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Quality assessment and improvement of post graduate family medicine training in the USA.
CONCLUSIONS: The RPI is a nationwide, standardised, programme quality improvement tool for family medicine residency programmes in the USA, which was successfully launched as part of AFMRD's strategic plan. Although some initial challenges need to be addressed, it has the promise to aid family medicine residencies in their internal improvement efforts. This model could be adapted in other post-graduate training settings in FM/GP around the world. PMID: 27538717 [PubMed - as supplied by publisher]
Source: Education for Primary Care - August 20, 2016 Category: Primary Care Tags: Educ Prim Care Source Type: research

Management of Maternal Cardiac Arrest in the Third Trimester of Pregnancy: A Simulation-Based Pilot Study.
Conclusion. This study demonstrated improved OBGYN resident knowledge, confidence, and competence in the management of third trimester maternal cardiac arrest. Several skills, however, will likely require more longitudinal curricular exposure and training to develop and maintain proficiency. PMID: 27555967 [PubMed]
Source: Critical Care Research and Practice - August 26, 2016 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

General surgery resident rotations in surgical critical care, trauma, and burns: what is optimal for residency training?
Conclusions There is significant variability in total duration of SCC, trauma, and burn rotations and PGY level in US general surgery residency programs, which may result in significant variability in the fund of knowledge and clinical experience of the trainee completing general surgery residency training. As acute care surgery programs have begun to integrate emergency general surgery with SCC, trauma, and burn rotations, it is an ideal time to determine the optimal curriculum and duration of these important rotations for general surgery residency training.
Source: The American Journal of Surgery - October 3, 2016 Category: Surgery Source Type: research

The State of Sleep Medicine Education in North American Psychiatry Residency Training Programs in 2013: Chief Resident's Perspective.
Conclusions: This is the first report in the last decade to provide any analysis of current sleep medicine training in North American psychiatry residency training programs. These data indicate that sleep medicine education in psychiatry residency programs is possibly in decline. PMID: 28906605 [PubMed - in process]
Source: The Primary Care Companion for CNS Disorders - September 15, 2017 Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the November Issue The November issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org. Highlights from the issue include: Values Guide Us in Times of Uncertainty: DACA and Graduate Medical Education Poll-Hunter and colleagues expand on the article by Nakae and colleagues, these authors argue that remaining steadfast and committed to the core values in medicine will allow the academic medicine community to successfully navigate uncertain times.  Why Not Wait? Eight Institutions Share Their Experiences Moving United States Medical Licensing Examination...
Source: Academic Medicine Blog - October 31, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview DACA medical education scholarship medical student wellness patient care USMLE Step 1 Source Type: blogs

Improving Mental Health Training for Primary Care Residents: A Resident-Led Educational Intervention.
Conclusions: A brief, resident-led educational intervention positively impacted family medicine residents' comfort in managing patients with psychiatric comorbidities. Further research is needed to establish the sustainability of gains and the impact of such educational interventions on patient care outcomes. PMID: 29141123 [PubMed - in process]
Source: The Primary Care Companion for CNS Disorders - November 17, 2017 Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research

The main concerns of European anaesthesiology postgraduate trainees: A European survey
This report analyzes the three main concerns in more detail. 68% of respondents were unaware of the existence of the ESA e-learning platform. Other means to improve the preparation for the EDAIC such as a multiple-choice questions book should be developed. The main reason for not becoming an ESA Trainee member was the associated cost and 68% of respondents gave up activities or opportunities during their residency due to economic constraints; 56% of respondents considered emigrating for economic reasons and 28% elected Northern/Central Europe. The results of the present survey may provide additional background information ...
Source: Trends in Anaesthesia and Critical Care - January 5, 2018 Category: Anesthesiology Source Type: research

Comprehensiveness is Killing Primary Care
By HANS DUVEFELT Dr. Hans Duvefelt In most other human activities there are two speeds, fast and slow. Usually, one dominates. Think firefighting versus bridge design. Healthcare spans from one extreme to the other. Think Code Blue versus diabetes care. Primary Care was once a place where you treated things like earaches and unexplained weight loss in appointments of different length with documentation of different complexity. By doing both in the same clinic over the lifespan of patients, an aggregate picture of each patient was created and curated. A patient with an earache used to be in and out in less than five minutes...
Source: The Health Care Blog - August 24, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians primary care primary care practices quality mandates Source Type: blogs

Unexpected result of competency-based medical education: 9-year application trends to enhanced skills programs by family medicine residents at a single institution in Canada.
Authors: Binczyk NM, Babenko O, Schipper S, Ross S Abstract In Canada, family physicians may pursue extended training for added competence in areas such as Palliative Care or Emergency Medicine by applying to Enhanced Skills (ES) programmes. Despite the increasing popularity of ES programmes, there are no studies that examine trends in applications to ES programmes before and after the introduction of family medicine focused competency-based curricula at individual universities. Additionally, there is a scarcity of research examining factors common among applicants to ES programmes. We undertook a retrospective obs...
Source: Education for Primary Care - February 14, 2019 Category: Primary Care Tags: Educ Prim Care Source Type: research

Society for Neuroscience in Anesthesiology & Critical Care (SNACC) Neuroanesthesiology Education Milestones for Resident Education
Conclusions: The SNACC Neuroanesthesiology milestones provide a framework for reviewing resident performance and are expected to facilitate improved use of ACGME milestones during Neuroanesthesiology subspecialty training. The task force recommends that the target should be to accomplish level 4 or higher milestones by the end of residency training. Individual programs should decide the implications of a resident not meeting the expected milestones.
Source: Journal of Neurosurgical Anesthesiology - June 11, 2019 Category: Anesthesiology Tags: Clinical Report Source Type: research

Academic Medicine and the Peter Principle
By BEN WHITE, MD Over four years of medical school, a one-year internship, a four-year radiology residency, a one-year neuroradiology fellowship, and now some time as an attending, one of my consistent takeaways has been how well (and thus how badly) the traditional academic hierarchy conforms to The Peter Principle. The Peter Principle, formulated by Laurence J Peter in 1969, postulates that an individual’s promotion within an organizational hierarchy is predicated on their performance in their current role rather than their skills/abilities in their intended role. In other words, people are promoted until they ar...
Source: The Health Care Blog - October 4, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians academic medicine Ben White peter principle Source Type: blogs

Incorporating Critical Care Training within a Blood and Marrow Transplant Residency for New Inpatient Nursing Staff
Nurses working in blood and marrow transplant (BMT) often require additional training to meet the complex needs of this population, but nursing programs typically do not provide this level of training. To address this, we developed an inpatient training program for newly-graduated nurses designed to provide additional training in critical care, oncology, and BMT to needed to improve continuity of care, patient outcomes, patient satisfaction and reduce costs.
Source: Biology of Blood and Marrow Transplantation - January 24, 2020 Category: Hematology Authors: Annette Caravia, Karla Ruiz-Tamayo, Yanet Castro-Bustamante, Maria Rios, Jan Roy, Noah Zanville Tags: 607 Source Type: research

The Development of Sustainable Emergency Care in Ghana: Physician, Nursing and Prehospital Care Training Initiatives
We describe the history and status of novel postgraduate emergency physician, nurse, and prehospital provider training programs as well as the prospect of creating a board certification process and formal continuing education program for practicing emergency physicians.Significant strides have been made in the development of emergency care and training in Ghana over the last decade, resulting in the first group of Specialist-level emergency physicians as of late 2012, as well as development of accredited emergency nursing curricula and continued expansion of a national Emergency Medical Service.This work represents a signi...
Source: The Journal of Emergency Medicine - July 24, 2014 Category: Emergency Medicine Authors: John Martel, Rockefeller Oteng, Nee-Kofi Mould-Millman, Sue Anne Bell, Ahmed Zakariah, George Oduro, Terry Kowalenko, Peter Donkor Tags: International Emergency Medicine Source Type: research

Incidence of iatrogenic pneumothorax in the United States in teaching vs. non-teaching hospitals from 2000 to 2012
Conclusions Iatrogenic pneumothorax was more prevalent in teaching hospitals compared to non-teaching hospitals after the year 2000. Further randomized control studies are warranted to evaluate the etiology of this finding.
Source: Journal of Critical Care - March 30, 2016 Category: Gastroenterology Source Type: research

Does Research Training During Residency Promote Scholarship and Influence Career Choice? A Cross-Sectional Analysis of a 10-Year Cohort of the UCSF-PRIME Internal Medicine Residency Program.
We present the 10-year experience of the Primary Care Medicine Education (PRIME) track, a clinical-outcomes research pathway for internal medicine residents at the University of California San Francisco (UCSF). We hypothesized that participation in an individualized learning track, PRIME, would lead to a greater likelihood of publishing research from residency and accessing adequate career mentorship and would be influential on subsequent alumni careers. CONTEXT: We performed a cross-sectional survey of internal medicine residency alumni from UCSF who graduated in 2001 through 2010. We compared responses of PRIME and ...
Source: Teaching and Learning in Medicine - May 3, 2016 Category: Universities & Medical Training Authors: Kohlwes J, O'Brien B, Stanley M, Grant R, Shunk R, Connor D, Cornett P, Hollander H Tags: Teach Learn Med Source Type: research