Author Archives: DR MERL Reviews

How The Experts Visualize Professionalism Remediation

Professionalism: In this qualitative study, the authors interviewed experienced educators about their professionalism remediation processes.  These experts visualized a 3-stage process, with all 3 stages not being necessary in every case.  During the first phase, “explore and understand”, the main … Continue reading

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Is Going To Medical School Depressing?

Depression: Yes, for many of us.  Researchers surveyed more than 3,000 medical students in year 1 and year 4 with surveys including validated scales for depression, stress, coping methods, and social support.  Predictors of depression in year 4 were found via multivariate … Continue reading

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Money Talks, To Residents Too

Debt: This survey of family medicine residents regarding debt burden and future employment plans had predictable but sobering findings. Firstly, 60% of these residents had a debt burden of more than $150,000, and 45% of residents with a DO degree … Continue reading

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How Long Should That Clerkship Be?

Clerkship: It looks like we have no idea.  Researchers looked at a “natural experiment” in clerkship length during a curriculum change at the University of Michigan Medical School.  During this transition, all clerkship lengths were decreased by 25%.  For example … Continue reading

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Benefits And Harms Of “Close Supervision” Of Residents

Supervision: This single-center rigorous randomized controlled trial of level of attending supervision on a large inpatient general internal medicine service adds data to the debate about the “right” level of resident supervision.  Twenty-two attending physicians were randomized to standard practice or increased work-rounds … Continue reading

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Can Doctors Be Taught To Deliver Bad News?

Communication: Yes, is the short answer given in this meta-analysis of 17 studies evaluating interventions to “improve the communication of bad or difficult news”.  Most interventions were fairly brief stand-alone interventions involving simulation or role-play; the SPIKES model was the … Continue reading

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Don’t Know Much About…..Measuring Teamwork

Teamwork: Everyone agrees that the ability to work in teams is an important competency, but how do we know that our learners have achieved this?  One observer joined 20 internal medicine housestaff teams for one morning work rounds and evaluated them … Continue reading

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