scholarly journals Mind the Gap: Representation of Medical Education in Cardiology-Related Articles and Journals

2016 ◽  
Vol 8 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Clint Allred ◽  
Kathryn Berlacher ◽  
Saurabh Aggarwal ◽  
Alex J. Auseon
Keyword(s):  
United States ◽  
Medical Education ◽  
Mission Statement ◽  
Medical Training ◽  
Mission Statements ◽  
The United States ◽  
Fellowship Training ◽  
Apparent Lack ◽  
Fellowship Programs ◽  
Number Of Publications

ABSTRACT  Cardiology fellowship programs are at the interface of medical education and the care of patients suffering from the leading cause of mortality in the United States, yet there is an apparent lack of research guiding the effective education of fellows.Background  We sought to quantify the number of publications in cardiology journals that pertained to the education of cardiology trainees and the number of cardiologists participating in education research.Objective  For the period between January and December 2012, we cataloged cardiology-specific and general medical/medical education journals and sorted them by impact factor. Tables of content were reviewed for articles with an educational focus, a cardiology focus, or both. We recorded the authors' areas of medical training, and keywords from each cardiology journal's mission statement were reviewed for emphasis on education.Methods  Twenty-six cardiology journals, containing 6645 articles, were reviewed. Only 4 articles had education themes. Ten general medical and 15 medical education journals contained 6810 articles. Of these, only 7 focused on medical education in cardiology, and none focused on cardiology fellowship training. Among the 4887 authors of publications in medical education journals, 25 were cardiologists (less than 1%), and among the 1036 total words in the mission statements of all cardiology journals, the term “education” appeared once.Results  Published educational research is lacking in cardiology training, and few cardiologists appear to be active members of the education scholarship community. Cardiology organizations and academic journals should support efforts to identify target areas of study and publish scholarship in educational innovation.Conclusions

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

Neurology ◽  
2020 ◽  
Vol 94 (11) ◽  
pp. 495-500 ◽  
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.

scholarly journals Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes

2021 ◽  
Vol 09 (10) ◽  
pp. E1572-E1578
Author(s):  
Swathi Paleti ◽  
Zain A. Sobani ◽  
Thomas R. McCarty ◽  
Aditya Gutta ◽  
Anas Gremida ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Fellowship Training ◽  
Volume Data ◽  
Historic Period ◽  
Endoscopy Training ◽  
Period 2 ◽  
Fellowship Programs ◽  
Procedure Volume ◽  
Lower Endoscopy

Abstract Background and study aims The COVID-19 pandemic has had a profound impact on gastroenterology training programs. We aimed to objectively evaluate procedural training volume and impact of COVID-19 on gastroenterology fellowship programs in the United States. Methods This was a retrospective, multicenter study. Procedure volume data on upper and lower endoscopies performed by gastroenterology fellows was abstracted directly from the electronic medical record. The study period was stratified into 2 time periods: Study Period 1, SP1 (03/15/2020 to 06/30/2020) and Study Period 2, SP2 (07/01/2020 to 12/15/2020). Procedure volumes during SP1 and SP2 were compared to Historic Period 1 (HP1) (03/15/2019 to 06/30/2019) and Historic Period 2 (HP2) (07/01/2019 to 12/15/2019) as historical reference. Results Data from 23 gastroenterology fellowship programs (total procedures = 127,958) with a median of 284 fellows (range 273–289; representing 17.8 % of all trainees in the United States) were collected. Compared to HP1, fellows performed 53.6 % less procedures in SP1 (total volume: 28,808 vs 13,378; mean 105.52 ± 71.94 vs 47.61 ± 41.43 per fellow; P < 0.0001). This reduction was significant across all three training years and for both lower and upper endoscopies (P < 0.0001). However, the reduction in volume was more pronounced for lower endoscopy compared to upper endoscopy [59.03 % (95 % CI: 58.2–59.86) vs 48.75 % (95 % CI: 47.96–49.54); P < 0.0001]. The procedure volume in SP2 returned to near baseline of HP2 (total volume: 42,497 vs 43,275; mean 147.05 ± 96.36 vs 150.78 ± 99.67; P = 0.65). Conclusions Although there was a significant reduction in fellows’ endoscopy volume in the initial stages of the pandemic, adaptive mechanisms have resulted in a return of procedure volume to near baseline without ongoing impact on endoscopy training.

Practicing Medicine and Practicing Anthropology Can be Complementary: A Physician-Anthropologist in Academic Geriatric Practice

1998 ◽  
Vol 20 (2) ◽  
pp. 21-25 ◽  
Author(s):  
Miriam Rodin
Keyword(s):  
United States ◽  
Medical School ◽  
United States Army ◽  
Medical Training ◽  
Medical Center ◽  
The United States ◽  
Fellowship Training ◽  
Northwestern University ◽  
Care Of Elderly ◽  
Participant Observer

First I was an urban anthropologist, then I was a medical anthropologist on the faculty of a university medical center. Then I went to medical school, completing undergraduate, graduate and fellowship training in internal medicine and geriatrics. At first I thought of myself as an anthropologist in medical school, a privileged participant-observer of the making of doctors in the United States. Ten years out of medical training I think of myself as a physician. I am responsible for the outpatient and inpatient care of elderly patients. I am also the medical director of a nursing home. I am teaching faculty for medical students and medical residents at Northwestern University Medical School in Chicago where I give both lecture and bedside instruction in the finer points of geriatric differential diagnosis and medical management. Occasionally I volunteer for teaching duties in ethics and humanities. Yet my funded research is more recognizably applied anthropology. With funding from the Illinois Department of Public Health and from the United States Army Breast Cancer Research Fund, I direct a research and intervention project to increase use of early cancer detection among older immigrant women in Chicago. In this article I will describe the research, but my principal focus will be on the role of anthropology in my practice as an academic geriatrician.

scholarly journals Perceptions and Attitudes Toward Single-Board Hematology Training in the United States: A Program Director Survey

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 3392-3392
Author(s):  
Rakhi P. Naik ◽  
Manuela Plazas Montana ◽  
Leslie S. Kersun ◽  
Srikanth Nagalla ◽  
Alfred I Lee
Keyword(s):  
United States ◽  
Online Survey ◽  
Program Directors ◽  
The United States ◽  
Fellowship Training ◽  
Program Director ◽  
Perceived Barriers ◽  
Advisory Committees ◽  
Academic Settings ◽  
Fellowship Programs

BACKGROUND: The American Board of Internal Medicine (ABIM) offers separate board examinations for adult hematology and medical oncology, yet the vast majority of fellowship training programs in the United States are structured as combined hematology/oncology programs. Single-board hematology tracks or programs may help increase recruitment and retention in non-malignant hematology; however, the barriers and attitudes toward hematology-only fellowship programs are unknown. We administered a survey to ACGME-accredited hematology/oncology program directors to explore their perceptions toward training in non-malignant hematology and their attitudes toward single-board hematology training. METHODS: In collaboration with the ASH Medical Educators Institute, we developed an anonymous online survey with 30 multiple-choice and open-ended questions to characterize attitudes toward specialization in non-malignant hematology and to assess program director interest and perceived barriers toward single-board hematology training. The survey was electronically administered to program directors of active hematology/oncology fellowship programs in the United States (n=139) in March/April 2019 using Qualtrics software. RESULTS: Of the 139 program directors who received the survey, 90 (65% response rate) completed the survey. The majority of program directors characterized their institutions as academic (87%), with only 9 (10%) describing their programs as community-based. Seventy-eight (87%) program directors believed that there is a shortage of exclusive non-malignant hematologists in the United States, and 59% felt that training more fellows to practice exclusive non-malignant hematology could help address the shortage (Table 1). Jobs for for exclusive non-malignant hematologists were perceived to exist only in academic settings by 47 (52%) respondents. In terms of fellowship training, program directors reported that an average of 5% of fellows per program pursued a career largely or exclusively focused on non-malignant hematology. In addition, 39 (43%) program directors felt that fellows were dissuaded from pursuing a career exclusively in non-malignant hematology. Regarding single-board hematology training, 73% of program directors believe that hematology-only training is both necessary and sufficient for fellows specializing in non-malignant hematology. The most commonly perceived barriers to single-board hematology fellowship programs were: 1) concerns for job availability for single-board hematology trainees, 2) concerns about limiting the training option to hematology only, and 3) lack of interested applicants to the program (Table 2). If barriers were addressed, 37% of programs directors reported that they would be interested in implementing a single-board hematology track at their institution. CONCLUSIONS: Combined hematology/oncology fellowship training is nearly exclusive to the United States. Our survey demonstrates that the percentage of fellows specializing in non-malignant hematology is significantly low (5%), a number that remains unchanged compared to a prior ASH program director survey in 2003. Our results also suggest that programs directors are interested in training fellows in non-malignant hematology and that single-board hematology training is generally acceptable among program directors. It will be important to address perceived barriers to hematology-only programs in order to promote implementation. Disclosures Naik: Elsevier: Other: Content Editor. Nagalla:Alnylam: Membership on an entity's Board of Directors or advisory committees.

scholarly journals Strategic Deployment of Cardiology Fellows in Training Using the Accreditation Council for Graduate Medical Education Coronavirus Disease 2019 Framework

2020 ◽  
Vol 9 (14) ◽  
Author(s):  
Michael J. Gallagher ◽  
Richard Bloomingdale ◽  
Aaron D. Berman ◽  
Brian D. Williamson ◽  
Simon R. Dixon ◽  
...  
Keyword(s):  
United States ◽  
Medical Education ◽  
Graduate Medical Education ◽  
The United States ◽  
Fellowship Training ◽  
Training And Education ◽  
Accreditation Council ◽  
Graduate Medical ◽  
Global Pandemic

Abstract Coronavirus disease 2019 is a global pandemic affecting >3 million people in >170 countries, resulting in >200 000 deaths; 35% to 40% of patients and deaths are in the United States. The coronavirus disease 2019 crisis is placing an enormous burden on health care in the United States, including residency and fellowship training programs. The balance between mitigation, training and education, and patient care is the ultimate determinant of the role of cardiology fellows in training during the coronavirus disease 2019 crisis. On March 24, 2020, the Accreditation Council for Graduate Medical Education issued a formal response to the pandemic crisis and described a framework for operation of graduate medical education programs. Guidance for deployment of cardiology fellows in training during the coronavirus disease 2019 crisis is based on the principles of a medical mission, and adherence to preparation, protection, and support of our fellows in training. The purpose of this review is to describe our departmental strategic deployment of cardiology fellows in training using the Accreditation Council for Graduate Medical Education framework for pandemic preparedness.

Medical Education and Instructional Design

1978 ◽  
Vol 6 (4) ◽  
pp. 317-339
Author(s):  
Richard C. Boutwell
Keyword(s):  
United States ◽  
Medical Education ◽  
Instructional Design ◽  
Medical Care ◽  
Medical Training ◽  
The United States ◽  
Medical Professionals ◽  
Acceptable Quality ◽  
Quality Of Medical Care

The rising costs of medical care and the training of medical professionals has brought about circumstances which threatens the acceptable quality of medical care in the United States. Fewer medical schools and a drop in the rate of enrolled medical students are but two indicators reflecting the issue between cost versus quality of medical training. One of the medical communities responses to this crisis has been the introduction of educational technology and instructional design processes in the training of medical professionals. This paper discusses the background of the problem and offers an instructional design model which has applied success.

scholarly journals Impact of COVID-19 on an Academic Pain Fellowship Program

2020 ◽  
Vol 4S;23 (8;4S) ◽  
pp. S433-S437
Author(s):  
Anand Prem
Keyword(s):  
United States ◽  
Medical Education ◽  
Training Programs ◽  
Free Fall ◽  
The United States ◽  
Fellowship Training ◽  
Academic Programs ◽  
Pain Clinic ◽  
Fellowship Program ◽  
Clinic Medical

Background: While the COVID-19 pandemic still rages on in the United States, leaving in its wake hundreds of thousands of infected patients, families shattered by the untimely death of their loved ones, an economy in free fall that hit all-time highs barely a few months ago, and a fearful citizenry unsure of what the future holds, the effect it has had on residency and fellowship training programs across the country may appear inconsequential to the general populace. However, if you are a graduating trainee confronted with this unusual set of circumstances, fear of the virus is not the only thing that is foremost in your mind. Methods: Literature review. Results: We discuss the unique challenges our pain fellowship program continues to deal with during this pandemic and particularly its impact on our fellows. It is entirely likely these concerns are mirrored in academic programs all over the United States. Limitations: A narrative review with paucity of literature. Key words: COVID-19, pain fellowship, interventional pain, graduating trainees, pain clinic, medical education during a pandemic

scholarly journals Medical Education From a Theory–Practice–Philosophy Perspective

2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Susan A. Kirch ◽  
Moshe J. Sadofsky
Keyword(s):  
United States ◽  
Medical Education ◽  
Curriculum Design ◽  
Historical Perspective ◽  
Curriculum And Instruction ◽  
Medical Curriculum ◽  
Educational Theory ◽  
The United States ◽  
History Of ◽  
How People Learn

Medical schooling, at least as structured in the United States and Canada, is commonly assembled intuitively or empirically to meet concrete goals. Despite a long history of scholarship in educational theory to address how people learn, this is rarely examined during medical curriculum design. We provide a historical perspective on educational theory–practice–philosophy and a tool to aid faculty in learning how to identify and use theory–practice–philosophy for the design of curriculum and instruction.

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