Category Archives: Graduate Medical Education

How Can Residents Learn To Think On Their Own? Qualitative Studies Of Cognitive Autonomy In Residents

Autonomy: Everyone agrees that resident autonomy is important but, in contrast to resident procedural autonomy, there are no validated measures of resident cognitive autonomy. Two recent qualitative studies shed some light on the issue. Crockett et al conducted focus groups … Continue reading

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Mistreatment And Distress Among Residents

Mistreatment: This survey study is required reading for residency program directors.  The authors utilized the US in-training examination to survey 7409 surgical residents (>99% of those eligible) regarding various types of mistreatment, burnout, and suicidal thoughts.  The most common types of … Continue reading

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Malpractice and the Trainee Physician

Malpractice — In this interesting case-control study of closed malpractice claims, investigators evaluated five years of data from 32 teaching hospitals.  Cases (n = 581) were claims made regarding a harm event in which a resident or fellow was directly … Continue reading

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Do Professionalism Lapses In Medical School Predict The Future? 

Professionalism — Probably to some extent, according to the 20+ year case-control study of graduated medical students from Harvard and Case Western medical schools.  Case were 108 students appearing before a review board for professionalism concerns; these were compared to … Continue reading

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Internal Medicine Residency Program Directors Respond To Application Inflation

Application Inflation: Housetaff recruitment is an area of critical focus at every training program. At an estimated cost of $14,162 per filled position, managing recent trends in a growing applicant pool poses an added challenge. In this survey based study … Continue reading

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US Medical Education By The Numbers (LCME and ACGME Divisions)

Medical Education: JAMA again presents a deep dive into the numbers and characteristics of learners in MD-granting US medical schools and in US residency programs accredited by the ACGME, which is now encompassing most of the programs previously accredited by … Continue reading

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Do Licensing Exam Scores Predict Important Outcomes?

Exam Scores:  It looks like it, according to this study.  Researchers looked for a correlation between scores on the COMLEX (osteopathic physician licensing exams given in a similar sequence to USMLE exams) and major actions against physicians made by state … Continue reading

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