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https://www.readbyqxmd.com/read/29457248/duty-hours-restriction-for-our-surgical-trainees-an-ethical-obligation-or-a-bad-idea
#1
REVIEW
Christopher A Adin, Callie A Fogle, Steven L Marks
To ensure patient safety and protect the well-being of interns and residents, the Accreditation Council for Graduate Medical Education (ACGME) issued guidelines in 2003 limiting the working hours of physician trainees. Although many supported the goals of the ACGME, institutions struggled to restructure their programs and hire staff required by this unfunded mandate. Numerous studies have analyzed the effects of duty hours restrictions on patient outcomes and physician training over the past 15 years. Most agree that duty hours restrictions improved well-being of house officers, but these improvements came at the expense of continuity, and patient hand-offs led to medical errors...
February 19, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29433503/correction-to-strengthening-medical-training-programmes-by-focusing-on-professional-transitions-a-national-bridging-programme-to-prepare-medical-school-graduates-for-their-role-as-medical-interns-in-botswana
#2
Bunmi S Malau-Aduli, Teresa O'Connor, Robin A Ray, Yolanda van der Kruk, Michelle Bellingan, Peta-Ann Teague
Following publication of the original article [1], one of the authors reported that prior to publication her surname had changed from 'Kerlen' to 'van der Kruk', but that this change had not been incorporated in the final version.
February 12, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29423516/international-medical-graduates-a-critical-component-of-the-global-health-workforce
#3
Joseph Nwadiuko, Varshini Varadaraj, Anju Ranjit
No abstract text is available yet for this article.
February 8, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29422403/medical-officers-in-sierra-leone-surgical-training-opportunities-challenges-and-aspirations
#4
Lucy Wilks, Andrew Leather, Peter Matthew George, Thaim Bay Kamara
BACKGROUND: The critical shortage of human resources for healthcare falls most heavily on sub-Saharan nations such as Sierra Leone, where such workforce deficits have grave impacts on its burden of surgical disease. An important aspect in retention and development of the workforce is training. This study focuses on postgraduate surgical training (formal and short course) and perceptions of opportunities, challenges and aspirations, in a country where more than half of surgical procedures are performed by medical officers...
February 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29420762/military-internal-medicine-resident-decision-to-apply-to-fellowship-and-extend-military-commitment
#5
Alice E Barsoumian, Joshua D Hartzell, Erin M Bonura, Roseanne A Ressner, Timothy J Whitman, Heather C Yun
Introduction: Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29417062/developing-a-pilot-curriculum-to-foster-humanism-among-graduate-medical-trainees
#6
Sarah K Dotters-Katz, Alice Chuang, Amy Weil, Jennifer O Howell
BACKGROUND: Humanism is a central tenant of professionalism, a required competency for all residency programs. Yet, few residencies have formal curriculum for teaching this critical aspect of medicine. Instead, professionalism and humanism are often taught informally through role-modeling. With increased burnout, faculty professionalism may suffer and may compromise resident role-modeling. The objective of this study was to design a pilot curriculum to foster humanism in among residents and assess its ability to do so...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29416385/the-current-practice-of-mentoring-across-accreditation-council-of-graduate-medical-education-international-accredited-programs-in-qatar-from-faculty-and-trainees-perspectives
#7
Shireen Suliman, Ahmed Al-Mohammed, Dabia Al Mohanadi, Margaret Allen, Carma L Bylund
Purpose: Mentoring plays a vital role in academic productivity, personal development, and career guidance for students, residents, fellows, and junior faculty. A culture of mentoring is spreading across residency and fellowship training programs in Hamad Medical Corporation, the main teaching tertiary care facility in Qatar. However, there is insufficient knowledge about the current practice of mentoring in these programs. Methods: We conducted a cross-sectional study by surveying all faculty and trainees in all residency and fellowship training programs in Qatar...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29399986/2015-rheumatology-workforce-study-the-role-of-graduate-medical-education-in-adult-rheumatology
#8
Marcy B Bolster, Anne R Bass, Jonathan S Hausmann, Chad Deal, Marcia Ditmyer, Kamilah L Greene, Seetha U Monrad, Daniel F Battafarano
OBJECTIVE: Graduate medical education (GME), through fellowship training, plays a critical role in providing new rheumatologists into our workforce and is an essential component when addressing the gap of excess demand for adult rheumatology care. METHODS: Primary and secondary data sources were used to develop an integrated workforce model. Factors specific to new graduates entering the workforce included available and filled fellowship positions, gender shifts, planned work schedules (part-time, full- time), practice settings (academic, non-academic private practice), and number of international medical graduates (IMGs) projecting U...
February 5, 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29395185/variation-in-part-time-work-among-pediatric-subspecialties
#9
Gary L Freed, Debra M Boyer, Kenton D Van, Michelle L Macy, Julie McCormick, Laurel K Leslie
OBJECTIVE: To assess the part-time workforce and average hours worked per week among pediatric subspecialists in the 15 medical subspecialties certified by the American Board of Pediatrics. STUDY DESIGN: We examined data from pediatric subspecialists who enrolled in Maintenance of Certification with the American Board of Pediatrics from 2009 to 2015. Data were collected via an online survey. Providers indicated whether they worked full time or part time and estimated the average number of hours worked per week in clinical, research, education, and administrative tasks, excluding time on call...
January 29, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29394423/assessing-correlation-of-residency-applicants-interview-dates-with-likelihood-of-matching
#10
Sameer Avasarala, Elizabeth Thompson, Sarah Whitehouse, Sean Drake
OBJECTIVES: This study aimed to determine whether the timing of an interview relative to the recruitment season was associated with being ranked or matched at an academic medical center. METHODS: Eleven specialties (anesthesiology, diagnostic radiology, emergency medicine, family medicine, general surgery, internal medicine, neurology, neurosurgery, obstetrics-gynecology, orthopedic surgery, and psychiatry) that participated in the National Resident Matching Program were included in the study...
February 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29390938/comparative-values-of-medical-school-assessments-in-the-prediction-of-internship-performance
#11
Ming Lee, Michelle Vermillion
BACKGROUND: Multiple undergraduate achievements have been used for graduate admission consideration. Their relative values in the prediction of residency performance are not clear. This study compared the contributions of major undergraduate assessments to the prediction of internship performance. METHODS: Internship performance ratings of the graduates of a medical school were collected from 2012 to 2015. Hierarchical multiple regression analyses were used to examine the predictive values of undergraduate measures assessing basic and clinical sciences knowledge and clinical performances, after controlling for differences in the Medical College Admission Test (MCAT)...
February 1, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29383326/protection-of-children-s-human-rights-and-health-a-legacy-of-julian-kramsztyk-janusz-korczak-and-ludwik-rajchman
#12
Piotr Woltanowski, Andrzej Wincewicz, Stanisław Sulkowski
Tutor of generations of Warsaw medical doctors, Julian Kramsztyk (1851-1926) was son of Rabbi Izaak Kramsztyk, Polish patriot and fighter for independent Poland. Julian Kramsztyk graduated in medicine from Warsaw University in 1873 to soon work as a supervisor of the Internal Diseases Department of Bersohns and Baumans Children's Hospital from 1878 to 1910, and despite of refusing professorship from Imperial Warsaw University, he worked as a lecturer of pediatric disorders from 1880 with strong association of his medical practice with scientific and editorial tasks as well as engaging in charity...
2018: Global Pediatric Health
https://www.readbyqxmd.com/read/29383082/filling-the-gap-simulation-based-crisis-resource-management-training-for-emergency-medicine-residents
#13
Jessica R Parsons, Amanda Crichlow, Srikala Ponnuru, Patricia A Shewokis, Varsha Goswami, Sharon Griswold
Introduction: In today's team-oriented healthcare environment, high-quality patient care requires physicians to possess not only medical knowledge and technical skills but also crisis resource management (CRM) skills. In emergency medicine (EM), the high acuity and dynamic environment makes CRM skills of physicians particularly critical to healthcare team success. The Accreditation Council of Graduate Medicine Education Core Competencies that guide residency program curriculums include CRM skills; however, EM residency programs are not given specific instructions as to how to teach these skills to their trainees...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383072/bringing-the-flipped-classroom-to-day-1-a-novel-didactic-curriculum-for-emergency-medicine-intern-orientation
#14
Michael G Barrie, Christopher Amick, Jennifer Mitzman, David P Way, Andrew M King
Most emergency medicine (EM) residency programs provide an orientation program for their incoming interns, with the lecture being the most common education activity during this period. Our orientation program is designed to bridge the gap between undergraduate and graduate medical education by ensuring that all learners demonstrate competency on Level 1 Milestones, including medical knowledge (MK). To teach interns core medical knowledge in EM, we reformulated orientation using the flipped-classroom model by replacing lectures with small group, case-based discussions...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383064/emergency-medicine-residency-applicant-characteristics-associated-with-measured-adverse-outcomes-during-residency
#15
Jesse Bohrer-Clancy, Leslie Lukowski, Lisa Turner, Ilene Staff, Shawn London
Introduction: Negative outcomes in emergency medicine (EM) programs use a disproportionate amount of educational resources to the detriment of other residents. We sought to determine if any applicant characteristics identifiable during the selection process are associated with negative outcomes during residency. Methods: Primary analysis consisted of looking at the association of each of the descriptors including resident characteristics and events during residency with a composite measure of negative outcomes...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29377731/there-s-a-lot-more-to-being-a-physician-insights-from-an-intensive-clinical-shadowing-experience-in-internal-medicine
#16
Lauren Block, Kevin Wang, Catherine C Gao, Albert W Wu, Leonard S Feldman
Phenomenon: Although most premedical students shadow physicians prior to starting medical school, there is no set of guidelines or expectations to facilitate effective experiences for students and physicians, nor is there data on the value of shadowing medical trainees as a way to learn about the training environment. We sought to understand premedical student perspectives on an intensive resident shadowing experience. APPROACH: This was a qualitative study using anonymous data from focus groups conducted with premedical student participants in a month-long time motion analysis of internal medicine interns at two large academic medical centers...
January 29, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29372645/martha-wollstein-a-pioneer-american-female-clinician-scientist
#17
Jeanne Abrams, James R Wright
Martha Wollstein was not only the first fully specialized pediatric perinatal pathologist practicing exclusively in a North America children's hospital, she also blazed another pathway as a very early pioneer female clinician-scientist. Wollstein provided patient care at Babies Hospital of New York City from 1891 until her retirement in 1935, and also simultaneously worked for many years as a basic scientist at the prestigious Rockefeller Institute for Medical Research. Wollstein published over 65 papers, many frequently cited, during her career on a wide range of topics including pediatric and infectious diseases...
January 1, 2018: Journal of Medical Biography
https://www.readbyqxmd.com/read/29366383/the-mrcgp-clinical-skills-assessment-an-integrative-review-of-evidence
#18
Kathleen McLoughlin, Lindsey Pope, Elaine Walsh, Aisling Jennings, Tony Foley
Background Successful completion of all three components of the Membership of the Royal College of General Practitioners UK (MRCGP) is required for a doctor to practise independently as a general practitioner (GP). One component, the Clinical Skills Assessment (CSA), is a high fidelity, high stakes examination designed to provide an objective external assessment of clinical skills. Aim The aim of this integrative review was to identify, critically appraise and synthesise published empirical evidence on the CSA to identify areas for further inquiry or future collaboration...
January 25, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29330250/the-intersection-of-national-immigration-and-healthcare-policy
#19
Jeffrey Douaiher, Douglas J Inciarte, Edibaldo Silva
Immigration policy and health care policy remain principal undertakings of the federal government. The two have recently been pursued independently in the judicial and legislative arenas. Unbeknownst to many policymakers, however, national immigration policy and health care policy are linked in ways that, if unattended, could undermine the well-being of a significant portion of the US population, specifically medically underserved rural and urban populations. Using current data from a workforce report of the Association of American Colleges and the published literature, we demonstrate the significant impact that contemporary immigration policy directives may have on the number and distribution of international medical graduates who currently provide-and by the year 2025 will provide-a significant portion of primary health care in the United States, especially in underserved small urban and rural communities...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29330232/interventions-must-be-realistic-to-be-useful-and-completed-in-family-medicine
#20
EDITORIAL
Marjorie A Bowman, Dean A Seehusen, Anne Victoria Neale
Being realistic while helping our patients is this issue's theme. Given the volume of tasks required in family medicine, recommendations for improvements in direct care or care measurement cannot just be evidence-based but must also be realistic. On the list of realistic: ordering antipsychotics for symptoms of dementia in the elderly, despite recommendations to not do so; ordering antidepressants without fear that the patient could develop hypertension; mental health care providers in primary care offices; forced choice for opioid management; plus agenda setting for visit efficiency...
January 2018: Journal of the American Board of Family Medicine: JABFM
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