Taking the Scholarly Practice One Step Further by Producing Education Scholarship
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: AM Last Page Source Type: research

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

An Evaluation of Faculty Development Programs for Clinician–Educators: A Scoping Review
Conclusions Program evaluation remains an underdeveloped area in FD for clinician–educators. Developers expend significant effort on program design and implementation but approach evaluation less purposefully. Rigorous metrics that align with program goals and are used longitudinally are needed to accurately assess the impact of FD programs on participants and their learners, workplace, and institutions at large. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Reviews Source Type: research

Learner Handover: Who Is It Really For?
Conclusions Learners are not the only potential beneficiaries of learner handover; faculty use learner handover to lessen insecurities surrounding entrustment and assessment of learners and to openly share their frustrations. The latter created tensions for faculty needing to share stresses but wanting to act professionally. Formal education policies regarding learner handover should consider faculty perspectives. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Influences on and Characteristics of the Professional Identity Formation of Clinician Educators: A Qualitative Analysis
Conclusions Clinicians experienced a variety of factors that influenced their initial career choice in medical education and subsequent professional identity formation as a CE. This study confirms and expands the current understanding of this process in an age-diverse, multispecialty population of CEs. Educators and administrators designing career development programs across the continuum of medical education should consider these aspects as they mentor and support their learners and faculty. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Perceptual Facilitators for and Barriers to Career Progression: A Qualitative Study With Female Early Stage Investigators in Health Sciences
Conclusions Achieving pervasive and sustained changes that move toward gender equity in research requires solutions that address multilevel, explicit and implicit influences on women’s advancement in science. Suggestions include shifting familial and institutional norms, creating support systems for women with female mentors, and enforcing consistent policies regarding the roles and expectations of faculty. Findings shed light on the influence of gender on career progression by providing context for the experiences of women and underscore the importance of addressing pervasive societal and structural systems that...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Full-Time Faculty in Clinical and Basic Science Departments by Sex and Underrepresented in Medicine Status: A 40-Year Review
Conclusions The substantial increase in faculty, especially in clinical departments, has led to greater diversity, but mostly among non-URM females. The rise of URM male and URM female faculty has been minimal. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
Conclusions Findings highlight the importance of equitable processes, triangulated communication, transparency, and recognizing and respecting different financial management cultures within community-engaged research. This work can be a springboard used by CTSA institutions to build on available resources that facilitate co-learning and discussions between community partners, academic researchers, and research administrators on fiscal readiness and administrative processes for improved community-engaged research partnerships. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Experiencing the Patient Experience
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Program Evaluation of the Research in Academic Pediatrics Initiative on Diversity (RAPID): Impact on Career Development and Professional Society Diversity
Purpose Despite a demographic surge in U.S. minority children, pediatric workforce diversity has failed to keep pace. The study aim was to evaluate the Research in Academic Pediatrics Initiative on Diversity (RAPID), a research-education program aimed at recruiting, retaining, and professionally advancing diverse early-career faculty in general pediatrics who are pursuing research careers. Method RAPID includes the following components: small research grants, mentoring by nationally renowned senior investigators, mentoring and networking at an annual breakfast, an annual career-development conference, and monthl...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

MD–PhD Program Graduates’ Engagement in Research: Results of a National Study
Purpose To determine if specialty, among other professional development and demographic variables, predicted MD–PhD program graduates’ research engagement. Method The authors merged the 2015 Association of American Medical Colleges (AAMC) National MD–PhD Program Outcomes Survey database with selected data from the AAMC Student Records System, Graduation Questionnaire, and Graduate Medical Education (GME) Track Resident Survey. At the person level, they tested variables of interest for independent associations with MD–PhD graduates’ research engagement using chi-square, Pearson corre...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

SPRINTing to Innovation: Children’s Hospital of Philadelphia’s Strategic Approach to Discovering Its Untapped Innovation Potential
Problem There is a clear and urgent need for health care innovation in the United States. Hospital employees routinely recognize pain points that affect care delivery and are in a unique position to propose innovative and practical solutions, yet leaders rarely solicit ideas for investment and development from frontline providers and staff, revealing an untapped resource with innovation potential. Approach To address these deficiencies, the Children’s Hospital of Philadelphia expanded its innovation infrastructure with the competition-based SPRINT program in 2015. All hospital employees are encouraged to a...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

The Art of Running and Medicine
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Creating a Program to Support Registering and Reporting Clinical Trials at Johns Hopkins University
This report identifies practical lessons for institutions that might develop similar programs. (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Artist’s Statement: Rainbows to Remember
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Cover Art Source Type: research

Lessons From the First Decade of the Native American Summer Research Internship at the University of Utah
Problem American Indian/Alaska Native (AI/AN) populations are facing multiple health crises, including limited access to care, high rates of chronic disease, and early mortality that is far worse than other underrepresented minorities in the United States. According to the Association of American Indian Physicians, AI/AN people represent 2.0% of the U.S. population but only 0.2% of medical students and 0.1% of full-time faculty at MD-granting institutions. Increasing the number of AI/AN clinicians and scientists is one strategy to improve health outcomes in the AI/AN population and address these crises. Approach ...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Breaking Tradition to Bridge Bench and Bedside: Accelerating the MD-PhD-Residency Pathway
Problem Physician–scientists are individuals trained in both clinical practice and scientific research. Often, the goal of physician–scientist training is to address pressing questions in biomedical research. The established pathways to formally train such individuals are mainly MD–PhD programs and physician–scientist track residencies. Although graduates of these pathways are well equipped to be physician–scientists, numerous factors, including funding and length of training, discourage application to such programs and impede success rates. Approach To address some of the pressing ...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Commentary on The Heart, Bronchi, and Bronchial Vessels
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

The Heart, Bronchi, and Bronchial Vessels
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

Novel Prescriptions From Medical Schools for Physician–Scientist Training and Engagement in the Twenty-First Century
Physicians engaged in biomedical research are well positioned to directly focus the discovery process on human biology. However, the relative proportion of investigators engaged in both caring for patients and conducting research is decreasing. To address the dwindling numbers of physician–scientists nationally, the Burroughs Wellcome Fund created the Physician-Scientist Institutional Awards Program by dedicating 25 million dollars to new initiatives at 10 degree granting, accredited medical schools in North America, awarded on the basis of institutions’ proposals. The perceived barriers to physician–scie...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Articles Source Type: research

Instacash: The Ethics of Leveraging Medical Student Status on Social Media
Some medical students leverage their medical student status for profit as social media influencers on platforms such as Instagram. Depending on the size of their following and the brand they are promoting, students can make thousands of dollars per year by advertising products ranging from scrubs to protein powder to mattresses. Yet, they receive few tools as part of their education to help them understand how to reconcile their professional obligations with a desire to generate an income. After examining the potential benefits and harms of social media use, this article considers the possibility of medical student financi...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Enrollment Management in Undergraduate Medical School Admissions: A Complementary Framework to Holistic Review for Increasing Diversity in Medicine
This article presents a theory of holistic enrollment management that unites holistic review with enrollment management principles. This theory contextualizes medical school admissions as a complex marketplace with multifaceted, competing forces. Applying an enrollment management framework of mission, market, means, and metrics can improve the capacity of a medical school to efficiently advance its mission over time. Medical schools employing a clear, compelling, and focused mission to direct all aspects of the medical education enterprise can more effectively attract applicants who are better prepared to enact that missio...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Accessible and Adaptable Faculty Development to Support Curriculum Reform in Medical Education
Contemporary curricular reform in medical education focuses on areas that current physician-educators were likely not exposed to during medical school, such as interprofessional teamwork; informatics; health care systems improvement; and diversity, equity, and inclusion. Thus, faculty may not be ready to support the planned curricular reform without adequate faculty development to acquire the necessary knowledge and skills. In an era with increasing demands on faculty, new approaches that are flexible and adaptable are needed. The University of California, San Francisco, School of Medicine implemented a new curriculum in 2...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

Building a System to Engage and Sustain Research Careers for Physicians
This article describes an integrated institutional strategy undertaken at Penn State College of Medicine that is focused on developing and sustaining a physician–investigator workforce. Key elements of this strategy are new programs to close gaps in the professional life cycle of physician–investigators, dedicated senior leaders collaborating with an experienced and diverse advisory committee, and a data-driven approach to programmatic evaluation. In this article, the implementation of integrated institutional programs including Institutional Mock Review for evaluation of grant proposals before submission, phys...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research

The Physician–Investigator Workforce: Looking Ahead
Support of the U.S. health professions investigator workforce is critically important to the continued advancement of health care nationally. Physician–investigators comprise one segment of this health professions investigator workforce, which also includes investigators in the nursing, pharmacy, and dentistry professions, and others. Among physician health professionals in particular, the term “physician–investigator” has been described as encompassing physicians engaged in research in various ways including “clinical researchers” (physicians with clinical duties who do clinical, patien...
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

A Trainee-Led Way to Help International Medical Graduates Meet the Challenges of a U.S. Residency
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

In Reply to van Zanten et al
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Not a “One-Size-Fits-All” Approach: The Educational Commission for Foreign Medical Graduates’ 2024 Accreditation Policy Encourages Local Context
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Recommendations for Fostering Inclusivity in Medical Education
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Out of the Ivory Tower: Successes From a Community-Engaged Structural Competency Curriculum
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

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

Collaborative, Longitudinal Data Are Necessary to Support Diversity Efforts in Residency Recruitment and Selection
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Redressing Gender Imbalance in Leadership in Academic Medicine
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

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

How Can More Women be Elected to Leadership Positions in Medical Specialty Societies?
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Going Extraordinary Distances With Physician–Scientists
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - April 1, 2021 Category: Universities & Medical Training Tags: From the Editor Source Type: research

Six Routes to Unsupervised Clinical Practice
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: AM Last Page Source Type: research

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

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

The Unexpected Problem List: A Pre-Pandemic Reflection
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Low- and Middle-Income Country Host Perceptions of Short-Term Experiences in Global Health: A Systematic Review
Conclusions STEGH can have both beneficial and detrimental effects on LMIC host institutions and individuals. The authors translated these findings into a set of evidence-based best practices for STEGH that provide specific guidance for LMIC and HIC stakeholders. Moving forward, LMIC and HIC institutions must work together to focus on the quality of their relationships and create conditions in which all stakeholders feel empowered to openly communicate to ensure equity and mutual benefit for all parties. (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Reviews Source Type: research

Motivations for and Challenges in the Development of Global Medical Curricula: A Scoping Review
Conclusions The challenges of intercountry variation, the need for a multistakeholder approach, and curricular implementation need to be considered if concerns about curricular relevance are to be addressed. These challenges undoubtedly impact the uptake of global medical curricula and can only be addressed by explicit efforts to make curricula applicable to the realities of diverse health care settings. (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Reviews Source Type: research

Learning Echocardiography in the Workplace: A Cognitive Load Perspective
Conclusions As interpreted from a cognitive load perspective, findings highlight characteristics of workplace learning environments that could be optimized to improve learning. The findings have direct application to redesigning these learning environments. (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Factors Associated With Family Medicine and Internal Medicine First-Year Residents’ Ambulatory Care Training Time
Purpose Despite the importance of training in ambulatory care settings for residents to acquire important competencies, little is known about the organizational and environmental factors influencing the relative amount of time primary care residents train in ambulatory care during residency. The authors examined factors associated with postgraduate year 1 (PGY-1) residents’ ambulatory care training time in Accreditation Council for Graduate Medical Education (ACGME)-accredited primary care programs. Method U.S.-accredited family medicine (FM) and internal medicine (IM) programs’ 2016–2017 Natio...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Exploring How Personal, Social, and Institutional Characteristics Contribute to Geriatric Medicine Subspecialty Decisions: A Qualitative Study of Trainees’ Perceptions
Conclusions Institutional characteristics may be particularly important in shaping trainee interest in geriatric medicine. Institutions should encourage leadership training and opportunities for geriatricians so they can serve as role models and as hands-on mentors for trainees beginning in medical school. Increasing the number of geriatricians requires institutions to increase the value they place on geriatrics to generate a positive interest in this field among trainees. Institutions facilitating formation of professional identity and sense of purpose in work may consider engaging geriatricians in leadership and ment...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Impact of a 50-Year Premedical Postbaccalaureate Program in Graduating Physicians for Practice in Primary Care and Underserved Areas
Purpose To evaluate the effectiveness of Wayne State University School of Medicine’s (WSUSOM’s) 50-year premedical postbaccalaureate program (PBP)—the first and oldest in the United States—in achieving its goals, as measured by medical school matriculation and graduation, primary care specialization, and current practice location. Method A retrospective study of a complete comparative dataset of 9,856 WSUSOM MD graduates (1979–2017) was performed in July–August 2018. This included 539 graduates who were admitted to the PBP between 1969 and 2012. Data collected included PBP stu...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Exploring the Contributions of Combined Model Regional Medical Education Campuses to the Physician Workforce
This study addresses the question: Are combined model RMC graduates more likely to enter postgraduate training in family medicine and rural-focused programs relative to main campus graduates? Method The authors used a quasi-experimental research design and analyzed 2006–2016 data from the Canadian Resident Matching Service (CaRMS). Graduating students (N = 26,525) from 16 Canadian medical schools who applied for the CaRMS match in their year of medical school graduation were eligible for inclusion. The proportions of graduates who matched to postgraduate training in (1) family medicine and (2) rural-focused pr...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Entrustable Professional Activities (EPAs) for Global Health
Conclusions EPAs for global health may be useful to academic institutions and other organizations to guide the assessment of trainees within education and training programs across health professions. (Source: Academic Medicine)
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Learning During and From a Crisis: The Student-Led Development of a COVID-19 Curriculum
Problem The speed and scope of the upheaval that COVID-19 inflicted on medical education made innovation a necessity. While medical students wanted high-quality, consolidated educational resources on COVID-19, the medical school faculty who typically produced such resources were increasingly burdened with clinical, administrative, and personal commitments. However, students eager to contribute to the pandemic response were well suited to create these instructional materials for their peers. Approach In mid-March 2020, a group of students at Harvard Medical School came together to synthesize the key facts and col...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Using In Situ Simulations to Improve Pediatric Patient Safety in Emergency Departments
Problem Given the complex interaction among patients, individual providers, health care teams, and the clinical environment, patient safety events with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments (EDs). With low-frequency, high-risk events such as pediatric resuscitations, health care teams working in EDs may not have the clinical opportunity to identify deficiencies, review and reinforce knowledge and skills, and problem solve in authentic clinical conditions. Without creating opportunities to safely practice, hospitals run the risk of having health...
Source: Academic Medicine - March 1, 2021 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research