Learning Humanism from Surgeons
Surgeons are not necessarily known for their bedside manner. The stereotypical surgeon is arrogant and aggressive, is sometimes wrong but never in doubt, and values holding a scalpel much more than a patient’s hand. Yet both of us were drawn to the operating room by surgeon role models who were quite the opposite: caring, humble, steady, and prioritizing their patients above all else. Now well into residency, we have observed that most surgeons at our institution fit this latter description much better. And while they constantly inspire and motivate us, rarely do we have the opportunity to learn about what inspires and m...
Source: Academic Medicine Blog - July 16, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: ATLAS Featured Guest Perspective humanism in medicine professionalism qualitative research residents Source Type: blogs

How Medical Educators Can Manage Students ’ Professionalism Lapses in Three Clear Steps
When I became a medical educator, I experienced attending to medical students’ professionalism lapses as a demanding and time-consuming task. I had never been taught how to respond to these lapses, and the literature did not provide clear guidelines. To find out how colleagues in the medical education field handled this issue, my colleagues and I took up a research study, conducting in-depth interviews with faculty responsible for remediation at various U.S. medical schools. In this way, we learned that the approach these experts use consisted of three separate phases, which we developed into a road map in our recent Aca...
Source: Academic Medicine Blog - July 11, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical education medical students professionalism quality and patient safety Source Type: blogs

Advancing Trainee Leaders and Scholars (ATLAS): A New Initiative From Academic Medicine
Academic Medicine recently launched the Advancing Trainee Leaders and Scholars (ATLAS) initiative, which I will oversee as the journal’s inaugural Assistant Editor for Trainee Engagement. So, you might be wondering, who am I and why ATLAS? I hope this blog post will help answer those questions! Who am I? I’m a 3rd-year internal medicine resident at NYU Langone Health in New York City, and am planning to pursue a career as an academic hospitalist. As mentioned above, I will serve as the inaugural Assistant Editor for Trainee Engagement, overseeing the ATLAS initiative. My term will last until summer 2020, when we ...
Source: Academic Medicine Blog - July 9, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: ATLAS Featured learners Source Type: blogs

A Conversation with Darrell Kirch
Darrell Kirch, MD, president and CEO of the Association of American Medical Colleges (@AAMCtoday), joins the Academic Medicine Podcast to discuss his work at the AAMC and as part of the Coalition for Physician Accountability; important issues in medical education today including physician well-being, competency-based medical education, and GME selection and training; and the future of academic medicine. This episode is now available through iTunes and the Apple Podcast app, Spotify, GooglePlay, Stitcher, and SoundCloud. Read more about these topics, including the articles discussed in t...
Source: Academic Medicine Blog - July 1, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective AAMC Coalition for Physician Accountability competency-based medical education Darrell Kirch physician well-being resident selection Source Type: blogs

Academic Medicine Named Top Journal in Education, Scientific Disciplines Again!
Clarivate Analytics released its 2018 Journal Impact Factors (JIFs), and Academic Medicine has earned a JIF of 5.083. It places us at the top of the Education, Scientific Disciplines category for the fourth year in a row. It also places us fourth in the Health Care Sciences & Services category. In addition to having the top JIF in our category, Academic Medicine maintained its status as a highly-cited journal in the field with more than 15,000 citations in 2018 (over 1,300 more than last year). The JIF for a given year is calculated by dividing the number of citations during that year to articles that...
Source: Academic Medicine Blog - June 27, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured academic medicine journal journal impact factor Source Type: blogs

Academic Medicine Announces Next Editor-in-Chief
As we look ahead to the end of David Sklar’s term as editor-in-chief at the end of this year, we are excited to announce that Laura W. Roberts, MD, MA, has been selected as the next editor-in-chief of Academic Medicine! Dr. Roberts will begin her five-year term on January 1, 2020, becoming the second female editor-in-chief since the journal was founded in 1926. She has served as editor-in-chief for the journal Academic Psychiatry since 2002 and has been a member of the editorial board for Academic Medicine since 2013. Dr. Roberts is chairman of and the Katharine Dexter McCormick and Stanley McCormick Memorial...
Source: Academic Medicine Blog - June 17, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Academic Medicine David Sklar Editor in Chief Laura Roberts Source Type: blogs

Code Yellow: Hurricane Harvey at the Hospital
“Code Yellow.” I will never forget those words being called over the hospital intercom. In a state of disbelief, I began frantically searching through every policy and procedure handbook I could find. I knew living on the Texas coast that a hurricane was a possibility but never thought it would become a reality. So, when the trajectory and intensity of Hurricane Harvey shifted course and headed straight for Corpus Christi, I was in shock. That shock quickly turned to focus when I realized I had to formulate a plan. Our Designated Institutional Official (DIO) had not taken a vacation in over 5 years. When he finally...
Source: Academic Medicine Blog - June 11, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective community engagement disaster preparedness Hurricane Harvey residency Source Type: blogs

#ThrowbackThursday: On the Journey to Achieve Health Equity: Teaching the Next Generation of Physicians
Editor’s Note: In honor of #ThrowbackThursday, we are highlighting this 2015 blog post from our archives. For more on strategies aimed at improving population health and health equity, check out “Advancing Population Health at Academic Medical Centers: A Case Study and Framework for an Emerging Field” in the June 2019 issue of Academic Medicine. 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, ...
Source: Academic Medicine Blog - May 30, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective academic health centers health disparities health equity medical students population health Source Type: blogs

Branded by Doodling: How Recognizing the Power of Brands Changed My Career
A scribble on a piece of scrap paper reoriented my academic career. Twice. The first time, I was sitting across the desk from a colleague in her office at the University of Wisconsin. I had driven up from Chicago to begin work on a simulation curriculum we were developing to help prepare trainees for the emotional challenges encountered when engaging in global health work. “It needs a name,” we thought. Something that would make it easy to talk about internally as we started a multi-institutional pilot. We began jotting down key words on the back of our notes in search for an acronym, finally coming to a sweet revel...
Source: Academic Medicine Blog - May 14, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective academic product branding Source Type: blogs

The Implications of the ECFMG 2023 Changes for the Physician Workforce
In 2010, the Educational Commission for Foreign Medical Graduates (ECFMG) announced a new policy. Starting in 2023, all international medical graduates seeking ECFMG certification to complete graduate medical education training in the US must have graduated from a medical school accredited by an agency that has been formally recognized by the World Federation for Medical Education. Discussing this new policy and its workforce and other implications for physicians in the US and abroad are Sean Tackett (@stacket1) and Dale Dauphinee and Academic Medicine editor-in-chief David Sklar and senior staff editor Toni Gallo (@Aca...
Source: Academic Medicine Blog - April 30, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective ECFMG FAIMER international medical graduates medical school accreditation workforce Source Type: blogs

#ThrowbackThursday: Complexity, Uncertainty, and Ambiguity in Professional Practice: Re-Engineering the Notion of Expertise in High-Stakes Situations
Editor’s Note: In honor of #ThrowbackThursday, we are highlighting this 2014 blog post from our archives. For more on how to navigate ambiguity, check out “A Philosophical Approach to Addressing Uncertainty in Medical Education” in the April 2019 issue of Academic Medicine. At 10 years old, I had the dream of becoming an astronaut. Not one who flies space shuttles…I wanted to be a flight surgeon. I dreamed of being in a situation where I had to take control of a health care emergency in space. At the same time, my country, Colombia, was going through the worst violence and social crisis in its history. Comple...
Source: Academic Medicine Blog - April 25, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical education medical students patient care quality improvement Source Type: blogs

The Academic Medicine Podcast is now available on Google Play, Spotify, and Stitcher!
Not an Apple Podcast user? Have another favorite podcast app? Or just new to podcasts? The Academic Medicine Podcast is now available on Google Play, Spotify, and Stitcher in addition to SoundCloud and iTunes. Subscribe today wherever you get your podcasts so you don’t miss an episode! Meet medical students and residents, clinicians and educators, health care thought leaders and researchers. Episodes chronicle the stories of these individuals as they experience the science and the art of medicine. Guests delve deeper into the issues shaping medical schools and teaching hospitals today. Listen as the conversa...
Source: Academic Medicine Blog - April 11, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Audio Featured From the Editor Academic Medicine podcast Google Play iTunes SoundCloud Spotify Stitcher Source Type: blogs

The Role of Clinical Reasoning and Cognitive Bias in Diagnostic Error
Discussing clinical reasoning, cognitive bias, and diagnostic error and their implications for physicians and training programs are editor-in-chief David Sklar and senior staff editor Toni Gallo (@AcadMedJournal) and Dan Mayer, an emergency medicine physician who has taught on diagnostic errors and medical decision-making for more than 30 years. This episode is now available through iTunes and the Apple Podcast app, SoundCloud, Stitcher, and Spotify. Read more about this topic, including the report by Royce and colleagues and the article by Ely and colleagues, which are discussed in this episode, at academicmedicine...
Source: Academic Medicine Blog - April 9, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective clinical reasoning cognitive bias diagnostic errors diagnostic reasoning medical decision-making Source Type: blogs

When DACA Recipients Seek to Match: Some Tips from the Trenches
As the Loyola University Chicago Stritch School of Medicine has been something of a flagship institution for the movement to enable qualified recipients of the Deferred Action for Childhood Arrivals (DACA) program to matriculate into medical school, we are increasingly being asked for tips for DACA recipients applying to residency. We sent our first five graduates who were current DACA recipients to residency positions on July 1, 2018, and recently matched nine more on Match Day 2019. Two of us have navigated this system as DACA recipients. So, we have some success under our belts. We’ve learned that there are many p...
Source: Academic Medicine Blog - April 2, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective Trainee Perspective DACA Deferred Action for Childhood Arrivals medical student residency residency application Source Type: blogs

A New Norm: The Amplified Stress of Applying to Residency
“Promise me you’ll stay near the computer until I’m done, in case I get another invite today!” My Ob-Gyn residency interview started in 10 minutes. I should have been mentally preparing; instead, I was going over instructions with my mom (again) for watching for other residency interview invitations. My mom kept her promise, but there was still a 15-minute period during which my inbox was unwatched and an invitation arrived. By the time my mom saw it, all the interview spots had filled, and I was automatically waitlisted. I was devastated, and my mom was torn with guilt. Two months (and a lot of email check...
Source: Academic Medicine Blog - March 26, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective residency the Match trainee wellness Source Type: blogs