Avoiding 5 Common Pitfalls of Simulation Design in Medical Education
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: AM Last Page Source Type: research

Medical Students’ Perspectives on Empathy: A Systematic Review and Metasynthesis
Conclusions Medical students are beset by theoretical confusion regarding the concept of empathy, and they express doubts about its utility and relevance. Instruction should focus on simpler concepts such as listening, and schools should leverage clinical supervisors’ strong influence on students’ empathy. Prioritizing certain types of knowledge (clinical facts) during medical education has a globally negative effect on medical students’ empathy. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Reviews Source Type: research

The Role of Power in Health Care Conflict: Recommendations for Shifting Toward Constructive Approaches
Conclusions These findings suggest that fostering more positive approaches toward power and conflict could be achieved by using social bases of power such as referent power and by addressing conflicts in a more private, backstage, manner. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Identifying Entrustable Professional Activities for Shared Decision Making in Postgraduate Medical Education: A National Delphi Study
Conclusions The authors succeeded in developing EPAs and associated behavioral indicators for SDM for postgraduate medical education to improve the quality of SDM training and the application of SDM in clinical practice. These EPAs are characterized as process EPAs for SDM in contrast with content EPAs related to diverse medical complaints. A next step is the implementation of the SDM EPAs in existing competency-based workplace curricula. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Does Educational Handover Influence Subsequent Assessment?
Conclusions This study provides initial empirical data about the effects of educational handover and suggests it can—in some circumstances—lead to more targeted feedback without influencing scores. Further studies are required to examine the influence of reports for a variety of performance levels, areas of weakness, and learners. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Resuscitating the Socratic Method: Student and Faculty Perspectives on Posing Probing Questions During Clinical Teaching
This study aimed to solicit student and faculty views and investigate faculty perceptions of students’ preferences. Method Students who completed their internal medicine clerkship during the 2017–2018 academic year (n = 165) and were from the 2020 graduating class and their supervising faculty (n = 144) at the University of Michigan Medical School were asked to complete a Likert response survey in April 2019. The survey solicited perspectives on questions probing medical knowledge posed to students by faculty. Surveys were constructed using an iterative process, and data were analyzed using t tests and l...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Demographics and Career Intentions of Graduates of Combined Baccalaureate–MD Programs, 2010–2017: An Analysis of AAMC Graduation Questionnaire Data
Conclusions Medical students graduating from combined programs were more likely to indicate an IPPC but were no more likely to indicate an IWMU than traditional program graduates. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Preparing for the MD: How Long, at What Cost, and With What Outcomes?
Purpose To assess educational and professional outcomes of an accelerated combined bachelor of science–doctor of medicine (BS–MD) program using data collected from 1968 through 2018. Method Participants of this longitudinal study included 2,235 students who entered medical school between 1968 and 2014: 1,134 in the accelerated program and 1,101 in the regular curriculum (control group)—matched by year of entrance to medical school, gender, and Medical College Admission Test (MCAT) scores. Outcome measures included performance on medical licensing examinations, academic progress, satisfaction wi...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

What Influences Choice of Continuing Medical Education Modalities and Providers? A National Survey of U.S. Physicians, Nurse Practitioners, and Physician Assistants
Conclusions Physicians, nurse practitioners, and physician assistants are interested in using a variety of CME delivery modalities. Appealing features of online and live CME were different. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Uncertainty Is the New Norm, Adaptability Is Essential
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Building the Next Generation of Researchers: Mentored Training in Dissemination and Implementation Science
Problem Dissemination and implementation (D&I) science provides the tools needed to close the gap between known intervention strategies and their effective application. The authors report on the Mentored Training for Dissemination and Implementation Research in Cancer (MT-DIRC) program—a D&I training program for postdoctoral or early-career cancer prevention and control scholars. Approach MT-DIRC was a 2-year training institute in which fellows attended 2 annual Summer Institutes and other conferences and received didactic, group, and individual instruction; individualized mentoring; and other supp...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Commentary on Artillery
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

Artillery
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

Notorious
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Creating a Framework to Integrate Residency Program and Medical Center Approaches to Quality Improvement and Patient Safety Training
Quality improvement and patient safety (QIPS) are core components of graduate medical education (GME). Training programs and affiliated medical centers must partner to create an environment in which trainees can learn while meaningfully contributing to QIPS efforts, to further the shared goal of improving patient care. Numerous challenges have been identified in the literature, including lack of resources, lack of faculty expertise, and siloed QIPS programs. In this article, the authors describe a framework for integrated QIPS training for residents in the University of Washington Internal Medicine Residency Program, begin...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Articles Source Type: research

Developing Leaders and Scholars in Health Care Improvement: The VA Quality Scholars Program Competencies
Despite the need for leaders in health care improvement across health professions, there are no standards for the knowledge and skills that should be achieved through advanced interprofessional health care improvement training. Existing health care improvement training competencies focus on foundational knowledge expected of all trainees or for specific career pathways. Health care improvement leaders fill multiple roles within organizations and promote interprofessional improvement practice. The diverse skill set required of modern health care improvement leaders necessitates the development of training competencies speci...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Articles Source Type: research

The “I Don’t Know” Moment
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

The Role of Medical Student Government in Responding to COVID-19
The COVID-19 outbreak has sown clinical and administrative chaos at academic health centers throughout the country. As COVID-19-related burdens on the health care system and medical schools piled up, questions from medical students far outweighed the capacity of medical school administrators to respond in an adequate or timely manner, leaving students feeling confused and without clear guidance. In this article, incoming and outgoing executive leaders of the University of Michigan Medical School Student Council and medical school deans outline the specific ways they were able to bridge the gap between medical students and ...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Using Rapid Design Thinking to Overcome COVID-19 Challenges in Medical Education
The rapid rise of cases of coronavirus disease 2019 (COVID-19) has led to the implementation of public health measures on an unprecedented scale. These measures have significantly affected the training environment and the mental health of health care providers and learners. Design thinking offers creative and innovative solutions to emergent complex problems, including those related to training and patient care that have arisen as a result of the COVID-19 pandemic. Design thinking can accelerate the development and implementation of solution prototypes through a process of inspiration, ideation, and implementation. Digital...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

A Novel Ticket System for Capping Residency Interview Numbers: Reimagining Interviews in the COVID-19 Era
The 2019 novel coronavirus (COVID-19) pandemic has led to dramatic changes in the 2020 residency application cycle, including halting away rotations and delaying the application timeline. These stressors are laid on top of a resident selection process already under duress with exploding application and interview numbers—the latter likely to be exacerbated with the widespread shift to virtual interviewing. Leveraging their trainee perspective, the authors propose enforcing a cap on the number of interviews that applicants may attend through a novel interview ticket system (ITS). Specialties electing to participate in ...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Standardization in the MSPE: Key Tensions for Learners, Schools, and Residency Programs
The Medical Student Performance Evaluation (MSPE), which summarizes a medical student’s academic and professional undergraduate medical education performance and provides salient information during the residency selection process, faces persistent criticisms regarding heterogeneity and obscurity. Specifically, MSPEs do not always provide the same type or amount of information about students, especially from diverse schools, and important information is not always easy to find or interpret. To address these concerns, a key guiding principle from the Recommendations for Revising the MSPE Task Force of the Association o...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Making Scents of Residency
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Technology Can Augment, but Not Replace, Critical Human Skills Needed for Patient Care
The practice of medicine is changing rapidly as a consequence of electronic health record adoption, new technologies for patient care, disruptive innovations that breakdown professional hierarchies, and evolving societal norms. Collectively, these have resulted in the modification of the physician’s role as the gatekeeper for health care, increased shift-based care, and amplified interprofessional team-based care. Technological innovations present opportunities as well as challenges. Artificial intelligence, which has great potential, has already transformed some tasks, particularly those involving image interpretati...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Cause of Life
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Artificial Intelligence and Clinical Decision Making: The New Nature of Medical Uncertainty
Estimates in a 1989 study indicated that physicians in the United States were unable to reach a diagnosis that accounted for their patient’s symptoms in up to 90% of outpatient patient encounters. Many proponents of artificial intelligence (AI) see the current process of moving from clinical data gathering to medical diagnosis as being limited by human analytic capability and expect AI to be a valuable tool to refine this process. The use of AI fundamentally calls into question the extent to which uncertainty in medical decision making is tolerated. Uncertainty is perceived by some as fundamentally undesirable and th...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

From Theory to Practice: The Application of Cognitive Load Theory to the Practice of Medicine
Cognitive load theory has become a leading model in educational psychology and has started to gain traction in the medical education community over the last decade. The theory is rooted in our current understanding of human cognitive architecture in which an individual’s limited working memory and unlimited long-term memory interact during the process of learning. Though initially described as primarily a theory of learning, parallels between cognitive load theory and broader aspects of medical education as well as clinical practice are now becoming clear. These parallels are particularly relevant and evident in comp...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Harnessing the Power of Residents as Change Agents in Quality Improvement
Residency training represents a unique period when learners begin to personally experience the patient safety and quality-of-care issues that affect health care systems and increasingly take responsibility to address them. Their integration into the clinical workflow in clinics, wards, and operating rooms positions them perfectly to observe and characterize the underlying processes that contribute to patient safety and health care quality problems. Residents’ practices and perspectives are less entrenched than those of their faculty counterparts, which enables them to offer fresh ideas on the quality improvement (QI)...
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Artist’s Statement: Reflections of Tomorrow
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Cover Art Source Type: research

The Importance of Being Earnest
Attempting to effect change in modern medicine, particularly as trainees or junior faculty, is often an overwhelming undertaking. While early-career physicians are in close contact with patients, they often lack the credibility or access to resources that are necessary to implement new ideas at large institutions. Although there may be scientific evidence to support new models of care, existing cultural patterns of practice can foster resistance to these interventions. (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Rapid Supportive Response to a Traumatic “Zoombombing” During the COVID-19 Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

The Physician Communicator in the COVID-19 Era
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Physician–Scientists in the Era of COVID-19: Gone but Not Forgotten
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Certify Medical Students to Respond to National Crises
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Students’ Experiences With Racism During the COVID-19 Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

“Holistic Admissions” During a Pandemic: The Effects of COVID-19 on Socioeconomically Disadvantaged Medical School Applicants
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Do-It-Yourself Surgical Simulation Kits: One Academic Medical Center’s Response to the COVID-19 Pandemic in Malaysia
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Remote Learning for Medical Students in Nigeria During a Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

A Student-Led Medical Education Initiative in Iran: Responding to COVID-19 in a Resource-Limited Setting
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

In Reply to Guragai
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

“Digital Clinical Placements”: Challenges in a Lower Middle-Income Country
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

An Innovative Way to Welcome Medical Students During This Unprecedented Time
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

It Is Time to Have More After-Hours Gynecological Care for Medical Trainees
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Peer Mentorship: An Often-Overlooked Tool in Underresourced Academic Departments
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

It Is Time to Address the Needs of Socioeconomically Disadvantaged Medical Students
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

No, Your Email Does Not Find Me Well
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

In Reply to Balon
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Academic Medicine and the Quandary of Term Limits
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

A Critical Need for Progress in Implementing Education in Health Care Delivery Science
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Exposure to Health Care Economics and Policy in Medical School Curricula as an Avenue to Improve Patient Advocacy
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

In Reply to Daigle and Anand
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - January 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research