Medical Student Portfolios: Their Value and What You Need for Successful Implementation
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: AM Last Page Source Type: research

Burnout Levels and Patterns in Postgraduate Medical Trainees: A Systematic Review and Meta-Analysis
Conclusions There is a need to reduce and prevent burnout early in medical training. Given the differences in burnout levels and patterns across specialties, interventions must focus on the unique patterns exhibited by each specialty in the target population using a multidimensional approach. Standardizing the definition of burnout in accordance with the MBI framework will facilitate progression of this work. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Reviews Source Type: research

Disparities in Burnout and Satisfaction With Work–Life Integration in U.S. Physicians by Gender and Practice Setting
Purpose To explore the interaction between practice setting (academic practice [AP], private practice [PP]) and gender in relation to physician burnout and satisfaction with work–life integration (WLI). Method In 2017, the authors administered a cross-sectional survey of U.S. physicians and characterized rates of burnout and satisfaction with WLI using previously validated and/or standardized tools. They conducted multivariable logistic regression to determine the interaction between the included variables. Results Of the 3,603 participants in the final analysis, female physicians reported a higher prevalence...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

The Relationship Between Residents’ Perceptions of Residency Program Leadership Team Behaviors and Resident Burnout and Satisfaction
Purpose To explore the relationship between residents’ perceptions of residency program leadership team behaviors and resident burnout and satisfaction. Method In February 2019, the authors surveyed all residents across the 77 graduate medical education training programs at Mayo Clinic’s multiple sites. Survey items measured residents’ perceptions of program director and associate program director behaviors (using a composite residency program leadership team score), resident burnout, and resident satisfaction with the program and organization. Multivariable logistic regression was performed to evalu...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

The Transition From Medical Student to Resident: A Qualitative Study of New Residents’ Perspectives
Conclusions This study suggests that being immersed in the residency experience is how medical students transition to resident physicians. Educational interventions that allow learners to acclimate to the experience of being a doctor through gradual exposure to authentic interactions have the potential to bridge the abrupt transition. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Outcomes-Based Selection Into Medical School: Predicting Excellence in Multiple Competencies During the Clinical Years
Conclusions A constructively aligned selection procedure has increasing predictive value across the clinical years of medical school compared with a GPA-based lottery procedure. The data reported here suggest that constructive alignment of selection, curricula, and assessment to ultimate outcomes is effective in creating a selection procedure predictive of clinical performance. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Which Internal Medicine Clerkship Characteristics Are Associated With Students’ Performance on the NBME Medicine Subject Exam? A Multi-Institutional Analysis
Purpose To identify which internal medicine clerkship characteristics may relate to NBME Medicine Subject Examination scores, given the growing trend toward earlier clerkship start dates. Method The authors used linear mixed effects models (univariable and multivariable) to determine associations between medicine exam performance and clerkship characteristics (longitudinal status, clerkship length, academic start month, ambulatory clinical experience, presence of a study day, involvement in a combined clerkship, preclinical curriculum type, medicine exam timing). Additional covariates included number of NBME clinical ...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification
Conclusions For family medicine residents, more recent assessments generally have stronger associations with board certification score and status than earlier assessments. Solely using medical school admissions (grade point average and MCAT) and licensure (USMLE) scores for resident selection may not adequately predict ultimate board certification. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Correlations Between the USMLE Step Examinations, American College of Physicians In-Training Examination, and ABIM Internal Medicine Certification Examination
Conclusions The findings from this study should support residents and program directors in their efforts to more precisely identify and evaluate knowledge gaps for both personal learning and program improvement. While no individual USMLE Step score was as strongly predictive of IM-CE score as IM-ITE score, the combined relative contribution of all 3 USMLE Step scores was of a magnitude similar to that of IM-ITE score. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Medical Student Mobilization During a Crisis: Lessons From a COVID-19 Medical Student Response Team
Problem On March 17, 2020, the Association of American Medical Colleges recommended the suspension of all direct patient contact responsibilities for medical students because of the COVID-19 pandemic. Given this change, medical students nationwide had to grapple with how and where they could fill the evolving needs of their schools’ affiliated clinical sites, physicians, patients, and the community. Approach At Harvard Medical School (HMS), student leaders created a COVID-19 Medical Student Response Team to: (1) develop a student-led organizational structure that would optimize students’ ability to efficie...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

Commentary on an Excerpt From Daybreak: Thoughts on the Prejudices of Morality
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

Daybreak: Thoughts on the Prejudices of Morality: [Excerpt]
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Medicine and the Arts Source Type: research

The Highly Structured Physician Scientist Training Program (PSTP) for Medical Students at the University of Pittsburgh
This article provides an overview of the program, including the novel longitudinal structure and competency goals, which facilitate success and persistence in a laboratory-based physician–scientist career. The authors present data on 81 medical students accepted to the program from academic year 2007–2008 through 2018–2019. Extrinsic outcomes, such as publications, grant funding, and residency matching, indicate that PSTP trainees have actively generated research deliverables. A majority of eligible PSTP trainees have earned Howard Hughes Medical Institute Medical Research Fellow funding. PSTP students ha...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Articles Source Type: research

Health Systems Science in Medical Education: Unifying the Components to Catalyze Transformation
Medical education exists in the service of patients and communities and must continually calibrate its focus to ensure the achievement of these goals. To close gaps in U.S. health outcomes, medical education is steadily evolving to better prepare providers with the knowledge and skills to lead patient- and systems-level improvements. Systems-related competencies, including high-value care, quality improvement, population health, informatics, and systems thinking, are needed to achieve this but are often curricular islands in medical education, dependent on local context, and have lacked a unifying framework. The third pill...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Articles Source Type: research

Pandemics and Their Impact on Medical Training: Lessons From Singapore
The ongoing coronavirus disease 2019 (COVID-19) crisis has hit Singapore hard. As of February 25, 2020, Singapore had the fourth highest number of confirmed COVID-19 infections outside of China, only trailing behind South Korea, Italy, and Japan. This has had reverberating effects on Singapore’s health care system, and has, consequently, also affected medical education all the way from the undergraduate to the postgraduate level. While efforts are underway to contain disease spread and transmission, the authors believe that this is an opportune time to examine and reflect on the impact that medical crises like COVID-...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

The Health Care Chief Wellness Officer: What the Role Is and Is Not
Occupational distress among clinicians and its impact on quality of care is a major threat to the health care delivery system. To address threats to clinician well-being, many institutions have introduced a new senior leadership position—the health care chief wellness officer (CWO). This role is distinct from CWOs or other wellness leadership positions that have historically existed outside of medicine. The health care CWO role was established to reduce widespread occupational distress in clinicians by improving the work environment rather than by promoting health behaviors to reduce health insurance costs. A complex...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Schrödinger’s Resident: Redeployment in the Age of COVID-19
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Should Wellness Be a Core Competency for Physicians?
There has been a recent rise in calls for action around wellness and physician health. In medical education, wellness has been proposed as a physician competency. In this article, the authors review the history of the “wellness as a competency” concept within U.S. and Canadian residency programs and medical schools. Drawing from literature on the discourses of wellness and competence in medical education, they argue that operationalizing wellness as a physician competency holds profound implications for curricula, admissions, evaluation, and licensure. While many definitions of “wellness” and &ldquo...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Proposed Changes to the 2021 Residency Application Process in the Wake of COVID-19
The COVID-19 pandemic has brought unique challenges to the delivery of undergraduate medical education, particularly for current third-year medical students who are preparing to apply to residency. In mid-March, medical schools suspended all clinical rotations for the remainder of the 2019–2020 academic year. As such, third-year medical students may not be able to complete sufficient clinical experiences to make important career choices before they have to submit their residency applications. While the decision to suspend clinical rotations was necessary to protect students, specialty organizations and residency prog...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Identifying and Supporting Students to Prevent USMLE Step 1 Failures When Testing Follows Clerkships: Insights From 9 Schools
Several schools have moved the United States Medical Licensing Examination Step 1 exam after core clerkships, and others are considering this change. Delaying Step 1 may improve Step 1 performance and lower Step 1 failure rates. Schools considering moving Step 1 are particularly concerned about late identification of struggling students and late Step failures, which can be particularly problematic due to reduced time to remediate and accumulated debt if remediation is ultimately unsuccessful. In the literature published to date, little attention has been given to these students. In this article, authors from 9 medical scho...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

On Step 1 Mania, USMLE Score Reporting, and Financial Conflict of Interest at the National Board of Medical Examiners
Though intended to inform a binary decision on initial medical licensure, the United States Medical Licensing Examination (USMLE) is frequently used for screening candidates for residency positions. Some have argued that reporting results as pass/fail would honor the test’s purpose while preventing inappropriate use. To date, the USMLE’s sponsor organizations have declined to make such a change. In this Perspective, the authors examine the history and mission of the National Board of Medical Examiners (NBME), trace the rise of “Step 1 mania,” and consider the current financial incentives for the NBM...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Online Forums and the “Step 1 Climate”: Perspectives From a Medical Student Reddit User
Reddit is a popular content aggregator and discussion website that plays an important role in shaping medical student culture and study habits. The forum r/medicalschool, in particular, provides a distilled view into contemporary U.S. medical students’ attitudes and deteriorating relationship to their home institutions’ educators and curricula. As a national discussion on United States Medical Licensing Examination Step 1 reform emerges, the role of forums like r/medicalschool in shaping a “Step 1 climate” via the design and dissemination of prescriptive Step 1 study regimens based on commercially a...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

The New USMLE Step 1 Paradigm: An Opportunity to Cultivate Diversity of Excellence
The February 2020 announcement that United States Medical Licensing Examination (USMLE) Step 1 results will be reported as pass/fail instead of numerical scores has been controversial. Step 1 scores have played a key role in residency selection, including screening for interviews. Although Step 1 scores are viewed as an objective criterion, they have been shown to disadvantage female and underrepresented minority applicants, cause student anxiety and financial burden, and affect student well-being. Furthermore, Step 1 scores incompletely predict applicants’ overall residency performance. With this paradigm shift in S...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Reporting a Pass/Fail Outcome for USMLE Step 1: Consequences and Challenges for International Medical Graduates
After extensive stakeholder discussion, the Federation of State Medical Boards and the National Board of Medical Examiners announced in February 2020 that United States Medical Licensing Examination Step 1 will transition to a pass/fail exam. Program directors have historically used Step 1 scores in deciding which residency applicants to interview. The lack of numerical scores will force changes to the residency selection process, which could have both positive and negative consequences for international medical graduates (IMGs). In this Invited Commentary, the authors discuss how some of the issues associated with the tra...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Anticipating the Impact of the USMLE Step 1 Pass/Fail Scoring Decision on Underrepresented-in-Medicine Students
Three-digit United States Medical Licensing Examination (USMLE) Step 1 scores have assumed an outsized role in residency selection decisions, creating intense pressure for medical students to obtain a high score on this exam. In February 2020, the Federation of State Medical Boards and the National Board of Medical Examiners announced that Step 1 would transition to pass/fail scoring beginning in 2022. (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Sparking Change: How a Shift to Step 1 Pass/Fail Scoring Could Promote the Educational and Catalytic Effects of Assessment in Medical Education
This Invited Commentary explores the implications of the upcoming shift to pass/fail scoring for the United States Medical Licensing Examination Step 1 that was announced in February 2020. Using the frameworks of validity and growth/mastery mindset, the authors describe how this change in Step 1 score reporting presents an opportunity to advance the meaningful assessment of medical students and improve the transition from undergraduate medical education (UME) to graduate medical education (GME). The authors explore the potential risks and consequences associated with a narrow implementation of pass/fail scoring. Alternativ...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

A Stepping Stone Toward Necessary Change: How the New USMLE Step 1 Scoring System Could Affect the Residency Application Process
Score reporting for the United States Medical Licensing Examination Step 1 will change from a 3-digit number to pass/fail as soon as January 1, 2022. The shift is meant to prevent residency program directors from using Step 1 scores to select applicants for interviews, a purpose for which the exam was not designed. Using Step 1 scores in this way also has put undue stress on medical students applying to residency. However, the score reporting change represents only one stepping stone toward an improved transition from undergraduate to graduate medical education. To enable a more reliable and holistic review of applicants, ...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

The COVID-19 Curriculum
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Pass/Fail Score Reporting for USMLE Step 1: An Opportunity to Redefine the Transition to Residency Together
The upcoming transition of the United States Medical Licensing Examination Step 1 to pass/fail score reporting has wide-ranging implications for the medical education community. The decision to discontinue 3-digit numeric score reporting comes following advocacy to change the exam because of its disproportionate importance in the residency match process, the negative impact the exam has on student well-being, and the prominent influence the exam has on medical school curricula. Shifting to pass/fail score reporting for Step 1 creates significant uncertainties to be addressed by the stakeholders in the transition from under...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Artist’s Statement: Violet: Humanism Amidst Critical Illness
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Cover Art Source Type: research

The Change to Pass/Fail Scoring for Step 1 in the Context of COVID-19: Implications for the Transition to Residency Process
In this Invited Commentary, the author considers the February 2020 announcement that scoring on the United States Medical Licensing Examination (USMLE) Step 1 will change to pass/fail no sooner than January 2022 and its effects on the transition to residency process in the context of both the recommendations of the Invitational Conference on USMLE Scoring (InCUS) held in March 2019 and the disruptions caused by the COVID-19 pandemic in the spring of 2020. The author suggests that the medical education community must embrace any positive changes that come about as a result of the pandemic while continuing to systematically ...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

A Crisis of Trust Between U.S. Medical Education and the National Board of Medical Examiners
This Invited Commentary is an independent opinion piece and companion to the Perspective by Carmody and Rajasekaran that appears in this issue of Academic Medicine. The National Board of Medical Examiners (NBME), a 501(c)(3) nonprofit, is a powerful gatekeeper to the medical profession in the United States. According to publicly available tax data, the NBME, which has increased its number of income-enhancing products, had revenues of $153.9 million (M) and net assets of $177.6M in 2017, earnings (revenue less expenses) of $39.7M in 2013–2017, and a highly compensated management team. Medical students are ultimately t...
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

My First Evaluation as an Evaluator: Providing Feedback to a Medical Student as a Physician-in-Training
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Speaking Up: Learning to Call Out Patient-Initiated Verbal Sexual Harassment of Female Medical Trainees
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Just Be Nice and Smile
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Lying to a Patient, and Myself
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Two Hats: When Family Asks for Medical Advice for the First Time
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Mi Vida: A Lifetime of Firsts
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Discovering Solidarity: An American Indian’s First Day of Medical School
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Sharing Identities for the First Time
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Taking Time as a Student to Connect With Patients
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Subhanallah: A Cultural Connection
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

My First Rotation … Above the Arctic Circle
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

Deconstructing Bias
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research

The “Uncurated Exposure” of Videoconferencing
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Honoring the Hippocratic Oath: Medical Student Perspective Amidst the COVID-19 Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

MCAT Testing During the COVID-19 Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

The New Era of Pass/Fail USMLE Step 1: Medical Students’ Call to Action
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Construct Validity Evidence: Necessary to Evaluate Secondary Uses of USMLE Step 1 Scores
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

In Reply to Tallia et al
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 27, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research