Academic Medicine最新文献

{"title":"Commentary on \"Monet Refuses the Operation\".","authors":"Justin C Cordova","doi":"10.1097/ACM.0000000000006038","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006038","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665295","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":"Commentary on \"Discharged into Clouds\".","authors":"Woods Nash, Nick Almeida","doi":"10.1097/ACM.0000000000006041","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006041","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665292","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":"Commentary on The Apothecary from The Saturday Evening Post.","authors":"Kimberly A Miller","doi":"10.1097/ACM.0000000000006039","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006039","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665304","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":"Commentary on Thistle.","authors":"Santiago Schnell, Deborah L Gumucio","doi":"10.1097/ACM.0000000000006035","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006035","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631035","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":"In Reply to Balon.","authors":"William T Mallon, Natalya Cox","doi":"10.1097/ACM.0000000000006037","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006037","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631037","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":"Appraising Simulation-Based Approaches to Addressing Microaggressions in the Clinical Environment.","authors":"Jennifer Wood, Thom O'Neill, Katie Hughes","doi":"10.1097/ACM.0000000000006033","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006033","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631034","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":"Is Tenure Available for Every Clinical Educator?","authors":"Richard Balon","doi":"10.1097/ACM.0000000000006036","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006036","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630968","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":"In Reply to Wood et al.","authors":"David Fernandez, Sophia Gorgens","doi":"10.1097/ACM.0000000000006034","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006034","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631038","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":"Empirical Assessment of Well-Being: The Stanford Model of Occupational Wellbeing.","authors":"Bryan D Bohman, Maryam S Makowski, Hanhan Wang, Nikitha K Menon, Tait D Shanafelt, Mickey T Trockel","doi":"10.1097/ACM.0000000000006025","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006025","url":null,"abstract":"<p><strong>Purpose: </strong>The Stanford Model of Occupational Wellbeing (Stanford Model) hypothesizes that occupational well-being is driven by 3 reciprocally related domains: workplace efficiency, culture of wellness, and individual factors. The current analysis assesses the key elements of this model with cross-sectional empirical data.</p><p><strong>Method: </strong>In fall 2020 and spring 2022, well-being surveys were distributed to all Stanford School of Medicine clinical faculty working at 50% or more of full-time equivalent. A total of 1,909 clinical faculty were invited to complete the 2020 survey and 2,251 to complete the 2022 survey. The survey assessed burnout and professional fulfillment, along with 9 hypothesized determinants, as occupational well-being outcome indicators. Exploratory factor analysis was used to determine whether these determinants grouped well into the 3 domains described by the model. Domain scores were created based on factor analysis groupings of the scores for the determinants in each domain.</p><p><strong>Results: </strong>Of 1,909 clinical faculty invited to complete the 2020 survey, 1,479 (78%) participated. Of the 2,251 clinical faculty invited in 2022, 1,552 (69%) participated. The associations of the 3 domain scores with burnout and professional fulfillment were moderate for workplace efficiency (r = 0.42-0.49; P < .001) and large for culture of wellness (r = 0.51-0.63; P < .001) and individual factors (r = 0.52-0.72; P < .001). Domain scores accounted for 45% and 50% of the variance in professional fulfillment and 56% and 59% of variance in burnout in 2020 and 2022 data, respectively.</p><p><strong>Conclusions: </strong>These results provide empirical evidence to support a widely adopted conceptual model of occupational well-being, including categorization of the hypothesized determinants of well-being into 3 domains, correlations among the domains, and association of the domain scores with burnout and professional fulfillment. Further research is needed to test causal relationships hypothesized by the model.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631036","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":"Length of Tenure of U.S. Medical School Deans Who Started in Their Position from Academic Year 1959-1960 to 2018-2019.","authors":"Archana Chatterjee, Lawrence S Chin, Hannah Connolly, Jordan S Dutterer, Charles P Mouton, Mark A Schuster, Ann Steinecke","doi":"10.1097/ACM.0000000000006028","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006028","url":null,"abstract":"<p><strong>Purpose: </strong>Medical school dean transitions can be broadly disruptive. The authors explored deans' median length of tenure and organizational characteristics that may affect that tenure.</p><p><strong>Method: </strong>The authors analyzed Association of American Medical Colleges (AAMC) Council of Deans data to calculate the median tenure of all first-time deans at AAMC-member medical schools (July 1959 to June 2019; n = 1,166). They generated survival curves for all deans in the study period and for only first-time permanent deans, including interim deans who became permanent at the same institution (n = 869). The authors calculated median tenure as the median of the median of each 5-year cohort in the curves. Additionally, they examined length of tenure by organizational characteristics: public versus private, region, financial relationship to the university, and research intensity.</p><p><strong>Results: </strong>The median length of tenure of all deans was 4.3 years, for first-time permanent deans (i.e., excluding interim-only deans) was 5.9 years, and for deans in the most recent 15 years was 6.0 years. Median length of tenure of deans at public institutions was shorter (3.9 years) than at private institutions (4.8 years); varied by region: Northeast = 5.3 years, Central = 4.8, South = 3.8, West = 3.8; was longer at institutions that are part of a university (4.8 years) versus freestanding (3.8 years); and at research-intensive (6.7 years) compared with non-research-intensive institutions (3.8 years). A histogram by year revealed a normal data distribution with a mode of 3 to 4 years.</p><p><strong>Conclusions: </strong>Length of tenure was stable over time for all dean types and when isolating for first-time permanent deans; however, the most common time for deans to leave was in 3 to 4 years. Additional research on factors related to turnover is needed, as are supportive resources and programs to improve dean development and success.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626097","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}