13,491 results match your criteria Academic Medicine[Journal]


The Development of a Comprehensive Mental Health Service for Medical Trainees.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

S. Hasan is an assistant professor, Department of Psychiatry, and director, Mental Health Services, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0002-6546-5007.

Mental distress in medical learners and its consequent harmful effects on personal and professional functioning, a well-documented concern, draws attention to the need for solutions. The authors review the development of a comprehensive mental health service within a large and complex academic medical education system, created with special attention to offering equitable, accessible, and responsive care to all trainees. From the inception of the service in January 2017, the authors placed particular emphasis on eliminating obstacles to learners' willingness and ability to access care, including concerns related to cost, session limits, privacy, and flexibility with modality of service delivery. Read More

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The Latino Resident Physician Shortage: A Challenge and Opportunity for Equity, Diversity, and Inclusion.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

L.E. Martínez is a postdoctoral fellow, Department of Obstetrics and Gynecology, and researcher, Center for the Study of Latino Health and Culture (CESLAC), David Geffen School of Medicine at UCLA, Los Angeles, California; ORCID: https://orcid.org/0000-0002-9804-6001.

Purpose: The purpose of this study is to examine the number of Latino physicians in residency training and Latino resident physician trends in the nation's 10 largest medical specialties in the United States and in the 4 states with the largest Latino populations: California, Florida, New York, and Texas.

Method: The authors used data from the United States Census Bureau's American Community Survey to determine Latino populations and a special report from the Association of American Medical Colleges to determine rates of Latino resident physicians in the United States and in California, Florida, New York, and Texas from 2001 to 2017. Rates of Latino residents in the nation's 10 specialties with the largest number of residents were also determined. Read More

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Beyond Training the Next Generation of Physicians: The Unmeasured Value Added by Residents to Teaching Hospitals and Communities.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

S.E. Brotherton is director, Data Acquisition Services, American Medical Association, Chicago, Illinois.

Following medical school, most newly graduated physicians enter residency training. This period of graduate medical education (GME) is critical to creating a physician workforce with the specialized skills needed to care for the population. Completing GME training is also a requirement for obtaining medical licensure in all 50 states. Read More

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Management Reasoning: A Toolbox for Educators.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

professor, Department of Medicine, Boston University School of Medicine.

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Creating Video Abstracts for Scholarly Dissemination.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

associate professor and associate faculty development chair, Department of Pediatrics, and associate pediatric residency program director, University of Minnesota.

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Improving the Health of Rural Communities Through Academic-Community Partnerships and Interprofessional Health Care and Training Models.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

E. Hawes is associate professor, Department of Family Medicine, University of North Carolina at Chapel Hill, and associate professor of clinical education, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, North Carolina; ORCID: https://orcid.org/0000-0001-7717-4066.

Health disparities between rural and urban areas are widening at a time when urban health care systems are increasingly buying rural hospitals to gain market share. New payment models, shifting from fee-for-service to value-based care, are gaining traction, creating incentives for health care systems to manage the social risk factors that increase health care utilization and costs. Health system consolidation and value-based care are increasingly linking the success of urban health care systems to rural communities. Read More

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Rethinking the Physician-Scientist Pathway.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

R.R. Chivukula is instructor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; ORCID: http://orcid.org/0000-0001-5264-3196.

Physician-scientists have the potential to generate fundamental as well as translational breakthroughs. But many trainees who intend to pursue a hybrid career in research and patient care ultimately leave one or the other behind. In this Invited Commentary, the authors draw from their experience as early-career physician-scientists to frame physician-scientist training as having 2 phases: first, learning to think like a physician-scientist; second, learning to act like a physician-scientist. Read More

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Lasting Solutions for Advancement of Women of Color.

Acad Med 2022 Jun 21. Epub 2022 Jun 21.

A. Chatterjee is professor and dean, Chicago Medical School, and vice president, Medical Affairs, Rosalind Franklin University of Medicine and Science, Chicago, Illinois.

Despite efforts to improve parity in the biomedical workforce, gender bias persists related to equitable pay, promotion, speaking opportunities, journal editorial positions, research funding, and leadership positions. This bias becomes more prominent for women of color and women with other intersectional identities who come from underrepresented groups. It is critical to understand the barriers that women face and why the pathway is especially challenging for women of color. Read More

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Experiences of Discrimination, Institutional Responses to Seminal Race Events, and Depressive Symptoms in Black U.S. Medical Students.

Acad Med 2022 Jun 19;97(6):876-883. Epub 2022 May 19.

D. Furr-Holden is the C.S. Mott Endowed Professor of Public Health and associate dean for public health integration, College of Human Medicine, Michigan State University, East Lansing, Michigan; ORCID: https://orcid.org/0000-0002-9337-9886.

Purpose: To examine the relationship between experiences of discrimination, institutional responses to seminal race events, and depressive symptoms among Black medical students.

Method: This study collected data from a convenience sample of Black U.S. Read More

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Artist's Statement: The Doctor Will See You Now.

Acad Med 2022 Jun 19;97(6):847. Epub 2022 May 19.

T. Da Lomba is a medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois; email:

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The Model Minority Myth, Data Aggregation, and the Role of Medical Schools in Combating Anti-Asian Sentiment.

Acad Med 2022 Jun 19;97(6):797-803. Epub 2022 May 19.

O. Jumreornvong is a fourth-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York.

The COVID-19 pandemic has resulted in an alarming increase in hate incidents directed toward Asian Americans and Pacific Islanders (AAPIs), including verbal harassment and physical assault, spurring the nationwide #StopAsianHate movement. This rise in anti-Asian sentiment is occurring at a critical time of racial reckoning across the United States, galvanized by the Black Lives Matter movement, and of medical student calls for the implementation of antiracist medical curricula. AAPIs are stereotyped by the model minority myth, which posits that AAPIs are educated, hardworking, and therefore able to achieve high levels of success. Read More

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Six Principles for Developing Leadership Training Ecosystems in Health Care.

Acad Med 2022 Jun 22;97(6):793-796. Epub 2022 Feb 22.

T.M. Chan is associate dean, continuing professional development, Faculty of Health Sciences, associate professor, Division of Education & Innovation and Division of Emergency Medicine, Department of Medicine, and clinician scientist, McMaster Education Research, Innovation, and Theory, McMaster University, Hamilton, Ontario, Canada; ORCID: http://orcid.org/0000-0001-6104-462X.

Leadership education in medicine is evolving to better meet the challenges of health care complexity, interprofessional practice, and threats from viruses and budget cuts alike. In this commentary, the authors build upon the findings of a scoping review by Matsas and colleagues, published in the same issue, and ask us to imagine what a learning ecosystem around leadership might look like. They subsequently engage in their own synthesis of leadership development literature and propose 6 key principles for medical educators and health care leaders to consider when designing leadership development within their educational ecosystems: (1) apply a conceptual framework; (2) scaffold development-oriented approaches; (3) accommodate individual levels of adult development; (4) integrate diversity of perspective; (5) interweave theory, practice, and reflection; and (6) recognize the broad range of leadership conceptualization. Read More

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Benefits of a Student-Led, Longitudinal, Community Health Elective Based in Local Free and Charitable Clinics.

Authors:
Brandon W Moritz

Acad Med 2022 Jun 19;97(6):768. Epub 2022 May 19.

Third-year medical student, graduate research assistant, and 2020-2022 president of the University of Oklahoma Community Health Alliance, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma; ORCID: https://orcid.org/0000-0002-4978-741X.

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Race, Gender, Sexuality, and the Match: A Trainee's Call to Diversify the Electronic Residency Application Service Statistics.

Authors:
Paige Cummings

Acad Med 2022 Jun 19;97(6):767-768. Epub 2022 May 19.

Second-year medical student, Mayo Clinic Alix School of Medicine, Rochester, Minnesota; email: Twitter: @PaigeE_Cummings; ORCID: https://orcid.org/0000-0002-3662-294X.

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A Call to Evaluate Gender Reporting Options in Health Care Professional Registries.

Acad Med 2022 Jun 19;97(6):767. Epub 2022 May 19.

Assistant professor of medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University School of Medicine, Portland, Oregon.

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Acknowledge Racism in Academic Medicine: Addressing and Preventing Attacks on Asian Americans and Pacific Islanders.

Acad Med 2022 Jun 19;97(6):766-767. Epub 2022 May 19.

Clinical professor, Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0001-8515-1278.

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Beyond Standing in Solidarity: Role Modeling Antiracism.

Acad Med 2022 Jun 19;97(6):765-766. Epub 2022 May 19.

Associate dean, SUNY Downstate Health Sciences University, Brooklyn, New York;

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In Reply to Nakajima and to Davis and Park.

Acad Med 2022 Jun 19;97(6):765. Epub 2022 May 19.

Associate professor, Department of Anesthesia and Perioperative Care, University of California San Francisco School of Medicine, San Francisco, California; ORCID: https://orcid.org/0000-0002-7061-066X.

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Addressing Microaggressions: The Power of Language and Positioning.

Authors:
Amy Nakajima

Acad Med 2022 Jun 19;97(6):764-765. Epub 2022 May 19.

Obstetrician and gynecologist, Wabano Centre for Aboriginal Health, Ottawa, Ontario, and director of SIM Advancement & Innovation, Simulation Canada, Toronto, Ontario, Canada;

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Addressing Microaggressions: The Power of Language and Positioning.

Acad Med 2022 Jun 19;97(6):764. Epub 2022 May 19.

Professor of anesthesiology and medical education, and director of the Simulation and Integrative Learning Institute, University of Illinois Chicago College of Medicine, Chicago, Illinois; ORCID: https://orcid.org/0000-0002-5261-9820.

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Beyond Checking Boxes: Exploring Tensions With Use of a Workplace-Based Assessment Tool for Formative Assessment in Clerkships.

Acad Med 2022 Jun 14. Epub 2022 Jun 14.

K.E. Hauer is associate dean for competency assessment and professional standards and professor, Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, California.

Purpose: To understand the role of a workplace-based assessment (WBA) tool in facilitating feedback for medical students, this study explored changes and tensions in a clerkship feedback activity system through the lens of cultural historical activity theory (CHAT) over 2 years of tool implementation.

Method: This qualitative study uses CHAT to explore WBA use in core clerkships by identifying feedback activity system elements (e.g. Read More

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Virtual Reality Simulated Learning Environments: A Strategy To Teach Interprofessional Students About Social Determinants Of Health.

Acad Med 2022 Jun 14. Epub 2022 Jun 14.

L. Sprague Martinez is associate professor and chair, Macro Department, and a research affiliate, Center for Innovation in Social Work and Health, Boston University School of Social Work, Boston, Massachusetts; ORCID: https://orcid.org/0000-0002-5070-7640.

Purpose: Physician assistants (PAs) and medical degree students (MDs) often lack training in addressing the social determinants of health (SDOH). Social workers (SWs), meanwhile, have extensive SDOH training; however, few medical professionals have opportunities to engage in interprofessional training with social workers. This study examined the feasibility, acceptability, and students' perceptions of an interprofessional virtual reality (VR) simulated learning environment (SLE) for teaching health professions students about the SDOH. Read More

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Knowledge Retention and Clinical Skills Acquisition in sexual and Gender Minority Health Curricula: A Systematic Review.

Acad Med 2022 Jun 14. Epub 2022 Jun 14.

J.B. Mains-Mason is a senior research associate, Department of Pathology, University of Pittsburgh Medical Center Magee-Womens Hospital, Pittsburgh, Pennsylvania.

Purpose: To identify exemplary medical education curricula, operationalized as curricula evaluating knowledge retention and/or clinical skills acquisition, for health care for sexual and gender minoritized (SGM) individuals and individuals born with a difference in sex development (DSD).

Method: The authors conducted a systematic review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Searches were performed in PubMed/MEDLINE, The Cochrane Library, Web of Science, ERIC, Embase, PsycINFO, and the gray literature to identify studies that (1) pertained to undergraduate and/or graduate medical education, (2) addressed education on health care of SGM/DSD individuals, and (3) assessed knowledge retention and/or clinical skills acquisition in medical trainees. Read More

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Barriers, Challenges, and Solutions: What Can We Learn About Leadership in Academic Medicine From a Qualitative Study of Emergency Medicine Women Chairs?

Acad Med 2022 Jun 14. Epub 2022 Jun 14.

C. Draucker is the Angela Barron McBride Professor of Psychiatric Nursing, Indiana University School of Nursing, Indianapolis, Indiana; ORCID: http://orcid.org/0000-0001-9844-351X.

Purpose: Women have made significant gains in leadership across all disciplines in academic medicine but have not yet achieved leadership parity as department chairs. The authors investigated the challenges experienced by one cohort of women department chairs in emergency medicine (EM) and the solutions they proposed to address these challenges.

Method: The authors conducted a qualitative descriptive study of 19 of 20 possible current and emeritus emergency medicine women department chairs at academic medical centers between April and December 2020. Read More

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Exploring Match Space: How Medical School and Specialty Characteristics Affect Residency Match Geography in the United States.

Acad Med 2022 Jun 14. Epub 2022 Jun 14.

W.L. Williams is clerkship codirector and associate professor of medicine, Department of Medicine, University of Alabama at Birmingham, and staff physician, Birmingham Veterans Affairs Medical Center, Birmingham, Alabama; ORCID: http://orcid.org/0000-0002-4015-9409.

Purpose: To explore how school and specialty characteristics impact the geographic match location of U.S. senior medical students. Read More

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Endowed Chairs and Professorships: A New Frontier in Gender Equity.

Acad Med 2022 Jun 7. Epub 2022 Jun 7.

L.A. Jaffe is Board of Trustees distinguished professor and chair, Department of Cell Biology, University of Connecticut School of Medicine, UConn Health, Farmington, Connecticut.

Purpose: Endowed chairs and professorships are prestigious and financially important awards and are a symbol of individual faculty recognition. However, data about the gender distribution of these positions are lacking. The purpose of this study was to examine the gender distribution of endowed positions at U. Read More

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Participation in a Resident-as-Teacher Rotation: Motivations of and Impacts on Faculty Coaches.

Acad Med 2022 Jun 15. Epub 2022 Jun 15.

L.R. Newman is assistant professor, Department of Pediatrics and Department of Education, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.

Purpose: Coaching in medical education is increasingly used for trainee development for a variety of skills, including improving trainee teaching skills through resident-as-teacher programs. Faculty who serve as coaches commit significant effort to the coaching role, often without protected time or support. Little is known about faculty motivations to participate in coaching programs or how the coaching experience affects the faculty. Read More

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Adapting an Interdisciplinary Learning Health System Framework for Academic Health Centers: A Scoping Review.

Acad Med 2022 Jun 7. Epub 2022 Jun 7.

A.L. Cherrington is professor, Division of Preventive Medicine, Department of Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Purpose: Learning health systems (LHSs), defined as a systematic process for aligning science, informatics, and clinical practice to integrate providers, researchers, and patients as active participants in an evidence-based care continuum, can provide an ideal environment for academic health centers to rapidly adopt evidence-based guidelines and translate research into practice. However, few LHS frameworks are specifically adapted for academic health centers. The authors wanted to identify the definitions, components, and other features of LHSs to develop an interdisciplinary LHS framework for use within academic health centers. Read More

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Grit, Gratitude, Grace, and Guidance: Moving Academic Medicine from Crisis to Transformation.

Acad Med 2022 Jun 7. Epub 2022 Jun 7.

A. Haramati is professor of integrative physiology, Departments of Biochemistry, Molecular and Cellular Biology, and Medicine, and director, Center for Innovation and Leadership in Education (CENTILE), Georgetown University School of Medicine, Washington, DC; ORCID: 0000-0003-1145-5169.

Since the beginning of the COVID-19 crisis within the United States, faculty in academic medicine have experienced serious workplace and personal challenges while also exploring unique solutions and innovations in response to these challenges. Despite the global pandemic, social inequality and unrest, and uncertainty about the future, 3 hopeful themes that bind faculty together have emerged: grit, gratitude, and grace. This commentary describes how these qualities are in fact a culmination of ongoing work within academic medicine. Read More

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