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https://www.readbyqxmd.com/read/27908794/lectures-for-adult-learners-breaking-old-habits-in-graduate-medical-education
#1
Avraham Z Cooper, Jeremy B Richards
No abstract text is available yet for this article.
November 28, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27908638/using-the-acmge-milestones-as-a-handover-tool-from-medical-school-to-surgery-residency
#2
Lauren M Wancata, Helen Morgan, Gurjit Sandhu, Sally Santen, David T Hughes
OBJECTIVE: To map current medical school assessments for graduating students to the Accreditation Council for Graduate Medical Education (ACGME) milestones in general surgery, and to pass forward individual performance metrics on level 1 milestones to receiving residency programs. DESIGN: The study included 20 senior medical students who were accepted into surgery internship positions. Data from medical school performance assessments from the third-year surgery clerkship, fourth-year surgery rotations, fourth-year surgery boot camp, Clinical Competency Assessment Examination, and United States Medical Licensing Examination (USMLE) Step 1 and 2 examinations were used to map each student's competency assessments to the General Surgery Milestones based on a scoring system created and validated by independent assessors...
November 28, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27907982/learners-perspective-where-and-when-pre-residency-trainees-learn-more-to-achieve-their-core-clinical-competencies
#3
Eusang Ahn, Ducksun Ahn, Young-Mee Lee
PURPOSE: While it is known that effective clinical education requires active involvement of its participants, regular feedback, communication skills and interprofessional training, limited studies have been conducted in Korea that demonstrate how pre-residency trainees acquire their core clinical skills. This is a cross-sectional study of interns and students across a third-tier university hospital in Korea to examine where and when they acquire core clinical skills. METHODS: A total of 74 students and 91 interns were asked to participate in a closed-ended questionnaire, and 50 participants (20 students and 30 interns) were involved in semistructured individual interviews...
December 2016: Korean Journal of Medical Education
https://www.readbyqxmd.com/read/27906761/surgical-education-and-health-care-reform-defining-the-role-and-value-of-trainees-in-an-evolving-medical-landscape
#4
Oluwadamilola M Fayanju, Reena Aggarwal, Rebeccah B Baucom, Cristina R Ferrone, David Massaro, Kyla P Terhune
OBJECTIVE: Health care reform and surgical education are often separated functionally. However, especially in surgery, where resident trainees often spend twice as much time in residency and fellowship than in undergraduate medical education, one must consider their contributions to health care. SUMMARY BACKGROUND DATA: In this short commentary, we briefly review the status of health care in the United States as well as some of the recent and current changes in graduate medical education that pertain to surgical trainees...
November 30, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27903769/education-for-the-next-frontier-in-patient-safety-a-longitudinal-resident-curriculum-on-diagnostic-error
#5
Emily Ruedinger, Maren Olson, Justin Yee, Emily Borman-Shoap, Andrew P J Olson
Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation...
November 29, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27893146/alternative-scheduling-models-improving-continuity-of-care-medical-outcomes-and-graduate-medical-education-in-resident-ambulatory-training
#6
Ali J Hussain
An association has been consistently made about continuity of care with improved quality of care and improved medical outcomes. However, resident ambulatory block scheduling prevents the optimization of continuity of care in ambulatory clinical education. The author performed a PubMed search for studies examining continuity of care and curriculum scheduling in US primary care residency clinics. These studies indicate the success of an X + Y scheduling model in resident ambulatory training. Additional benefits have also been noted, including improved clinical teaching and learning, increased sense of teamwork, increased resident satisfaction, improved recruitment and retention, improved patient satisfaction, and elimination of year-end patient care issues after graduation...
December 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27890870/improving-the-quality-of-postgraduate-education-in-traditional-japanese-kampo-medicine-for-junior-residents-an-exploratory-survey-conducted-in-five-institutions-in-the-tohoku-area
#7
Shin Takayama, Seiichi Kobayashi, Soichiro Kaneko, Masao Tabata, Shinya Sato, Keiichi Ishikawa, Saya Suzuki, Ryutaro Arita, Natsumi Saito, Tetsuharu Kamiya, Hitoshi Nishikawa, Yuka Ikeno, Junichi Tanaka, Minoru Ohsawa, Akiko Kikuchi, Takehiro Numata, Hitoshi Kuroda, Michiaki Abe, Satoru Ishibashi, Nobuo Yaegashi, Tadashi Ishii
Traditional Japanese (Kampo) medicine has been widely applied in general medicine in Japan. In 2001, the model core curriculum for Japanese medical education was revised to include Kampo medicine. Since 2007, all 80 Japanese medical schools have incorporated it within their programs. However, postgraduate training or instruction of Kampo medicine has not been recognized as a goal for the clinical training of junior residents by Japan's Ministry of Health, Labour and Welfare; little is known about postgraduate Kampo medicine education...
2016: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/27886974/evaluating-coding-accuracy-in-general-surgery-residents-accreditation-council-for-graduate-medical-education-procedural-case-logs
#8
REVIEW
Fadi Balla, Tabitha Garwe, Prasenjeet Motghare, Tessa Stamile, Jennifer Kim, Heidi Mahnken, Jason Lees
INTRODUCTION: The Accreditation Council for Graduate Medical Education (ACGME) case log captures resident operative experience based on Current Procedural Terminology (CPT) codes and is used to track operative experience during residency. With increasing emphasis on resident operative experiences, coding is more important than ever. It has been shown in other surgical specialties at similar institutions that the residents' ACGME case log may not accurately reflect their operative experience...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27886973/using-the-acgme-milestones-for-resident-self-evaluation-and-faculty-engagement
#9
REVIEW
Andreas H Meier, Angelika Gruessner, Robert N Cooney
BACKGROUND: Since July 2014 General Surgery residency programs have been required to use the Accreditation Council for Graduate Medical Education milestones twice annually to assess the progress of their trainees. We felt this change was a great opportunity to use this new evaluation tool for resident self-assessment and to furthermore engage the faculty in the educational efforts of the program. METHODS: We piloted the milestones with postgraduate year (PGY) II and IV residents during the 2013/2014 academic year to get faculty and residents acquainted with the instrument...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27884802/association-between-flexible-duty-hour-policies-and-general-surgery-resident-examination-performance-a-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial-analysis
#10
Eddie Blay, D Brock Hewitt, Jeanette W Chung, Thomas Biester, James F Fiore, Allison R Dahlke, Christopher M Quinn, Frank R Lewis, Karl Y Bilimoria
BACKGROUND: Concerns persist about the effect of current duty hour reforms on resident educational outcomes. We investigated whether a flexible, less-restrictive duty hour policy (Flexible Policy) was associated with differential general surgery examination performance compared to current Accreditation Council for Graduate Medical Education (ACGME) duty hour policy (Standard Policy). STUDY DESIGN: We obtained examination scores on the American Board of Surgery (ABS) In-Training Examination (ABSITE), Qualifying Examination (QE, written boards), and Certifying Examination (CE, oral boards) for residents in 117 general surgery residency programs that participated in the Flexibility In Duty Hour Requirements for Surgical Trainees (FIRST) Trial...
November 8, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27878956/improving-the-medical-school-residency-transition
#11
Helen Morgan, Bethany Skinner, David Marzano, James Fitzgerald, Diana Curran, Maya Hammoud
BACKGROUND: In response to calls to improve the continuum between undergraduate and graduate medical education, many medical schools are creating electives designed to prepare students for residency training. There is a need for data that link improvements from these residency preparation courses to residency itself. Data is needed that links improvements from these residency preparation courses to residency OBJECTIVE: To examine senior medical student performance on the Association of Professors of Gynecology and Obstetrics (APGO) Preparation for Residency Knowledge Assessment before and after an obstetrics and gynaecology residency preparation elective, and to determine whether the knowledge improvements persisted to the start of the residency...
November 22, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27875994/do-primary-care-professionals-agree-about-progress-with-implementation-of-primary-care-teams-results-from-a-cross-sectional-study
#12
E Tierney, M O'Sullivan, L Hickey, A Hannigan, C May, W Cullen, N Kennedy, L Kineen, A MacFarlane
BACKGROUND: Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland...
November 22, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27870553/comparison-of-two-intraosseous-devices-the-nio-versus-the-ez-io-by-novice-users-a-randomized-cross-over-trial
#13
Avi Shina, Erez Nissim Baruch, Amir Shlaifer, Ami Shovali, Moran Levi, Or Yosefy, David Segal, Tarif Bader, Itai Shavit, Avraham Yitzhak
BACKGROUND: During resuscitation in the field, intraosseous (IO) access may be achieved using a variety of available devices, often attempted by inexperienced users. AIM: We sought to examine the success rate and ease-of-use ratings of an IO device, the NIO® (New Intraosseous Persys Medical, Houston, TX, USA) in comparison to the Arrow® EZ-IO® (Teleflex Medical Research Triangle Park, NC, USA) by novice users. METHODS: We performed a randomized crossover trial...
November 21, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27863135/a-new-roadmap-for-the-journey-from-internist-to-rheumatologist
#14
Lisa G Criscione-Schreiber, Calvin R Brown, Kenneth S O'Rourke, Howard A Fuchs, Chaim Putterman, Irene J Tan, Joanne Valeriano-Marcet, Evelyn Hsieh, Sarah Zirkle, Marcy B Bolster
OBJECTIVE: Measurement is necessary to gauge improvement. U.S. training programs have not previously used shared standards to assess trainees' mastery of the knowledge, skills, and attitudes necessary to practice rheumatology competently. In 2014, the Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System (NAS) began requiring semi-annual evaluation of all medicine subspecialty fellows on 23 Internal Medicine Subspecialty Reporting Milestones. Since these Reporting Milestones are not subspecialty-specific, Rheumatology Curricular Milestones were needed to guide rheumatology fellowship training programs and fellows on the training journey from Internist to Rheumatologist...
November 11, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27860219/a-case-report-curriculum-to-promote-scholarship
#15
Behdad Besharatian, Jorge Velez, Michael Rosenblum, Mihaela Stefan, Gina Luciano
BACKGROUND: Engaging in scholarly activity during residency can facilitate the acquisition of important skills; however, residents may encounter barriers such as unclear expectations as to what constitutes scholarship, a paucity of dedicated time and a lack of mentorship. OBJECTIVE: In July 2013, we developed a Case Report Curriculum (CRC) for first-year residents to guide them towards creating a high-quality case report and helping them to achieve the Accreditation Council for Graduate Medical Education scholarly activity requirement...
November 18, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27859432/how-i-train-specialists-in-transfusion-medicine
#16
Lawrence Tim Goodnough, Michael F Murphy
BACKGROUND: The changing focus of transfusion medicine (TM) toward the hospital rather than the blood center and the involvement of TM specialists in a wide range of patient blood management and other specialist activities in the hospital, rather than just blood bank activities, means that the training of the transfusion specialists of the future should be under constant review. STUDY DESIGN AND METHODS: We provide overviews of the current training programs of the Accreditation Council for Graduate Medical Education in the United States and the Joint Royal Colleges of Physicians Training Board in the United Kingdom, along with specific descriptions of our own training programs at Stanford and Oxford...
November 18, 2016: Transfusion
https://www.readbyqxmd.com/read/27856295/street-smarts-and-a-scalpel-emotional-intelligence-in-surgical-education
#17
Mary Kate Erdman, Alisha Bonaroti, Gina Provenzano, Rachel Appelbaum, Marybeth Browne
OBJECTIVE: To evaluate trends of emotional intelligence (EI) in surgical education and to compare the incorporation of EI in surgical education to other fields of graduate medical education. DESIGN: A MEDLINE search was performed for publications containing both "surgery" and "emotional intelligence" with at least one term present in the title. Articles were included if the authors deemed EI in surgical education to be a significant focus. A separate series of MEDLINE searches were performed with the phrase "emotional intelligence" in any field and either "surg*," "internal medicine," "pediatric," "neurology," "obstetric," "gynecology," "OBGYN," "emergency," or "psychiat*" in the title...
November 14, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27849500/the-u-s-army-occupational-and-environmental-medicine-residency-at-aberdeen-proving-ground-maryland-1960-1996
#18
Joel C Gaydos, Timothy M Mallon, William A Rice
BACKGROUND: Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency at Aberdeen Proving Ground, MD, was the first and longest operating Army OEM residency. Describing this residency was identified as the first step in the review, with the objectives of determining why the residency was started and sustained and its relevance to the needs of the Army...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27849476/perspective-of-the-graduating-medical-student-the-ideal-curriculum-for-the-fourth-year-of-undergraduate-medical-education
#19
Mary A Andrews, Nathalie D Paolino, Kent J DeZee, Brian Hemann
OBJECTIVE: To explore medical students' perspective regarding the fourth year of medical school and common educational activities thereof. METHODS: The authors surveyed students graduating in 2012 with a military service obligation about the importance of common fourth-year activities, the proportion of the fourth year devoted to these activities, and important considerations for the fourth-year curriculum. The authors calculated mean importance scores for educational activities and mean proportions of the fourth year that should be devoted to certain activities...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27847048/the-joint-council-on-thoracic-surgery-education-jctse-educate-the-educators-faculty-development-course-analysis-of-the-first-5-years
#20
Stephen C Yang, Ara A Vaporciyan, Rebecca J Mark, Deborah A DaRosa, Frank T Stritter, Maura E Sullivan, Edward D Verrier
BACKGROUND: Since 2010, the Joint Council on Thoracic Surgery Education, Inc (JCTSE) has sponsored an annual "Educate the Educators" (EtE) course. The goal is to provide United States academic cardiothoracic surgeons (CTS) the fundamentals of teaching skills, educational curriculum development, and using education for academic advancement. This report describes the course development and evaluation along with attendee's self-assessment of skills through the first 5 years of the program...
December 2016: Annals of Thoracic Surgery
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