Journal of graduate medical education最新文献

{"title":"Clinical Decision Rules: A Starting Place in Medical Education, Not a Destination.","authors":"William A Woods, Barrett H Barnes, Linda A Waggoner-Fountain","doi":"10.4300/JGME-D-24-00144.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00144.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"513-516"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476894","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":"Reddit, Discord, and the Spreadsheet: Misinformation About Residency Programs and How to Combat It.","authors":"Ryan J Keneally, Luis Lemos Lopes","doi":"10.4300/JGME-D-24-00187.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00187.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"506-508"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476852","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":"\"GME Around the World\": Introducing JGME's New Section for International Perspectives in Graduate Medical Education.","authors":"Halah Ibrahim, Marije P Hennus, Harm Peters","doi":"10.4300/JGME-D-24-00706.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00706.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"503-505"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476875","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 Effect of Implicit Bias on the OB/GYN Residency Application Process.","authors":"Thammatat Vorawandthanachai, Calvin Lambert, Nicola Tavella, Cristina M Gonzalez, Francine Hughes","doi":"10.4300/JGME-D-23-00601.1","DOIUrl":"10.4300/JGME-D-23-00601.1","url":null,"abstract":"<p><p><b>Background</b> Medical students from racially minoritized backgrounds receive negative evaluations more frequently, possibly from implicit bias. <b>Objective</b> To determine if a preference for White applicants over Asian and Black applicants exists among resident and attending reviewers of obstetrics and gynecology (OB/GYN) residency applications. <b>Methods</b> In 2021, we sampled academic OB/GYN physicians from 6 academic institutions to randomly receive questionnaire form A or B, each containing 4 contrived Electronic Residency Application Service profiles stratified by United States Medical Licensing Examination scores; institutions attended; and strength of recommendation letters into top-, mid-, and low-tiers. Form A applicants were White top-tier, White mid-tier without resilience, Asian mid-tier with resilience, and White low-tier. Form B applicants were Black top-tier, Asian mid-tier without resilience, White mid-tier with resilience, and White low-tier applicants. Both questionnaires' profiles were identical except for applicants' names and races. The primary outcome was participants' rankings of applicants from most to least desirable. Baseline characteristics of participants were compared with chi-square tests. Rankings were compared using generalized estimating equations to calculate the odds ratio (significance <i>P</i><.05). <b>Results</b> One hundred and ninety-one were invited to participate; 109 participants started the questionnaire, and 103 ranked applicants (response rate 54%). Fifty-three participants completed form A, and 56 completed form B. No significant differences were found in participants' demographics. Participants frequently ranked White applicants significantly more highly than Black applicants (-3.3, 95% CI -3.5, -3.1) and Asian applicants (-3.3, 95% CI -3.5, -3.1). <b>Conclusions</b> Despite identical qualifications, a stronger preference for White applicants over Black or Asian applicants was found.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"557-563"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476856","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":"Rxercise: Maintaining Exercise Throughout Residency.","authors":"Brandon Luu, Nicholas Fabiano","doi":"10.4300/JGME-D-23-00700.1","DOIUrl":"https://doi.org/10.4300/JGME-D-23-00700.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"509-512"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476853","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":"Writing a Medical Education Grant Budget.","authors":"Anthony R Artino, Kathlyn E Fletcher, Vineet M Arora, Sondra Zabar","doi":"10.4300/JGME-D-24-00716.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00716.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"617-618"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476859","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":"CLER Pathways to Excellence, Version 3.0: Executive Summary.","authors":"Chad W M Ritenour, Kevin B Weiss","doi":"10.4300/JGME-D-24-00701.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00701.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"629-631"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476893","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 Danger of Assumptions.","authors":"Gnankang Sarah Napoe","doi":"10.4300/JGME-D-24-00155.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00155.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"530-531"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476855","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":"ACGME Accreditation, Resident Unions, and the Centrality of Patient Welfare.","authors":"Thomas J Nasca, Frederic W Hafferty, Paige Amidon","doi":"10.4300/JGME-D-24-00707.1","DOIUrl":"https://doi.org/10.4300/JGME-D-24-00707.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"625-628"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476878","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":"Burnout and Well-Being in Trainees: Findings From a National Survey of US Obstetrics and Gynecology Residents.","authors":"Abigail Ford Winkel, Helen K Morgan, Maya M Hammoud, Stephanie Schatzman-Bone, Omar M Young, Sally Santen, Erika Banks, Karen George","doi":"10.4300/JGME-D-23-00554.1","DOIUrl":"10.4300/JGME-D-23-00554.1","url":null,"abstract":"<p><p><b>Background</b> Despite national attention on resident well-being, challenges persist. Effective solutions require greater understanding of personal and program factors. <b>Objective</b> To explore burnout, resilience, self-reported mental health, and perceptions of the learning environment in a national sample of obstetrics and gynecology (OB/GYN) residents. <b>Methods</b> An observational cross-sectional survey of OB/GYN residents taking the January 2022 national in-training examination included an abbreviated 2-item Maslach Burnout Inventory, a short version of the Connor-Davidson Resilience Scale, and subjective experience of other factors. Kruskal-Wallis and chi-square tests explored differences in outcomes and associations between variables. <b>Results</b> Among 5761 residents taking the examination, 3741 (64.9%) participated, with 2425 of 3741 (64.8%) reporting burnout, 2138 (57.2%) depression, 2651 (70.9%) anxiety, and 147 (3.9%) suicidal ideation. Women fared worse than men in terms of burnout (2105 of 3147, 66.9% vs 281 of 496, 56.7%, <i>P</i><.001), depression (1843 of 3147, 58.6% vs 256 of 496, 51.6%, <i>P</i>=.004), anxiety (2318 of 3147, 73.7% vs 294 of 496, 59.3%, <i>P</i><.001), and resilience (5.9±2.1 vs 6.2±2.1, <i>P</i>=.006). More nonbinary residents considered leaving residency (17 of 49, 34.7% vs 676 of 3147, 21.5% [women] and 108 of 496, 21.8% [men], <i>P</i>=.008). Race-based differences were seen in depression, suicidal ideation, and thoughts of leaving residency. Increased binge drinking was reported with increasing postgraduate year. Among 614 residents reporting that well-being was not a priority in their program, 539 of 614 (87.8%) reported burnout, 469 of 614 (76.4%) depression, and 508 of 614 (82.7%) anxiety. <b>Conclusions</b> Residents report high rates of mental health concerns, and these are worse among women, gender nonconforming individuals, Black residents, and those who perceive well-being is not a priority in their training program.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"16 5","pages":"572-580"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476892","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}