2025
Pediatric Fellows and Their Ability to Meet Minimum Supervision Levels at Graduation.
Weiss P, Schwartz A, Boyer D, Chess P, Fussell J, McGann K, Moffatt M, Herman B, Turner D, Pitts S, Langhan M, High P, James S, Karnik R, Aye T, Stafford D, Rama J, Robinson B, Hsu D, Sauer C, Mehta J, Atlas M, Curran M, Mahan J, McFadden V, Kamin D, Kesselheim J, Czaja A, Dammann C, George R, Lopez M, Torres O, Mink R. Pediatric Fellows and Their Ability to Meet Minimum Supervision Levels at Graduation. 2025, 156 PMID: 40518135, DOI: 10.1542/peds.2025-070682.Peer-Reviewed Original ResearchMeSH KeywordsCertificationClinical CompetenceEducation, Medical, GraduateFellowships and ScholarshipsHumansPediatricsUnited StatesConceptsEntrustable professional activitiesPediatric fellowsSupervision levelPediatric subspecialty fellowsAmerican Board of PediatricsCertificate dataClinical competency committeeSubspecialty board certificationPatient careCertification ratesSubspecialty fellowsBoard certificationProgram directorsCompetency committeeAmerican BoardSubspecialty certification examinationsCertification examinationSubspecialtyGraduating fellowsPediatricFellowGraduatesSupervisionReadinessCareVariability in Learner Performance Using the ACGME Harmonized Milestones During the First Year of Postgraduate Training
Santen S, Ryan M, Fancher T, Carcamo T, Hogan S, Turner L, Cheung J, Berg K, Feldman M, Holmboe E, Park Y, Group F. Variability in Learner Performance Using the ACGME Harmonized Milestones During the First Year of Postgraduate Training. Academic Medicine 2025, 100: 852-859. PMID: 40168552, DOI: 10.1097/acm.0000000000006053.Peer-Reviewed Original ResearchConceptsAccreditation Council for Graduate Medical EducationPGY-1 residentsHarmonized milestonesMedical schoolsPGY-1Residency programsCompetency domainsGraduate Medical EducationPostgraduate medical trainingU.S. medical schoolsPostgraduate year 1Random-effects modelFamily medicineEmergency medicineHealth careClinical educationVariance component analysisMedical trainingPostgraduate traineesInternal medicineMedical educationPostgraduate trainingSpecialtyAssessment of learnersYear 1Many Pediatric Subspecialty Fellows Are Not Ready to Graduate From Fellowship in 2 Years.
Pitts S, Schwartz A, Langhan M, High P, James S, Karnik R, Aye T, Boyer D, Stafford D, Rama J, Robinson B, Hsu D, Moffatt M, Sauer C, Mehta J, Atlas M, McGann K, Chess P, Curran M, Weiss P, Mahan J, McFadden V, Kamin D, Kesselheim J, Czaja A, Dammann C, Fussell J, George R, Herman B, Lopez M, Torres O, Turner D, Mink R. Many Pediatric Subspecialty Fellows Are Not Ready to Graduate From Fellowship in 2 Years. 2025, 155 PMID: 40090359, DOI: 10.1542/peds.2024-068307.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEducation, Medical, GraduateFellowships and ScholarshipsHumansPediatricsTime FactorsUnited StatesConceptsClinical competency committeeFellowship program directorsEntrustable professional activitiesYears of trainingThird-year fellowsPediatric fellowshipProportion of fellowsYear of fellowship trainingPediatric subspecialty trainingFellowship trainingFellow graduatesSubspecialty trainingCompetency committeePediatric subspecialty fellowsSubspecialty fellowsFellows' self-assessmentsProgram directorsAmerican Board of PediatricsPediatricAmerican BoardLevel of supervisionGlobal cardiothoracic surgery: outcomes from a survey on current worldwide training programmes
Boyd R, Robinson J, Jindani R, Lehtinen M, Dorr F, Perazzo A, Manzini N, Eid M, Odera A, Hameed I, Youssef A, Kanna S, Jenkinson C, Turek J. Global cardiothoracic surgery: outcomes from a survey on current worldwide training programmes. Interdisciplinary CardioVascular And Thoracic Surgery 2025, 40: ivaf049. PMID: 40107982, PMCID: PMC11928929, DOI: 10.1093/icvts/ivaf049.Peer-Reviewed Original ResearchConceptsMinimum case requirementsTraining programmeLength of trainingTrainee experienceCardiothoracic surgical trainingCardiothoracic surgery traineesSupervision of traineesThoracic Surgery Residents AssociationCardiothoracic surgeryCommon barriersCardiothoracic surgeonsIncreased global collaborationSurgery traineesTrainee supervisionInadequate supervisionDiverse cohortTraining pathwaysTrainee interestSurgical trainingIncreased supervisionTraineesLack of standardizationTrainingWide variationsFacilitationCorrelation of Milestone Ratings and Family Physicians' Early Diabetes Management.
Hogan S, Yamazaki K, Holmboe E. Correlation of Milestone Ratings and Family Physicians' Early Diabetes Management. Family Medicine 2025, 57: 83-90. PMID: 39954237, PMCID: PMC11922144, DOI: 10.22454/fammed.2025.980357.Peer-Reviewed Original ResearchConceptsFamily physiciansUnsupervised practiceEarly-career family physiciansDiabetes managementEarly career family physiciansManagement of chronic diseasesChronic disease managementCommercial insurance claimsDiabetic patientsDoctor careChronic illnessPatient needsEye examType 2 diabetes mellitusTreatment of patientsMilestone ratingsChronic diseasesMilestone evaluationsResidency programsFunctional examPhysiciansDisease managementDoctorsProvider identification numberAdministration of standardized testsMedical Student Musculoskeletal Knowledge: Examining the Impact and Value of an Orthopaedic Surgery Clerkship Using the Freedman and Bernstein Examination
Nishime N, Seibel M, Lindskog D, Wiznia D. Medical Student Musculoskeletal Knowledge: Examining the Impact and Value of an Orthopaedic Surgery Clerkship Using the Freedman and Bernstein Examination. BMC Medical Education 2025, 25: 141. PMID: 39881308, PMCID: PMC11776173, DOI: 10.1186/s12909-025-06673-2.Peer-Reviewed Original ResearchConceptsMusculoskeletal knowledgePost-test scoresMusculoskeletal examinationPost-testPre-testSurgery clerkshipThree-week clerkshipPost-clerkship surveysOrthopaedic surgery departmentsOrthopaedic surgery residentsMedical schoolsMethodsMedical studentsSurgery departmentClerkshipSurgery residentsAverage scoreRaw scoresScoresWeighted scoreOrthopaedicsExamination
2024
AAHPM Assessment Workgroup: Hospice and Palliative Medicine Fellowship Assessment Needs and Directions
Ketterer B, Dingfield L, Stowers K, Morrison K, Bailey A, Flint H, Buckholz G, Morrison L, Yang H, Berns S. AAHPM Assessment Workgroup: Hospice and Palliative Medicine Fellowship Assessment Needs and Directions. Journal Of Pain And Symptom Management 2024, 69: e220-e227. PMID: 39709136, DOI: 10.1016/j.jpainsymman.2024.12.009.Peer-Reviewed Original ResearchConceptsProgram directorsAmerican Academy of HospiceFellow assessmentsMedical educationQualitative analysis of narrative responsesField of hospiceAnalysis of narrative responsesExperiences of program directorsFaculty developmentLack of trainingREDCap surveyFellow performanceInterdisciplinary facultyNarrative responsesFellowship programsAssessment toolAAHPMAmerican AcademyHospiceGraduating fellowsHigh-quality assessmentWorkgroupNext stepsQualitative analysisSurveyMulticenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery
Bauer T, Janda A, Wu X, Ling C, Shook D, Querejeta-Roca G, Shann K, Smith T, Mathis M, Kaneko T, Sundt T, Schonberger R, Harrington S, Dias R, Pagani F, Likosky D, Yule S, Caldwell M, Corso J, Louis N, Krein S, Manojlovich M, Stakich-Alpirez K, Sturmer D, Yalamuri S, Lawton J, Abernathy J, Cleveland J, Clendenen N, Justison G, Fried M, Nemeh H, Fitzsimons M, Dickinson T, Stulak J, de la Cruz K. Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery. Circulation Cardiovascular Quality And Outcomes 2024, 17: e011065. PMID: 39689169, PMCID: PMC11654451, DOI: 10.1161/circoutcomes.124.011065.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnesthesiologistsCardiac Surgical ProceduresCardiopulmonary BypassClinical CompetenceCooperative BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansInterdisciplinary CommunicationMaleMiddle AgedOperative TimeOutcome and Process Assessment, Health CarePatient Care TeamPatient SafetyPostoperative ComplicationsQuality Indicators, Health CareRegistriesRetrospective StudiesRisk AssessmentRisk FactorsSurgeonsTime FactorsTreatment OutcomeUnited StatesConceptsSociety of Thoracic SurgeonsCardiopulmonary bypass durationTeam familiarityBypass durationElectronic health record dataHealth record dataEffective team dynamicsSociety of Thoracic Surgeons morbidityCardiac Surgery RegistryComposite major morbidityCardiac surgical proceduresMortality measuresLinear regression modelsCrude analysisQuaternary hospitalRecord dataRisk adjustmentPrimary outcomePatient outcomesProcedural efficiencyMajor morbidityCardiac surgeryCardiac operationsMulticenter analysisPatient ageInvestigating the Roles and Impact of Clinical Competency Committees in Graduate Medical Education: A Narrative Review.
Ekpenyong A, Holmboe E, Govaerts M, Heeneman S. Investigating the Roles and Impact of Clinical Competency Committees in Graduate Medical Education: A Narrative Review. Journal Of Graduate Medical Education 2024, 16: 662-683. PMID: 39677301, PMCID: PMC11641872, DOI: 10.4300/jgme-d-24-00017.1.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceCompetency-Based EducationEducation, Medical, GraduateEducational MeasurementHumansInternship and ResidencyConceptsGraduate Medical EducationClinical competency committeeMedical educationCompetency committeeNarrative reviewCompetency-based medical educationGoals of competency-based medical educationInclusion criteriaEnglish-language journalsShort-term outcomesLong-term outcomesPrimary researchInvestigate short-termLanguage journalsEducationTraineesProgramOutcomesCommitteeGraduatesAssessmentInterventionFacultyShort-termSystematic approachCombining quality improvement and critical care training: Evaluating an ICU CPR training programme quality improvement initiative at the National Hospital in Tanzania
Strelzer S, Julius J, Anicet N, Byabato O, Chiwanga F, Hassan S, Kayandabila F, Laizer A, Majuta T, Murray B, Said T, Ndile S. Combining quality improvement and critical care training: Evaluating an ICU CPR training programme quality improvement initiative at the National Hospital in Tanzania. BMJ Open Quality 2024, 13: e002891. PMID: 39510766, PMCID: PMC11552003, DOI: 10.1136/bmjoq-2024-002891.Peer-Reviewed Original ResearchMeSH KeywordsAdultCardiopulmonary ResuscitationClinical CompetenceCritical CareFemaleHumansIntensive Care UnitsMaleProgram EvaluationQuality ImprovementTanzaniaConceptsCritical care training programsCare training programsQI conceptsTraining programQuality improvementMinistry of Health and Social WelfareCritical care deliveryQuality improvement initiativesCritical care trainingCritical care conceptsMiddle-income countriesCritical care settingMortality rateCare deliveryCare trainingCare settingsPaired t-testUnited Republic of TanzaniaCare conceptsImprovement initiativesPre/post analysisRepublic of TanzaniaBlood glucose monitoringHospital guidelinesDescriptive statisticsFrom Simulation to Bedside: The Journey to Provide Equitable Patient Care.
Vora S, Dahlen B, Bryant K, Kou M. From Simulation to Bedside: The Journey to Provide Equitable Patient Care. Pediatric Annals 2024, 53: e414-e419. PMID: 39495632, DOI: 10.3928/19382359-20240908-03.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceHealth EquityHealthcare DisparitiesHumansPediatricsSimulation TrainingConceptsSimulation-based educationHealth equityHealth care disparitiesEquitable patient careHealth care trainingHealth care professionalsCare disparitiesCare trainingCare professionalsPatient careImplementing action stepsCultural humilityPatient outcomesCommunity engagementHealthEnhance skillsSystem issuesAction stepsUnintentional harmClinical practiceRobust evaluationPotential benefitsTeam commitmentHidden curriculumSkillsMedical-Legal Partnership Education Impacts Resident Physician Competencies Relating to Social Drivers of Health.
Swallow M, Kala S, O'Malley S, Rosenthal A, Fenick A. Medical-Legal Partnership Education Impacts Resident Physician Competencies Relating to Social Drivers of Health. The Journal Of Law, Medicine & Ethics 2024, 52: 264-270. PMID: 39435950, DOI: 10.1017/jme.2024.86.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceHumansInternship and ResidencyPediatricsSocial Determinants of HealthThe 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 ResearchMeSH KeywordsClinical CompetenceCompetency-Based EducationEducation, MedicalEducational MeasurementHumansPreparing Radiologists for an Artificial Intelligence-enhanced Future: Tips for Trainees.
Rouzrokh P, Clarke J, Hosseiny M, Nikpanah M, Mokkarala M. Preparing Radiologists for an Artificial Intelligence-enhanced Future: Tips for Trainees. RadioGraphics 2024, 44: e240042. PMID: 39024174, PMCID: PMC11310759, DOI: 10.1148/rg.240042.Peer-Reviewed Original ResearchUsing an Innovative Model to Improve Performance of the Infant Hip Examination.
Joshi N, Zven S, Graziose B, Manno G, Manwaring L, Ahuja A, Tyrrell H, Zafar N, Weissbrod E, Lopreiato J, Loyal J. Using an Innovative Model to Improve Performance of the Infant Hip Examination. Hospital Pediatrics 2024, 14: 666-673. PMID: 39015087, DOI: 10.1542/hpeds.2023-007504.Peer-Reviewed Original ResearchConceptsSemistructured focus groupsHip examinationFocus groupsExamination skillsMulticenter prospective cohort studyProspective cohort studyPediatric residency programsBarlow maneuversCohort studyBetter OutcomesDevelopmental dysplasiaQualitative feedbackHip screeningPositive Ortolani signResidency programsCategorical variablesPostinstruction assessmentNewborn NetworkBarlow's signImprove skillsOrtolani signParticipantsExamination techniquesResidency sitesInfantsTrainees’ perspectives on sickle cell education: a qualitative needs assessment
Prince E, Feder K, Calhoun C, Lee A, Carroll C, Restrepo V, Van Doren L. Trainees’ perspectives on sickle cell education: a qualitative needs assessment. BMC Medical Education 2024, 24: 715. PMID: 38956512, PMCID: PMC11220977, DOI: 10.1186/s12909-024-05696-5.Peer-Reviewed Original ResearchConceptsNeeds assessmentPatient care challengesIterative thematic analysisQualitative needs assessmentCost of careComplications of SCDBackgroundSickle cell diseaseCare challengesHealthcare biasesSpecific educationThematic analysisMedical traineesFocus groupsClinical careTrainees' attitudesQualitative interviewsLack of national standardsLongitudinal exposureClinical teachingUnited StatesExpert cliniciansSubspecialty trainingTraineesCareHealthcareResilience Curriculum Improves Skills of Pediatric Fellows in Delivery of Difficult News.
Murtha T, Hafler J, Taylor E, Tala J, Asnes A, Massaro S, Kandil S. Resilience Curriculum Improves Skills of Pediatric Fellows in Delivery of Difficult News. Rhode Island Medical Journal 2024, 107: 49-53. PMID: 38687270.Peer-Reviewed Original ResearchConceptsDelivering difficult newsAmerican Academy of PediatricsDifficult newsSelf-efficacyPediatric fellowsResilience curriculumDelivery of difficult newsSimulated patient encountersIncreased self-efficacyAcademy of PediatricsStandardized patientsPatient encountersPediatric traineesAmerican AcademyFellow performanceChecklist scoresImprove confidenceImprove skillsPediatricFellowSkillsConfidenceNewsPatientsCase Volumes and Outcomes Among Early-Career Interventional Cardiologists in the United States
Rymer J, Narcisse D, Chen A, Wojdyla D, Ashley S, Damluji A, Shah B, Nanna M, Swaminathan R, Gutierrez J, Uzendu A, Nelson A, Bethel G, Kearney K, Jones W, Rao S, Doll J. Case Volumes and Outcomes Among Early-Career Interventional Cardiologists in the United States. Journal Of The American College Of Cardiology 2024, 83: 1990-1998. PMID: 38749617, PMCID: PMC11173360, DOI: 10.1016/j.jacc.2024.03.395.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiologistsClinical CompetenceFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionRegistriesUnited StatesConceptsPercutaneous coronary interventionAnnual case volumeNational Cardiovascular Data Registry CathPCI RegistryCase volumeIncreased risk of mortalityBleeding riskRisk of mortalityST-segment elevation myocardial infarctionMedian annual case volumeEarly-careerCertificate databaseCathPCI RegistryInterventional cardiologistsMortality riskElevation myocardial infarctionAmerican BoardIncreased riskSystem databasePredicted riskBleeding outcomesAcute presentationTreated patientsMortality rateProcedural characteristicsCareer statusAccuracy 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 levelHealth Care Simulation in Person and at a Distance
Birido N, Brown K, Olmo Ferrer D, Friedland R, Bailey S, Wawersik D, Charnetski M, Nair B, Kutzin J, Gross I, Palaganas J. Health Care Simulation in Person and at a Distance. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2024, 19: s65-s74. PMID: 38240620, DOI: 10.1097/sih.0000000000000763.Peer-Reviewed Original Research
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