Browsing by Subject "Internship and residency"

Now showing 1 - 5 of 5
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    Fellowship Accreditation: Experiences From Health Care Simulation Experts
    (Allen Press, 2024) Musits, Andrew N.; Khan, Humera; Cassara, Michael; McKenna, Ryan T.; Penttila, Atte; Ahmed, Rami A.; Wong, Ambrose H.; Emergency Medicine, School of Medicine
    Background: The field of health care simulation continues to grow, accompanied by a proliferation of fellowship programs, leading to fellowship accreditation efforts. There is controversy around the best approach to accreditation. Objective: The authors sought to understand perspectives of simulation leaders on fellowship accreditation to best inform the growth and maturation of fellowship accreditation. Methods: In 2020, simulation leaders identified through snowball sampling were invited to participate in a qualitative study. During one-on-one semistructured interviews, participants were asked about experiences as simulation leaders and their perspective on the purpose and impact of accreditation. The interviews were audio recorded and transcribed. Thematic analysis informed by a phenomenology framework was performed using a masked open coding technique with iterative refinement. The resulting codes were organized into themes and subthemes. Results: A total of 45 simulation experts participated in interviews ranging from 25 to 67 minutes. Participants described discord and lack of consensus regarding simulation fellowship accreditation, which included a spectrum of opinions ranging from readiness for accreditation pathways to concern and avoidance. Participants also highlighted how context drove the perception of accreditation value for programs and individuals, including access to resources and capital. Finally, potential impacts from accreditation included standardization of training programs, workforce concerns, and implications for professional societies. Conclusions: Simulation leaders underscored how the value of accreditation is dependent on context. Additional subthemes included reputation and resource variability, balancing standardization with flexibility and innovation, and implications for professional societies.
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    Impact of Preference Signals on Interview Selection Across Multiple Residency Specialties and Programs
    (Allen Press, 2023) Rosenblatt, Adena E.; LaFemina, Jennifer; Sood, Lonika; Choi, Jennifer; Serfin, Jennifer; Naemi, Bobby; Dunleavy, Dana; Surgery, School of Medicine
    Background: Program signaling is an innovation that allows applicants to express interest in specific programs while providing programs the opportunity to review genuinely interested applicants during the interview selection process. Objective: To examine the influence of program signaling on “selected to interview” status across specialties in the 2022 Electronic Residency Application Service (ERAS) application cycle. Methods: Dermatology, general surgery-categorical (GS), and internal medicine-categorical (IM-C) programs that participated in the signaling section of the 2022 supplemental ERAS application (SuppApp) were included. Applicant signal data was collected from SuppApp, applicant self-reported characteristics collected from the MyERAS Application for Residency Applicants, and 2020 program characteristics collected from the 2020 GME Track Survey. Applicant probability of being selected for interview was analyzed using logistic regression, determined by the selected to interview status in the ERAS Program Director’s WorkStation. Results: Dermatology had a 62% participation rate (73 of 117 programs), GS a 75% participation rate (174 of 232 programs), and IM-C an 86% participation rate (309 of 361 programs). In all 3 specialties examined, on average, signaling increased the likelihood of being selected to interview compared to applicants who did not signal. This finding held across gender and underrepresented in medicine (UIM) groups in all 3 specialties, across applicant types (MDs, DOs, international medical graduates) for GS and IM-C, and after controlling for United States Medical Licensing Examination Step 1 scores. Conclusions: Although there was variability by program, signaling increased likelihood of being selected for interview without negatively affecting any specific gender or UIM group.
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    The Internal Medicine Subinternship--Now More Important than Ever: A Joint CDIM-APDIM Position Paper.
    (Springer, 2015-09) Vu, T. Robert; Angus, S. V.; Aronowitz, P. B.; Harrell, H. E.; Levine, M. A.; Carbo, A.; Wheton, S.; Ferris, A.; Appelbaum, J. S.; McNeill, D. B.; Ismail, N. J.; Elnicki, D. M.; Department of Medicine, IU School of Medicine
    For decades, the internal medicine (IM) subinternship has served as a critical interface between undergraduate and graduate medical education. As such, the vast majority of U.S. medical schools offer this rotation to help students prepare for post-graduate training. Historically an experiential rotation, a formal curriculum with specific learning objectives was eventually developed for this course in 2002. Since then, graduate medical education (GME) has changed significantly with the regulation of duty hours, adoption of competency-based education, and development of training milestones and entrustable professional activities. In response to these and many other changes to residency training and medical practice, in 2010, the Association of Program Directors in Internal Medicine (APDIM) surveyed its members-with input from the Clerkship Directors in Internal Medicine (CDIM) Subinternship Task Force-to determine which core skills program directors expected from new medical school graduates. The results of that survey helped to inform a joint CDIM-APDIM committee's decision to re-evaluate the goals of the IM subinternship in an effort to enhance the transition from medical school to residency. This joint committee defined the minimum expectations of what constitutes an IM subinternship rotation, proposed recommended skills for IM subinterns, and discussed challenges and future directions for this crucial course.
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    Mistreatment and Wellness Among International Medical Graduates in US General Surgical Residency
    (American Medical Association, 2023) Delgado Felipa, Jennifer; Hu, Andrew; Eng, Joshua; Alam, Hasan B.; McKoy, June M.; Bilimoria, Karl Y.; Hu, Yue-Yung; Surgery, School of Medicine
    This study uses data from a cross-sectional national survey of medical residents in the US to assess whether mistreatment experiences and wellness differ between international medical graduates and US medical graduates.
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    Stress and anxiety in orthodontic residents during the coronavirus disease 2019 pandemic
    (Elsevier, 2022) Khoo, Edmund; Saeed, Sophia G.; Chiu, Hong-Yan; Quach, Vicky; Janal, Malvin; Stewart, Kelton; Orthodontics and Oral Facial Genetics, School of Dentistry
    Introduction: The coronavirus disease 2019 pandemic has had far-reaching effects on health care providers and health professional students; however, little is known about the factors related to stress and anxiety levels, specifically among orthodontic residents during this time. Methods: A 2-part questionnaire, which included modified stress and anxiety inventories, was disseminated electronically to U.S. orthodontic residents between June and July 2020. Descriptive and comparative statistics were used to analyze the data. Results: Overall, 261 participants responded (56% female), representing a response rate of 26.8%. Significant gender differences were found in 18 stress items, with female respondents expressing more stress than their male counterparts. Only 1 stress item (ie, fear of being unable to catch up if behind) varied as a function of the difference on the basis of respondents' stage in the program. First-year residents reported more stress in relation to this than more senior residents. Responses to all anxiety items but 1 item varied by gender, with females reporting higher scores. Residents in the middle stages of their program responded with higher anxiety scores with significant differences on 3 anxiety items. Conclusions: Although financial responsibilities and travel plans were the most stressful and anxiety-inducing items for orthodontic residents during the early aspect of the coronavirus disease 2019 pandemic, multiple items contributed to their stress and anxiety. In addition, both gender and stage of progress in a residency program impacted the level of stress and anxiety reported by respondents.