Pub Date : 2024-07-10DOI: 10.22454/primer.2024.426719
Gregory Zhang, Rachel Crispell, John J. Koch
Introduction: Residents play an important role in medical education, yet often feel unprepared without formal training. Teaching in the ambulatory setting raises unique challenges such as the difficulty of educating in a limited amount of time. We designed a brief, focused intervention as an initial needs assessment for a residents-as-teachers program in an ambulatory setting to address these concerns. Methods: A 1-day, 2.5-hour workshop was designed focusing on microskills, providing feedback, and ways to address common barriers in ambulatory teaching. Pre- and post-intervention surveys were conducted with both residents and medical students to assess the effects of the workshop on resident teaching in the clinic. Results: Although post-intervention surveys showed increased resident confidence and self-reported teaching behaviors, medical student surveys did not clearly demonstrate an increase in teaching behaviors. Didactic teaching on feedback and microskills with follow-on role playing were seen as the most helpful parts of the intervention. Conclusions: Self-assessment alone is an inadequate measure of effectiveness of our teaching intervention. While medical student data can help verify resident self-report, future iterations of our intervention should incorporate objective, third-party evaluation of teaching skill implementation.
{"title":"Teaching on the Fly: A Needs Assessment for an Ambulatory Resident-as-Teacher Workshop","authors":"Gregory Zhang, Rachel Crispell, John J. Koch","doi":"10.22454/primer.2024.426719","DOIUrl":"https://doi.org/10.22454/primer.2024.426719","url":null,"abstract":"Introduction: Residents play an important role in medical education, yet often feel unprepared without formal training. Teaching in the ambulatory setting raises unique challenges such as the difficulty of educating in a limited amount of time. We designed a brief, focused intervention as an initial needs assessment for a residents-as-teachers program in an ambulatory setting to address these concerns.\u0000Methods: A 1-day, 2.5-hour workshop was designed focusing on microskills, providing feedback, and ways to address common barriers in ambulatory teaching. Pre- and post-intervention surveys were conducted with both residents and medical students to assess the effects of the workshop on resident teaching in the clinic.\u0000Results: Although post-intervention surveys showed increased resident confidence and self-reported teaching behaviors, medical student surveys did not clearly demonstrate an increase in teaching behaviors. Didactic teaching on feedback and microskills with follow-on role playing were seen as the most helpful parts of the intervention.\u0000Conclusions: Self-assessment alone is an inadequate measure of effectiveness of our teaching intervention. While medical student data can help verify resident self-report, future iterations of our intervention should incorporate objective, third-party evaluation of teaching skill implementation.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"75 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.22454/primer.2024.400838
Sally Heaberlin, Kelly S. Skelly, Marcy Rosenbaum, Stephanie K Bunt
Introduction: Primary care physicians may perceive food insecurity (FI) as a difficult topic to address in health care encounters, resulting in at-risk patients not being identified. This exploratory study examines physician perspectives on how decisions to screen patients for FI are made, effective FI communication strategies, and barriers to screening. Methods: Primary care physicians in the statewide, practice-based Iowa Research Network (IRENE) completed a study survey in May 2022 that included structured and open-ended questions regarding their experiences screening for FI. Thematic and descriptive analysis identified common themes in providers’ experiences and perspectives. Results: Although most physicians responding to the survey indicated that they have observed FI in their patient population, 27% have never observed FI in their practice. Physicians varied in their reasons for deciding to screen, with the most reported reason being “when it comes up in conversation.” Common screening barriers among respondents included limited appointment time and feeling inadequately prepared to connect patients with resources. Respondents noted that negative experiences with FI screening were rare and noted positive experiences, including gratitude from the patient, and building patient-physician trust. Respondents shared normalizing phrases that helped address the additional obstacle of feeling inadequately prepared to assess FI in a tactful manner. Conclusions: This study explored physicians' experiences with asking patients about FI and provides insight into FI screening gaps, barriers, and opportunities. Better understanding of physician attitudes and practices may help guide and address barriers to more effective and consistent FI screening.
导言：初级保健医生可能会认为食物不安全（FI）是一个难以在医疗保健会诊中解决的话题，从而导致高危患者无法被识别出来。这项探索性研究探讨了医生对如何决定对患者进行食物不安全筛查、有效的食物不安全沟通策略以及筛查障碍的看法：2022年5月，全州范围内以实践为基础的爱荷华研究网络（IRENE）中的初级保健医生完成了一项研究调查，其中包括有关他们筛查FI经验的结构化和开放式问题。主题分析和描述性分析确定了医疗服务提供者经验和观点中的共同主题：尽管大多数参与调查的医生表示，他们曾在病人群体中观察到过 FI，但有 27% 的医生从未在诊疗过程中观察到过 FI。医生们决定进行筛查的原因各不相同，其中报告最多的原因是 "在谈话中提及"。受访者中常见的筛查障碍包括预约时间有限以及感觉没有做好充分准备为患者联系资源。受访者指出，FI 筛查的负面经历并不多见，他们还提到了一些积极的经历，包括患者的感激之情以及建立患者与医生之间的信任。受访者分享了一些正常化的短语，这些短语有助于解决在以机智的方式评估 FI 时感到准备不足这一额外障碍：本研究探讨了医生向患者询问 FI 的经验，并提供了有关 FI 筛查差距、障碍和机遇的见解。更好地了解医生的态度和做法可能有助于指导和解决更有效、更一致的 FI 筛查障碍。
{"title":"Food Insecurity: Physician Perspectives, Screening and Communication","authors":"Sally Heaberlin, Kelly S. Skelly, Marcy Rosenbaum, Stephanie K Bunt","doi":"10.22454/primer.2024.400838","DOIUrl":"https://doi.org/10.22454/primer.2024.400838","url":null,"abstract":"Introduction: Primary care physicians may perceive food insecurity (FI) as a difficult topic to address in health care encounters, resulting in at-risk patients not being identified. This exploratory study examines physician perspectives on how decisions to screen patients for FI are made, effective FI communication strategies, and barriers to screening.\u0000Methods: Primary care physicians in the statewide, practice-based Iowa Research Network (IRENE) completed a study survey in May 2022 that included structured and open-ended questions regarding their experiences screening for FI. Thematic and descriptive analysis identified common themes in providers’ experiences and perspectives.\u0000Results: Although most physicians responding to the survey indicated that they have observed FI in their patient population, 27% have never observed FI in their practice. Physicians varied in their reasons for deciding to screen, with the most reported reason being “when it comes up in conversation.” Common screening barriers among respondents included limited appointment time and feeling inadequately prepared to connect patients with resources. Respondents noted that negative experiences with FI screening were rare and noted positive experiences, including gratitude from the patient, and building patient-physician trust. Respondents shared normalizing phrases that helped address the additional obstacle of feeling inadequately prepared to assess FI in a tactful manner.\u0000Conclusions: This study explored physicians' experiences with asking patients about FI and provides insight into FI screening gaps, barriers, and opportunities. Better understanding of physician attitudes and practices may help guide and address barriers to more effective and consistent FI screening.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-11DOI: 10.22454/primer.2024.278059
D. Bhanja, Areeba Zain, C. Moeckel, Abdul Waheed
Background and Objectives: Metformin is one of the primary pharmacologic agents for managing type 2 diabetes mellitus (T2DM). However, it has been associated with interference in vitamin B12 absorption and deficiency. Vitamin B12 deficiency and T2DM can present diagnostic challenges for polyneuropathy. Diagnosis is essential for guiding treatment, yet the use of vitamin B12 level testing in this population may have dwindled over time amid changing practice guidelines. This study examines trends over time in the use of vitamin B12 level testing among patients on metformin. Methods: This retrospective trend analysis used data from TriNetX, a real-world, longitudinal clinical database. Patients treated with metformin from 2000 to 2020 were identified using Rx Concept Unique Identifier codes. The number of patients who underwent vitamin B12 level testing at any time after 1 month from metformin initiation was tabulated. Patients were grouped by the year of B12 level testing. Trends in B12 level testing were assessed using the Jonckheere-Terpstra statistical test (P<.05). Results: Out of 4,203,020 patients prescribed metformin, 1,055,995 (25.1%) underwent B12 level testing. The highest proportion of patients tested was in 2000 to 2002 (39.6%), while the lowest proportion was in 2018 to 2020 (20.1%). B12 testing utilization declined significantly by 19.5% from 2000-2002 to 2018-2020 (P=.001). Conclusions: In this study, we found that the use of vitamin B12 level testing in patients on metformin has significantly declined over the years, potentially impacting early detection of B12 deficiency. Future studies with more granular data from real-life practice are recommended to understand the precise reasons and impact of this trend.
{"title":"Trends in Vitamin B12 Level Testing in Patients on Metformin From 2000 to 2020","authors":"D. Bhanja, Areeba Zain, C. Moeckel, Abdul Waheed","doi":"10.22454/primer.2024.278059","DOIUrl":"https://doi.org/10.22454/primer.2024.278059","url":null,"abstract":"Background and Objectives: Metformin is one of the primary pharmacologic agents for managing type 2 diabetes mellitus (T2DM). However, it has been associated with interference in vitamin B12 absorption and deficiency. Vitamin B12 deficiency and T2DM can present diagnostic challenges for polyneuropathy. Diagnosis is essential for guiding treatment, yet the use of vitamin B12 level testing in this population may have dwindled over time amid changing practice guidelines. This study examines trends over time in the use of vitamin B12 level testing among patients on metformin.\u0000Methods: This retrospective trend analysis used data from TriNetX, a real-world, longitudinal clinical database. Patients treated with metformin from 2000 to 2020 were identified using Rx Concept Unique Identifier codes. The number of patients who underwent vitamin B12 level testing at any time after 1 month from metformin initiation was tabulated. Patients were grouped by the year of B12 level testing. Trends in B12 level testing were assessed using the Jonckheere-Terpstra statistical test (P<.05).\u0000Results: Out of 4,203,020 patients prescribed metformin, 1,055,995 (25.1%) underwent B12 level testing. The highest proportion of patients tested was in 2000 to 2002 (39.6%), while the lowest proportion was in 2018 to 2020 (20.1%). B12 testing utilization declined significantly by 19.5% from 2000-2002 to 2018-2020 (P=.001).\u0000Conclusions: In this study, we found that the use of vitamin B12 level testing in patients on metformin has significantly declined over the years, potentially impacting early detection of B12 deficiency. Future studies with more granular data from real-life practice are recommended to understand the precise reasons and impact of this trend.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"70 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-11DOI: 10.22454/primer.2024.690812
Gabriel LaPlante, Oksana Babenko, Adam Neufeld
Background and Objectives: According to self-determination theory (SDT), fulfillment of three basic psychological needs—autonomy, competence, and relatedness—positively impacts people’s health and well-being. Amid the COVID-19 pandemic, an accelerated adoption of virtual care practices coincided with a decline in the well-being of physicians. Taking into account the frequency of virtual care use, we examined the relationship between workplace need fulfillment and physician well-being. Methods: Using online survey methodology, in March through June 2022, we collected data from 156 family physicians (FPs) in Alberta, Canada. The survey contained scales that measured workplace need satisfaction and frustration, subjective well-being (physical, psychological, and relational), and frequency of virtual care use. We performed correlational and regression analyses of the data. Results: More frequent use of virtual care was associated with lower relatedness satisfaction among FPs. Controlling for the frequency of virtual care use, frustration of autonomy and competence needs negatively related to FPs’ physical well-being; frustration of competence and relatedness needs negatively related to their psychological and relational well-being. Conclusions: Findings from this study align with SDT and underscore the importance of supporting FPs’ basic psychological needs, while we work to integrate virtual care into clinical practice. In their day-to-day work, we encourage physicians to reflect on their own sense of autonomy, competence, and relatedness, and consider how using virtual care aligns with these basic needs.
{"title":"Virtual Care Integration: Balancing Physician Well-Being","authors":"Gabriel LaPlante, Oksana Babenko, Adam Neufeld","doi":"10.22454/primer.2024.690812","DOIUrl":"https://doi.org/10.22454/primer.2024.690812","url":null,"abstract":"Background and Objectives: According to self-determination theory (SDT), fulfillment of three basic psychological needs—autonomy, competence, and relatedness—positively impacts people’s health and well-being. Amid the COVID-19 pandemic, an accelerated adoption of virtual care practices coincided with a decline in the well-being of physicians. Taking into account the frequency of virtual care use, we examined the relationship between workplace need fulfillment and physician well-being.\u0000Methods: Using online survey methodology, in March through June 2022, we collected data from 156 family physicians (FPs) in Alberta, Canada. The survey contained scales that measured workplace need satisfaction and frustration, subjective well-being (physical, psychological, and relational), and frequency of virtual care use. We performed correlational and regression analyses of the data.\u0000Results: More frequent use of virtual care was associated with lower relatedness satisfaction among FPs. Controlling for the frequency of virtual care use, frustration of autonomy and competence needs negatively related to FPs’ physical well-being; frustration of competence and relatedness needs negatively related to their psychological and relational well-being.\u0000Conclusions: Findings from this study align with SDT and underscore the importance of supporting FPs’ basic psychological needs, while we work to integrate virtual care into clinical practice. In their day-to-day work, we encourage physicians to reflect on their own sense of autonomy, competence, and relatedness, and consider how using virtual care aligns with these basic needs.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141360384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-08DOI: 10.22454/primer.2024.528002
Richard Guthmann
{"title":"Define the Problem: Collaboration, Mission, or Funding?","authors":"Richard Guthmann","doi":"10.22454/primer.2024.528002","DOIUrl":"https://doi.org/10.22454/primer.2024.528002","url":null,"abstract":"","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141369227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-14DOI: 10.22454/primer.2024.840270
Danielle L. Terry, Kartik Moza
Background and Objectives: The aim of this study was to determine whether supervisory alliance (eg, rapport with supervisor) mediated the association between perceived bullying and trainee burnout. Methods: We administered electronic surveys to medical trainees (N=108) in a rural teaching hospital. The survey included measures of bullying, burnout, and supervisory rapport. Results: Using Baron and Kenny’s test of mediation with the Sobel test, we found that rapport with supervising attending partially mediated the relationship between bullying and burnout. Conclusions: This study reinforced the role of the attending physician and how perceived rapport may impact burnout. Given the high rate of bullying in medical training and the negative impact of burnout on physicians, further study is warranted to understand other factors that mediate the association between bullying and burnout.
{"title":"The Mediating Role of Attending Rapport on Bullying and Medical Trainee Burnout","authors":"Danielle L. Terry, Kartik Moza","doi":"10.22454/primer.2024.840270","DOIUrl":"https://doi.org/10.22454/primer.2024.840270","url":null,"abstract":"Background and Objectives: The aim of this study was to determine whether supervisory alliance (eg, rapport with supervisor) mediated the association between perceived bullying and trainee burnout.\u0000Methods: We administered electronic surveys to medical trainees (N=108) in a rural teaching hospital. The survey included measures of bullying, burnout, and supervisory rapport.\u0000Results: Using Baron and Kenny’s test of mediation with the Sobel test, we found that rapport with supervising attending partially mediated the relationship between bullying and burnout.\u0000Conclusions: This study reinforced the role of the attending physician and how perceived rapport may impact burnout. Given the high rate of bullying in medical training and the negative impact of burnout on physicians, further study is warranted to understand other factors that mediate the association between bullying and burnout.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"48 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-24DOI: 10.22454/primer.2024.160111
Oladimeji Oki, Zoon Naqvi, William Jordan, Conair E Guilliames, Heather Archer-Dyer, Maria Teresa Santos
Introduction: Family medicine clerkships utilize a broad set of objectives. The scope of these objectives cannot be measured by one assessment alone. Using multiple assessments aimed at measuring different objectives may provide more holistic evaluation of students. A further concern is to ensure longitudinal accuracy of assessments. In this study, we sought to better understand the relevance and validity of different assessment tools used in family medicine clerkships. Methods: We retrospectively correlated family medicine clerkship students’ scores across different assessments to evaluate the strengths of the correlations, between the different assessment tools. We defined ρ<0.3 as weak, ρ>0.3 to ρ<0.5 as moderate, and ρ>0.5 as high correlation. Results: We compared individual assessment scores for 267 students for analysis. The correlation of the clinical evaluation was 0.165 (P<.01); with case-based short-answer questions it was 0.153 (P<.01); and with objective structured clinical examinations it was -0.246 (P<0.01). Conclusion: Overall low levels of correlations between our assessments are expected, as they are each designed to measure different objectives. The relatively higher correlation between component scores supports convergent validity while correlations closer to zero suggest discriminant validity. Unexpectedly, comparing the multiple-choice questions and objective, structured clinical encounter (OSCE) assessments, we found higher correlation, although we believe these should measure disparate objectives. We replaced our in-house multiple-choice questions with a nationally-standardized exam and preliminary analysis shows the expected weaker correlation with the OSCE assessment, suggesting periodic correlations between assessments may be useful.
{"title":"Evaluating Student Clerkship Performance Using Multiple Assessment Components","authors":"Oladimeji Oki, Zoon Naqvi, William Jordan, Conair E Guilliames, Heather Archer-Dyer, Maria Teresa Santos","doi":"10.22454/primer.2024.160111","DOIUrl":"https://doi.org/10.22454/primer.2024.160111","url":null,"abstract":"Introduction: Family medicine clerkships utilize a broad set of objectives. The scope of these objectives cannot be measured by one assessment alone. Using multiple assessments aimed at measuring different objectives may provide more holistic evaluation of students. A further concern is to ensure longitudinal accuracy of assessments. In this study, we sought to better understand the relevance and validity of different assessment tools used in family medicine clerkships.\u0000Methods: We retrospectively correlated family medicine clerkship students’ scores across different assessments to evaluate the strengths of the correlations, between the different assessment tools. We defined ρ<0.3 as weak, ρ>0.3 to ρ<0.5 as moderate, and ρ>0.5 as high correlation.\u0000Results: We compared individual assessment scores for 267 students for analysis. The correlation of the clinical evaluation was 0.165 (P<.01); with case-based short-answer questions it was 0.153 (P<.01); and with objective structured clinical examinations it was -0.246 (P<0.01).\u0000Conclusion: Overall low levels of correlations between our assessments are expected, as they are each designed to measure different objectives. The relatively higher correlation between component scores supports convergent validity while correlations closer to zero suggest discriminant validity. Unexpectedly, comparing the multiple-choice questions and objective, structured clinical encounter (OSCE) assessments, we found higher correlation, although we believe these should measure disparate objectives. We replaced our in-house multiple-choice questions with a nationally-standardized exam and preliminary analysis shows the expected weaker correlation with the OSCE assessment, suggesting periodic correlations between assessments may be useful.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"99 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-23DOI: 10.22454/primer.2024.733332
Christopher M. Haymaker, Kristi Vanderkolk, Megan Rhodes, Jeff Young, Lisa Graves
Introduction: Early identification of residents who may require remediation could help prevent problems for both individual residents and their programs. Our aim in this project was to identify whether residents prone to challenges with professionalism could be identified early. Methods: For 3 years we tracked onboarding tasks completed by residents between official match and the first day of residency to develop a tool that would help identify residents who may be at risk for problems with timely chart completion and subsequent remediation. We compared residents’ “at risk” scores with in-training exam (ITE) scores to differentiate between professionalism (task completion issues) and medical knowledge. Results: Our at-risk tool successfully predicted timely chart completion rates and need for remediation within our residency program (Fischer’s exact P<.001), but was not predictive of ITE scores. Discussion: Using readily accessible information, we can identify residents at risk for poor task completion performance, who may benefit from extra support and development in the area of organizational skill. Early identification may increase opportunities for early intervention.
{"title":"Screening for Conscientiousness at Start of Residency: Early Detection of Professionalism Concerns","authors":"Christopher M. Haymaker, Kristi Vanderkolk, Megan Rhodes, Jeff Young, Lisa Graves","doi":"10.22454/primer.2024.733332","DOIUrl":"https://doi.org/10.22454/primer.2024.733332","url":null,"abstract":"Introduction: Early identification of residents who may require remediation could help prevent problems for both individual residents and their programs. Our aim in this project was to identify whether residents prone to challenges with professionalism could be identified early. \u0000Methods: For 3 years we tracked onboarding tasks completed by residents between official match and the first day of residency to develop a tool that would help identify residents who may be at risk for problems with timely chart completion and subsequent remediation. We compared residents’ “at risk” scores with in-training exam (ITE) scores to differentiate between professionalism (task completion issues) and medical knowledge.\u0000Results: Our at-risk tool successfully predicted timely chart completion rates and need for remediation within our residency program (Fischer’s exact P<.001), but was not predictive of ITE scores.\u0000Discussion: Using readily accessible information, we can identify residents at risk for poor task completion performance, who may benefit from extra support and development in the area of organizational skill. Early identification may increase opportunities for early intervention.","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":"58 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140670883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-19DOI: 10.22454/primer.2024.517396
Arindam Sarkar, Kelly L. Smith, Brian D. Keisler, Kenneth Barning
{"title":"Could Workplace-Based Assessments Improve Faculty Teaching Confidence and Competence?","authors":"Arindam Sarkar, Kelly L. Smith, Brian D. Keisler, Kenneth Barning","doi":"10.22454/primer.2024.517396","DOIUrl":"https://doi.org/10.22454/primer.2024.517396","url":null,"abstract":"","PeriodicalId":507541,"journal":{"name":"PRiMER","volume":" 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：