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https://www.readbyqxmd.com/read/28744891/qualitative-research-using-realist-evaluation-to-explain-preparedness-for-doctors-memorable-firsts
#1
Janet Lefroy, Sarah Yardley, Ruth Kinston, Simon Gay, Stuart McBain, Robert McKinley
CONTEXT: Doctors must be competent from their first day of practice if patients are to be safe. Medical students and new doctors are acutely aware of this, but describe being variably prepared. OBJECTIVES: This study aimed to identify causal chains of the contextual factors and mechanisms that lead to a trainee being capable (or not) of completing tasks for the first time. METHODS: We studied three stages of transition: anticipation; lived experience, and post hoc reflection...
July 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28721119/educational-challenges-faced-by-international-medical-graduates-in-the-uk
#2
Ahmed Hashim
INTRODUCTION: International medical graduates (IMGs) in the UK constitute approximately one-quarter of the total number of doctors registered in the General Medical Council (GMC). The transition of IMGs into the health care system in the UK is accompanied by significant sociocultural and educational challenges. This study aims to explore the views of IMGs in medical training on the educational challenges they face. METHODS: This study was conducted in the Kent, Surrey and Sussex region in 2015...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28709781/radiology-resident-supply-and-demand-a%C3%A2-regional-perspective
#3
Cory M Pfeifer
PURPOSE: Radiology was subject to crippling deficits in the number of jobs available to graduates of training programs from 2012 through 2015. As the specialty transitions to the assimilation of osteopathic training programs and the welcoming of direct competition from new integrated interventional radiology programs, the assessment of growth in radiology training positions over the 10 years preceding this pivotal time will serve to characterize the genesis of the crisis while inspiring stakeholders to avoid similar negative fluctuations in the future...
July 11, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28695422/does-black-socioeconomic-mobility-explain-recent-progress-toward-black-white-residential-integration
#4
Robert L Wagmiller, Elizabeth Gage-Bouchard, Amelia Karraker
Studies of racial residential segregation have found that black-white segregation in U.S. metropolitan areas has declined slowly but steadily since the early 1970s. As of this writing, black-white residential segregation in the United States is approximately 25 % lower than it was in 1970. To identify the sources of this decline, we used individual-level, geocoded data from the Panel Study of Income Dynamics (PSID) to compare the residential attainment of different cohorts of blacks. We analyzed these data using Blinder-Oaxaca regression decomposition techniques that partition the decline in residential segregation among cohorts into the decline resulting from (1) changes in the social and economic characteristics of blacks and (2) changes in the association between blacks' social and economic characteristics and the level of residential segregation they experience...
July 10, 2017: Demography
https://www.readbyqxmd.com/read/28694712/creating-physicians-of-the-21st-century-assessment-of-the-clinical-years
#5
Allison A Vanderbilt, Sara Q Perkins, Moriah K Muscaro, Thomas J Papadimos, Reginald F Baugh
Medical education has been under a constant state of revision for the past several years. The overarching theme of the curriculum revisions for medical schools across the USA has been creating better physicians for the 21st century, with the same end result: graduating medical students at the optimal performance level when entering residency. We propose a robust, thorough assessment process that will address the needs of clerkships, residents, students, and, most importantly, medical schools to best measure and improve clinical reasoning skills that are required for the learning outcomes of our future physicians...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28688664/a-novel-flight-surgeon-training-model-at-a-joint-military-and-civilian-surgical-residency-program
#6
Erik S DeSoucy, Scott A Zakaluzny, Joseph M Galante
BACKGROUND: Graduating military preliminary interns are often required to fill flight surgeon billets. General surgery preliminary interns get experience evaluating surgical and trauma patients, but receive very little training in primary care and flight medicine. At a joint military and civilian training program, we developed a supplemental curriculum to help transition our interns into flight medicine. METHODS: From 2013 to 2016, we developed a lecture series focused on aerospace medicine, primary care, and specialty topics including dermatology, ophthalmology, orthopedics, pediatrics, psychiatry, and women's health...
July 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28687048/a-core-undergraduate-curriculum-in-plastic-surgery-a-delphi-consensus-study-in-scandinavia
#7
Stian K Almeland, Andrew Lindford, Jais Oliver Berg, Emma Hansson
BACKGROUND AND AIMS: In recent years, undergraduate medical education has undergone a transition from a speciality-based to a more competence-based training system. Consequently, whilst medical knowledge is rapidly expanding, time for teaching of the surgical specialties is decreasing. Thus, there appears to be a need to define the core competences that are to be taught. The aim of this study was to establish a Scandinavian core undergraduate curriculum of competences in plastic surgery, using scientific methods...
July 7, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28678133/the-fourth-year-of-medical-school-time-for-reassessment-aoa-critical-issues
#8
Benjamin A Alman, James J Purtill, Vincent D Pellegrini, Peter Scoles
Most U.S. medical schools follow the 4-year model, consisting of 2 preclinical years, core clinical experience, and a fourth year intended to permit students to increase clinical competency, to explore specialty areas, and to transition to residency. Although the design and delivery of Years 1 through 3 have evolved to meet new challenges and expectations, the structure of Year 4 remains largely unchanged. For most students considering a career in orthopaedics, Year 4 is a series of elective rotations in which educational objectives become secondary to interviewing for residency programs...
July 5, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28661782/college-going-and-trajectories-of-drinking-from-adolescence-into-adulthood
#9
Robert Crosnoe, Sarah Kendig, Aprile Benner
To explore an exception to the association between educational attainment and health, this study unpacked variability in the drinking of U.S. college students by applying life course concepts to analyses of the National Longitudinal Study of Adolescent Health (Add Health). Growth curve models showed that youth who graduated from four-year colleges before turning 25 without later reentering higher education had the highest peaks in drinking after adolescence and the shallowest declines into their 30s. Deviations from this pathway in terms of type, timing, and order of college transitions flattened out drinking trajectories from adolescence into adulthood...
June 2017: Journal of Health and Social Behavior
https://www.readbyqxmd.com/read/28657554/meeting-acgme-standards-under-a-unified-accreditation-system-challenges-for-osteopathic-graduate-medical-education-programs
#10
Mark Cummings
In 2014, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine signed a memorandum of understanding (MOU) with the Accreditation Council for Graduate Medical Education (ACGME) to create a unified accreditation system for graduate medical education (GME) under the ACGME. The AOA will cease to accredit GME programs on June 30, 2020. By then, AOA-accredited programs need to apply for and achieve ACGME initial accreditation. The terms of the MOU also made it advantageous for some formerly nonteaching hospitals to establish AOA programs, chiefly in primary care, as a step toward future ACGME accreditation...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28657482/beyond-competence-why-we-should-talk-about-employability-in-veterinary-education
#11
Melinda A Bell, Martin A Cake, Caroline F Mansfield
The purpose of this article is to explore employability as a complement to competency in defining the overarching objectives of veterinary education. Although the working usage of the term competency has evolved and stretched in recent years, and contemporary competence frameworks have expanded to better reflect the range of capabilities required of a veterinary professional, the potential remains for the dominance of competency-lead discourse to obscure the aim of producing not only competent but also successful and satisfied veterinarians...
June 28, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28611515/transition-of-pediatric-to-adult-care-in-inflammatory-bowel-disease-is-it-as-easy-as-1-2-3
#12
REVIEW
Anita Afzali, Ghassan Wahbeh
Inflammatory bowel disease (IBD) is a heterogeneous group of chronic diseases with a rising prevalence in the pediatric population, and up to 25% of IBD patients are diagnosed before 18 years of age. Adolescents with IBD tend to have more severe and extensive disease and eventually require graduation from pediatric care toadult services. The transition of patients from pediatric to adult gastroenterologists requires careful preparation and coordination, with involvement of all key players to ensure proper collaboration of care and avoid interruption in care...
May 28, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28603680/society-of-pediatric-psychology-diversity-award-training-underrepresented-minority-students-in-psychology
#13
Monica J Mitchell, Lori E Crosby
Improving diversity, particularly among trainees and professionals from underrepresented ethnic minority backgrounds, has been a long-stated goal for the field of Psychology. Research has provided strategies and best practices, such as ensuring cultural sensitivity and relevance in coursework, clinical and research training, promoting a supportive and inclusive climate, providing access to cultural and community opportunities, and increasing insight and cultural competence among professionals (Rogers & Molina, 2006)...
December 2016: Clinical Practice in Pediatric Psychology
https://www.readbyqxmd.com/read/28575706/the-impact-of-undergraduate-clinical-teaching-models-on-the-perceptions-of-work-readiness-among-new-graduate-nurses-a-cross-sectional-study
#14
Emma E B Patterson, Leanne Boyd, George Mnatzaganian
BACKGROUND: Clinical Placements are an essential component of bridging the gap between academic theory and nursing practice. There are multiple clinical models designed to ease the transition from student to professional, yet there has been little exploration of such models and their impact on graduates' perceptions of work-readiness. OBJECTIVES: This cross sectional study examined perceptions of work-readiness of new graduate nurses who attended one of the following clinical teaching models: the University Fellowship Program (UFP), the Traditional Multi-facility Clinical Model (TMCPM), and the Mixed Program (MP)...
August 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28574894/an-unconventional-path-leads-to-a-lifetime-commitment-to-the-nursing-profession
#15
Franklin A Shaffer
The author shares his learnings as a nurse leader. Currently, the president and chief executive officer (CEO) of CGFNS International, Inc. (formerly known as the Commission on Graduates of Foreign Nursing Schools), he discusses job transitions; the importance of networks and colleagues, and collaboration.
July 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28562461/student-perceptions-of-stressors-and-the-value-of-coaching-in-a-baccalaureate-nursing-articulation-program
#16
Mary Knowlton
Regionally Increasing Baccalaureate Nurses (RIBN) is a unique articulation program in North Carolina. The fourth year of RIBN is challenging; students are enrolled as full-time university students while starting part-time employment as new graduate nurses. The aim of this descriptive pilot study was to explore the anticipated and actual stressors related to the fourth year experience and evaluate the impact of monthly coaching sessions. Key stressors identified were academic workload, professional awareness/role transition/workforce adjustment, time management, and obligations to support individuals...
May 29, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28562453/continuing-professional-development-for-faculty-an-elephant-in-the-house-of-academic-medicine-or-the-key-to-future-success
#17
David A Davis, William F Rayburn, Gary A Smith
The scope of change required by academic medical centers (AMCs) to maintain their viability and achieve their tripartite mission in the future is large; such reform is affected by numerous global, national, and local forces. Most AMCs focus their transformational efforts on organizational infrastructure (e.g., undertaking payment reform, developing new organizational structures, investing in information technology) and educational programs (with subsequent changes in undergraduate and graduate medical education curricula)...
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557941/finding-a-path-to-entrustment-in-undergraduate-medical-education-a-progress-report-from-the-aamc-core-entrustable-professional-activities-for-entering-residency-entrustment-concept-group
#18
David R Brown, Jamie B Warren, Abbas Hyderi, Ronald E Drusin, Jeremy Moeller, Melvin Rosenfeld, Philip R Orlander, Sandra Yingling, Stephanie Call, Kyla Terhune, Janet Bull, Robert Englander, Dianne P Wagner
PROBLEM: To better prepare graduating medical students to transition to the professional responsibilities of residency, 10 medical schools are participating in an Association of American Medical Colleges pilot to evaluate the feasibility of explicitly teaching and assessing 13 Core Entrustable Professional Activities for Entering Residency. The authors focused on operationalizing the concept of entrustment as part of this process. APPROACH: Starting in 2014, the Entrustment Concept Group, with representatives from each of the pilot schools, guided the development of the structures and processes necessary for formal entrustment decisions associated with students' increased responsibilities at the start of residency...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557937/implementing-an-entrustable-professional-activities-framework-in-undergraduate-medical-education-early-lessons-from-the-aamc-core-entrustable-professional-activities-for-entering-residency-pilot
#19
Kimberly Lomis, Jonathan M Amiel, Michael S Ryan, Karin Esposito, Michael Green, Alex Stagnaro-Green, Janet Bull, George C Mejicano
In 2014, the Association of American Medical Colleges (AAMC) published a list of 13 Core Entrustable Professional Activities for Entering Residency (Core EPAs) that medical school graduates might be expected to perform, without direct supervision, on the first day of residency. Soon after, the AAMC commissioned a five-year pilot with 10 medical schools across the United States, seeking to implement the Core EPA framework to improve the transition from undergraduate to graduate medical education.In this article, the pilot team presents the organizational structure and early results of collaborative efforts to provide guidance to other institutions planning to implement the Core EPA framework...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28556861/osteopathic-medical-students-entering-family-medicine-and-attitudes-regarding-osteopathic-manipulative-treatment-preliminary-findings-of-differences-by-sex
#20
Helen H Baker, Machelle Linsenmeyer, Lance C Ridpath, Laurie J Bauer, Robert W Foster
Context: Factors distinguishing osteopathic physicians from their allopathic counterparts include the use of osteopathic manipulative treatment (OMT), application of osteopathic principles and practice (OPP), and a greater likelihood of entering primary care, specifically family medicine (FM). In the United States, the percentage of entering osteopathic medical students who were female rose from 14.3% in fall 1977 to 44.3% in fall 2015. Objectives: To investigate the perspectives of female osteopathic medical students as they relate to osteopathic distinctiveness...
June 1, 2017: Journal of the American Osteopathic Association
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