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The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location.
CONCLUSIONS: Residency specialty match was significantly associated with USMLE Step 1 and USMLE Step 2 CK scores, as was staying in-state or leaving the state for residency. Students who were legal residents of the state at the time of application were more likely to stay in-state for residency, regardless of USMLE score. ABBREVIATIONS: CK: Clinical knowledge; COMLEX: Comprehensive Osteopathic Medical Licensing Examination; GME: Graduate medical education; NRMP: National Resident Matching Program; UME: Undergraduate medical education; USMLE: United States Medical Licensing Examination. PMID: 28762297 [PubMed - in process]
Source: Medical Education Online - August 2, 2017 Category: Universities & Medical Training Tags: Med Educ Online Source Type: research

Defining Medical Student Patient Care Responsibilities Before Intern Year: Results of a National Survey.
CONCLUSIONS: Our survey suggests that students are graduating from the undergraduate medical education system and moving to the graduate medical education system in the United States without a guarantee of having answered a page related to patient care or having placed a patient care order. Further studies of students' experiences should be conducted to explore whether exposure to these skills improves first-year resident performance. PMID: 29197310 [PubMed - in process]
Source: Southern Medical Journal - December 6, 2017 Category: General Medicine Tags: South Med J Source Type: research

Situating Remediation: Accommodating Success and Failure in Medical Education Systems
There has been a widespread shift to competency-based medical education (CBME) in the United States and Canada. Much of the CBME discourse has focused on the successful learner, with relatively little attention paid to what happens in CBME systems when learners stumble or fail. Emerging issues, such as the well-documented problem of “failure to fail” and concerns about litigious learners, have highlighted a need for well-defined and integrated frameworks to support and guide strategic approaches to the remediation of struggling medical learners. This Perspective sets out a conceptual review of current practices and an...
Source: Academic Medicine - March 1, 2018 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Legitimizing Continuous Quality Improvement (CQI): Navigating Rationality in Undergraduate Medical Education
AbstractIn July of 2015, the Liaison Committee on Medical Education (LCME) —the primary accrediting body for North American allopathic medical schools—formally advanced a model of “formative accreditation” by requiring that medical schools engage in “ongoing planning and continuous quality improvement processes that establish short and long-term programmatic goal s, result in the achievement of measurable outcomes that are used to improve programmatic quality, and ensure effective monitoring of the medical education program’s compliance with accreditation standards.”As these and parallel forces redefine under...
Source: Journal of General Internal Medicine - February 20, 2019 Category: Internal Medicine Source Type: research

Student Perspectives on the “Step 1 Climate” in Preclinical Medical Education
The United States Medical Licensing Examination Step 1 was implemented in the 1990s as the most recent version of the National Board of Medical Examiners’ preclinical licensing examination originally created in the late 1960s. For the purposes of state licensure, the exam is pass/fail, but the Step 1 numeric score has in recent years become central to the residency application and selection process. Consequently, a medical student’s Step 1 score is increasingly viewed as a key outcome of preclinical medical education. In this Invited Commentary, students from various institutions across the country draw on their share...
Source: Academic Medicine - February 28, 2019 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Academic Medicine and Science Diplomacy: Medical Education in Iraq
Physicians are infrequently selected to serve in the yearlong role of Jefferson Science Fellow (JSF) as senior science advisor for the U.S. Department of State or the United States Agency for International Development. The authors discuss the role of a JSF in promoting “science diplomacy” from the perspective of one alumnus, who sites examples of ongoing, long-term collaborative projects including one focusing on medical education reform in Iraq that would not have been possible without the JSF program. More than 3 decades of political and social unrest, terrorism, the internal displacement of millions of Iraqi citizen...
Source: Academic Medicine - November 28, 2019 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Culinary Medicine Basics and Applications in Medical Education in the United States.
Authors: Hauser ME Abstract Culinary medicine is an evidence-based field of medicine that combines nutrition science and culinary arts to create food that is delicious, promotes wellness, prevents and treats disease. Historically, nutrition education has been limited to fewer than 20 hours in the preclinical years of undergraduate medical education, focused on nutrients rather than food, and largely separated from the clinical experience. Programs at all levels of medical training are introducing culinary medicine educational opportunities to bridge this gap in practical nutrition knowledge and skills to better pre...
Source: Nestlee Nutrition Institute Workshop Series - December 1, 2019 Category: Nutrition Tags: Nestle Nutr Inst Workshop Ser 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 the s...
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

Development and Utilization of a  Simulation PACS in Undergraduate Medical Education
Medical education in the United States is undergoing a paradigm shift, with the focus moving away from passive learning and toward interactive teaching methods that are competency based [1]. Simulation is a key component of this new educational model and has been called an “ethical imperative” to preserve the apprenticeship model of medical education, as it enables learners to err without violating the principle of nonmaleficence [2]. However, use of simulation in medical education lags significantly behind other professions with similar high risk profiles, such a s the aviation industry [2].
Source: Journal of the American College of Radiology : JACR - November 3, 2017 Category: Radiology Authors: Nicole Restauri, Tami J. Bang, Ben Hall, Peter B. Sachs Tags: Case studies in training and education Source Type: research

The trend of body donation for education based on Korean social and religious culture
AbstractUntil a century ago, Korean medicine was based mainly on Oriental philosophies and ideas. From a religious perspective, Chinese Confucianism was prevalent in Korea at that time. Since Confucianists believe that it is against one's filial duty to harm his or her body, given to them by their parents, most Koreans did not donate their bodies or organs for education in the past. However, by the end of the 20th century, a unique fusion of Western and Oriental medicines were produced on the Korean Peninsula, revolutionizing traditional perspectives on the human body, mortality, and the relationship of medical science to ...
Source: Anatomical Sciences Education - January 24, 2011 Category: Anatomy Authors: Jong ‐Tae Park, Yoonsun Jang, Min Sun Park, Calvin Pae, Jinyi Park, Kyung‐Seok Hu, Jin‐Seo Park, Seung‐Ho Han, Ki‐Seok Koh, Hee‐Jin Kim Tags: Descriptive Article 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 - March 26, 2019 Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

The Prevalence of Faculty Physician Burnout in Military Graduate Medical Education Training Programs: A Cross-Sectional Study of Academic Physicians in the United States Department of Defense.
CONCLUSIONS: We estimate that 26% of physician faculty in military GME programs are experiencing burnout. No specialty, branch of service, or specific demographic was immune to burnout in our sample. Institutional leaders in the MHS should take action to address physician burnout and consider using our prevalence estimate to assess effectiveness of future interventions. PMID: 30941415 [PubMed - as supplied by publisher]
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research