Category Archives: Graduate Medical Education

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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Are ACGME Work Hour Restrictions Effective? Reports from Interns and Program Directors

Duty Hours: Libby Zion died under the care of house officers in 1984 during a time when there was a 36-hour work shift policy for residents and interns. To minimize medical errors caused by fatigue, the ACGME created new restrictions … Continue reading

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An MD In 3 Years For Some – NYU’s Roadmap

Pathway:  This descriptive article of New York University’s program gives something of a roadmap to schools which are considering offering a similar option to their students.  The authors describe a much more flexible program than many other 3-year tracks.  All … Continue reading

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Are Entrustment Ratings Reliable In The Era of EPA’s? 

Entrustable Professional Activities: The short answer is:  not really.  In this study looking at reliability of entrustment ratings, the authors examined faculty ratings of “observable practice activities (OPA)” over 36 months of clinical rotations for internal medicine residents at a single … Continue reading

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Anesthesiology Residents Process Critical Events

Debriefing: In this qualitative study, anesthesiology residents were interviewed regarding their reactions to 25 critical events with which they were involved.  Fifteen of these events were followed by a debriefing which occurred during the same day as the event.  Within … Continue reading

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Do Reduced Residency Work Hours Create Worse Doctors?

Duty Hours: While controversy surrounding the 2003 ACGME work hour reforms has quieted significantly, questions remain about whether residents can obtain adequate clinical experience despite working fewer hours.  This interesting retrospective observational study reviewed 30-day mortality, 30-day readmissions, and inpatient … Continue reading

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Is Attractive As Important As Smart? 

Admissions: Unfortunately yes, suggests this study which should be required reading for admissions and recruitment committee members.  Regular faculty reviewers of residency applications rated fictitious applications with variable demographic and academic data and application photos which were pre-adjudicated for obesity … Continue reading

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