From the Archive: Tools for Achieving Institutional Excellence: Diversity 3.0 Learning Series
Editor’s Note: As part of a new series, we’re sharing content from our archive that we think may be of interest to our readers. This post was originally published on August 22, 2013. By: Marc Nivet, EdD, Chief Diversity Officer, Association of American Medical Colleges This is an exciting time for health care in the United States. The passage of the Affordable Care Act means our medical schools and teaching hospitals will be facing a critical period to reexamine best practices to meet the growing health needs of the nation. We at the AAMC are committed to helping our member institutions meet this critical perio...
Source: Academic Medicine Blog - August 18, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Guest Perspective diversity diversity 3.0 learning series Source Type: blogs

Breaking The Graduate Medical Education Policy Logjam
This report proposed major reforms which would create a GME system with greater transparency, accountability and strategic direction that aligns with national needs. Stakeholder response to the IOM Report currently is being evaluated by Congress in the Health subcommittee of the House Energy and Commerce (E&C) committee. Their input from various stakeholders has been complex and lacking in consensus, thereby perpetuating the GME policy logjam, creating a daunting challenge and thereby decreasing prospects of any comprehensive legislative GME reform in this session of Congress. Since the introduction of the “resident ...
Source: Health Affairs Blog - August 12, 2015 Category: Health Management Authors: Richard Rieselbach, David Sundwall, Kenneth Shine, Ted Epperly and Byron Crouse Tags: Costs and Spending Featured Health Policy Lab Health Professionals Medicaid and CHIP Medicare Organization and Delivery Population Health Quality COGME HHS House Energy and Commerce committee IOM report MACRA Primary Care Rur Source Type: blogs

Training Career Outcomes
Last week, I wrote to NIGMS-funded T32 program directors to encourage them to inform students about trainee career outcomes. Because this topic is also relevant to the broader community, I’d like to share the message here. Dear NIGMS T32 Training Grant Program Director: At the June 2015 meeting of NIGMS training, workforce development, and diversity program directors , Peter Preusch, Dick Okita and I discussed the importance of making post-training career outcomes available to current and prospective students. The goal of collecting and sharing data on Ph.D. career outcomes is consistent with recommendati...
Source: NIGMS Feedback Loop Blog - National Institute of General Medical Sciences - August 7, 2015 Category: Biomedical Science Authors: Monique Hall Tags: Training/Fellowships/Career Development Source Type: blogs

In Pursuit Of Hospital Quality: Creating Effective Performance Measures And Transparency In Health Care
When Garrison Keillor of “Prairie Home Companion” fame welcomes his radio audience to Lake Wobegon, his fictional Minnesota town, he describes it as a place where, “all the children are above average.” When one of us or our loved ones goes to a hospital for care, we expect that facility to be “above average” too. Sometimes we are able to choose the hospital where we seek care; sometimes, due to an emergency, we have no choice. Either way, we depend on the professionalism of the hospital and its clinicians to provide high quality care and keep us safe. Reports by the Institute of Medicine (IOM) and other researc...
Source: Health Affairs Blog - August 4, 2015 Category: Health Management Authors: Charles Kahn Tags: Featured Health Professionals Hospitals Medicare Organization and Delivery Payment Policy Population Health Quality big data Charles Kahn Hospital Care Hospital Quality Alliance IOM Metrics Patient Safety Source Type: blogs

On the Journey to Achieve Health Equity: Teaching the Next Generation of Physicians
By: Cristina M. Gonzalez, MD, MEd, associate professor of clinical medicine, Department of Medicine, Division of Hospital Medicine, Albert Einstein College of Medicine, Bronx, New York I have worked on minority issues, equity, and social justice for as long as I can remember. As a kid, I grew up in Pennsylvania on a small farm, while most of my family lived in the Bronx. From an early age I could see the systemic inequities in education and opportunity, even if I couldn’t describe them as such. As a junior medical school faculty member, I realized that I wanted to improve minority health by educating the next generation ...
Source: Academic Medicine Blog - July 30, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective albert einstein college of medicine elective health disparities health equity Source Type: blogs

A Step Toward a Cultural Transformation in the Way Pain is Perceived, Judged and Treated
The following blog post is the executive summary of the June 29-30, 2015, PAINS Collaborators Meeting in Washington, DC, held in response to Department of Health and Human Services’ publication of the National Pain Strategy Report.  BACKGROUNDIn anticipation of publication of the National Pain Strategy (NPS) Report, in June 2015 the Pain Action Alliance to Implement a National Strategy (PAINS), a coalition of national leaders and organizations committed to advancing the sixteen recommendations made in the Institutes of Medicine’s report, Relieving Pain in America: A Blueprint for Transforming Prevention, C...
Source: blog.bioethics.net - July 23, 2015 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care syndicated Source Type: blogs

Professionalism in Medicine: I Know it When I See it
by Jennifer Chevinsky, BS A medical student comes into the hospital wearing his favorite pair of old, ripped, dirty jeans. A physician ‘pimps’ a medical student and publicly shames her when she doesn’t know the answer. A nurse tells the patient that he really does not like working with the case manager on the medical service. A resident presents her patient to the attending, including a complete physical exam that she did not perform. In recent years, increased focus has been placed on the concept of professionalism in medicine by the Association of American Medical Colleges (AAMC), Liaison Committee for Medical Educ...
Source: blog.bioethics.net - June 30, 2015 Category: Medical Ethics Authors: Jennifer Chevinsky Tags: Featured Posts education medical education professionalism Source Type: blogs

Majority of House of Representatives Support 21st Century Cures
The Energy and Commerce Committee has announced that two hundred and thirty bipartisan members of Congress have added their names as co-sponsors of H.R. 6, the 21st Century Cures Act, signaling the continued support for the bill. On May 21, 2015, the House Energy and Commerce Committee unanimously approved the 21st Century Cures Act—a 300 page bill reflecting a year-long legislative process to bring drug and device regulations up-to-date with current medical innovation. Co-sponsored by House Commerce Committee Chair Fred Upton (R-Texas) and Rep. Diana DeGette (D-Colo.), the bill focuses on the life-cycle of getting...
Source: Policy and Medicine - June 29, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Editorial Board Q&A: Laura Roberts
Laura Roberts, MD, chair of the department of psychiatry and behavioral sciences and Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine 1. Describe your current activities. My “day job” is service as the Chair of the Department of Psychiatry and Behavioral Sciences and as the Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine. As the chair of a major department at a prominent institution, I have the opportunity to work with wonderful colleagues and to oversee and grow many extraordinary academic and clinical programs. It i...
Source: Academic Medicine Blog - June 23, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Editorial Board Q & A behavioral sciences Laura Roberts psychiatry Stanford Source Type: blogs

How Institutional Review Boards Can Support Learning Health Systems While Providing Meaningful Oversight
Editor’s note: This post is part of a series stemming from the Third Annual Health Law Year in P/Review event held at Harvard Law School on Friday, January 30, 2015. The conference brought together leading experts to review major developments in health law over the previous year, and preview what is to come. A full agenda and links to video recordings of the panels are here. Increasingly, health systems are studying their own practices in order to improve the quality of care they deliver. But many organizations do not know whether the data they collect at the point of care constitutes research, and if so, whether it ...
Source: Health Affairs Blog - June 5, 2015 Category: Health Management Authors: Mildred Solomon Tags: Equity and Disparities Featured Health Professionals Population Health Comparative Effectiveness HHS Institute of Medicine IRBs OHRP Research SUPPORT study Source Type: blogs

Developing a Framework for Competency Assessment: Entrustable Professional Activities (EPAs)
Editor’s Note: This post is the second of two on the topic of competency-based medical education. Read the first post here. By: Robert Englander, MD, MPH, Terri Cameron, MA, Amy Addams, Jan Bull, MP, and Joshua Jacobs, MD Dr. Englander is the former senior director of competency-based learning and assessment at the Association of American Medical Colleges (AAMC). Ms. Cameron is director of curriculum programs at the AAMC. Ms. Addams is director of competency-based admissions at the AAMC. Ms. Bull is lead specialist in competency-based learning and assessment at the AAMC. Dr. Jacobs is senior director of electronic portfo...
Source: Academic Medicine Blog - May 26, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective CBME competency assessment competency framework competency-based medical education entrustable professional activities EPA Source Type: blogs

Understanding Competency-Based Medical Education
Editor’s Note: This post is the first of two on the topic of competency-based medical education. Check back next week to read more on this topic. By: Robert Englander, MD, MPH, Terri Cameron, MA, Amy Addams, Jan Bull, MP, and Joshua Jacobs, MD Dr. Englander is the former senior director of competency-based learning and assessment at the Association of American Medical Colleges (AAMC). Ms. Cameron is director of curriculum programs at the AAMC. Ms. Addams is director of competency-based admissions at the AAMC. Ms. Bull is lead specialist in competency-based learning and assessment at the AAMC. Dr. Jacobs is senior direct...
Source: Academic Medicine Blog - May 19, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective CBME competency framework competency-based medical education domains of competence milestones Source Type: blogs

Mental health for medical professionals deserves more attention
Every year roughly 400 physicians take their lives: a group of physicians greater than the size of two graduating classes at my medical school. Let’s be clear, physician suicide and medical professional mental health awareness is a neglected issue in medicine. We are twice as likely to commit suicide than our non-physician counterparts. Women physicians are up to three times as likely to take their lives than their non-physicians peers. Medical students have rates of depression 15 to 30 percent higher than the general population. A 2009 study by the AAMC reported that 9.4 percent of fourth-year medical students and ...
Source: Kevin, M.D. - Medical Weblog - April 27, 2015 Category: Journals (General) Authors: Tags: Education Medical school Psychiatry Source Type: blogs

New Conversations Interview with Steven Brill
This New Conversations podcast is part of the journal’s ongoing conversation on the present and future impacts of current health care reform efforts on medical education, health care delivery, and research at academic health centers, and the effects such reforms might have on the overall health of communities (see Dr. Sklar’s January 2015 editorial). To read New Conversations pieces and to contribute, browse the New Conversations collection on our website, follow the discussion on AM Rounds and Twitter (@AcadMedJournal using #AcMedConversations), and submit manuscripts using the article type “New Conversations...
Source: Academic Medicine Blog - April 23, 2015 Category: Universities & Medical Training Authors: Journal Staff Tags: Audio Featured Guest Perspective Interview academic health centers America's Bitter Pill health care billing health care reform New Conversations Steven Brill Source Type: blogs

Changes Needed To Fulfill The Potential Of Medicare’s ACO Program
The Medicare Shared Savings Program (MSSP), Medicare’s main program for accountable care organizations (ACOs), has grown rapidly since it began in 2012. It added 89 new provider organizations earlier this year, bringing the total to over 400 Medicare ACOs across the country. About one in six beneficiaries in the traditional Medicare program now receive care from physicians, hospitals, and other providers participating in Medicare ACOs. The program continues to receive a high level of public and policymaker attention because of expectations that it may enable these health care providers to get more support for delivering ...
Source: Health Affairs Blog - April 8, 2015 Category: Health Management Authors: Mark McClellan, S. Lawrence Kocot, and Ross White Tags: All Categories Consumers Health Care Costs Health Care Delivery Insurance Medicare Payment Policy Quality Spending Source Type: blogs