A5020296118- Innovations in Medical Education
- Diversity and Career in Medicine
- Hospital Admissions and Outcomes
- Global Health Workforce Issues
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Health and Medical Research Impacts
- Medical Education and Admissions
- Clinical Reasoning and Diagnostic Skills
- Radiology practices and education
- Patient Safety and Medication Errors
- Pediatric Hepatobiliary Diseases and Treatments
- Health Sciences Research and Education
- Healthcare cost, quality, practices
- Dental Education, Practice, Research
- Surgical Simulation and Training
- Medical Malpractice and Liability Issues
- Gallbladder and Bile Duct Disorders
- Sleep and Work-Related Fatigue
- Biliary and Gastrointestinal Fistulas
- Healthcare Systems and Technology
- Birth, Development, and Health
- Demographic Trends and Gender Preferences
- Occupational and Professional Licensing Regulation
- Academic integrity and plagiarism
University of Michigan
2022-2025
Accreditation Council for Graduate Medical Education
2025
Michigan Medicine
2022-2024
ORCID
2022-2024
California Science Center
2023
Harvard University
1990-2021
Mass General Brigham
2005-2021
St. Luke's Hospital
2021
Massachusetts General Hospital
1989-2020
Brigham and Women's Hospital
2005-2020
Resident physicians are frontline providers with a unique vantage point from which to comment on patient safety-related events.We surveyed trainees at 2 teaching hospitals about experiences adverse events (AEs), mistakes, and near misses, as well the potential causes.Responses were obtained 821 (57%) of 1440 eligible trainees. Analysis was restricted 689 clinical More than half (55%) reported ever caring for who had an AE. The most common types AEs procedural medication related. two thirds...
The design of U.S. graduate medical education is the product tradition and has changed little despite substantial changes in patient needs care delivery. Research needed on most appropriate structure, content, funding mechanisms, organization GME.
Can Covid Catalyze an Educational Transformation? The Covid-19 pandemic presents urgent imperative to rethink residency graduation requirements and opportunity implement the competency-bas...
Residency recruitment is a high-stakes activity for all participants, yet there limited information about how applicants choose among programs.This study evaluated the importance place on various residency program attributes; whether applicant priorities vary by sex, race/ethnicity, or specialty choice; and of these factors changes over time.Highly ranked to programs at 2 academic medical centers were surveyed annually from 2004 2012 regarding 26 characteristics in selecting program. Mean...
Childbearing and Family Leave Policies
Abstract Problem Competency-based medical education is increasingly regarded as a preferred framework for physician training, but implementation limited. U.S. residency programs remain largely time based, with variable assessments and limited opportunities individualization. Gaps in graduates’ readiness unsupervised care have been noted across specialties. Logistical barriers regulatory requirements constrain movement toward competency-based, time-variable (CBTV) graduate (GME), despite its...
Those involved in graduate medical education have long struggled with competing priorities that surround the issue of residents' work hours: providing each trainee an adequate amount clinical experience; protecting time for teaching conferences and self-study; preserving sufficient continuity patient care; avoiding excessive fatigue. The recent decision by Accreditation Council Graduate Medical Education (ACGME) to implement new limits on hours has abruptly intensified struggle. When fully...
Parenting issues can affect physicians' choice of specialty or subspecialty, as well their selection individual training programs, because the distinctive challenges facing residents and fellows with children. Specific information about how perceive these is limited.
Abstract Background The prevention of coronavirus disease 2019 (COVID-19) in vulnerable populations is a global health priority. EVADE was phase 2/3 multicenter, double-blind, randomized, placebo-controlled trial adintrevimab, an extended–half-life monoclonal antibody, for postexposure (PEP) and pre-exposure prophylaxis (PrEP) symptomatic COVID-19. Methods Eligible participants (vaccine-naive, aged ≥12 years) were randomized 1:1 to receive single 300-mg intramuscular injection adintrevimab...
To assess the educational impact of Accreditation Council for Graduate Medical Education resident work-hour limits implemented in July 2003.All trainees all 76 accredited programs at two large teaching hospitals were surveyed between May and June 2003 (before reductions) then 2004 (after about hours, education, fatigue. Based on changes weekly duty 13 experiencing substantial reduction hours classified into a reduced-hours group. Differences assessments endpoints before after policy...
Colleagues offered congratulations when Mike and Anya announced that they were expecting a baby — due few months before their expected graduation from residency programs in radiology family medicine. Both had plum jobs lined up across the country, where grandparents could help with child care.Mike's program director told him he take 8 weeks of parental leave American Board Radiology would exempt making this time. Mike's fellow residents relieved extra on-call responsibility not be...
To evaluate the long-term impact of 2003 Accreditation Council for Graduate Medical Education (ACGME) duty hour limits on residents' perception education.Eight years after introduction ACGME limits, graduate medical education programs implemented a revised set standards. Currently, limited data exist related to standards resident education.A yearly survey from 2009 was administered orthopedic residents in multi-institutional program, inquiring about several aspects resident's educational...
Interview with Dr. Debra Weinstein on the need for consistent metrics to assess GME programs and their graduates. (10:04)Download Assessment of impact individual residency graduates, performance graduate medical education programs, collective contribution our “system” would help inform policy decisions facilitate efforts cultivate evidence-based GME.
Abstract A worsening shortage of rural physicians paralleling increasing health disparities demands attention. Past and ongoing efforts to address this have had positive effects can inform new strategies achieve even greater impact. Interventions included the development regional medical school campuses rural-focused tracks recruit students from areas, expansion rural-based graduate education (GME) programs tracks, use institutional individual financial incentives for training and/or...
Optimizing clinician education is an essential step toward enhancing health outcomes, and graduate medical (GME)-as the pipeline for producing nation's physicians-is appropriate target improvement. This Invited Commentary focuses on need to clarify specific goals of GME measure achievement those goals, using consistent metrics. The authors report October 2017 National Academies Sciences, Engineering, Medicine (NASEM) workshop focused this agenda. A broadly representative group participants...
Interview with Dr. Debra Weinstein on policies related to parenting during medical training that could be implemented at the national, institutional, and program levels. (08:14)Download As a substantial number of residents fellows become parents, their struggles highlight need for systemic solutions. Family-friendly national standards, transparent local policies, structural resources are all critical better supporting trainee-parents.
This study assesses how member boards of the American Board Medical Specialties (ABMS) have adhered to a 2021 ABMS policy change allowing residents minimum 6 weeks parental, caregiver, and medical leave.
The field of graduate medical education (GME) research is attracting increased attention and broader participation. authors review the special ethical methodological considerations pertaining to research. Because residents are at once a convenient captive study population, risk coercion exists, making provision consent important. role institutional board (IRB) often difficult discern because GME activities can have multiple simultaneous purposes, educational may go forward with or without...