Journal of graduate medical education最新文献

{"title":"The Optimizing Whiteboard Lectures (OWL) Checklist: A Novel \"Chalk Talk\" Assessment Tool.","authors":"Ryan E Nelson, Jason A Freed, Tianyu Sissi Chen, Monica Thim, Sarah Olofsson, Daniel N Ricotta","doi":"10.4300/JGME-D-24-00696.1","DOIUrl":"10.4300/JGME-D-24-00696.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"396-397"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318258","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 Use of Artificial Intelligence in Residency Application Evaluation-A Scoping Review.","authors":"Maxwell D Sumner, T Clark Howell, Alexandria L Soto, Samantha Kaplan, Elisabeth T Tracy, Aimee K Zaas, John Migaly, Allan D Kirk, Kevin Shah","doi":"10.4300/JGME-D-24-00604.1","DOIUrl":"10.4300/JGME-D-24-00604.1","url":null,"abstract":"<p><p><b>Background</b> Several residency programs have begun investigating artificial intelligence (AI) methods to facilitate application screening processes. However, no unifying guidelines for these methods exist. <b>Objective</b> We sought to perform a scoping review of AI model development and use in residency/fellowship application review, including if bias was explored. <b>Methods</b> A scoping review was performed according to PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines where a systematic search strategy identified relevant literature within the databases MEDLINE, Embase, and Scopus from inception to September 29, 2023. No limitations on language, article type, or geographic affiliation were placed on the search parameters. Data were extracted from relevant documents, and study findings were synthesized by the authors. <b>Results</b> Twelve studies met inclusion criteria. Most used AI to predict interviews or rank lists (9 of 12, 75%), while the remaining 3 articles (25%) evaluated letters of recommendation with natural language processing. Six articles (50%) compared the model's output to a human-created rank list. Most of the reviewed articles (9 of 12, 75%) mention bias; however, few explicitly modeled biases by accounting for or examining the effect of demographic factors (3 of 12, 25%). <b>Conclusions</b> Few studies have been published on incorporating AI into residency/fellowship selection, and bias remains largely unexplored. There is a need for standardization in bias and fairness reporting within this area of research.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"308-319"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318260","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":"From Outcomes to Insights: A Structured Reflection Tool for Resident Development in Practice Based-Learning and Improvement.","authors":"Kathryn Lorenz, Kathryn Ritter, Michael R Ehmann, Haleigh P Ferro, Sarah Hill-Yeterian, Jeremiah S Hinson, Linda Regan, Kamna S Balhara","doi":"10.4300/JGME-D-24-00872.1","DOIUrl":"10.4300/JGME-D-24-00872.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"385-387"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318243","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":"Implementation and Impact of a Graduate Medical Education Program Director Bootcamp.","authors":"Abby L Spencer, Dominique Cosco, Eva Aagaard","doi":"10.4300/JGME-D-24-00879.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00879.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"383-384"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318244","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":"Audit-and-Feedback Utilizing Resident Consensus Standards Reduced Daily Labs.","authors":"Ryan Duffy, Suchita Shah Sata, Alexandra R Linares, Brian Schneider, David L Simel, Joel C Boggan","doi":"10.4300/JGME-D-24-00772.1","DOIUrl":"10.4300/JGME-D-24-00772.1","url":null,"abstract":"<p><p><b>Background</b> The Choosing Wisely campaign recommends that clinicians avoid repetitive laboratory testing in hospitalized patients who have clinical and laboratory stability; however, it is unclear how physicians define laboratory stability, or how they adhere to their own definition. <b>Objective</b> To quantify and compare what internal medicine residents and hospitalists consider a stable complete blood count (CBC) and chemistry panel, and to assess an audit-and-feedback intervention on residents, utilizing resident definitions of lab stability. <b>Methods</b> We used a 2-round consensus survey in 2023 to survey residents and hospitalists to determine consensus definitions of a stable CBC and chemistry panel. We then performed a 21-week audit-and-feedback intervention, providing residents weekly feedback of adherence to their cohort's lab stability definitions. Percent of stable lab panels repeated was compared at baseline, during, and after the intervention. <b>Results</b> In our survey, residents (response rates 55 of 191, 29%; then 32 of 191, 17%) considered smaller day-to-day changes in complete blood count parameters as actionable compared to hospitalists (response rates 47 of 237, 20%; then 59 of 237, 25%). At baseline, residents repeated stable CBCs more often than hospitalists (1060 of 1566, 68% [95% CI, 65-70] vs 52 of 96, 54% [95% CI, 44-64], <i>P</i>=.005). During the intervention, residents repeated fewer stable CBCs (393 of 729, 54% [95% CI, 50-57], <i>P</i><.001) a reduction sustained at 6-months (635 of 1083, 59% [95% CI, 56-62], <i>P</i><.001). <b>Conclusions</b> Residents more frequently repeated CBCs that their cohort termed \"stable\" than did hospitalists. When residents were given feedback on adherence to their cohort's lab stability criteria, there was a sustained reduction in the number of CBCs they ordered.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"347-352"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318224","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":"Evaluating Teaching Health Center Planning and Development: Unlocking and Sustaining the Full Potential of the Teaching Health Center Program.","authors":"Emily M Hawes, Mukesh Adhikari, Jacob Rains, Helen Newton, Lori Rodefeld, Deborah Clements, Erin Fraher","doi":"10.4300/JGME-D-24-00593.1","DOIUrl":"10.4300/JGME-D-24-00593.1","url":null,"abstract":"<p><p><b>Background</b> While many factors influence clinician supply and distribution, community-based training is an influential policy lever to increase health care access in underserved settings. The Teaching Health Center Graduate Medical Education (THCGME) program funds training in community-based settings. Recognizing the program's impact, Congress created the Teaching Health Center Planning and Development (THCPD) program to provide start-up funding to support community-based organizations in establishing new residency programs. To date, limited data are available on THCPD outcomes. <b>Objective</b> To describe THCPD program outcomes and training sites and compare characteristics of teaching health center (THC) counties to other eligible counties. <b>Methods</b> We analyzed differences in county-level characteristics among communities with THCs (THCGME [n=85] and/or THCPD [n=92] programs with training sites in 180 counties) to counties with community health centers that were not participating in THCGME/PD. We conducted univariate and multivariate regressions to identify county characteristics associated with having a THC program. <b>Results</b> THCPD is supporting the development of new residency programs, projected to create 900 resident positions, in 13 states and 73 counties that previously did not have a THC. Thirty-nine THCPD-supported programs have attained accreditation, totaling 501 accredited positions at full complement. Forty-seven of the 180 counties (26.1%) with THCGME/PD sites are rural. In contrast to other eligible counties, THCs serve counties with greater proportions of Medicaid beneficiaries (adjusted OR=1.06; 95% CI, 1.04-1.08) and mental health professional shortage areas (adjusted OR=5.00; 95% CI, 1.10-22.7). <b>Conclusions</b> THCPD is increasing the number of accredited residency programs in community-based settings with higher rates of Medicaid eligibility and a shortage of mental health care workforce.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"296-303"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318228","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":"LGBTQ+ Health Content in US Residency Curricula: A Scoping Review.","authors":"Elaine Hsiang, Carolina Ornelas-Dorian, Margaret Lin-Martore, Joel Moll","doi":"10.4300/JGME-D-24-00689.1","DOIUrl":"10.4300/JGME-D-24-00689.1","url":null,"abstract":"<p><p><b>Background</b> The care of lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) patients is heavily influenced by clinician training, but the landscape of LGBTQ+ health teaching in graduate medical education is poorly understood. <b>Objective</b> To describe the current state of LGBTQ+ health teaching across specialties within graduate medical education in the United States. <b>Methods</b> In February 2024, the authors performed a scoping review of the literature across 6 databases. Two authors extracted and synthesized data on the amount, scope, and modality of LGBTQ+ didactic and clinical teaching across residency programs, as well as educational interventions designed for resident learners. <b>Results</b> Fifty-two articles met inclusion criteria. In the past decade, the number of specialties with data on LGBTQ+ health teaching in residency increased from 4 to 12, encompassing both medical and surgical fields. Curricular hours and topics covered were highly variable even within specialties, but there were common educational gaps in transgender health and clinical exposure. Program director attitudes, region of training, and presence of LGBTQ+ identifying faculty were frequently linked to curricular inclusion of LGBTQ+ health. Surgical specialties appeared to lag medical specialties in amount and breadth of teaching, but had a stronger focus on gender-affirming surgical care. Educational interventions analyzed were highly diverse and trended toward inclusion of actual or simulated patient care alongside didactic teaching. <b>Conclusions</b> While attention to LGBTQ+ health in graduate medical education is increasing, critical gaps remain in the amount, scope, and delivery of LGBTQ+ health content across and within specialties.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"284-295"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318249","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":"Beyond the Book: A Novel Media-Based Approach to Resident Learning and Reflection.","authors":"Lauren E Gibson-Oliver, Wayne Bryant","doi":"10.4300/JGME-D-24-00854.1","DOIUrl":"10.4300/JGME-D-24-00854.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"379-380"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318225","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 Orphaned Resident and Graduate Medical Education Program Closures.","authors":"Ryan J Keneally, Harold A Frazier","doi":"10.4300/JGME-D-24-00809.1","DOIUrl":"10.4300/JGME-D-24-00809.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"281-283"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318259","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 National Longitudinal Study of Wellness Curricula in US Family Medicine Residency Programs and Association With Early Career Physician Burnout.","authors":"Anastasia J Coutinho, Amanda K H Weidner, Peter F Cronholm","doi":"10.4300/JGME-D-24-00515.1","DOIUrl":"10.4300/JGME-D-24-00515.1","url":null,"abstract":"<p><p><b>Background</b> Physician burnout during residency training and practice is rising, yet it is unclear how residency workload preparation or wellness curricula affect postgraduate burnout. <b>Objective</b> To determine whether US family medicine residency wellness curricula or workload metrics are associated with self-reported burnout 3 years after graduation. <b>Methods</b> Graduate self-reported burnout was assessed as a single-item measure-either \"feeling burned out\" (for emotional exhaustion) or \"callousness\" (for depersonalization) or both once a week or more-on the 2021 National Graduate Survey (NGS). These data were paired with responses to a 2018 Council of Academic Family Medicine Education Research Alliance (CERA) Program Director survey that assessed residency workload and the wellness curricula when the graduate was a third-year resident. Bivariate and multivariate analyses, including graduate practice factors and demographics, were conducted against the burnout measures. <b>Results</b> The dataset included 738 of 1623 (45.5%) graduates who responded to the 2021 NGS (or 738 of 3596, 20.5% of the entire 2021 NGS cohort) from 202 of 587 (34.4%) family medicine residencies. Forty percent of graduate respondents reported burnout. In bivariate analyses, higher burnout among graduates was associated with presence of non-facilitated small groups (43.7% vs 35.8% with burnout, <i>P</i>=.04), whereas lower burnout was seen with stress management curricula (63.8% without burnout vs 55.9%, <i>P</i>=.03), and lower work hours in postgraduate year (PGY) 1 (65.7% vs 57.4% without burnout, <i>P</i>=.05). In multivariate analyses only, work hours as a PGY-1 was associated with lower burnout, (OR=1.5; 95% CI, 1.04-2.31; <i>P</i>=.03). <b>Conclusions</b> Controlling for family medicine residency practice factors and graduate demographics, in this national longitudinal study there was no association of burnout 3 years following graduation with the presence or type of wellness curricula as measured in the graduating year of residency, though working less than 60 hours a week during PGY-1 remained associated with lower burnout.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"17 3","pages":"320-329"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318220","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}