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Medical Education

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21 papers 25 to 100 followers
Alex Harding, Joe Rosenthal, Marwa Al-Seaidy, Denis Pereira Gray, Robert K McKinley
BACKGROUND: Health care is increasingly provided in general practice. To meet this demand, the English Department of Health recommends that 50% of all medical students should train for general practice after qualification. Currently 19% of medical students express general practice as their first career choice. Undergraduate exposure to general practice positively influences future career choice. Appropriate undergraduate exposure to general practice is therefore highly relevant to workforce planning AIM: This study seeks to quantify current exposure of medical students to general practice and compare it with past provision and also with postgraduate provision...
June 2015: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Brent Thoma, Nikita Joshi, N Seth Trueger, Teresa M Chan, Michelle Lin
No abstract text is available yet for this article.
October 2014: Annals of Emergency Medicine
Judith L Bowen, David Hirsh, Eva Aagaard, Catherine P Kaminetzky, Marie Smith, Joseph Hardman, Shobhina G Chheda
Continuity of care is a core value of patients and primary care physicians, yet in graduate medical education (GME), creating effective clinical teaching environments that emphasize continuity poses challenges. In this Perspective, the authors review three dimensions of continuity for patient care-informational, longitudinal, and interpersonal-and propose analogous dimensions describing continuity for learning that address both residents learning from patient care and supervisors and interprofessional team members supporting residents' competency development...
May 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Raymond H Curry
No abstract text is available yet for this article.
December 10, 2014: JAMA: the Journal of the American Medical Association
Kira L Ryskina, Deborah Korenstein, Arlene Weissman, Philip Masters, Patrick Alguire, Cynthia D Smith
BACKGROUND: Although high-value care (HVC) that balances benefits of tests or treatments against potential harms and costs has been a recently emphasized competency for internal medicine (IM) residents, few tools to assess residents' knowledge of HVC are available. OBJECTIVE: To describe the development and initial results of an HVC subscore of the Internal Medicine In-Training Examination (IM-ITE). DESIGN: The HVC concepts were introduced to IM-ITE authors during question development...
November 18, 2014: Annals of Internal Medicine
Robin Hopkins, Daniel Pratt, Judith L Bowen, Glenn Regehr
The call for integration of the basic and clinical sciences plays prominently in recent conversations about curricular change in medical education; however, history shows that, like other concepts related to curricular reform, integration has been continually revisited, leading to incremental change but no meaningful transformation. To redress this cycle of "change without difference," the medical education community must reexamine the approach that dominates medical education reform efforts and explore alternative perspectives that may help to resolve the cyclical "problem" of recommending but not effecting integration...
February 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Dena E Rifkin
No abstract text is available yet for this article.
August 2014: Health Affairs
Julia A McMillan, Roy C Ziegelstein
No abstract text is available yet for this article.
October 2014: JAMA Internal Medicine
Gail R Wilensky, Donald M Berwick
Several recent reports have highlighted the mismatch between the health needs of the U.S. population and the specialty distribution of newly trained physicians, the continuing geographic maldistribution of physicians within the country, inadequate diversity among physicians, gaps in physicians'..
August 28, 2014: New England Journal of Medicine
Brendan M Reilly
What she wants seems reasonable enough, a request I've heard from patients before. During my 40 years as a clinician-educator at academic medical centers, I've come to rely on a redoubtable reply: That's not the way we do things here. This is a teaching hospital. If you don't want residents or..
July 24, 2014: New England Journal of Medicine
Asaf Bitton, Andrew Ellner, Erika Pabo, Somava Stout, Jonathan R Sugarman, Cory Sevin, Kristen Goodell, Jill S Bassett, Russell S Phillips
PROBLEM: Academic medical centers (AMCs) need new approaches to delivering higher-quality care at lower costs, and engaging trainees in the work of high-functioning primary care practices. APPROACH: In 2012, the Harvard Medical School Center for Primary Care, in partnership with with local AMCs, established an Academic Innovations Collaborative (AIC) with the goal of transforming primary care education and practice. This novel two-year learning collaborative consisted of hospital- and community-based primary care teaching practices, committed to building highly functional teams, managing populations, and engaging patients...
September 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Robert L Williams, Crystal Romney, Miria Kano, Randy Wright, Betty Skipper, Christina Getrich, Andrew L Susman, Stephen J Zyzanski
BACKGROUND AND OBJECTIVES: Health care reform aims to increase evidence-based, cost-conscious, and patient-centered care. Family medicine is seen as central to these aims in part due to evidence of lower cost and comparable quality care compared with other specialties. We sought evidence that senior medical students planning family medicine residency differ from peers entering other fields in decision-making patterns relevant to these health care reform aims. METHODS: We conducted a national, anonymous, internet-based survey of senior medical students...
May 2014: Family Medicine
Erik J Lindbloom, Erika Ringdahl
BACKGROUND AND OBJECTIVES: Family medicine residency programs are challenged with balancing hospital-based training with a longitudinal primary care continuity experience. In response to the Preparing the Personal Physician for Practice (P4) Initiative, the University of Missouri (MU) Family Medicine Residency Program sought to increase the presence of its residents in their continuity clinic, ie, the patient-centered medical home (PCMH). While initially successful, these efforts encountered formidable barriers with the July 2011 duty hour regulations from the Accreditation Council for Graduate Medical Education (ACGME)...
June 2014: Family Medicine
Carole M Warde, Michelle Vermillion, Sebastian Uijtdehaage
BACKGROUND AND OBJECTIVES: Many medical trainees seek work among underserved communities but may be unprepared to cope with the challenges. Relationship-centered qualities have been shown to promote physician resilience and prevent burnout. The UCLA-PRIME program aims to prepare medical students to work among vulnerable groups and begins with a 3-week leadership course. We describe this course and share lessons with those seeking to foster leadership, advocacy, and resiliency in our future physician workforce...
June 2014: Family Medicine
Lauren Collins, Rino Sato, Marianna LaNoue, Lisa Michaluk, Manisha Verma
BACKGROUND AND OBJECTIVES: The purpose of this study was to assess the impact of a patient-centered medical home (PCMH) curriculum introduced in a family medicine clerkship in 2011--2012. This new curriculum introduced third-year students to the PCMH using a variety of interactive educational formats, including case-based, online, and experiential PCMH activities. METHODS: Qualitative analysis of student reflection essays explored themes based on PCMH experiences during family medicine clerkships...
June 2014: Family Medicine
Atul Grover, Peter L Slavin, Peters Willson
Most economists seem to view graduate medical education (GME) — training graduates of medical schools to become independently practicing physicians — as a stand-alone effort, without considering its relationship to other activities of major teaching hospitals within academic medical centers..
June 19, 2014: New England Journal of Medicine
Amitabh Chandra, Dhruv Khullar, Gail R Wilensky
A central health care–related policy question for the United States is whether the federal government's role in financing graduate medical education (GME) increases the number of physicians trained and influences their specialty choices by subsidizing the cost of training. Total federal GME..
June 19, 2014: New England Journal of Medicine
Gurpreet Dhaliwal, Karen E Hauer
No abstract text is available yet for this article.
December 4, 2013: JAMA: the Journal of the American Medical Association
Erin P Fraher, Thomas C Ricketts, Ann Lefebvre, Warren P Newton
Inspired by the Affordable Care Act and health care payment models that reward value over volume, health care delivery systems are redefining the work of the health professionals they employ. Existing workers are taking on new roles, new types of health professionals are emerging, and the health workforce is shifting from practicing in higher-cost acute settings to lower-cost community settings, including patients' homes. The authors believe that although the pace of health system transformation has accelerated, a shortage of workers trained to function in the new models of care is hampering progress...
December 2013: Academic Medicine: Journal of the Association of American Medical Colleges
Christopher Moriates, Krishan Soni, Andrew Lai, Sumant Ranji
The Accreditation Council for Graduate Medical Education mandates that training physicians "incorporate considerations of cost awareness" into practice. However, medical education has traditionally avoided addressing costs, and most residency programs currently lack curricula to fulfill this requirement. With the recent widespread emphasis on unsustainable costs, inefficiencies, and waste in healthcare, the need to appropriately train physicians in this domain is increasingly apparent. In this article, we describe the implementation of a resident-led, case-based cost awareness curriculum for medicine residents at the University of California, San Francisco, sharing our keys to success and defining guiding principles...
February 25, 2013: JAMA Internal Medicine
2014-07-26 05:32:22
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