Journal of graduate medical education最新文献

{"title":"Applicant Characteristics Associated With Being Ranked by US Surgical Specialty Programs in 2022-2025.","authors":"Katie S Byrd, Sara G Balestrieri, Christopher A Feddock, Daniel P Jurich, Ashley E Pérez, Jerusha Henderek, Timothy J Helbig, Donna L Lamb","doi":"10.4300/JGME-D-25-00582.1","DOIUrl":"10.4300/JGME-D-25-00582.1","url":null,"abstract":"<p><strong>Background: </strong>An understanding of surgical specialty program ranking patterns related to residency applicant characteristics could help inform applicant and program decision-making.</p><p><strong>Objective: </strong>To assess characteristics of applicants on program rank order lists (ROLs) for general surgery, neurological surgery, orthopaedic surgery, otolaryngology, and plastic surgery and whether applicant characteristics differ on the competitive vs less competitive ROL segments.</p><p><strong>Methods: </strong>Certified program ROL data (N=2899) from the 2022-2025 National Resident Matching Program (NRMP) Main Residency Matches for 5 surgical specialties, United States Medical Licensing Examination (USMLE) data from the National Board of Medical Examiners, and applicant self-reported demographic information from NRMP were analyzed. Included programs submitted a certified ROL ≥30 and had less than 25% missing data in the competitive and less competitive ROL segments for the variable of interest. Descriptive statistics and boxplots were used to examine ranking patterns for applicant type (medical school type and location/citizenship status), sex, underrepresented in medicine (URiM) status, and USMLE Step 1/Step 2 Clinical Knowledge (CK) performance.</p><p><strong>Results: </strong>General surgery programs were more likely to rank various applicant types, with 79.1% ranking US DOs and 48.6% ranking US international medical graduates (IMGs). Among the other surgical specialties, 18.0-49.7% ranked US DOs, less than 20% ranked US IMGs, and 20.4-54.8% ranked non-US IMGs. Besides general surgery, 15% or less of the remaining surgical specialties included any applicants who had ever failed Step 1 or Step 2 CK.</p><p><strong>Conclusions: </strong>In all 5 surgical specialties, overall and competitive ranking patterns differed by applicant type and USMLE performance. Differential patterns were also seen to a lesser extent for sex and URiM status.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"164-171"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724255","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":"Red Snappers.","authors":"J Rush Pierce","doi":"10.4300/JGME-D-25-01008.1","DOIUrl":"10.4300/JGME-D-25-01008.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"181-182"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724073","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":"A Low-Fidelity Procedural Simulation Using the Game Operation to Train Faculty in Feedback Skills.","authors":"Kelly Currie, Sara Greer, Ashley Weinhold, Abby Spencer","doi":"10.4300/JGME-D-25-00962.1","DOIUrl":"10.4300/JGME-D-25-00962.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"191-192"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724114","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":"\"We Co-Created This Mess\": Letters Between UME and GME.","authors":"Benjamin Kinnear, Holly Caretta-Weyer","doi":"10.4300/JGME-D-25-01033.1","DOIUrl":"10.4300/JGME-D-25-01033.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"112-115"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724145","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":"CLEAR: Comparative Letter Examination and Analysis for Red Flags.","authors":"Jaclyn Wiggins, Melissa Jerdonek Sacco, Elizabeth Bradley, Jeremy Middleton, Jennifer Burnsed","doi":"10.4300/JGME-D-25-00676.1","DOIUrl":"10.4300/JGME-D-25-00676.1","url":null,"abstract":"<p><strong>Background: </strong>Narrative letters of recommendation (LORs) remain a central element in fellowship selection. Programs screen these letters for language signifying a struggling learner or professionalism concerns, also known as \"red flags,\" when determining interview offers. However, thorough screening is time consuming for program directors.</p><p><strong>Objective: </strong>To compare the speed and consistency of Microsoft Copilot to human reviewers in screening LORs for red flags.</p><p><strong>Methods: </strong>A retrospective analysis was conducted using de-identified LORs submitted during the 2024-2025 neonatal-perinatal medicine fellowship application cycle at a single fellowship site. Two reviewers independently screened each letter for predefined red flags. Disagreements were resolved by consensus or third-party adjudication. A rule-based natural language processing (NLP) model, refined through prompt adjustments, screened the same letters. Time to completion and red flag detection were compared.</p><p><strong>Results: </strong>A total of 195 LORs were reviewed. Following adjudication, red flags were confirmed in 21 letters. The NLP model flagged 16 letters and showed 76% (16 out of 21) agreement with the final adjudicated review. It processed all letters in 25 minutes, compared to the 554 minutes required by human reviewers. The model reliably identified terms \"solid\" and \"good\" with sentence-level context and showed consistency across the dataset, while humans varied more in detection, particularly with vague or indirect phrasing.</p><p><strong>Conclusions: </strong>A rule-based NLP model offers an efficient and consistent method for initial LOR screening.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"172-175"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724199","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":"How Do I Decide What Data to Visualize?","authors":"Caroline G Coleman, Ann Schmidt, Jonathan Schwabish","doi":"10.4300/JGME-D-26-00186.1","DOIUrl":"10.4300/JGME-D-26-00186.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"177-178"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723859","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":"Serious Play: Gamifying Education on Health-Related Social Needs.","authors":"Seema Chandra, Melissa Parlade, Jose Parlade, JoVonnda Chresfield","doi":"10.4300/JGME-D-25-00965.1","DOIUrl":"10.4300/JGME-D-25-00965.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"189-190"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724091","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":"Living On a Prayer.","authors":"Christie Rampersad","doi":"10.4300/JGME-D-26-00015.1","DOIUrl":"10.4300/JGME-D-26-00015.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"185-186"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724121","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":"Development and Execution of a Pediatric Hospice and Palliative Medicine Fellowship in Latin America.","authors":"Susana Martínez-Jiménez, Katie Gradick, Jaime Guarda, Leeanna Fox Irwin, Ximena Garcia-Quintero, Rima Saad Rassam, Brittany Cowfer, Arshia Madni, Michael J McNeil, Shirley Montufar, Daniel C Moreira, Federico Antillón, Claudia Delgado-Corcoran, Vanessa Pinargote Pico, Silvia Rivas","doi":"10.4300/JGME-D-25-00658.1","DOIUrl":"https://doi.org/10.4300/JGME-D-25-00658.1","url":null,"abstract":"<p><strong>Background: </strong>Pediatric hospice and palliative medicine (PHPM) is a growing subspecialty worldwide; however, formal graduate medical education pathways remain limited in low- and middle-income countries, including most of Latin America, constraining workforce development and access to specialized care.</p><p><strong>Objective: </strong>To describe an educational innovation that provides formal fellowship training in PHPM to physicians in Latin America.</p><p><strong>Methods: </strong>From 2023 to 2026, Unidad Nacional de Oncología Pediátrica (Guatemala), St Jude Children's Research Hospital, and the University of Utah developed and implemented a PHPM fellowship program in Latin America. The curriculum emphasizes culturally responsive training and ACGME International (ACGME-I) core competencies. Program outcomes, feasibility, and acceptability were assessed using mixed methods. Quantitative data were collected via anonymous ACGME-I program evaluation surveys completed by 10 participants over 2 years, representing a 100% response rate from fellows (n=2) and a 57% response rate from core faculty mentors (n=8 of 14 eligible). Qualitative data were obtained from written reflections and monthly structured debriefings with faculty (n=14) and fellows (n=2) from March to August 2025.</p><p><strong>Results: </strong>Three fellows completed or are completing training, and the program received ACGME-I initial accreditation in February 2026. Graduates demonstrated early workforce impact, including expansion of PHPM services in Chile and planned implementation of the Dominican Republic's first non-oncologic public PHPM program. All survey respondents agreed that the program provided a high-quality curriculum and effective career preparation. Qualitative analysis identified themes of strong mentorship, clinical relevance, and feasibility.</p><p><strong>Conclusions: </strong>This trilateral PHPM fellowship is an internationally partnered, regionally grounded training that demonstrates early feasibility, acceptability, and educational value.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724253","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":"Hearing Whispers.","authors":"Vangipuram Harshil Sai","doi":"10.4300/JGME-D-25-00777.1","DOIUrl":"10.4300/JGME-D-25-00777.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 2","pages":"187-188"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723894","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}