High quality feedback should be delivered in a timely manner, based on specific direct observatio... more High quality feedback should be delivered in a timely manner, based on specific direct observation, and formulated to be actionable on the part of the trainee. Utilizing “confidence” as a point of feedback does not meet these criteria given the ambiguity and lack of actionable steps towards improvement. “Confidence”-based feedback makes a judgment about the trainee’s internal state leading to potentially gender or culturally biased feedback. There is a risk of emotional harm for trainees when it is integrated into feedback and it is unclear if there is a role for the use of “confidence” in medical education. We are calling for a moratorium on the utilization of the word “confidence” in feedback in medical education until further studies are performed to assess its potential place. At this time, educators should refrain from “confidence”-based feedback and shift the focus towards more specific, actionable, behavioral-based feedback.
LA GLOBALITÀ COME ASPIRAZIONE DELLO SPIRITO UMANO. "Globalizzazione" è parola moderna e... more LA GLOBALITÀ COME ASPIRAZIONE DELLO SPIRITO UMANO. "Globalizzazione" è parola moderna e molto in voga. Ma l'ideale che esprime non è nuovo: appartiene alla storia stessa dell'umanità. Sta nell'aspirazione delle primordiali comunità ad ampliare il proprio territorio alla ricerca di terre più fertili da coltivare e di una più ricca selvaggina da cacciare. Sta nella spinta delle prime civiltà a estendere ad altre le proprie regole di convivenza, la propria cultura, la propria religione. Al desiderio e all'ambizione di unificare il mondo possiamo ricondurre molteplici vicende che hanno segnato il corso dei secoli. Vi appartengono, per esempio, i caratteri dell'espansione romana, la propagazione del Cristianesimo e, poi, dell'Islam, l'esperimento di unificazione dell'Europa di Carlo Magno, la curiosità per l'ignoto che ha ispirato le grandi esplorazioni, i valori civili propugnati dalla rivoluzione francese, la formazione dei grandi imperi co...
American journal of medical quality : the official journal of the American College of Medical Quality, Jan 13, 2015
Although the value of interprofessional collaborative education has been promoted, it is unclear ... more Although the value of interprofessional collaborative education has been promoted, it is unclear how teams of clinical and nonclinical learners perceive this experience. The authors studied an interprofessional quality improvement (QI) curriculum implemented in 2013 integrating internal medicine residents (n = 90) and Master of Public Health (MPH) students (n = 33) at an urban safety net academic medical center. Pre and post curriculum surveys assessed attitudes toward QI and interprofessional education and team performance. Resident attitudes toward learning and engaging in QI work improved at the end of the curriculum. Overall, MPH students demonstrated significantly more positive attitudes about interprofessional learning and work than residents. They also agreed more strongly than residents that patients would benefit if residents and public health students worked together. As health care organizations evolve to become more integrated, it is crucial that interprofessional educat...
This chapter reviews the ACGME requirements related to resident continuity clinics. The ACGME has... more This chapter reviews the ACGME requirements related to resident continuity clinics. The ACGME has specific requirements related to clinic scheduling, resident performance data, and resident responsibilities as primary care physicians.
This chapter reviews the most common scheduling models used in internal medicine residency progra... more This chapter reviews the most common scheduling models used in internal medicine residency programs. The true impact of different scheduling models on outcomes such as patient continuity, access to care, resident satisfaction, and clinical outcomes has been evaluated in a handful of studies. This chapter will review the current evidence surrounding scheduling models. Each scheduling model has potential benefits and barriers that should be considered when a residency is considering converting to a new model.
American journal of medical quality : the official journal of the American College of Medical Quality, Jan 13, 2015
Although the value of interprofessional collaborative education has been promoted, it is unclear ... more Although the value of interprofessional collaborative education has been promoted, it is unclear how teams of clinical and nonclinical learners perceive this experience. The authors studied an interprofessional quality improvement (QI) curriculum implemented in 2013 integrating internal medicine residents (n = 90) and Master of Public Health (MPH) students (n = 33) at an urban safety net academic medical center. Pre and post curriculum surveys assessed attitudes toward QI and interprofessional education and team performance. Resident attitudes toward learning and engaging in QI work improved at the end of the curriculum. Overall, MPH students demonstrated significantly more positive attitudes about interprofessional learning and work than residents. They also agreed more strongly than residents that patients would benefit if residents and public health students worked together. As health care organizations evolve to become more integrated, it is crucial that interprofessional educat...
High quality feedback should be delivered in a timely manner, based on specific direct observatio... more High quality feedback should be delivered in a timely manner, based on specific direct observation, and formulated to be actionable on the part of the trainee. Utilizing “confidence” as a point of feedback does not meet these criteria given the ambiguity and lack of actionable steps towards improvement. “Confidence”-based feedback makes a judgment about the trainee’s internal state leading to potentially gender or culturally biased feedback. There is a risk of emotional harm for trainees when it is integrated into feedback and it is unclear if there is a role for the use of “confidence” in medical education. We are calling for a moratorium on the utilization of the word “confidence” in feedback in medical education until further studies are performed to assess its potential place. At this time, educators should refrain from “confidence”-based feedback and shift the focus towards more specific, actionable, behavioral-based feedback.
LA GLOBALITÀ COME ASPIRAZIONE DELLO SPIRITO UMANO. "Globalizzazione" è parola moderna e... more LA GLOBALITÀ COME ASPIRAZIONE DELLO SPIRITO UMANO. "Globalizzazione" è parola moderna e molto in voga. Ma l'ideale che esprime non è nuovo: appartiene alla storia stessa dell'umanità. Sta nell'aspirazione delle primordiali comunità ad ampliare il proprio territorio alla ricerca di terre più fertili da coltivare e di una più ricca selvaggina da cacciare. Sta nella spinta delle prime civiltà a estendere ad altre le proprie regole di convivenza, la propria cultura, la propria religione. Al desiderio e all'ambizione di unificare il mondo possiamo ricondurre molteplici vicende che hanno segnato il corso dei secoli. Vi appartengono, per esempio, i caratteri dell'espansione romana, la propagazione del Cristianesimo e, poi, dell'Islam, l'esperimento di unificazione dell'Europa di Carlo Magno, la curiosità per l'ignoto che ha ispirato le grandi esplorazioni, i valori civili propugnati dalla rivoluzione francese, la formazione dei grandi imperi co...
American journal of medical quality : the official journal of the American College of Medical Quality, Jan 13, 2015
Although the value of interprofessional collaborative education has been promoted, it is unclear ... more Although the value of interprofessional collaborative education has been promoted, it is unclear how teams of clinical and nonclinical learners perceive this experience. The authors studied an interprofessional quality improvement (QI) curriculum implemented in 2013 integrating internal medicine residents (n = 90) and Master of Public Health (MPH) students (n = 33) at an urban safety net academic medical center. Pre and post curriculum surveys assessed attitudes toward QI and interprofessional education and team performance. Resident attitudes toward learning and engaging in QI work improved at the end of the curriculum. Overall, MPH students demonstrated significantly more positive attitudes about interprofessional learning and work than residents. They also agreed more strongly than residents that patients would benefit if residents and public health students worked together. As health care organizations evolve to become more integrated, it is crucial that interprofessional educat...
This chapter reviews the ACGME requirements related to resident continuity clinics. The ACGME has... more This chapter reviews the ACGME requirements related to resident continuity clinics. The ACGME has specific requirements related to clinic scheduling, resident performance data, and resident responsibilities as primary care physicians.
This chapter reviews the most common scheduling models used in internal medicine residency progra... more This chapter reviews the most common scheduling models used in internal medicine residency programs. The true impact of different scheduling models on outcomes such as patient continuity, access to care, resident satisfaction, and clinical outcomes has been evaluated in a handful of studies. This chapter will review the current evidence surrounding scheduling models. Each scheduling model has potential benefits and barriers that should be considered when a residency is considering converting to a new model.
American journal of medical quality : the official journal of the American College of Medical Quality, Jan 13, 2015
Although the value of interprofessional collaborative education has been promoted, it is unclear ... more Although the value of interprofessional collaborative education has been promoted, it is unclear how teams of clinical and nonclinical learners perceive this experience. The authors studied an interprofessional quality improvement (QI) curriculum implemented in 2013 integrating internal medicine residents (n = 90) and Master of Public Health (MPH) students (n = 33) at an urban safety net academic medical center. Pre and post curriculum surveys assessed attitudes toward QI and interprofessional education and team performance. Resident attitudes toward learning and engaging in QI work improved at the end of the curriculum. Overall, MPH students demonstrated significantly more positive attitudes about interprofessional learning and work than residents. They also agreed more strongly than residents that patients would benefit if residents and public health students worked together. As health care organizations evolve to become more integrated, it is crucial that interprofessional educat...
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