ATS scholar最新文献

{"title":"These Ghoulish Hands: Bringing Our Whole Selves to Patient Care.","authors":"Justin L Bullock","doi":"10.34197/ats-scholar.2025-0013SN","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0013SN","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Resources and Structure on Scholarly Productivity in Pediatric Critical Care Fellowship.","authors":"Andrew G Smith, Danny Castro, Caroline Andy, Angela S Czaja, Donald L Boyer, Erika L Abramson, Pnina Weiss, Richard B Mink","doi":"10.34197/ats-scholar.2025-0020OC","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0020OC","url":null,"abstract":"<p><p><b>Background:</b> Pediatric critical care medicine (PCCM) fellowship structures vary widely among programs and have not been examined since 2006. The development of scholarly knowledge and skills is an important part of fellowship training. However, the optimal PCCM fellowship structure to enable fellows' scholarly productivity is unknown. <b>Objective:</b> We examined PCCM fellowship time structure and resources to better understand their association with scholarly productivity. <b>Methods:</b> This is a secondary analysis of cross-sectional survey data from PCCM fellowship program directors. We defined highly productive programs as those in which greater than 75% of fellows published papers from their scholarly projects in the previous 5 years. Analyses investigated the association of scholarly productivity with dedicated scholarship time and program resources and barriers. <b>Results:</b> Forty-nine of 65 PCCM fellowships (75%) completed the survey. Only 20% of fellowships reported that greater than 75% of fellows published papers from their scholarly projects. Median total scholarly activity time was 16 months (interquartile range, 10-18 mo). The total amount of time devoted to scholarly activity was not associated with highly productive programs. Among resources and barriers, only T32 training grants were associated with highly productive programs. <b>Conclusion:</b> We found no relationship between time allocated to scholarly activity and high scholarly productivity in PCCM fellowships. Hence, programs that wish to increase fellows' scholarly productivity should not rely solely on providing more time for scholarly activity. Aside from T32 training grants, no specific resource or barrier that we evaluated is related to productivity.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Failure to Thrive.","authors":"Anna K Brady","doi":"10.34197/ats-scholar.2025-0014SN","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0014SN","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Final Acts of Love.","authors":"Kalaila L Pais","doi":"10.34197/ats-scholar.2025-0001VL","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0001VL","url":null,"abstract":"<p><p>Discussions and acts surrounding end-of-life care are a daily occurrence in the intensive care unit (ICU) and are influenced by cultural, spiritual, and socioeconomic factors. This reflective essay explores the complexities of providing end-of-life care through my experience as an Indian immigrant, medical student at a historically Black university, and resident physician in a large quaternary medical center. It examines the disparities and cultural dissonance that currently exist in end-of-life care with regard to ethnic minority patients and families. The essay advocates for improved cultural sensitivity among healthcare providers and concludes with a call for initiatives that bridge respect for diverse perspectives on life and death.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of College Summer Student Experience at an Advanced Lung Disease and Transplant Program.","authors":"Steven D Nathan, Shambhu Aryal, Edwinia Battle, A Whitney Brown, Megan Harbour, Vikramjit Khangoora, Merte Lemma Woldehanna, Astrid Munoz, Alan Nyquist, Oksana A Shlobin, Anju Singhal, Jeannie Taylor, Christopher Thomas, Jared Wilkinson, Christopher King","doi":"10.34197/ats-scholar.2024-0111BR","DOIUrl":"https://doi.org/10.34197/ats-scholar.2024-0111BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Continuing Professional Development through Active Collaboration.","authors":"Nitin Seam, Joseph Green, David W Price","doi":"10.34197/ats-scholar.2024-0115PS","DOIUrl":"https://doi.org/10.34197/ats-scholar.2024-0115PS","url":null,"abstract":"<p><p>Continuing professional development (CPD) offerings in pulmonary and critical care medicine, such as grand rounds lectures and online trainings, are traditionally chosen on the basis of physician interest or expert opinion. The current era of rapid growth in medical innovation requires high-value education for clinicians to prevent decay of knowledge and learn new skills, with an eye to addressing performance gaps and improving clinical outcomes, rather than meeting local licensing requirements. Faculty development for CPD on how to explicitly plan and design high-value educational interventions for faculty members and measuring improvements in practice is needed. CPD courses should adhere to principles of effective adult learning, with faculty members taught to incorporate active learning strategies into multimodal, longitudinal educational interventions that are most effective in translating learning into sustained practice. CPD activities should allow time for reflection, practice, and feedback and include practical tips so that attendees can immediately apply learnings in their work setting. Providers of CPD should work with local quality improvement and implementation leaders so that CPD aligns with complex organizational needs and clinical gaps so that offerings are directed at improving clinical care at the local level. We suggest that organizations identify \"just one opportunity\" to develop such an intervention that addresses a local organizational priority, with buy-in from clinician educator collaborators with leadership sponsors. Organizations should further incentivize such work with local and regional scholarship opportunities that provide academic recognition for the efforts. Creative strategies may be necessary to provide resources for such high-value CPD. Regional interinstitutional learning collaboratives may be helpful in sharing infrastructure, conserving cost, sharing faculty members, and providing space and equipment to develop CPD programs that are of mutual interest to local healthcare systems. Evidence-based guidelines and implementation materials provided by national professional societies can be adapted by local CPD teams to their organizational context. Education researchers involved in these programs could pursue small grants from foundations or government agencies to help defray costs.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Virtual and In-Person ATS Methods in Epidemiologic, Clinical, and Operations Research Programs.","authors":"Özge Yılmaz, Zuhal Karakurt, Eylem Tuncay, Sinem Güngör, Sonia Buist","doi":"10.34197/ats-scholar.2024-0129OC","DOIUrl":"https://doi.org/10.34197/ats-scholar.2024-0129OC","url":null,"abstract":"<p><p><b>Background:</b> The Methods in Epidemiologic, Clinical, and Operations Research (MECOR) program of the American Thoracic Society aims to strengthen research capacity in low- and middle-income countries. <b>Objective:</b> To compare the impact of online versus in-person MECOR level 1 and level 2 courses in Türkiye on program and research project completion rates and to understand student preferences for alternative program delivery. <b>Methods:</b> We enrolled all students who participated in MECOR Türkiye level 1 courses from 2020 to 2023. Through an online questionnaire, we collected information on progress of the research project developed at MECOR levels 1 and 2 and the students' progression through the end of the program. Research project progression (from design to data analysis) and three-level MECOR course completion was compared between the delivery methods, and student preference of online versus in-person courses was evaluated. <b>Results:</b> Sixty-five students attended MECOR course level 1 from 2020 to 2023, among whom 61 responded to the questionnaire. For the level 1 course, there was no statistical difference in completion rates of research projects in online versus in-person courses (<i>P</i> = 0.22). The preference for online teaching was higher (40%) among those who attended the online offering than among those who attended the in-person course (9.8%; <i>P</i> = 0.005). Forty students attended a MECOR level 2 course; numerically more students (87.5%) who attended an in-person course were at a data collection/analysis stage of their research project compared with the online students (56.3%; <i>P</i> = 0.10). At level 2, 12 students (37.5%) who attended online and 4 (50%) who attended in person also completed level 3 (<i>P</i> = 0.56). There was no significant difference between the groups who took level 2 in person versus online in preference of course format (78.1% and 87.5% preferred in-person level 2, respectively; <i>P</i> = 0.86). <b>Conclusion:</b> Completion rates of research projects planned during the course and the overall program completion were not significantly affected by the virtual or in-person nature of the level 1 or level 2 MECOR courses, and the students' preferences for virtual courses vary depending on their own experience.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Task Analysis to Evaluate Resident Physician Decision Making in the Intensive Care Unit.","authors":"Jason N Mansoori, Stephanie Gravitz, Kathryne D Reed, Jennifer K Taylor, Edward P Havranek, Jodi S Holtrop, Ivor S Douglas","doi":"10.34197/ats-scholar.2025-0009OC","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0009OC","url":null,"abstract":"<p><p><b>Background:</b> Heuristics are commonplace among novices and experts making clinical decisions, often guided by clinical intuition when there is diagnostic or therapeutic uncertainty. Compared with more experienced clinicians, trainees may lack the knowledge, insight, and intuition needed to appropriately select and apply heuristics and clinical decision rules. An improved understanding of the mental models and contextual factors that predispose trainees to misapplied heuristics, cognitive biases, and other decision-making errors is needed. <b>Objectives:</b> To test the use of cognitive task analysis for examining how trainees make high-risk decisions in complex, dynamic, and real-world practice environments. <b>Methods:</b> We conducted semistructured interviews between September 2019 and March 2020 using a cognitive task analysis technique called the critical decision method. Participants were third-year internal medicine resident physicians rotating in the medical intensive care unit at a major safety-net academic hospital. Interviews focused on fluid-resuscitation decisions for actual patients with septic shock. Data were coded and analyzed using a template approach with the Recognition-Primed Decision model as the guiding framework. <b>Results:</b> Eleven of 23 eligible residents completed a full interview. The median time from initial sepsis care to interview was 7 days (interquartile range, 6.5-11 d). Seven key domains related to fluid-resuscitation decisions were identified: cues, information, decision making, decision alternatives, analogs, expected outcomes, and goals. In addition to objective clinical data (e.g., serum lactate concentration), fluid-resuscitation decisions were most significantly influenced by clinical intuition, other nonphysiological contextual factors, and volume-based heuristics. For example, residents frequently prescribed fluid dependent on the total volume already administered. They assumed that patients receiving more than 3-5 L would not benefit from additional resuscitation, while using the same heuristic to disregard evidence-based predictors of fluid responsiveness. Evidence of related cognitive biases was also found, including premature closure, confirmation bias, and status quo (or default) bias. <b>Conclusions:</b> Cognitive task analysis is a promising tool for examining how trainees make high-risk clinical decisions. Better understanding the nature of trainees' heuristics and cognitive biases has implications for designing educational and training strategies that improve their clinical reasoning.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based Educational Intervention for Lung Cancer Screening for Non-Hispanic Black Adults.","authors":"Francesca C Duncan, Edwin J Jackson, Lauren D Nephew, Noah B Davis, Mychael T Spencer, Brendon D Truax, Catherine R Sears","doi":"10.34197/ats-scholar.2025-0010BR","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0010BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Walter <i>et al.</i>: The Importance of \"Yes, and…\": Communication Skills Training for Pulmonary and Critical Care Medicine Fellows.","authors":"Lauren J Van Scoy, Allison M Scott, Heather Costigan, John Madara, David Chu","doi":"10.34197/ats-scholar.2024-0145LE","DOIUrl":"10.34197/ats-scholar.2024-0145LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"6 2","pages":"258-259"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531364","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}