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Academic Medicine: Journal of the Association of American Medical Colleges

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https://www.readbyqxmd.com/read/29771691/the-relationship-between-the-learning-and-patient-safety-climates-of-clinical-departments-and-residents-patient-safety-behaviors
#1
Milou E W M Silkens, Onyebuchi A Arah, Cordula Wagner, Albert J J A Scherpbier, Maas Jan Heineman, Kiki M J M H Lombarts
PURPOSE: Improving residents' patient safety behavior should be a priority in graduate medical education to ensure the safety of current and future patients. Supportive learning and patient safety climates may foster this behavior. This study examined the extent to which residents' self-reported patient safety behavior can be explained by the learning climate and patient safety climate of their clinical departments. METHOD: The authors collected learning climate data from clinical departments in the Netherlands that used the web-based Dutch Residency Educational Climate Test between September 2015 and October 2016...
May 15, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29742615/honoring-thy-self-in-the-transition-to-online-teaching
#2
Lauren A Maggio, Barbara J Daley, Daniel D Pratt, Dario M Torre
Increasingly health professions education (HPE) faculty are choosing or being required to transition their face-to-face teaching to online teaching. For many faculty, the online learning environment may represent a new context with unfamiliar technology, changing expectations, and unknown challenges. In this context, faculty members may find themselves teaching in ways that are dissonant with the existing assumptions, beliefs, and views that are central to their pedagogical or teaching identity. This "identity dissonance" may lead to dissatisfaction and frustration for the faculty and potentially suboptimal learning experience for students...
May 8, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29742614/curricular-transformation-in-health-systems-science-the-need-for-global-change
#3
Jed D Gonzalo, Terry Wolpaw, Dan Wolpaw
In this Invited Commentary, the authors propose a counter-perspective to the article by Borkan and colleagues, who advocate for a circumscribed, piloted, choice-focused approach to introducing curricular redesign options in undergraduate medical education, particularly in the area of health systems science. In making this case, Borkan and colleagues cluster several kinds of innovative curricular changes that the authors of this commentary believe are best separated by the scope of change and associated educational strategy: 1) innovations customized to student interest and motivation, which are best served by focused programmatic interventions, 2) innovations such as longitudinal integrated clerkships (LICs) that represent creative and needed educational strategies but may be difficult to expand due to complex barriers, and 3) innovations that are truly transformational, with critical connections far beyond the boundaries of the medical school curriculum, which must be addressed in a comprehensive approach-despite the challenges, frustrations, and difficulties...
May 8, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29742613/perceptual-and-structural-facilitators-and-barriers-to-becoming-a-surgeon-a-qualitative-study-of-african-american-and-latino-surgeons
#4
Jesus G Ulloa, Omar Viramontes, Gery Ryan, Kenneth Wells, Melinda Maggard-Gibbons, Gerardo Moreno
PURPOSE: As racial and ethnic heterogeneity in the U.S. population increases, it is important that the health care workforce, including surgery, mirror that diversity. Structural and perceptual barriers may contribute to an underrepresentation of African-American and Latino surgeons. Understanding these barriers may translate into interventions, and in turn, improved diversification of the U.S. surgery workforce. METHOD: In 2016, the authors conducted in-depth semistructured interviews to explore structural and perceptual barriers African-American and Latino surgeons face...
May 8, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29727320/creating-a-quality-improvement-course-for-undergraduate-medical-education-practice-what-you-teach
#5
Tamala S Bradham, Kelly C Sponsler, Scott C Watkins, Jesse M Ehrenfeld
PROBLEM: More than half of U.S. medical schools have implemented curricula addressing quality improvement (QI); however, the evidence on which pedagogical methods are most effective is limited. APPROACH: As of January 2015, students at Vanderbilt University School of Medicine are required to take a QI course consisting of three 1-month-long (4 hours per week) blocks during their third or fourth year, in which student-identified faculty sponsors are paired with highly trained QI professionals from Vanderbilt University Medical Center...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29727319/what-makes-difficult-patients-difficult-for-medical-students
#6
Jody E Steinauer, Patricia O'Sullivan, Felisa Preskill, Olle Ten Cate, Arianne Teherani
PURPOSE: Physicians can find it challenging to provide high-quality care to "difficult patients." While studies support that medical students also find some patients "difficult," little is known about why they do or how being a student affects their perceptions. The authors conducted this study to gain a deeper understanding of students' experiences with "difficult patients" to inform clinical teaching about effective patient communication and patient-centered care...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29727318/using-assessment-point-accumulation-as-a-guide-to-identify-students-at-risk-for-interrupted-academic-progress
#7
Juan C Cendán, Oloruntomi Joledo, Mary Beth Soborowicz, Leslie Marchand, Basma R Selim
PROBLEM: Interruptions in academic progress (IP) are problematic for both the student and the educational program. Early identification of students at risk for IP, so as to provide remediation, could be beneficial. APPROACH: Considering the clinically familiar pediatric growth curve as a metaphor, researchers hypothesized they could identify students at risk of IP. They organized course-related examination performance data for 518 students in five classes (2013-14 through 2017-18), adding students' percent scores cumulatively over time...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29727317/the-international-partner-as-invited-guest-beyond-colonial-and-import-export-models-of-medical-education
#8
Cynthia Whitehead, Dawit Wondimagegn, Yonas Baheretibeb, Brian Hodges
The dominant model of international collaboration in medical education, both currently and in the past two centuries, is one of foreign (i.e., Euro-American) ownership and control. In this Invited Commentary, the authors provide a brief selected history of such international partnerships. They then focus on recent partnership models that have alternate structures. One of these is the collaborative partnership between Addis Ababa University (AAU) and the University of Toronto. This partnership is known as the Toronto Addis Ababa Academic Collaboration (TAAAC)...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29727316/gun-violence-two-medical-students-hometown-connection-to-this-public-health-crisis
#9
Nicholas O Kuhl, Monica P Lieberman
The school shooting in Parkland, Florida in February 2018 left 17 people dead and countless other children and teachers with physical and psychological trauma that will require decades of healing. As Marjory Stoneman Douglas High School alumni and current medical students, the authors of this Invited Commentary contend that they are in a unique position to advocate on behalf of their neighbors, classmates, and future patients. Since the authors began medical school in 2015, there have been 19 mass shootings in the United States resulting in 253 deaths...
May 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697433/ensuring-access-to-quality-health-care-in-vulnerable-communities
#10
Jay Bhatt, Priya Bathija
For millions of Americans living in vulnerable rural and urban communities, their hospital is an important, and often their only, source of health care. As transformation in the hospital and health care field continues, some communities may be at risk of losing access to health care services and the opportunities and resources they need to improve and maintain their health. Integrated, comprehensive strategies to reform health care delivery and payment, within which vulnerable communities can make individual choices based on their needs, support structures, and preferences, are needed...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697432/remediation-in-practicing-physicians-current-and-alternative-conceptualizations
#11
Gisèle Bourgeois-Law, Pim W Teunissen, Glenn Regehr
Suboptimal performance in practicing physicians is a decades-old problem. The lack of a universally accepted definition of remediation, the paucity of research on best remediation practices, and the ongoing controversy regarding the institutional responsibility for enacting and overseeing this activity suggests that the remediation of physicians is not merely a difficult problem to solve, but a problem that the community does not grapple with meaningfully. Undoubtedly, logistical and political considerations contribute to this state of affairs; however, other underlying conceptual issues may also play a role in the medical profession's difficulties in engaging with the challenges around remediation...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697431/a-fine-balance-how-authors-strategize-around-journal-submission
#12
Shiphra Ginsburg, Meghan Lynch, Catharine M Walsh
PURPOSE: Publishing in peer-reviewed journals is essential for medical education researchers. Competition remains fierce for top journals and authors are advised to consider impact factor (IF), audience, and alignment of focus. However, little is known about how authors balance these factors when making submission decisions. The authors aimed to explore decision-making around journal choice. METHOD: Using constructivist grounded theory, the authors conducted and analyzed 27 semi-structured phone interviews (August-November 2016) with medical education researchers...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697430/why-pull-the-arrow-when-you-cannot-see-the-target-framing-professionalism-goals-in-medical-education
#13
David J Doukas, Rebecca L Volpe
Professionalism is essential for a successful physician-patient relationship and widely acknowledged as an intrinsic and important component of medical education for learners at all levels, from medical school to residency to continuing medical education. The problem is defining the educational endpoints for learners and then determining how to assess these outcomes. This Invited Commentary focuses on what medical educators can and should do to refine the vision of professionalism in medical education. The authors propose a multi-step process in which learners, educators, and the public are engaged in articulating clearly and definitively the endpoints of professionalism education...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697429/a-guide-to-reflexivity-for-qualitative-researchers-in-education
#14
Subha Ramani, Karen D Könings, Karen Mann, Cees P M van der Vleuten
No abstract text is available yet for this article.
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697428/generalizability-of-competency-assessment-scores-across-and-within-clerkships-how-students-assessors-and-clerkships-matter
#15
Nikki L Bibler Zaidi, Clarence D Kreiter, Peris R Castaneda, Jocelyn H Schiller, Jun Yang, Cyril M Grum, Maya M Hammoud, Larry D Gruppen, Sally A Santen
PURPOSE: Many factors influence the reliable assessment of medical students' competencies in the clerkships. The purpose of this study was to determine how many clerkship competency assessment scores were necessary to achieve an acceptable threshold of reliability. METHOD: Clerkship student assessment data were collected during the 2015-16 academic year as part of the medical school assessment program at the University of Michigan Medical School. Faculty and residents assigned competency assessment scores for third-year core clerkship students...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697427/post-interview-communications-two-surveys-of-internal-medicine-residency-program-directors-before-and-after-guideline-implementation
#16
Karen M Chacko, Shalini Reddy, Michael Kisielewski, Stephanie Call, Lisa L Willett, Saima Chaudhry
PURPOSE: Guidelines surrounding post-interview communication (PIC) after residency interviews were issued by the National Resident Matching Program and Association of Program Directors in Internal Medicine (APDIM). How they have influenced PIC and program directors' (PDs') reasons for PIC are unknown. METHOD: Annual surveys of 365 U.S. internal medicine residency PDs in 2013 and 368 in 2015 were utilized. Questions about frequency, intent, and usefulness of PIC and knowledge of guidelines before and after new PIC guidelines were included...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697426/does-mindfulness-training-enhance-the-professional-development-of-residents-a-qualitative-study
#17
Hanne Verweij, Hiske van Ravesteijn, Madelon L M van Hooff, Antoine L M Lagro-Janssen, Anne E M Speckens
PURPOSE: In addition to developing diagnostic and clinical skills, postgraduate medical education should stimulate residents' professional development. Teaching medical professionalism is challenging and is often left largely to the informal and hidden curricula. An intervention that might be beneficial for medical residents is Mindfulness-Based Stress Reduction (MBSR). The authors implemented MBSR as an optional course for residents and qualitatively explored how it influenced residents professionally...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29697425/relationship-between-institutional-investment-in-high-value-care-hvc-performance-improvement-and-internal-medicine-residents-perceptions-of-hvc-training
#18
Kira L Ryskina, Cynthia D Smith, Vineet M Arora, Aimee K Zaas, Andrew J Halvorsen, Arlene Weissman, Sandhya Wahi-Gururaj
PURPOSE: To measure the association between institutional investment in high value care (HVC) performance improvement and resident HVC experiences. METHOD: The authors analyzed data from two 2014 surveys assessing institutions' investments in HVC performance improvement as reported by program directors (PDs) and residents' perceptions of the frequency of HVC teaching, participation in HVC-focused quality improvement (QI), and views on HVC topics. The authors measured the association between institutional investment and resident-reported experiences using logistic regression, controlling for program and resident characteristics...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29668523/academic-medical-centers-as-innovation-ecosystems-evolution-of-industry-partnership-models-beyond-the-bayh-dole-act
#19
Patrick J Silva, Kenneth S Ramos
Innovation ecosystems tied to academic medical centers (AMCs) are inextricably linked to policy, practices, and infrastructure resulting from the passage of the Bayh-Dole Act in 1980. Bayh-Dole smoothed the way to patenting and licensing new drugs, and to some degree, medical devices and diagnostic reagents. Property rights under Bayh-Dole provided a significant incentive for industry investments in clinical trials, clinical validation, and industrial scale-up of products that advanced health care. Bayh-Dole amplified private investment in biotechnology drug development, and from the authors' perspective did not significantly interfere with the ability of AMCs to produce excellent peer-reviewed science...
April 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29668522/the-art-and-artifice-of-seeking-feedback-clerkship-students-approaches-in-asking-for-feedback
#20
Robert Bing-You, Victoria Hayes, Tamara Palka, Marybeth Ford, Robert Trowbridge
PURPOSE: As attention has shifted to learners as significant partners in feedback interactions, it is important to explore what feedback-seeking behaviors medical students use and how the faculty-student relationship affects feedback-seeking behaviors. METHOD: This qualitative study was inspired by the organizational psychology literature. Third-year medical students were interviewed at Maine Medical Center in April-May 2017 after completing a traditional block-rotation clerkship or a nine-month longitudinal integrated clerkship (LIC)...
April 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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