A Survey of Residents/Fellows, Program Directors, and Faculty About Telepsychiatry: Clinical Experience, Interest, and Views/Concerns

AbstractThe effectiveness of telepsychiatry video for clinical care is well established, and clinician and psychiatry resident interest in it is growing—particularly in light of the COVID-19 impact. Still, few residency programs in the United States have core curricula, rotations/electives available, and competencies, and many faculty have no experience. A survey was sent via national organization listserves for residents, fellows, faculty, and program directors to complete. The survey queried demographics, clinical experience and interest, and views/concerns, using Likert-like and yes/no questions. Descriptive statistics and other analyses compared the groups to assess impact of clinical experience on interest and views/concerns. Respondents (N = 270) have limited clinical experience with telepsychiatry (46% none), with trainees having less than others, and yet, most were very interested or interested in it (68%). Trainees (N = 123) have concerns about being prepared for future practice. Clinical experience with video in the range of 6–20 h appears to dramatically increase interest and reduce concerns, though less time has a positive effect. Respondents have concerns about connectivity, medico-legal issues, and clinical effectiveness (e.g., diverse populations, psychosis, and emergencies) with telepsychiatry. More research is needed to assess current clinical and curricular experience, interest, and concerns. Additional curricular interventions during residency and fellowship training could build skills and confidence, if this is feasible, and the benefits outweigh the costs.

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Postinterview Communication between Obstetrics and Gynecology Residency Programs and Candidates

Journal of Graduate Medical Education ◽

10.4300/jgme-d-11-00114.1 ◽

2012 ◽

Vol 4 (2) ◽

pp. 165-169 ◽

Cited By ~ 8

Author(s):

Diana S. Curran ◽

Pamela B. Andreatta ◽

Xiao Xu ◽

Clark E. Nugent ◽

Samantha R. Dewald ◽

...

Keyword(s):

United States ◽

Response Rate ◽

Educational Leaders ◽

Program Directors ◽

The United States ◽

Obstetrics And Gynecology ◽

Residency Programs ◽

Ethical Conflicts ◽

Communication Practices ◽

E Mail

Abstract Introduction Residency programs seek to match the best candidates with their positions. To avoid ethical conflicts in this process, the National Residency Matching Program (NRMP or Match) has rules regarding appropriate conduct, including guidelines on contact between candidates and programs. Our study examined communication between obstetrics and gynecology (Ob-Gyn) programs and residency candidates after interviewing and prior to ranking. Methods Ob-Gyn program directors in the United States were sent a self-administered survey via e-mail. Data were collected and analyzed using descriptive methods to examine communication practices of these programs. Results The response rate was 40%. The findings showed that respondents had variable interpretations of the NRMP rules and suggest that programs may be communicating their match intentions especially to favored candidates. Respondents' open text comments highlighted program directors' frustrations with current NRMP rules. Discussion NRMP communication rules are intended to minimize pressure on residency candidates. Our findings suggest they may be leading to unforeseen stresses on program directors and candidates. Conclusions As educational leaders in medicine, we must consider what professional communications are acceptable without increasing the pressure on candidates during the ranking and match process.

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Demographic and Work-Life Study of Chief Residents: A Survey of the Program Directors in Internal Medicine Residency Programs in the United States

Journal of Graduate Medical Education ◽

10.4300/01.01.0025 ◽

2009 ◽

Vol 1 (1) ◽

pp. 150-154 ◽

Cited By ~ 11

Author(s):

Dushyant Singh ◽

Furman S. McDonald ◽

Brent W. Beasley

Keyword(s):

Internal Medicine ◽

United States ◽

Program Directors ◽

The United States ◽

Work Life ◽

Internal Medicine Residency ◽

Residency Programs ◽

Life Study

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Status of global health fellowship training in the United States and Canada

Canadian Medical Education Journal ◽

10.36834/cmej.56953 ◽

2019 ◽

Vol 10 (4) ◽

pp. e80-e95

Author(s):

Ann Evensen ◽

Sean Duffy ◽

Russell Dawe ◽

Andrea Pike ◽

Brett Nelson

Keyword(s):

Global Health ◽

Program Directors ◽

The United States ◽

Fellowship Training ◽

Web Based ◽

Training Requirements ◽

Median Size ◽

Fellowship Programs ◽

Program Characteristics ◽

Clear Objective

Background: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear. Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges. Methods: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics. Results: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support. Conclusions: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. Programs reported lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.

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New Professionalism Challenges in Medical Training: An Exploration of Social Networking

Journal of Graduate Medical Education ◽

10.4300/jgme-d-13-00132.1 ◽

2014 ◽

Vol 6 (1) ◽

pp. 100-105 ◽

Cited By ~ 7

Author(s):

Jennifer C. Kesselheim ◽

Maneesh Batra ◽

Frank Belmonte ◽

Kimberly A. Boland ◽

Robert S. McGregor

Keyword(s):

Social Networking ◽

Social Networking Sites ◽

Online Survey ◽

Ad Hoc ◽

Medical Training ◽

Program Directors ◽

The United States ◽

Inappropriate Behavior ◽

Online Activity ◽

Residency Programs

Abstract Background Innovative online technology can enhance the practice of medicine, yet it also may be a forum for unprofessional behavior. Objective We surveyed program directors regarding their perceptions and experiences with residents' use of social networking sites (SNS). Methods In September 2011, we sent an online survey to program directors and associate program directors of pediatrics residency programs within the United States who are members of the Association of Pediatric Program Directors. Results A total of 162 program directors or associate program directors (representing 50% of residency programs) responded to the survey. One-third of respondents are “very familiar” with SNS and 23% use them “daily or often.” Most respondents (70%) rated “friending” peers as “completely appropriate,” whereas only 1% of respondents rated “friending” current or past patients as “completely appropriate.” More than one half of respondents believe inappropriate behavior on SNS is “somewhat” or “very” prevalent, and 91% are “somewhat” or “very” concerned that the prevalence of inappropriate behavior on SNS may increase. The most commonly reported problematic online activity was posting inappropriate comments about the workplace. Posting of inappropriate comments about self, patients, and staff also was observed. Residency programs commonly educate trainees about SNS during intern orientation (45%), or using written guidelines (29%) and ad hoc remediation (16%). Conclusions As educators teach trainees principles of online professionalism, appropriate use of SNS needs to be included in the training process. Curricular efforts may be hindered by some program directors' lack of familiarity with SNS.

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Intensive Care Unit Rotations and Predictors of Career Choice in Pulmonary/Critical Care Medicine: A Survey of Internal Medicine Residency Directors

Critical Care Research and Practice ◽

10.1155/2018/9496241 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Daniel J. Minter ◽

Sean D. Levy ◽

Sowmya R. Rao ◽

Paul F. Currier

Keyword(s):

Internal Medicine ◽

Critical Care ◽

Career Choice ◽

The United States ◽

Fellowship Training ◽

Critical Care Medicine ◽

Residency Programs ◽

Medical Icus ◽

Education Research: Multiple sclerosis and neuroimmunology fellowship training status in the United States

Neurology ◽

10.1212/wnl.0000000000009096 ◽

2020 ◽

Vol 94 (11) ◽

pp. 495-500 ◽

Cited By ~ 1

Author(s):

Ahmed Z. Obeidat ◽

Yasir N. Jassam ◽

Le H. Hua ◽

Gary Cutter ◽

Corey C. Ford ◽

...

Keyword(s):

United States ◽

Multiple Sclerosis ◽

Program Directors ◽

The United States ◽

Fellowship Training ◽

Current Status ◽

Application Process ◽

Shared Resources ◽

Fellowship Programs ◽

Internal Funding

ObjectiveTo investigate the current status of postgraduate training in neuroimmunology and multiple sclerosis (NI/MS) in the United States.MethodsWe developed a questionnaire to collect information on fellowship training focus, duration of training, number of fellows, funding application process, rotations, visa sponsorship, and an open-ended question about challenges facing training in NI/MS. We identified target programs and sent the questionnaires electronically to fellowship program directors.ResultsWe identified and sent the questionnaire to 69 NI/MS fellowship programs. We successfully obtained data from 64 programs. Most programs were small, matriculating 1–2 fellows per year, and incorporated both NI and MS training into the curriculum. Most programs were flexible in their duration, typically lasting 1–2 years, and offered opportunities for research during training. Only 56% reported the ability to sponsor nonimmigrant visas. Most institutions reported having some internal funding, although the availability of these funds varied from year to year. Several program directors identified funding availability and the current absence of national subspecialty certification as major challenges facing NI/MS training.ConclusionOur study is the first to describe the current status of NI/MS training in the United States. We found many similarities across programs. We anticipate that these data will serve as a first step towards developing a standard NI/MS curriculum and help identify areas where shared resources could enhance trainee education despite differences in training environments. We identified funding availability, certification status, and nonimmigrant visa sponsorship as potential barriers to future growth in the field.

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Craniomaxillofacial Trauma Experience in Otolaryngology Residency: A National Survey of Program Directors

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0038-1660442 ◽

2019 ◽

Vol 12 (2) ◽

pp. 134-140

Author(s):

Melissa S. Oh ◽

Anita B. Sethna ◽

Oswaldo A. Henriquez

Keyword(s):

Pediatric Trauma ◽

Program Directors ◽

The United States ◽

Cross Sectional Survey ◽

Case Volume ◽

Cross Sectional ◽

Residency Programs ◽

Level 1 ◽

Didactic Lecture ◽

Lecture Time

This article aimed to assess the depth and volume of craniomaxillofacial (CMF) trauma exposure and education in otolaryngology residency training in the United States. This is a cross-sectional survey. A 15-question web-based survey was distributed to program directors of 106 Accreditation Council for Graduate Medical Education (ACGME)-approved otolaryngology residency programs to inquire about program size and demographics, trauma coverage, case volume, and education. Responses were collected anonymously. A total of 77 responses were received, representing 73% of residency programs. Seventy-five programs (97%) reported that their residents rotated at a level 1 trauma center, and 72 (94%) covered CMF trauma. Sixty-one programs (79%) included pediatric CMF trauma. The majority of programs (76%) allocated less than 10% of residency-dedicated didactic lecture time to CMF trauma. Residents in all programs typically logged at least 11 to 20 cases before graduation with 24% of programs averaging more than 50 cases per resident. Ninety percent of respondents described the training as “somewhat” to “very adequate.” CMF coverage by the otolaryngology department, number of cases, and dedicated didactic lecture time to CMF trauma were significant factors on the perception of adequate training. The majority of program directors felt that the training in CMF trauma was adequate. Reasons for this may include that most residents rotate at level 1 trauma centers, have exposure to pediatric trauma, encounter an adequate volume of cases, and have dedicated didactic time to CMF education.

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Teaching High-Value Care in Pediatrics: A National Survey of Current Practices and Guide for Future Curriculum Development

Journal of Graduate Medical Education ◽

10.4300/jgme-d-17-00139.1 ◽

2017 ◽

Vol 9 (6) ◽

pp. 741-747 ◽

Cited By ~ 6

Author(s):

Michael J. Tchou ◽

Alice Walz ◽

Elizabeth Burgener ◽

Alan Schroeder ◽

Rebecca Blankenburg

Keyword(s):

Medical Training ◽

Health Care Expenditures ◽

Program Directors ◽

The United States ◽

Cross Sectional Study ◽

Cross Sectional ◽

Formal Curriculum ◽

Residency Programs ◽

Discussion Format ◽

Case Based

ABSTRACT Background Health care expenditures in the United States are increasing at an unsustainable pace. There have been calls to incorporate education on resource stewardship into medical training, yet the perceived need for and current use of high-value care (HVC) curricula in pediatrics residency programs is unknown. Objective We described the current national landscape of HVC curricula in pediatrics residencies, including characterization of current programs, barriers to the practice of HVC, and clarification of preferred curricula types. Methods Using a cross-sectional study design, we conducted a national, anonymous, web-based survey of pediatrics residency program directors and pediatrics chief residents in fall 2014. Results We received responses from 85 of 199 (43%) pediatrics program directors and 74 of 199 (37%) pediatrics chief residents. Only 10% (8 of 80) of program directors and 12% (8 of 65) of chief residents reported having a formal curriculum on HVC. Respondents identified the largest barriers to HVC as a lack of cost transparency (program directors) and attending physicians having the final say in treatment decisions (chief residents). The majority of respondents (83%, 121 of 146) agreed their program needs a HVC curriculum, and 90% (131 of 145) reported they would use a curriculum if it was available. Respondents significantly preferred a case-based conference discussion format over other approaches. Conclusions Most pediatrics residency programs responding to a survey lacked formal HVC curricula. There is a desire nationally for HVC education in pediatrics, particularly in a case-based discussion format.

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Contemporary Challenges for Fellowship Training in Adult Cardiothoracic Anesthesiology: Perspectives From Program Directors Around the United States

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2020.02.011 ◽

2020 ◽

Vol 34 (8) ◽

pp. 2047-2059 ◽

Cited By ~ 4

Author(s):

Michelle Capdeville ◽

Jennifer Hargrave ◽

Prakash A. Patel ◽

Kinjal M. Patel ◽

Ronak G. Desai ◽

...

Keyword(s):

United States ◽

Program Directors ◽

The United States ◽

Fellowship Training

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The use of non-speech oral-motor exercises among Indian speech-language pathologists to treat speech disorders: An online survey

South African Journal of Communication Disorders ◽

10.4102/sajcd.v62i1.82 ◽

2015 ◽

Vol 62 (1) ◽

Cited By ~ 3

Author(s):

Roha M. Thomas ◽

Ramesh Kaipa

Keyword(s):

Online Survey ◽

Clinical Care ◽

Clinical Effectiveness ◽

The United States ◽

Speech Disorders ◽

Speech Language Pathologists ◽

Oral Motor ◽

The Usa ◽

The Uk ◽

Oral Motor Exercises

Objective: Previous surveys in the United States of America (USA), the United Kingdom (UK), and Canada have indicated that most of the speech-language pathologists (SLPs) tend to use non-speech oral-motor exercises (NSOMEs) on a regular basis to treat speech disorders.At present, there is considerable debate regarding the clinical effectiveness of NSOMEs. Thecurrent study aimed to investigate the pattern and extent of usage of NSOMEs among Indian SLPs.Method: An online survey intended to elicit information regarding the use of NSOMEswas sent to 505 members of the Indian Speech and Hearing Association. The questionnaire consisted of three sections. The first section solicited demographic information, the second and third sections solicited information from participants who did and did not prefer to use NSOMEs, respectively. Descriptive statistics were employed to analyse the responses that were clinically relevant.Results: A total of 127 participants responded to the survey. Ninety-one percent of the participants who responded to the survey indicated that they used NSOMEs.Conclusion: The results suggested that the percentage of SLPs preferring to use NSOMEsis similar to the findings of surveys conducted in the USA, the UK, and Canada. The Indian SLPs continue to use NSOMEs based on a multitude of beliefs. It is important for SLPs toincorporate the principles of evidence-based practice while using NSOMEs to provide high quality clinical care.

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