title-amexpArticles from the February issue of Academic Medicine are now available online ahead of print!

Available now online are the newest Academic Medicine articles addressing a number of the most pressing issues facing the academic medicine community. Keep reading below for more details.

Perspectives

Reconsidering the Focus On “Outcomes Research” In Medical Education: A Cautionary Note
Cook and West discuss issues–such as dilution, feasibility, failure to establish a causal link, potentially biased outcome selection, and teaching to the test–that challenge the overuse of patient outcomes in medical education research. 

Environment, Biodiversity, and the Education of the Physician of the Future
Gómez and colleagues discuss the declining environmental conditions that create health threats and worsen noncommunicable conditions. They argue that physicians must be educated as intermediaries between science and the public and to engage in environmental policy discussions.

Articles

The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department
Boudreaux and Vetter describe how a formal, structured Section on Quality and Patient Safety has promoted a culture of patient care and safety, improved performance metrics, and set the standard for other departments within their health system.

Building Interdisciplinary Biomedical Research Using Novel Collaboratives
Ravid and colleagues offer the work of the Evans Center for Interdisciplinary Biomedical Research as a productive model for leveraging discovery, as universities seek to stimulate interdisciplinary research.

Fostering Creativity: How the Duke GME Quasi-Endowment Encourages Graduate Medical Education Innovation
Andolsek and colleagues describe a “grass-roots” innovation fund and how it has made possible demonstrable sustainable impacts on teaching and learning, and increased morale and scholarly recognition.

YouTube as a Platform for Publishing Clinical Skills Training Videos
Topps and colleagues, with the goal of disseminating their educational videos to a broader audience, considered several platforms. Here they discuss their decision to use YouTube and present some outcomes.

Creating a Virtual Pharmacology Curriculum in a Problem-based Learning Environment: One Medical School’s Experience
Karpa and Vrana describe the Pennsylvania State University College of Medicine’s virtual pharmacology curriculum, which includes learning objectives, study guides, and examination questions corresponding to each PBL case, and faculty-led review sessions.

Advanced Ultrasound Training for Fourth-Year Medical Students: A Novel Training Program at the Ohio State University College of Medicine
Bahner and Royall describe this program, which provides training in focused ultrasound for fourth-year students, reducing educational burdens for residency programs, although advanced ultrasound training usually occurs during residency or later.

Research Reports

Improving Student Selection Using Multiple Mini Interviews with Multi-faceted Rasch Modeling
Till and colleagues report on using the multiple mini-interview selection process at the University of Dundee Medical School, which reliably separated the candidates into four statistically distinct levels of noncognitive ability.

Deafness Among Physicians and Trainees: A National Survey
Moreland and colleagues examined the characteristics and accommodations used by the deaf and hard-of-hearing (DHoH) physician and trainee population and whether these individuals were more likely to care for DHoH patients.

Making July Safer: Simulation-Based Mastery Learning During Intern Boot Camp
Cohen and colleagues describe a simulation-based mastery learning boot camp that allows for individualized training, assessment, and documentation of competence before interns begin providing medical care.

“Being the Best We Can Be”: Medical Students’ Reflections on Physician Responsibility in the Social Media Era
Lie and colleagues, before and after an educational intervention on professionalism, examined medical students’ attitudes, self-reported behaviors, and intended actions related to their online social media use.

Gauging Events that Influence Students’ Perceptions of the Medical School Learning Environment: Findings from One Institution
Shochet and colleagues argue that the learning environment influences students’ professional development. At JHUSOM, understanding the phenomena that influence students’ perceptions can inform how meaningful learning occurs and professional behaviors are formed.

Construction and Validation of the Nijmegen Evaluation of the Simulated Patient (NESP): Assessing Simulated Patients’ Ability to Role Play and Provide Feedback to Students
Bouter and colleagues developed a feasible, valid, and reliable instrument that could be used at different medical schools to assess the performance of individual simulated patients.

The Objective Assessment of Experts’ and Novices’ Suturing Skills Using An Image Analysis Program
Frischknecht and colleagues objectively assessed and compared the suturing performance of experts and novices using an image analysis program to provide validity evidence for this assessment method.

Premedical Students’ Exposure to the Pharmaceutical Industry’s Marketing Practices
Hodges and colleagues found that the majority of medical students have interacted with the pharmaceutical industry even before entering medical school so they argue that interventions should be considered to enhance students’ awareness of marketing on prescribing practices.

A National Survey of Academic Emergency Medicine Leaders on the Physician Workforce and Institutional Workforce and Aging Policies
Takakuwa and colleagues, as part of the Aging and Generational Issues Taskforce of the Society for Academic Emergency Medicine, describe the policies, practices, and attitudes of academic emergency medicine leaders regarding workforce issues, shift work, and accommodating the academic and personal needs of aging physicians.

Medical Education in the Caribbean: Quantifying the Contribution of Caribbean-Educated Physicians to the Primary Care Workforce in the United States
van Zanten and Boulet found that more than half of the Caribbean-educated physicians involved in U.S. direct patient care are practicing in primary care specialties, thereby making an important contribution to the workforce.

Measuring Medical Student Attitudes and Beliefs Regarding Patients Who Are Obese
Ip and colleagues found that the Nutrition, Exercise, and Weight Management (NEW) Attitudes Scale is valid and reliable and may be used in future studies of medical school students’ attitudes and beliefs regarding obese patients.

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