Teaching and evaluating quality improvement (QI) is one corollary of new competency requirements in practice- and systems-based learning and improvement. This study explored the impact of the Preventive Cardiology Practice Improvement Module (PC- PIM) on residency clinics. Results from 22 clinic interviews indicated merit in using the PC-PIM to teach ...

Initiating and sustaining sufficient levels of participation among residents in low-income and urban neighborhoods have become significant focuses of many initiatives that strive to develop healthy communities. This study examines the factors associated with citizen participation levels in resident leaders and followers in seven low-income neighborhoods in one community. Overall, ...

BACKGROUND: The morbidity and mortality conference (M&M) is a key component of the performance improvement process. The audience response system (ARS) has been shown to improve audience participation and promote more truthful responses in various settings. We implemented the ARS in our trauma M&M and evaluated the responses we received ...

BACKGROUND: Morbidity and Mortality conferences (M&M) are used to meet many of the Core Competencies required by the Accreditation Council of Graduate Medical Education for residency training programs. This study seeks to describe and quantify different types of M&M conferences among Emergency Medicine (EM) training programs. METHODS: A confidential survey ...

OBJECTIVE: This study explores physical medicine and rehabilitation (PM&R) residents' attitudes, knowledge, and perception of health care policy in the context of systems-based practice, one of the Accreditation Council for Graduate Medical Education's core competencies for residency training. DESIGN: A cross-sectional, observational design was used via survey administration. These surveys ...

OBJECTIVE: Emergency residency training programs, which have been developing in Turkey over the last 14 years, have been improving emergency health services by training each year a significant number of emergency medicine specialists. Sufficient data about these emergency residency training programs is not currently available. The purpose of this study ...

BACKGROUND: Resident evaluation is a complex and challenging task, and little is known about what assessment methods, predominate within or across specialties. AIMS: To determine the methods program directors in Canada use to assess residents and their perceptions of how evaluation could be improved. METHODS: We conducted a web-based survey ...

OBJECTIVE: The objective of our study was to evaluate the preparedness of postgraduate year (PGY)-2 residents for independent call responsibilities and the impact of the radiology residency training program on call preparedness using an objective DICOM-based simulation module over a 5-year period. MATERIALS AND METHODS: A month-long emergency radiology lecture ...

Residency training in urologic surgery should change to an educational experience driven by outcomes instead of process. The needs analysis for curriculum modification has been completed and defines the competencies (enduring skills) of the complete physician. The challenge now rests with organizational leaders of urology to design programs that ensure ...

PURPOSE: To investigate ophthalmology residency program leadership expectations regarding resident competency in retinal procedures by graduation and to investigate resident experience performing retinal procedures. METHODS: A survey was emailed to the program director at each accredited US ophthalmology training program. RESULTS: Completed surveys were received from 37/117 (32%) programs. Most ...

BACKGROUND: Attrition of general surgery residents is of continued concern in graduate medical education. It results in loss of morale and resources and often leaves programs scrambling to find replacement residents. The aim of this study was to evaluate the incidence of attrition of categoric general surgery residents as well ...

OBJECTIVE: To survey adult neurology program directors (ANPD) to identify their most pressing needs at a time of dramatic change in neurology resident education. METHODS: All US ANPD were surveyed in 2007 using an instrument adjusted from a 1999 survey instrument. The goal was to characterize current program content, the ...

BACKGROUND: Chart review represents a critical cornerstone for practice-based learning and improvement in our internal medicine residency program. OBJECTIVE: To document residents' performance monitoring and improvement skills in their continuity clinics, their satisfaction with practice-based learning and improvement, and their ability to self-reflect on their performance. DESIGN: Retrospective longitudinal design ...

BACKGROUND: Interest in global health during postgraduate training is increasing across disciplines. There are limited data from surgery residency programs on their attitudes and scope of activities in this area. This study aims to understand how global health education fits into postgraduate surgical training in the US. STUDY DESIGN: In ...

PURPOSE: Although a 12-month clinical internship is the traditional precursor to a radiation oncology residency, the continuance of this mandated training sequence has been questioned. This study was performed to evaluate the perceptions of current radiation oncology residents with respect to the value of their internship experience. METHODS AND MATERIALS: ...

BACKGROUND: Objective evaluation of neurology resident clinical skills is required by the American Board of Psychiatry and Neurology and is important to insure improvement in clinical competency throughout their residency. METHODS: In this study, neurology residents from all 3 years of training and neurology faculty independently completed a form on ...

This work was designed to investigate the teaching of induced abortion to allopathic medical doctors in the twentieth-century United States. Elective termination of pregnancy is an extremely common procedure in the United States (1). While abortions have been and continue to be performed by nurses and midwives as well as ...

BACKGROUND: The internship or first year (PGY 1) of anesthesiology training may be categorical (within anesthesiology), or obtained in more diverse settings. Revisions recently proposed in the training requirements incorporated the PGY 1 into the existing curriculum. PURPOSES: We studied whether this change improved measurable outcomes. METHODS: There were 518 ...

BACKGROUND: IMGs constitute about a third of the United States (US) internal medicine graduates. US residency training programs face challenges in selection of IMGs with varied background features. However data on this topic is limited. We analyzed whether any pre-selection characteristics of IMG residents in our internal medicine program are ...

Two examples of mutual-help approaches for substance abuse recovery are 12-step groups (AA and NA) and Oxford House. The present study examined the combined effects of AA and Oxford House residence on abstinence over a 24-month period with 150 individuals randomly assigned to either an Oxford House or to usual ...

BACKGROUND: It is well known that there is a growing shortage of academic dermatologists in the U.S. The number of graduates of foreign dermatology residencies (GFDR) and graduates of military dermatology residencies (GMDR) who take full-time academic dermatology positions are currently unknown. It is likely that a higher proportion of ...

BACKGROUND: Surgical training places unique stresses on residents that can lead to decreased levels of presenteeism. We hypothesized that presenteeism levels could be positively influenced by improving workplace hygiene. METHODS: a cohort of surgical residents was asked to complete the Stanford Presenteeism Scale: Health Status and Employee Productivity (SPS-6) questionnaire ...

OBJECTIVE: The authors discuss the curricular implications of a research project originally designed to evaluate the instructional strategy of using standardized patients in a psychotherapy training seminar. METHODS: The original project included second-year residents enrolled in an introductory psychotherapy seminar that employed sequential meetings with standardized patients. Residents were videotaped ...

OBJECTIVE: Educational program evaluation and program improvement are processes that can be enhanced by involving multiple stakeholders and measurement tools. The purpose of this study was to compare faculty and resident physician perceptions of both teaching quality and resident competence for 13 core psychiatric skills and the six Accreditation Council ...

PURPOSE OF THE REVIEW: To review the literature for recent work that will help educators develop programs to produce residents who are competent cataract surgeons. RECENT FINDINGS: Medical educators feel increasing pressure from the Accreditation Council for Graduate Medical Education (ACGME) to emphasize competence in our residency program graduates. Residency ...

BACKGROUND: Internists care for women of reproductive age, but little is known about internists' training in contraceptive counseling or provision of contraceptive methods. METHODS: We surveyed 152 residents in nine internal medicine programs in Los Angeles County during the 2004-2005 academic year. The self-administered, 29-item survey included demographic, contraceptive practice ...

BACKGROUND: To address evidence-based effective communication skills in the formal academic half day curriculum of our core internal medicine residency program, we designed and delivered an interactive session using excerpts taken from medically-themed television shows. METHODS: We selected two excerpts from the television show House, and one from Gray's Anatomy ...

To determine whether participation in educational conferences utilising iPod technology enhances both medical knowledge and accessibility to educational content among medical residents in training. In May 2007, the authors led a randomised controlled study involving 30 internal medicine residents who volunteered either to attend five midday educational conferences or to ...

OBJECTIVE: This study evaluates whether a course that was designed for first-year psychiatric residents and that specifically addressed psychodynamic principles fostered residents' progress in knowledge, skills, and attitudes regarding these concepts. METHODS: The course was given in the 2005 academic year to all residents (N=18) in their first psychiatric postgraduate ...

BACKGROUND: It is increasingly recognized that mentoring is important in the career development of resident physicians. The purpose of the study was to determine the views of residency Program Directors on mentorship through a cross sectional survey. METHODS: Respondents included program directors of academic dermatology departments in the United States. ...

OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) mandates that residency Program Directors (PD) monitor resident well-being, including stress. Burnout, as a measure of work-related stress, is defined by a high degree of emotional exhaustion and depersonalization, and a low degree of personal accomplishment using the Maslach Burnout Inventory-Human ...

BACKGROUND: Our residency program developed and implemented an online portfolio system. In the present communication, we describe this system and provide an early analysis of its effect on competency-based performance and acceptance of the system by the residents. MATERIALS AND METHODS: To measure competency-based performance, end-of-rotation global evaluations of residents ...

The Residency Review and Redesign in Pediatrics (R(3)P) Project began in 2005 and will have been completed in 2009. The purpose was to conduct a comprehensive reassessment of general pediatric residency education. The project convened 3 major colloquia supplemented by numerous meetings of an R(3)P committee and by surveys of ...

BACKGROUND AND OBJECTIVES: We describe the development of an urban track in family medicine residency designed to recruit a high percentage of minority students and promote their future practice in urban, underserved areas of Milwaukee. We report here on the residents and their first practice location and compared this information ...

OBJECTIVE: Because of the clinical significance of patient suicide for trainees and current limited information on this essential educational subject, the authors sought to determine what topics involving the care of suicidal patients were taught to residents in psychiatry training programs. METHODS: Chief residents of psychiatry training programs across the ...

BACKGROUND: Effective communication skills and professionalism are critical for physicians in order to provide optimum care and achieve better health outcomes. The aims of this study were to evaluate residents' self-assessment of their communication skills and professionalism in dealing with patients, and to evaluate the psychometric properties of a self-assessment ...

BACKGROUND: The development of self-assessment and self-directed learning skills is essential to lifelong learning and becoming an effective physician. Pediatric residents in the United States are now required to use Individualized Learning Plans (ILPs) to document self-assessment and self-directed learning. A better understanding of resident and faculty attitudes and skills ...

ABSTRACT: BACKGROUND: Teaching the content of clinical practice guidelines (CPGs) is important to both clinical care and graduate medical education. The objective of this study was to determine the characteristics of curricula for teaching the content of CPGs in family medicine and internal medicine residency programs in the United States. ...

PURPOSE: The main objectives of this study were to identify current prosthodontic resident demographics and to analyze factors that may influence applicants in selecting prosthodontics as a career, as well as a specific prosthodontic program. We also investigated the influence of age, gender, relationship status, and year in program on ...

The effect of cognitively congruent video programming on attentional engagement, as measured by the average look duration and the proportion of the video viewed, was examined among long-term care facility residents with Alzheimer's disease. Over a 2-week period, 24 residents viewed 4 cognitively congruent videos and 1 control video (ie, ...

Objectives. Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method. This article presents results on 393 ...

OBJECTIVE: Although the SOGC Strategic Directions 2006-2011 includes a commitment to the development of a human resource strategy for obstetrical and gynaecological care, little is known about the career plans of Canadian obstetrics and gynaecology residents. If we are to determine the needs of our profession, we must be aware ...

STUDY OBJECTIVE: Videoconferencing enables distance learning and subspecialty teaching. The objective of this study is to describe and evaluate a 3-hour teaching session on Pediatric and Adolescent Gynecology held by videoconferencing from the Hospital for Sick Children and broadcast to 8 other Canadian universities. DESIGN: Evaluation forms were completed by ...

With the transition of many plastic surgery training programs from the traditional to the integrated/coordinated model, critical evaluation of the process by which medical students are selected for residency is needed. To increase the understanding of this process and to improve the manner in which candidates are vetted, a survey ...

BACKGROUND: Emergency Departments (EDs) are common entry points to the health care system for elders. Emergency Medicine residents need specialized education about geriatric patients to maximize health outcomes. OBJECTIVES: To determine whether geriatric education provided to residents in Emergency Medicine results in improved knowledge of and attitudes toward geriatric patients. ...

PURPOSE: Many academic institutions have set expectations for peer reviewed publications, yet there is no objective guideline to gauge the performance of a urology resident or program. We quantified and determined predictive factors for resident manuscript production. MATERIALS AND METHODS: Electronic surveys were sent to 255 chief residents and recent ...

OBJECTIVE: The authors argue that adopting evidence-based psychiatry will require a paradigm shift in the training of psychiatry residents, and offer some suggestions for how this transformation might be achieved. METHODS: The authors review the growing literature that addresses how best to teach evidence-based medicine and highlight several examples of ...

OBJECTIVES: The objectives for this study are as follows: (1) to determine whether a weekly educational program for surgical residents resulted in an improvement in 5-year first-time pass rates on the ABS qualifying (QE), certifying (CE), and combined (QE/CE) examinations at our institution and (2) to determine a minimum ABSITE ...

BACKGROUND: Much has been written about the influences of Accreditation Council for Graduate Medical Education (ACGME) work restrictions, the litigious climate in American medicine, and the proliferation of subspecialty fellowships on general surgery training. Few previous studies have addressed general surgical residents' perceptions of surgical training on a national level. ...

OBJECTIVE: To assess reactions by program directors (PDs) to a preview of a scenario from the Fundamentals of Surgery Curriculum (FSC), which is a case-based interactive curriculum developed by the American College of Surgeons's (ACS) Division of Education and designed to be delivered online to first-year (PGY-1) surgical residents. DESIGN: ...