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Friche P, Moulis L, Du Thanh A, Dereure O, Duflos C, Carbonnel F. Training Family Medicine Residents in Dermoscopy Using an e-Learning Course: Pilot Interventional Study. JMIR Form Res 2024; 8:e56005. [PMID: 38739910 DOI: 10.2196/56005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 02/05/2024] [Accepted: 03/20/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND Skin cancers are the most common group of cancers diagnosed worldwide. Aging and sun exposure increase their risk. The decline in the number of dermatologists is pushing the issue of dermatological screening back onto family doctors. Dermoscopy is an easy-to-use tool that increases the sensitivity of melanoma diagnosis by 60% to 90%, but its use is limited due to lack of training. The characteristics of "ideal" dermoscopy training have yet to be established. We created a Moodle (Moodle HQ)-based e-learning course to train family medicine residents in dermoscopy. OBJECTIVE This study aimed to evaluate the evolution of dermoscopy knowledge among family doctors immediately and 1 and 3 months after e-learning training. METHODS We conducted a prospective interventional study between April and November 2020 to evaluate an educational program intended for family medicine residents at the University of Montpellier-Nîmes, France. They were asked to complete an e-learning course consisting of 2 modules, with an assessment quiz repeated at 1 (M1) and 3 months (M3). The course was based on a 2-step algorithm, a method of dermoscopic analysis of pigmented skin lesions that is internationally accepted. The objectives of modules 1 and 2 were to differentiate melanocytic lesions from nonmelanocytic lesions and to precisely identify skin lesions by looking for dermoscopic morphological criteria specific to each lesion. Each module consisted of 15 questions with immediate feedback after each question. RESULTS In total, 134 residents were included, and 66.4% (n=89) and 47% (n=63) of trainees fully participated in the evaluation of module 1 and module 2, respectively. This study showed a significant score improvement 3 months after the training course in 92.1% (n=82) of participants for module 1 and 87.3% (n=55) of participants for module 2 (P<.001). The majority of the participants expressed satisfaction (n=48, 90.6%) with the training course, and 96.3% (n=51) planned to use a dermatoscope in their future practice. Regarding final scores, the only variable that was statistically significant was the resident's initial scores (P=.003) for module 1. No measured variable was found to be associated with retention (midtraining or final evaluation) for module 2. Residents who had completed at least 1 dermatology rotation during medical school had significantly higher initial scores in module 1 at M0 (P=.03). Residents who reported having completed at least 1 dermatology rotation during their family medicine training had a statistically significant higher score at M1 for module 1 and M3 for module 2 (P=.01 and P=.001). CONCLUSIONS The integration of an e-learning training course in dermoscopy into the curriculum of FM residents results in a significant improvement in their diagnosis skills and meets their expectations. Developing a program combining an e-learning course and face-to-face training for residents is likely to result in more frequent and effective dermoscopy use by family doctors.
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Affiliation(s)
- Pauline Friche
- University Department of Family Medicine, University of Montpellier, Montpellier, France
| | - Lionel Moulis
- Clinical Research and Epidemiology Unit, Department of Public Health, Montpellier University Hospital, Montpellier, France
- Pathogenesis and Control of Chronic and Emerging Infections, University of Montpellier, Institut national de la santé et de la recherche médicale, Etablissement français du sang, University of Antilles, Montpellier, France
| | - Aurélie Du Thanh
- Pathogenesis and Control of Chronic and Emerging Infections, University of Montpellier, Institut national de la santé et de la recherche médicale, Etablissement français du sang, University of Antilles, Montpellier, France
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Claire Duflos
- Clinical Research and Epidemiology Unit, Department of Public Health, Montpellier University Hospital, Montpellier, France
- Department of Public Health, University of Montpellier, Montpellier, France
| | - Francois Carbonnel
- University Department of Family Medicine, University of Montpellier, Montpellier, France
- Desbrest Institute of Epidemiology and Public Health, Unité Mixte de Recherche, Unité d'accueil 11, University of Montpellier, Institut national de la santé et de la recherche médicale, Montpellier, France
- University Multiprofessional Health Center Avicenne, Montpellier, France
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Pino B, Song J, Orlando A, Wang DS. Fostering Diversity in Urology: Addressing Ethnic Disparities in Applicant and Resident Recruitment. Urol Pract 2024; 11:559-566. [PMID: 38560948 DOI: 10.1097/upj.0000000000000521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 12/26/2023] [Indexed: 04/04/2024]
Abstract
INTRODUCTION In this retrospective database review, the objective was to investigate the ethnic composition of urology applicants and residents in recent years and assess whether any advancements have been made in enhancing the recruitment of candidates from historically underrepresented groups in medicine. METHODS A retrospective database review was conducted on self-reported data on the ethnicity of urology applicants from academic year 2016 to 2017 (AY2016) to AY2021 and urology residents from AY2011 to AY2021. Applicant data were collected from the Association of American Medical Colleges, and resident data were collected from the Accreditation Council for Graduate Medical Education. The ethnic proportions of applicants and residents within cohorts were analyzed using χ2 tests, and differences between cohorts were analyzed using Z tests. RESULTS There was a statistically significant decrease in the proportion of White applicants from 61.4% to 50.5% from AY2016 to AY2021 and a statistically significant increase in the proportion of applicants of multiple race/ethnicity from 4.7% to 12.0% from AY2016 to AY2021. There were disproportionately more Hispanic/Latino residents than applicants and disproportionately fewer residents of multiple race/ethnicity than applicants in the 2 cycles analyzed. There were disproportionately fewer Black residents than applicants only in the comparison of AY2016 to AY2020 applicants to AY2020 residents. CONCLUSIONS There continues to be a lack of ethnic representation among applicants and residents in urology from underrepresented groups in medicine, despite some measurable improvement over the years. This deficit highlights the important need for new and ongoing efforts to diversify the field.
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Affiliation(s)
- Bruna Pino
- Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts
| | - Jonathan Song
- Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts
| | - Andrew Orlando
- Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts
- Department of Urology, Boston Medical Center, Boston, Massachusetts
| | - David S Wang
- Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts
- Department of Urology, Boston Medical Center, Boston, Massachusetts
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Kim HS, Johnson TM, Stancoven BW, Inouye KA, Millan CP, Lincicum AR. Predictors of standardized in-service examination performance and residency outcomes in a graduate periodontics program. J Dent Educ 2024; 88:403-410. [PMID: 38269493 DOI: 10.1002/jdd.13445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 11/11/2023] [Accepted: 11/22/2023] [Indexed: 01/26/2024]
Abstract
PURPOSE/OBJECTIVES The objectives of this study were to assess the influence of learner- and education-related factors on standardized in-service examination performance and determine whether in-service examination scores predict residency outcomes. METHODS American Academy of Periodontology (AAP) In-service Examination (AIE) scores from 10 periodontics residency classes at a single center were recorded and compared against a panel of learner- and education-related variables using multiple linear regression models. Defined residency outcome measures were analyzed against AIE scores using binomial logistic regression. RESULTS No evaluated learner- or education-related variable was a statistically significant predictor of AIE score in this study sample. Likewise, AIE score was not a statistically significant predictor of any assessed residency outcome. CONCLUSIONS The AAP has performed a tremendous service to periodontics residents and programs by marshaling the leadership and expertise necessary to offer a professionally constructed assessment instrument. However, in the current study, no relationship could be identified between AIE score and any outcome, including first-attempt board certification. The AAP In-service Committee appears well situated to provide additional leadership focusing on exam implementation, which may enhance AIE value in competency decision making.
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Affiliation(s)
- Han S Kim
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
| | - Thomas M Johnson
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
| | - Brian W Stancoven
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
| | - Kimberly Ann Inouye
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
| | - Claudia P Millan
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
| | - Adam R Lincicum
- Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University, Fort Eisenhower, Georgia, USA
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Inglehart MR, Marti KC, LeBlanc MJ, Bak SY, Boynton J. Pediatric dentistry, prosthodontics, and oral and maxillofacial surgery residents' stress, career satisfaction, and gender-based discrimination/harassment. J Dent Educ 2024; 88 Suppl 1:713-726. [PMID: 38758043 DOI: 10.1002/jdd.13554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 04/02/2024] [Accepted: 04/05/2024] [Indexed: 05/18/2024]
Abstract
OBJECTIVES Dental residents experience high stress in their demanding programs and gender-based harassment/discrimination can contribute to their stress. The objectives were to compare stress, satisfaction, experienced sexual harassment and observed discrimination of women in dental graduate programs with high, medium, and low percentages of women and to explore relationships between these constructs of interest. METHODS Note that, 112 pediatric dentistry (PD), 44 prosthodontics, and 56 oral and maxillofacial surgery (OMS) residents responded to a survey. RESULTS PD residents had the lowest personal life-related stress (4-point scale with 4 = very stressful: PD = 2.99/P = 3.67/OMS = 3.56; p < 0.001), faculty-related stress (2.68/3.66/3.03; p < 0.001), lack of confidence-related stress (2.79/3.31/2.96; p < 0.01) and academic stress (2.65/3.24/3.02; p < 0.001), while prosthodontics residents had the highest stress levels. The average frequency of experiencing sexual harassment was highest for OMS residents and lowest for PD residents (5-point scale with 1 = never: 1.15/2.62/2.74; p < 0.001). PD residents observed least and OMS residents most frequently that female residents were treated less positively by other residents because of their gender (1.59/2.57/3.00; p < 0.001). Prosthodontics residents had the lowest job satisfaction score (5-point scale with 1 = lowest satisfaction: 4.12/3.14/4.20; p < 0.001). The more frequently male and female residents experienced sexual harassment, the higher their personal life-related stress, faculty-related stress, lack of confidence-related stress, and academic stress, and the lower their career satisfaction, specialty content satisfaction, and stress-related satisfaction. Women's frequencies of observed gender-based discrimination were associated with higher stress and lower satisfaction, while men's frequencies of these observations were not associated with stress, but associated with increased satisfaction. CONCLUSIONS Dental residents' stress, career satisfaction, experienced sexual harassment, and observed discrimination of women residents differ depending on the dental specialty program. Both male and female residents report more stress and less satisfaction the more they experience sexual harassment. The more women observe discrimination of women, the more stressed and the less satisfied they are. For men, the frequencies of these observations are not associated with stress, but positively associated with increased satisfaction.
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Affiliation(s)
- Marita R Inglehart
- Department of Psychology, College of Literature, Science and the Arts (LS&A), University of Michigan in Ann Arbor, Ann Arbor, Michigan, USA
- Department of Periodontics and Oral Medicine, School of Dentistry in Ann Arbor, University of Michigan, Ann Arbor, Michigan, USA
| | - Kyriaki C Marti
- Department of Periodontics and Oral Medicine, School of Dentistry in Ann Arbor, University of Michigan, Ann Arbor, Michigan, USA
| | | | - Sun-Yung Bak
- Department of Biologic and Material Sciences and Prosthodontics, School of Dentistry in Ann Arbor, University of Michigan, Ann Arbor, Michigan, USA
| | - James Boynton
- Department of Orthodontics and Pediatric Dentistry, Pediatric Dentistry Residency Program, School of Dentistry in Ann Arbor, University of Michigan, Ann Arbor, Michigan, USA
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Lomez J, Rodríguez MB, Rigou S, Rojas S, Torterola P, Fortini Cabarcos N, Elias Costa C, Enriquez D. Airway management during a respiratory arrest in a clinical simulation scenario. Experience at a pediatric residency program. ARCH ARGENT PEDIATR 2024; 122:e202310172. [PMID: 38153987 DOI: 10.5546/aap.2023-10172.eng] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2023]
Abstract
Introduction. Respiratory failure is the most common cause of cardiac arrest in pediatrics. Recognizing and managing it adequately is critical. Simulation is used to improve medical skills. The objective of this study was to establish the proportion of pediatric residents who recognized a respiratory arrest in a child at a simulation center. Methods. This was an observational study in 77 residents. A simulation of a patient with respiratory distress that progressed to respiratory arrest was used. Results. Among the 77 participants, 48 recognized respiratory arrest (62.3%). The mean time to recognize respiratory arrest was 38.16 seconds. Conclusion. Respiratory arrest was recognized by 62.3% of participants. Among those who did so, the average time was 38.16 seconds. Severe failures were noted in some of the expected interventions.
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Affiliation(s)
- Julia Lomez
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
| | - M Belén Rodríguez
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
| | - Sofía Rigou
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
| | - Sonia Rojas
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
| | - Pilar Torterola
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
| | | | | | - Diego Enriquez
- Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina
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Cyndari K, White L, Mudd PA, Vakkalanka JP, Krispin S, Wallace K, Schagrin M, Mohr N. Emergency medicine residency pathways for MD/PhD trainees: A national cross-sectional study of physician-scientist training programs. AEM Educ Train 2024; 8:e10960. [PMID: 38525369 PMCID: PMC10955610 DOI: 10.1002/aet2.10960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 01/11/2024] [Accepted: 01/21/2024] [Indexed: 03/26/2024]
Abstract
Background Combined clinical and research training is common in residency programs outside emergency medicine (EM), and these pathways are particularly valuable for combined MD/PhD graduates planning to pursue a career as a physician-scientist. However, EM departments may not know what resources to provide these trainees during residency to create research-focused, productive, future faculty, and trainees may not know which programs support their goal of becoming a physician-scientist in EM. The objective of this study was to describe research training and resources available to MD/PhD graduates in EM residency training with a focus on dedicated research pathways. Methods This study was a cross-sectional inventory conducted through an electronic survey of EM residency program directors. We sought to identify dedicated MD/PhD research training pathways, with a focus on both resources and training priorities. Descriptive statistics were used to summarize survey responses. Results We collected 192 survey responses (69.6% response rate). Among respondents, 41 programs (21.4%) offered a research pathway/track, 52 (27.4%) offered a research fellowship, 22 (11.5%) offered both a residency research pathway/track and a research fellowship, and two (1.0%) offered a dedicated EM physician-scientist training pathway. Most programs considered research a priority and were enthusiastic about interviewing applicants planning a research career, but recruitment of physician-scientist applicants was not generally prioritized. Conclusions Some EM residency programs offer combined clinical and mentored research training for prospective physician-scientists, and nearly all residency programs considered research important. Future work will focus on improving the EM physician-scientist pipeline by optimizing pathways available to trainees during residency and fellowship.
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Affiliation(s)
- Karen Cyndari
- Department of Emergency MedicineUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
| | - Libby White
- Department of Emergency MedicineUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
| | - Philip A. Mudd
- Department of Emergency MedicineWashington University School of MedicineSt. LouisMissouriUSA
| | - J. Priyanka Vakkalanka
- Department of Emergency MedicineUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
| | - Sydney Krispin
- Department of Emergency MedicineUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
| | - Kelli Wallace
- Department of Emergency MedicineUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
| | - Megan Schagrin
- Society for Academic Emergency MedicineDes PlainesIllinoisUSA
| | - Nicholas Mohr
- Departments of Emergency Medicine, Anesthesia Critical Care, and EpidemiologyUniversity of Iowa Carver College of MedicineIowa CityIowaUSA
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Hendon AM, Thornton I. Variation in Transcript Reports Among Residency Applicants: An Anesthesia Program's Perspective. HCA Healthc J Med 2024; 5:5-9. [PMID: 38560392 PMCID: PMC10939090 DOI: 10.36518/2689-0216.1598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Background With recent changes made to move USMLE Step 1 and COMLEX Level 1 scores to Pass/Fail, it becomes necessary to find other metrics to evaluate residency candidates. One conserved metric included in all residency applications is medical school transcripts. This study aims to highlight the highly varied transcript reporting in a new era of holistic applicant review. Methods Medical school transcripts were extracted from the Electronic Residency Application Service applications to our anesthesiology residency program for the 2021-2022 application cycle. All personally identifiable information was removed. Results were categorized and tallied by 2 independent reviewers. Overall, we assessed transcript information from 156 allopathic and osteopathic medical schools. Transcript data were separated into 9 different categories. Results The most common grading system for allopathic medical schools was Pass/Fail. The most common grading system for osteopathic medical schools was Pass/Fail and Letter Grades. There were several medical schools that had unique grading systems and many of those did not provide a grading key for interpretation. Less than half of the allopathic and osteopathic schools offered Honors or High Pass in their grading systems, often with little information provided as to how these grades were earned. Conclusion The information provided on medical school transcripts is extremely variable. Although many schools reported grades as Pass/Fail, there was no majority or consistent presentation among the transcripts. Much of the information provided on transcripts required interpretation by its reviewer and made the process of holistic applicant review more difficult.
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Abstract
Description According to theatrical superstition, saying "Macbeth" in the theater when you aren't actively performing or rehearsing foreshadows impending doom. In a similar way, in the hospital, its own production of sorts where medical staff is under pressure to perform, it's the "Q" word. We all dread the "Q" word and are vexed with anyone who dares say it. Yet sometimes wandering the hospital during night float, I often feel a profound sense of "Quiet." The word is typically associated with a lack of it, but I find there is a certain peace with being alone with one's thoughts. Residency can be an isolating endeavor, and this particular type of quiet reflection doesn't come around often in a busy hospital. When it does, I think about the other people in this shared space that we work in who may also be feeling the same way, which is bizarrely comforting. However, I probably wouldn't say so out loud, especially under a full moon.
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Pinnola A, Kaufmann C. Structured Textbook Review and Individualized Learning Plans Successfully Remediate Underperforming Residents and Improve General Surgery Program Performance on the ABSITE. HCA Healthc J Med 2024; 5:49-54. [PMID: 38560390 PMCID: PMC10939094 DOI: 10.36518/2689-0216.1616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Background We endeavored to create an evidence-based curriculum to improve general surgery resident fund of knowledge. Global and resident-specific interventions were employed to this end. These interventions were monitored via multiple choice question results on a weekly basis and American Board of Surgery In-Training Examination (ABSITE) performance. Methods This study was performed in a prospective manner over a 2-year period. A structured textbook review with testing was implemented for all residents. A focused textbook question-writing assignment and a Surgical Council on Resident Education (SCORE)-based individualized learning plan (ILP) were implemented for residents scoring below the 35th percentile on the ABSITE. Results Curriculum implementation resulted in a statistically significant reduction in the number of residents scoring below the 35th percentile, from 50% to 30.8% (P = .023). One hundred percent of residents initially scoring below the 35th percentile were successfully remediated over the study period. Average overall program ABSITE percentile scores increased from 38.5% to 51.4% over a 2-year period. Conclusion Structured textbook review and testing combined with a question-writing assignment and a SCORE-focused ILP successfully remediated residents scoring below the 35th percentile and improved general surgery residency ABSITE performance.
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Ryans CP, Brooks BM, Tower DE, Robbins JM, Butterworth ML, Stapp MD, Nettles AM, Brooks BM. Evidence-Based Opioid Education That Reduces Prescribing: The 10 Principles of Opioid Prescribing in Foot and Ankle Surgery. J Foot Ankle Surg 2024; 63:214-219. [PMID: 37981027 DOI: 10.1053/j.jfas.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 10/30/2023] [Accepted: 11/04/2023] [Indexed: 11/21/2023]
Abstract
Over half of opioid misusers last obtained access to opioids via a friend or relative, a problematic reflection of the opioid reservoir phenomenon, which results from an unused backlog of excess prescription opioids that are typically stored in the American home. We aim to determine if a voluntary educational intervention containing standard opioid and nonopioid analgesic prescribing ranges for common surgeries is effective in altering postoperative prescribing practice. We utilized a mixed methods approach and sent out a questionnaire to American podiatric physicians, including residents (baseline group A), via email in early 2020 for baseline data; then, we interviewed foot and ankle surgeons and the primary themes of these semistructured interviews informed us to target residents for an educational intervention. We repeated the survey 3 years later in summer 2022 (preintervention group B). We created an opioid guide and emailed it to residents in fall 2022. Another repeat survey was done in spring 2023 (postintervention group C). We used the Mann-Whitney U test to examine differences between the groups among their reported postoperative opioid quantities for a first metatarsal osteotomy surgical scenario. Groups A, B, and C had 60, 100, and 99 residents, respectively. There was no significant difference (p = .9873) between baseline group A and preintervention group B. There was a difference (p < .0001; -5 median) between preintervention group B and postintervention group C (same residency year). In postintervention group C, a majority (91/99) reported viewing the guide at least once, and the number of residents that reported supplementing with NSAIDs also doubled compared to preintervention group B. This novel opioid educational intervention resulted in meaningful change in self-reported postoperative prescribing behavior among residents.
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Affiliation(s)
| | - Bradley M Brooks
- University of South Alabama Health, Department of Psychiatry, AL
| | - Dyane E Tower
- The American Podiatric Medical Association, Bethesda, MD
| | - Jeffrey M Robbins
- Department of Veterans Affairs Central Office Services, Cleveland, OH
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Swenson TL, Ehsanian R, Tran RT, Petersen TR, Kennedy DJ, Roche M, Oppezzo M, Noordsy DL, Fredericson M. The Association Between Well-Being and Empathy in Medical Residents: A Cross-Sectional Survey. J Integr Complement Med 2024. [PMID: 38416862 DOI: 10.1089/jicm.2023.0116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/01/2024]
Abstract
Objective: To evaluate the extent to which personal well-being may be associated with empathy, while controlling for potential confounders. Settings/Location: Residency programs throughout the United States. Subjects: A total of 407 medical residents from residencies including general medicine, surgery, specialized and diagnostic medicine participated in this study. Outcome Measures: Well-being was measured using the modified existential well-being subscale of the spiritual well-being scale. Empathy was measured using the Jefferson Scale of Empathy. Results: Well-being was found to be positively correlated with empathy when adjusted for possible confounders (p < 0.001). In addition to well-being, other factors noted to be statistically significant contributors to higher empathy scores while controlling for the others included age, gender, year in residency, specialty, and work-hours (p < 0.05 for each). After controlling for these factors, a resident's year in residency was not found to be a statistically significant contributor to empathy score. Conclusions: In this study, well-being was associated with empathy in medical and surgical residents. Empathy is a fundamental component of physician competency, and its development is an essential aspect of medical training. These findings suggest that efforts to increase well-being may promote empathy among medical residents.
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Affiliation(s)
- Theodora L Swenson
- Department of Physical Medicine and Rehabilitation, Vanderbilt University School of Medicine, Nashville, TN, USA
| | - Reza Ehsanian
- Department of Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - Richard T Tran
- University of Colorado School of Medicine, Aurora, CO, USA
| | - Timothy R Petersen
- Department of Anesthesiology and Critical Care Medicine, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - David J Kennedy
- Department of Physical Medicine and Rehabilitation, Vanderbilt University School of Medicine, Nashville, TN, USA
| | - Megan Roche
- Stanford University School of Medicine, Stanford, CA, USA
| | - Marily Oppezzo
- Division of Medicine, Stanford University School of Medicine, Stanford, CA, USA
| | - Douglas L Noordsy
- Division of Psychiatry, Stanford University School of Medicine, Stanford, CA, USA
| | - Michael Fredericson
- Division of Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA
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Mori B, Daly A, Norman KE, Wojkowski S. The Development of the Canadian Physiotherapy Assessment of Clinical Performance (ACP) 2.0 - Alignment with the 2017 Competency Profile. Physiother Can 2024; 76:111-120. [PMID: 38465297 PMCID: PMC10919373 DOI: 10.3138/ptc-2021-0077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Purpose Clinical education and assessment of students' performance during clinical placements are key components of Canadian entry-to-practice physiotherapy curriculum and important in developing entry-level physiotherapy practitioners. The Canadian Physiotherapy Assessment of Clinical Performance (ACP) is the measure currently used to assess physiotherapy student performance on clinical placements in most of the entry-to-practice physiotherapy programmes across Canada. The release of the 2017 Competency Profile by the National Physiotherapy Advisory Group resulted in a revision of the existing ACP. The purpose of this study is to report the process used to develop a revised version of the ACP based on the 2017 Competency Profile, henceforth called the ACP 2.0. Method Using a multistage process, we sought input from Canadian clinical education academics, an expert consultant panel, as well as physiotherapists across Canada using a questionnaire, meetings, and an online survey, respectively. Results Twelve of 15 clinical education academics responded to a questionnaire. The expert consultant panel (n = 12) met three times. There were 144 physiotherapists who initiated the national, online, survey and met the inclusion criteria; 84 completed the survey. In the ACP 2.0, rating scales and comments boxes were grouped, and additional text was added to 12 items for further clarification. The ACP 2.0 came to have 18 items and 9 comment boxes in addition to summative comments, in contrast to the original ACP's 21 items and 9 comment boxes. Conclusions In November 2020, Canadian clinical education academics reviewed the proposed draft ACP 2.0 and unanimously accepted it for implementation in Canadian physiotherapy university programmes.
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Affiliation(s)
- Brenda Mori
- From the:Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Andrew Daly
- From the:Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Kathleen E. Norman
- School of Rehabilitation Therapy, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada
| | - Sarah Wojkowski
- School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada
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Barrett B, Toyinbo P, Couig MP, Chavez M, Rugs D, Melillo C, Cowan L, DeMasi K, Sullivan SC, Powell-Cope G. Assessing Nurse Competency in the Veterans Health Administration Registered Nurse Transition-to-Practice Residency Program: Item Pool Content Validation. J Nurs Care Qual 2024; 39:E1-E7. [PMID: 37751548 PMCID: PMC10655908 DOI: 10.1097/ncq.0000000000000740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/01/2023] [Indexed: 09/28/2023]
Abstract
BACKGROUND New graduate registered nurse (RN) competencies are complex and difficult to measure. Psychometrically sound tools are needed to evaluate competencies for nurses participating in nurse residencies. PURPOSE Project aims were to develop an item pool for a tool to measure new graduate RN competencies for the Veterans Health Administration RN Transition-to-Practice Residency Program; validate item pool content; and use consensus methods to improve item pool content validity. METHODS A sequential, mixed-methods design was used. Item pool creation, content validation, and revisions included a collaborative process with the evaluation team, operational stakeholders, and subject matter experts (SMEs). RESULTS Inclusion of SMEs in item development enhanced item pool content validity to measure nurse competency. Stakeholder feedback ensured programmatic logistical and evaluation concerns were met. CONCLUSIONS Engaging SMEs in conceptualization, item development, and aligning existing standards enhanced item pool content validity to measure nurse competencies for new graduate RNs.
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Affiliation(s)
- Blake Barrett
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Peter Toyinbo
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Mary Pat Couig
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Margeaux Chavez
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Deborah Rugs
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Christine Melillo
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Linda Cowan
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Kim DeMasi
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Sheila Cox Sullivan
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
| | - Gail Powell-Cope
- Nursing Innovations Center for Evaluation (NICE), Research and Development Service, James A. Haley Veterans' Hospital and Clinics, Tampa, Florida (Mr Barrett, Drs Toyinbo, Rugs, Melillo, Cowan, and Powell-Cope, and Ms Chavez); College of Nursing, University of New Mexico, Albuquerque (Dr Couig); Intergovernmental Personnel Act affiliation with the Office of Nursing Services, RN Transition-to-Practice Residency Program, Workforce and Leadership Development (Dr Couig), Office of Nursing Services, Workforce and Leadership Development (Dr DeMasi), and Office of Nursing Services, Research and Analytics (Dr Sullivan), Veterans Health Administration, Washington, District of Columbia; and The Betty Irene Moore School of Nursing, University of California Davis, Sacramento (Dr Powell-Cope)
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Scullen T, Milburn J, Mathkour M, Larrota A, Aduloju O, Dumont A, Nerva J, Amenta P, Wang A. Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations. Ochsner J 2024; 24:36-46. [PMID: 38510222 PMCID: PMC10949058 DOI: 10.31486/toj.23.0118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2024] Open
Abstract
Background: The rapid evolution of neuroendovascular intervention has resulted in the inclusion of endovascular techniques as a core competency in neurosurgical residency training. Methods: We conducted a literature review of studies involving the training of neurosurgical residents in cerebrovascular and endovascular neurosurgery. We reviewed the evolution of cerebrovascular neurosurgery and the effects of these changes on residency, and we propose interventions to supplement contemporary training. Results: A total of 48 studies were included for full review. Studies evaluated trainee education and competency (29.2%, 14/48), neuroendovascular training models (20.8%, 10/48), and open cerebrovascular training models (52.1%, 25/48), with some overlap. We used a qualitative analysis of reviewed reports to generate a series of suggested training supplements to optimize cerebrovascular education. Conclusion: Cerebrovascular neurosurgery is at a crossroads where trainees must develop disparate skill sets with inverse trends in volume. Continued longitudinal exposure to both endovascular and open cerebrovascular surgical fields should be mandated in general resident education, and blended learning tactics using adjunct simulation systems and models should be incorporated with didactics to both optimize learning and alleviate restraints placed by decreased volume and autonomy.
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Affiliation(s)
- Tyler Scullen
- Department of Neurological Surgery, Tulane Medical Center, New Orleans, LA
| | - James Milburn
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
- The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA
| | - Mansour Mathkour
- Department of Neurological Surgery, Tulane Medical Center, New Orleans, LA
| | - Angela Larrota
- International School of Louisiana, West Bank Campus, New Orleans, LA
| | | | - Aaron Dumont
- Department of Neurological Surgery, Tulane Medical Center, New Orleans, LA
| | - John Nerva
- Department of Neurological Surgery, Medical College of Wisconsin, Milwaukee, WI
| | - Peter Amenta
- Department of Neurological Surgery, University of Massachusetts, Worchester, MA
| | - Arthur Wang
- Department of Neurological Surgery, Tulane Medical Center, New Orleans, LA
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15
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Tooley AA, Law J, Lelli GJ, Sun G, Godfrey KJ, Tran AQ, Kim E, Solomon JM, Chen JJ, Khan AR, Wayman L, Olson JH, Lee MS, Harrison AR, Espinoza GM, Davitt BV, Tao J, Hodge DO, Barkmeier AJ. Predictors of Ophthalmology Resident Performance From Medical Student Application Materials. Journal of Surgical Education 2024; 81:151-160. [PMID: 38036387 DOI: 10.1016/j.jsurg.2023.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 10/02/2023] [Accepted: 10/07/2023] [Indexed: 12/02/2023]
Abstract
OBJECTIVE To determine whether elements in ophthalmology residency applications are predictors of future resident performance. DESIGN This multi-institutional, cross-sectional, observational study retrospectively reviewed the residency application materials of ophthalmology residents who graduated from residency from 2006 through 2018. Resident performance was scored by 2 faculty reviewers in 4 domains (clinical, surgical, academic, and global performance). Correlation between specific elements of the residency application and resident performance was assessed by Spearman correlation coefficients (univariate) and linear regression (multivariate) for continuous variables and logistic regression (multivariate) for categorical variables. SETTING Seven ophthalmology residency programs in the US. PARTICIPANTS Ophthalmology residents who graduated from their residency program. RESULTS High-performing residents were a diverse group, in terms of sex, ethnicity, visa status, and educational background. Residents with United States Medical Licensing Examination Step 1 scores higher than the national average for that year had significantly higher scores in all 4 performance domains than those who scored at or below the mean (all domains P < 0.05). Residents who had honors in at least 4 core clerkships and who were members of Alpha Omega Alpha Medical Honor Society also had higher scores in all 4 performance domains (all domains P ≤ 0.04). Step 1 score (ρ=0.26, P < 0.001) and the difference between Step 1 score and the national average for that year (ρ=0.19, P = 0.009) positively correlated with total resident performance scores. Residents who passed the American Board of Ophthalmology Written Qualifying Examination or Oral Examination on their first attempt had significantly higher Step 1/2 scores (P ≤ 0.005), Ophthalmology Knowledge Assessment Program scores (P = 0.001), and resident performance scores (P ≤ 0.004). CONCLUSIONS In this new landscape of increasing numbers of applicants to residency programs and changing of the Step 1 score to pass/fail, our findings may help guide selection committees as they holistically review applicants to select exceptional future residents in ophthalmology.
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Affiliation(s)
- Andrea A Tooley
- Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
| | - Janice Law
- Department of Ophthalmology, Vanderbilt University, Nashville, Tennessee
| | - Gary J Lelli
- Department of Ophthalmology, Weill Cornell Medical College, New York, New York
| | - Grace Sun
- Department of Ophthalmology, Weill Cornell Medical College, New York, New York
| | - Kyle J Godfrey
- Department of Ophthalmology, Weill Cornell Medical College, New York, New York
| | - Ann Q Tran
- Department of Ophthalmology, Weill Cornell Medical College, New York, New York
| | - Eleanore Kim
- Department of Ophthalmology, New York University, New York, New York
| | - Joel M Solomon
- Department of Ophthalmology, New York University, New York, New York
| | - John J Chen
- Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
| | - Amir R Khan
- Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
| | - Laura Wayman
- Department of Ophthalmology, Vanderbilt University, Nashville, Tennessee
| | - Joshua H Olson
- Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota
| | - Michael S Lee
- Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota
| | - Andrew R Harrison
- Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota
| | | | - Bradley V Davitt
- Department of Ophthalmology, Saint Louis University, St. Louis, Missouri
| | - Jeremiah Tao
- Gavin Herbert Eye Institute, University of California Irvine, Irvine, California
| | - David O Hodge
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Jacksonville, Florida
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16
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Heard J, Rawal RY, Amazan B, Jeune KR, Freedman A. The New Urology Match: How Recent Innovations Including Virtual Interviews and Preference Signaling Have Changed Match Outcomes. Cureus 2024; 16:e53167. [PMID: 38420061 PMCID: PMC10901384 DOI: 10.7759/cureus.53167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2024] [Indexed: 03/02/2024] Open
Abstract
OBJECTIVES To determine how recent changes in the urology match occurring from 2021 to 2023, including virtual interviews (VIs) and preference signals (PS), affected match outcomes. METHODS The American Urological Association (AUA) match data from 2021 to 2023 was compared to the 15 years prior. This was obtained from the AUA website and a previous study of public AUA match data. Self-reported applicant characteristics and outcomes from the Urology Residency Applicant Spreadsheet 2021-2023 were compared to the four years prior. RESULTS Between 2021 and 2023, residency programs offered 43 interviews each, compared to an average of 35 in the 15 years prior. Programs have been receiving more applications each year, from a low of 225 in 2019 to a peak of 347 in 2022. This resulted in an interview offer rate of 13% between 2021 and 2023, compared to 16% in the five years prior. Applicants applied to a mean of 88 programs in 2023, increasing each year since 40 in 2006. Applicants attended 12 interviews on average between 2021 and 2023, compared to 13 in the two years prior. Self-reported applicant data similarly demonstrated that, compared to the four years prior, applicants between 2021 and 2023 applied to more programs (81 vs. 70), had a lower interview offer rate (22% vs. 32%), and a higher interview acceptance rate (90% vs. 75%). CONCLUSIONS During the years with VIs, programs offered more interviews and applicants attended fewer on average, indicating a larger applicant pool was interviewed. Despite the introduction of PS, applicants applied to more programs in 2022 and 2023 than ever before.
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Affiliation(s)
- John Heard
- Urology, Cedars-Sinai Medical Center, Los Angeles, USA
| | | | - Bradley Amazan
- Urology, State University of New York (SUNY) Downstate College of Medicine, New York, USA
| | - Karl-Ray Jeune
- Urology, State University of New York (SUNY) Downstate College of Medicine, New York, USA
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17
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Kezar CE, Lawton AJ. Defining Key Elements of a Clinical Experience in Hospice and Palliative Medicine for Medical Residents in the United States. J Med Educ Curric Dev 2024; 11:23821205241228027. [PMID: 38268728 PMCID: PMC10807312 DOI: 10.1177/23821205241228027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 01/02/2024] [Indexed: 01/26/2024]
Abstract
Training in hospice and palliative medicine (HPM) is essential for practicing internists, who routinely care for patients and families facing serious illness. Program directors and medical residents acknowledge the importance of palliative medicine skills, and trainees themselves desire more such training. The ACGME has also recognized the importance of HPM training for medical residents, establishing in its 2022 Common Program Requirements for Internal Medicine a new expectation that all residents have a clinical experience in HPM. However, internal medicine residencies vary significantly in their approach to teaching HPM skills, and what constitutes a useful clinical experience in HPM has not been well-described. In this perspective, we draw from the available literature and our experience as educators to propose 5 core elements for creating an optimal HPM experience for medical residents. These include practice with symptom management and communication in serious illness, exposure to interdisciplinary care, appreciation of the continuum of care settings for HPM delivery, and an understanding of the key principles of hospice care. We then describe the relevance of each element and offer educational strategies regarding how each can be achieved.
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Affiliation(s)
- Carolyn E Kezar
- Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA
| | - Andrew J Lawton
- Department of Medicine, Brigham and Women's Hospital/Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts, USA
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18
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Crouch GM, Winter KA, Quinn KR, Helmer SD, McBoyle MF. Short and Long-Term Success of a Surgery Residency Prep Course. Kans J Med 2023; 16:321-323. [PMID: 38298387 PMCID: PMC10829851 DOI: 10.17161/kjm.vol16.20090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 12/06/2023] [Indexed: 02/02/2024] Open
Abstract
Introduction This study aimed to assess the feasibility of evaluating the short-term and long-term effectiveness of a surgery residency prep course throughout the intern year. Methods The authors offered a surgery residency prep course to graduating medical students. We used an anonymous survey to assess the perceived confidence in medical knowledge, clinical skills and surgical skills pre-course, post-course, and at six months into residency. Participants also completed a pre- and post-course quiz. Results Eleven students completed the course and participated in a pre-course survey, seven completed the post-course survey, and four completed the six month survey. Students felt significantly more confident for intern year following the course compared to before the course (4.0 vs. 2.7, p = 0.018). There was no significant change in perceived confidence at six months compared to post-course results (4.0 vs. 3.9, p = 0.197). Objectively, there was a significant improvement in postcourse quiz results compared to pre-course quiz results (12.9 vs. 10.6, p = 0.004). Conclusions This study demonstrates that a surgery prep course may have long-term positive effects on resident confidence when entering a surgery residency.
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Affiliation(s)
- Grace M Crouch
- Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Kelly A Winter
- Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Karson R Quinn
- Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Stephen D Helmer
- Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Marilee F McBoyle
- Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS
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Seaberg PH, Kling JM, Klanderman MC, Mead-Harvey C, Williams KE, Labonte HR, Jain A, Taylor GE, Blair JE. Resident factors associated with American board of internal medicine certification exam failure. Med Educ Online 2023; 28:2152162. [PMID: 36443907 PMCID: PMC9718560 DOI: 10.1080/10872981.2022.2152162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 11/21/2022] [Accepted: 11/22/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION Performance on the certifying examinations such as the American Board of Internal Medicine Certification Exam (ABIM-CE) is of great interest to residents and their residency programs. Identification of factors associated with certification exam result may allow residency programs to recognize and intervene for residents at risk of failing. Despite this, residency programs have few evidence-based predictors of certification exam outcome. The change to pass-or-fail score reporting of the USA Medical Licensing Exam (USMLE) Step 1 removes one such predictor. MATERIALS AND METHODS We performed a retrospective study of residents from a medium-sized internal medicine residency program who graduated from 1998 through 2017. We used univariate tests of associations between ABIM-CE result and various demographic and scholastic factors. RESULTS Of 166 graduates, 14 (8.4%) failed the ABIM-CE on the first attempt. Failing the first attempt of the ABIM-CE was associated with older median age on entering residency (29 vs 27 years; P = 0.01); lower percentile rank on the Internal Medicine In-Training Examination (IM-ITE) in each of the first, second, and third years of training (P < 0.001 for all); and lower scores on the USMLE Steps 1, 2 Clinical Knowledge, and 3 (P < 0.05 for all). No association was seen between a variety of other scholastic or demographic factors and first-attempt ABIM-CE result. DISCUSSION Although USMLE step 1 has changed to a pass-or-fail reporting structure, there are still other characteristics that allow residency programs to identify residents at risk of ABIM-CE first time failure and who may benefit from intervention.
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Affiliation(s)
- Preston H. Seaberg
- Department of Internal Medicine Charleston Division, West Virginia University School of Medicine, Charleston, West Virginia, USA
| | - Juliana M. Kling
- Division of Women’s Health Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA
| | - Molly C. Klanderman
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Scottsdale, Arizona, USA
| | - Carolyn Mead-Harvey
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Scottsdale, Arizona, USA
| | | | - Helene R. Labonte
- Division of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA
| | - Atul Jain
- Division of General Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA
| | - Gretchen E. Taylor
- Division of Hospital Internal Medicine, Mayo Clinic, Phoenix, Arizona, USA
| | - Janis E. Blair
- Division of Infectious Diseases, Mayo Clinic, Phoenix, AZ, USA
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20
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Melzer AC, Reese ZA, Mascarhenas L, Clancy CB, Deepak J, Gogineni H, Gesthalter Y, Hart JL. Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs. ATS Sch 2023; 4:546-566. [PMID: 38196686 PMCID: PMC10773493 DOI: 10.34197/ats-scholar.2022-0131re] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 06/20/2023] [Indexed: 01/11/2024] Open
Abstract
Background Tobacco use is undertreated in the medical setting. One driver may be inadequate tobacco use disorder treatment (TUDT) training for clinicians in specialties treating tobacco-dependent patients. Objective We sought to evaluate the current state of TUDT training for diverse professionals and how these skills are assessed in credentialing exams. Methods We performed a focused review of current educational practices, evidence-based strategies, and accreditation exam contents focused on TUDT. Results Among medical students, participants in reviewed studies reported anywhere from 45 minutes to 3 hours of TUDT training throughout their 4-year programs, most often in the form of didactic sessions. Similarly, little TUDT training was reported at the post-graduate (residency, fellowship, continuing medical education) levels, and reported training was typically delivered as time-based (expected hours of instruction) rather than competency-based (demonstration of mastery) learning. Multiple studies evaluated effective TUDT curricula at varied stages of training. More effective curricula incorporated longitudinal sessions and active learning, such as standardized patient encounters or proctored patient visits. Knowledge of TUDT is minimally evaluated on certification exams. For example, the American Board of Internal Medicine blueprint lists TUDT as <2% of one subtopic on both the internal medicine and pulmonary exams. Conclusion TUDT training for most clinicians is minimal, does not assess competency, and is minimally evaluated on certification exams. Effective, evidence-based TUDT training incorporating active learning should be integrated into medical education at all levels, with attention paid to inclusion on subsequent certifying exams.
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Affiliation(s)
- Anne C. Melzer
- Center for Care Delivery and Outcomes
Research, Minneapolis VA Health Care System, Minneapolis, Minnesota
- Division of Pulmonary, Allergy, Critical
Care, and Sleep, and
| | - Zachary A. Reese
- Division of Pulmonary, Allergy, and
Critical Care, Department of Medicine
| | - Lorraine Mascarhenas
- Department of Internal Medicine,
University of Minnesota Medical School, Minneapolis, Minnesota
| | - Caitlin B. Clancy
- Division of Pulmonary, Allergy, and
Critical Care, Department of Medicine
| | - Janaki Deepak
- Division of Pulmonary and Critical Care,
Department of Medicine, University of Maryland School of Medicine, Baltimore,
Maryland
| | - Hyma Gogineni
- Department of Pharmacy, Western University
of Health Sciences, Pomona, California
| | - Yaron Gesthalter
- Department of Pulmonary and Critical Care,
University of California San Francisco, San Francisco, California; and
| | - Joanna L. Hart
- Division of Pulmonary, Allergy, and
Critical Care, Department of Medicine
- Palliative and Advanced Illness Research
Center, and
- Department of Medical Ethics and Health
Policy, University of Pennsylvania, Philadelphia, Pennsylvania
- Department of Medicine, Corporal Michael
J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia,
Pennsylvania
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Alsyouf M. Stranded in Paradise: The Conundrum of the Foreign Medical Graduate and the Visa Sponsorship Program. J Urol 2023; 210:837-838. [PMID: 37788490 DOI: 10.1097/ju.0000000000003741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 09/26/2023] [Indexed: 10/05/2023]
Affiliation(s)
- Muhannad Alsyouf
- Department of Urology, Loma Linda University Health, Loma Linda, California
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22
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Choi S, Lingaya MA, Puli A, Evans J, Sandhu G, Matusko N, Hafez K, Ambani S, Kraft KH. Increasing Trainee Entrustability in Urology Training Through Faculty Entrustment. Urol Pract 2023; 10:531-533. [PMID: 37539989 DOI: 10.1097/upj.0000000000000439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 07/17/2023] [Indexed: 08/05/2023]
Affiliation(s)
- Sebin Choi
- Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | | | - Anshul Puli
- Harvard Medical School, Boston, Massachusetts
| | - Julie Evans
- Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | - Gurjit Sandhu
- Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | - Niki Matusko
- Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | - Khaled Hafez
- Department of Urology, University of Michigan, Ann Arbor, Michigan
| | - Sapan Ambani
- Department of Urology, University of Michigan, Ann Arbor, Michigan
| | - Kate H Kraft
- Department of Urology, University of Michigan, Ann Arbor, Michigan
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23
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Osunsanya O, Cooley K, Seideman CA. Assessment of the Presence of Diversity, Equity, and Inclusion Content on Urology Residency Programs Websites. Urol Pract 2023; 10:528-530. [PMID: 37551940 DOI: 10.1097/upj.0000000000000442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 07/20/2023] [Indexed: 08/09/2023]
Affiliation(s)
| | - Keiko Cooley
- Department of Urology, Oregon Health and Science University, Portland, Oregon
| | - Casey A Seideman
- Department of Urology, Oregon Health and Science University, Portland, Oregon
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Ledesma BR, Narasimman M, Suarez Arbelaez MC, White J, Bernstein AP, Loloi J, Ramasamy R. Geographical Distribution of International Medical Graduates Across US Urology Residency Programs: An Analysis of Trends and Outcomes. Urol Pract 2023; 10:557-560. [PMID: 37498317 DOI: 10.1097/upj.0000000000000433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 06/27/2023] [Indexed: 07/28/2023]
Affiliation(s)
- Braian R Ledesma
- Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida
| | - Manish Narasimman
- Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida
| | | | - Joshua White
- Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida
| | - Ari P Bernstein
- Department of Urology, NYU Langone Health, New York, New York
| | - Justin Loloi
- Department of Urology, Montefiore Medical Center, Bronx, New York
| | - Ranjith Ramasamy
- Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida
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25
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Eymann A, Silva C, Soto Pérez AR, Arana B, Franco C, Zapata A, Ladenheim R. Autonomy in entrustable professional activities after the COVID-19 pandemic: the perspectives of residents and teachers. ARCH ARGENT PEDIATR 2023; 121:e202302996. [PMID: 37594490 DOI: 10.5546/aap.2023-02996.eng] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Abstract
Introduction. The entrustable professional activities (EPAs) are 13 activities that new medical graduates should be able to perform without direct supervision. Our objective was to assess the perceptions of residents and teachers regarding their autonomy to perform the EPAs 2 years after the onset of the COVID-19 pandemic. Materials and methods. Cross-sectional study of first-year residents of clinical and surgical specialties and their teachers. Electronic, anonymous questionnaires were used. Results. Subjects were 31 residents and 20 teachers. Most residents believed that they were able to perform 8 of the 13 EPAs independently. According to most teachers, residents required direct supervision to perform 11 of the 13 EPAs. Significant differences were observed between residents' and teachers' perceptions in 8 of the 13 EPAs. Conclusion. The perception of autonomy to perform the EPAs in the beginning of the residency program was considerably better among residents than their teachers.
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Affiliation(s)
- Alfredo Eymann
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Carolina Silva
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Amanda R Soto Pérez
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Belén Arana
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Cecilia Franco
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Agustín Zapata
- Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
| | - Roberta Ladenheim
- Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina
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Vennemeyer S, Kinnear B, Gao A, Zhu S, Nattam A, Knopp MI, Warm E, Wu DT. User-Centered Evaluation and Design Recommendations for an Internal Medicine Resident Competency Assessment Dashboard. Appl Clin Inform 2023; 14:996-1007. [PMID: 38122817 PMCID: PMC10733060 DOI: 10.1055/s-0043-1777103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 10/25/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVES Clinical Competency Committee (CCC) members employ varied approaches to the review process. This makes the design of a competency assessment dashboard that fits the needs of all members difficult. This work details a user-centered evaluation of a dashboard currently utilized by the Internal Medicine Clinical Competency Committee (IM CCC) at the University of Cincinnati College of Medicine and generated design recommendations. METHODS Eleven members of the IM CCC participated in semistructured interviews with the research team. These interviews were recorded and transcribed for analysis. The three design research methods used in this study included process mapping (workflow diagrams), affinity diagramming, and a ranking experiment. RESULTS Through affinity diagramming, the research team identified and organized opportunities for improvement about the current system expressed by study participants. These areas include a time-consuming preprocessing step, lack of integration of data from multiple sources, and different workflows for each step in the review process. Finally, the research team categorized nine dashboard components based on rankings provided by the participants. CONCLUSION We successfully conducted user-centered evaluation of an IM CCC dashboard and generated four recommendations. Programs should integrate quantitative and qualitative feedback, create multiple views to display these data based on user roles, work with designers to create a usable, interpretable dashboard, and develop a strong informatics pipeline to manage the system. To our knowledge, this type of user-centered evaluation has rarely been attempted in the medical education domain. Therefore, this study provides best practices for other residency programs to evaluate current competency assessment tools and to develop new ones.
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Affiliation(s)
- Scott Vennemeyer
- Department of Biomedical Informatics, College of Medicine, University of Cincinnati, Ohio, United States
| | - Benjamin Kinnear
- Department of Pediatrics, College of Medicine, University of Cincinnati, Ohio, United States
- Department of Internal Medicine, College of Medicine, University of Cincinnati, Ohio, United States
| | - Andy Gao
- Department of Biomedical Informatics, College of Medicine, University of Cincinnati, Ohio, United States
- Medical Sciences Baccalaureate Program, College of Medicine, University of Cincinnati, Ohio, United States
| | - Siyi Zhu
- Department of Biomedical Informatics, College of Medicine, University of Cincinnati, Ohio, United States
- School of Design, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Ohio, United States
| | - Anunita Nattam
- Department of Biomedical Informatics, College of Medicine, University of Cincinnati, Ohio, United States
- Medical Sciences Baccalaureate Program, College of Medicine, University of Cincinnati, Ohio, United States
| | - Michelle I. Knopp
- Department of Internal Medicine, College of Medicine, University of Cincinnati, Ohio, United States
- Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, College of Medicine, University of Cincinnati, Ohio, United States
| | - Eric Warm
- Department of Internal Medicine, College of Medicine, University of Cincinnati, Ohio, United States
| | - Danny T.Y. Wu
- Department of Biomedical Informatics, College of Medicine, University of Cincinnati, Ohio, United States
- Department of Pediatrics, College of Medicine, University of Cincinnati, Ohio, United States
- Medical Sciences Baccalaureate Program, College of Medicine, University of Cincinnati, Ohio, United States
- School of Design, College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Ohio, United States
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Foerster K, Fischer K, Nguyen M, Gilbert BW, Quinn KR, Helmer SD, Philip G. The Effects of COVID-19 on General Surgery Residency Programs in the United States. Kans J Med 2023; 16:228-233. [PMID: 37791032 PMCID: PMC10544883 DOI: 10.17161/kjm.vol16.20094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 06/21/2023] [Indexed: 10/05/2023] Open
Abstract
Introduction The COVID-19 pandemic impacted multiple aspects of surgical education. This survey delineates steps taken by general surgery residency programs to meet changing patient-care needs while continuing to provide adequate education. Methods A survey was administered to program directors and coordinators of all United States general surgery residency programs to assess the early effects of the pandemic on residents from March 1 through May 31, 2020. Results Of 303 programs contacted, 132 (43.6%) completed the survey. Residents were asked to work in areas outside of their specialty at 27.3% of programs. Residency curriculum was changed in 35.6% of programs, and 76.5% of programs changed their academic conferences. Resident schedules were altered at a majority of programs to limit resident-patient exposure, increase ICU coverage, or improve resident utilization. Surgical caseloads decreased at 93.8% of programs; 31.8% of those programs reported concerns regarding residents' achieving the minimum case numbers required to graduate. Conclusions These results provided insight into the restructuring of general surgery residency programs during a pandemic and may be used to establish future pandemic response plans.
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Affiliation(s)
- Katherine Foerster
- University of Kansas School of Medicine-Wichita, Wichita, KS
- Department of Surgery
| | - Karl Fischer
- University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Michael Nguyen
- University of Kansas School of Medicine-Wichita, Wichita, KS
| | | | - Karson R Quinn
- University of Kansas School of Medicine-Wichita, Wichita, KS
- Department of Surgery
| | - Stephen D Helmer
- University of Kansas School of Medicine-Wichita, Wichita, KS
- Department of Surgery
| | - George Philip
- University of Kansas School of Medicine-Wichita, Wichita, KS
- Department of Surgery
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28
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Able C, Kohn TP, Gabrielson AT. How Requiring Programs to Lock Residency Rank Lists Prior to Applicant Rank List Submission Could Provide a Hybrid Option Combining the Best of Virtual and In-person Interviews. J Urol 2023; 210:403-405. [PMID: 37232791 DOI: 10.1097/ju.0000000000003562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 05/17/2023] [Indexed: 05/27/2023]
Affiliation(s)
- Corey Able
- Division of Urology, The University of Texas Medical Branch, Galveston, Galveston, Texas
| | - Taylor P Kohn
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Andrew T Gabrielson
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Kansal R, Singla A, Bawa A, Malhotra K, Lalchandan J, Grewal J, Mehta M, Kaur N, Jain S, Mondal H. A nationwide survey on the preference of Indian undergraduate medical students to go abroad for higher studies and residency. J Family Med Prim Care 2023; 12:1997-2002. [PMID: 38024947 PMCID: PMC10657054 DOI: 10.4103/jfmpc.318_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 06/10/2023] [Accepted: 06/12/2023] [Indexed: 12/01/2023] Open
Abstract
Context Getting residency training abroad is a critical motivator in the emigration of Indian medical students. Brain drain is an emerging issue, especially for developing countries as it causes a shortage of trained staff in the donor country. Aim We aimed to survey Indian medical students to know about their intentions to get trained abroad and to understand the factors influencing their decision. Materials and Methods In this cross-sectional observational study, we surveyed Indian undergraduate medical students of all professional years, including internship. A validated questionnaire collected data on students' demographics and educational characteristics, intention to study overseas or stay back in India, and factors influencing their decision. Results Out of a total of 1199 responses (51.1% males, 48.9% females), 45.0% partakers had planned to pursue their residency abroad, while 33.8% wanted to stay in India and 21.2% were undecided. Better lifestyle and higher pay grades overseas were viewed as the most significant barriers to staying back in India and a key influencer in decision-making among the maximum number of students (412; 76.3%). On the other hand, a whopping 58.2% of participants opined that they wanted to stay back in India for taking care of their parents. Conclusions Source countries with better healthcare facilities and better incomes tend to attract medical students. Awareness among medical educators regarding constantly changing curricula, a shift to a competency-based education system, better pay grades, limited working hours, and interventions to mitigate workplace violence could help prevent brain drain among Indian medical students and graduates.
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Affiliation(s)
- Rohin Kansal
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Ankur Singla
- Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Ashvind Bawa
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Kashish Malhotra
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Janvi Lalchandan
- Department of Paediatrics, KB Bhabha Hospital, Mumbai, Maharashtra, India
| | - Jasneet Grewal
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Madhav Mehta
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Navreet Kaur
- Department of Surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Samarvir Jain
- Medical Student, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Himel Mondal
- Department of Physiology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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30
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Gastle NM, Porreca MA, Aarts MM, Patel H, Smith SG, Underwood GM, Coleman J, Mori B, Musselman KE. Exploring the Experiences and Impacts of Research Role-Emerging Placements in Physiotherapy. Physiother Can 2023; 75:246-254. [PMID: 37736402 PMCID: PMC10510540 DOI: 10.3138/ptc-2021-0085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 12/05/2021] [Accepted: 12/07/2021] [Indexed: 09/23/2023]
Abstract
Purpose Research role-emerging placements (RREPs) have been integrated into placement offerings in Canadian physiotherapy programmes. The purpose of the present study is to describe the experiences and impacts of RREPs completed by graduates of Canadian physiotherapy programmes. Methods Participants were recruited by purposive sampling and completed semi-structured interviews to explore their RREP experiences. Themes were identified using thematic analysis and collaboratively analyzed using the DEPICT model. Results Eleven participants who completed RREPs during their Canadian physiotherapy programmes (three men, eight women; aged 26.9 [SD 2.7] years) took part in this study. The participants expressed the RREP was a valuable experience. Four themes emerged from the data: (1) Motivators for selecting an RREP included interest in research or a medical injury, (2) The RREP experience involved benefits and challenges, (3) Impacts of completing an RREP, and (4) RREP participant suggestions. Conclusions RREPs are valuable placement opportunities for learners in Canadian physiotherapy programmes facilitating the development of essential competencies in a non-traditional setting. RREPs could be considered as a placement opportunity for other allied health programmes, as the skills gained are beneficial for all health care professionals.
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Affiliation(s)
- Nicole M.J. Gastle
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Michael A. Porreca
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Madeline M. Aarts
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Hetavi Patel
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Simone G.V.S. Smith
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Grace M. Underwood
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Jaimie Coleman
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Brenda Mori
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Kristin E. Musselman
- From the:
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada
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31
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Beccia F, Lontano A, Rossi MF, Marziali E, Pascucci D, Raponi M, Santoro PE, Moscato U, Laurenti P. Three-year COVID-19 and flu vaccinations among medical residents in a tertiary hospital in Italy: The threat of acceptance decline in seasonal campaigns. Hum Vaccin Immunother 2023; 19:2252708. [PMID: 37706326 PMCID: PMC10503443 DOI: 10.1080/21645515.2023.2252708] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/04/2023] [Accepted: 08/24/2023] [Indexed: 09/15/2023] Open
Abstract
The COVID-19 vaccination campaign in Italy started in December 2020, and, due to the Omicron variant's emergence, a second booster dose was recommended for high-risk individuals and healthcare workers from July 2022. The aim of the study was to evaluate the vaccination coverages for the COVID-19 second booster dose and to identify predictors of its acceptance within the population of medical residents (MRs) of the Fondazione Policlinico Universitario "A. Gemelli" IRCCS (FPG) University Hospital. The study was conducted at FPG from October 4th to December 21st, 2022, and COVID-19 second booster dose and influenza vaccines were administered. The study analyzed collected data and conducted multivariate logistic regressions to explore potential predictors of vaccination adherence. The analyses performed were compared with the sample enrolled in FPG residency programs at the start of the COVID-19 vaccination campaign. 1968 MRs were involved in the 2022-2023 vaccination campaign (mean age 28.97, SD 3.44), and the second booster dose of COVID-19 vaccination coverage was low (18.80%). Almost all participants opted for co-administration of COVID-19 and influenza vaccinations, leading to a similar rate of influenza vaccination coverage (16.26%). Being a frontline resident, meaning a direct involvement in managing COVID-19 patients and vaccination campaigns, was the main predictor of vaccination adherence (OR 1.72, 95% CI 1.25-2.17). The dropping in influenza vaccination coverage in 2022-2023 and the low adherence to COVID-19 second booster dose among young physicians is concerning, calling for tailored vaccination campaigns and interventions.
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Affiliation(s)
- Flavia Beccia
- Section of Hygiene - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Alberto Lontano
- Section of Hygiene - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Maria Francesca Rossi
- Section of Occupational Health - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Eleonora Marziali
- Section of Hygiene - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Domenico Pascucci
- Section of Hygiene - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Matteo Raponi
- Department of Women, Child and Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Paolo Emilio Santoro
- Section of Occupational Health - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Women, Child and Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Umberto Moscato
- Section of Occupational Health - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Women, Child and Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Patrizia Laurenti
- Section of Hygiene - Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Women, Child and Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
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Mendes NFB, Coelho ICM. Cross-cultural adaptation of the milestones project in otolaryngology for the brazilian reality. Rev Col Bras Cir 2023; 50:e20233570. [PMID: 37531505 PMCID: PMC10508659 DOI: 10.1590/0100-6991e-20233570-en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 05/19/2023] [Indexed: 08/04/2023] Open
Abstract
INTRODUCTION competency-based medical education is well established, but there is a worldwide shortage of instruments capable of assessing these doctors in training. OBJECTIVE to validate the instrument The Otolaryngology - Head and Neck Surgery Milestone Project for use in Residency Programs in Otorhinolaryngology in Brazil. METHOD The study had 5 stages. In stage I, two independent translations of the Milestones Project in otorhinolaryngology were carried out. In step II, a synthesis of the translations was performed. Subsequently, the competencies required by the Brazilian Association of Otorhinolaryngology for training otorhinolaryngologists in Brazil were added. In step III, a back-translation of the instrument was carried out and sent to the original authors. Then, the instrument was sent to be evaluated by a committee of 8 experts. In stage IV, each expert made comments about each of the items, and after analyzing the suggestions, a new instrument was created. In stage V, this instrument was sent for evaluation by otorhinolaryngologists across the country. RESULTS after translations and expert evaluation, an instrument with 19 items was created. The instrument was submitted to analysis by Otorhinolaryngologists from all over Brazil. Acceptance percentages were: applicability (99.25%), reliability (99.5%), reproducibility (98.6%), reliability (93.84%), relevance (93.15%). CONCLUSION the created instrument was considered applicable, reproducible, relevant, reliable and trustworthy, presenting content validity.
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Affiliation(s)
- Neilor Fanckin Bueno Mendes
- - Faculdades Pequeno Príncipe, Mestrado Stricto Sensu em Ensino nas Ciências da Saúde - Curitiba - PR - Brasil
| | - Izabel Cristina Meister Coelho
- - Faculdades Pequeno Príncipe, Coordenação do Mestrado Stricto Sensu em Ensino nas Ciências da Saúde - Curitiba - PR - Brasil
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Vasudeva R, Challa A, Chaaban N, Shah H, Brumfield E, Duran B, Vindhyal M. Cardiac POCUS: Another Tool in the Armory. Kans J Med 2023; 16:172-175. [PMID: 37539370 PMCID: PMC10395770 DOI: 10.17161/kjm.vol16.19802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 06/05/2023] [Indexed: 08/05/2023] Open
Abstract
Introduction This study assessed the educational impact of hybrid cardiac Point of Care Ultrasonography (POCUS) training in a community-based academic setting. Methods Internal Medicine and Medicine/Pediatrics residents across all post-graduate years (PGY) at a midwestern medical school under-took a structured hybrid (online and hands-on teaching) model of POCUS training. Anonymous surveys with Likert-type scale responses were administered before and after the curriculum. Questions were categorized into domains to assess the residents' interest in learning POCUS, their understanding of fundamental cardiac ultrasound (US) concepts, and their confidence in its application. The authors used Fisher's Exact and t-test, and estimated odds ratios to gauge the impact of the training to achieve net scores above 0 on each domain. Results A total of 27 and 26 residents completed the pre-and post-training surveys, respectively. Experience with previous cardiac US use showed a positive skew. The training resulted in a significant increase in both, the understanding of the principles, and the residents' confidence in its application. These findings were most significant amongst PGY 2 and 3 residents. Post-training mean scores were similar across all domains for subgroups of PGY level and previous ultrasound experience. Conclusions Residents displayed greater understanding of the fundamental cardiac ultrasound concepts with improved confidence levels after implementing a structured hybrid teaching model for POCUS. Future studies with objective assessment tools are needed to gauge the clinical impact of POCUS and its adoption rate in clinical practice to guide a recommendation for its incorporation into the residency curriculum.
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Affiliation(s)
- Rhythm Vasudeva
- Internal Medicine/Pediatrics Residency Program, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Abhiram Challa
- Department of Internal Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Nourhan Chaaban
- Department of Internal Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Hamna Shah
- Department of Internal Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Elisha Brumfield
- Department of Internal Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Brent Duran
- Internal Medicine/Pediatrics Residency Program, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Mohinder Vindhyal
- Department of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, KS
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Loiodice JM, Fogel J, Rubinstein S. Dose adjustment of rheumatology and allergy/immunology medications in chronic kidney disease: awareness and knowledge among internal medicine housestaff. Proc AMIA Symp 2023; 36:627-634. [PMID: 37663380 PMCID: PMC10472844 DOI: 10.1080/08998280.2023.2228172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 05/15/2023] [Accepted: 06/14/2023] [Indexed: 09/05/2023] Open
Abstract
Background Patients with chronic kidney disease (CKD) are at increased risk for adverse drug events due to medication dosing errors. We studied the awareness and knowledge among internal medicine housestaff (IMHS) of proper dose adjustment of commonly used rheumatology and allergy/immunology medications for patients with CKD. Methods We surveyed 353 IMHS to evaluate their awareness of the need for medication dose adjustments for patients with CKD and knowledge for medication adjustment by level of glomerular filtration rate for common rheumatology and allergy/immunology medications. Results There was lack of awareness and knowledge for both rheumatology and allergy/immunology medications. Incorrect awareness and knowledge were as follows: allopurinol, 21.2%, 73.4%; colchicine, 19.0%, 75.9%; diphenhydramine, 34.0%, 34.0%; loratadine, 82.2%, 93.2%; and montelukast, 34.0%, 34.0%, respectively. Exploratory logistic regression analyses showed that PGY1 residents had higher odds for lack of awareness for allopurinol (odds ratio [OR] 24.57, 95% CI [confidence interval] 4.69, 99.13, P < 0.001), colchicine (OR 3.98, 95% CI 1.50, 10.51, P < 0.01), diphenhydramine (OR 2.24, 95% CI 1.10, 4.54, P < 0.04), and montelukast (OR 2.45, 95% CI 1.20, 5.00, P < 0.05) than PGY3 residents. A nephrology rotation in medical school was associated with lower odds for incorrect knowledge for allopurinol (OR 0.46, 95% CI 0.25, 0.87, P < 0.05) and montelukast (OR 0.50, 95% CI 0.27, 0.92, P < 0.05). Conclusion Overall, awareness and knowledge were poor among IMHS for dose adjustments of rheumatology and allergy/immunology medications in patients with CKD. Proper education and exposure to nephrology during training may improve quality and safety of care for patients with CKD.
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Affiliation(s)
- Jessica M. Loiodice
- Department of Internal Medicine, New York University Langone Hospital-Long Island, Mineola, New York, USA
- Division of Nephrology and Hypertension, Nassau University Medical Center, East Meadow, New York, USA
| | - Joshua Fogel
- Department of Business Management, Brooklyn College, Brooklyn, New York, USA
| | - Sofia Rubinstein
- Division of Nephrology and Hypertension, Nassau University Medical Center, East Meadow, New York, USA
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Sonnenfeld MM, Nozaki AM, Genova ASD, Ristow JRW, Moura TFD, Cabral RP, Garcia JVA, Guimarães CA, Oliveira ALMLD, Francisco RPV. A Study of the Current Scenario of the Obstetrics and Gynecology Residency during the COVID-19 Pandemic. Rev Bras Ginecol Obstet 2023; 45:e377-e383. [PMID: 37595594 PMCID: PMC10438960 DOI: 10.1055/s-0043-1772181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 03/30/2023] [Indexed: 08/20/2023] Open
Abstract
OBJECTIVE To analyze the impact of the COVID-19 pandemic on the residency of gynecology and obstetrics in São Paulo. METHODS Cross-sectional study developed by representatives of residents of the Association of Gynecology and Obstetrics of the State of São Paulo (SOGESP, in the Portuguese acronym). Data were collected from questionnaires applied to gynecology and obstetrics residents registered on the SOGESP website in February 2022. The interviewees answered about the repercussions of the pandemic on medical residency and whether they had technical and psychological support during the period. RESULTS A total of 247 questionnaires were collected from residents of gynecology and obstetrics. The residents had an age of 28.3 ± 3 years old, and most of them were female (88.4%). The displacement to COVID care was reported by 62.34% of the students, but only 35.6% reported completely adequate personal protective equipment and only 7.7% reported complete theoretical and technical instruction to support these patients. Almost all of the interviewees stated that the gynecology sector was the most affected. The majority of the interviewees considered that the second-year residents had the greatest loss, and more than half of the residents in the 1st and 2nd year said they wished to give up their residency during the pandemic. More than 80% of the residents reported online theoretical classes and/or presentation of articles, reinforcing the fact that virtual activities gained a greater space within the medical residency. CONCLUSION The pandemic impacted the residency in greater proportion in outpatient clinics and gynecological surgeries, also interfering with the physician's desire to continue with the program.
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Affiliation(s)
| | | | - Anelise Silva de Genova
- Associação Lar São Francisco de Assis na Providência de Deus, Hospital Regional de Presidente Prudente, Presidente Prudente, SP, Brazil
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Suh M, Callaghan LT, Brickhouse E, Ponce H, Tichter A, Pillow MT, Chary A. "I'd rather see action": Application and recruitment experiences of underrepresented in emergency medicine trainees. AEM Educ Train 2023; 7:e10888. [PMID: 37361187 PMCID: PMC10287660 DOI: 10.1002/aet2.10888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/08/2023] [Accepted: 05/15/2023] [Indexed: 06/28/2023]
Abstract
Objectives The emergency medicine (EM) physician workforce is largely composed of white men. Despite recruitment efforts over the past decade, there has not been a significant increase of trainees with underrepresented racial and ethnic identities in EM (URM). Prior studies have focused on institutional strategies to improve diversity, equity, and inclusion (DEI) in EM residency recruitment but have been limited in describing URM trainees' perspectives. We sought to assess URM trainees' perspectives on DEI in the EM residency application and selection process. Methods This study was conducted at an urban academic medical center in the United States from November 2021 to March 2022. Junior residents were invited to participate in individual semistructured interviews. We used a combined deductive-inductive approach to categorize responses in predetermined areas of interest then elicit dominant themes within each category through consensus discussions. Thematic saturation was reached after eight interviews, indicating adequate sample size. Results Ten residents participated in semistructured interviews. All identified as racial or ethnic minorities. Three dominant themes emerged relating to authenticity, representation, and being treated as a learner first. Participants assessed the authenticity of a program's DEI efforts by evaluating the time frame and scope of DEI efforts. Participants reported a desire for representation of other URM colleagues in a residency program and training environment. While participants wanted their lived experience as URM trainees acknowledged, they were wary of being viewed solely through the lens of future DEI leaders rather than as learners first. Conclusions URM residents value multifaceted commitment to DEI efforts, representation, and being seen as learners first when assessing residency programs. Programs seeking to recruit URM residents should develop a department-wide, multipronged, comprehensive DEI plan and showcase how their program will contribute to an applicant's professional development.
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Affiliation(s)
- Michelle Suh
- Department of Emergency MedicineBaylor College of MedicineHoustonTexasUSA
| | | | | | | | - Aleksandr Tichter
- Department of Emergency MedicineBaylor College of MedicineHoustonTexasUSA
| | - M. Tyson Pillow
- Department of Emergency MedicineBaylor College of MedicineHoustonTexasUSA
| | - Anita Chary
- Department of Emergency MedicineBaylor College of MedicineHoustonTexasUSA
- Department of MedicineBaylor College of MedicineHoustonTexasUSA
- Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical CenterHoustonTexasUSA
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De Ravin E, Frost AS, Godse NR, Shaffer AD, Jabbour N, Schaitkin BM, Newman J, Mady LJ. Changes in otolaryngology application requirements and match outcomes: Are we doing any better? World J Otorhinolaryngol Head Neck Surg 2023; 9:144-152. [PMID: 37383330 PMCID: PMC10296048 DOI: 10.1002/wjo2.79] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 06/16/2022] [Accepted: 08/03/2022] [Indexed: 06/30/2023] Open
Abstract
Objectives Otolaryngology-specific requirements were piloted to minimize applicant and program burdens. We investigated the impact of introducing and then removing these requirements on Match outcomes. Methods 2014-2021 National Resident Matching Program® data were examined. The primary outcome was the impact of Otolaryngology Resident Talent Assessment (ORTA; prematch 2017, postmatch 2019) and Program-Specific Paragraph (PSP; implemented 2016, optional 2018) on applicant numbers and match rates. Secondary survey analysis assessed candidate perceptions of PSP/ORTA. Results Applicant numbers declined significantly during PSP/ORTA (18.9%; p = 0.001). With the optional PSP and postmatch ORTA, applicant numbers increased significantly (39.0%; p = 0.002). Examined individually, mandatory PSP was associated with a significant decline in applicants (p = 0.007), whereas postmatch ORTA was associated with significant increases in applicants (p = 0.010). ORTA and PSP negatively impacted the decision to apply to otolaryngology in 59.8% and 51.3% of applicants, respectively. Conversely, match rate success improved significantly from 74.8% to 91.2% during PSP/ORTA (p = 0.014), followed by a significant decline to 73.1% after PSP was made optional and ORTA moved to postmatch (p = 0.002). Conclusions ORTA and PSP correlated with decreased applicant numbers and increased match rate success. As programs seek ways to remove barriers to applying to otolaryngology, the potential consequences of an increasing pool of unmatched candidates must also be considered.
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Affiliation(s)
- Emma De Ravin
- Department of Otorhinolaryngology—Head and Neck SurgeryUniversity of Pennsylvania Health SystemPhiladelphiaPennsylvaniaUSA
| | | | - Neal R. Godse
- Head and Neck InstituteCleveland ClinicClevelandOhioUSA
| | - Amber D. Shaffer
- Division of Pediatric OtolaryngologyChildren's Hospital of Pittsburgh of UPMCPittsburghPennsylvaniaUSA
| | - Noel Jabbour
- Division of Pediatric OtolaryngologyChildren's Hospital of Pittsburgh of UPMCPittsburghPennsylvaniaUSA
- Department of OtolaryngologyUniversity of Pittsburgh Medical CenterPittsburghPennsylvaniaUSA
| | - Barry M. Schaitkin
- Department of OtolaryngologyUniversity of Pittsburgh Medical CenterPittsburghPennsylvaniaUSA
| | - Jason Newman
- Department of Otolaryngology – Head and Neck SurgeryMedical University of South CarolinaCharlestonSouth CarolinaUSA
- MUSC Hollings Cancer CenterCharlestonSouth CarolinaUSA
| | - Leila J. Mady
- Department of Otolaryngology – Head and Neck SurgeryThomas Jefferson UniversityPhiladelphiaPennsylvaniaUSA
- Cancer Risk and Control Program of ExcellenceSidney Kimmel Cancer CenterPhiladelphiaPennsylvaniaUSA
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Webb WM, Covey AE. Risk of Occupational HPV Exposure Among Medical Trainees: A Call for HPV Vaccination. Kans J Med 2023; 16:143. [PMID: 37283778 PMCID: PMC10241205 DOI: 10.17161/kjm.vol16.19567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 04/11/2023] [Indexed: 06/08/2023] Open
Affiliation(s)
- William M Webb
- Departments of Internal Medicine and Psychiatry, University of Kansas Medical Center, Kansas City, KS
| | - Andrea E Covey
- Kansas City Veterans Affairs Medical Center, Kansas City, MO
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Gahm M, Wells MH, Scarbecz M, DeSchepper EJ, Dormois LD, Smith T. Benefits of virtual externships with a pediatric dentistry program for potential residents. J Dent Educ 2023. [PMID: 37151095 DOI: 10.1002/jdd.13239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 12/30/2022] [Accepted: 04/07/2023] [Indexed: 05/09/2023]
Abstract
PURPOSE To determine if a virtual externship (VE) is beneficial to potential applicants regarding their perceived knowledge of a pediatric dentistry residency program. Secondarily, this study identified general program characteristics that influence resident ranking decisions. METHODS All applicants who applied to a pediatric dentistry residency program in the Southeast were invited to participate in a VE. Those who participated in the externship (n = 65) were asked to voluntarily complete Pre- and Post-VE surveys. Participants were asked 22 questions about their level of knowledge of both tangible and intangible aspects of the program such as stipend, patient volume, faculty-resident interaction, and resident comradery. Participants were also asked to rank 9 general characteristics that influence ranking decisions such as geography, cost to attend, and reputation of the program and were asked to rate their satisfaction with the VE. Post-VE data were compared to pre-VE data to determine level of knowledge gained via Wilcoxin matched pairs signed rank test (significance set at p < 0.05). RESULTS When comparing Pre- and Post-VE ratings of level of knowledge about each category, all 22 categories assessed showed statistically significant mean differences indicating perceived knowledge gain with the most knowledge gained for "resident satisfaction in the program." Of the nine program characteristics, clinical experience was the most important factor to participants. Participants (100%) were satisfied with the VE experience and indicated the VE gave them the opportunity to get to know the program. CONCLUSIONS A virtual externship is a satisfactory option for increasing applicant knowledge of the tangible and intangible aspects of a residency program.
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Affiliation(s)
- Meghan Gahm
- On the Cusp Pediatric Dentistry, Tulsa, Oklahoma, USA
| | - Martha H Wells
- Division of Dentistry, St. Jude Children's Research Hospital, Memphis, Tennessee, USA
| | - Mark Scarbecz
- Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Edward J DeSchepper
- Department of Restorative Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Larry D Dormois
- Pediatric Dental Group and Orthodontics, Germantown, Tennessee, USA
| | - Toddrick Smith
- Department of Pediatric Dentistry and Community Health, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
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Hasnie A, Hasnie U, Nelson B, Aldana I, Estrada C, Williams W. Relationship Between Residency Match Distance From Medical School and Virtual Application, School Characteristics, and Specialty Competitiveness. Cureus 2023; 15:e38782. [PMID: 37303400 PMCID: PMC10250128 DOI: 10.7759/cureus.38782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2023] [Indexed: 06/13/2023] Open
Abstract
INTRODUCTION The COVID-19 pandemic has disrupted the residency match process by eliminating away rotations and changing from in-person to virtual interviews. In this study, we explore the impact of the COVID-19 pandemic on the geographic match distance of United States (US) senior medical students across all specialties. METHODS We collected publicly available student match data between 2018 and 2021 from US allopathic medical schools and calculated match distance between medical school and residency training using a novel metric - the "match space." Match space was codified by whether the student matched at their home institution, home state, adjacent state, same or adjacent US census division (non-adjacent state) or skipped at least one US census division. Adjusting for covariates, ordinal logistic regression correlated school and specialty characteristics with match distance pre- and post-pandemic for all specialties. We defined and ranked specialty competitiveness using predictive values from factor analysis. RESULTS A total of 34,672 students representing 66 medical schools from 28 states matched into 26 specialties in 50 states and Canada. Fifty-nine percent of students were from public institutions, and 27% of schools ranked in the top 40 for research. The mean percentage of in-state students by school was 60.3% (range 3-100%). Match space was lower after the pandemic (adjusted odds ratio (OR) 0.94, 95% CI 0.90-0.98; p=0.006), from schools with higher in-state percentages (OR 0.74, 95% CI 0.72-0.76), from top National Institutes of Health-funded institutions (OR 0.88, 95% CI 0.85-0.92), from the Northeast (OR 0.71, 95% CI 0.67-0.75; Midwest reference), and the West (OR 0.67, 95% 0.60-0.74). Match space was higher for students graduating from private schools (OR 1.11, 95% CI 1.05-1.19), from the South (OR 1.62, 95% CI 1.2-1.33), and matching into more competitive specialties (OR 1.08, 95% CI 1.02-1.14). The top five most competitive specialties were Plastic Surgery, Neurosurgery, Dermatology, Orthopedic Surgery, and Otolaryngology. Internal Medicine ranked eighth. CONCLUSIONS After the COVID-19 pandemic, students graduating from US allopathic schools matched closer to their home institution. Students attending public schools, schools with more in-state matriculants, and schools with higher research rankings also matched closer to their home institutions. Specialty competitiveness and US census region also impacted match distance. Our study adds insight into how geographic match patterns were influenced by school, specialty choice, and the pandemic.
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Affiliation(s)
- Ammar Hasnie
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
| | - Usman Hasnie
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
| | - Benjamin Nelson
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
| | - Isabella Aldana
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
| | - Carlos Estrada
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
- Medicine Service, Birmingham Veterans Affairs Medical Center, Birmingham, USA
| | - Winter Williams
- Department of Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA
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Alexander LF, McComb BL, Bowman AW, Bonnett SL, Ghazanfari SM, Caserta MP. Ultrasound Simulation Training for Radiology Residents-Curriculum Design and Implementation. J Ultrasound Med 2023; 42:777-790. [PMID: 36106721 DOI: 10.1002/jum.16098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 08/16/2022] [Accepted: 08/21/2022] [Indexed: 06/15/2023]
Abstract
Medical simulation training can be used to improve clinician performance, teach communication and professionalism skills, and enhance team training. Radiology residents can benefit from simulation training in diagnostic ultrasound, procedural ultrasound, and communication skills prior to direct patient care experiences. This paper details a weeklong ultrasound simulation training curriculum for radiology residents during the PGY-1 clinical internship. The organization of established teaching methods into a dedicated course early in radiology residency training with the benefit of a multi-disciplinary approach makes this method unique. This framework can be adapted to fit learners at different skill levels or with specific procedural needs.
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Affiliation(s)
- Lauren F Alexander
- Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida, USA
| | - Barbara L McComb
- Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida, USA
| | - Andrew W Bowman
- Division Chair of Hospital & Emergency Imaging | Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida, USA
| | | | | | - Melanie P Caserta
- Division Chair of Sonography | Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida, USA
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Miracle DK, Thomas J, Keenan NF, Kuhn RJ, Schadler AD, Taylor S. A Survey of Pandemic Impacts on Pharmacy Residency Applications, Interviews, and Selection Factors. Am J Pharm Educ 2023; 87:ajpe8954. [PMID: 35351797 PMCID: PMC10159506 DOI: 10.5688/ajpe8954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 03/24/2022] [Indexed: 05/06/2023]
Abstract
Objective. To assess the impact of the COVID-19 pandemic on pharmacy residency application/interview processes, match rate, and factors influencing match rankings at a single college of pharmacyMethods. In spring of 2020 and 2021, an anonymous survey of fourth-year pharmacy school (P4) residency applicants at one college of pharmacy was administered. Survey responses were compared to explore trends in showcase participation, number/type/geographic dispersion of applications submitted, interview invitations, grade point average (GPA), research experience, and match rate. A thematic analysis evaluated common factors influencing match rankings.Results. Responses were collected from 75 of 99 (75.8% response rate) residency-seeking students in 2020 and 79 of 94 (84.0% response rate) in 2021. Students in 2021 reported applying to a higher median number of programs, with no significant differences in mean reported number of interview invitations or match rate. The virtual American Society of Health-System Pharmacists (ASHP) Midyear Showcase led to a median reported savings of $1000 with no significant impact on perceived value. Virtual interviews led to a median reported savings of $430. Thematic analysis revealed feel/culture, location, and learning experience options as the most prevalent deciding factors for match rankings in both years.Conclusion. The pandemic led to an increase in the number of residency applications per student and yielded a net cost savings. There were no differences in number of interviews offered, match rate, or in deciding factors influencing match rankings. As the pandemic evolves, schools should maintain a flexible and dynamic approach to support students.
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Affiliation(s)
- Dustin K Miracle
- University of Kentucky, College of Pharmacy, Lexington, Kentucky
| | | | - Nicole F Keenan
- University of Kentucky, College of Pharmacy, Lexington, Kentucky
| | - Robert J Kuhn
- University of Kentucky, College of Pharmacy, Lexington, Kentucky
| | - Aric D Schadler
- University of Kentucky, College of Pharmacy, Lexington, Kentucky
| | - Stacy Taylor
- University of Kentucky, College of Pharmacy, Lexington, Kentucky
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Budesa Z, Klar M, Datta S, Moore E, Lamsen L. Evaluating first year residents' communication skills: a health literacy curriculum needs assessment. J Commun Healthc 2023; 16:30-37. [PMID: 36919812 DOI: 10.1080/17538068.2022.2026054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND High quality communication skills are necessary for competent and ethical practice. When patients present with low health literacy, physicians' skills may be lacking, which can put patients' safety and satisfaction at risk. The authors' developed and executed a simulation-based needs assessment following conflicting internal reports about the communications skills of new residents. METHODS The current study recruited first year residents (N = 30) during the 2019 first post-graduate year (PGY-1) orientation at a southeastern university hospital simulation center. The residents completed an Objective Structured Clinical Examination (OSCE) which focused on obtaining informed consent from a patient's health care proxy who presented with limited literacy and health literacy and poor communication skills. After completing the OSCE, the residents, simulated patients (SP), and independent observers assessed the residents' performance. RESULTS Residents assessed their performance higher when compared with the ratings from independent observers and patient raters. Residents who spent more time with SPs were given higher ratings by the SPs and independent observers. Finally, residents' ratings of themselves had a positive correlation with their reported confidence, but no correlation between self-confidence and the ratings provided by SPs or observers. CONCLUSION PGY-1 residents demonstrate a continued need for health literacy and informed consent education, despite faculty believing that these skills were covered enough in medical school. These residents also demonstrated limited self-assessment ability or skills below the expectations of health literacy experts. Curriculum changes included improving the focus on health literacy, communication skills, and additional practice opportunities throughout their internship year.
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Affiliation(s)
- Zach Budesa
- Center for Advanced Medical Simulation, Graduate School of Medicine, University of Tennessee, Knoxville, Knoxville, Tennessee
| | - Melinda Klar
- Center for Advanced Medical Simulation, Graduate School of Medicine, University of Tennessee, Knoxville, Knoxville, Tennessee
| | - Sujata Datta
- Department of Anaesthesia, University of Maryland Medical Center, Baltimore, Maryland, United States
| | - Emily Moore
- DeBusk College of Osteopathic Medicine, Lincoln Memorial University, Knoxville, Tennessee, United States
| | - Leonard Lamsen
- Center for Advanced Medical Simulation, Graduate School of Medicine, University of Tennessee, Knoxville, Knoxville, Tennessee
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Tarrant SA, Behzadpour V, McCormack TJ, Cline JA, Willis JT, Mendez GM, Zackula RE, Dart BR, Hearon BF. Improving Medical Student Mentorship in Orthopaedic Surgery. Kans J Med 2023; 16:48-52. [PMID: 36845262 PMCID: PMC9957590 DOI: 10.17161/kjm.vol16.18770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 01/11/2023] [Indexed: 02/24/2023] Open
Abstract
Introduction Owing to limited clinical clerkships and travel restrictions related to COVID-19, recent medical student mentorship in orthopaedic surgery has been impacted negatively. The purpose of this quality improvement (QI) project was to determine if medical student awareness of orthopaedics as a possible career field may be improved through a mentoring program designed and delivered by orthopaedic residents. Methods A five-resident QI team developed four educational sessions aimed at a medical student audience. Forum topics included: (1) orthopaedics as a career, (2) fracture conference, (3) splinting workshop, and (4) residency application process. Pre- and post-forum surveys were administered to student participants to assess changes in their perceptions regarding orthopaedic surgery. Data derived from the questionnaires were analyzed with nonparametric statistical tests. Results Of 18 forum participants, 14 were men and 4 were women. A total of 40 survey pairs were collected, averaging 10 per session. In the all-participant encounter analysis, there were statistically significant improvements in all outcome measures including interest in, exposure to, and knowledge of orthopaedics; exposure to our training program; and ability to interact with our residents. Those undecided regarding their specialty demonstrated larger increases in post-forum responses, suggesting that the learning experience was more impactful for that subgroup. Conclusions This QI initiative was a successful demonstration of orthopaedic resident mentorship of medical students, wherein perceptions of orthopaedics were influenced favorably by the educational experience. For some students with limited access to orthopaedic clerkships or formal one-on-one mentoring, forums like these may be an acceptable alternative.
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Affiliation(s)
- Seth A. Tarrant
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery
| | - Vafa Behzadpour
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery
| | | | - Justin A. Cline
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery
| | - Jordan T. Willis
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery
| | - Gregory M. Mendez
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery
| | - Rosalee E. Zackula
- University of Kansas School of Medicine-Wichita, Wichita, KS,Office of Research
| | - Bradley R. Dart
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery,Advanced Orthopaedic Associates, PA, Wichita, KS
| | - Bernard F. Hearon
- University of Kansas School of Medicine-Wichita, Wichita, KS,Department of Orthopaedic Surgery,Advanced Orthopaedic Associates, PA, Wichita, KS
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Fu MZ, Islam R, Singer EA, Tabakin AL. The Impact of COVID-19 on Surgical Training and Education. Cancers (Basel) 2023; 15. [PMID: 36831609 DOI: 10.3390/cancers15041267] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 02/13/2023] [Accepted: 02/14/2023] [Indexed: 02/19/2023] Open
Abstract
The COVID-19 pandemic disrupted conventional medical education for surgical trainees with respect to clinical training, didactics, and research. While the effects of the COVID-19 pandemic on surgical trainees were variable, some common themes are identifiable. As hordes of COVID-19 patients entered hospitals, many surgical trainees stepped away from their curricula and were redeployed to other hospital units to care for COVID-19 patients. Moreover, the need for social distancing limited traditional educational activities. Regarding clinical training, some trainees demonstrated reduced case logs and decreased surgical confidence. For residents, fellows, and medical students alike, most didactic education transitioned to virtual platforms, leading to an increase in remote educational resources and an increased emphasis on surgical simulation. Resident research productivity initially declined, although the onset of virtual conferences provided new opportunities for trainees to present their work. Finally, the pandemic was associated with increased anxiety, depression, and substance use for some trainees. Ultimately, we are still growing our understanding of how the COVID-19 pandemic has redefined surgical training and how to best implement the lessons we have learned.
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Farkas AH, Bopp K, Conigliaro RL, DiNardo D, Casas RS. Directory of Internal Medicine Residency and Fellowship Programs in Women's Health, 2022. J Womens Health (Larchmt) 2023; 32:248-251. [PMID: 36576988 DOI: 10.1089/jwh.2022.0448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Affiliation(s)
- Amy H Farkas
- Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Milwaukee VA Medical Center, Milwaukee, Wisconsin, USA
| | - Katherine Bopp
- Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Rosemarie L Conigliaro
- Department of Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
| | - Deborah DiNardo
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Rachel S Casas
- Department of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA
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Yang L, Leswick D, Rashidi F. Mistakes, Misrepresentation, and Misunderstanding on Applications to a Canadian Diagnostic Radiology Residency Program. Can Assoc Radiol J 2023; 74:22-29. [PMID: 35993128 DOI: 10.1177/08465371221117741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Purpose: Determine the educational background, research publications/presentations experience, and rates of research publication and presentation inaccuracies in applications to a Canadian diagnostic imaging residency program. Method: The education and publication/presentation sections of the Canadian Resident Matching Service form for all applicants to the University of Saskatchewan diagnostic imaging residency program from 2019-20 and 2020-21 were reviewed. Number of advanced degrees (Master's/PhDs), publications, and presentations were recorded. Accuracy of publications listed was confirmed via PubMed-MEDLINE, journal's website, or internet searching. Accuracy of presentations was confirmed via society and residency program websites. Inaccuracies of non-authorship, incorrect authorship order/status (self-promotion or demotion), and nonexistence of article/presentation from a verifiable source were recorded. Result: There were a total of 106 applicants. Thirty (28%) had advanced degrees. There were 230 publications from 61 applicants with inaccuracies in only 5 (2%) of the publications (2 self-promotion, 3 self-demotion). For the 77 publications listed as pending, 25 (31%) were published within 6 months of applications deadlines with 1 non-authorship, 1 self-promotion, and 1 self-demotion. For scientific presentations, there were 467 listed presentations by 91 applicants. Two hundred and twenty-one presentations were from verifiable sources with inaccuracies in 28 (13%) of presentations (9 self-promotion, 9 self-demotion, 1 non-authorship, and 9 non-existence). Conclusion: Despite some uncertainty with scientific articles reported as pending and scientific presentations, radiology residency applicants are accurately representing their published articles with a negligible number of misrepresentations. Canadian radiology residency programs should regard the publication profiles of the applicants with a high level of confidence.
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Affiliation(s)
- Luhe Yang
- Department of Medical Imaging, Saskatchewan Health Authority and University of Saskatchewan, Saskatoon, SK, Canada
| | - David Leswick
- Department of Medical Imaging, Saskatchewan Health Authority and University of Saskatchewan, Saskatoon, SK, Canada
| | - Farid Rashidi
- Department of Medical Imaging, Saskatchewan Health Authority and University of Saskatchewan, Saskatoon, SK, Canada
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Norvell J, Unruh G, Norvell T, Templeton KJ. Addressing Burnout Among Women Residents: Results from Focus Group Discussions. Kans J Med 2023; 16:83-87. [PMID: 37124099 PMCID: PMC10136605 DOI: 10.17161/kjm.vol16.18364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 03/03/2023] [Indexed: 05/02/2023] Open
Abstract
Introduction Physician burnout has been described as more common among women than men. Even if there are no gender-based differences in prevalence, risk factors, such as work/home integration/conflict and gendered biases, likely differ. Prior administrations of an annual resident wellness survey at a single urban academic institution confirmed that rates of burnout were higher among women, especially during the PGY-2 year. Methods A series of focus groups of PGY-3 women residents across specialties were organized in 2019 at a single urban academic medical center. Given the number of participants, demographics were not collected to maintain participant anonymity. The moderator for all groups used a discussion guide consisting of eight open-ended questions based on a review of the literature. Results Ten residents agreed to participate in one of four hour-long focus group discussions. While the residents identified some factors that were not gender-specific, they also discussed issues that they faced as women in medicine, including needing to work harder to prove themselves and unconscious gendered biases from faculty and patients. The residents thought that their well-being would be improved if their training programs better understood the experiences and needs of women residents and recommended a series of interventions, including improved mentoring and networking opportunities. Conclusions Interventions to improve well-being need to consider gender-based differences. While mentoring and networking can help all residents, these may be especially useful for women and should be considered as a component of an overarching plan to improve diversity, equity, inclusion, and belonging.
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Affiliation(s)
- Jeff Norvell
- Department of Emergency Medicine, University of Kansas Medical Center, Kansas City, KS
| | - Greg Unruh
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS
| | | | - Kimberly J Templeton
- Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, KS
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Schulte SB, Johnson WR, Greco AJ, Blickle JG, Brooke TR, Wiseman ML, Hartzell JD. Read to Lead: Developing a Leadership Book Club Curriculum for Graduate Medical Education. J Med Educ Curric Dev 2023; 10:23821205231164837. [PMID: 36968323 PMCID: PMC10031603 DOI: 10.1177/23821205231164837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 02/27/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The importance of effective leadership for improving patient care and physician well-being is gaining increased attention in medicine. Despite this, few residency programs have formalized education on leadership in medicine. The most effective ways to train graduate medical education (GME) trainees in leadership are unclear. METHODS Our large internal medicine residency program implemented a book club to develop leadership skills in residency. Through independent reading of the selected book and resident-led small group discussions, we facilitated dialogue on the challenges of leading effectively. RESULTS A survey-based curricular evaluation demonstrated that 61% of respondents felt that the book club influenced their thoughts about leadership and that 66% of participants would recommend the book club to other residency programs. Lack of time was the main barrier to participation while addition of complementary media or alternative book formats were identified as possible solutions to increase engagement. CONCLUSIONS Leadership book clubs are a practical and effective way to teach leadership during residency. More research is needed to identify the best formats for book club discussion and to develop additional tools to foster future physician leaders.
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Affiliation(s)
- Sarah B. Schulte
- Internal Medicine, Porstmouth Naval Medical
Center, Portsmouth, VA, USA
| | | | - Anthony J. Greco
- Internal Medicine, Walter Reed National Military Medical
Center, Bethesda, MD, USA
| | - John G. Blickle
- Internal Medicine, Walter Reed National Military Medical
Center, Bethesda, MD, USA
| | - Thomas R. Brooke
- Internal Medicine, Walter Reed National Military Medical
Center, Bethesda, MD, USA
| | - Melanie L. Wiseman
- Internal Medicine, Walter Reed National Military Medical
Center, Bethesda, MD, USA
| | - Joshua D. Hartzell
- Internal Medicine, Walter Reed National Military Medical
Center, Bethesda, MD, USA
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Pankratz DO, Rucker S, Brubacher JW. Using a 3D Printed Model to Create a Surgical Disaster Simulation for Resident Training: How We Did It. Kans J Med 2022; 15:449-450. [PMID: 36578457 PMCID: PMC9778782 DOI: 10.17161/kjm.vol15.18494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 11/08/2022] [Indexed: 12/23/2022] Open
Affiliation(s)
- Daniel O. Pankratz
- Department of Orthopedic Surgery, University of Kansas Medical Center, Kansas City, KS
| | - Sarah Rucker
- Zamierowski Institute for Experiential Learning, University of Kansas Medical Center, Kansas City, KS
| | - Jacob W. Brubacher
- Department of Orthopedic Surgery, University of Kansas Medical Center, Kansas City, KS
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