A5049467459- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
- Diversity and Career in Medicine
- Simulation-Based Education in Healthcare
- Global Health and Surgery
- Radiology practices and education
- Healthcare Policy and Management
- Fungal Infections and Studies
- Nail Diseases and Treatments
- Infectious Diseases and Mycology
- Amoebic Infections and Treatments
- Medical Imaging and Pathology Studies
- Pneumocystis jirovecii pneumonia detection and treatment
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Antibiotic Use and Resistance
- Healthcare Operations and Scheduling Optimization
- Patient Satisfaction in Healthcare
- Social Media in Health Education
- Academic Writing and Publishing
- Empathy and Medical Education
- Cultural Competency in Health Care
- Interprofessional Education and Collaboration
University of Pittsburgh
2012-2024
St. Luke's Hospital
2021
Swansea University
2019
Accreditation Council for Graduate Medical Education
2019
University of Minnesota Medical Center
2019
Association of American Medical Colleges
2019
GTx (United States)
2011-2013
Penn State Milton S. Hershey Medical Center
2013
Teine Keijinkai Hospital
2012
Health First
2011
Purpose The use of bedside rounds in teaching hospitals has declined, despite recommendations from educational leaders to promote this effective strategy. authors sought identify reasons for the decrease rounds, actual barriers methods overcome trainee apprehensions, and proposed strategies educate faculty. Method A qualitative inductive thematic analysis using transcripts audio-recorded, semistructured telephone interviews with a purposive sampling 34 inpatient attending physicians 10...
Bedside rounds have decreased on teaching services, raising concern about trainees' clinical skills and patient-physician relationships.We sought to identify recognized bedside teachers' perceived value of assist in the promotion services.Authors used a grounded theory, qualitative study design telephone semistructured interviews with teachers (n = 34) from 10 U.S. institutions (2010-2011). Main outcomes were characteristics participants, themes pertaining rounds, quotations highlighting...
Competency-based medical education increasingly recognizes the importance of observation, feedback, and reflection for trainee development. Although bedside rounds provide opportunities authentic workplace-based implementation feedback team-based strategies, this relationship has not been well described. The authors sought to understand content timing provided by teachers in context patient-centered rounds. conducted a thematic analysis qualitative study using transcripts from...
Clinical vignette multiple-choice questions (MCQs) are widely used in medical education, but clinical reasoning (CR) strategies employed when approaching these have not been well described.The aims of the study were (1) to identify CR and test-taking (TT) behaviors physician trainees while solving MCQs; (2) examine relationships between behaviors, performance on a high-stakes MCQ examination.Thirteen postgraduate year-1 level completed 6 MCQs using think-aloud protocol. Thematic analysis...
Background: Japanese physician training programs are currently not subject to rigorous national standardization. Despite residency restructuring in 2004, little is known about the current work allocation of residents Japan.
Abstract Introduction Due to the large language and cultural distances between Japan US compared many countries, Japanese International Medical Graduates (IMGs) may have a different training experience, including more stress, than IMGs. We examined clinical experience for IMGs, challenges encountered, how those are overcome, benefits of training. Methods performed individual semistructured interviews with 35 purposively sampled IMGs who had completed Exploratory thematic analysis was...
Background: International Medical Graduates (IMGs) are commonly understood to move from low high resource countries with motivations including improved financial situations and cultures of emigration. A presumable exception the above themes would be Japanese IMG population. The aim this study was develop an understanding experience.Methods: Using a grounded theory approach, we interviewed 19 IMGs working in US 16 Japan who had completed clinical training. Questions addressed decision-making...
ABSTRACT Background International medical graduates (IMGs) have significant exposure to clinical training in their home country, which provides opportunity for international comparison of experiences. One relevant IMG population is Japanese physicians who completed some before entering residency programs the United States and desire improve education Japan. Objective We examined IMGs' perceptions respective attributes Methods Individual semistructured interviews were conducted with 33...
In Western clinical training, formulation of a summary statement (SS) is core exercise for articulation, evaluation, and improvement reasoning (CR). Japanese structured guidance in developing CR, including opportunity SS practice, uncommon, the present status case summarization skills unclear. We used Virtual Patients (VPs) to explore junior residents' styles effectiveness VPs on improving quality. All first-year resident physicians at 4 residency programs (n = 54) were assigned randomized...
Phenomenon: Internationally, efforts to produce an adequate supply of effective generalist physicians commonly encounter resistance. Achieving reform requires changes in educational and clinical practice cultures, clinician educators play a central role championing change. In Japan, training fields has historically been lacking, but for decades the government advocated alignment with Western models. Meanwhile, some Japanese have pursued U.S. intention help change education systems back...
Abstract Introduction Entering US clinical training requires completing requirements and navigating an application process differing from the Japanese system. Additionally, increases to number of medical school graduates have increased competition for residency positions. We examined profiles International Medical Graduates (IMGs) who completed training, timelines securing positions, greatest challenges during this methods overcome them. Methods Individual semistructured interviews were...
Exemplar summary statements of clinical cases used for this study. Japanese translations were in the (DOC 30 kb)
A 72-year-old man was hospitalized after experiencing massive hemoptysis.Chest x-ray revealed a 77 mm X 56 homogenous oval-shaped mass in the
I stepped inside kaigishitsu ichi (conference room 1) and froze. had just completed a teaching session hustled up down numerous flights of stairs through the hospital complex. With labored breathing dilated pupils, stared at whiteboard on far wall, 30 feet away, which displayed scientific poster titled, “Thrombotic Thrombocytopenic Purpura with Myocardial Infarction.” At that moment, was slowly sliding board. The been empty in morning when left this poster, along 2 others. Presently, front...