Journal of graduate medical education最新文献

{"title":"Conceptual Frameworks for Social Media in Graduate Medical Education.","authors":"Jesper Ke, Mathew Alexander, Joshua M Liao","doi":"10.4300/JGME-D-23-00812.1","DOIUrl":"10.4300/JGME-D-23-00812.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"387-390"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Streamlining Communication: \"Resident Huddle\" on General Medicine Wards at a Veterans Affairs Hospital.","authors":"Liat Litwin, Brian McGarry, Bryn McGhee, Kyle Kent, Scott Warner, Shona Hunsaker, Andrea Smeraglio","doi":"10.4300/JGME-D-23-00924.1","DOIUrl":"10.4300/JGME-D-23-00924.1","url":null,"abstract":"<p><p><b>Background</b> Orienting medical trainees to new practice environments is essential. Huddles have been shown to improve communication and safety outcomes. However, their use in orienting trainees to systems processes and changes on inpatient general medicine (GM) wards remains unexplored. <b>Objective</b> Implement a weekly inpatient huddle between residents and hospital leaders to improve dissemination of information around health system operations. <b>Methods</b> In 2019, we established \"Resident Huddle,\" a weekly 20-minute huddle for senior internal medicine residents rotating on GM wards at a US Department of Veterans Affairs Hospital led by the site leads. Resident Huddle content included system updates, rotation updates, process reminders, performance feedback, and systems and patient safety concerns raised by trainees. Reactions to the huddle were assessed via survey. Behavioral change was assessed by rates of complete trainee admission medication reconciliation documentation before and after huddle implementation. <b>Results</b> Resident Huddle started in October 2019 and continues to this day. Between October 2019 and June 2022, 136 of 205 participants completed surveys (66% response rate). Respondents agreed or strongly agreed that the huddle provided useful information for care delivery (94%, 128 of 136), improved work engagement (73%, 99 of 136), provided feedback on practice patterns (90%, 121 of 135), and that issues they experienced were acknowledged and acted upon (86%, 114 of 133). Retrospective medical record analysis demonstrated improvement in admission medication reconciliation completion rate by trainees from pre-intervention (32%, 19 of 60) to post-intervention (73%, 44 of 60). <b>Conclusions</b> A weekly huddle between hospital leaders and residents strengthened communication and equipped trainees with operational health systems knowledge to enhance patient care outcomes while fostering a greater sense of engagement with their work environment.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"479-483"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Triggered.","authors":"Logan Garfield, Whitney Browning, Kaitlyn Wise, Djamila Ghafuri, Mackenzie Wyatt, Mallory Tober, Scott Risney, Justin Smith, Benjamin Frush","doi":"10.4300/JGME-D-24-00001.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00001.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"491-492"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New State Approaches to Licensure of International Medical Graduates.","authors":"Lauren Holton, Kristin Schleiter Hitchell, John R Combes","doi":"10.4300/JGME-D-24-00547.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00547.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"500-502"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Supervision in Graduate Medical Education: A Systematic Review.","authors":"Chaerim Kang, Christopher J Shin, Ji Yun Han, Spandana N Jarmale, Ingrid U Scott, Karen M Sanders, Paul B Greenberg","doi":"10.4300/JGME-D-23-00505.1","DOIUrl":"10.4300/JGME-D-23-00505.1","url":null,"abstract":"<p><p><b>Background</b> Despite the increased use of telemedicine, the evidence base on virtual supervision in graduate medical education (GME) is not well described. <b>Objective</b> To systematically review the impact of virtual supervision on trainee education, patient care, and patient satisfaction in Accreditation Council for Graduate Medical Education (ACGME)-accredited specialties. <b>Methods</b> Two databases (PubMed, EMBASE) were searched from database inception to December 2022. Inclusion criteria were peer-reviewed, full-text, English-language articles reporting the use of virtual supervision in GME in ACGME-accredited specialties. Exclusion criteria were studies involving direct supervision, supervisors who were not credentialed physicians, or non-GME trainees. Two investigators independently extracted data and appraised the methodological quality of each study using the Mixed Methods Appraisal Tool (MMAT). The reporting of this systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. <b>Results</b> Of 5278 records identified, 26 studies met the eligibility criteria. Virtual supervision was predominantly utilized in operating rooms and inpatient settings, facilitating clinical examinations or surgical procedures through videoconferencing software in specialties such as dermatology, neurosurgery, and orthopedics. However, some studies reported technical challenges that hindered effective teaching and communication. Based on self-reported surveys, supervisor and trainee satisfaction with virtual supervision was mixed, while patient satisfaction with the care was generally high. The MMAT ratings suggested limitations in sampling strategy, outcome measurement, and confounding factors. <b>Conclusions</b> Virtual supervision was applicable to various specialties and settings, facilitating communication between supervisors and trainees, although there were some technological challenges.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"415-426"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building on the Foundation of The Next Accreditation System: The ACGME Common Program Requirements Major Revision Process.","authors":"Mary E Klingensmith, Kathy Malloy, Lynne M Kirk","doi":"10.4300/JGME-D-24-00531.1","DOIUrl":"10.4300/JGME-D-24-00531.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"496-499"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Changing Abortion Legislation on Emergency Medicine Residents in a State With Protected Abortion Rights.","authors":"Carl Preiksaitis, Monica Saxena, Andrea Henkel","doi":"10.4300/JGME-D-23-00891.1","DOIUrl":"10.4300/JGME-D-23-00891.1","url":null,"abstract":"<p><p><b>Background</b> The US Supreme Court's 2022 ruling in <i>Dobbs v Jackson Women's Health Organization</i> overturned <i>Roe v Wade</i>, allowing individual states to determine abortion restrictions, significantly impacting graduate medical education (GME). While focus has been on states enacting restrictions, the impacts in states where abortion rights are safeguarded are equally important. Emergency medicine (EM) serves as a safety net within the health care system, making it ideal for understanding the broader implications of these legal changes on GME. <b>Objective</b> To explore the experiences and perspectives of EM residents regarding changing abortion legislation in California, an abortion-protective state. <b>Methods</b> We conducted a qualitative study using transcendental phenomenology. Thirteen postgraduate year 4 EM residents from a single large university-based program in California participated in semistructured interviews in 2023. Data were analyzed using thematic analysis. <b>Results</b> Four themes were identified: (1) impact of changing abortion legislation on practice; (2) personal and professional decisions influenced by legislation; (3) navigating legal uncertainties in practice; and (4) advocacy and engagement beyond clinical practice. Residents reported varying levels of awareness and concern about the implications of abortion laws on EM practice, the influence of these laws on their career decisions, the need for legal guidance, and a commitment to advocacy. These themes highlight a complex interplay between legal changes, personal values, and professional responsibilities. <b>Conclusions</b> This study highlights the significant impact of the <i>Dobbs</i> decision on EM residents in California, revealing that residents face unique ethical, legal, and advocacy challenges that may affect their professional identity formation.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"445-452"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To the Editor: Mixed Signals: Couples Meet Their Match.","authors":"Claire Stowers, Rishi Bolla, Afrin Naz, Kellee Oller","doi":"10.4300/JGME-D-24-00436.1","DOIUrl":"10.4300/JGME-D-24-00436.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"495"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common Pitfalls to Avoid in Qualitative Submissions to JGME.","authors":"Rachel Gottlieb-Smith, Dorene Balmer, Lalena M Yarris, Gail M Sullivan","doi":"10.4300/JGME-D-24-00573.1","DOIUrl":"10.4300/JGME-D-24-00573.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"383-386"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Value of an Assessment for the Professional Coaching of Residents.","authors":"Lara Teheux, Ester H A J Coolen, Brenda van Voorthuizen, Fleur L H van den Udenhout, Bernice A M Theeuwes, Jos M T Draaisma, Michèl A A P Willemsen, Antoinette C Bolte, Wietske Kuijer-Siebelink, Janiëlle A E M van der Velden","doi":"10.4300/JGME-D-23-00876.1","DOIUrl":"10.4300/JGME-D-23-00876.1","url":null,"abstract":"<p><p><b>Background</b> Research on how tools can support coaching of residents is lacking. We hypothesized that an electronic assessment (EA) tool presently applied in selection for residency training, which measures cognitive capacities, personality, motivational drivers, and competencies, could be a valuable tool to support coaching of residents. <b>Objective</b> This study explored the value and limitations, as perceived by residents and coaches, of using the EA to facilitate a single coaching session. <b>Methods</b> This qualitative study took place in the East-Netherlands Training District from August 2022 to April 2023. Volunteer residents and professionally trained coaches engaged in a single coaching session, using the EA. A purposive sample of 7 residents in different training years from 3 specialties were recruited via the training secretariats. Individual interviews with residents were conducted 1 week and 3 months after the coaching session. Data collection ceased when data sufficiency was considered reached. A focus group interview was held with the 3 participating coaches. Thematic analysis was employed to identify themes. <b>Results</b> Participants considered the EA a supportive tool, but not the core focus in the coaching process. Coaching sessions remained guided by residents' individual needs. The EA was considered supportive in fostering residents' self-reflection and awareness, accelerating the coaching process by enhancing preparedness and fostering familiarity among residents and coaches. The perceived value of the EA for the coaching process was affected by residents' and coaches' attitudes toward the tool. <b>Conclusions</b> The EA played a supportive but nonprominent role in the coaching of residents.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 4","pages":"436-444"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}