Journal of graduate medical education最新文献

{"title":"To the Editor: In response to \"A Perspective on Promotion in Place and Competency-Based, Time-Variable Graduate Medical Education\"-Reply.","authors":"Steven H Rose, Timothy R Long","doi":"10.4300/JGME-D-25-00173.1","DOIUrl":"10.4300/JGME-D-25-00173.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 2","pages":"244-245"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143908","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":"Digital Storytelling: Navigating Individual and Emerging Professional Selves Through Medical Memes.","authors":"Yi-Chien Yang, Tim Mickleborough, Ching-Jung Ho, Chia-Jui Su, Ming-Jung Ho","doi":"10.4300/JGME-D-24-00722.1","DOIUrl":"10.4300/JGME-D-24-00722.1","url":null,"abstract":"<p><p><b>Background</b> Socialization is a critical process for professional identity formation (PIF), but little is known about how this occurs through online engagement. <b>Objective</b> To explore how Taiwanese medical trainees form professional identities on social media through engagement with medical memes. <b>Methods</b> Using a conceptual framework that examined the dual focus of PIF as a negotiation between personal and professional selves, a descriptive qualitative analysis of medical memes was implemented. In total, 369 memes from a resident's popular Facebook fan page were analyzed using content analysis. Textual and visual elements of memes were analyzed to understand how trainees expressed their individuality, how they conformed to professional norms, and the tensions they experienced. Eighteen codes emerged and were categorized into levels of individual, relational, organizational, and societal. Comments were also analyzed to understand respondents' engagement with memes and support of the PIF process. <b>Results</b> Findings show insights into how medical trainees navigate the dual focus of PIF on multiple levels: the individual and the collective (relational, organizational, and societal). Trainees' engagement with memes highlighted the identity dissonance they experienced as they negotiated losing parts of their individual selves while learning how to conform to organizational norms. Memes allow trainees to reflect on how they experience misalignments between what they expect from the learning environment and workplace realities. <b>Conclusions</b> Online socialization through engagement with medical memes supports the development of PIF; however, it also provides space for trainees to express resistance, share negative experiences, and gain peer solidarity during difficult professional transitions.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 2","pages":"150-158"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143874","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":"Factors Affecting Family Medicine Residents' Decision to Provide Obstetric Care: A Concept Mapping Study.","authors":"Cynthia L Salter, Rowena Pingul-Ravano, Claire Lama, Ryan Bills","doi":"10.4300/JGME-D-24-00541.1","DOIUrl":"10.4300/JGME-D-24-00541.1","url":null,"abstract":"<p><p><b>Background</b> Approximately 25% of family physicians provided obstetric (OB) delivery care in 2000, but today that proportion has declined to <7%, affecting availability of delivery care in rural areas. Prior research shows that training experiences influence residents' decision to include OB care in their post-training practice. <b>Objective</b> To explore factors affecting family medicine (FM) residents' decision to provide OB delivery services in future practice and to use this information to strengthen residency OB training. <b>Methods</b> This cross-sectional study used concept mapping, a participatory mixed-methods approach that produces a visual representation of key concepts. It included FM residents and recent graduates participating in 2022-2023 at 3 Mid-Atlantic programs that share a tertiary-level university-affiliated hospital as training site for OB deliveries. <b>Results</b> Eighteen of 60 eligible subjects (30%) completed the generation/brainstorming and structuring data collection steps online, and 36 (60%) completed an interpretation session. Eight clusters of factors emerged: (1) motivation to practice OB care/patient relationship; (2) supportive training and modeled practice; (3) competing interests and necessity of additional training; (4) location and needs of community; (5) burnout cluster; (6) challenges of long-term competency and skills; (7) lack of enough learning opportunities and support; (8) lack of respect and inclusion. Participants rated training factors as both highly important and highly changeable, including \"fragmented teaching,\" \"feeling inadequate or inadequately prepared,\" and \"ease or difficulty getting the required number of deliveries.\" Based on these findings, participating residency programs have adjusted training structure, adding a faculty liaison who provides all OB rotation orientation. <b>Conclusions</b> This study identified factors affecting FM residents' decision-making around providing OB care in their future practice, including supportiveness of training environment and adequacy of learning opportunities.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 2","pages":"172-181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143883","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 Systematic Review of Virtual Subinternships in Surgical Education: Impact on Curriculum Delivery and Learner Outcomes.","authors":"Olivia La Monte, Andrew Yousef, Deborah Watson","doi":"10.4300/JGME-D-24-00381.1","DOIUrl":"10.4300/JGME-D-24-00381.1","url":null,"abstract":"<p><p><b>Background</b> The COVID-19 pandemic forced an abrupt reevaluation of traditional subinternship models in surgical education, with the adoption of virtual subinternships (VSIs) emerging as a prominent response. This review assesses VSIs as a cost-effective, equitable alternative, especially as virtual education continues since the end of the Federal COVID-19 Public Health Emergency and may be crucial in future crises. <b>Objective</b> Our research question asks how curriculum delivery, learner outcomes, and interpretation of program fit occur within the VSI model. <b>Methods</b> A thorough systematic review was conducted across multiple databases, including PubMed, Web of Science, Google Scholar, and Embase, adhering to PRISMA guidelines, and spanning publications in English from January 2020 to June 2023. Studies were selected based on review of VSI curriculum content, delivery formats, evaluation techniques, and student outcomes. Exclusion criteria encompassed non-original research or articles lacking comprehensive curriculum descriptions and associated outcomes. We assessed bias in study selection through independent double review and synthesized findings using thematic analysis. <b>Results</b> Of 1436 articles, 13 met the inclusion criteria. They encompassed a range of surgical fields and highlighted the diverse approaches to VSI implementation. Key themes included the integration of interactive learning sessions, balance between imparting knowledge and program familiarization, and mixed methods of program evaluation. Despite high student satisfaction reported, faculty feedback indicated it was difficult to provide an evaluation of student skills in this context and more challenging to assess students' fit for residency programs. <b>Conclusions</b> VSIs were effective in delivering curriculum and engaging learners, highlighting diverse implementation approach challenges in assessing student skills and program fit.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"38-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469032","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":"2025 ACGME Award Recipients.","authors":"","doi":"10.4300/JGME-D-25-00034.1","DOIUrl":"https://doi.org/10.4300/JGME-D-25-00034.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"130-131"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468371","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":"Addressing Physician Shortages in the United States With Novel Legislation to Bypass Traditional Training Pathways: The Fine Print.","authors":"Sawsan Abdel-Razig, James K Stoller","doi":"10.4300/JGME-D-24-00591.1","DOIUrl":"10.4300/JGME-D-24-00591.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469044","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 Universal Cue.","authors":"Jeanie Gribben, Nekee Pandya","doi":"10.4300/JGME-D-24-00574.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00574.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"105-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469038","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":"Aligning Graduate Medical Education With the Health Care Needs of Abu Dhabi: One Decade After the Restructuring Initiative.","authors":"Hatem Alameri","doi":"10.4300/JGME-D-24-00750.1","DOIUrl":"10.4300/JGME-D-24-00750.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469201","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":"International Clinical Learning Environment Pathways to Excellence: Executive Summary.","authors":"Kevin B Weiss, James A Arrighi, Robin Wagner","doi":"10.4300/JGME-D-25-00027.1","DOIUrl":"10.4300/JGME-D-25-00027.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"126-129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469321","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":"Leading From the Middle Empowers GME Leaders.","authors":"Nancy D Spector, Jillian S Catalanotti, Donald W Brady, Karen Law, Deborah Simpson","doi":"10.4300/JGME-D-24-01025.1","DOIUrl":"10.4300/JGME-D-24-01025.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 1","pages":"101-102"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11838066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469325","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}