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Karen hauer

Leslie Sheu, Jennifer R Kogan, Karen E Hauer
PURPOSE: Appropriate trust and supervision facilitate trainees' growth toward unsupervised practice. The authors investigated how supervisor experience influences trust, supervision, and subsequently trainee learning. METHOD: In a two-phase qualitative inductive content analysis, phase one entailed reviewing 44 internal medicine resident and attending supervisor interviews from two institutions (July 2013 to September 2014) for themes on how supervisor experience influences trust and supervision...
September 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Karen E Hauer, Jonathan Vandergrift, Brian Hess, Rebecca S Lipner, Eric S Holmboe, Sarah Hood, William Iobst, Stanley J Hamstra, Furman S McDonald
Importance: US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. Objective: To compare ratings of internal medicine residents using the pre-2015 resident annual evaluation summary (RAES), a nondevelopmental rating scale, with developmental milestone ratings. Design, Setting, and Participants: Cross-sectional study of US internal medicine residency programs in the 2013-2014 academic year, including 21 284 internal medicine residents (7048 postgraduate-year 1 [PGY-1], 7233 PGY-2, and 7003 PGY-3)...
December 6, 2016: JAMA: the Journal of the American Medical Association
Karen E Hauer
No abstract text is available yet for this article.
October 2016: Medical Education
Karen E Hauer, Olle Ten Cate, Christy K Boscardin, William Iobst, Eric S Holmboe, Benjamin Chesluk, Robert B Baron, Patricia S O'Sullivan
Background The expectation for graduate medical education programs to ensure that trainees are progressing toward competence for unsupervised practice prompted requirements for a committee to make decisions regarding residents' progress, termed a clinical competency committee (CCC). The literature on the composition of these committees and how they share information and render decisions can inform the work of CCCs by highlighting vulnerabilities and best practices. Objective We conducted a narrative review of the literature on group decision making that can help characterize the work of CCCs, including how they are populated and how they use information...
May 2016: Journal of Graduate Medical Education
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
Leslie Sheu, Patricia S O'Sullivan, Eva M Aagaard, Darlene Tad-Y, Heather E Harrell, Jennifer R Kogan, James Nixon, Harry Hollander, Karen E Hauer
PURPOSE: Although residents trust interns to provide patient care, little is known about how trust forms. METHOD: Using a multi-institutional mixed-methods study design, the authors interviewed (March-September 2014) internal medicine (IM) residents in their second or third postgraduate year at a single institution to address how they develop trust in interns. Transcript analysis using grounded theory yielded a model for resident trust. Authors tested (January-March 2015) the model with residents from five IM programs using a two-section quantitative survey (38 items; 31 rated 0 = not at all to 100 = very much; 7 rated 0 = strongly disagree to 100 = strongly agree) to identify influences on how residents form trust...
March 15, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Esme B Cullen, Karen E Hauer, Leo Eisenstein, Christy K Boscardin, Steven A Schroeder
No abstract text is available yet for this article.
February 2016: JAMA Internal Medicine
Walter N Kernan, D Michael Elnicki, Karen E Hauer
The role of undergraduate medical education in creating, perpetuating, and potentially solving the physician shortage in adult primary care has been debated for years, but often the discussions revolve around overly simplistic notions of supply and demand. The supply is curtailed, it is said, because the work is hard and the pay is low relative to other career options. Missing is a recognition that medical schools make choices in developing primary care learning environments that profoundly affect student perceptions of this career...
September 2015: Journal of General Internal Medicine
Karen E Hauer, Christy Boscardin, Tracy B Fulton, Catherine Lucey, Sandra Oza, Arianne Teherani
BACKGROUND: The new UCSF Bridges Curriculum aims to prepare students to succeed in today's health care system while simultaneously improving it. Curriculum redesign requires assessment strategies that ensure that graduates achieve competence in enduring and emerging skills for clinical practice. AIM: To design entrustable professional activities (EPAs) for assessment in a new curriculum and gather evidence of content validity. SETTING: University of California, San Francisco, School of Medicine...
September 2015: Journal of General Internal Medicine
Karen E Hauer, Sandra K Oza, Jennifer R Kogan, Corrie A Stankiewicz, Terese Stenfors-Hayes, Olle Ten Cate, Joanne Batt, Patricia S O'Sullivan
CONTEXT: Clinical supervisors oversee trainees' performance while granting them increasing opportunities to work independently. Although the factors contributing to supervisors' trust in their trainees to conduct clinical work have been identified, how the development of trust is shaped by these factors remains less clear. OBJECTIVES: This study was designed to determine how supervisors develop and experience trust in resident (postgraduate years 2 and 3) trainees in the clinical workplace...
August 2015: Medical Education
David A Williams, Jennifer R Kogan, Karen E Hauer, Traci Yamashita, Eva M Aagaard
BACKGROUND: With new resident duty-hour regulations, resident work schedules have progressively transitioned towards shift-based systems, sometimes resulting in increased team fragmentation. We hypothesized that exposure to shift-based schedules and subsequent team fragmentation would negatively affect medical student experiences during their third-year internal medicine clerkship. DESIGN: As part of a larger national study on duty-hour reform, 67 of 150 eligible third-year medical students completed surveys about career choice, teaching and supervision, assessment, patient care, well-being, and attractiveness of a career in internal medicine after completing their internal medicine clerkship...
2015: Medical Education Online
Eric Low, Robert Tessler, Karen E Hauer, Andrew D Leavitt, Bernie Miller, John Maa
BACKGROUND: Although an Observed Structured Clinical Examination (OSCE) has been used to evaluate patient interaction and general knowledge competencies of third-year students during their required surgical clerkships, whether surgical clerkship experience predicts satisfactory performance with a surgical patient in an OSCE environment has not been investigated. OBJECTIVE: We hypothesized that completion of the third-year surgery clerkship would improve student ability to diagnose acute cholecystitis and recognize the further need for hospital admission and treatment...
September 2015: Journal of Surgical Education
Colin P West, Karen E Hauer
No abstract text is available yet for this article.
August 2015: Journal of General Internal Medicine
Karen E Hauer, Benjamin Chesluk, William Iobst, Eric Holmboe, Robert B Baron, Christy K Boscardin, Olle Ten Cate, Patricia S O'Sullivan
PURPOSE: Clinical competency committees (CCCs) are now required in graduate medical education. This study examined how residency programs understand and operationalize this mandate for resident performance review. METHOD: In 2013, the investigators conducted semistructured interviews with 34 residency program directors at five public institutions in California, asking about each institution's CCCs and resident performance review processes. They used conventional content analysis to identify major themes from the verbatim interview transcripts...
August 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Bridget C O'Brien, David Hirsh, Edward Krupat, Joanne Batt, Lori A Hansen, Ann N Poncelet, Barbara Ogur, Karen E Hauer
BACKGROUND: Hidden curriculum literature suggests that different learning environments and curricular designs reinforce disparate values and behaviors. AIM: This study explores potential differences in learning environments afforded by two clerkship models through perceptions of the ideal student. METHODS: In this qualitative study, research assistants interviewed 48 third-year students and 26 clinical supervisors from three US medical schools...
2016: Medical Teacher
Jennifer R Kogan, Jennifer Lapin, Eva Aagaard, Christy Boscardin, Meenakshy K Aiyer, Danelle Cayea, Adam Cifu, Gretchen Diemer, Steven Durning, Michael Elnicki, Sara B Fazio, Asra R Khan, Valerie J Lang, Matthew Mintz, L James Nixon, Doug Paauw, Dario M Torre, Karen E Hauer
UNLABELLED: PHENOMENON: Medical students receive much of their inpatient teaching from residents who now experience restructured teaching services to accommodate the 2011 duty-hour regulations (DHR). The effect of DHR on medical student educational experiences is unknown. We examined medical students' and clerkship directors' perceptions of the effects of the 2011 DHR on internal medicine clerkship students' experiences with teaching, feedback and evaluation, and patient care. APPROACH: Students at 14 institutions responded to surveys after their medicine clerkship or subinternship...
2015: Teaching and Learning in Medicine
Karen A Wright, Venetia L Orcutt
PURPOSE: The purpose of this study was to identify factors related to physician assistant (PA) graduates' specialty choice. METHODS: A web-based cross-sectional study of PAs graduating between 2007 and 2009 was conducted (N = 12,128). Factor analysis was performed on 897 useable survey responses. The cohort profile resembles that of recent AAPA census data regarding demographic and specialty choice distribution. RESULTS: Principal component factor analysis of perception items identified five factors that explained 52...
2011: Journal of Physician Assistant Education
George W Saba, Calvin L Chou, Jason Satterfield, Arianne Teherani, Karen Hauer, Ann Poncelet, Huiju Carrie Chen
BACKGROUND: To encourage medical students' use of patient-centered skills in core clerkships, we implemented and evaluated a Telephone Follow-up Curriculum focusing on three communication behaviors: tailoring education to patients' level of understanding, promoting adherence by anticipating obstacles, and ensuring comprehension by having patients repeat the plans. METHODS: The intervention group consisted of two different cohorts of third-year medical students in longitudinal clerkships (n=41); traditional clerkship students comprised the comparison group (n = 185)...
2014: Medical Education Online
Karen E Hauer, Jeffrey Kohlwes, Patricia Cornett, Harry Hollander, Olle Ten Cate, Sumant R Ranji, Krishan Soni, William Iobst, Patricia O'Sullivan
BACKGROUND: Entrustable professional activities (EPAs) can form the foundation of competency-based assessment in medical training, focused on performance of discipline-specific core clinical activities. OBJECTIVE: To identify EPAs for the Internal Medicine (IM) Educational Milestones to operationalize competency-based assessment of residents using EPAs. METHODS: We used a modified Delphi approach to conduct a 2-step cross-sectional survey of IM educators at a 3-hospital IM residency program; residents also completed a survey...
March 2013: Journal of Graduate Medical Education
Gurpreet Dhaliwal, Karen E Hauer
No abstract text is available yet for this article.
December 4, 2013: JAMA: the Journal of the American Medical Association
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