Journal of graduate medical education最新文献_第2页

Reclaiming Values-Driven Education: An Exploration of Medical Trainees' Values. 恢复以价值观为导向的教育：探索医学学员的价值观。

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-25-00032.1

Gabriel M Daniels, Katharine E Caldwell, Andrea M Tou, Taylor S Erickson, Maggie Curran, Andrew J Sullivan, Annie Phung, Leah Colucci, Malke Asaad, Bianca Radut

引用次数: 0

The Relative Influence of Program Signaling, Geographic Preferences, and In-State Status in Determining Odds of Interview Invitation in Residency Selection.

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00215.1

Natasha L Romanoski, Helen K Morgan, Anna Kerlek, Jennifer Serfin, Emily G Teeter, Lonika Sood, Laura Fletcher

{"title":"The Relative Influence of Program Signaling, Geographic Preferences, and In-State Status in Determining Odds of Interview Invitation in Residency Selection.","authors":"Natasha L Romanoski, Helen K Morgan, Anna Kerlek, Jennifer Serfin, Emily G Teeter, Lonika Sood, Laura Fletcher","doi":"10.4300/JGME-D-24-00215.1","DOIUrl":"10.4300/JGME-D-24-00215.1","url":null,"abstract":"Background Program signaling and geographic preferences are intended to give residency applicants agency in selecting preferred training locations while allowing programs to identify interested applicants. However, how these variables compare to in-state status (applicant's permanent addresses in the same state as a program to which they applied) when interview invitations are offered is unknown. Objective To identify the relative influence of program signaling, geographic preferences, and an applicant's in-state status in determining the odds of receiving an interview invitation during residency recruitment. Methods Data from programs and applicants in 9 specialties (anesthesiology, adult neurology, dermatology, general surgery, internal medicine, neurological surgery, pediatrics, physical medicine and rehabilitation, and psychiatry) from the 2023 Supplemental Electronic Residency Application Service application (SuppApp) were included. Logistic regression was used to determine odds ratios for all predictor variables. Results were aggregated across programs within each specialty. Results Between 51% and 81% of programs that participated in SuppApp within each specialty met inclusion criteria. Applicants were 2.71 to 9.07 times more likely to receive interview invitations when they signaled a program. When an applicant indicated a geographic preference that aligned with a program's location, or no geographic preference, the odds of receiving an interview were 1.83 to 2.75 and 1.19 to 2.16 times more likely, respectively. In-state applicants were 2.45 to 5.14 times more likely to receive an interview. Conclusions Use of a program signal, an aligned geographic preference, no geographic preference, and in-state status all individually increase the likelihood of an applicant receiving an interview invitation.","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469364","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}

引用次数: 0

A Qualitative Study of Residency Faculty Motivations, Skills, and Preparedness to Facilitate Racial Affinity Caucusing.

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00308.1

Molly Ormsby, Amanda Weidner, Sarah D Hohl, Tiffany Hou, Grace Shih

{"title":"A Qualitative Study of Residency Faculty Motivations, Skills, and Preparedness to Facilitate Racial Affinity Caucusing.","authors":"Molly Ormsby, Amanda Weidner, Sarah D Hohl, Tiffany Hou, Grace Shih","doi":"10.4300/JGME-D-24-00308.1","DOIUrl":"10.4300/JGME-D-24-00308.1","url":null,"abstract":"Background Racism pervades the medical system, contributing to health inequities, lack of Black, Indigenous, and people of color (BIPOC) entering medical education, and poor retention of BIPOC physicians. Racial affinity caucusing (RAC) is a tool to address and dismantle cultural and institutional racism by providing space for individuals with shared racial identities to engage in conversations about their racialized identities and experiences. Little is published on RAC facilitation and training. Objective The authors aimed to evaluate an RAC facilitator training program. Methods Program directors from 32 residency programs nominated 12 faculty for RAC facilitation training, and all participated in virtual trainings and RAC sessions from September 2021 to March 2022. Training consisted of foundational concepts of anti-racism and RAC, and practice co-leading an RAC session. All 12 participated in semistructured interviews. Interview transcripts were evaluated for identified themes. This qualitative study used directed content analysis to discern patterns and cross-walked code categories with constructs from social cognitive theory. Results Interview transcripts for all 12 participants, who included 7 BIPOC faculty and 5 White faculty, were reviewed to discern patterns. Patterns were coded revealing themes for participants' motivations and perceived benefits of facilitator training, critical skills needed for successful facilitation, and resources necessary to implement RAC at home institutions. Conclusions In addition to identifying motivations for participation in training, key skills and resources for successful facilitation were identified, including small group facilitation, managing one's own emotions, understanding principles of anti-racism, and practice and debrief of RAC facilitation.","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"48-55"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469027","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}

引用次数: 0

Pursuing Osteopathic Recognition: A National Survey on US Program Director Perspectives.

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00352.1

Ting Dong, Marina Shapiro, Michael Soh, Jerusalem Merkebu, Ronald Cervero, Rance McClain, Steven J Durning

{"title":"Pursuing Osteopathic Recognition: A National Survey on US Program Director Perspectives.","authors":"Ting Dong, Marina Shapiro, Michael Soh, Jerusalem Merkebu, Ronald Cervero, Rance McClain, Steven J Durning","doi":"10.4300/JGME-D-24-00352.1","DOIUrl":"10.4300/JGME-D-24-00352.1","url":null,"abstract":"Background Osteopathic Recognition (OR) by the Accreditation Council for Graduate Medical Education single accreditation system expanded almost 7-fold from 36 programs in 2015 to 259 in 2021 but has plateaued since then. Objective To assess the interest to pursue OR, perceived barriers and values, and relationship between interest and program demographics in formerly US American Osteopathic Association (AOA)-accredited residency programs. Methods We conducted a national survey in 2023 of all formerly AOA-accredited residency programs that had not applied for OR. The anonymous survey contained 20 five-point Likert scale questions, 11 short-answer demographic questions, and 1 open-ended resource question, was informed by prior work, and was pilot tested with a few program directors for clarity and content. The relationship between levels of interest in pursuing OR and perceived barriers, values, and demographics were analyzed via contingency table analysis. Thematic analysis was performed by 2 authors on the open-ended question. Results Of 458 program directors, 178 (38.9%) responded to the survey, and the majority (103, 57.9%) expressed \"Yes\" or \"Maybe\" interest in obtaining OR. Thirteen barriers were important, including lack of interest and support from potential applicants or colleagues; lack of time, funding, or facility space; and uncertainty over administrative work; these showed differences among the groups of different levels of interest with medium to large effect sizes (0.24<Cramer's V<0.35). The groups also showed differences in their perception of the value of pursuing OR (0.21<Cramer's V<0.29). Conclusions Program directors' perceived available resources and the value of OR to attract applicants to a program influenced their level of interest in pursuing OR.","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"81-88"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469415","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}

引用次数: 0

To the Editor: Time to Redefine Medical Training: Supporting New Parents with Time-Flexible Models.

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00916.1

Caleigh Campbell

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To the Editor: Medicine, Parenthood, and Well-Being: How Do We Achieve the Trifecta? 致编辑医学、育儿和福祉：我们如何实现三全其美？

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00930.1

Janey McKane, Aoife Duignan, Amanda Swan, Sarah Galbraith

引用次数: 0

Evaluation of Residency Applicant Preferences for Continuing Virtual Interviews: A National Database Analysis.

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00478.1

Nicholas R Lenze, William J Benjamin, Angela P Mihalic, Louito Edje, Lauren A Bohm, Marc C Thorne, Robbi A Kupfer, Michael J Brenner

{"title":"Evaluation of Residency Applicant Preferences for Continuing Virtual Interviews: A National Database Analysis.","authors":"Nicholas R Lenze, William J Benjamin, Angela P Mihalic, Louito Edje, Lauren A Bohm, Marc C Thorne, Robbi A Kupfer, Michael J Brenner","doi":"10.4300/JGME-D-24-00478.1","DOIUrl":"10.4300/JGME-D-24-00478.1","url":null,"abstract":"Background There is a paucity of evidence to guide decision-making regarding continuation of virtual interviews. Objective To evaluate residency applicant preferences for continuation of virtual interviews. Methods This retrospective, cross-sectional analysis utilized data from the Texas Seeking Transparency in Application to Residency (STAR) survey to evaluate (1) what percentage of applicants favor continuation of virtual interviews from 2021 to 2023, and (2) what factors predict a preference for continuation of virtual interviews. The Texas STAR survey is distributed annually to graduating medical students in the United States. It contains approximately 50 questions related to academic metrics and the residency application process, as well as 5 optional sociodemographic questions. Results The response rate for our sample was 37.3% (20 947 respondents out of 56 226 potential respondents), and 20 547 met inclusion criteria. Among these, 14 127 (68.8%) applicants favored continuation of virtual interviews. The percentage of applicants favoring continuation of virtual interviews increased annually (57.5% in 2021, 70.2% in 2022, and 78.8% in 2023; P<.001). Female sex (OR 1.43; 95% CI 1.30-1.56; P<.001), underrepresented in medicine (UIM) status (OR 1.75; 95% CI 1.51-2.01; P<.001), and geographic region (Central: OR 1.19; 95% CI 1.06-1.34; P=.003, and Northeast: OR 1.20; 95% CI 1.07-1.34; P=.002, versus South) were associated with favoring continuation of virtual interviews. Applicants to a surgical specialty (OR 0.58; 95% CI 0.53-0.64; P<.001) were less likely to agree with the continuation of virtual interviews. Conclusions Most applicants favor continuation of virtual residency interviews, a trend that has increased over 3 consecutive application cycles.","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469244","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}

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Read These Hot Non-JGME Articles From 2024!

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-25-00033.1

Lalena M Yarris, Deborah Simpson, Nicole M Deiorio, Anthony R Artino, Gail M Sullivan

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Supervising Trainee Inter-Visit Care Using EHR Learning Analytics: Formative Training Tool or Threat to Well-Being?

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-24-00496.1

Zachary Boggs, Heather Frazier, Rachel Kon

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Thank You to 2024 JGME Reviewers. 感谢 2024 年 JGME 评审员。

Journal of graduate medical education Pub Date : 2025-02-01 Epub Date: 2025-02-14 DOI: 10.4300/JGME-D-25-00040.1

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