Article
Education, Scientific Disciplines
Jung G. Kim, Hector P. Rodriguez, Stephen M. Shortell, Bruce Fuller, Eric S. Holmboe, Diane R. Rittenhouse
Summary: Despite the importance of ambulatory care training in primary care residency programs, the study found that the percentage of time spent in ambulatory care by PGY-1 residents varies due to factors such as program size, funding sources, and patient populations. Larger ACGME-accredited family medicine and internal medicine programs, as well as those receiving federal THC GME funding, had more PGY-1 time spent in ambulatory care settings.
Article
Public, Environmental & Occupational Health
Joohyun Park, Heesoo Joo, Brian A. Maskery, Jonathan D. Alpern, Michelle Weinberg, William M. Stauffer
Summary: We estimated the costs of inpatient and outpatient malaria treatment in the United States. The average cost per hospitalized patient was significantly higher compared to non-hospitalized patients (e.g. $27642 vs. $1177 among patients with private insurance). Patients with severe malaria incurred 2-4 times higher costs than those with uncomplicated malaria.
JOURNAL OF TRAVEL MEDICINE
(2023)
Article
Medicine, General & Internal
Nienke Renting, Debbie Jaarsma, Jan C. C. Borleffs, Joris P. J. Slaets, Janke Cohen-Schotanus, Rob O. B. Gans
Summary: This study showed that a short training session for supervisors to practice giving feedback in a simulated setting can significantly improve the quality of feedback received by residents, with the effect lasting up to 6 months after the training session.
Article
Medicine, General & Internal
Syed Ahsan Ali, Qamar Riaz, Zain Muhammad Mushtaq, Safia Awan, Muhammad Tariq
Summary: The study observed consistently lower performance of senior residents compared to junior residents in monthly and yearly examinations. Surprisingly, there were variations in performance at different times, suggesting the need for further investigation into the reasons behind the relative underperformance of senior residents in the residency programme.
POSTGRADUATE MEDICAL JOURNAL
(2022)
Article
Medicine, General & Internal
Manasa S. Ayyala, Rebeca Rios, Scott M. Wright
Summary: This study examined gender differences in experienced types of bullying and resulting personal consequences among internal medicine residents. The study found that female and male residents experienced bullying at similar rates, but there were differences in the types of bullying experienced and the resulting consequences. Female residents were more likely to experience verbal and sexual bullying, while male residents were more likely to experience physical and other types of bullying. Female residents were also more likely to report negative personal consequences, with the most common consequence being feeling burned out.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Letter
Medicine, General & Internal
Suveen Angraal, Arun George Zachariah, Raaisa Raaisa, Rohan Khera, Praveen Rao, Harlan M. Krumholz, John A. Spertus
Summary: This study investigates online crowdsourced fundraising for US health care costs from 2010 to 2018, examining trends by medical condition and geographic distribution.
Article
Anesthesiology
Huaping Sun, Dandan Chen, David O. Warner, Yan Zhou, Edward C. Nemergut, Alex Macario, Mark T. Keegan
Summary: Anesthesiology residents in the United States place the highest value on the quality of clinical training experiences and are generally satisfied with their choice of specialty and residency program. Overall, their training experiences met their expectations, with senior residents reporting more academic difficulties than interpersonal or technical challenges. They believe that their residency adequately prepares them for independent practice, particularly in the areas of professionalism and interpersonal communication skills.
ANESTHESIA AND ANALGESIA
(2021)
Article
Health Care Sciences & Services
Tyler J. Albert, Jeff Redinger, Helene Starks, Joel Bradley, Craig G. Gunderson, Dan Heppe, Kyle Kent, Michael Krug, Brian Kwan, James Laudate, Amanda Pensiero, Gina Raymond, Emily Sladek, Joseph R. Sweigart, Paul B. Cornia
Summary: Residents highly value and frequently attend morning reports as an educational conference. They prioritize high-quality cases emphasizing clinical reasoning, diagnosis, and management.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Anesthesiology
Kevin P. Blaine, Roman Dudaryk, Andrew D. Milne, Tiffany S. Moon, David Nagy, Joshua W. Sappenfield, Justin J. Teng
Summary: The training and education for trauma anesthesiology are currently conducted through two primary pathways, both of which have shortcomings. One is learning through complex, massive transfusion cases, but this assumption is flawed due to the unique demands, skills, and knowledge of trauma anesthesiology. The other is experiential education, but it is incomplete due to its unpredictable and variable exposure. This article proposes a tier-based approach to teaching the American Board of Anesthesiology (ABA) outline for trauma education, including lectures, simulation, problem-based learning discussions, and case-based discussions with knowledgeable facilitators.
ANESTHESIA AND ANALGESIA
(2023)
Article
Education & Educational Research
Mostafa Dehghani Poudeh, Aeen Mohammadi, Rita Mojtahedzadeh, Nikoo Yamani
Summary: The study developed and customized EPAs for Iranian Internal Medicine Residency Programs by collecting expert opinions, refining the list in a focus group, determining the entrustability level of each residency year, and establishing the EPA-competency cross-tab through validation. A total of twenty-eight EPAs were developed to cover a wide range of competencies, some suitable for higher levels of residency and some expected to be performed independently even from the first year.
BMC MEDICAL EDUCATION
(2021)
Article
Health Care Sciences & Services
Christopher J. Wong, Julia B. Nath, Amber T. Pincavage, Amber Bird, Julie L. Oyler, Katherine Gill, Karen Kimel-Scott, Eric Palecek, Maryann K. Overland
Summary: IM interns generally lack training or clinical experience in telehealth, although they have positive attitudes towards video and phone visits. The majority of interns believe video visits may be more effective than phone visits, and the COVID-19 pandemic has impacted their clinical preparedness. While most interns feel prepared for primary care, only a small percentage feel prepared to deliver primary care using video or phone visits. Residency programs may need to address these training gaps.
TELEMEDICINE AND E-HEALTH
(2022)
Article
Multidisciplinary Sciences
Chia-Yu Chiu, Amara Sarwal, Muzamil Jawed, Venkata Sireesha Chemarthi, Nehad Shabarek
Summary: The COVID-19 pandemic presented challenges for public health and medical education, leading to the involvement of residents in telemedicine. However, a survey showed that residents feel less confident in managing chronic diseases through telemedicine visits, with a majority preferring in-person visits.
Article
Multidisciplinary Sciences
Marcia H. Varella, Olyn A. Andrade, Sydney M. Shaffer, Grettel Castro, Pura Rodriguez, Noel C. Barengo, Juan M. Acuna
Summary: This study aims to assess the association between e-cigarette use and respiratory symptoms in adults in the US. The results showed that occasional and former e-cigarette users were more likely to report respiratory symptoms compared to those who had never used e-cigarettes. No significant association was found for daily e-cigarette users and respiratory symptoms.
Article
Health Care Sciences & Services
Tyler J. Albert, Joel Bradley, Helene Starks, Jeff Redinger, Cherinne Arundel, Albertine Beard, Laura Caputo, Jonathan Chun, Craig G. Gunderson, Dan Heppe, Anand Jagannath, Kyle Kent, Michael Krug, James Laudate, Vignesh Palaniappan, Amanda Pensiero, Zaven Sargsyan, Emily Sladek, Matthew Tuck, Paul B. Cornia
Summary: The survey showed that during the COVID-19 pandemic, virtual morning report was seen as a valuable alternative to traditional in-person sessions by most residents. The majority of respondents supported integrating a virtual platform into the delivery of morning report in the future.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Education & Educational Research
Joel Bradley, David Styren, Abigail LaPlante, John Howe, Sienna R. Craig, Emily Cohen
Summary: Healing Through History (HTH) is a social medicine consultation curriculum that integrates social determinants of health narrative into clinical care for complex patients. The program offers a model for teaching co-production in complex clinical care, while fostering meaning in work for residents. Integration of this curriculum throughout training may further enhance impact and aid in developing clinical skills.
BMC MEDICAL EDUCATION
(2021)
