208/the-contextual-curriculum-learning-in-the-matrix-learning-from-the-matrix
#15
Brett Schrewe, Rachel H Ellaway, Christopher Watling, Joanna Bates
Changes in the health care landscape over the last twenty-five years have led to an expansion of training sites beyond the traditional academic health sciences center. The resulting contextual diversity in contemporary medical education affords new opportunities to consider the influence of contextual variation on learning. The authors describe how different contextual patterns in clinical learning environments-patients, clinical and educational practices, physical geography, health care systems, and culture-form a contextual learning matrix...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979207/rationale-and-models-for-career-advancement-sponsorship-in-academic-medicine-the-time-is-here-the-time-is-now
#16
Amy S Gottlieb, Elizabeth L Travis
The business community has honed the concept of sponsorship and promulgated its utility for harnessing the talent of high-performing women and minorities whose contributions often go unrecognized within organizations. In recent years, academic medicine has begun to do the same. While mentorship often centers on personal and professional development (e.g., skill-building and goal-setting), sponsorship focuses on enhancing the visibility, credibility, and professional networks of talented individuals. For upward career mobility, mentorship is limited in scope...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29979206/creating-gridlocked-a-serious-game-for-teaching-about-multipatient-environments
#17
Daniel Tsoy, Paula Sneath, Josh Rempel, Simon Huang, Nicole Bodnariuc, Mathew Mercuri, Alim Pardhan, Teresa M Chan
PROBLEM: As patient volumes increase, it is becoming increasingly important to find novel ways to teach junior medical learners about the intricacies of managing multiple patients simultaneously, as well as about working in a resource-limited environment. APPROACH: Serious games (i.e., games not intended purely for fun) are a teaching modality that have been gaining momentum as teaching tools in medical education. From May 2016 to August 2017, the authors designed and tested a serious game, called "GridlockED," to provide a focused educational experience for medical trainees to learn about multipatient care and patient flow...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29952770/can-maintenance-of-certification-work-associations-of-moc-and-improvements-in-physicians-knowledge-and-practice
#18
David W Price, Helene Biernacki, Lois Margaret Nora
PURPOSE: To summarize the findings of studies, conducted by individuals both internal and external to the American Board of Medical Specialties (ABMS) Member Boards, of the associations of Maintenance of Certification (MOC) and improvements in physicians' knowledge and patient care processes or outcomes. METHOD: The authors conducted a narrative review of studies identified by searching PubMed and Web of Science for English-language articles from the United States published between 2000 and May 2017...
June 26, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29952769/inspiring-curiosity-and-restoring-humility-the-evolution-of-competency-based-continuing-medical-education
#19
Graham T McMahon
Dr. David Price and his colleagues, in their article in this issue of Academic Medicine, summarize the findings from recent studies regarding the association of Maintenance of Certification and physicians' learning and improvements in care. Their evaluation demonstrates that physicians often changed their practice because of these educational interventions. In this Invited Commentary, the author argues that, although this finding is reassuring, it is the right answer to the wrong question. The critical questions the profession faces are whether physicians have the humility to routinely submit themselves to the judgment of their peers, whether they will accept responsibility for managing their professional competence and that of their colleagues, and whether they are willing to create a process for identifying and remediating underperforming clinicians...
June 26, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29923893/the-consultation-observed-simulated-clinical-experience-training-assessment-and-feedback-for-incoming-interns-on-requesting-consultations
#20
Shannon K Martin, Keme Carter, Noah Hellermann, Laura R Glick, Samantha Ngooi, Marika Kachman, Jeanne M Farnan, Vineet M Arora
PROBLEM: Formal education in requesting consultations is inconsistent in medical education. To address this gap, the authors developed the Consultation Observed Simulated Clinical Experience (COSCE), a simulation-based curriculum for interns using Kessler et al's 5Cs of Consultation model to teach and assess consultation communication skills. APPROACH: In June 2016, 127 interns entering 12 University of Chicago Medicine residency programs participated in the COSCE pilot...
June 19, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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