Thomas J. Nasca

ORCID: 0000-0003-0811-5462
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About
Contact & Profiles
Research Areas
  • Innovations in Medical Education
  • Diversity and Career in Medicine
  • Clinical Reasoning and Diagnostic Skills
  • Global Health Workforce Issues
  • Medical Education and Admissions
  • Health and Medical Research Impacts
  • Primary Care and Health Outcomes
  • Healthcare Quality and Management
  • Healthcare professionals’ stress and burnout
  • Healthcare Policy and Management
  • Empathy and Medical Education
  • Hospital Admissions and Outcomes
  • Radiology practices and education
  • Advances in Oncology and Radiotherapy
  • Surgical Simulation and Training
  • COVID-19 and healthcare impacts
  • Patient Safety and Medication Errors
  • Health Sciences Research and Education
  • Ethics in medical practice
  • Cardiac, Anesthesia and Surgical Outcomes
  • Workplace Violence and Bullying
  • Interprofessional Education and Collaboration
  • Problem and Project Based Learning
  • Healthcare cost, quality, practices
  • Myasthenia Gravis and Thymoma

Accreditation Council for Graduate Medical Education
2014-2024

Thomas Jefferson University
2014-2024

University of Illinois Chicago
2016-2024

Northwestern University
2009-2020

American Board of Internal Medicine
2004-2020

University of Wisconsin–Madison
2013-2020

University of Ottawa
2019

Google (United States)
2019

Neurological Surgery
2017

Illinois College
2016

The American Council of Graduate Medical Education is moving from accrediting residency programs every 5 years to a new system for the annual evaluation trends in measures performance.

10.1056/nejmsr1200117 article EN New England Journal of Medicine 2012-02-22

There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components empathy, measurement properties, group differences scores.A revised version Jefferson Scale Physician Empathy (with 20 Likert-type items) mailed 1,007 physicians affiliated with Health System greater Philadelphia region; 704 (70%) responded. Construct validity, reliability scale, mean scores by...

10.1176/appi.ajp.159.9.1563 article EN American Journal of Psychiatry 2002-08-30

The present study was designed to develop a brief instrument measure empathy in health care providers patient situations. Three groups participated the study: Group 1 consisted of 55 physicians, 2 41 internal medicine residents, and 3 composed 193 third-year medical students. A 90-item preliminary version Empathy scale developed based on review literature distributed for feedback. After pilot testing, revised shortened 45-item Groups 3. final Jefferson Scale Physician containing 20 items...

10.1177/00131640121971158 article EN Educational and Psychological Measurement 2001-04-01

It has been reported that medical students become more cynical as they progress through school. This can lead to a decline in empathy. Empirical research address this issue is scarce because the definition of empathy lacks clarity, and tool measure specifically doctors unavailable.To examine changes among school.A newly developed scale (Jefferson Scale Physician Empathy [JSPE], with 20 Likert-type items) was administered 125 at beginning (pretest) end (post-test) Year 3 for measuring patient...

10.1111/j.1365-2929.2004.01911.x article EN Medical Education 2004-08-24

Physicians, particularly trainees and those in surgical subspecialties, are at risk for burnout. Mistreatment (i.e., discrimination, verbal or physical abuse, sexual harassment) may contribute to burnout suicidal thoughts.

10.1056/nejmsa1903759 article EN New England Journal of Medicine 2019-10-28

Context Empathy is a major component of satisfactory doctor–patient relationship and the cultivation empathy learning objective proposed by Association American Medical Colleges (AAMC) for all medical schools. Therefore, it important to address measurement empathy, its development correlates in Objectives We designed this study test two hypotheses: firstly, that students with higher scores would obtain ratings clinical competence core clerkships; secondly, women than men. Materials subjects...

10.1046/j.1365-2923.2002.01234.x article EN Medical Education 2002-05-31

A task force of the Accreditation Council for Graduate Medical Education (ACGME) has proposed modifications in current requirements medical residency training programs, including limits on resident hours. This article explains changes and rationale them invites input new requirements, which are scheduled implementation 2011.

10.1056/nejmsb1005800 article EN New England Journal of Medicine 2010-06-24

It is as important to know what kind of a man has the disease, it disease man. —Sir William Osler1 Researchers agree that empathy positive role in clinical outcomes2,3,4 and improving interpersonal relationships,2 but they are divided on its definition components. In context health care, we define "a cognitive (as opposed affective) attribute involves an understanding inner experiences perspectives patient, combined with capability communicate this patient." With exception affective domain,...

10.1097/00001888-200210001-00019 article EN Academic Medicine 2002-10-01

Interview with Dr. Tait Shanafelt on causes of burnout and efforts to improve support for clinicians. (13:21)Download The National Academy Medicine, the Association American Medical Colleges, Accreditation Council Graduate Education have launched a national Action Collaborative Clinician Well-Being Resilience combat clinician-burnout crisis.

10.1056/nejmp1715127 article EN New England Journal of Medicine 2018-01-25

Preventing a Parallel Pandemic Just as the country rallied to care for September 11 first responders who suffered long-term health effects, we must take responsibility well-being of clinici...

10.1056/nejmp2011027 article EN New England Journal of Medicine 2020-05-13

Purpose To systematically study the number of U.S. resident deaths from all causes, including suicide. Method The more than 9,900 programs accredited by Accreditation Council for Graduate Medical Education (ACGME) annually report status residents. authors aggregated ACGME data on 381,614 residents in training during years 2000 through 2014. Names reported as deceased were submitted to National Death Index learn causes death. Person-year calculations used establish death rates and compare...

10.1097/acm.0000000000001736 article EN cc-by-nc-nd Academic Medicine 2017-05-17

The authors designed the present study to examine association between individuals' scores on Jefferson Scale of Physician Empathy (JSPE; M. Hojat, J. S. Gonnella, Mangione, T. Nasca, & Magee, 2003; Vergare, 2002; Cohen, B. Erdmann, Veloski, 2001), a selfreport empathy scale, during medical school and ratings their empathic behavior made by directors residency training programs 3 years later. Participants were 106 physicians. examined relationships JSPE (with 20 Likert-type items) at...

10.3200/socp.145.6.663-672 article EN The Journal of Social Psychology 2005-12-01

Abstract Since the release of Institute Medicine's report on resident hours and patient safety, there have been calls for enhanced institutional oversight duty hour limits efforts to enhance quality safety care in teaching hospitals. The ACGME has established Clinical Learning Environment Review (CLER) program as a key component Next Accreditation System with aim promote by focusing 6 areas important hospitals residents will provide lifetime practice after completion training. encompass...

10.4300/jgme-04-03-31 article EN Journal of Graduate Medical Education 2012-09-01

Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Journals Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...

10.1001/jama.2013.1931 article EN JAMA 2013-04-24

surgical training, discrimination is common 2 but has not been comprehensively evaluated among racial/ethnic minorities.The objectives of this study were to (1) determine the national prevalence and sources based on race/ ethnicity in US general surgery programs, (2) identify factors associated with discrimination, (3) assess its association resident wellness.

10.1001/jamasurg.2020.0260 article EN JAMA Surgery 2020-04-15

<h3>Importance</h3> Mistreatment is a common experience among surgical residents and associated with burnout. Women have been found to mistreatment at higher rates than men. Further characterization of residents' experiences gender discrimination sexual harassment may inform solutions. <h3>Objective</h3> To describe the types, sources, factors (1) based on gender, identity, or orientation (2) experienced by in general surgery programs across US. <h3>Design, Setting, Participants</h3> This...

10.1001/jamasurg.2021.3195 article EN JAMA Surgery 2021-07-28

Interview with Dr. Eileen Reynolds on the ACGME's review of clinical learning environments and its goals for residency programs. (11:33)Download On basis site visits that it has conducted Clinical Learning Environment Review program, Accreditation Council Graduate Medical Education reports finding a generalized lack resident engagement in systems-based practice.

10.1056/nejmp1314628 article EN New England Journal of Medicine 2014-01-27

Previous studies have shown high rates of mistreatment among US general surgery residents, leading to poor well-being. Lesbian, gay, bisexual, transgender, queer, and other sexual gender minority (LGBTQ+) residents represent a high-risk group for mistreatment; however, their experience in programs is largely unexplored.To determine the national prevalence well-being LGBTQ+ compared with non-LGBTQ+ peers.A voluntary, anonymous survey adapting validated instruments was administered all...

10.1001/jamasurg.2021.5246 article EN JAMA Surgery 2021-10-21

Inter-professional collaboration between physicians and nurses, within cultures, can help contain cost insure better patient outcomes. Attitude toward such is a function of the roles prescribed in culture that guide professional behavior.The purpose study was to test three research hypotheses concerning attitudes physician-nurse across genders, disciplines, cultures.The Jefferson Scale Attitudes Toward Physician-Nurse Collaboration administered 639 nurses United States (n = 267) Mexico 372)....

10.1097/00006199-200103000-00008 article EN Nursing Research 2001-03-01

The Accreditation Council for Graduate Medical Education (ACGME) Milestones describe behavioral markers the progressive acquisition of competencies during residency. As a key component Next System, all residents are evaluated specialty-specific Milestones. objective was to determine validity and reliability emergency medicine (EM) Milestones.The ACGME American Board Emergency Medicine performed this single-event observational study. data included initial EM performance ratings categorical...

10.1111/acem.12697 article EN Academic Emergency Medicine 2015-06-25
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