Article
Education & Educational Research
James P. Koller, Kelly A. Cochran, Linda A. Headrick
Summary: This study successfully overcame common challenges to engaging residents in clinical quality improvement by implementing a bundle of practical strategies, including integrating QI work into clinical assignments, providing timely didactics and data, setting clear expectations and project selection, and offering real-time faculty coaching.
BMC MEDICAL EDUCATION
(2022)
Article
Geriatrics & Gerontology
Bruce Leff, Christine Ritchie, Deborah G. Freeland, Namirah Jamshed, Anita Major, Naomi Gallopyn, Shanaz Sharieff, Jane Taylor, Jean A. Yudin, Orla C. Sheehan
Summary: This article describes the work of the National HBPC Learning Network, which aims to foster a continuous learning culture among home-based primary care practices and improve practice quality. Through recruitment, training, and feedback, LN practices have addressed and improved performance in multiple quality areas.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Green & Sustainable Science & Technology
Helen Lee Curtis, Lucas Catalani Gabriel, Marlyne Sahakian, Sandro Cattacin
Summary: This paper demonstrates how a participatory approach can be used for program evaluation and its implications for learning competencies for sustainability. Students engaged in assessing how five key competencies were being delivered, revealing discrepancies between student experiences and teacher perceptions. The study also suggests a sixth competency-implementation skills-as relevant to teaching for sustainable development.
Article
Green & Sustainable Science & Technology
Ajay Kumar Kaviti, Siva Ram Akkala, Mohd Affan Ali, Pulagam Anusha, Vineet Singh Sikarwar
Summary: Freshwater resources are scarce and their quality is deteriorating, posing challenges in meeting human needs. Therefore, finding a sustainable alternative technique for clean water production is necessary.
Article
Surgery
Alexandra C. Jacobs, Neha R. Malhotra, Shawn M. Purnell, Young J. Lee, Laura Wolf, Morgan M. Millar, Patrick C. Cartwright, Brigitte K. Smith
Summary: The survey results indicate that quality improvement education in surgical specialty training for Vascular Surgery and Urology residents is similar and inadequate. Few residents feel well-prepared to lead quality improvement initiatives. Collaborative efforts may be needed to enhance the quality of QI education in surgical specialties.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Molly Kobritz, Vihas Patel, David Rindskopf, Lyudmyla Demyan, Mark Jarrett, Gene Coppa, Anthony C. Antonacci
Summary: Practice-Based Learning and Improvement is an important competency throughout a physician's career, but current methods for accurately identifying and reporting complications are inadequate. This study compares a manual-supplemented natural language processing (ms-NLP) method with a validated electronic morbidity and mortality (MM) database and finds that both methods fail to identify a significant proportion of postoperative complications, but ms-NLP more frequently identifies minor complications.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Education & Educational Research
Oliver Marsden, Philippa Clery, Stuart D'Arch Smith, Kathleen Leedham-Green
Summary: The healthcare sector is a major contributor to climate change and there are international calls for more sustainable forms of clinical care. The UK healthcare sector has committed to net zero carbon by 2040 and sustainable healthcare is a mandated outcome for all UK graduating doctors. Bristol Medical School piloted the Sustainability in Quality Improvement (SusQI) workshop and identified challenges in translating classroom learning into clinical practice. The study conducted focus groups to identify barriers and facilitators to practice among medical students, and generated educational recommendations based on the findings and behavior change theory. Students who applied their learning to the clinical workplace were internally motivated and self-determined, but needed time and opportunity to complete projects. Other students were cautious of disrupting established hierarchies and frustrated by institutional inertia, impacting their confidence in suggesting or achieving change. Conclusions include recommendations for wider curricular engagement with sustainable clinical practice, workplace enablement strategies, and structured opportunities for project work.
BMC MEDICAL EDUCATION
(2021)
Article
Computer Science, Information Systems
Yingbai Hu, Xu Wang, Yueyue Liu, Weiping Ding, Alois Knoll
Summary: This study proposes a novel reinforcement learning strategy for low-level behavioral learning with a small number of expert demonstrations. The approach combines supervised learning and reinforcement learning to improve adaptability. Experimental results demonstrate that the method significantly enhances the adaptability of imitation learning in new scenarios.
INFORMATION SCIENCES
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Neo Poyiadji, Chad Klochko, Jeff LaForce, Manuel L. Brown, Brent Griffith
Summary: The study evaluated the differential impact of the COVID-19 pandemic on radiology resident imaging volumes, finding an overall 62.8% decline in imaging interpretation volume from pre-pandemic to intrapandemic periods. R1s and R2s experienced the greatest decline, with mammography, MRI, and nuclear medicine also significantly affected. During the pandemic, a total of 478 resident workdays were reassigned outside the radiology reading room.
ACADEMIC RADIOLOGY
(2021)
Article
Green & Sustainable Science & Technology
Kay Emblen-Perry
Summary: This paper presents a three-year research study on enhancing case-based learning in education for sustainability. It proposes the use of an extensive mixed media case and an active learning environment to facilitate multidimensional analysis through a sustainability audit, overcoming the challenges of traditional case-based learning. The findings of the study suggest that students are more engaged and develop the knowledge, skills, and values required for work readiness and to become sustainability change agents through their immersion in an audit. Therefore, this paper may be of interest to educators seeking an innovative approach to education for sustainability that overcomes the challenges of traditional case-based learning and promotes active, experiential learning of the multi-faceted aspects of sustainability.
JOURNAL OF CLEANER PRODUCTION
(2022)
Article
Green & Sustainable Science & Technology
Bartosz Spychalski
Summary: The article focuses on investigating and evaluating sustainable development activities in the educational system that aim to shape a pro-quality attitude. According to UNESCO, a holistic approach is necessary for education on sustainable development. Pro-quality education plays a dual role by incorporating innovative and sustainable development-related content, and by connecting other educational activities to achieve the goals of sustainable development education. The research findings indicate that the Polish educational system does not prioritize the cultivation of a pro-quality attitude among high school students.
Article
Surgery
Brigitte K. Smith, Abigail Luman, Kenji Yamazaki, Ara Tekian, Stanley J. Hamstra, Eric Holmboe, Erica L. Mitchell, Yoon Soo Park
Summary: The study found that a significant percentage of VSFs do not achieve the ACGME Vascular Surgery Milestone targets for graduation in the competencies of SBP and PBLI, indicating a need for improvement in curricula and assessment strategies across vascular surgery fellowship programs. Reported milestones levels at different time points are predictive of ultimate achievement upon graduation and should be used to provide targeted feedback and individualized learning plans for graduates to engage in personal and health care system improvement in unsupervised practice.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Green & Sustainable Science & Technology
Pere Busquets, Jordi Segalas, Antonio Gomera, Miguel Antunez, Jorge Ruiz-Morales, Silvia Albareda-Tiana, Rafael Minano
Summary: The study revealed that university faculty generally lack a comprehensive understanding of sustainability, with an overemphasis on the environmental dimension. There is a need for better training to teach sustainability competencies and a lack of awareness among faculty. Project-based learning is prevalent, with service-learning seen as the most effective strategy, although hindered by training gaps.
Article
Pediatrics
Suzanne Reed, Charles Treinen, Nilay Shah, Mark Ranalli, Randal Olshefski
Summary: This study aimed to improve faculty engagement in residents' learning goals by setting expectations and emphasizing team-based accountability. Through interventions such as introducing learning goals to faculty, establishing communication among faculty, and tracking accountability, faculty engagement increased. Most residents were satisfied with the intervention.
ACADEMIC PEDIATRICS
(2022)
Article
Education & Educational Research
Sarah Schneider Kavanagh, Elizabeth Schiavone Gotwalt, JeanMarie Farrow
Summary: This mixed methods study investigates the relationship between practice-based pedagogies of teacher education and teachers' subsequent classroom practice. The quantitative findings show that longer episodes of decomposition in teacher coaching sessions predict teachers' growth in observation protocol scores. The qualitative analyses reveal that longer episodes of decomposition involve opportunities for teacher learners to participate in the process. These findings have significant implications for instructional coaches, teacher educators, and future research.
TEACHING AND TEACHER EDUCATION
(2023)
Article
Public, Environmental & Occupational Health
Rachel Brown, Amanda M. Brown, Sharon Markman, Rukhshan Mian, Vineet M. Arora, Craig A. Umscheid
Summary: The study surveyed healthcare workers at an urban academic hospital in the United States about their confidence in and knowledge of appropriate personal protective equipment use during the COVID-19 pandemic. The results showed that most respondents were confident and knowledgeable about the use of personal protective equipment, with prescribers or nurses and those extremely confident being the most knowledgeable.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Article
Education, Scientific Disciplines
Rachel H. Joung, Daniela Amortegui, Casey M. Silver, Natalia I. Mackiewicz, Joshua S. Eng, Kari M. Rosenkranz, Julie Johnson, Karl Y. Bilimoria, Yue-Yung Hu
Summary: Program responsiveness in surgical residency is associated with improved resident wellness. Programs should develop formal channels to elicit and concretely address resident concerns, provide opportunities for resident representation, and entrust residents with the flexibility and autonomy to make decisions that support their own education and wellness.
JOURNAL OF SURGICAL EDUCATION
(2022)
Editorial Material
Health Care Sciences & Services
Morgan S. Levy, Shira Fishbach, Arghavan Salles, Vineet M. Arora
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Vineet Arora, Barbara Overholser, Nancy D. Spector
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Nikita Deshpande, Vineet M. Arora, Hanna Vollbrecht, David Meltzer, Valerie Press
Summary: The aim of this study is to evaluate the relationships between eHealth literacy (eHL) and patient portal awareness, use, and attitudes among hospitalized patients. The results showed that low eHL was associated with less awareness, use, and perceived usefulness of portals. Interestingly, although patients' perceived usefulness of portals increased during the COVID-19 pandemic, their eHL did not. Interventions tailored for patients with low eHL could ensure greater equity in health care delivery through the COVID-19 pandemic.
JMIR HUMAN FACTORS
(2023)
Article
Health Care Sciences & Services
Chelsea Dorsey, Vineet M. Arora, Keme Carter
Summary: In an effort to address the lack of compositional diversity seen in academic leadership, our generation has an opportunity to rebuild academic medicine in a way that welcomes, values, and supports the development and success of women of color.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Pediatrics
Gwyneth A. Sullivan, Lynn Wei Huang, Willemijn L. A. Schafer, Yao Tian, Audra J. Reiter, Bonnie Essner, Andrew Hu, Martha C. Ingram, Salva Balbale, Julie K. Johnson, Jane L. Holl, Mehul Raval
Summary: The study aimed to describe multimodal pain management practices at US children's hospitals and evaluate the association between non-opioid pain management strategies and pediatric patient-reported outcomes. The use of postoperative non-opioid analgesics has been widely adopted, while preoperative non-opioid analgesics and regional anesthetic blocks are less frequently used. Regional anesthetic blocks and biobehavioral interventions may help mitigate postoperative nervousness in children, but there was no significant association between non-opioid pain control modalities and pain-related functional disability or health-related quality of life.
JOURNAL OF PEDIATRIC SURGERY
(2023)
Article
Health Care Sciences & Services
Juhi C. Gupta, Vineet M. Arora, Hanna Vollbrecht, Nicole Kappel, David Meltzer, Valerie G. Press
Summary: This study assessed the differences in technology access and use between adults with and without insufficient vision. The results showed that individuals with insufficient vision reported a reduced ability to independently perform online tasks compared to those with sufficient vision.
JMIR FORMATIVE RESEARCH
(2023)
Article
Health Care Sciences & Services
Jessica Cheng, Vineet M. Arora, Nicole Kappel, Hanna Vollbrecht, David Meltzer, Valerie Press
Summary: This study examines the digital divide in video telehealth use among hospitalized patients, focusing on skills and capabilities rather than access. The results show that low eHealth literacy is associated with lack of web-based skills, lower rates of video telehealth usage, and lower willingness to use video technology.
JMIR FORMATIVE RESEARCH
(2023)
Article
Medicine, General & Internal
Kevin J. O'Leary, Julie K. Johnson, Mark V. Williams, Ronald Estrella, Krystal Hanrahan, Luci K. Leykum, G. Randy Smith, Jenna D. Goldstein, Jane S. Kim, Sara Thompson, Iva Terwilliger, Jing Song, Jungwha Lee, Milisa Manojlovich
Summary: This study aimed to evaluate the impact of redesigning hospital care delivery on teamwork and patient outcomes. Although there was an improvement in the teamwork climate among nurses, the interventions did not lead to significant improvements in patient outcomes.
ANNALS OF INTERNAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Paul Batalden, Peter Lachman, Christian von Plessen, Julie K. Johnson, Ezequiel Garcia-Elorrio
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
(2023)
Editorial Material
Medicine, General & Internal
Sonya Makhni, Bree Andrews, Simone Maxey, Kayla Scales, Sean Bernstein, Peter Georginis, Sachin Shah, Cheng Kai Kao, Stephen Weber, Vineet M. Arora
JOURNAL OF HOSPITAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Juhi C. Gupta, Nicole Kappel, Leah J. Witt, Alex Spacht, Megan Huisingh-Scheetz, Steven R. White, Vineet M. Arora, Valerie G. Press
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Venkatesan R. Krishnamoorthi, Daniel Y. Johnson, Spencer Asay, Grace Keegan, Maeson Zietowski, Samuel Chen, Vineet M. Arora, Shikha Jain
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Maylyn Martinez, Matthew Cerasale, Mahnoor Baig, Marla Robinson, Andrew W. Schram, Monica E. Peek, Vineet M. Arora, David O. Meltzer
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
