Society for Neuroscience in Anesthesiology & Critical Care (SNACC) Neuroanesthesiology Education Milestones for Resident Education
Conclusions: The SNACC Neuroanesthesiology milestones provide a framework for reviewing resident performance and are expected to facilitate improved use of ACGME milestones during Neuroanesthesiology subspecialty training. The task force recommends that the target should be to accomplish level 4 or higher milestones by the end of residency training. Individual programs should decide the implications of a resident not meeting the expected milestones. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 11, 2019 Category: Anesthesiology Tags: Clinical Report Source Type: research

Decline of open surgical experience for general surgery residents
AbstractBackgroundMinimally invasive surgery is now preferred to open in many surgical procedures. This has led to changes in training to ensure skills acquisition and education in minimally invasive technique. There have been limited data regarding the effect of the number of open procedures being performed in training. The aim of this paper is to examine the relationship in trends for open and laparoscopic procedures performed by general surgery residents.MethodsA retrospective review of the Accreditation Council for Graduate Medical Education publicly available resident case log statistical reports for the academic year...
Source: Surgical Endoscopy - June 10, 2019 Category: Surgery Source Type: research

Residency Faculty Teaching Evaluation: What Do Faculty, Residents, and Program Directors Want?
CONCLUSIONS: PDs, faculty, and residents share a desire to provide faculty with meaningful, specific, and real-time feedback. Programs should strive to provide a culture in which feedback is an integral part of the learning process for both residents and faculty. PMID: 31184765 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - June 1, 2019 Category: Primary Care Authors: Myerholtz L, Reid A, Baker HM, Rollins L, Page CP Tags: Fam Med Source Type: research

Open aortic surgery volume experience at a regionalized referral center and impact on Accreditation Council for Graduate Medical Education trainees
The objective of this study was to review our institute's open aortic surgery volume experience and its impact on Accreditation Council for Graduate Medical Education trainees. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Hazem El-Arousy, Sungho Lim, Nayara Cioffi Batagini, Anas Abdel Azim, James Bena, Daniel G. Clair, Lee Kirksey Source Type: research

Racial Diversity in Orthopedic Surgery.
Abstract Data from the US Census Bureau, the Accreditation Council for Graduate Medical Education, and the American Academy of Orthopaedic Surgeons reveal that orthopedic surgery is the least diverse of any surgical specialty and that diversity within orthopedics is not improving. Considerable data from both medicine and business suggest that improving diversity within the orthopedic surgery specialty would be of significant benefit to the orthopedic surgery profession and to patients. Multiple avenues for increasing diversity exist, including large-scale pipeline programs as well as personal and institutional eff...
Source: The Orthopedic Clinics of North America - May 17, 2019 Category: Orthopaedics Authors: Ramirez RN, Franklin CC Tags: Orthop Clin North Am Source Type: research

Who moved my fellow: changes to Accreditation Council for Graduate Medical Education fellowships in pediatric surgery and what may be yet to come
Purpose of review Over the past 15 years, the Accreditation Council for Graduate Medical Education (ACGME) has significantly altered the regulatory framework governing fellowship training in pediatric surgery. The daily experiences of pediatric surgical trainees have been impacted by these changes, but training program directors and faculty have not developed a consistent approach to managing this shift. This review highlights the changes, which have occurred, analyzes the current state of fellowship training, and proposes potential strategies for management. Recent findings The implementation of work hour restriction...
Source: Current Opinion in Pediatrics - May 16, 2019 Category: Pediatrics Tags: SURGERY: Edited by Grace Z. Mak and Jessica J. Kandel Source Type: research

Racial Diversity in Orthopedic Surgery
Data from the US Census Bureau, the Accreditation Council for Graduate Medical Education, and the American Academy of Orthopaedic Surgeons reveal that orthopedic surgery is the least diverse of any surgical specialty and that diversity within orthopedics is not improving. Considerable data from both medicine and business suggest that improving diversity within the orthopedic surgery specialty would be of significant benefit to the orthopedic surgery profession and to patients. Multiple avenues for increasing diversity exist, including large-scale pipeline programs as well as personal and institutional efforts examining bia...
Source: Orthopedic Clinics of North America - May 11, 2019 Category: Orthopaedics Authors: Rey N. Ramirez, Corinna C. Franklin Source Type: research

Using Accreditation Council for Graduate Medical Education case logs to understand differences in vascular surgery training paradigms
In this retrospective review of Accreditation Council for Graduate  Medical Education case logs from 2012 to 2018 collected from 887 vascular surgery residents and fellows from 137 programs. Phair et al1 document that vascular surgery fellows (VSFs) perform more open and endovascular (and total) lower extremity cases than integrated senior vascular surgery reside nts (IVSRs). This stands somewhat in contrast to earlier reports,2,3 that suggested that VSFs typically perform equal to or more open vascular cases, while vascular surgery residents tend to perform more endovascular cases in the totality of training, pr...
Source: Surgery - May 8, 2019 Category: Surgery Authors: Gilbert R. Upchurch Tags: Editorial Source Type: research

A simulation procedure curriculum to increase pediatric resident exposure to procedures rarely performed in clinical practice.
CONCLUSIONS: A pre-internship procedure workshop coupled with longitudinal workshops is a feasible way to improve intern exposure to pediatric procedural training. However, it was not sufficient to improve mean competency self-assessments compared to a traditional model of bedside procedural training. PMID: 31056011 [PubMed - in process] (Source: Medical Education Online)
Source: Medical Education Online - May 7, 2019 Category: Universities & Medical Training Tags: Med Educ Online Source Type: research

A Program to Support Scholarship During Internal Medicine Residency Training: Impact on Academic Productivity and Resident Experiences.
Abstract PROBLEM: Although scholarship during residency training is an important requirement from the Accreditation Council for Graduate Medical Education, efforts to support resident scholarship have demonstrated inconsistent effects and have not comprehensively evaluated resident experiences. INTERVENTION: We developed the Leadership and Discovery Program (LEAD) to facilitate scholarship among all non-research-track categorical internal medicine (IM) residents. This multifaceted program set expectations for all residents to participate in a scholarly project, supported faculty to manage the program, facilit...
Source: Teaching and Learning in Medicine - May 7, 2019 Category: Universities & Medical Training Authors: Carter AE, Anderson TS, Rodriguez KL, Hruska KL, Zimmer SM, Spagnoletti CL, Morris A, Kapoor WN, Fine MJ Tags: Teach Learn Med Source Type: research

Development of a Quality Improvement Curriculum in a Pediatric Emergency Medicine Fellowship
Quality improvement (QI) is a science of systematic analysis and improvement of health care delivery systems. Working knowledge of QI models is imperative to professional development of future pediatric emergency medicine practitioners. The Accreditation Council for Graduate Medical Education has established a list of QI and patient safety expectations for trainees. In order to address educational needs in this area, we have created a novel QI curriculum for pediatric emergency medicine fellows that include didactic sessions, active participation in QI projects, and mentorship by QI faculty. As a part of the curriculum, fe...
Source: Pediatric Emergency Care - May 1, 2019 Category: Emergency Medicine Tags: Original Research-QI Source Type: research

Performance on the Plastic Surgery In-Service Examination Can Predict Success on the American Board of Plastic Surgery Written Examination
This study evaluates the role of In-Service Exam scores in predicting Written Exam success. Methods: In-Service Exam scores from 2009 to 2015 were collected from the National Board of Medical Examiners. Data included residency training track, training year, and examination year. Written Exam data were gathered from the American Board of Plastic Surgery. Multivariate analysis was performed and receiver operating characteristic curves were used to identify optimal In-Service Exam score cut-points for Written Exam success. Results: Data from 1364 residents were included. Residents who failed the Written Exam had signifi...
Source: Plastic and Reconstructive Surgery - April 30, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Sources of support for and resistance to abortion training in obstetrics and gynecology residency programs
Only 64% of obstetrics and gynecology program directors report routine, scheduled training in abortion, despite the Accreditation Council for Graduate Medical Education ’s requirements for routine training. Most report that exposure to training is limited to specific clinical circumstances. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 29, 2019 Category: OBGYN Authors: Jema K. Turk, Uta Landy, Jessie Chien, Jody E. Steinauer Tags: Original Research: Education Source Type: research

A novel initiative contextualizing quality improvement and systems based practice in psychiatric clinical teaching settings
The Journal of Mental Health Training, Education and Practice,Volume 14, Issue 3, Page 156-163, May 2019. Purpose Mental health providers will be increasingly called on to lead psychiatric efforts to improve care and care redesign. The Accreditation Council for Graduate Medical Education (ACGME) in the USA requires residency programs to teach quality improvement (QI) and systems-based practice (SBP) to all trainees as part of training requirements. However, teaching QI and SBP concepts without a clinical context can be challenging with low trainee engagement. The paper aims to discuss these issues. Design/methodology/appro...
Source: The Journal of Mental Health Training, Education and Practice - April 26, 2019 Category: Psychiatry & Psychology Source Type: research

Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review
Conclusions: Catching errors prior to treatment is the only way to “chase zero” in radiation oncology. Various types of errors may exist in treatment plans and our GCPR model succeeds in preventing many errors of all shapes and sizes in target definition, dose prescriptions, and treatment plans from ever reaching the patients. Background and Introduction Since the release of the seminal report from the Institute of Medicine (IOM) titled, “To Err is Human,” in 1999, the importance of patient safety and avoiding medical errors have been recognized and endorsed by the physician community, as we...
Source: Frontiers in Oncology - April 24, 2019 Category: Cancer & Oncology Source Type: research

Accreditation Council for Graduate Medical Education (ACGME) Self-Study for Pathology: One Institution's Experience and Lessons Learned.
CONCLUSIONS.—: The self-study process now required for ACGME accreditation is a useful way to assess program strengths and weaknesses in the context of current environmental and institutional factors, and helps develop an effective framework for improvements geared at achieving program aims and taking the program to the next level. Additionally, conducting residency and fellowship self-studies together allows for collaboration, effective use of shared resources, and the development of a cohesive educational mission. PMID: 31017451 [PubMed - as supplied by publisher] (Source: Archives of Pathology and Laboratory Medicine)
Source: Archives of Pathology and Laboratory Medicine - April 24, 2019 Category: Laboratory Medicine Authors: Maniar KP, Arva N, Blanco LZ, Mao Q, Morency EG, Rodriguez R, Wolniak K, Yaseen NR, Nayar R Tags: Arch Pathol Lab Med Source Type: research

The Development of an Emergency Medicine Resident Research Program in the United States Military.
CONCLUSION: Resident scholarly activity increased following the institution of a new research curriculum and graduation requirement. PMID: 31004142 [PubMed - as supplied by publisher] (Source: Military Medicine)
Source: Military Medicine - April 22, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Alignment of Preventive Medicine Physicians’ Residency Training With Professional Needs
In conclusion, respondents rated most Accreditation Council for Graduate Medical Education sub-competencies as important to current work and felt well trained, indicating good alignment between residency training and professional needs. Respondents also reported leadership/management training deficiencies. PM residencies might consider incorporating formal leadership training into curricula. (Source: American Journal of Preventive Medicine)
Source: American Journal of Preventive Medicine - April 17, 2019 Category: International Medicine & Public Health Source Type: research

The Implementation of an Introductory Surgical Pathology Didactic Series to Transition First Year Residents and Facilitate Upper Level Resident Teaching
The increasing complexity of the practice of pathology and health care in general requires that pathology residents acquire a vast number of skills during their training. This has been reflected by the broad range of skills addressed in the Accreditation Council for Graduate Medical Education (ACGME) milestones. In order to address some of these milestones, our residency program instituted an introductory didactic series in surgical pathology that focused on 2 objectives. First, the didactics provided basic grossing and histology training to first year residents transitioning from medical school. Second, the sessions allow...
Source: Advances in Anatomic Pathology - April 11, 2019 Category: Pathology Tags: Review Articles Source Type: research

Integrated Otolaryngology-Anesthesiology Clinical Skills and Simulation Rotation: A Novel 1-Month Intern Curriculum.
Abstract OBJECTIVES:: Current Accreditation Council for Graduate Medical Education (ACGME) requirements allow PGY-1 otolaryngology-head and neck surgery (ORL-HNS) residents to spend 6 months on service, prompting reconsideration of educational best practices for the first-year resident experience. The aim of this study was to determine feasibility and value of a 1-month PGY-1 otolaryngology clinical skills rotation integrated with anesthesiology to complement clinical ORL-HNS rotations. METHODS:: Our institution developed a 1-month rotation focusing on procedural simulation and airway management as a collabor...
Source: The Annals of Otology, Rhinology, and Laryngology - April 2, 2019 Category: ENT & OMF Authors: Kovatch KJ, Harvey RS, Schechtman SA, Healy DW, Malloy KM, Prince MEP, Thorne MC Tags: Ann Otol Rhinol Laryngol Source Type: research

Implementation of an Innovative Residency Leadership Development Curriculum
This report describes the design and implementation of the program, including the curriculum, and offers recommendations for implementation at other institutions. (Source: A&A Case Reports)
Source: A&A Case Reports - April 1, 2019 Category: Anesthesiology Tags: Innovation Source Type: research

Medical-Legal Partnerships to Enhance Residency Training in Advance Care Planning.
CONCLUSION: Based on our initial experience, using medical-legal partnerships to teach residents about ACP may be more effective than previously reported approaches. Validation of our results with a larger sample is needed. PMID: 30973625 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - April 1, 2019 Category: Primary Care Authors: Pettit JM, Ryan AM, Armin J, Weiss BD Tags: Fam Med Source Type: research

Family Medicine Program Director Tenure: 2011 Through 2017.
CONCLUSIONS: Mean family medicine PD tenure is 6.5 years and median tenure is 4.5 years. The short tenure and large number of new PDs annually may impact program quality and suggests more resources and support may be needed for PDs new in their position. PMID: 30973623 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - April 1, 2019 Category: Primary Care Authors: Brown SR, Gerkin R Tags: Fam Med Source Type: research

Medical Student Deaths by Suicide: The Importance of Transparency
In this Invited Commentary, the authors present a call to action regarding the paucity of data related to medical student deaths by suicide. They review the limited literature on medical student suicide and suggest that no comprehensive study has ever occurred. They believe that the available data are too limited to conclude what the rate of death by suicide is among medical students compared with their age-matched peers. The authors speculate that the lack of accurate data may be related both to reluctance on the part of schools to report deaths by suicide and to the failure of national organizations like the Association ...
Source: Academic Medicine - March 28, 2019 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Evaluation of Trainee Competency with Point-of-Care Ultrasonography (POCUS): a Conceptual Framework and Review of Existing Assessments
AbstractPoint-of-care ultrasonography (POCUS) has the potential to transform healthcare delivery through its diagnostic expediency. Trainee competency with POCUS is now mandated for emergency medicine through the Accreditation Council for Graduate Medical Education (ACGME), and its use is expanding into other medical specialties, including internal medicine. However, a key question remains: how does one define “competency” with this emerging technology? As our trainees become more acquainted with POCUS, it is vital to develop validated methodology for defining and measuring competency amongst inexperienced user...
Source: Journal of General Internal Medicine - March 28, 2019 Category: Internal Medicine Source Type: research

Single Accreditation System for Graduate Medical Education: Transition Update.
This article focuses on recent policy enhancements and modifications to facilitate the transition to the single accreditation system and concludes with a discussion of the current transition planning after the end of the transition period on June 30, 2020. PMID: 30907965 [PubMed - in process] (Source: Journal of the American Osteopathic Association)
Source: Journal of the American Osteopathic Association - March 26, 2019 Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

Milestone Implementation ’s Impact on Narrative Comments and Perception of Feedback for Internal Medicine Residents: a Mixed Methods Study
AbstractBackgroundFeedback is a critical element of graduate medical education. Narrative comments on evaluation forms are a source of feedback for residents. As a shared mental model for performance, milestone-based evaluations may impact narrative comments and resident perception of feedback.ObjectiveTo determine if milestone-based evaluations impacted the quality of faculty members ’ narrative comments on evaluations and, as an extension, residents’ perception of feedback.DesignConcurrent mixed methods study, including qualitative analysis of narrative comments and survey of resident perception of feedback.P...
Source: Journal of General Internal Medicine - March 19, 2019 Category: Internal Medicine Source Type: research

Discussion
DR GILBERT R UPCHURCH (Gainesville, FL): In this work from the University of Virginia and the Accreditation Council for Graduate Medical Education (ACGME), Dr Robinson and coauthors have examined the ACGME case logs of general surgery residents from 2002 to 2017 in order to determine if the presence of a new vascular fellowship affected the number of vascular surgery cases being performed by general surgery residents. As part of their methodology, they selected the 4 years before as the “ramp up” phase, and then compared that with 4 years afterward to determine if there were differences in the number of cases. ...
Source: Journal of the American College of Surgeons - March 16, 2019 Category: Surgery Tags: Southern surgical association article Source Type: research

Design and recruitment of the randomized order safety trial evaluating resident-physician schedules (ROSTERS) study
While the Accreditation Council for Graduate Medical Education limited first year resident-physicians to 16 consecutive work hours from 2011 to 2017, resident-physicians in their second year or higher were permitted to work up to 28  h consecutively. This paper describes the Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS) study, a clustered-randomized crossover clinical trial designed to evaluate the effectiveness of eliminating traditional shifts of 24 h or longer for second year or higher r esident-physicians in pediatric intensive care units (PICUs). (Source: Contemporary Clinical Trials)
Source: Contemporary Clinical Trials - March 15, 2019 Category: Radiology Authors: Terri Blackwell, Dana R. Kriesel, Eric Vittinghoff, Conor S. O'Brien, Jason P. Sullivan, Natalie C. Viyaran, Shadab A. Rahman, Steven W. Lockley, Laura K. Barger, Ann C. Halbower, Sue E. Poynter, Kenneth P. Wright, Pearl L. Yu, Phyllis C. Zee, Christopher Source Type: research

To What Degree Are the 13 Entrustable Professional Activities Already Incorporated Into Physicians' Performance Schemas for Medical Students?
Abstract Phenomenon: There is an abundance of literature on Entrustable Professional Activities (EPAs) in theory, but there are few studies on the EPAs in practice for undergraduate clinical education. In addition, little is known about the degree to which the EPAs are or are not aligned with physician assessors' performance schemas of the clerkship student. Investigating the degree to which physician assessors' performance schemas are already aligned with the activities described by the EPAs is critical for effective workplace assessment design. Approach: We sampled 1,032 areas of strength (strength) and areas fo...
Source: Teaching and Learning in Medicine - March 15, 2019 Category: Universities & Medical Training Authors: Colbert-Getz JM, Lappe K, Northrup M, Roussel D Tags: Teach Learn Med Source Type: research

Educational Opportunities in Radiation Oncology for the Non-Radiation Oncologist
To the Editor: Radiation oncology (RO) enjoys a unique place in the field of medicine. Although our field is poorly understood by non –radiation oncologists, we work closely with many clinical specialties and strive to understand their intricacies. RO residency has long incorporated formal training requirements outside of our department: the Accreditation Council for Graduate Medical Education (ACGME) specifically requires inter ns to spend ≥9 months in medical or surgical rotations outside of RO. (Source: International Journal of Radiation Oncology * Biology * Physics)
Source: International Journal of Radiation Oncology * Biology * Physics - March 13, 2019 Category: Radiology Authors: Michael J. LaRiviere, Samuel D. Swisher-McClure, Neha Vapiwala, Abigail T. Berman Tags: Comment Source Type: research

Pilot project to assess and improve neurosurgery resident and staff perception of feedback to residents for self-improvement goal formation.
CONCLUSIONSThe required ACGME feedback methods may not be providing adequate feedback for goal formation for self-improvement for neurosurgery residents. Simple interventions, such as anonymous feedback questionnaires, can improve neurosurgery resident and staff perception of feedback to residents for self-improvement and goal formation. PMID: 30849753 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - March 8, 2019 Category: Neurosurgery Authors: Tenny SO, Schmidt KP, Thorell WE Tags: J Neurosurg Source Type: research

Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship*
Conclusions: Pediatric procedural sedation lacks a clearly defined training pathway. Most fellows find pediatric procedural sedation a valuable skill set. We propose that all Pediatric Critical Care Medicine fellows receive training that includes pediatric procedural sedation critical incident simulation and cases performed outside the PICU to establish proficiency. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Education Source Type: research

Predicting Performance of First-Year Residents: Correlations Between Structured Interview, Licensure Exam, and Competency Scores in a Multi-Institutional Study
Purpose To determine whether scores on structured interview (SI) questions designed to measure noncognitive competencies in physicians (1) predict subsequent first-year resident performance on Accreditation Council for Graduate Medical Education (ACGME) milestones and (2) add incremental validity over United States Medical Licensing Examination (USMLE) Step 1 and Step 2 Clinical Knowledge scores in predicting performance. Method The authors developed 18 behavioral description questions to measure key noncognitive competencies (e.g., teamwork). In 2013–2015, 14 programs (13 residency, 1 fellowship) from 6 institu...
Source: Academic Medicine - March 1, 2019 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Sustainable Curriculum to Increase Scholarly Activity in a Family Medicine Residency.
CONCLUSIONS: This curriculum model emphasizes unique and reliably sustainable interventions to increase scholarly output that can be implemented at any residency program. SA volume and quality increased over 5 postintervention years despite annual resident research coordinator turnover. This research demonstrates a resident-driven culture change that warrants future research on adaptability to other programs. PMID: 30861082 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - March 1, 2019 Category: Primary Care Authors: Seales SM, Lennon RP, Sanchack K, Smith DK Tags: Fam Med Source Type: research

Trends in US Medical School Contributions to the Family Physician Workforce: 2018 Update From the American Academy of Family Physicians.
CONCLUSIONS: The proportion of US medical students beginning ACGME-accredited FM residency programs has increased slightly over the last decade. However, significant changes to undergraduate medical education are needed to meet the nation's primary care needs. PMID: 30861079 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - March 1, 2019 Category: Primary Care Authors: Phillips JP, Wendling A, Bentley A, Marsee R, Morley CP Tags: Fam Med Source Type: research

Predicting Performance of First-Year Residents: Correlations Between Structured Interview, Licensure Exam, and Competency Scores in a Multi-Institutional Study
Purpose To determine whether scores on structured interview (SI) questions designed to measure noncognitive competencies in physicians (1) predict subsequent first-year resident performance on Accreditation Council for Graduate Medical Education (ACGME) milestones and (2) add incremental validity over United States Medical Licensing Examination (USMLE) Step 1 and Step 2 Clinical Knowledge scores in predicting performance. Method The authors developed 18 behavioral description questions to measure key noncognitive competencies (e.g., teamwork). In 2013–2015, 14 programs (13 residency, 1 fellowship) from 6 institu...
Source: Academic Medicine - February 28, 2019 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Early Implementation of Dedicated Geriatric Training for Internal Medicine Resident Physicians
The practice of geriatric medicine is an integral component of residency training in internal medicine. In fact, the Accreditation Council for Graduate Medical Education (ACGME) in Internal Medicine specifies that training programs should have a dedicated geriatric education coordinator, and residents should have an assignment in geriatrics with sufficient clinical exposure. Such an assignment exposes residents to clinical experience in both outpatient geriatric clinics and assisted nursing facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 27, 2019 Category: Health Management Authors: Ali Ahmad, A. Ahmad, H. Kusz, V. Kollu Tags: Education Source Type: research

Does orthopaedic resident efficiency improve with respect to decreased fluoroscopic times in tibial intramedullary nailing? A measure of an ACGME milestone
Conclusions: As the ACGME currently has no measurement for resident progress and efficiency regarding tibial shaft intramedullary nailing, our data indicate that fluoroscopic measurements may be useful in assessing resident proficiency. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - February 26, 2019 Category: Orthopaedics Tags: ORIGINAL RESEARCH Source Type: research

12: Variability in gynecologic case volume of graduating obstetrics and gynecology residents from 2009 to 2017
Obstetrics and gynecology resident surgical case volume has evolved over the past decade. In 2018 the Accreditation Council for Graduate Medical Education (ACGME) created a combined minimally invasive hysterectomy (MIH) category and now requires graduating residents to complete a minimum of 70 MIHs, including at least 15 procedures from both total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) categories. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - February 22, 2019 Category: OBGYN Authors: E. Hall, C.A. Raker, B.S. Hampton Tags: Oral Poster Source Type: research

Why Residents Quit: National Rates of and Reasons for Attrition Among Emergency Medicine Physicians in Training
Introduction:Recruiting and retaining residents who will complete their emergency medicine (EM) training is vital, not only because residency positions are a limited and costly resource, but also to prevent the significant disruptions, increased workload, and low morale that may arise when a resident prematurely leaves a program. We investigated national rates of EM resident attrition and examined the reasons and factors associated with their attrition.  Methods: In this retrospective, observational study we used national data from the American Medical Association National Graduate Medical Education Census for all res...
Source: Western Journal of Emergency Medicine - February 12, 2019 Category: Emergency Medicine Source Type: research

Individualized Interactive Instruction: A Guide to Best Practices from the Council of Emergency Medicine Residency Directors
This article provides a review of the current literature on the implementation and utilization of III in emergency medicine residency education. It provides examples of currently implemented and studied III curricula, identifies those III learning modalities that can be considered best practice, and provides suggestions for program directors to consider when choosing how to incorporate III into their residency teaching. (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Source Type: research

Consequences of Increasing Complexity in Anorectal Surgery Performed at an Academic Center
CONCLUSIONS: Colorectal residents may benefit from anorectal case stratification, because it serves as a dialogue for those interested in complex anorectal surgery during training. Surgeon categorization of procedures correlates well with a charge-based model of complexity. See Video Abstract at http://links.lww.com/DCR/A806. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - February 8, 2019 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research

Transforming Resident Assessment: An Analysis Using Deming’s System of Profound Knowledge
W. Edwards Deming, in his System of Profound Knowledge, asserts that leaders who wish to transform a system should understand four essential elements: appreciation for a system, theory of knowledge, knowledge about variation, and psychology. The Accreditation Council for Graduate Medical Education (ACGME) introduced the milestones program as a part of the Next Accreditation System to create developmental language for the six core competencies and facilitate programmatic assessment within graduate medical education systems. Viewed through Deming’s lens, the ACGME can be seen as the steward of a large system, with ever...
Source: Academic Medicine - January 31, 2019 Category: Universities & Medical Training Tags: Articles Source Type: research

Milestones in Plastic Surgery: Attending Assessment versus Resident Assessment
Conclusions: Overall, resident and faculty evaluations at the authors’ program were concordant, which demonstrates that residents are capable of accurately assessing their own abilities and understanding the milestones framework. Areas of discordance between resident and faculty evaluations fostered discussion between residents and faculty and have led to multiple changes in the authors’ program. The introduction of self-evaluation tools at other programs may provide them with similar benefits. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - January 30, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Medical Degree Disparity Among Authors in Obstetrics and Gynecology Journals.
Conclusion: Very few osteopathic physicians have served as either the first or the senior author in articles published in Obstet Gynecol, Am J Obstet Gynecol, Fertil Steril, or Menopause during the years studied, and no trend was seen for increased publication by osteopathic physicians in these journals over time. PMID: 30688356 [PubMed - in process] (Source: Journal of the American Osteopathic Association)
Source: Journal of the American Osteopathic Association - January 30, 2019 Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

Fellow-Led SICU Morbidity and Mortality Conferences Address Patient Safety, Quality Improvement, Interprofessional Cooperation and ACGME Milestones
Morbidity and mortality conferences (MMCs) promote patient safety, spur quality improvement (QI) projects, and enhance interprofessional cooperation. The use of MMCs to address the Accreditation Council for Graduate Medical Education ’s (ACGME’s) six core competencies and specialty-specific milestones for surgical critical care (SCC) fellows has yet to be explored. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 28, 2019 Category: Surgery Authors: Noah Weingarten, Nabil Issa, Joseph Posluszny Source Type: research

Perfect Compliance: The 2018 Accreditation Council for Graduate Medical Education Well-Being Survey.
PMID: 30665230 [PubMed - as supplied by publisher] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - January 22, 2019 Category: Internal Medicine Authors: Yuan CM Tags: Ann Intern Med Source Type: research

A Content Analysis of the ACGME Specialty Milestones to Identify Performance Indicators Pertaining to the Development of Residents as Educators.
CONCLUSIONS: The current ACGME Milestones largely imply that resident teaching is a high-level or aspirational goal, achieved without a clear or consistently assessed developmental progression. These findings run counter to the theoretical basis that underlies the development of the Milestones. Wide variation among specialties indicates lack of consensus around the ideal skill set of the resident educator and limits the utility of these documents for curriculum development in this domain. PMID: 30669871 [PubMed - as supplied by publisher] (Source: Teaching and Learning in Medicine)
Source: Teaching and Learning in Medicine - January 22, 2019 Category: Universities & Medical Training Authors: Michael SH, Rougas S, Zhang XC, Clyne B Tags: Teach Learn Med Source Type: research