Author Archives: DR MERL Reviews

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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Hooray For The New CMS Rules On Student Notes!

Electronic Medical Records: This is not a study, but definitely required reading for anyone in the US who deals with medical students or electronic medical records.  The prior US billing regulations “inadvertently hampered medical education and increased the administrative and regulatory burden … Continue reading

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Feedback About Feedback

Feedback: In this qualitative study, investigators held focus groups and individual interviews with residents and faculty in the internal medicine department at Brigham and Women’s Hospital (Boston), looking into the “culture” of feedback.  Reviewers looked at transcripts and identified three major … Continue reading

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How To Help Residents Publish

Publishing: This single-site study is required reading for residency program directors and research directors.  The investigators identified all internal medicine resident projects from 2006-2013 by using departmental files and institutional review board (IRB) applications; 55% of these identified projects had resulted in a publication.  … Continue reading

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The “Hidden Curriculum” Strikes Again

Hidden Curriculum: Authors of this small but concerning qualitative study interviewed 15 surgical residents at one program in Canada regarding “impression management” – how individuals strive to actively manage their external image.  These trainees “described being immersed in an environment where … Continue reading

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