2024
Predicting Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based On Milestone Ratings.
Francisco G, Raddatz M, Yamazaki K, Sabharwal S, Kirksey K, Kinney C, Holmboe E. Predicting Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based On Milestone Ratings. American Journal Of Physical Medicine & Rehabilitation 2024 PMID: 39642323, DOI: 10.1097/phm.0000000000002670.Peer-Reviewed Original ResearchAmerican Board of Physical Medicine and RehabilitationAccreditation Council for Graduate Medical EducationMilestone ratingsPhysical Medicine and RehabilitationMedical knowledgePM&R residency programsIndependent medical practiceMeasuring medical knowledgeGraduate Medical EducationCompletion of trainingBoard certifying examinationCompetency-based frameworkCertifying examinationDomain scale scoresRehabilitation partsMedical educationResidency programsMilestone dataMedical practiceAmerican BoardAcademic yearFrom Chrysalis to Taking Flight, the Metamorphosis of the ACGME During Dr Thomas Nasca's Tenure as CEO.
Holmboe E. From Chrysalis to Taking Flight, the Metamorphosis of the ACGME During Dr Thomas Nasca's Tenure as CEO. Journal Of Graduate Medical Education 2024, 16: 652-661. PMID: 39677319, PMCID: PMC11641890, DOI: 10.4300/jgme-d-24-00937.1.Peer-Reviewed Original ResearchConceptsAccreditation Council for Graduate Medical EducationGraduate Medical EducationNext Accreditation SystemMedical educationGraduate medical education trainingAccreditation systemMedical education landscapeCOVID-19 pandemicPhysician suicideAccreditation modelAccreditationChief executive officerCOVID-19President and Chief Executive OfficerSelf-regulatory systemEducationThe Next Era of Assessment Within Medical Education: Exploring Intersections of Context and Implementation
Kassam A, de Vries I, Zabar S, Durning S, Holmboe E, Hodges B, Boscardin C, Kalet A. The Next Era of Assessment Within Medical Education: Exploring Intersections of Context and Implementation. Perspectives On Medical Education 2024, 13: 496-506. PMID: 39399409, PMCID: PMC11469546, DOI: 10.5334/pme.1128.Peer-Reviewed Original ResearchAre They Prepared? Comparing Intern Milestone Performance of Accelerated 3-Year and 4-Year Medical Graduates
Santen S, Yingling S, Hogan S, Vitto C, Traba C, Strano-Paul L, Robinson A, Reboli A, Leong S, Jones B, Gonzalez-Flores A, Grinnell M, Dodson L, Coe C, Cangiarella J, Bruce E, Richardson J, Hunsaker M, Holmboe E, Park Y. Are They Prepared? Comparing Intern Milestone Performance of Accelerated 3-Year and 4-Year Medical Graduates. Academic Medicine 2024, 99: 1267-1277. PMID: 39178363, DOI: 10.1097/acm.0000000000005855.Peer-Reviewed Original ResearchMedical schoolsFamily medicineAccreditation Council for Graduate Medical Education MilestonesMS ratesU.S. medical schoolsNo significant differenceEstimate group differencesSignificant differenceMedical graduatesEmergency medicineInternal medicineRandom effects regressionEducational milestonesMedical studentsStudy designResident performanceProgram effectivenessNoninferiority study designMilestone performanceStatistically significant differenceStudy cohortControl cohortGroup differencesGeneral surgerySpecialtyThe Predictive Performance of General Surgery Milestones on Post-Graduation Outcomes.
Wirtalla C, Finn C, Acker R, Landau S, Syvyk S, Holmboe E, Yamazaki K, Kelz R. The Predictive Performance of General Surgery Milestones on Post-Graduation Outcomes. Annals Of Surgery 2024 PMID: 39051106, DOI: 10.1097/sla.0000000000006457.Peer-Reviewed Original ResearchClinical yearsAccreditation Council for Graduate Medical Education MilestonesPatient outcomesAcute care hospitalsMilestone assessmentPost-graduation outcomesPatient-related outcomesGeneral surgery milestonesPatient navigationGeneral surgery traineesAssessed 6 monthsRetrospective cohort studyPatient careCare hospitalEducational milestonesIndependent practiceCohort studyPrimary outcomePatient deathScore discriminationTrainee progressPractice domainsPost-graduationSurgeon experienceAssessment periodTrends in Operative Case Logs of Chief Residents in Surgery by Sex and Race
Zmijewski P, Park Y, Hogan S, Holmboe E, Klingensmith M, Cortez A, Lindeman B, Chen H, Smith B, Fazendin J. Trends in Operative Case Logs of Chief Residents in Surgery by Sex and Race. Annals Of Surgery 2024, 280: 473-479. PMID: 38957982, DOI: 10.1097/sla.0000000000006373.Peer-Reviewed Original ResearchCase logsURiM residentsStudy periodAccreditation Council for Graduate Medical EducationFemale residentsOperative case logGraduate Medical EducationMale residentsGeneral surgery residentsSurgeon chiefTeaching assistant casesGeneral surgery programsNo significant differencePaired t-testGraduating residentsURM residentsSurgery programsSurgery residentsYear study periodSignificant differenceChief residentsEight-hundredSurgical trainingT-testMaleProgrammatic Assessment of Clinical Reasoning: New Opportunities to Meet an Ongoing Challenge
Torre D, Daniel M, Ratcliffe T, Steven J, Holmboe E, Schuwirth L. Programmatic Assessment of Clinical Reasoning: New Opportunities to Meet an Ongoing Challenge. Teaching And Learning In Medicine 2024, ahead-of-print: 1-9. PMID: 38794865, DOI: 10.1080/10401334.2024.2333921.Peer-Reviewed Original ResearchClinical reasoningClinical reasoning assessmentProgrammatic assessmentLearner agencyModel of clinical reasoningHealth professions educationAssessment of clinical reasoningReasoning assessmentProgrammatic assessment modelPhysician competenceProfessions educationAssessment methodsTriangulation of dataSystematic assessment approachFaculty coachesAssessment approachFeedback cultureCoachingMultiple opportunitiesAssess narrativesRichness of informationEducationContext-drivenTriangulationAssessmentAccreditation Council for Graduate Medical Education Milestone Training Ratings and Surgeons’ Early Outcomes
Smith B, Yamazaki K, Tekian A, Brooke B, Mitchell E, Park Y, Holmboe E, Hamstra S. Accreditation Council for Graduate Medical Education Milestone Training Ratings and Surgeons’ Early Outcomes. JAMA Surgery 2024, 159: 546-552. PMID: 38477914, PMCID: PMC10938242, DOI: 10.1001/jamasurg.2024.0040.Peer-Reviewed Original ResearchEndovascular aortic aneurysm repairAccreditation Council for Graduate Medical EducationMilestone ratingsPatient outcomesAssociated with subsequent clinical outcomesStudy of patient outcomesSurgical specialtiesAortic aneurysm repairVascular Quality Initiative (VQI) registrySurgical traineesACGME-accredited training programsGraduate Medical EducationAdverse patient outcomesPatient risk factorsPatient outcome dataRate 6 monthsSurgical complicationsAneurysm repairComplication ratePostoperative complicationsEducational interventionDeviation scoreClinical outcomesEarly outcomesMain OutcomesConsensus-Derived Recommended Skills for Transition to Residency Courses
Rustici M, Mutter M, Atkins K, Holmboe E, Morgan H, Olson A, Anderson A, Zell J, Roosevelt G, Brainard J. Consensus-Derived Recommended Skills for Transition to Residency Courses. Academic Medicine 2024, 99: 764-770. PMID: 38466613, DOI: 10.1097/acm.0000000000005687.Peer-Reviewed Original ResearchCorrection to: The Association of Subspecialty and Sex with Industry Payments to Internal Medicine Physicians Who Recently Completed Training
Park Y, O’Rourke P, Gabrielson A, Hogan S, Holmboe E, Jing Y, Yamazaki K, Trock B, Han M. Correction to: The Association of Subspecialty and Sex with Industry Payments to Internal Medicine Physicians Who Recently Completed Training. Journal Of General Internal Medicine 2024, 1-2. PMID: 38383945, DOI: 10.1007/s11606-024-08677-y.Peer-Reviewed Original ResearchAccuracy of Entrustment-Based Assessment: Implications for Programs and Patients.
Dine C, Conforti L, Holmboe E, Kogan J. Accuracy of Entrustment-Based Assessment: Implications for Programs and Patients. Journal Of Graduate Medical Education 2024, 16: 30-36. PMID: 38304606, PMCID: PMC10829919, DOI: 10.4300/jgme-d-23-00275.1.Peer-Reviewed Original ResearchConceptsProportion of ratersAppropriateness of careVariance proportionMean scoreDecision (DResident performanceRating ScaleEntrustment scoresStandardized residentsRatersEntrustment ratingsEntrustment-supervision scalesResidentsFaculty ratingsD studiesScoresFaculty participationG studyPotential needParticipantsFacultyCarePerformance levelData sharing and big data in health professions education: Ottawa consensus statement and recommendations for scholarship
Kulasegaram K, Grierson L, Barber C, Chahine S, Chou F, Cleland J, Ellis R, Holmboe E, Pusic M, Schumacher D, Tolsgaard M, Tsai C, Wenghofer E, Touchie C. Data sharing and big data in health professions education: Ottawa consensus statement and recommendations for scholarship. Medical Teacher 2024, 46: 471-485. PMID: 38306211, DOI: 10.1080/0142159x.2023.2298762.Peer-Reviewed Original ResearchHealth professions educationHealth professionalsProfessions educationEducation of health professionalsTraining of health professionalsConsensus statementHealth professions education scholarsBig dataKnowledge translationHealth of societyData sharingVolume of data collectionData scholarshipContext of big dataExpert consensusEvolving scopeMultidisciplinary collaborationHealthData collectionData sharing collaborationsConference attendeesBest practicesQuality of scholarshipProfessionalsCulture of trustGender Differences in Work-Based Assessment Scores and Narrative Comments After Direct Observation
Heath J, Kogan J, Holmboe E, Conforti L, Park Y, Dine C. Gender Differences in Work-Based Assessment Scores and Narrative Comments After Direct Observation. Journal Of General Internal Medicine 2024, 39: 1795-1802. PMID: 38289461, PMCID: PMC11282012, DOI: 10.1007/s11606-024-08645-6.Peer-Reviewed Original ResearchGender differencesFeminine termsLinguistic differencesWord useRater trainingWork-based assessmentsNarrative commentsScripted performancesTraining interventionPrior studiesDesignSecondary analysisNarrative differencesSignificant linguistic differencesRandomized controlled trialsSkill levelEntrustment ratingsResident skill levelResident-patient encountersGenderCommentsMultivariate linear regressionSystems-Based Practice 20 Years On: Navigating the System for Better Care
Edgar L, Hogan S, Yamazaki K, Nasca T, Holmboe E. Systems-Based Practice 20 Years On: Navigating the System for Better Care. Academic Medicine 2024, 99: 351-356. PMID: 38266204, DOI: 10.1097/acm.0000000000005640.Peer-Reviewed Original ResearchSystems-based practiceSafety of health careComplex health care environmentPatient-centered careHealth care environmentHealth care systemPatient safetyHarmonized milestonesCare environmentHealth careAcademic medicine communityCare systemPhysician's roleQuality improvementNarrative descriptionMedicine communityCore competenciesCareSpecialtyProfessional developmentGeneral competenciesDescription of competenciesCommunity's abilityCompetenceFaculty
2023
Learner Assessment and Program Evaluation: Supporting Precision Education
Richardson J, Santen S, Mejicano G, Fancher T, Holmboe E, Hogan S, Marin M, Burk-Rafel J. Learner Assessment and Program Evaluation: Supporting Precision Education. Academic Medicine 2023, 99: s64-s70. PMID: 38166211, DOI: 10.1097/acm.0000000000005599.Peer-Reviewed Original ResearchHow a Team Effectiveness Approach to Health Systems Science Can Illuminate Undergraduate Medical Education Outcomes
Kim J, Gonzalo J, Chen I, Vo A, Lupi C, Hyderi A, Haidet P, DeWaters A, Blatt B, Holmboe E, Thompson L, Jimenez J, Madigosky W, Chung P. How a Team Effectiveness Approach to Health Systems Science Can Illuminate Undergraduate Medical Education Outcomes. Academic Medicine 2023, 99: 374-380. PMID: 38166319, DOI: 10.1097/acm.0000000000005619.Peer-Reviewed Original ResearchUndergraduate medical educationHealth systems scienceCompetency-based assessmentMedical educationImproved student learningMedical education continuumMedical education outcomesMedical student teamsStudent learningEducation continuumScience curriculumEducation outcomesMedical schoolsStudent teamsMedical studentsEducationSystems scienceCore competenciesStudentsTeam-based careProgram evaluationSystem leadersConceptual areasEffectiveness TrainingTraining physicians
2022
Effective Clinical Competency Committee Meeting Practices: Before, During, and After
Al-Bualy R, Ekpenyong A, Holmboe E. Effective Clinical Competency Committee Meeting Practices: Before, During, and After. Academic Medicine 2022, 98: 1340-1340. PMID: 36538659, DOI: 10.1097/acm.0000000000005123.Peer-Reviewed Original Research
2002
Long-Term Consequences of Upper Extremity Peripheral Neuropathy in Former Vietnam Prisoners of War
Holmboe ES, Wang Y, Brass LM. Long-Term Consequences of Upper Extremity Peripheral Neuropathy in Former Vietnam Prisoners of War. Military Medicine 2002, 167: 736-741. PMID: 12363164, DOI: 10.1093/milmed/167.9.736.Peer-Reviewed Original ResearchConceptsUpper extremity peripheral neuropathyPeripheral neuropathySF-12 physical composite scoreLower physical function scoresPhysical function scoresLong-term functional consequencesMedical Outcomes StudyPhysical functional statusSymptoms of numbnessPhysical composite scoreSF-12 questionnaireAge-matched groupCross-sectional surveySubsample of subjectsSevere painUlnar neuropathyDatabase registryFunction scoresFunctional statusExperience painNeuropathyInternational ClassificationOutcome studiesCurrent symptomsPainOral antihyperglycemic therapy for type 2 diabetes: clinical applications.
Holmboe ES. Oral antihyperglycemic therapy for type 2 diabetes: clinical applications. JAMA 2002, 287: 373-6. PMID: 11790217, DOI: 10.1001/jama.287.3.373.Peer-Reviewed Original Research
2001
A Qualitative Study of Increasing β-Blocker Use After Myocardial Infarction: Why Do Some Hospitals Succeed?
Bradley EH, Holmboe ES, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. A Qualitative Study of Increasing β-Blocker Use After Myocardial Infarction: Why Do Some Hospitals Succeed? JAMA 2001, 285: 2604-2611. PMID: 11368734, DOI: 10.1001/jama.285.20.2604.Peer-Reviewed Original ResearchConceptsBeta-blocker useAcute myocardial infarctionMyocardial infarctionΒ-blocker useStrong physician leadershipImprovement effortsUS hospitalsQualitative studyHospitalPatientsHospital sizeImprovement initiativesInfarctionKey physiciansGreater improvementPhysician leadershipCareAdministrative supportUse ratesPerformance improvement effortsData feedbackParticipantsGeographic regionsCliniciansMortality