Purpose Psychological safety is the perception that a group environment safe for interpersonal risk taking, exposing vulnerability, and contributing perspectives without fear of negative consequences. The presence psychological has been tied to wellness, retention, inclusiveness. National data demonstrate many fundamental components are lacking in clinical learning environments. There evidence leadership behaviors can create traditional work authors sought understand how teachers’ create,...

The U.S. Centers for Disease Control and Prevention (CDC) recommended a new regimen treatment of latent tuberculosis (three months weekly isoniazid rifapentine) in late 2011. While completion rates this were reported to be higher than nine isoniazid, little is known about the three rifapentine compared or four rifampin actual use scenarios. We conducted retrospective cohort study comparing (TB) infection patients treated with outpatient clinics public health TB clinic Seattle, Washington....

Physicians involved in medical student education must juggle the tasks of providing patient care, leading clinical teams, delivering feedback, and making assessments to support learner growth. Similarly, students shift among obtaining evaluations, demonstrating competency their progress toward residency. The intersection teaching learning makes it difficult for clinician educators separate feedback from evaluation. Students consider risky reveal a deficit, ask help, or give wrong answer...

Abstract Purpose Educational impact is dependent on student engagement. Assessment design can provide a scaffold for engagement to determine the focus of efforts. Little known about how medical students engage with assessment. Therefore, we asked following research question: How do process assessment and their data in 2 clinical systems? Method This multi-institutional, cross-sectional constructivist grounded theory study fourth-year undergraduate at University Washington Cleveland Clinic...

To perform a retrospective review of the clinical characteristics, microbiological data, and outcomes in patients with granulomatous mastitis (GM) who were treated at our institution unique strategy prolonged antibiotic therapy as primary treatment modality.

Decreased mammography drives breast cancer disparities. Black women have lower rates of completion than White women, and this contributes to disparities in outcomes. Points disparity along the continuum for screening remain underresearched.The authors compared referrals aged 40-74 years at a heterogeneous academic medical center. Completion steps was between within two age cohorts: 40-49 50-74 years. Multivariable logistic regression used evaluate association race mammogram completion.Among...

Introduction Meaningful feedback is essential for effective medical education, yet the process has been consistently problematic both learners and faculty. Emerging research on highlights importance of learner, relationships, culture to improve performance. We used theory self-regulated learning develop Prepare Ask-Discuss-Ask-Plan Together (Prepare ADAPT) framework processes investigated learner perceptions this innovative framework. Methods Qualitative thematic analysis structured...

Purpose: Psychological safety refers to the perception that a learning environment is safe for interpersonal risk taking, exposing vulnerability, and contributing perspectives without fear of negative consequences. 1,2 The 3 core components psychological are: set expectations, invite participation, respond productively. presence has also been tied wellness, 1 retention, 2 inclusiveness. medical education literature suggests frees learners from image management, enables concentrate on current...

<h3>Introduction:</h3> The aim of this study is to describe factors associated with noncompletion latent tuberculosis infection (LTBI) therapy. <h3>Methods:</h3> We conducted a retrospective cohort adults who initiated LTBI treatment isoniazid, rifampin, or isoniazid-rifapentine at 5 clinics. Demographic, treatment, and monitoring characteristics were abstracted. estimated descriptive statistics compared differences between completers noncompleters using <i>t</i> tests χ² tests....

Primary care training should include competencies to provide reproductive health services. In the United Sates, primary is often provided by general internal medicine physicians. Longitudinal experiences for residents in women's increase knowledge, skills and retention careers health, but very little literature describes their implementation. The purpose of this paper describe implementation evaluation a 2-year pathway Internal Medicine.Using Context, Input, Process, Product (CIPP) model, we...

The authors have no conflict of interest to disclose.

Cognitive bias permeates almost every learner assessment in medical education. Assessment has the potential to affect a learner's education, future career and sense of self-worth. Decades data show that there is little educators can do overcome assessments. Using in-group favouritism as an example, we offer evidence-based, three-step solution understand move forward with cognitive assessment: (1) Name: simple admission about presence inherent assessment, (2) Reframe: rephrasing language shed...

Assessments can provide meaningful performance data from expert observers, but this information is prone to harmful bias. Such assessment bias disproportionately affects trainees who do not resemble or share identities with those doing the assessment.1 While hundreds of cognitive biases exist, some have particularly pernicious influences when building and sustaining diversity in medicine, subtle differences individual ratings systematically perpetuating exclusion marginalized groups.1Bias...

Graduate medical education (GME), the period of specialty and subspecialty training following attainment a degree, is final step in continuum culminating independent physician practice. This manuscript uses metaphor "our house" to describe all aspects GME environment which health care professionals trainees learn work. Our house's inhabitants have unequivocally stated that our house state disrepair. While physicians-in-training inevitably face challenges on their journey practice, those from...