scholarly journals Fairly Assessing U.S.- and Foreign-Trained Physician Performance Using 360-Degree Surveys

2020 ◽  
Author(s):  
Julie J Lanz ◽  
Paul Gregory ◽  
Larry Harmon
Keyword(s):  
United States ◽  
Job Performance ◽  
Medical Training ◽  
The United States ◽  
Performance Outcomes ◽  
Competency Assessment ◽  
Demographic Differences ◽  
Physician Performance ◽  
Technical Practice ◽  
Trained Physician

Abstract Background With a growing number of foreign-trained physicians joining the United States workforce, there is a need to fairly assess their job performance. The purpose of this study was to explore the fairness of a 360-degree competency assessment on U.S.- and foreign-trained physicians. Methods We conducted a non-experimental retrospective analysis on physicians working in the United States (n = 258) who participated in a physician assessment and education program between 2007 and 2017. Results There were no significant differences in performance outcomes of teamwork, motivating or discouraging behaviors, technical practice, and patient interactions based on demographic differences. Conclusions The PULSE 360 is a powerful tool that can be used to evaluate physician performance without bias in demographic differences including: gender, country of physician medical training, physician native language, or age.

Assessing Physician Performance Using Multisource Surveys: Do Biases Exist Due to Gender, Country of Training, Native Language, and Age?

2020 ◽  
Author(s):  
Julie J Lanz ◽  
Paul Gregory ◽  
Larry Harmon
Keyword(s):  
United States ◽  
Medical Training ◽  
Native Language ◽  
The United States ◽  
Performance Outcomes ◽  
Competency Assessment ◽  
Demographic Differences ◽  
Physician Performance ◽  
Technical Practice ◽  
Item Level

Abstract Background: With a growing number of foreign-trained physicians joining the United States workforce, there is a need to assess their job performance fairly. The purpose of this study was to explore the fairness of a multisource competency assessment on U.S.- and non-U.S.-trained physicians. Methods: We conducted a non-experimental retrospective analysis on physicians working in the United States (n=258) who participated in a physician assessment and education program. Results: There were no significant differences in performance outcomes at the scale level of teamwork, motivating or discouraging behaviors, technical practice, and patient interactions, nor the item level based on demographic differences. Conclusions: The PULSE 360 is a powerful tool that can be used to evaluate physician performance without bias due demographic differences including: gender, country of physician medical training, physician native language, or age.

Didactic education in paediatric cardiology during the COVID-19 pandemic: a national fellow survey

2020 ◽  
pp. 1-4
Author(s):  
Madhusudan Ganigara ◽  
Chetan Sharma ◽  
Fernando Molina Berganza ◽  
Krittika Joshi ◽  
Andrew D. Blaufox ◽  
...  
Keyword(s):  
United States ◽  
Online Learning ◽  
United States Of America ◽  
Formal Education ◽  
Medical Training ◽  
Nationwide Survey ◽  
The United States ◽  
Negative Consequences ◽  
Paediatric Cardiology ◽  
The Impact

Abstract The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on medical educational curricula. We aimed to examine the impact of these unprecedented changes on the formal education of paediatric cardiology fellows through a nationwide survey. A REDCap™-based voluntary anonymous survey was sent to all current paediatric cardiology fellows in the United States of America in May, 2020. Of 143 respondents, 121 were categorical fellows, representing over one-fourth of all categorical paediatric cardiology fellows in the United States of America. Nearly all (140/143, 97.9%) respondents utilised online learning during the pandemic, with 134 (93.7%) reporting an increase in use compared to pre-pandemic. The percentage of respondents reporting curriculum supplementation with outside lectures increased from 11.9 to 88.8% during the pandemic. Respondents considered online learning to be “equally or more effective” than in-person lectures in convenience (133/142, 93.7%), improving fellow attendance (132/142, 93.0%), improving non-fellow attendance (126/143, 88.1%), and meeting individual learning needs (101/143, 70.6%). The pandemic positively affected the lecture curriculum of 83 respondents (58.0%), with 35 (24.5%) reporting no change and 25 (17.5%) reporting a negative effect. A positive effect was most noted by those whose programmes utilised supplemental outside lectures (62.2 versus 25.0%, p = 0.004) and those whose lecture frequency did not decrease (65.1 versus 5.9%, p < 0.001). Restrictions imposed by the COVID-19 pandemic have greatly increased utilisation of online learning platforms by medical training programmes. This survey reveals that an online lecture curriculum, despite inherent obstacles, offers advantages that may mitigate some negative consequences of the pandemic on fellowship education.

scholarly journals Online Gardening Search Activities and Purchases

2008 ◽  
Vol 26 (4) ◽  
pp. 210-216
Author(s):  
Bridget K. Behe ◽  
Brittany Harte ◽  
Chengyan Yue
Keyword(s):  
United States ◽  
The United States ◽  
Internet Technology ◽  
The Internet ◽  
Demographic Differences ◽  
Online Purchases ◽  
Online Purchase ◽  
Region Of Residence ◽  
Baseline Information ◽  
Made In

Abstract Consumers have readily adopted personal computers and Internet technology with many seeking information and/or make purchases online. However, the extent to which horticultural consumers seek information and make purchases online is not well documented. A survey of 1588 consumers, representative of the United States on average, was conducted in 2004 to provide baseline information about online gardening search and purchase activities. Nearly 28% searched for gardening information at least once; of those, more than 50% of the participants searched for information at least weekly. There were differences in gardening-related searches by age and marital status, but not by region of residence, income, or gender. Nearly 50% of the study respondents made an online purchase in the year prior to the survey but only 7.4% made a gardening related purchase online. Over 50% had made a gardening-related purchase in-person. The same respondents who made in-person purchases were the individuals who made the online gardening purchases, so the Internet provided a supplemental shopping venue. There were demographic differences between those who made online gardening purchases and solely in-person gardening purchases. More males, younger and slightly less affluent participants were more likely to make online purchases than solely in-person purchases for gardening products, supplies, and services while more females who were slightly older and more affluent were more likely to make in-person gardening-related purchases.

Accreditation of undergraduate medical training programs: Practices in nine developing countries as compared with the United States

2006 ◽  
Vol 19 (2) ◽  
pp. 207-222 ◽  
Author(s):  
Jose Cueto ◽  
Vanessa Burch ◽  
Nor Azila Adnan ◽  
Bosede Afolabi ◽  
Zalina Ismail ◽  
...  
Keyword(s):  
United States ◽  
Developing Countries ◽  
Medical Training ◽  
Training Programs ◽  
The United States

The Prevalence of Sexual Harassment Among Female Family Practice Residents in the United States

1996 ◽  
Vol 11 (2) ◽  
pp. 175-180 ◽  
Author(s):  
M. C. Vukovich
Keyword(s):  
United States ◽  
Sexual Harassment ◽  
Family Practice ◽  
Medical Training ◽  
The United States ◽  
Self Esteem ◽  
Negative Effects ◽  
Female Resident ◽  
Resident Physicians ◽  
Sexual Harassment Policies

The purpose of this study was to determine the prevalence of sexual harassment as defined by the AMA among female family practice residents in the United States. Of all 1,802 U.S. FP female resident physicians surveyed, a total of 916, or 51%, completed a survey of which 32% reported unwanted sexual advances, 48% reported use of sexist teaching material, 66% reported favortism based on gender, 36% reported poor evaluation based on gender, 37% reported malicious gossip, 5.3% reported punitive measures based on gender, and 2.2% reported sexual assault during residency. Thirty two percent of respondents reporting sexual harassment experienced negative effects including poor self-esteem, depression, psychological sequelae requiring therapy, and in some cases, transferring training programs. Sexual harassment is a common occurrence among family practice residents during residency training. Further studies are needed to examine the effect of sexual harassment policies instituted by the American Graduate Council on Medical Education on the prevalence of sexual harassment in medical training since the time of this study.

scholarly journals Comparing the Borich model with the Ranked Discrepancy Model for competency assessment: A novel approach

2021 ◽  
Vol 2 (3) ◽  
pp. 96-111
Author(s):  
Lendel Narine ◽  
Amy Harder
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
Training Needs ◽  
Competency Assessment ◽  
Land Grant University ◽  
Modern Times ◽  
Discrepancy Model ◽  
Novel Approach ◽  
High Level

In 1980, Borich presented a new model that allowed errors in an individual’s judgment of self-proficiency to be offset by considering the perception of a group. The model relied upon the calculation of means for competency items measured with ordinal scales, an approach subject to debate in modern times. The purpose of our study was to explore the use of a novel approach we developed, the Ranked Discrepancy Model (RDM), as an alternative method to the Borich model for determining training needs. Data obtained from an online survey of extension professionals employed by a land-grant university in the United States was used to compare the training needs identified by applying the Borich model with those identified by applying the RDM. A very strong and statistically significant correlation existed between the scores derived from using both models, demonstrating a high level of consistency between models. Researchers conducting competency research should consider adopting the RDM given its suitability for delivering results that closely resemble findings from the Borich model while providing improved rigor in methods and increased detail about training needs.

scholarly journals The Canadian news directors study: demographics and political leanings of television decision makers

2021 ◽  
Author(s):  
Marsha Barber
Keyword(s):  
United States ◽  
General Population ◽  
Private Sector ◽  
Ethnic Minorities ◽  
Television News ◽  
The United States ◽  
Decision Makers ◽  
Demographic Differences ◽  
Men And Women ◽  
Canadian Population

Abstract: This is the first academic study to attempt to understand more about the men and women who make key decisions in television newsrooms across Canada. The authors surveyed all television news directors across the country. The research reveals that, unlike in the United States, the voting patterns of news directors mirror those of the general Canadian population. It reveals that news directors are more secular than those in the general population. The research also uncovered significant demographic differences between CBC and private sector news directors. Finally, it suggests that women and ethnic minorities are dramatically underrepresented in senior positions.

scholarly journals Contrasting Residency Training in Japan and the United States From Perspectives of Japanese Physicians Trained in Both Systems

2019 ◽  
Vol 11 (4s) ◽  
pp. 125-133
Author(s):  
Brian S. Heist ◽  
Haruka Matsubara Torok
Keyword(s):  
United States ◽  
Medical Education ◽  
Residency Training ◽  
Clinical Training ◽  
Medical Training ◽  
The United States ◽  
Medical Graduates ◽  
Radiology Interpretation ◽  
Work Hour ◽  
High Regard

ABSTRACT Background International medical graduates (IMGs) have significant exposure to clinical training in their home country, which provides opportunity for international comparison of training experiences. One relevant IMG population is Japanese physicians who have completed some training before entering residency programs in the United States and desire to improve medical education in Japan. Objective We examined Japanese IMGs' perceptions of the respective attributes of residency in the United States and Japan. Methods Individual semistructured interviews were conducted with 33 purposively sampled Japanese IMGs who had completed training. We used exploratory thematic analysis, iterative data collection, and thematic analyses with constant comparison. Results Comments were organized into 3 categories: (1) attributes of US residency preferable to Japanese residency; (2) attributes of residency training with no clear preference for the US or Japanese systems; and (3) attributes of Japanese residency preferable to US residency. Within each category, we matched themes to residency program requirements or culture of medical training. Main themes include high regard for Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements, with emphasis on efficient achievement of clinical competency through graded responsibility, contrasted with preference expressed for a Japanese training culture of increased professional commitment facilitated by a lack of work hour limits and development of broad clinician skills, including bedside procedures and radiology interpretation. Conclusions Japanese training culture contrasts with a US model that is increasingly focused on work-life balance and associated compartmentalization of patient care. These findings enhance our understanding of the global medical education landscape and challenges to international standardization of training.

scholarly journals Surgical training in the United States

2007 ◽  
Vol 89 (2) ◽  
pp. 56-57 ◽  
Author(s):  
Craig A Nicholson
Keyword(s):  
United States ◽  
Surgical Training ◽  
Medical Training ◽  
Care Delivery ◽  
The United States ◽  
Training System ◽  
Payment Systems ◽  
Graduate Medical ◽  
The Us ◽  
Generational Changes

Surgical education in the United States has developed along with the graduate medical education (GME) system. Changes in health care delivery and payment systems, changes in the practice and specialisation of surgery, attempts to improve the system of graduate medical training and even generational changes among those entering surgical training have influenced and changed the way surgeons are trained in the US. Although a thorough examination of these factors and their influence on surgical training is beyond the scope of this brief review, some of these influences and our current surgical training system will be described.

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