The April issue of Academic Medicine is now available online!


Available now to read online is the April issue of the journal. Read the entire April issue online at or on your iPad using the Academic Medicine for iPad app. Highlights include:

Competencies, Milestones, and Entrustable Professional Activities: What They Are, What They Could Be
Our editor-in-chief, David Sklar, examines the current state of the learner assessment process, provides definitions for key competency-based assessment terms, and makes four recommendations for improving the assessment process.

Developing Health Care Workforces for Uncertain Futures
Gorman outlines New Zealand’s approach to health care workforce planning, which accommodates uncertainty and aims to generate intelligence on which planning and consequent development can be reliably based. A blog post on this article is available.

Using Self Determination Theory to Improve Residency Training: Learning to Make Omelets Without Breaking Eggs
Hoffman proposes scaffolding, in which teachers provide support structures to help learners reach the next stage of entrustment and competence, as a model for balancing autonomy and supervision.

The Patient-as-Partner Approach in Health Care: A Conceptual Framework for a Necessary Transition
Karazivan and colleagues describe the patient-as-partner approach to patient care, including the conceptual framework used in its development and the main achievements of patient partners in education, health care, and research. A blog post on this article is available.

Seasonal Variation in Family Member Perceptions of Physician Competence in the Intensive Care Unit: Findings From One Academic Medical Center
In a retrospective study of family members of intensive care unit patients, Stevens and colleagues find that more participants described physicians as competent during summer months than winter, prompting the need for further research.

A National Study of Medical Students’ Attitudes Toward Self-Prescribing and Responsibility to Report Impaired Colleagues
Decreases in professional integrity (beliefs about prescribing behaviors) and accountability (reporting impaired colleagues) may be linked to burnout, depression, or alcohol/substance abuse, as shown by this 2012 study by Dyrbye and colleagues.

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