scholarly journals Global Health Leadership Pathway: A Novel Approach to Global Radiology Curriculum Integration for Residents

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Katrina McGinty ◽  
Robert G. Dixon ◽  
Melissa P. Culp
Keyword(s):  
Global Health ◽  
Clinical Education ◽  
Medical Center ◽  
Academic Medical Center ◽  
Opportunity To Learn ◽  
Structured Education ◽  
Academic Field ◽  
Health Leadership ◽  
Radiology Training ◽  
Novel Approach

Purpose: Our radiology residency programs are at an academic medical center in the southeastern United States and are accredited by the Accreditation Council for Graduate Medical Education (ACGME). During the initial eight years of our department’s global health program, 22 residents participated in our global health collaborations with a related $31,000 in extradepartmental travel awards. Increasingly, residents applying to our program convey interest in the integration of global health into their careers as radiologists. To that end, our administration, global health faculty, and residency program directors created and approved a Global Health Leadership Pathway (GHLP). The Pathway spans all years of radiology training to provide curriculum support with the aim of ensuring that our residents have the knowledge and skills necessary to become future leaders in global health. Description: The GHLP is a residency track that residents apply to join with a related radiology clinical education, global health specific curriculum throughout all training years, integration of the RAD-AID Certificate of Proficiency in Global Health Radiology, individual mentorship, and participation with an international elective. Structured education on global radiology, epidemiology, access implications, and related methodologies give our residents the opportunity to learn best practices for sustainability in global health. Conclusion: Because of increasing interest and due to the past successful involvement of our radiology residents in global health, our department created this Global Health Leadership Pathway to give our trainees the educational resources to support their future leadership and involvement in the academic field of global health.

scholarly journals Risk factors associated with physician trainee concern over missed educational opportunities during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sunny S. Lou ◽  
Charles W. Goss ◽  
Bradley A. Evanoff ◽  
Jennifer G. Duncan ◽  
Thomas Kannampallil
Keyword(s):  
Risk Factors ◽  
Clinical Education ◽  
Medical Center ◽  
Clinical Care ◽  
Academic Medical Center ◽  
Clinical Work ◽  
Educational Opportunities ◽  
Missed Opportunities ◽  
Physician Trainee ◽  
At Home

Abstract Background The COVID-19 pandemic resulted in a transformation of clinical care practices to protect both patients and providers. These changes led to a decrease in patient volume, impacting physician trainee education due to lost clinical and didactic opportunities. We measured the prevalence of trainee concern over missed educational opportunities and investigated the risk factors leading to such concerns. Methods All residents and fellows at a large academic medical center were invited to participate in a web-based survey in May of 2020. Participants responded to questions regarding demographic characteristics, specialty, primary assigned responsibility during the previous 2 weeks (clinical, education, or research), perceived concern over missed educational opportunities, and burnout. Multivariable logistic regression was used to assess the relationship between missed educational opportunities and the measured variables. Results 22% (301 of 1375) of the trainees completed the survey. 47% of the participants were concerned about missed educational opportunities. Trainees assigned to education at home had 2.85 [95%CI 1.33–6.45] greater odds of being concerned over missed educational opportunities as compared with trainees performing clinical work. Trainees performing research were not similarly affected [aOR = 0.96, 95%CI (0.47–1.93)]. Trainees in pathology or radiology had 2.51 [95%CI 1.16–5.68] greater odds of concern for missed educational opportunities as compared with medicine. Trainees with greater concern over missed opportunities were more likely to be experiencing burnout (p = 0.038). Conclusions Trainees in radiology or pathology and those assigned to education at home were more likely to be concerned about their missed educational opportunities. Residency programs should consider providing trainees with research or at home clinical opportunities as an alternative to self-study should future need for reduced clinical hours arise.

scholarly journals Rising to the challenge: Pharmacy residents on the front lines during COVID-19 pandemic

2020 ◽  
Vol 77 (24) ◽  
pp. 2101-2106
Author(s):  
Emma Uchida ◽  
Bianca Long-Fazio ◽  
John Marshall ◽  
Christopher Fortier
Keyword(s):  
Clinical Education ◽  
Disaster Response ◽  
Medical Center ◽  
Academic Medical Center ◽  
Scope Of Practice ◽  
Residency Programs ◽  
Academic Medical ◽  
Cross Training ◽  
Resident Involvement ◽  
Second Wave

Abstract Purpose To provide pharmacy residents’ perspective on how the department of pharmacy at a large academic medical center prepared and managed the surge in admissions of patients with coronavirus disease 2019 (COVID-19), to describe how residents were trained for intensive care unit (ICU) staffing, and to provide recommendations on how residency programs nationally could navigate a second wave of COVID-19 admissions or other disaster response situations. Summary The majority of postgraduate year 1 (PGY1) pharmacy residents at the institution were trained for ICU staffing and deployed throughout the hospital to ICU units converted to dedicated COVID-19 ICUs to assist in patient care. The training process included live videoconference lectures about relevant ICU topics and on-site experiences with critical care clinical pharmacists. Based on their experience in training for and participating in ICU care of patients with COVID-19, the pharmacy residents recommend considering additional cross-training of residents, integration of additional clinical education, creation of opportunities for resident involvement in telehealth, advancement of residents’ roles in emergency responses, building robust mental health services, and continued advocacy for the advancement of pharmacists’ and pharmacy residents’ scope of practice. Conclusion The onset of the COVID-19 pandemic caused the institution to reevaluate the allocation of resources, and the department of pharmacy elected to deploy PGY1 pharmacy residents with previous ICU experience to assist in caring for an ICU patient census that had doubled. This experience will be valuable in preparing for another potential wave of COVID-19 cases and a surge in admissions of other groups of patients who deferred care due to the pandemic.

scholarly journals The Effectiveness of Bioskills Training for Simulated Open Lumbar Laminectomy

2017 ◽  
Vol 7 (8) ◽  
pp. 794-800 ◽  
Author(s):  
Barrett S. Boody ◽  
Brett D. Rosenthal ◽  
Tyler J. Jenkins ◽  
Alpesh A. Patel ◽  
Jason W. Savage ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Education ◽  
Medical Center ◽  
Academic Medical Center ◽  
Intervention Group ◽  
Training Session ◽  
Senior Resident ◽  
Control Group ◽  
Junior Resident ◽  
Training Module

Study Design: Randomized, prospective study within an orthopedic surgery resident program at a large urban academic medical center. Objectives: To develop an inexpensive, user-friendly, and reproducible lumbar laminectomy bioskills training module and evaluation protocol that can be readily implemented into residency training programs to augment the clinical education of orthopedic and neurosurgical physicians-in-training. Methods: Twenty participants comprising senior medical students and orthopedic surgical residents. Participants were randomized to control (n = 9) or intervention (n = 11) groups controlling for level of experience (medical students, junior resident, or senior resident). The intervention group underwent a 40-minute bioskills training module, while the control group spent the same time with self-directed study. Pre- and posttest performance was self-reported by each participant (Physician Performance Diagnostic Inventory Scale [PPDIS]). Objective outcome scores were obtained from a blinded fellowship-trained attending orthopedic spine surgeon using Objective Structured Assessment of Technical Skills (OSATS) and Objective Decompression Score metrics. Results: When compared with the control group, the intervention group yielded a significant mean improvement in OSATS ( P = .022) and PPDIS ( P = .0001) scores. The Objective Decompression Scores improved in the intervention group with a trend toward significance ( P = .058). Conclusions: We conclude that a concise lumbar laminectomy bioskills training session can be a useful educational tool for to augment clinical education. Although no direct clinical correlation can be concluded from this study, the improvement in trainee’s technical and procedural skills suggests that Sawbones training modules can be an efficient and effective tool for teaching fundamental spine surgical skills outside of the operating room.

scholarly journals Development of a multi-disciplinary global health curriculum at an Academic Medical Center

2016 ◽  
Vol 82 (3) ◽  
pp. 506
Author(s):  
Leyla Farshidpour ◽  
Ellen Douglass ◽  
Rais Vohra ◽  
Steve Stoltz
Keyword(s):  
Global Health ◽  
Medical Center ◽  
Academic Medical Center ◽  
Health Curriculum ◽  
Academic Medical

Introduction

2020 ◽  
pp. 1-8
Author(s):  
Rosamond Rhodes
Keyword(s):  
Medical Ethics ◽  
Medical Center ◽  
Academic Medical Center ◽  
Codes Of Ethics ◽  
Common Morality ◽  
Medical Professionalism ◽  
Good Position ◽  
Novel Approach ◽  
Academic Medical ◽  
The World

This book begins by rejecting the reigning view of medical ethics as the application of common morality, that is, the ethics of everyday life, to dilemmas that arise in today’s medical practice. Instead, it argues for a new theory of medical ethics that is actually in line with the codes of ethics and professional oaths proclaimed by physicians around the world. This introduction explains how a philosopher who has spent 30 years as a bioethicist at an academic medical center and medical school is in a good position to propose a novel approach to the ethics of medicine. The proposed theory of medical ethics makes sense of the concept of medical professionalism and serves as a useful guide for doctors who confront ethically challenging situations in their clinical practice.

scholarly journals Developing and sustaining residency tracks in global health at an independent academic medical center

2014 ◽  
Vol 80 (3) ◽  
pp. 166 ◽  
Author(s):  
O.A. Khan ◽  
J. Donnelly ◽  
C. Prater ◽  
K. Testa ◽  
A. Merriam
Keyword(s):  
Global Health ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals A Qualitative Study of Physician Perspectives on Adaptation to Electronic Health Records

2019 ◽  
Author(s):  
Cynthia Judine Sieck ◽  
Nicole Pearl ◽  
Tiffani J. Bright ◽  
Po-Yin Yen
Keyword(s):  
Qualitative Study ◽  
Electronic Health Records ◽  
Medical Center ◽  
Academic Medical Center ◽  
Opportunity To Learn ◽  
Structured Interviews ◽  
Health Records ◽  
Physician Perspectives ◽  
Academic Medical ◽  
Electronic Health

Abstract Background Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation.Methods We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 minutes, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis.Results We identified 4 major themes related to EHR adapation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adapation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaption.Conclusions As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.

scholarly journals Integrated clinical decision support : assessing opportunities and outcomes

2019 ◽  
Author(s):  
◽  
Timothy A. Green
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Medical Center ◽  
Academic Medical Center ◽  
Decision Support Tool ◽  
Clinical Decision ◽  
Perceived Usefulness ◽  
Inpatient Setting ◽  
Support Tool ◽  
Novel Approach

Medical calculators play an important role as a component of specific clinical decision support (CDS) systems that synthesize measurable evidence and can introduce new medical guidelines and standards. Understanding the features of calculators is important for calculator adoption and clinical acceptance. Some medical calculators can fulfill the role of CDS for Meaningful Use purposes. However, there are barriers for clinicians to use medical calculators in practice. This research presents a novel classification system for medical calculators and explores clinician use and perceived usefulness of medical calculators. Additionally, we examine the effects of an EHR integrated decision support tool on management of pain in an inpatient setting. Metadata on 766 medical calculators implemented online were collected, analyzed, and categorized by their input types, method of presenting results, and advisory nature of those results. Reference rate, publication year, and availability of references were collected. We surveyed a population of resident and attending physicians at a medium-sized academic medical center to discover the prevalence of medical calculator use, how they were accessed, and what factors might influence their use, for example, EMR integration. We also conducted a retrospective evaluation of an EHR integrated CDS module focused on pain management, leveraging a novel approach to digital workflow evaluation within the EHR, focusing on patient-centric outcome measurements.

scholarly journals A Qualitative Study of Physician Perspectives on Adaptation to Electronic Health Records

2019 ◽  
Author(s):  
Cynthia Judine Sieck ◽  
Nicole Pearl ◽  
Tiffani J. Bright ◽  
Po-Yin Yen
Keyword(s):  
Qualitative Study ◽  
Electronic Health Records ◽  
Medical Center ◽  
Academic Medical Center ◽  
Opportunity To Learn ◽  
Structured Interviews ◽  
Health Records ◽  
Physician Perspectives ◽  
Academic Medical ◽  
Electronic Health

Abstract Background Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation.Methods We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 minutes, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis.Results We identified 4 major themes related to EHR adapation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adapation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaption.Conclusions As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.

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