Academic Medicine最新文献

{"title":"Rethinking Milestone Validity in Graduate Medical Education.","authors":"Joel Yager, Richard F Summers, Sidney Zisook","doi":"10.1097/ACM.0000000000005957","DOIUrl":"10.1097/ACM.0000000000005957","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"529-530"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848377","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":"Appreciating Appreciation: Residents' Experience Feeling Valued Differently as Learners, Physicians, and Employees.","authors":"Rosa Bogerd, Milou E W M Silkens, José P S Henriques, Kiki M J M H Lombarts","doi":"10.1097/ACM.0000000000005959","DOIUrl":"10.1097/ACM.0000000000005959","url":null,"abstract":"<p><strong>Purpose: </strong>Cultures of wellness, defined as shared norms, values, attitudes, and behaviors that promote personal and professional growth and well-being, are robust determinants of professional fulfillment and professional performance. A major and largely overlooked aspect of a culture of wellness in medicine is residents' perceived appreciation or experience of feeling valued. Considering the pressing workforce and retention challenges that residency programs face, this study addressed the following research questions: How does appreciation at work manifest in the eyes of residents and how do residents perceive appreciation in relation to their professional fulfillment and performance?</p><p><strong>Method: </strong>Guided by an interpretative phenomenological approach, this qualitative study purposively sampled 12 residents from different specialties, training years, regions in the Netherlands, and genders. Residents' individual experiences with appreciation at work were explored in semistructured interviews conducted between October 2022 and March 2023. Thematic analysis was used for data analysis.</p><p><strong>Results: </strong>Residents perceived appreciation as \"being seen and heard\" and further described how appreciation at work manifested using 3 narratives. As learners, residents felt appreciated when their competencies were acknowledged and supervisors created room for individual growth. As physicians or colleagues, residents felt appreciated when they experienced meaningful patient contact, high levels of collegiality, and self-appreciation through successes at work. As employees, residents felt appreciated when their (extra) efforts were noticed, they were properly facilitated in their work and training, and their well-being was prioritized. Residents said that receiving appreciation boosted their mental health, self-confidence, professional commitment, and professional fulfillment, thereby benefiting their performance and the quality of patient care they deliver.</p><p><strong>Conclusions: </strong>Appreciation at work is important for residents and manifests itself within the narratives of the learner, physician or colleague, and employee. Which narrative is foregrounded depends on context, but regardless, feeling \"seen and heard\" at work is crucial for residents' fulfillment and performance.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"578-584"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928416","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":"Studying the Role of Medicine in Nazism and the Holocaust to Shape Professional Identity Formation.","authors":"Hedy S Wald, Jesse M Ehrenfeld","doi":"10.1097/ACM.0000000000005988","DOIUrl":"10.1097/ACM.0000000000005988","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"530"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076345","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 Dante Project and The Gates of Hell: The Anatomy of Movement.","authors":"Beatriz Stix-Brunell, Jordan Burgess, James Chang","doi":"10.1097/01.ACM.0001111704.10022.34","DOIUrl":"https://doi.org/10.1097/01.ACM.0001111704.10022.34","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":"100 5","pages":"559"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163561","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":"Experience of Medical School Faculty in the Transition From Lectures to Active Learning: A Phenomenographic Study.","authors":"Kathryn N Huggett, Gary A Smith, Peggy H Hsieh, Allison R Ownby","doi":"10.1097/ACM.0000000000005967","DOIUrl":"10.1097/ACM.0000000000005967","url":null,"abstract":"<p><strong>Purpose: </strong>Although there is a robust literature on the benefits and outcomes of active learning in medical education, little is known about the faculty experience of transitioning from lecture-based teaching to active learning in the preclinical, foundational science curriculum. The authors explored how faculty describe changing from lecture to active learning and how that change relates to the loci of control and basic psychological needs of faculty.</p><p><strong>Method: </strong>Using a phenomenographic approach, the authors interviewed faculty at 3 medical schools who taught before, during, and after required shifts to active learning. Interviews were conducted, recorded, and transcribed between February and May 2022. Open-ended interview questions were developed to allow participants to share significant experiences and perspectives. The researchers collaboratively attributed participants' statements into categories of description of the change phenomenon. These categories were then grouped into an outcome space that represented aspects of the phenomenon and the relationships among them.</p><p><strong>Results: </strong>The 15 participants described the change in instructional focus from lecture to active learning in 2 fundamentally different ways, defining the outcome space as 2 parallel sets of categories of description. A process set of categories describes the change in instructional focus from lecture to active learning as a process of instructional change, change in role, and socialization with other educators. The other categories correspond to motivation or demotivation via external and internal regulations related to self-determination theory.</p><p><strong>Conclusions: </strong>This study offers valuable insights into the interconnected aspects of this educational transformation, providing perspectives that can guide future efforts in curriculum redesign and faculty support programs. Recommendations include engaging faculty in all stages of the transition, acknowledging and building on existing pedagogical innovation at the school, and providing options for faculty rather than a single prescribed approach. Future research should explore optimal approaches, timing, and support for curricular transitions.</p>","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"621-627"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958389","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":"Diagnosis: Nathaniel J. Brown, MD, PhD.","authors":"Nathaniel J Brown","doi":"10.1097/ACM.0000000000005979","DOIUrl":"10.1097/ACM.0000000000005979","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"560"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025635","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":"Dealing With Medical Realities-Pessimism or Realism?","authors":"Beatrice T B Preti","doi":"10.1097/ACM.0000000000005986","DOIUrl":"10.1097/ACM.0000000000005986","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"645"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069339","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 Dante Project and The Gates of Hell : The Anatomy of Movement.","authors":"","doi":"10.1097/ACM.0000000000005990","DOIUrl":"10.1097/ACM.0000000000005990","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":" ","pages":"558-559"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076322","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 \"Diagnosis\".","authors":"Nathaniel J Brown","doi":"10.1097/01.ACM.0001111708.02711.be","DOIUrl":"https://doi.org/10.1097/01.ACM.0001111708.02711.be","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":"100 5","pages":"561"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163556","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":"Recognizing the Work and Well-Being of Residency and Fellowship Program Coordinators.","authors":"Laura Weiss Roberts, Max Kasun","doi":"10.1097/ACM.0000000000006011","DOIUrl":"https://doi.org/10.1097/ACM.0000000000006011","url":null,"abstract":"","PeriodicalId":50929,"journal":{"name":"Academic Medicine","volume":"100 5","pages":"525-526"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163668","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}