Journal of graduate medical education最新文献

{"title":"The Veneer and the Core: Cultural Code-Switching in Global Graduate Medical Education.","authors":"Mucheli Sharavan Sadasiv, Charlotte Zheng","doi":"10.4300/JGME-D-26-00080.1","DOIUrl":"10.4300/JGME-D-26-00080.1","url":null,"abstract":"<p><p></p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"402-405"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763354","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":"Which Filterable ERAS Metrics Predict Success in US Pediatric Residency? A Multisite Cohort Study.","authors":"Jessica DeBord, Oluwatosin Igenoza, Michela Garabedian, Jennifer Gibson, Cathy Lazarus, Karen Weissbecker, Alan Schwartz","doi":"10.4300/JGME-D-25-00854.1","DOIUrl":"10.4300/JGME-D-25-00854.1","url":null,"abstract":"<p><strong>Background: </strong>While United States Medical Licensing Examination (USMLE) scores correlate with performance on subsequent standardized tests, it is not known whether they predict success in residency. Nonetheless, they remain the most used metric to narrow the large applicant pool.</p><p><strong>Objective: </strong>To determine whether several filterable metrics reported by the Electronic Residency Application Service (ERAS) predict success in pediatric residency, as measured by Accreditation Council for Graduate Medical Education Pediatrics Milestone (PM) ratings.</p><p><strong>Methods: </strong>Pediatric residency programs participating in the Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network were invited to participate in 2020; 10 of 149 programs (6.7%) provided data on 518 residents. Metrics included type of medical degree, US or non-US medical school, Alpha Omega Alpha and Gold Humanism Honor Society (GHHS) membership, USMLE Step 1 and Step 2 Clinical Knowledge (CK) numerical scores, and Step 2 Clinical Skills first attempt pass/fail status; primary outcome was mean PM ratings across all residency years.</p><p><strong>Results: </strong>GHHS was positively associated with overall PM performance (B=0.15, <i>P</i>=.009), as was Step 2 CK (B=0.06, <i>P</i>=.007). By domain, Step 2 CK was positively associated with Medical Knowledge (MK), Patient Care (PC), and Practice-Based Learning and Improvement (PBLI). GHHS membership was positively associated with MK, PC, PBLI, Professionalism, and Systems-Based Practice. Effect size of GHHS was higher than Step 2 CK across all domains.</p><p><strong>Conclusions: </strong>Among filterable ERAS metrics, GHHS membership showed the strongest association with pediatric residency success, as measured by PM ratings; Step 2 CK had a weaker positive association.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"415-423"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762148","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: Sharing the Full Game Enhances Replicability and Impact of Studies of Card and Board Games in Health Professions Education.","authors":"Michael Cosimini, Alison Chiang","doi":"10.4300/JGME-D-26-00480.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00480.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"508-509"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761436","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 ACGME Common Program Requirements Major Revision Process: Engaging the Graduate Medical Education Community.","authors":"Nancy J Koh, Meredith J Alston, Boyd R Buser, Mary E Klingensmith, Kathy Malloy","doi":"10.4300/JGME-D-26-00719.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00719.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"510-514"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762424","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":"Supporting the Transition: New Obstetrics and Gynecology Resident Perspectives on Resources for Residency Preparation.","authors":"Abigail Ford Winkel, Zachary Schoppen, Oluwabukola Akingbola, Nicolette Codispoti, Karen George, Maya M Hammoud, Helen K Morgan","doi":"10.4300/JGME-D-25-00846.1","DOIUrl":"https://doi.org/10.4300/JGME-D-25-00846.1","url":null,"abstract":"<p><strong>Background: </strong>Numerous formal and informal resources exist to support the transition to residency. Little is known about how postgraduate year (PGY) 1 residents perceive and utilize these tools.</p><p><strong>Objective: </strong>To explore PGY-1 obstetrics and gynecology (OB/GYN) residents' perspectives on the utility and impact of structured and informal resources supporting the transition to residency.</p><p><strong>Methods: </strong>We used a qualitative thematic analysis of in-depth interviews with PGY-1 OB/GYN residents using self-determination theory as a framework. In 2024, participants were recruited via email and social media from across the United States. Two residents performed virtual interviews. Three independent coders used inductive coding to analyze the data, then interpreted the patterns that emerged using self-determination theory as an interpretive framework.</p><p><strong>Results: </strong>A total of 11 interviews were performed. Three themes were identified in residents' experience that aligned with the core domains of self-determination theory: the heterogeneity of learning needs as new residents strive towards independence (autonomy), responsibilities for patient care serving as a powerful motivator for learning (competence), and the need for a supportive learning environment (belonging). Residents expressed diverse learning needs, and the abundance of tools often contributed to feelings of being overwhelmed.</p><p><strong>Conclusions: </strong>Tailoring support strategies to align with learning goals may enhance the effectiveness of transition resources and promote early resident growth and well-being. Educators may help learners identify resources but also allow for learner autonomy in setting learning goals, focus on practical skills to develop competence in clinical duties, and create structures to support a culture of belonging.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"432-438"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762382","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":"More Signals, Fewer Applications: Calibrating Preference Signaling for Residency Application.","authors":"Taylor S Erickson, Stephanie Younan, Steven D Pletcher","doi":"10.4300/JGME-D-25-01024.1","DOIUrl":"https://doi.org/10.4300/JGME-D-25-01024.1","url":null,"abstract":"<p><strong>Background: </strong>Preference signaling in the residency application process was introduced in the 2021 application cycle and, as of the 2026 residency Match cycle, is used by 27 specialties. Originally intended to help applicants indicate genuine interest in programs, its role has expanded to include mitigating overapplication.</p><p><strong>Objective: </strong>To assess how the number of signals allotted influences application numbers across specialties.</p><p><strong>Methods: </strong>We performed a cross-sectional analysis of US Electronic Residency Application Service (ERAS) data from 22 signaling specialties between 2022 and 2026. Specialties were grouped by number of signals allotted: high (≥20), medium (8-19), low (≤7). The primary outcome was change in average applications per applicant within specialty. The secondary outcome was estimated financial impact using the ERAS tiered fee schedule.</p><p><strong>Results: </strong>Among 70 111 applicants across 22 specialties (high n=6; medium n=8; low n=8), high-signal specialties uniformly reduced applications per applicant (mean, -28.3; range, -47.4 to -2.15). Medium and low tiers showed mixed effects, with an increase in applications per applicant in several specialties. Overall, signaling was associated with an estimated net cost reduction of $7,387,754 across all participating specialties. All high-signal specialties generated cost reduction ($2,991,059 total), whereas 8 medium- and low-signal specialties incurred net cost increases.</p><p><strong>Conclusions: </strong>Substantial reductions in application volume and costs have occurred following implementation of preference signaling, with the high-signal approach reliably leading to a decrease in applications submitted.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"489-494"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763282","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 Ubiquitous Survey Instrument: JGME Expectations for Medical Education Submissions.","authors":"Gail M Sullivan, Anthony R Artino","doi":"10.4300/JGME-D-26-00652.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00652.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"379-382"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764082","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":"Developing GME in Rural and Underserved Areas: Stories From Each US Census Region.","authors":"Laney McDougal, Lori Rodefeld, James Clardy, Thomas Gearan, Kathleen Brite Hillis, C Lauren Erdelyi, Alan Douglass, Deborah S Clements, Emily M Hawes","doi":"10.4300/JGME-D-26-00561.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00561.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"515-520"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766137","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":"Implementing a Medication Abortion Curriculum in an Internal Medicine Residency: An Educational Innovation.","authors":"Adam Tapley, Hannah Biederman, Rachel Stark","doi":"10.4300/JGME-D-25-01097.1","DOIUrl":"https://doi.org/10.4300/JGME-D-25-01097.1","url":null,"abstract":"<p><strong>Background: </strong>Medication abortion using mifepristone and misoprostol is safe and effective, yet few internal medicine (IM) physicians provide this care due to barriers such as stigma, institutional restrictions, and limited training. General deficits in reproductive health training have long been recognized in IM resident training, and gaps remain.</p><p><strong>Objective: </strong>To evaluate the implementation and outcomes of a medication abortion curriculum for IM residents at Cambridge Health Alliance, a Harvard-affiliated program, during the 2022-2023 academic year.</p><p><strong>Methods: </strong>A structured curriculum was developed in partnership between the IM and family medicine departments with 3 components: a 1-2-hour online module, a 70-minute in-person session, and a 3-hour clinical experience at a reproductive health clinic. Data were collected on curriculum participation rates and from online pre- and post-curriculum surveys. Surveys assessed residents' attitudes toward medication abortion, self-reported comfort with counseling and eligibility determination, and knowledge using a brief internally developed assessment.</p><p><strong>Results: </strong>Twenty-three of 24 residents (96%) completed ≥1 components. In the pre-survey, 79% (15 of 19) of residents indicated they would like to provide medication abortion services during residency if trained, and 74% (14 of 19) intended to incorporate it into their future practice. Post-survey results showed significant improvements in comfort with counseling on early abortion options (95% CI, 0.54-1.84; <i>P</i><.001), determining eligibility (95% CI, 0.61-1.86; <i>P</i><.001), counseling on medication abortion regimens (95% CI, 0.62-1.89; <i>P</i><.001), and managing failed abortions (95% CI, 0.50-1.79; <i>P</i>=.001).</p><p><strong>Conclusions: </strong>This curriculum significantly increased IM residents' comfort in providing medication abortion services over 6 months.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"458-463"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766275","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: In Response to \"A Couples Counselor's Thoughts\".","authors":"Benjamin Kinnear, Holly Caretta-Weyer","doi":"10.4300/JGME-D-26-00712.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00712.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 4","pages":"504"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763267","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}