Category Archives: Graduate Medical Education

Beware The Predatory Medical Journal!

Publishing: Anyone wishing to publish in open access medical journals should read this article first. The authors offer a comprehensive “red flag” checklist of bad practices to help avoid falling prey to illegitimate journals.   Things to look out for: Is … Continue reading

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Communication During and After Residency Interviews Causes Applicant Distress

Match: The National Resident Matching Program (NRMP), The Institutional, Program, and Applicant Match Participation Agreement (MPA), and the code of conduct (COC) are clear in stressing the importance of avoiding inappropriate and coercive tactics during the interviews and in follow-up … 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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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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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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