title-amexpArticles from the April 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 for more details.

Perspectives

Clarifying Assumptions to Enhance Our Understanding and Assessment of Clinical Reasoning
Durning and colleagues propose their analysis of what clinical reasoning entails, how it might best be taught, how it should be assessed, and research and practice implications.

The Ethics of Conducting Graduate Medical Education Research on Residents
To help graduate medical education researchers, Keune and colleagues discuss factors that impinge on the decision to seek research approval from institutional review boards.

Strategies for Developing Biostatistics Resources in an Academic Health Center
Welty and colleagues identify strategies for developing biostatistics resources in three areas: (1) recruiting and retaining biostatisticians; (2) efficiently using biostatistics resources; and (3) improving biostatistical contributions to science.

Article

Tradition Meets Innovation: Transforming Academic Medical Culture at the University of Pennsylvania’s Perelman School of Medicine
Pati and colleagues describe an initiative at their institution to change the culture of academic medicine and improve academic productivity, job satisfaction, and overall quality of life for junior faculty.

Research Reports

U.S. Graduate Medical Education and Physician Specialty Choice
Jolly and colleagues demonstrate that without a substantially accelerated growth in GME, the physician workforce will fall short of the nation’s needs and competition for available residency positions will radically increase.

Does Admission to a Teaching Hospital Affect Acute Myocardial Infarction Survival?
Using Medicare data for 1.3 million patients, Navathe and colleagues investigated whether admission to a teaching hospital was associated with greater survival of AMI after accounting for patient transfers and severity.

“We Learn from Them, They Learn from Us”: Global Health Experiences and Host Perceptions of Visiting Health Care Professionals
Kraeker and colleagues interviewed health care professionals at a Namibian institution that hosts global health experiences to determine perceptions about those who visit their country to learn or teach.

Mentor Networks in Academic Medicine: Moving Beyond a Dyadic Conception of Mentoring for Junior Faculty Researchers
DeCastro and colleagues argue that mentoring in academic medicine should involve mentoring networks, with attention to mentor diversity in terms of expertise, rank, and gender, rather than hierarchical mentoring dyads.

Batting 300 is Good: Perspectives of Faculty Researchers and their Mentors on Rejection, Resilience, and Persistence in Academic Medical Careers
DeCastro and colleagues argue that, given the frequency of professional rejection experiences in academic medicine, strategies such as training mentors to foster resilience may be particularly helpful in improving faculty retention.

Negotiation in Academic Medicine: Narratives of Faculty Researchers and Their Mentors
Sambuco and colleagues argue that, because academic medical faculty often lack the skills and knowledge necessary for successful negotiation, increasing awareness of principled negotiation (which emphasizes shared interests) may encourage the success of medical faculty, particularly women.

The Effect of Reducing Maximum Shift Lengths to 16 Hours on Internal Medicine Interns’ Educational Opportunities
Theobald and colleagues found that intern clinical exposure did not decrease after implementation of the 16-hour shift length restriction and that interns saw more patients, produced more detailed notes, and attended more conferences.

Do Canadian Researchers and the Lay Public Prioritize Biomedical Research Outcomes Equally? A Choice Experiment
Miller and colleagues compared the preferences of researchers and lay persons in Canada regarding the outcomes of basic biomedical research. Their findings have implications for how these groups contribute to setting the future research agenda.

“A Good Career Choice for Women”: Female Medical Students’ Mentoring Experiences: A Multi-Institutional Qualitative Study
Levine and colleagues argue that gender appears to play a role in female medical students’ expectations and experience with mentoring relationships and may influence their decision making around career planning.

Becoming a Doctor: A Qualitative Evaluation of Challenges and Opportunities in Medical Student Wellness During the Third Year
Kligler and colleagues report that students described challenges and opportunities related to time constraints, becoming a role model for patients, experiencing the impact of information, and developing a professional identify.

Review

Mentoring Programs for Underrepresented Minority Faculty in Academic Medical Centers: A Systematic Review of the Literature
Beech and colleagues reviewed the literature to identify “promising practices” for mentoring programs for underrepresented minority faculty. Few such programs exist, but the results may inform future efforts.

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