Academic Medicine最新文献

{"title":"Harnessing the power of visualization: communicating calls for curricular change.","authors":"Andrea Berry, Weichao Chen, Cassandra Ward, John Ragsdale","doi":"10.1093/acamed/wvag129","DOIUrl":"https://doi.org/10.1093/acamed/wvag129","url":null,"abstract":"<p><p>In this AM Last Page, the authors share visualization strategies that can be used to communicate curricular change as part of the Awareness, Desire, Knowledge, Ability, and Reinforcement (ADKAR) change management model. Compared to other change management models, ADKAR's focus on individual change is particularly effective at addressing personal responsibility and sustaining adoption.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Large Language Models in Professionalism and Ethical Decision-Making Education: A Transferable Process for Generating Concordance of Professional Judgment Items.","authors":"Tuğba İş-Kara, Yavuz Selim Kıyak","doi":"10.1093/acamed/wvag147","DOIUrl":"https://doi.org/10.1093/acamed/wvag147","url":null,"abstract":"<p><strong>Problem: </strong>Concordance-based tools, such as the Concordance of Professional Judgment (CoPJ) tool, allow students to practice ethical decision-making and professionalism under uncertain conditions, but developing high-quality CoPJ items (including writing vignettes and convening expert panels) is resource intensive. Thus, programs often lack the practical infrastructure needed to integrate the CoPJ into curricula at the scale necessary for repeated learner practice. Large language models (LLMs) may help address this burden, but a transferable process to generate CoPJ items aligned with local ethics frameworks and expert oversight is needed.</p><p><strong>Approach: </strong>This study implemented and evaluated a transferable process for generating CoPJ items using general purpose LLMs. Using a generic zero-shot prompt, ChatGPT-5 Thinking and Gemini 2.5 Pro were each prompted to generate one CoPJ item for all 28 topics in the Turkish Medical Association's ethical declarations (56 items total) in August 2025.</p><p><strong>Outcomes: </strong>Between August and September 2025, 2 faculty reviewers independently rated each LLM-generated item using a 20-criterion checklist and 4-level global suitability judgment (accepted, minor revision, major revision, rejected), with adjudication as needed. Gemini 2.5 Pro achieved 96.4% overall global suitability, with 27/28 items judged to be suitable (accepted or minor revision). ChatGPT-5 Thinking's overall global suitability was 89.3% (25/28). Gemini 2.5 Pro had an overall mean checklist success score of 97.5% (19.5/20), and ChatGPT-5 Thinking had a score of 89.0% (17.8/20).</p><p><strong>Next steps: </strong>Future work will examine how LLM-generated CoPJ items function in real learning environments, including a planned learner-based comparison with human-written items. Additional studies across languages, professional programs, and cultural contexts will further help determine the broader adaptability of this process.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A primer on quality improvement.","authors":"Satya Patel, Priyanka Moolchandani, Tyler Larsen, Christopher Moriates","doi":"10.1093/acamed/wvag101","DOIUrl":"https://doi.org/10.1093/acamed/wvag101","url":null,"abstract":"<p><p>This Last Page provides a guide that can help trainees and faculty navigate the quality improvement process, introduce them to available resources, and become valuable agents of change.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generative AI-assisted learning and the rise of pseudo-competence in medical trainees.","authors":"Chen Ding, Shuwei Weng","doi":"10.1093/acamed/wvag146","DOIUrl":"https://doi.org/10.1093/acamed/wvag146","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations and Differences Between Occupational Burnout and Depression in Large Studies of U.S. Physicians.","authors":"Tait D Shanafelt, Colin P West, Liselotte N Dyrbye, Christine Sinsky, Michael Tutty, Hanhan Wang, Lindsey E Carlasare, Mickey Trockel","doi":"10.1093/acamed/wvag126","DOIUrl":"https://doi.org/10.1093/acamed/wvag126","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the correlation between occupational burnout and depression, frequency with which they coexist, how often one condition may be present in the absence of the other, and their association with suicidal ideation.</p><p><strong>Method: </strong>The authors conducted a secondary analysis of cross-sectional national surveys of practicing US physicians (conducted October 19, 2023-March 3, 2024) and residents/fellows (\"trainees\"; conducted November 30, 2023, to January 2, 2024). They measured correlation between emotional exhaustion (EE) and depersonalization (DP) scores using the Maslach Burnout Inventory and depression T-scores using the National Institutes of Health Patient Reported Outcomes Measurement Information System Depression scale.</p><p><strong>Results: </strong>A total of 5,993 practicing physicians and 2,676 trainees were included in the analysis. The pooled R2 value between EE and depression scores for physicians and trainees was 0.42 (P < .001) and between DP and depression scores was 0.28 (P < .001). Among the 4,087 practicing physicians with normal depression scores, 1,201 (29.4%) had high EE and/or high DP. Among the 1,601 trainees with normal depression scores, 485 (30.3%) had high EE and/or high DP. On multivariable logistic regression adjusting for age, gender, relationship status, and work hours, each 1-point increase in depression T-score was associated with 15% higher odds of suicidal ideation among practicing physicians (OR 1.15; 95% CI: 1.13-1.17; P < .001) and trainees (OR 1.15, 95% CI: 1.13-1.17; P < .001). No statistically significant association between EE or DP scores and suicidal ideation was observed.</p><p><strong>Conclusions: </strong>Occupational burnout and depression are correlated but distinct constructs with distinct outcomes. Less than half the variation in burnout is explained by depression (and vice versa). Population health approaches to improve physician well-being should address both conditions. Organizational efforts should go beyond providing support for individuals experiencing distress and also address the work environment factors that contribute to it.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 3C model: a simple prompt engineering framework for generative artificial intelligence.","authors":"Rahul Damania, Michael Hrdy, Neil Mehta, Traci Wolbrink","doi":"10.1093/acamed/wvag098","DOIUrl":"https://doi.org/10.1093/acamed/wvag098","url":null,"abstract":"<p><p>This Last Page introduces the intuitive 3C Model (Context, Creation, Clarity), a simplified prompt engineering framework designed to help medical educators effectively and confidently integrate generative artificial intelligence into teaching practices.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entangled pedagogy and the entrustment of generative artificial intelligence: a trainee perspective.","authors":"Linda Liu, Claire Qu, Jennifer Benjamin","doi":"10.1093/acamed/wvag142","DOIUrl":"https://doi.org/10.1093/acamed/wvag142","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABC's for learners to respond to public humiliation in medical schools.","authors":"Krishna Mohan Surapaneni","doi":"10.1093/acamed/wvag107","DOIUrl":"https://doi.org/10.1093/acamed/wvag107","url":null,"abstract":"<p><p>This Last Page presents a simple, learner-centered ABC framework to help students respond thoughtfully to public humiliation, protect their sense of identity, and move forward in a phased manner without reinforcing cycles of harm.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing the Community of Inquiry framework for structured hybrid learning.","authors":"Jeannine Nonaillada, Kristen Richard, H Barrett Fromme, Mariah J Rudd, Lori R Newman","doi":"10.1093/acamed/wvag100","DOIUrl":"https://doi.org/10.1093/acamed/wvag100","url":null,"abstract":"<p><p>This AM Last Page provides a visual depiction of how to best implement successful hybrid learning practices in academic -medicine using the Community of Inquiry conceptual framework.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating coaching activities into the educator portfolio.","authors":"Denise H Wong, Justin K Lui, Emelia J Benjamin","doi":"10.1093/acamed/wvag108","DOIUrl":"https://doi.org/10.1093/acamed/wvag108","url":null,"abstract":"<p><p>The educator portfolio complements the curriculum vitae as a holistic representation of a medical educator's teaching philosophy and contributions to the educational field beyond research and publications. This Last Page proposes adding a track record of coaching activities into the mentoring section of the educator portfolio and details the following essential elements to include: (1) learner details, (2) coached areas, and (3) coaching outcomes.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}