The authors performed a review of 30 Accelerating Change in Medical Education full grant submissions and an analysis the health systems science (HSS)-related curricula at 11 recipient schools to develop potential comprehensive HSS curricular framework with domains subcategories.In phase 1, identify domains, were analyzed coded using constant comparative analysis. In 2, detailed all existing planned syllabi curriculum documents grantee was performed, content core into subcategories. lead...

As health systems evolve, the education community is seeking to reimagine student roles that combine learning with meaningful contributions patient care. The authors sought identify potential stakeholders regarding value of work, and tasks students could perform add system, including key barriers associated strategies promote value-added in undergraduate medical education.In 2016, 32 U.S. schools American Medical Association's (AMA's) Accelerating Change Education Consortium met for a...

To describe the breadth of strategies U.S. medical schools use to promote student well-being.In October 2016, 32 were surveyed about their well-being initiatives, resources, and infrastructure; grading in preclinical courses; learning communities.Twenty-seven (84%) responded. Sixteen (59%) had a curriculum, with content scheduled during regular curricular hours at most (13/16; 81%). These sessions held least monthly (12/16; 75%), there was combination optional mandatory attendance (9/16;...

Phenomenon: The learning environment is the physical, social, and psychological context in which a student learns. A supportive contributes to well-being enhances empathy, professionalism, academic success, whereas an unsupportive may lead burnout, exhaustion, cynicism. Student perceptions of medical school change over time be associated with students' year training differ significantly depending on student's gender or race/ethnicity. Understanding changes related characteristics could...

Medical education exists in the service of patients and communities must continually calibrate its focus to ensure achievement these goals. To close gaps U.S. health outcomes, medical is steadily evolving better prepare providers with knowledge skills lead patient- systems-level improvements. Systems-related competencies, including high-value care, quality improvement, population health, informatics, systems thinking, are needed achieve this but often curricular islands education, dependent...

Because change is ubiquitous in healthcare, clinicians must constantly make adaptations to their practice provide the highest quality care patients. In a previous article, Cutrer et al. described metacognitive approach learning based on self-regulation, which facilitates development of Master Adaptive Learner (MAL). The MAL process helps individuals cultivate and demonstrate adaptive expertise, allowing them investigate new concepts (learn) create solutions (innovate). An individual's...

Educators, policy makers, and health systems leaders are calling for significant reform of undergraduate medical education (UME) graduate (GME) programs to meet the evolving needs care system. Nationally, several schools have initiated innovative curricula in both classroom workplace learning experiences promote science (HSS), which includes topics such as value-based care, system improvement, population public health. However, successful implementation HSS across is challenged by issues...

Purpose: Social determinants of health (SDH) are recognized as important factors that affect and well-being. Medical schools encouraged to incorporate the teaching SDH. This study investigated level commitment SDH; learning objectives/goals regarding student knowledge, skills, attitudes; location in curriculum strategies; perceived barriers Methods: A team from American Association's Accelerating Change Education Consortium developed a 23-item inventory survey document consortium school SDH...

Purpose Many medical schools have implemented learning communities (LCs) to improve the environment (LE) for students. The authors conducted this study determine whether a relationship exists between student perceptions of LE and presence LCs during preclerkship years. Method Students from 24 participating in American Medical Association Learning Environment Study completed 17-item Student Survey (MSLES) at end their first second years school 2011 2013. Mean total MSLES scores individual...

Accreditation and professional organizations have recognized the importance of measuring medical students' perceptions learning environment, which influences well-being competency development, to optimize development. This study was conducted explore interactions between school student demographic variables, attributes empathy, coping, tolerance ambiguity, patient-centeredness provide ideas for improving environment.Twenty-eight schools at 38 campuses recruited 4,664 entering students...

The American Medical Association's (AMA's) Accelerating Change in Education (ACE) initiative, launched 2013 to foster advancements undergraduate medical education, has led the development and scaling of innovations influencing full continuum training. Initial grants $1 million were awarded 11 U.S. schools, with 21 schools joining consortium 2016 at a lower funding level. Almost one-fifth all MD- DO-granting are represented 32-member consortium. In first 5 years, have delivered innovative...

OPEN ACCESSFebruary 7, 2023Implementation of the AAMC's Holistic Review Model for Psychiatry Resident Recruitment Robert Marvin, MD, Yoon Soo Park, PhD, Michael Dekhtyar, MEd, Marla Hartzen, Laurel Bessey, Ryan Finkenbine, Brett Lloyd, Senada Bajmakovic-Kacila, Art Walaszek, Ara Tekian, PhD MD https://orcid.org/0000-0002-6186-8423 Professor and Residency Training Director, Department Psychiatry, University Illinois College Medicine at Chicago E-mail Address: [email protected] Google Scholar...

Abstract Objectives In 2015, the National Academy of Medicine IOM estimated that 12 million patients were misdiagnosed annually. This suggests despite prolonged training in medical school and residency there remains a need to improve diagnostic reasoning education. study evaluates new approach. Methods A total 285 students enrolled this 8 center, IRB approved trial. Students randomized receive either abdominal pain (AP) or loss consciousness (LOC). Baseline accuracy two different symptoms...

Abstract Introduction Academic health centers are poised to improve through their clinical, education, and research missions. However, these missions often operate in silos. The authors explored stakeholder perspectives at diverse institutions understand challenges identify alignment strategies. Methods Authors used an exploratory qualitative design thematic analysis approach with data obtained from electronic surveys sent participants five U.S. academic (2017‐18), four different types of...

Producing the best evidence to show educational outcomes, such as competency achievement and credentialing effectiveness, across health professions education continuum will require large multisite research projects longitudinal studies. Current limitations that must be overcome reach this goal include prevalence of single-institution study designs, assessments a single curricular component, cross-sectional designs provide only snapshot in time program or initiative rather than perspective....

Phenomenon: Chronic disease is a leading cause of death and disability in the United States. With an increase demand for healthcare rising costs related to chronic care, physicians need be better trained address at various stages illness collaborative cost-effective manner. Specific measurable learning objectives are key design evaluation effective training, but there has been no consensus on appropriate medical student education. Approach: Wagner’s Care Model (CCM) was selected as...

This study gathers validity evidence of an expanded History and Physical examination (H&P 360) to address chronic diseases through incorporation biopsychosocial elements that are lacking in traditional H&P assessments via a multisite randomized controlled trial among medical students.Third- fourth-year students (n = 159) at 4 schools participated Objective Structured Clinical Examination designed with 2 cases for disease. Students were into the treatment group, which involved brief written...

Given the rates of reincarceration in U.S., it is important to understand criminal justice risk and protective factors. Hope a potentially factor with two components-agency (goal-directed determination) pathways (planning meet goals) (Snyder et al., 1991). We conducted secondary data analysis (n = 45) longitudinal survey mutual-help recovery home residents. As hypothesized, greater global hope agency significantly predicted lower odds for reincarceration, levels was not predictive. relate...

Purpose Health systems science (HSS) curricula equip future physicians to improve patient, population, and health outcomes (i.e., become “systems citizens”), but the degree which medical students internalize this conception of physician role remains unclear. This study aimed explore how envision their professional identity in relation system identify experiences relevant aspect formation. Method Between December 2018 September 2019, authors interviewed 48 at 4 U.S. schools with HSS...

This study explores international trends and standards of Master's degree programs through a comprehensive environmental scan focus group interviews to understand curricular structure, content, program director expectations, educational context, future directions.

This study assesses participants’ perceptions of long-term impacts the Teachers Quality Academy, a medical school faculty development program designed to prepare both practice and teach health system science. A previously published 1-year evaluation first cohort 27 participants showed improved perceived skills, with positive career impacts. In this 5-year evaluation, mixed-methods design included questionnaire followed by semistructured interviews assess on participants. Quantitative...

The health systems science (HSS) framework articulates systems-relevant topics that medical trainees must learn to be prepared for physician practice. As new HSS-related curricula are developed, measures demonstrating appropriate levels of reliability and validity needed. authors describe a collaborative effort between consortium schools the National Board Medical Examiners create multiple-choice HSS examination in areas evidence-based medicine/population health, patient safety, quality...