Articles from the June issue of Academic Medicine are now available online ahead of print!

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New online-first articles are available from Academic Medicine! The authors of one study demonstrate that participating in a creative storytelling program at a nursing home improves students’ attitudes toward patients with dementia. In another article, the authors use the ACGME competencies as a framework to discuss electronic medical record use in clinical education. Additional published ahead-of-print articles, which will appear in the June issue, address medical error disclosure, rural residency tracks, student-run clinics, and other important topics. Keep reading for more details.

Perspectives

Medical Education in the Electronic Medical Record Era: Benefits, Challenges, and Future Directions
Tierney and colleagues examined the benefits and unintended consequences of EMRs for each ACGME competency, asking: How do EMRs in the clinical education environment interact with the six ACGME core competencies? 

I’m Clear, You’re Clear, We’re All Clear: Improving Consultation Communication Skills in Undergraduate Medical Education
Kessler and colleagues argue that formal training is needed to ensure that physicians consulting across specialties communicate effectively and that existing models can be expanded throughout undergraduate and graduate medical education.

Articles

Bridging the Gap: Supporting Translational Research Careers through an Integrated Research Track within Residency Training
Arbuckle and colleagues argue that core training in research literacy, extensive research opportunities, mentorship, and attention to work-life balance helps the RTP at Columbia address challenges facing physician-scientists in training. 

A Crowdsourcing Model for Creating Pre-Clinical Medical Education Study Tools
Bow and colleagues describe their innovative approach to team-based learning that combined students’ use of flashcards to master large volumes of content with a crowdsourcing model. 

Improving Knowledge, Awareness, and Use of Flexible Career Policies through an Accelerator Intervention at the University of California, Davis, School of Medicine
Villablanca and colleagues describe their experiences developing and implementing an innovative accelerator intervention to promote faculty work-life balance by improving knowledge, awareness, and access to comprehensive flexible career policies. 

Research Reports

Maintenance of Certification and its Association With the Clinical Knowledge of Family Physicians
O’Neill and Puffer found that ABFM diplomates who are USMGs and maintain their certification perform better on the ABFM certification examination until approximately 30 years after residency training. 

Should We Google It?  Resource Use by Internal Medicine Residents for Point-of-Care Clinical Decision Making
Duran-Nelson and colleagues found that speed, trust, and portability are the biggest drivers for resource selection; and that time and information overload appear to be the biggest barriers to resources. 

Results of an Enhanced Clinic Handoff and Resident Education on Resident Patient Ownership and Patient Safety
Pincavage and colleagues found that enhanced clinic handoffs can improve the handoff process, increase the likelihood of patients seeing the correct primary care provider within the target timeframe, reduce missed tests, and increase test follow-up.

Enculturation of Unsafe Attitudes and Behaviors: Student Perceptions of Safety Culture
Bowman and colleagues found that fourth-year students at UCSF cited communication openness and non-punitive response to error as domains where safety culture was least robust. They argue that curricular development is warranted to enhance patient safety.

Impact of a Regional Distributed Medical Education Program on an Underserved Community: Community Leader Perceptions
Toomey and colleagues found that community leaders perceive that the regional undergraduate medical education program in their community has broad, local effects on education, health, the economy, media, and politics.

Comparison of Academic and Practice Outcomes of Rural and Traditional Track Graduates of a Family Medicine Residency Program
Petrany and Gess found that rural track graduates were more likely to practice in rural areas and West Virginia than, and appeared to advance academically as well as, traditional track graduates.

Improving the Quality of the Surgical Morbidity and Mortality Conference: A Prospective Intervention Study
Mitchell and colleagues found that standardizing the format of surgical morbidity and mortality conference presentations improved the quality of residents’ presentations and attendees’ educational outcomes.

Systems-Based Practice Learning Opportunities in Student-Run Clinics: A Qualitative Analysis of Student Experiences
Sheu and colleagues found that preclerkship students’ participation in student-run clinics provides opportunities for in-depth learning of systems-based practice, particularly among students who take on leadership roles.

An Arts-Based Intervention at a Nursing Home to Improve Medical Students’ Attitudes Towards Persons with Dementia
George and colleagues found that participating in a creative storytelling program at a nursing home improves medical students’ attitudes towards persons with dementia.

Design, Dissemination, and Evaluation of an Advanced Communication Elective at Seven U.S. Medical Schools
Mauksch and colleagues found that learner-centered methods such as peer observation and video editing may strengthen communication training and reinforce skills introduced earlier in medical education. 

Medical School Mission Statements as Reflections of Institutional Identity and Educational Purpose: A Network Text Analysis
Grbic and colleagues found that network text analysis provides an innovative method for understanding the social structure of meaning within medical school mission statements and, potentially, how these statements relate to institutional performance outcomes.

Clinical Teaching Based on Principles of Cognitive Apprenticeship: Views of Experienced Clinical Teachers
Stalmeijer and colleagues found that interviews with experienced clinical teachers offer insight into which factors affect clinical teaching on environmental, teacher, and student levels. Participants supported a model of clinical teaching based in cognitive apprenticeship.

Exploring Psychometric Models to Enhance Standardized Patient Quality Assurance: Evaluating Standardized Patient Performance over Time
Brown and Kahraman found that standardized patient (SP)-case difficulty estimates produced by the classical and common factor models are similarly useful for evaluating SP leniency, but the common factor model captures more variation in SP ability to discriminate among examinees.

Reviews

Technology-Enhanced Simulation to Assess Health Professionals: A Systematic Review of Validity Evidence, Research Methods, and Reporting Quality
Cook and colleagues reviewed 417 studies to assess tool characteristics, sources of validity evidence, methodological quality, and reporting quality for studies of technology-enhanced simulation-based assessments. 

Teaching Medical Error Disclosure to Physicians-in-Training: A Scoping Review
Stroud and colleagues identified published studies of error disclosure curricula targeting physicians-in-training (residents or medical students).

Social Media Use in Medical Education: A Systematic Review
Cheston and colleagues found that interventions using social media tools were associated with improved knowledge, attitudes, and skills. They identified challenges including technical issues, variable learner participation, and privacy/security concerns.

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2 Comments

  1. Kemi Tomobi
    May 9, 2013 at 2:49 PM

    Wow.  I knew those public speaking and storytelling skills would come in handy for the field of healthcare.  The field of medical humanities, including creative writing, should emphasize this benefit to elderly patients.  This finding also has great implications for medical education, and I look forward to reading more!

    • Journal Staff
      May 10, 2013 at 7:17 PM

      We appreciate the interest, Kemi. We actually have a post lined up for early June from Dr. George with more on TimeSlips and how the program was implemented at the nursing home, so stay tuned!