11,363 results match your criteria Academic Medicine[Journal]


Medical School: A Mental Battle Commentary on "Medical School: A Mental Battle".

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

R. Mohammed is a medical student, Department of Medicine, University of Cambridge, Cambridge, United Kingdom; ORCID: https://orcid.org/0000-0002-0824-5243. U. Ojha is a medical student, Faculty of Medicine, Imperial College London, London, United Kingdom.

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http://dx.doi.org/10.1097/ACM.0000000000002631DOI Listing
February 2019

Building High-Performing Teams in Academic Surgery: The Opportunities and Challenges of Inclusive Recruitment Strategies.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

L.A. Dossett is assistant professor, Department of Surgery, University of Michigan, Ann Arbor, Michigan. M.W. Mulholland is chair and professor, Department of Surgery, University of Michigan, Ann Arbor, Michigan. E.A. Newman is assistant professor and associate chair for faculty development, Department of Surgery, University of Michigan, Ann Arbor, Michigan.

Problem: In academic surgery, women and physicians from ethnic minority groups remain inadequately represented relative to their representation in the US population and among medical students and surgical trainees. While several initiatives have been aimed at developing the academic surgery pipeline or addressing issues related to faculty retention and promotion, little is known about how recruitment practices impact diversity in academic medicine. Moreover, national standards and ideal practices specific for effective recruitment in surgery have not been established. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002647DOI Listing
February 2019

Their Trust Is Worth the Weight.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Breast oncology fellow, Department of Surgery, University of Michigan, Ann Arbor, Michigan; Twitter:

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http://dx.doi.org/10.1097/ACM.0000000000002645DOI Listing
February 2019

Embracing Multiple Stakeholder Perspectives in Defining Trainee Competence.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

K.S. Lundsgaard is a PhD student, University of Copenhagen, Department of Occupational and Social Medicine, Copenhagen University Hospital Holbæk, Holbæk, Denmark; ORCID: https://orcid.org/0000-0002-6517-8497. M.G. Tolsgaard is associate professor, University of Copenhagen and Copenhagen Academy of Medical Education and Simulation, Capital Region, Denmark; ORCID: https://orcid.org/0000-0001-9197-5564. O.S. Mortensen is professor, Department of Public Health, Section of Social Medicine, University of Copenhagen, and Department of Occupational and Social Medicine, Copenhagen University Hospital Holbæk, Holbæk, Denmark; ORCID: https://orcid.org/0000-0002-4655-8048. M. Mylopoulos is associate professor, Department of Paediatrics, scientist, MD Program, and associate director, Wilson Centre, University of Toronto, Toronto, Ontario, Canada; ORCID: https://orcid.org/0000-0003-0012-5375. D. Østergaard is director, Copenhagen Academy of Medical Education and Simulation, and professor, University of Copenhagen, Capital Region, Denmark; ORCID: https://orcid.org/0000-0001-8542-6999.

Purpose: To explore how multiple stakeholder groups contribute to the understanding of trainee competence.

Method: The authors conducted a constructivist qualitative study in 2015 using focus group discussions to explore the perceptions of different stakeholder groups (patients, nurses/nurse practitioners, supervisors/senior physicians, leaders/administrators, trainees) regarding trainee competence in the emergency department. The authors used a conventional content analysis, a comparative analysis of supervisors'/senior physicians' versus other stakeholders' perspectives, and a directed analysis informed by stakeholder theory to analyze the focus group transcripts. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002642DOI Listing
February 2019
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Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

W.E. Bynum IV is assistant professor, Department of Community and Family Medicine, Duke University School of Medicine, Durham, North Carolina; ORCID: https://orcid.org/0000-0003-3796-9301. A.V. Adams is a fourth-year medical student, Duke University School of Medicine, Durham, North Carolina. C.E. Edelman is a fourth-year medical student, Duke University School of Medicine, Durham, North Carolina. S. Uijtdehaage is professor, Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland; ORCID: https://orcid.org/0000-0001-8598-4683. A.R. Artino Jr is professor, Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland; ORCID: https://orcid.org/0000-0003-2661-7853. J.W. Fox is associate professor, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.

Problem: Medical schools face the challenge of developing efficacious resources to promote well-being and foster resilience in students. The authors developed, implemented, and evaluated a shame resilience seminar for second-year clerkship medical students.

Approach: In February 2018, the authors conducted a 2. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002646DOI Listing
February 2019

Rebuilding Trust in the Surgeon-Patient Relationship: Need for Transparency.

Authors:
James X Wu

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Clinical fellow, Head and Neck Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY; Twitter: @Back2TheSuture; ORCID: https://orcid.org/0000-0001-5090-7573.

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http://dx.doi.org/10.1097/ACM.0000000000002632DOI Listing
February 2019
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Physician and Gay: Am I Safe at Work?

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Resident, Department of Pediatrics, Rutgers New Jersey Medical School, Newark, New Jersey; http://orcid.org/0000-0002-9660-1059. Resident, Department of Internal Medicine, Westchester Medical Center, Valhalla, New York.

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http://dx.doi.org/10.1097/ACM.0000000000002633DOI Listing
February 2019

The Importance of Diversity in Obtaining Trust With Faculty.

Authors:
Carolina Ruiz

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Medical student, Albany Medical College, Albany, New York; ORCID:https://orcid.org/0000-0002-6319-2826.

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http://dx.doi.org/10.1097/ACM.0000000000002634DOI Listing
February 2019

Increasing Trust and Communication in Medical Education Through a Student-Led Social Justice Initiative.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Fourth-year medical student, University of Miami Miller School of Medicine, Miami, Florida; ORCID: https://orcid.org/0000-0002-1651-9152. Fourth-year medical student, University of Miami Miller School of Medicine, Miami, Florida.

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http://dx.doi.org/10.1097/ACM.0000000000002635DOI Listing
February 2019

Tracking Indigenous Applicants Through the Admissions Process of a Socially Accountable Medical School.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

O. Mian is research associate, Centre for Rural and Northern Health Research, Laurentian University, Sudbury, Ontario, Canada. J.C. Hogenbirk is senior research associate, Centre for Rural and Northern Health Research, Laurentian University, Sudbury, Ontario, Canada; ORCID: http://orcid.org/0000-0003-0841-4657. D.C. Marsh is professor of clinical sciences, Northern Ontario School of Medicine, Laurentian University, Sudbury, Ontario, Canada; ORCID: https://orcid.org/0000-0002-8769-1785. O. Prowse is assistant dean for admissions, Northern Ontario School of Medicine, Laurentian University, Sudbury, Ontario, Canada. M. Cain is director of admissions and recruitment, Northern Ontario School of Medicine, Laurentian University, Sudbury, Ontario, Canada. W. Warry is currently director, Rural Health Initiatives, Memory Keepers Medical Discovery Team, and professor of family medicine and biobehavioral health, University of Minnesota, Duluth, Minnesota. At the time of writing, he was Director, Centre for Rural and Northern Health Research, Laurentian University, Sudbury, Ontario, Canada.

Purpose: To describe the admissions process and outcomes for Indigenous applicants to the Northern Ontario School of Medicine (NOSM), a Canadian medical school with the mandate to recruit students whose demographics reflect the service region's population.

Method: The authors examined ten-year trends (2006-2015) for self-identified Indigenous applicants through major admission stages. Demographics (age, sex, northern and rural backgrounds) and admission scores (grade point average [GPA], pre-interview, multiple mini-interview [MMI], final), along with score-based ranks, of Indigenous and non-Indigenous applicants were compared using Pearson chi-square and Mann-Whitney tests. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002636DOI Listing
February 2019
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The True Value of Surveys.

Authors:
Seon Woo Kim

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Second-year medical student, Weill Cornell Medicine - Qatar, Education City, Doha, Qatar; ORCID: http://orcid.org/0000-0002-5774-0224;

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http://dx.doi.org/10.1097/ACM.0000000000002637DOI Listing
February 2019

Defining Trainee Competence: Value is in the Eye of the Stakeholder.

Authors:
Lalena M Yarris

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

L.M. Yarris is professor and residency program director, Department of Emergency Medicine, Oregon Health & Science University, Portland, Oregon.

In this issue of Academic Medicine, Lundsgaard and colleagues present "Embracing Multiple Stakeholder Perspectives in Defining Trainee Competence," a qualitative exploration of how various stakeholders contribute to the understanding of trainee competence. Drawing on stakeholder theory from business management, the authors of that report explore how the perceptions of key stakeholders (leaders/administrators, nurses/nurse practitioners, trainees, and patients) either confirm, enhance, or complicate the picture of competence that emerges from the perspectives of senior physician supervisors.In this Invited Commentary, the author considers the potential effects of applying stakeholder theory to educational assessment and elaborates on Lundsgaard and colleagues' findings that additional stakeholder perceptions may be redundant in some instances and present conflicting understandings of competence in others. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002643DOI Listing
February 2019

Internalized Trust: Longitudinal Relationships as a Basis for Self-trust.

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Intern, Department of Internal Medicine, University of California San Francisco, Zuckerberg San Francisco General Primary Care Program, San Francisco, California; ORCID: https://orcid.org/0000-0003-3825-2388; Twitter:

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http://dx.doi.org/10.1097/ACM.0000000000002641DOI Listing
February 2019

Recruitment and Retention: A Guideline to Help Build Trust With Minority Candidates.

Authors:
Mercy Adetoye

Acad Med 2019 Feb 5. Epub 2019 Feb 5.

Second-year resident, Department of Family Medicine, University of Michigan, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-9456-9518; Twitter:

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http://dx.doi.org/10.1097/ACM.0000000000002640DOI Listing
February 2019

Boyer and Beyond: An Interview Study of Health Professions Education Scholarship Units in the United States and a Synthetic Framework for Scholarship at the Unit Level.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

B.C. O'Brien is associate professor of medicine, Department of Medicine, and senior scholar in the Center for Faculty Educators, University of California San Francisco, San Francisco, California. ORCID: http://orcid.org/0000-0001-9591-5243. D.M. Irby is professor emeritus of medicine, Department of Medicine and senior scholar in the Center for Faculty Educators, University of California San Francisco, San Francisco, California. S.J. Durning is professor of medicine and director, graduate programs in health professions education, Uniformed Services University of the Health Sciences, Bethesda, Maryland. S.J. Hamstra is vice-president, Milestones Research and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, Illinois, and adjunct professor, Faculty of Education, University of Ottawa, Ottawa, Ontario, Canada, and adjunct professor, Department of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. W.C.Y. Hu is professor of medical education, School of Medicine, and associate dean, learning and innovation, Western Sydney University, Penrith, New South Wales, Australia. ORCID: http://orcid.org/0000-0002-1711-3808. L.D. Gruppen is professor, Department of Learning Health Sciences and director, Masters of Health Professions Education program, University of Michigan Medical School, Ann Arbor, Michigan. L. Varpio is professor of medicine and associate director of research, graduate programs in health professions education, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Purpose: Health professions education scholarship units (HPESUs) in the United States are large in number and diverse in purpose, activities, and contributions. While each of these units shares a commitment to scholarship, there is no synthetic framework to accurately represent and evaluate their activities and contributions. This study aimed to provide such a framework. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002625DOI Listing
January 2019
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Massage and Medicine: An Interprofessional Approach to Learning Musculoskeletal Anatomy and Enhancing Personal Wellness.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

D.S. Hoffmann is assistant professor, Department of Anatomy and Cell Biology, The University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa. D. Dancing is director and faculty, Dancing Prairie Massage Therapy College and Pain Relief Center, and adjunct faculty, Department of Anatomy and Cell Biology, The University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa. M. Rosenbaum is professor, Department of Family Medicine, The University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa.

Purpose: To investigate the impact of a unique curriculum combining learning of surface anatomy and massage therapy for medical and physician assistant students.

Method: The authors conducted a randomized controlled trial in 2014 at University of Iowa College of Medicine with 20 first-year students who viewed 4 hours of educational videos and participated in 11 hours of hands-on massage practice and 20 first-year students who only viewed the educational videos. Participants completed pre- and post-course assessments of knowledge, attitudes, and personal wellness, and completed a validated assessment of four dimensions of personal wellness. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002623DOI Listing
January 2019

Looking to the Future: Medical Students' Views on Health Care Reform and Professional Responsibility.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

J.M. Rook is a fourth-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. T.N.A. Winkelman is a clinician-investigator, Hennepin Healthcare, Minneapolis, Minnesota. J.A. Fox is a fourth-year medical student, University of Colorado School of Medicine, Denver, Colorado. J.B. Pierce is a third-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. A.R. Oot is a third-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. J.R. Blum is a third-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York. A.M. Feuerbach is a fourth-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York. A. Shahu is a first-year resident in internal medicine, Johns Hopkins Hospital, Baltimore, Maryland. M.L. Goldman is a first-year resident in internal medicine, University of California San Francisco, San Francisco, California. Z. Kopp is a first-year resident in internal medicine, University of California San Francisco, San Francisco, California. E. Duffy is a first-year resident in internal medicine, Johns Hopkins Hospital, Baltimore, Maryland. T. Robledo-Gil is a first-year resident in internal medicine and urban health, Johns Hopkins Hospital, Baltimore, Maryland. N. Tran is a first-year resident in family medicine, University of California San Francisco, San Francisco, California. C.S. Davey is a biostatistician, University of Minnesota Clinical and Translational Science Institute, Minneapolis, Minnesota. B.L. Henschen is an assistant professor, Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Purpose: Although medical students will influence the future U.S. health care system, their opinions on the Patient Protection and Affordable Care Act (ACA) have not been assessed since the 2016 presidential election and elimination of key ACA provisions. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002621DOI Listing
January 2019
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Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going?

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

A. Smirnova is a PhD researcher, School of Health Professions Education, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands, and the Professional Performance Research Group, Department of Medical Psychology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. S.S. Sebok-Syer is instructor, Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California. S. Chahine is assistant professor and scientist, Centre for Educational Research and Innovation (CERI), Western University, Ontario, Canada. A.L. Kalet is professor of medicine and surgery, director of Research on Medical Education Outcomes (ROMEO), Unit of the Division of General Internal Medicine and Clinical Innovation, Department of Medicine; and director of Research, Program on Medical Education and Technology, NYU School of Medicine, New York, New York. R. Tamblyn is professor, Department of Medicine and Department of Epidemiology and Biostatistics, McGill University; medical scientist, McGill University Health Center Research Institute; scientific director, Clinical and Health Informatics Research Group, McGill University; scientific director of Canadian Institutes of Health Research - Institute of Health Services and Policy Research, Montreal, Canada. K.M.J.M.H. Lombarts is professor and lead investigator, Professional Performance Research Group, Department of Medical Psychology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. C.P.M. van der Vleuten is professor and scientific director, School of Health Professions Education, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. D.J. Schumacher is associate professor, Division of Emergency Medicine, and pediatric emergency physician, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, Ohio.

Assessment and evaluation of trainees' clinical performance measures is needed to ensure safe, high-quality patient care. These measures also aid in the development of reflective, high-performing clinicians and hold graduate medical education (GME) accountable to the public. While clinical performance measures hold great potential, challenges of defining, extracting, and measuring clinical performance in this way hinder their use for educational and quality improvement purposes. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002620DOI Listing
January 2019
1 Read

Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

M. Daniel is assistant dean for curriculum and associate professor of emergency medicine and learning health sciences, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: http://orcid.org/0000-0001-8961-7119. J. Rencic is associate program director of the internal medicine residency program and associate professor of medicine, Tufts University School of Medicine, Boston, Massachusetts; ORCID: http://orcid.org/0000-0002-2598-3299. S.J. Durning is director of graduate programs in health professions education and professor of medicine and pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland. E. Holmboe is senior vice president of milestone development and evaluation, Accreditation Council for Graduate Medical Education, and adjunct professor of medicine, Northwestern Feinberg School of Medicine, Chicago, Illinois; ORCID: http://orcid.org/0000-0003-0108-6021. S.A. Santen is senior associate dean and professor of emergency medicine, Virginia Commonwealth University, Richmond, Virginia; ORCID: http://orcid.org/0000-0002-8327-8002. V. Lang is associate professor of medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York; ORCID: http://orcid.org/0000-0002-2157-7613. T. Ratcliffe is associate professor of medicine, University of Texas Long School of Medicine at San Antonio, San Antonio, Texas. D. Gordon is medical undergraduate education director, associate residency program director of emergency medicine, and associate professor of surgery, Duke University School of Medicine, Durham, North Carolina. B. Heist is clerkship co-director and assistant professor of medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. S. Lubarsky is assistant professor of neurology, McGill University, and faculty of medicine and core member, McGill Center for Medical Education, Montreal, Quebec, Canada; ORCID: http://orcid.org/0000-0001-5692-1771. C.A. Estrada is staff physician, Birmingham Veterans Affairs Medical Center, and director of the division of general internal medicine and professor of medicine, University of Alabama, Birmingham, Alabama; ORCID: https://orcid.org/0000-0001-6262-7421. T. Ballard is plastic surgeon, Ann Arbor Plastic Surgery, Ann Arbor, Michigan. A.R. Artino Jr. is deputy director for graduate programs in health professions education and professor of medicine, preventive medicine, and biometrics pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland; ORCID: http://orcid.org/0000-0003-2661-7853. A.S. Da Silva is senior lecturer in medical education and director of the masters in medical education program, Swansea University Medical School, Swansea, United Kingdom; ORCID: http://orcid.org/0000-0001-7262-0215. T. Cleary is chair of the applied psychology department, CUNY Graduate School and University Center, New York, New York, and associate professor of applied and professional psychology, Rutgers University, New Brunswick, New Jersey. J. Stojan is associate professor of internal medicine and pediatrics, University of Michigan Medical School, Ann Arbor, Michigan. L.D. Gruppen is director of the master of health professions education program and professor of learning health sciences, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: http://orcid.org/0000-0002-2107-0126.

Purpose: An evidence-based approach to assessment is critical for ensuring the development of clinical reasoning (CR) competence. The wide array of CR assessment methods creates challenges for selecting assessments fit for the purpose; thus, a synthesis of the current evidence is needed to guide practice. A scoping review was performed to explore the existing menu of CR assessments. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002618DOI Listing
January 2019
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Building Self-Trust Through Non-Evaluative Medical Mentorship.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

Medical student and PhD student, Pennsylvania State University College of Medicine, Hershey, Pennsylvania; Medical student, Pennsylvania State University College of Medicine, Hershey, Pennsylvania. Medical student, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.

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http://dx.doi.org/10.1097/ACM.0000000000002624DOI Listing
January 2019

High-Value Care Culture Among the Future Physician Workforce in Internal Medicine.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

R. Gupta is medical director, Quality Improvement, University of California Los Angeles Health; and assistant professor, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; and director, Evaluation and Outreach, Costs of Care, Boston, Massachusetts. N. Steers is a biostatistician, VA Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System; and adjunct associate professor of medicine and sociology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California. C. Moriates is assistant dean, Healthcare Value, associate chair, Quality, Safety and Value, and associate professor, Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, Texas; and director, Implementation, Costs of Care, Boston, Massachusetts. S. Wali is chair, Department of Medicine at Olive View-UCLA Medical Center, and professor and executive vice-chair of medicine for affiliated University of California Los Angeles hospitals, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA. C. Braddock is vice dean, Education, David Geffen School of Medicine, and professor, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California. M. Ong is professor, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles; and chief, Hospitalist Division, Greater Los Angeles VA Health Care System, Los Angeles, California.

Purpose: Training in high-spending regions correlates with higher spending patterns among practicing physicians. This study aimed to evaluate if trainees' exposure to a high-value care culture differed based on type of health system in which they trained.

Method: In 2016, 517 internal medicine residents at 12 California graduate medical education (GME) programs (university, community, and safety-net medical centers) completed a cross-sectional survey assessing perceptions of high-value care culture within their respective training program. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002619DOI Listing
January 2019
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Mapping the Mission Statements of U.S. LCME-Accredited Medical Schools: An Exploration of Organizational Communalities.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

F.W. Hafferty is professor of medical education, Division of General Internal Medicine, Program in Professionalism and Values, and College of Medicine, Mayo Clinic, Rochester, Minnesota; ORCID: https://orcid.org/0000-0002-5604-7268. D. Grbic is lead research analyst, Medical Education, Association of American Medical Colleges, Washington, DC. P.K. Hafferty is gallery assistant and administrator, Koichi Yanagi Oriental Fine Arts, New York, New York.

Purpose: Mission statements (MSs) express an organization's purpose and reflect the broader social environment in which they are embedded. The authors analyze MS text to explore how medical schools can be relationally viewed and how particular thematic narratives within MSs can be deployed to associate schools in hitherto-fore unexplored ways.

Method: The authors analyzed the MSs (as of 1/1/2017) of 144 U. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002626DOI Listing
January 2019

Ensuring the Quality of Multiple-Choice Tests: An Algorithm to Facilitate Decision Making for Difficult Questions.

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

assistant professor, Department of Medicine and Centre for Medical Education assessment administrator, Undergraduate Medical Education assistant professor, Department of Medicine assistant professor, Department of Neurology & Neurosurgery and Centre for Medical Education associate professor, Department of Medicine and Centre for Medical Education associate professor, Department of Medicine and Centre for Medical Education, McGill University-All authors are members of the Student Assessment Subcommittee, Undergraduate Medical Education, McGill University.

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http://dx.doi.org/10.1097/ACM.0000000000002627DOI Listing
January 2019

Becoming Trustworthy Physicians: Learning About Relationships with Industry.

Authors:
Carmen M Reid

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

Third-year medical student, Emory University School of Medicine, Atlanta, Georgia; ORCID: http://orcid.org/0000-0003-0830-2583.

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http://dx.doi.org/10.1097/ACM.0000000000002628DOI Listing
January 2019
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In Autonomy We Trust: Increasing Intraoperative Learning to Produce Better Surgeons.

Authors:
Scott Z Mu

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

Resident, General Surgery, Saint Barnabas Medical Center, Livingston, New Jersey; ORCID: https://orcid.org/0000-0003-1467-1967.

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http://dx.doi.org/10.1097/ACM.0000000000002630DOI Listing
January 2019

Trust in Training: I Would Rather Not.

Authors:
Anna Heffron

Acad Med 2019 Jan 29. Epub 2019 Jan 29.

Graduate student, Medical Scientist Training Program, the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; ORCID: https://orcid.org/0000-0001-7555-4137.

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http://dx.doi.org/10.1097/ACM.0000000000002629DOI Listing
January 2019

Contextualizing Work-Based Assessments of Faculty and Residents: Is There a Relationship Between the Clinical Practice Environment and Assessments of Learners and Teachers?

Acad Med 2019 Feb;94(2):237-243

L. Stroud is associate professor, Department of Medicine, and education researcher, Wilson Centre for Education, University of Toronto, Toronto, Ontario, Canada. K. Kulasegaram is assistant professor, Department of Family and Community Medicine, and education scientist, Wilson Centre for Education, University of Toronto, Toronto, Ontario, Canada. H. McDonald-Blumer is associate professor, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. E. Lorens is research officer, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. L. St. Amant is research and curriculum coordinator for postgraduate medical education, University of Toronto, Toronto, Ontario, Canada. S. Ginsburg is professor, Department of Medicine, and scientist, Wilson Centre for Education, University of Toronto, Toronto, Ontario, Canada.

Purpose: Competence is bound to context, yet seldom is environment explicitly considered in work-based assessments. This study explored faculty and residents' perspectives of the environment during internal medicine clinical teaching unit (CTU) rotations, the extent that each group accounts for environmental factors in assessments, and relationships between environmental factors and assessments.

Method: From July 2014 to June 2015, 212 residents and 54 faculty across 5 teaching hospitals at University of Toronto rated their CTU environment using a novel Practice Environment Rating Scale (PERS) matched by block and hospital. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002502DOI Listing
February 2019
2 Reads

Corrections for Academic Medicine: The Importance of Using Person-First Language for Individuals Who Have Experienced Incarceration.

Acad Med 2019 Feb;94(2):172-175

P.S. Bedell is research coordinator II, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, doctoral student, Warner School of Education and Human Development, and Diversity and Inclusive Climate Leadership Fellowship Fellow 2018-2020, University of Rochester, Rochester, New York. M. So is research assistant, Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia; ORCID: https://orcid.org/0000-0002-3639-0472. D.S. Morse is associate professor of psychiatry and medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. S.A. Kinner is National Health and Medical Research Council Research Fellow and Group Leader, Justice Health, Centre for Adolescent Health, Murdoch Children's Research Institute, and head, Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia; ORCID: https://orcid.org/0000-0003-3956-5343. W.J. Ferguson is professor of family medicine and community health and director of academic programs, Health and Criminal Justice Program, University of Massachusetts Medical School, Worcester, Massachusetts. A.C. Spaulding is associate professor of epidemiology, Rollins School of Public Health, and medicine (joint), Emory University School of Medicine, and adjunct associate professor of medicine, Morehouse School of Medicine, Atlanta, Georgia.

This Invited Commentary addresses the use of labels and their impact on people involved in the criminal justice system. There are 2.2 million adults incarcerated in the United States and close to 6. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002501DOI Listing
February 2019

We Are Still Here: Life and Medical School Post Hurricane María.

Acad Med 2019 Feb;94(2):243

A. Maldonado Cerda is a third-year medical student, University of Puerto Rico School of Medicine, San Juan, Puerto Rico; e-mail:

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http://dx.doi.org/10.1097/ACM.0000000000002516DOI Listing
February 2019

Commentary on "Delicate Procedures".

Authors:
Jack Coulehan

Acad Med 2019 Feb;94(2):203

J. Coulehan is a physician, poet, and senior fellow, Center for Medical Humanities, Compassionate Care, and Bioethics, Department of Preventive Medicine, Stony Brook School of Medicine, Stony Brook, New York;

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http://dx.doi.org/10.1097/01.ACM.0000553176.23786.47DOI Listing
February 2019

Delicate Procedures.

Authors:
Jack Coulehan

Acad Med 2019 Feb;94(2):202

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http://dx.doi.org/10.1097/ACM.0000000000002513DOI Listing
February 2019

The Beige Room.

Authors:
Arifeen S Rahman

Acad Med 2019 Feb;94(2):181

A.S. Rahman is a second-year medical student, Stanford University School of Medicine, Stanford, California; e-mail:

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http://dx.doi.org/10.1097/ACM.0000000000002515DOI Listing
February 2019

Artist's Statement: Primordium.

Authors:
Maja Svrakic

Acad Med 2019 Feb;94(2):161

M. Svrakic is an assistant professor of otolaryngology, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York; e-mail:

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http://dx.doi.org/10.1097/ACM.0000000000002504DOI Listing
February 2019

We Must Prevent Fraud in the Residency Recruitment and Match Process.

Acad Med 2019 Feb;94(2):155

Associate professor of clinical psychiatry, Department of Psychiatry, Louisiana State University Health Sciences Center, and program director, LSU-Our Lady of the Lake Psychiatry Residency program, Baton Rouge, Louisiana; ORCID: https://orcid.org/0000-0002-6182-4973. Third-year resident, LSU-Our Lady of the Lake Psychiatry Residency program, Baton Rouge, Louisiana.

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http://dx.doi.org/10.1097/ACM.0000000000002525DOI Listing
February 2019

In Reply to Capers et al.

Authors:
Reginald F Baugh

Acad Med 2019 Feb;94(2):154-155

Assistant dean of admissions and professor of surgery, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio;

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http://dx.doi.org/10.1097/ACM.0000000000002532DOI Listing
February 2019

Why We Should Not Distinguish Between African American and African Immigrant Applicants in Medical School Admissions.

Acad Med 2019 Feb;94(2):154

Associate dean for admissions and associate professor of medicine (cardiovascular medicine), Ohio State University College of Medicine, Columbus, Ohio; Assistant professor of medicine (gastroenterology, hepatology, and nutrition), Ohio State University College of Medicine, Columbus, Ohio. Associate dean for diversity and inclusion and professor of family medicine, Ohio State University College of Medicine, Columbus, Ohio.

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http://dx.doi.org/10.1097/ACM.0000000000002533DOI Listing
February 2019

In Reply to Maholtz.

Acad Med 2019 Feb;94(2):153-154

Associate professor, Department of Medicine, Uniformed Services University, Bethesda, Maryland; Professor, Department of Medicine, Uniformed Services University, Bethesda, Maryland. Professor, Department of Medicine, Uniformed Services University, Bethesda, Maryland.

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http://dx.doi.org/10.1097/ACM.0000000000002527DOI Listing
February 2019

Do We Plan to Remediate or Attempt to Prevent?

Authors:
Danielle Maholtz

Acad Med 2019 Feb;94(2):153

Chief resident, Pediatrics Residency Program, and pediatric hospitalist, Akron Children's Hospital, Akron, Ohio; ORCID: https://orcid.org/0000-0002-1834-8756.

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http://dx.doi.org/10.1097/ACM.0000000000002524DOI Listing
February 2019

In Reply to Paradis and Whitehead.

Authors:
Quentin Eichbaum

Acad Med 2019 Feb;94(2):152-153

Professor of pathology, microbiology, and immunology; professor of medical education and administration; and director, Vanderbilt Pathology Education Research Group; director, Vanderbilt Pathology Program in Global Health; and clinical fellowship director, Vanderbilt University Medical Center, Nashville, Tennessee;

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http://dx.doi.org/10.1097/ACM.0000000000002528DOI Listing
February 2019

The Complexities of Care and Conflict.

Acad Med 2019 Feb;94(2):152

Assistant professor, Leslie Dan Faculty of Pharmacy, Department of Anesthesia, and Department of Sociology, University of Toronto, and scientist, Wilson Centre, Toronto, Ontario, Canada; Associate professor, Department of Community and Family Medicine, University of Toronto, director and scientist, Wilson Centre, and vice president for education, Women's College Hospital, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1097/ACM.0000000000002526DOI Listing
February 2019

In Reply to Abu-Zaid and Alamri.

Acad Med 2019 Feb;94(2):151-152

Professor of medicine and associate director, Graduate Programs in Health Professions Education, Uniformed Services University, Bethesda, Maryland; Professor, Office of Medical Education Research and Development, College of Human Medicine, Michigan State University, East Lansing, Michigan. Professor of medicine and pathology and director, Graduate Programs in Health Professions Education, Uniformed Services University, Bethesda, Maryland.

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http://dx.doi.org/10.1097/ACM.0000000000002530DOI Listing
February 2019

Promoting Authorship Integrity in Scientific Publication.

Acad Med 2019 Feb;94(2):151

Second-year biomedical sciences PhD student, College of Graduate Health Sciences, University of Tennessee Health Science Center, and Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee; ORCID: https://orcid.org/0000-0003-2286-2181. Internal medicine resident, Canterbury District Health Board, Christchurch, New Zealand; ORCID: http://orcid.org/0000-0003-2519-3593.

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http://dx.doi.org/10.1097/ACM.0000000000002523DOI Listing
February 2019
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Improving Trust Between Learners and Teachers in Medicine.

Acad Med 2019 Feb;94(2):147-150

Third-year medical student, University of New Mexico School of Medicine, Albuquerque, New Mexico. Editor-in-chief, Academic Medicine. President and chief executive officer, Accreditation Council for Continuing Medical Education, Chicago, Illinois.

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http://dx.doi.org/10.1097/ACM.0000000000002514DOI Listing
February 2019

From Modules to MOOCs: Application of the Six-Step Approach to Online Curriculum Development for Medical Education.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

B.Y. Chen is director, Faculty Development Programs in Curriculum Development, Johns Hopkins University School of Medicine; and assistant professor, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland. ORCID: http://orcid.org/0000-0002-9905-6180. D.E. Kern is emeritus professor of medicine, past director, Faculty Development Programs in Curriculum Development, Johns Hopkins University School of Medicine, and past director, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland. ORCID: http://orcid.org/0000-0002-9327-6190. R.M. Kearns is director, Online Education, Johns Hopkins University School of Medicine. Baltimore, Maryland. P. Thomas is professor of medicine and vice dean for medical education, Case Western Reserve University School of Medicine, Cleveland, Ohio. M.T. Hughes is assistant professor of medicine, Division of General Internal Medicine; and co-editor, Johns Hopkins Internal Medicine Ambulatory Care Curriculum on PEAC: Physician Education and Assessment Center, Johns Hopkins School of Medicine, Baltimore, Maryland. S. Tackett is assistant professor of medicine, and international medical education director, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland. ORCID: http://orcid.org/0000-0001-5369-7225.

Online curricula can make high-quality health professions education accessible in virtually any setting. They can enhance teaching and learning by both standardizing curricular resources and individualizing curricular experiences. Despite growing demand for and institutional interest in online curricula for medical education, many medical educators lack a framework for online curriculum development. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002580DOI Listing
January 2019

Medical School Strategies to Address Student Well-Being: A National Survey.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

L.N. Dyrbye is professor of medicine and medical education, Program on Physician Well-Being, Department of Medicine, Mayo Clinic School of Medicine, Rochester, Minnesota. A.F. Sciolla is associate professor, University of California, Davis, School of Medicine, Sacramento, California. M. Dekhtyar is a research associate, Medical Education Outcomes, American Medical Association, Chicago, Illinois. S. Rajasekaran is professor of pharmacology, Department of Physiological Sciences, and associate dean, Academic Affairs, Eastern Virginia Medical School, Norfolk, Virginia. J.A. Allgood is associate professor, A.T. Still University School of Osteopathic Medicine in Arizona, Mesa, Arizona. M. Rea is director of student wellness, University of California, Davis, School of Medicine, Sacramento, California. A.P. Knight is associate dean for student affairs and assistant professor of psychiatry and behavioral sciences, Eastern Virginia Medical School, Norfolk, Virginia. A. Haywood is assistant dean for student affairs, Indiana University School of Medicine, Indianapolis, Indiana. S. Smith is associate dean for student affairs, Dell Medical School, University of Texas at Austin, Austin, Texas. M.B. Stephens is professor of family and community medicine, Penn State College of Medicine, Hershey, Pennsylvania.

Purpose: To describe the breadth of strategies U.S. medical schools use to promote medical student well-being. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002611DOI Listing
January 2019

Transitioning from Volume to Value: Lessons Learned From the Dissolution of a Population Health Partnership.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

S.A.C. Halvorson is associate professor of medicine and chief, Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, Oregon. M. Tanski is associate professor of medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, Oregon. L. Milligan is chief medical information officer, Information Technology Services, Asante Health System, Medford, Oregon. T. Yackel is professor of medicine, Virginia Commonwealth University, Richmond, Virginia.

In 2017 the authors published an article describing the experiences of Oregon Health & Science University (OHSU) as it adapted to new challenges of changing payment models, the imperative to manage the health of populations, and the desire to compete for statewide contracts. The authors described Propel Health, a multi-institution partnership created in 2013 to deliver the tools, methods, and support necessary for population health management. In the ensuing two years there were considerable changes to the structure and mission of Propel Health, ultimately resulting in its dissolution in January 2018. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002614DOI Listing
January 2019

It's Time to Wikify Clinical Documentation: How Collaborative Authorship Can Reduce the Burden and Improve the Quality of the Electronic Health Record.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

J.L. Warner is associate professor, Departments of Medicine and Biomedical Informatics, Vanderbilt University, Nashville, Tennessee; ORCID: https://orcid.org/0000-0002-2851-7242. J. Smith is vice president of public policy, American Medical Informatics Association, Bethesda, Maryland. A. Wright is associate professor, Department of General Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts; ORCID: https://orcid.org/0000-0001-6844-145X.

Electronic health records (EHRs) have become ubiquitous tools and represent the standard of care for 96% of hospitals and 86% of ambulatory physicians in the United States. With adoption of EHRs came the promise of improved efficiency, higher quality care, and lower costs. Unfortunately, some clinicians are now spending twice as much time on documentation as they spend seeing patients, and the documentation paradigm of problem-oriented medical records is contributing to this imbalance. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002613DOI Listing
January 2019
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Debriefing for the Transfer of Learning: The Importance of Context.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

E. Rivière is an internal medicine specialist, University Hospital Center of Bordeaux; and director, the Hospital and University SimBA-S Simulation Center of Bordeaux, Bordeaux, France. M. Jaffrelot is simulation program director, Collège des Hautes Etudes en Médecine, Brest, France; and adjunct professor, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Université Laval, Québec, Canada. J. Jouquan is an internal medicine specialist and professor, Université de Bretagne occidentale, Brest, France; and editor-in-chief, Pédagogie Médicale. G. Chiniara is professor and chair, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Université Laval, Québec, Canada; and teaching leadership chair in health sciences simulation - Université Laval and Université Côte d'Azur.

The advent of simulation-based education has caused a renewed interest in feedback and debriefing. However, little attention has been given to the issue of transfer of learning from the simulation environment to real-life and novel situations. In this article, the authors discuss the importance of context in learning, based on the frameworks of analogical transfer and situated cognition, and the limitations context imposes on transfer. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002612DOI Listing
January 2019
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Confronting Racial Violence: Resident, Unit, and Institutional Responses.

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

J.C. Williams is child and adolescent psychiatry fellow, Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. R. Rohrbaugh is deputy chair for education and career development and residency program director, Department of Psychiatry, Yale University, New Haven, Connecticut.

By describing an instance of racial violence by a patient against a resident physician, the authors hope to stimulate further discussion by addressing three specific questions about managing racist patients: (1) How should the resident (or any level of trainee) respond to the immediate situation?, (2) How should the unit respond to the event as a community?, and (3) How should the institution (hospital and/or academic institution) respond to the event? The authors argue that responses to such incidents should acknowledge the history of structural racism in U.S. society and in medicine. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002610DOI Listing
January 2019

On Trust in Training: A Medical Student Considers Her Trust Education.

Authors:
Antea DeMarsilis

Acad Med 2019 Jan 22. Epub 2019 Jan 22.

Third-year medical student, University of Connecticut School of Medicine, Farmington, Connecticut; ORCID: http://orcid.org/0000-0003-1997-2187.

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http://dx.doi.org/10.1097/ACM.0000000000002607DOI Listing
January 2019
1 Read