ATS scholar最新文献

{"title":"Identifying Gaps in Care Between a Fellow and Faculty Pulmonary Practice.","authors":"Camilla Regalia, Joshua Tanzer, Rachel Sanders, Kayla Thatcher, Sarah Lawler, Sarah Andrea, Debasree Banerjee","doi":"10.1093/atsscholar/aapag027","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag027","url":null,"abstract":"<p><strong>Rationale: </strong>Academic medical centers have concurrent responsibilities to train clinicians and provide patient care, particularly for underserved populations, while remaining financially solvent. These priorities are not easily aligned and can incentivize workflows that perpetuate health disparities. While there are documented discrepancies in care delivery and patient satisfaction among trainee and faculty primary care clinics, it is unknown whether these disparities are present in medical subspecialty clinics.</p><p><strong>Objectives: </strong>We aim to analyze the quality of care metrics in a fellow-run and attending-run pulmonary clinic at a large academic medical center.</p><p><strong>Methods: </strong>This is an observational mixed-methods study with balanced sampling between fellow and faculty clinics to ensure representation of marginalized populations. Patients completed a multi-component survey probing patient satisfaction and social desirability, as well as open-ended survey questions on treatment access and experience. Clinic metrics on vaccination rates, smoking cessation counseling, and lung cancer screening were abstracted from the electronic medical record.</p><p><strong>Measurements & main results: </strong>Both clinics delivered high patient satisfaction and clinical outcomes related to provider care and facility infrastructure. We note comparable adherence to quality metrics between fellow and faculty clinics. Patient satisfaction with clinic infrastructure and provider interactions did not differ by clinic or by race (P > .05 for all tests); however, Latiné participants, particularly primary Spanish speakers, reported more difficulty accessing their respective clinic (average = 4.83 out of 5; versus 4.33, P = .02). Qualitative analyses revealed three response themes: systemic barriers to care, minimization of lived experiences, and supportive or positive encounters.</p><p><strong>Conclusions: </strong>Despite infrastructure limitations in our trainee clinic, there were no significant differences in standards of care and patient satisfaction among fellow and faculty clinics were comparable. Further studies may elucidate gaps in patient experience and care delivery as experienced by patients and clinicians.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058480","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":"What We Took With Us: Six Intensivists Reflect on COVID-19 at the Five-Year Anniversary.","authors":"Erin Camac, Enrique Pacheco, Argun D Can, Hitesh H Patel, Lilit Sargsyan, Avraham Z Cooper","doi":"10.1093/atsscholar/aapag026","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag026","url":null,"abstract":"<p><p>The COVID-19 pandemic was a generational event in intensive care medicine, creating lasting impacts on clinicians' wellbeing, professional identity, and sense of community.1,2 At the five-year anniversary, we six intensivists shared our experiences of patient care and resilience. Though from different cities, diverse institutions, and at varied stages of our careers, we recognized common threads in our experiences. From those conversations, a collaborative act of remembrance emerged. Each of us wrote two drabbles. A drabble is an exactly-100-word story, a compelling format for communicating the often fragmentary memories of our experiences. Each drabble is a story of care for COVID-19 critical illness, culminating in twelve pieces which we have stitched together into a mosaic of memories. Each drabble's title is that story's opening phrase, in the iconic style for which Emily Dickenson is most known. These drabbles were written in prose and limited to patient-care experiences. A drabble was selected for each phase of care: initial presentation, intubation, hospitalization, and the after-effects of the pandemic. This format mirrors the fragments of memory we carry- compressed, sharp, enduring, and shared with other intensivists from across the world. In crafting these narratives, we both processed our own experiences and created something that may resonate with others. Storytelling became bridge and balm, linking us to one another and to our wider community of healers.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984590","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":"Matchmaking: trends in the nrmp sleep match.","authors":"Victor Chun, Varun Badami, Armand Ryden, Alexandre R Abreu, Oleg Y Chernyshev, Montserrat Diaz-Abad, Glen P Greenough, Scott Kutscher, Joyce Lee-Iannotti, Irfan Muna, Iris Perez, Lauren Tobias, Lynn Marie Trotti, Michael E Yurcheshen, Michelle R Zeidler","doi":"10.1093/atsscholar/aapag025","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag025","url":null,"abstract":"<p><strong>Background: </strong>Over the past few years there have been major changes impacting the Sleep Fellowship application process. These changes included a shift to virtual interviews for the 2020 interview season and alignment of the sleep fellowship match date with the American Medical Board Specialties match date for the 2021 interview season.</p><p><strong>Objective: </strong>Our study evaluates their effects on applicant numbers and feeder specialties as well as program directors' perspectives on outcomes of these changes.</p><p><strong>Methods: </strong>A survey was sent to all program directors of ACGME-accredited Sleep Fellowship programs in April 2022. In addition, a request for aggregate deidentified sleep applicant rank list and match data was submitted for the sleep match for academic years from 2012 to 2024.</p><p><strong>Results: </strong>For the 2020 and 2021 interview seasons, program directors agreed that they received more applicants than the years before though they did not feel that this affected their match results or overall recruitment. Most program directors were in favor of these changes. The NRMP data supported these trends. The ratio of applicants to position increased over 1.0 for the first time in 2021 and has remained over 1.0 since then. However, the increase in applicants in 2022 and 2023 were entirely driven by those who ranked sleep as their non-preferred specialty.</p><p><strong>Conclusion: </strong>The advent of virtual interviews has allowed applicants to apply to more programs. The alignment of the sleep fellowship match further increased the number of applicants. However, the increase appears partially related to more applicants ranking sleep medicine as their non-preferred specialty.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984555","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":"Evaluating Acute Respiratory Failure after Targeted Cancer Therapies.","authors":"Julia Carter, Rupali Sood, Thomas A Di Vitantonio, R Scott Stephens, Kristina Montemayor","doi":"10.1093/atsscholar/aapag015","DOIUrl":"10.1093/atsscholar/aapag015","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500775","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":"Hemorrhagic Shock and the \"Lethal Diamond\".","authors":"John J Popovich, Hitesh H Patel","doi":"10.1093/atsscholar/aapag012","DOIUrl":"10.1093/atsscholar/aapag012","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463607","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":"Gendered Language in Letters of Recommendation for Interventional Pulmonology Fellowship Candidates.","authors":"Matthew Glick, Erin BeDiasi, Christine Argento, Jason Akulian, Laura Frye","doi":"10.34197/ats-scholar.2025-0029OC","DOIUrl":"10.34197/ats-scholar.2025-0029OC","url":null,"abstract":"<p><strong>Background: </strong>Sex-based disparities persist in procedural subspecialties, including interventional pulmonology (IP). Letters of recommendation (LORs) are critical in fellowship applications, and prior research suggests sex-based bias in LORs for female candidates.</p><p><strong>Objective: </strong>To evaluate gendered language and structural differences in LORs for IP fellowship candidates by applicant and letter writer sex.</p><p><strong>Methods: </strong>This study analyzed 461 LORs from IP fellowship applications during the 2022 and 2023 cycles. LORs were deidentified and analyzed using the Linguistic Inquiry and Word Count program, supplemented by a custom dictionary capturing agentic, communal, and family terms. Statistical analyses assessed differences by applicant and letter writer sex, practice type, and academic rank.</p><p><strong>Results: </strong>A total of 461 LORs were reviewed. No significant differences were found in LOR length by applicant or writer sex. The frequency of agentic and communal terms was similar across groups. However, female letter writers used significantly more family-related terms than male letter writers did (0.16 vs. 0.09; P = 0.002). Secondary analyses revealed no consistent meaningful differences by letter writer age, practice type, or rank.</p><p><strong>Conclusion: </strong>This study found limited evidence of sex-based bias in LORs for IP fellowship candidates. The results underscore the need for continued awareness and training to promote equity in the application process.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"7 1","pages":"44-51"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13230999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446062","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":"A Bedside Assessment of Auto-Positive End-Expiratory Pressure: Identifying Expiratory Flow Limitation.","authors":"Eduardo M H Padrao, Margaret M Hayes, Elias N Baedorf Kassis","doi":"10.34197/ats-scholar.2025-0073OT","DOIUrl":"10.34197/ats-scholar.2025-0073OT","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"7 1","pages":"86-88"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446119","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":"Best practices from the Association of Pulmonary and Critical Care Medicine Program Directors for social media use with emphasis on virtual recruitment.","authors":"Allison A Greco, Saadia A Faiz, Viren Kaul, Joyce Reitzner, Dawn MacGregor, Alex Garbarino","doi":"10.1093/atsscholar/aapaf002","DOIUrl":"10.1093/atsscholar/aapaf002","url":null,"abstract":"<p><p>Since the COVID-19 pandemic, the need to develop innovative strategies for virtual engagement and interaction has emerged. There has been a growing emphasis on online recruitment strategies for most medical specialties. For the last several interview seasons, many national organizations have recommended that fellowship interviews be conducted virtually for all applicants. Social media represents a powerful tool for both the program and the applicants. However, there remains a paucity of data published on social media use for virtual recruitment in pulmonary and critical care medicine (PCCM). Here, we review the available data for virtual recruitment and propose best practices for PCCM programs. Our social media strategy outlines specific and practical steps that form the framework for a social media charter including defining the goal and audience, following institutional guidelines, choosing appropriate platform(s), identifying and defining an account management plan, devising a strategy for content generation and posting, and continuing to reassess and optimize the process. Our best practices provide a practice framework for PCCM programs, both novice and advanced, for social media use. They also emphasize a need for more research on social media's impact on future recruitment cycles while providing a better understanding of current practices for applicant program selection and virtual recruitment.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"7 1","pages":"67-73"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446091","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":"Assessment of critical care education in the context of a Tele-ICU implementation.","authors":"Marieta Cabral Amaral da Cunha, Paulo Miranda Cavalcante Neto, Carolina Vieira de Campos, Eduardo Leite Vieira Costa, Pedro Rizzi de Oliveira, Thais Suemi Yokoyama, Jhenifer Melissa de Oliveira Correia, Clarice Pagani Savastano, Juliana Carvalho Ferreira, Marcelo Britto Passos Amato, Carlos Roberto Ribeiro Carvalho","doi":"10.1093/atsscholar/aapaf004","DOIUrl":"10.1093/atsscholar/aapaf004","url":null,"abstract":"<p><strong>Background: </strong>There's a gap in understanding how healthcare workers perceive professional development activities and goals, specifically within a Tele-ICU environment. Gaining this knowledge is crucial for optimizing educational strategies and fostering professional engagement in this specialized setting.</p><p><strong>Objective: </strong>This study aimed to describe the implementation of educational activities for a multidisciplinary team directly involved in patient care, as a component of the Tele-ICU project named TeleUTI Conectada.</p><p><strong>Method: </strong>This is a prospective study conducted within the TeleUTI Conectada project, involving 8 Brazilian ICUs. The educational component was delivered through 3 distinct methodologies: in-person simulation, asynchronous, and synchronous online classes. The Net Promoter Score (NPS) and additional questionnaires to assess professionals' self-perceived knowledge were applied. The participants' performance was assessed by comparing the initial and final scores of the asynchronous classes. Variables were summarized using median (IQR) or frequency (%). The Kruskal-Wallis rank sum test was used to compare the differences between the initial and final scores of the asynchronous classes and the differences between professional performance. A P-value <.05 was considered significant for all analyses.</p><p><strong>Results: </strong>Between December 2023 and October 2024, 285 professionals were recruited to participate in educational activities. The majority of participants were female (202/285, 71%), with a median age of 36 years (31, 43). Nurses comprised the largest group of participants (161/285, 56.5%). Across all learning strategies, the course was highly rated, as indicated by the NPS and corroborated by the additional self-perception questions. The asynchronous course exhibited lower scores on both NPS and additional questionnaires, though without a statistically significant difference observed among professional groups. Participants expressed positive perceptions of the courses having met their expectations, enhanced their knowledge, and the content being applicable to their clinical practice. The median test scores comparing the initial and final scores of the asynchronous classes showed significant improvement within the respiratory therapist and nursing team.</p><p><strong>Conclusion: </strong>This study described the implementation of a multidisciplinary education program within the TeleUTI Conectada project. It may offer a viable model for essential critical care training in remote areas with limited access to specialized healthcare professionals.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"7 1","pages":"52-59"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446076","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":"Enhancing a diverse population: the American Thoracic Society Mentoring Program for Underrepresented in Medicine.","authors":"Kimberley C W Wang, Kimberly Lawrence, Juan P Wisnivesky, Alejandro A Diaz","doi":"10.1093/atsscholar/aapaf009","DOIUrl":"10.1093/atsscholar/aapaf009","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"7 1","pages":"1-3"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446115","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}