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Internal medicine milestones

Eric S Holmboe, Stephanie Call, Robert D Ficalora
No abstract text is available yet for this article.
September 26, 2016: JAMA Internal Medicine
Suresh Jivan Gadher, Hana Kovarova
The Central and Eastern European Proteomic Conference (CEEPC), has reached a special milestone as it celebrates its 10th anniversary. Today, an expansive network of proteomics in Central and Eastern Europe stands established to facilitate scientific interactions and collaborations in and around Central and Eastern Europe, as well as with international research institutions worldwide. Currently, when many conferences are struggling to attract participants, CEEPC is thriving in its status and stature as well as expanding by attracting newer member countries...
September 13, 2016: Journal of Proteomics
Jeffrey T Kuvin, Eric S Williams
Patients, hospitals, insurers, and the public rely on competent physicians. The definition and documentation of competency in cardiovascular training and practice continues to evolve. New tools, such as the American College of Cardiology's in-training examination, restructured Core Cardiovascular Training Statement, curricular and lifelong learning competencies, and the Accreditation Council for Graduate Medical Education Milestones help define competent trainees and practitioners, and level the playing field...
September 20, 2016: Journal of the American College of Cardiology
Violeta Alarcão, Fernando Luís Machado, Alain Giami
Based on Bourdieu's field theory, this article analyzes the emergence and institutionalization of sexology as a science and profession in Portugal, identifying relevant institutions, actors, and professional practices and discussing its relations and specificities. The analysis begins by contextualizing the emergence of modern Western sexology in order to comprehend the Portuguese case in the international sexology context. The second section describes the social, cultural, and institutional factors that have driven the professionalization of sexology...
2016: Cadernos de Saúde Pública
Lauren D Oshman, Gene N Combs
INTRODUCTION: Motivational interviewing is a useful skill to address the common problem of patient ambivalence regarding behavior change by uncovering and strengthening a person's own motivation and commitment to change. The Family Medicine Milestones underline the need for clear teaching and monitoring of skills in communication and behavior change in Family Medicine postgraduate training settings. METHODS: This article reports the integration of a motivational interviewing curriculum into an existing longitudinal narrative therapy-based curriculum on patient-centered communication...
May 2016: International Journal of Psychiatry in Medicine
Eric J Warm, Justin D Held, Michael Hellmann, Matthew Kelleher, Benjamin Kinnear, Caroline Lee, Jennifer K O'Toole, Bradley Mathis, Caroline Mueller, Dana Sall, Jonathan Tolentino, Daniel P Schauer
PURPOSE: Competency-based medical education and milestone reporting have led to increased interest in work-based assessments using entrustment over time as an assessment framework. Little is known about data collected from these assessments during residency. This study describes the results of entrustment of discrete work-based skills over 36 months in the University of Cincinnati internal medicine (IM) residency program. METHOD: Attending physician and peer/allied health assessors provided entrustment ratings of resident performance on work-based observable practice activities (OPAs) mapped to Accreditation Council for Graduate Medicine Education/American Board of Internal Medicine reporting milestones for IM...
June 28, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
L James Nixon, Hilary F Ryder, Irene Alexandraki, Maureen D Lyons, Kelsey Angell McEwen, Deborah J DeWaay, Sarita Warrier, Valerie J Lang, Jeffrey LaRochelle
Since its inception in 1989, Clerkship Directors in Internal Medicine (CDIM) has promoted excellence in medical student education. CDIM members move medical education forward by sharing innovations in curriculum and assessment and discoveries related to educating our students and administering our programs. The Alliance for Academic Internal Medicine, of which CDIM is a founding member, broadens the umbrella beyond student education to include five academically focused specialty organizations representing departments of medicine, teaching hospitals, and medical schools working together to advance learning, discovery, and caring...
July 2016: Teaching and Learning in Medicine
Ronny Geva, Edna Orr
Walking is of interest to psychology, robotics, zoology, neuroscience and medicine. Human's ability to walk on two feet is considered to be one of the defining characteristics of hominoid evolution. Evolutionary science propses that it emerged in response to limited environmental resources; yet the processes supporting its emergence are not fully understood. Developmental psychology research suggests that walking elicits cognitive advancements. We postulate that the relationship between cognitive development and walking is a bi-directional one; and further suggest that the initiation of novel capacities, such as walking, is related to internal socio-cognitive resource reallocation...
2016: PloS One
Karen E Hauer, Jerome Clauser, Rebecca S Lipner, Eric S Holmboe, Kelly Caverzagie, Stanley J Hamstra, Sarah Hood, William Iobst, Eric Warm, Furman S McDonald
BACKGROUND: High-quality assessment of resident performance is needed to guide individual residents' development and ensure their preparedness to provide patient care. To facilitate this aim, reporting milestones are now required across all internal medicine (IM) residency programs. OBJECTIVE: To describe initial milestone ratings for the population of IM residents by IM residency programs. DESIGN: Cross-sectional study. SETTING: IM residency programs...
September 6, 2016: Annals of Internal Medicine
Daniel Racoceanu, Frédérique Capron
Being able to provide a traceable and dynamic second opinion has become an ethical priority for patients and health care professionals in modern computer-aided medicine. In this perspective, a semantic cognitive virtual microscopy approach has been recently initiated, the MICO project, by focusing on cognitive digital pathology. This approach supports the elaboration of pathology-compliant daily protocols dedicated to breast cancer grading, in particular mitotic counts and nuclear atypia. A proof of concept has thus been elaborated, and an extension of these approaches is now underway in a collaborative digital pathology framework, the FlexMIm project...
2016: Pathobiology: Journal of Immunopathology, Molecular and Cellular Biology
Lauren B Meade, Kathleen Heist Suddarth, Ronald R Jones, Aimee K Zaas, Terry Albanese, Kenji Yamazaki, Cheryl W O'Malley
PROBLEM: The Accreditation Council for Graduate Medical Education milestones were written by physicians and thus may not reflect all the behaviors necessary for physicians to optimize their performance as a key member of an interprofessional team. APPROACH: From April to May 2013, the authors, Educational Research Outcomes Collaborative leaders, assembled interprofessional team discussion groups, including patients or family members, nurses, physician trainees, physician educators, and other staff (optional), at 11 internal medicine (IM) programs...
April 19, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Karen A Friedman, John Raimo, Kelly Spielmann, Saima Chaudhry
INTRODUCTION: Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. METHODS: Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones...
2016: Medical Education Online
Andrea N Leep Hunderfund, Devon I Rubin, Ruple S Laughlin, Eric J Sorenson, James C Watson, Lyell K Jones, Dorthea Juul, Yoon Soo Park
OBJECTIVE: To develop a new workplace-based EMG direct observation tool (EMG-DOT) and gather validity evidence supporting its use for assessing electrodiagnostic skills among postgraduate medical trainees. METHODS: The EMG-DOT was developed by experts using an iterative process. Validity evidence from content, response process, internal structure, relations to other variables, and consequences of testing was collected during the 2013-2014 academic year. RESULTS: Of 3,412 studies performed by trainees during the study period, 299 (9%) were assessed using the EMG-DOT...
April 26, 2016: Neurology
John H Choe, Christopher L Knight, Rebekah Stiling, Kelli Corning, Keli Lock, Kenneth P Steinberg
The Next Accreditation System requires internal medicine training programs to provide the Accreditation Council for Graduate Medical Education (ACGME) with semiannual information about each resident's progress in 22 subcompetency domains. Evaluation of resident "trustworthiness" in performing entrustable professional activities (EPAs) may offer a more tangible assessment construct than evaluations based on expectations of usual progression toward competence. However, translating results from EPA-based evaluations into ACGME milestone progress reports has proven to be challenging because the constructs that underlay these two systems differ...
July 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Amy B Smith, Lauren Semler, Elizabeth A Rehman, Zachary G Haddad, Katie L Ahmadzadeh, Steven J Crellin, Katarzyna Falkowska, Kalif A Kendig, Brent H Steinweg, Stephen W Dusza, Bernadette Glenn-Porter, Bryan G Kane
BACKGROUND: Evidence-based medicine (EBM) has been included in the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Emergency Medicine (ABEM) milestones project as a required component during emergency medicine (EM) residency training. Milestone Level One states that graduating medical students must be able to "describe basic principles of EBM." OBJECTIVE: We sought to identify the EBM skills of third- and fourth-year medical students...
May 2016: Journal of Emergency Medicine
Jason A Post, Christopher M Wittich, Kris G Thomas, Denise M Dupras, Andrew J Halvorsen, Jay N Mandrekar, Amy S Oxentenko, Thomas J Beckman
BACKGROUND: Entrustable professional activities (EPAs) have been developed to assess resident physicians with respect to Accreditation Council for Graduate Medical Education (ACGME) competencies and milestones. Although the feasibility of using EPAs has been reported, we are unaware of previous validation studies on EPAs and potential associations between EPA quality scores and characteristics of educational programs. OBJECTIVES: Our aim was to validate an instrument for assessing the quality of EPAs for assessment of internal medicine residents, and to examine associations between EPA quality scores and features of rotations...
May 2016: Journal of General Internal Medicine
Yoon Soo Park, Fred A Zar, John J Norcini, Ara Tekian
UNLABELLED: CONSTRUCT: This study examines validity evidence of end-of-rotation evaluation scores used to measure competencies and milestones as part of the Next Accreditation System (NAS) of the Accreditation Council for Graduate Medical Education (ACGME). BACKGROUND: Since the implementation of the milestones, end-of-rotation evaluations have surfaced as a potentially useful assessment method. However, validity evidence on the use of rotation evaluation scores as part of the NAS has not been studied...
2016: Teaching and Learning in Medicine
Christopher M Conley, Su-Pen Bobby Chang, Oleg Gusakov
No abstract text is available yet for this article.
December 2015: Journal of Graduate Medical Education
Sophie Carenco, Simona Moldovan, Lucian Roiban, Ileana Florea, David Portehault, Karine Vallé, Philippe Belleville, Cédric Boissière, Laurence Rozes, Nicolas Mézailles, Marc Drillon, Clément Sanchez, Ovidiu Ersen
Research on nanomaterials and nanostructured materials is burgeoning because their numerous and versatile applications contribute to solve societal needs in the domain of medicine, energy, environment and STICs. Optimizing their properties requires in-depth analysis of their structural, morphological and chemical features at the nanoscale. In a transmission electron microscope (TEM), combining tomography with electron energy loss spectroscopy and high-magnification imaging in high-angle annular dark-field mode provides access to all features of the same object...
January 21, 2016: Nanoscale
Steven J Hoffman, Grazia M Caleo, Nils Daulaire, Stefan Elbe, Precious Matsoso, Elias Mossialos, Zain Rizvi, John-Arne Røttingen
Global governance and market failures mean that it is not possible to ensure access to antimicrobial medicines of sustainable effectiveness. Many people work to overcome these failures, but their institutions and initiatives are insufficiently coordinated, led and financed. Options for promoting global collective action on antimicrobial access and effectiveness include building institutions, crafting incentives and mobilizing interests. No single option is sufficient to tackle all the challenges associated with antimicrobial resistance...
December 1, 2015: Bulletin of the World Health Organization
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