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American Heart Association National Fellow to Faculty Transition Award Programemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Application Deadline: Jan. 22, 2010 (11:59 p.m. CT) Award Activation: July 1, 2010The method for applying for funding is Web-based, via our electronic system, Grants@Heart. With this new system, the applicant fills out the online application using Internet Explorer or Safari browsers. Important: * Begin your application early to allow all parties time to complete the process. * The applicant must submit the completed application to the grants officer selected in the application. It is the applicant's responsibility to contact the grants officer and/or monitor the status of his/her own application. * The grants office...
Source: ScanGrants feed - November 10, 2009 Category: Research Authors: American Heart Association Source Type: funding

Systems-Based Competencyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Dr. Lum and Dr. Schachat emphasized in their recent editorial the need to foster a culture of safety and transparency in order to reduce or preferably eliminate “never events” in ophthalmology (e.g., wrong site surgery or wrong intraocular lens). In a parallel process, the Accreditation Council for Graduate Medical Education (ACGME) has mandated that all residency programs in the U.S. teach and assess 6 general competencies. One of these competencies is systems-based practice (SBP), which the ACGME defines as follows: “Residents must demonstrate an awareness of and responsiveness to the larger context and system of h...
Source: Ophthalmology - November 1, 2009 Category: Opthalmology Authors: Andrew G. Lee Tags: Letters to the Editor Source Type: journals

ACGME Launches First Peer-Reviewed Journal Dedicated to GMEemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education, or ACGME, has launched the first peer-reviewed journal devoted solely to the education of medical residents and fellows and the settings in which that education occurs. (Source: AAFP Resident and Student Focus)
Source: AAFP Resident and Student Focus - October 27, 2009 Category: Primary Care Source Type: organizations

Jumpstarting Academic Careers with a Novel Intern Research Rotation: the AIMS Rotationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education (ACGME) requirements for residency education in internal medicine specifically state that the program must advance residents' knowledge of the basic principles of research, including how research is conducted, evaluated, explained to patients, and applied to patient care. Further, residents should participate in scholarly activity, and the sponsoring institution and program should allocate adequate educational resources to facilitate resident involvement in scholarly activities. The scholarly activity requirement may be satisfied with projects other than research, in...
Source: The American Journal of Medicine - October 24, 2009 Category: Journals (General) Authors: Tonya L. Fancher, Ted Wun, Christine S. Hotz, Mark C. Henderson Tags: APM perspectives Source Type: journals

Re: “Over-Regulating Radiology Residencies: The Unforeseen Costs”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Levon N. Nazarian, MD, [] raised several issues in his opinion article “Over-Regulation of Radiology Residencies: The Unforeseen Costs,” which appeared in the June issue of JACR. He cites implementation of the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project in 2001, the advent of the ACGME duty-hours standards in 2003, and the more recent requirement for developing and maintaining resident learning portfolios as all having unforeseen consequences, or “costs,” that detract from the education of residents and the efficient functioning of academic radiology departments. Although some of th...
Source: Journal of the American College of Radiology : JACR - September 30, 2009 Category: Radiology Authors: E. Stephen Amis Tags: Letters to the Editor Source Type: journals

A case study of translating ACGME practice-based learning and improvement requirements into reality: systems quality improvement projects as the key component to a comprehensive curriculum [Quality improvement report]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A PBLI curriculum that is centred around practice-based quality improvement projects can fulfil the objectives of this ACGME competency while accomplishing sustained outcomes in quality improvement. A comprehensive curriculum is an investment but offers organisational rewards. We propose a more realistic and informative representation of rapid PDSA cycle changes. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - September 29, 2009 Category: Journals (General) Authors: Tomolo, A M, Lawrence, R H, Aron, D C Tags: Quality improvement report Source Type: journals

[Quality improvement report] A case study of translating ACGME practice-based learning and improvement requirements into reality: systems quality improvement projects as the key component to a comprehensive curriculumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A PBLI curriculum that is centred around practice-based quality improvement projects can fulfil the objectives of this ACGME competency while accomplishing sustained outcomes in quality improvement. A comprehensive curriculum is an investment but offers organisational rewards. We propose a more realistic and informative representation of rapid PDSA cycle changes. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - September 28, 2009 Category: Journals (General) Authors: Tomolo, A M, Lawrence, R H, Aron, D C Tags: Quality improvement report Source Type: journals

Training in Hepatology: Where Are We Now?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Over the past 3 years, I have had the pleasure of serving as an Associate Editor for Gastroenterology, especially in the context of clinical hepatology. This has been an enriching and educational experience and I hope the readership of the Journal and their patients have benefited from the exciting work that has been published. As a separate consideration, I have been interested in training and certification in gastroenterology as Chair of the American Board of Internal Medicine (ABIM) Gastroenterology Board from 1999 to 2003, and as the current Chair of the ABIM Transplant Hepatology Board since 2004. I have elected to wr...
Source: Gastroenterology - September 28, 2009 Category: Gastroenterology Authors: Bruce R. Bacon Tags: Comment From the Editor Source Type: journals

Ethics and Professionalism in the Pediatric Curriculum: A Survey of Pediatric Program Directorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Despite requirements to train and evaluate residents in ethics and professionalism, there is a lack of structured curriculum, faculty expertise, and evaluation methodology. Effectiveness of training curricula and evaluation tools need to be assessed if the Accreditation Council for Graduate Medical Education requirements for competencies in these areas are to be meaningfully realized. (Source: PEDIATRICS)
Source: PEDIATRICS - September 27, 2009 Category: Pediatrics Authors: Lang, C. W., Smith, P. J., Ross, L. F. Tags: Office Practice ARTICLES Source Type: journals

For Whom the Bell Commission Tolls: Unintended Effects of Limiting Residents' Hoursemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The intentions behind the regulation of residents' hours under New York State Department of Health Code section 405.4, the model for the national standards set by the Accreditation Council for Graduate Medical Education (ACGME) in 2003, are intuitive and admirable: no one wants exhausted, inexperienced, under-supervised residents seeing patients. Research on human sleep cycles suggests that a cowboy ethos is both unrealistic and dangerous; the image of constant clinical heroics performed under conditions too grueling for mere mortals to tolerate, these policies imply, belongs to mythology rather than reality. The high-prof...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: William B. Millard Tags: News and Perspective Source Type: journals

Former Dean Donald Wilson Wins Prestigious Medical Education Award from the Association of American Medical Collegesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Association of American Medical Colleges (AAMC) has awarded the Abraham Flexner Award for Distinguished Service to Medical Education to former University of Maryland School of Medicine Dean Donald E. Wilson. The Flexner award was established by the AAMC in 1958 to recognize extraordinary individual contributions to medical schools and to the medical education community as a whole. After "retiring" in 2006 as the nation's second-longest-serving medical school dean, Dr. Wilson is reprising his lifelong role as a medical educator as senior vice president for health sciences at Howard University. He is Dean Emeritus at th...
Source: University of Maryland School of Medicine News Headlines - September 6, 2009 Category: Universities & Medical Training Source Type: news

Risk Management for the Supervising Psychiatristemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The need for expert supervision of residents and other health professionals by psychiatrists is growing as a result of the increased demand for accountability by third parties and the expanded number of clinical specialists seeking supervision in psychiatry. The Accreditation Council for Graduate Medical Education has placed professional competency of graduating residents in the national spotlight, and insurers are increasingly scrutinizing patient care provided by trainees and oversight provided by their supervisors. (Source: Psychiatric Times)
Source: Psychiatric Times - September 3, 2009 Category: Psychiatry Source Type: info

Joint Commission Primary Stroke Center Certification Does Not Affect Proband Enrollment: The Siblings With Ischemic Stroke Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: JC certification did not have a significant effect on SWISS center enrollment. The JC should encourage the research mission among certified stroke centers. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2009 Category: Neurology Authors: Alexa N. Richie, Jorge Trejo, Christian G. Bowers, Rebecca B. McNeil, Dale M. Gamble, Sothear H. Luke, Robert D. Brown, Thomas G. Brott, Brett M. Kissela, Bradford B. Worrall, James F. Meschia, SWISS Group Tags: Original Articles Source Type: journals

Resident Duty-Hour Reform Associated with Increased Morbidity Following Hip Fractureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Resident duty-hour reform was associated with an accelerated rate of increasing patient morbidity following treatment of hip fractures in teaching institutions. Further research into this concerning finding is needed. Level of Evidence: Therapeutic Level III. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])
Source: JBJS [Am] - August 31, 2009 Category: Orthopaedics Authors: Browne, J. A., Cook, C., Olson, S. A., Bolognesi, M. P. Tags: Adult Trauma, Education and Training Scientific Articles Source Type: journals

Resident duty-hour reform associated with increased morbidity following hip fracture.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Resident duty-hour reform was associated with an accelerated rate of increasing patient morbidity following treatment of hip fractures in teaching institutions. Further research into this concerning finding is needed. PMID: 19723983 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)
Source: The Journal of Bone and Joint Surgery. American volume - August 31, 2009 Category: Orthopaedics Authors: Browne JA, Cook C, Olson SA, Bolognesi MP Tags: J Bone Joint Surg Am Source Type: journals

Entry of US Medical School Graduates Into Family Medicine Residencies: 2008-2009 and 3-year Summary.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article reports the average percentage for each medical school for the last 3 years. Also reported are the number and percentage of graduates from colleges of osteopathic medicine who entered Accreditation Council for Graduate Medical Education-accredited family medicine residency programs, based on estimates provided by the American Association of Colleges of Osteopathic Medicine. These numbers are retrospective analyses based on numbers reported to the AAFP from medical schools and family medicine residency programs. PMID: 19724941 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - August 31, 2009 Category: Primary Care Authors: McGaha AL, Schmittling GT, Devilbiss AD, Pugno PA Tags: Fam Med Source Type: journals

“Resident Duty Hours: Enhancing Sleep, Supervision, and Safety”: Response of the Association of Program Directors in Surgery to the December 2008 Report of the Institute of Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
On March 29, 2007, Congressman John D. Dingell (D-Michigan), then Chair of the Committee on Energy and Commerce of the U.S. House of Representatives, asked that the Agency for Healthcare Research and Quality (AHRQ) “consider pursuing through the Institute of Medicine (IOM) the continued study of medical errors associated with physician and resident work schedules.” AHRQ accepted this assignment and contracted with the IOM to conduct the study. The IOM formed the Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety with the stated goals “to recommend ways to im...
Source: Surgery - August 31, 2009 Category: Surgery Authors: Karen R. Borman, George M. Fuhrman, on behalf of the Association Tags: Editorials Source Type: journals

Residents' Duty Hours and Professionalismemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To the Editor: The Accreditation Council for Graduate Medical Education (ACGME) is currently reevaluating its 2003 rules1 regarding duty hours, ... (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - August 25, 2009 Category: Internal Medicine Authors: Rybock, J. D. Tags: CORRESPONDENCE Source Type: journals

Resident laser in situ keratomileusis surgical training in United States residency programsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To determine current trends in resident laser in situ keratomileusis (LASIK) training in the United States, a comprehensive survey was sent to the residency coordinator, chairman, or refractive surgery director of all 113 ophthalmology training programs in the U.S. accredited by the Accreditation Council for Graduate Medical Education. The response rate was 64%. Of the respondents, 54% were from programs in which residents performed LASIK surgery, typically as third-year residents; residents in these programs performed a mean of 4 LASIK surgeries (range 1 to 10 surgeries) during residency. The Visx Star was the most common...
Source: Journal of Cataract and Refractive Surgery - August 18, 2009 Category: Opthalmology Authors: Robert O. Kwon, Vinay A. Shah, Rohit Krishna, Jean Hausheer Tags: Special Report Source Type: journals

Quality Improvement and Patient Safety in the Pediatric Ambulatory Setting: Current Knowledge and Implications for Residency Trainingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The outpatient environment has been the leading edge of improvement work in pediatrics and it has similarly served as an effective locale for the training of pediatric residents in the science of improvement. This review summarizes what is known about the measurement of quality and patient safety in pediatric ambulatory settings. The current Accreditation Council for Graduate Medical Education (ACGME) requirements for resident training in improvement and their application in these settings are discussed. Some approaches and challenges to meeting these requirements are reviewed. Finally, some future directions that this wor...
Source: Pediatric Clinics of North America - July 31, 2009 Category: Pediatrics Authors: Daniel R. Neuspiel, Daniel Hyman, Mariellen Lane Tags: Driving Children's Healthcare Initiatives Source Type: journals

Maintenance of Certification: The Role of the American Board of Pediatrics in Improving Children's Health Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article describes the evolution of board certification for pediatricians and the current ongoing assessment process called Maintenance of Certification (MOC). To be called a board-certified pediatrician under the MOC framework requires a level of training, competence, and knowledge that can only be achieved by completing a rigorous, defined, closely monitored training program approved by the Accreditation Council for Graduate Medical Education and then demonstrating a level of knowledge comparable to established standards by passing the initial certifying examination. Once this landmark baseline threshold is reached, ...
Source: Pediatric Clinics of North America - July 31, 2009 Category: Pediatrics Authors: Paul V. Miles Tags: The Future of Quality on Pediatric Practice Source Type: journals

The assessment of pathologists/laboratory medicine physicians through a multisource feedback tool.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: It is feasible to assess this group of physicians using multisource feedback with instruments that are reliable. PMID: 19653730 [PubMed - in process] (Source: Archives of Pathology and Laboratory Medicine)
Source: Archives of Pathology and Laboratory Medicine - July 31, 2009 Category: Laboratory Medicine Authors: Lockyer JM, Violato C, Fidler H, Alakija P Tags: Arch Pathol Lab Med Source Type: journals

Burroughs Wellcome Fund/American Society of Tropical Medicine and Hygiene Postdoctoral Fellowship in Tropical Infectious Diseasesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Application Deadline: September 15, 2009 Thanks to a generous, expanded grant from the Burroughs Wellcome Fund, the American Society of Tropical Medicine and Hygiene is able to award three (3) postdoctoral fellowships each year. Each awardee will receive two (2) years of support. Although the program targets postdoctoral infectious diseases fellows, applicants who have completed training in other clinical specialties relevant to tropical medicine (e.g. internal medicine, pediatrics, OB/GYN) will also be considered. These postdoctoral fellowships provide support for individuals to conduct research in tropical infectious di...
Source: ScanGrants feed - July 20, 2009 Category: Research Authors: Burroughs Wellcome Fund/American Society of Tropical Medicine and Hygiene Source Type: funding

American College of Cardiology Foundation/William F. Keating, Esq. Endowment Award for Hypertension and Peripheral Vascular Diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purpose of the award is to recognize and provide financial support for research efforts by outstanding your cardiovascular scholars. This award is to encourage junior faculty in the early phases of their careers in the field of cardiology. The award will provide one junior faculty member with a year of research support. Eligibility:Applicants eligible for the award are those who: 1.) Will hold rank of instructor or assistant professor at the time of the initiation of the award and have completed adult, pediatric, surgical cardiology fellowship training in a program approved by the Accreditation Council for Graduate M...
Source: ScanGrants feed - July 13, 2009 Category: Research Authors: American College of Cardiology Foundation/William F. Keating Endowment Fund Source Type: funding

American College of Cardiology Foundation/GE Healthcare Career Development Awards in Cardiovascular Imaging Technologies and Targeted Imaging Agentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Two awards are available to foster the early research career development of junior cardiovascular faculty in the research area of imaging technologies and targeted imaging agents. These awards will furnish a portion of the faculty member's total salary support. It is anticipated that the balance of the salary will come from other sources. Eligibility:Applicants eligible for the award are those who: 1.) Will hold rank of instructor or assistant professor at the time of the initiation of the award and have completed adult, pediatric, surgical cardiology fellowship training in a program approved by the Accreditation Council...
Source: ScanGrants feed - July 13, 2009 Category: Research Authors: American College of Cardiology Foundation/GE Medical Systems Source Type: funding

American College of Cardiology Foundation/Merck Research Fellowships in Cardiovascular Disease and Cardiometabolic Disordersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In selecting applicants, proposals addressing diabetes or the metabolic syndrome as they relate to cardiovascular disease are encouraged. This consideration should not, however, be considered limiting and all meritorious applications will be reviewed. Description:Four one-year fellowships will be awarded to support research in adult cardiology. Preference is given to individuals who have had no more than two years of prior full-time experience either in clinical or basic research. Recipients will be expected to pursue a full-time project in clinical research during their year of supported training. Research Focus:In selec...
Source: ScanGrants feed - July 13, 2009 Category: Research Authors: American College of Cardiology Foundation/Merck Company Foundatio Source Type: funding

Family Medicine Leaders Urge ACGME to Resist Call for More Limits on Residents' Duty Hoursemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The AAFP, along with the other academic family medicine organizations, have asked the Accreditation Council for Graduate Medical Education, or ACGME, to resist putting additional restrictions on residents' duty hours because such restrictions may harm family medicine training programs and the quality of patient care. (Source: AAFP Resident and Student Focus)
Source: AAFP Resident and Student Focus - July 2, 2009 Category: Primary Care Source Type: organizations

Views of Surgery Program Directors on the Current ACGME and Proposed IOM Duty-Hour Standardsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The conclusion was that the current ACGME duty-hour standards have reduced teaching opportunities and narrowed the scope of training. (Source: Journal of Surgical Education)
Source: Journal of Surgical Education - July 1, 2009 Category: Surgery Authors: Ross E. Willis, James E. Coverdill, John D. Mellinger, J. Craig Collins, John R. Potts, Daniel L. Dent Tags: Original Reports Source Type: journals

Elder abuse education in primary care residency programs: a cluster group analysis.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Family medicine residency programs appear to address elder abuse more comprehensively than do emergency medicine and internal medicine programs. These programs may need to consider additional curriculum and clinical experience in elder abuse. PMID: 19582632 [PubMed - in process] (Source: Famly Medicine)
Source: Famly Medicine - June 30, 2009 Category: Primary Care Authors: Wagenaar DB, Rosenbaum R, Herman S, Page C Tags: Fam Med Source Type: journals

8. Community Health and Advocacy Curricula: Poised to Capture ACGME Competenciesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education (ACGME) has identified 6 core competencies for all GME specialties. Of those, systems-based practice (SBP), practice-based learning and improvement (PBLI), interpersonal and communication skills (ICS), and professionalism (PR) may not be traditionally captured by standard clinical rotations. Community health and child advocacy (CHCA) experiences that are required of pediatric programs by the Residency Review Committee may provide an opportunity to address these competencies as they broaden resident education beyond the bedside. The University of California San Franci...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Christine L. Bottrell, Lynne Lamontagne Drouin, Anda K. Kuo Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

Residency Research Requirement as a Predictor of Future Publication Productivityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education (ACGME) requires that pediatric residency programs encourage and provide residents with an opportunity to participate in research and other scholarly activities. However, research projects are often difficult to incorporate into residency training because of several barriers, including funding, faculty mentors, and the lack of protected time. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 25, 2009 Category: Pediatrics Authors: Phillip O. Ozuah Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: journals

Working Memory Capacity is Decreased in Sleep-Deprived Internal Medicine Residentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A month of call rotations reduced overall sleep per night; sleep hours per night were variable, and WMC was adversely affected. Decreased WMC could explain impaired judgment during sleep deprivation, although clinical error rates were not evaluated. Keywords: Working memory capacity, sleep deprivation, residency training, shift work, wrist actigraphy (Source: Journal of Clinical Sleep Medicine : JCSM)
Source: Journal of Clinical Sleep Medicine : JCSM - June 25, 2009 Category: Sleep Medicine Source Type: journals

What Training Is Needed in the Fourth Year of Medical School? Views of Residency Program Directorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: PDs deemed the fourth year to have a critical role in the curriculum. There was consensus about expected fourth-year competencies and the common clinical experiences that best prepare students for residency training. These findings support using the fourth year to transition students to graduate medical training and highlight areas for curricular innovation. (C) 2009 Association of American Medical Colleges (Source: Academic Medicine)
Source: Academic Medicine - June 25, 2009 Category: Universities & Medical Training Tags: Senior Year of Medical School Source Type: journals

The ACGME Outcome Project in Ophthalmology: Practical Recommendations for Overcoming the Barriers to Local Implementation of the National Mandateemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report our 5-year experience with an implementation matrix for translating the national ACGME mandate into local compliance. We identify the barriers encountered by our Task Force in local implementation and propose practice solutions based upon our experience for overcoming the cultural, institutional, financial, and other barriers to success. We hope that our institutional work and experience will stimulate other programs to participate more fully in the ACGME Outcomes Project. (Source: Survey of Ophthalmology)
Source: Survey of Ophthalmology - June 25, 2009 Category: Opthalmology Authors: Andrew G. Lee, Thomas Oetting, Hilary A. Beaver, Keith Carter Tags: Core Competencies in Ophthalmology Source Type: journals

Ethics? Morals? Values?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education (ACGME) defined six core competencies of what it took to make a good physician. Included in the competency “professionalism” is the demonstrated commitment to ethical principles. It is up to program directors of all specialties and subspecialties to develop ways to teach ethics as well as find ways to measure their success or lack thereof. Although many of us would find definitions difficult, we all feel that we know unethical behavior when we see it (although not always in ourselves). The problem with definitions is that ethics, morals, and appropriate professio...
Source: Clinics in Dermatology - June 25, 2009 Category: Dermatology Authors: Jeffrey J. Meffert Source Type: journals

Ethics education for dermatology residentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The Accreditation Council for Graduate Medical Education and the Royal College of Physicians and Surgeons of Canada both require the teaching and demonstration of general competencies, which include professionalism and ethics as a condition of training program accreditation and specialty certification, respectively. Residents in dermatology and other specialties perceive their training in ethics is inadequate in numerous areas. Residents and specialists in dermatology encounter numerous ethical and professional issues throughout their workday. A dermatoethics curriculum was developed at The Warren Alpert Medical ...
Source: Clinics in Dermatology - June 25, 2009 Category: Dermatology Authors: Lionel Bercovitch, Thomas P. Long Source Type: journals

Using Objective Structured Assessment of Technical Skills to Evaluate a Basic Skills Simulation Curriculum for First-Year Surgical Residentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Our results suggest that the simulation curriculum helped PGY1 residents attain basic surgical skills at levels consistent with PGY2 and PGY3 residents as measured by an OSATS. Only PGY3 residents performed at the 75% criterion. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - June 21, 2009 Category: Surgery Authors: Jeffrey G. Chipman, Constance C. Schmitz Tags: Original Scientific Articles Source Type: journals

Evidence-based Practice Journal Club: How We Do Itemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Our evidence-based practice (EBP) journey started in 2006, when we were approached by the associate residency director, and asked to participate in a journal club. Inspired by our experience of gaining knowledge of the principles and application of evidence-based medicine (EBM), we decided to run an EBP journal club with the radiology residents at the University of Michigan. We were delighted to accept this new challenge. We had both attended a part-time Masters in Clinical Research Design and Statistical Analysis at the University of Michigan School of Public Health, which gave us sufficient methodological and statistical...
Source: Seminars in Roentgenology - June 17, 2009 Category: Radiology Authors: Aine Marie Kelly, Paul Cronin Source Type: journals

Physician Practice Patterns Resemble ACGME Duty Hoursemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Since July 2003, all residency and fellowship programs in the United States have adapted to and developed innovative ways to comply with the Accreditation Council for Graduate Medical Education (ACGME) duty hours regulation for physicians-in-training. ACGME introduced these standards in response to increased patient acuity and research showing that sleep deprivation may have negative effects on clinical and educational performance. In addition to education, other concerns contributing to the need for the new duty hours regulation were patient safety and physician fatigue and well-being. A 1999 Institute of Medicine report ...
Source: The American Journal of Medicine - June 1, 2009 Category: Journals (General) Authors: Mamle Anim, Ronald J. Markert, Virginia C. Wood, Barbara L. Schuster Tags: APM perspectives Source Type: journals

Over-Regulating Radiology Residencies: The Unforeseen Costsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Over the past several years, the Accreditation Council for Graduate Medical Education (ACGME) requirements for resident training have been increasing in all fields, including diagnostic radiology. It seems that just as we get used to a set of requirements, new ones are added that are supposed to improve the quality of residency education and, by extension, improve the health care that radiologists deliver. Since I finished my residency training in 1991, we have seen the introduction of ACGME recommendations on resident duty hours (including the 80-hour work week), the ACGME Outcome Project (including training in the 6 core...
Source: Journal of the American College of Radiology : JACR - May 27, 2009 Category: Radiology Authors: Levon N. Nazarian Tags: Opinion Source Type: journals

Accreditation Council for Graduate Medical Education 2010 Parker J. Palmer Courage to Teach and Courage to Lead Awardsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Accreditation Council for Graduate Medical Education is accepting nominations for the 2010 Parker J. Palmer Courage to Teach and Courage to Lead Awards. The Courage to Teach Award is given to outstanding program directors and the Courage to Lead Award is presented to distinguished designated institutional officials of institutions that sponsor residency programs. The Courage to Teach Award – named after Parker J. Palmer, PhD, a noted teacher and sociologist who wrote the Courage to Teach and other books on teaching and vocation – is given annually to 10 program directors who have developed innovative teach...
Source: ScanGrants feed - May 27, 2009 Category: Research Authors: Accreditation Council for Graduate Medical Education Source Type: funding

[Quality improvement reports] A case study of translating ACGME practice-based learning and improvement requirements into reality: systems quality improvement projects as the key component to a comprehensive curriculumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A PBLI curriculum that is centred around practice-based quality improvement projects can fulfil the objectives of this ACGME competency while accomplishing sustained outcomes in quality improvement. A comprehensive curriculum is an investment but offers organisational rewards. We propose a more realistic and informative representation of rapid PDSA cycle changes. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - May 24, 2009 Category: Health Management Authors: Tomolo, A M, Lawrence, R H, Aron, D C Tags: Quality improvement reports Source Type: journals

Reducing Medical Residents' Hours Would Cost $2.5B Annually, Study Saysemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Implementing proposed reductions in the number of hours medical residents work could cost as much as $2.5 billion annually, according to a recent study published in the New England Journal of Medicine, the Baltimore Sun reports. The study follows an Institute of Medicine report that proposed reducing the maximum hours that residents can work without sleep from 30 to 16, increasing the number of days they must take off and improving their supervision (Desmon, Baltimore Sun, 5/21). In 2003, the Accreditation Council for Graduate Medical Education reduced the number of hours residents at teaching hospitals could work weekly f...
Source: kaisernetwork.org: Health Policy Daily Report - May 22, 2009 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news

American Society of Nephrology Boehringer Ingelheim Travel Support for Nephrology Fellows Programemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
With support from Boehringer Ingelheim Pharmaceuticals, Inc., ASN has established a travel support program to help nephrology fellows attend ASN's 42nd Annual Meeting and Scientific Exposition, which will take place during ASN Renal Week 2009 (October 27 to November 1 at the San Diego Convention Center in San Diego, CA). PurposeThe intent of this support is to provide funding to nephrology fellows to attend Renal Week 2009. ASN will provide 15 awards of $1,000 each to fellows enrolled in a US nephrology fellowship training program accredited by the Accreditation Council for Graduate Medical Education (ACGME). Support is i...
Source: ScanGrants feed - May 22, 2009 Category: Research Authors: American Society of Nephrology/Boehringer Ingelheim Pharmaceuticals, Inc. Source Type: funding

Sticking to Work Hours Limits Very Costlyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Adherence to the 2003 Accreditation Council for Graduate Medical Education limits on work hours, and other measures aimed at reducing fatigue among residents, would be costly with no proven benefits, according to an article published in the May 21 issue of the New England Journal of Medicine. (Source: Modern Medicine)
Source: Modern Medicine - May 20, 2009 Category: Journals (General) Source Type: info

Learning From Defects to Enhance Morbidity and Mortality Conferencesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
While required by the Accreditation Council for Graduate Medical Education (ACGME) and recommended by the Institute of Medicine, there are few published studies demonstrating that morbidity and mortality conferences (MMCs) are an effective strategy to improve patient care. To learn from medical incidents and improve patient care, care-givers need to: (1) elicit input from all staff involved in the incident, (2) use a structured framework to investigate all underlying contributing factors, and (3) assign responsibility for management and follow-up on recommendations. Many MMCs lack these key elements. The specific aims of t...
Source: American Journal of Medical Quality - May 20, 2009 Category: Health Management Authors: Berenholtz, S. M., Hartsell, T. L., Pronovost, P. J. Tags: Article Source Type: journals

Is Surgical Resident Comfort Level Associated With Experience?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Background: The Accreditation Council for Graduate Medical Education (ACGME) has placed great emphasis on residents learning to identify their training needs and to develop learning strategies to address these needs. In surgery, residents can play an active role in identifying training needs through self-assessment of their procedural skills. Our study contributes to the growing body of literature regarding practice-based learning and improvement by attempting to determine if surgery resident experience is associated with comfort level and perceived training needs.Methods: Twenty-five general surgery residents completed a ...
Source: Journal of Surgical Research - May 17, 2009 Category: Surgery Authors: P. Amy Suwanabol, Robert McDonald, Eugene Foley, Sharon M. Weber Source Type: journals

Internal and External Moonlighting by Radiology Trainees: A Survey of the Extent of Participation by Current Residents and Fellowsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Moonlighting is a means for radiology residents and fellows to decrease their financial burdens. Its practice appears to be widespread and it is at tolerated by most chair of radiology, although programs differ in their support of moonlighting and their acceptance of external moonlighting. (Source: Academic Radiology)
Source: Academic Radiology - May 14, 2009 Category: Radiology Authors: Stephen R. Baker, Michelle J. Romero, Amish Patel, Mona Maaty Tags: Radiology Resident Education Source Type: journals

Results of the Association of Directors of Radiation Oncology Programs (ADROP) Survey of Radiation Oncology Residency Program Directorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The Association of Directors of Radiation Oncology Programs recommends that all radiation oncology program directors have protected time and an administrative stipend to support their important administrative and educational role. Departments and institutions should provide adequate and equitable resources to the program directors and residents to meet increasingly demanding training program requirements. (Source: International Journal of Radiation Oncology * Biology * Physics)
Source: International Journal of Radiation Oncology * Biology * Physics - May 10, 2009 Category: Radiology Authors: Eleanor E.R. Harris, May Abdel-Wahab, Ann E. Spangler, Colleen A. Lawton, Robert J. Amdur Tags: Reports Source Type: journals

The Impact of Accreditation Council for Graduate Medical Education Duty Hours, the July Phenomenon, and Hospital Teaching Status on Stroke Outcomesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: There was no difference in AIS mortality after the implementation of the new ACGME duty hour standards. In addition, data support the lack of July phenomenon in neurology residency programs in regard to AIS mortality. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - May 1, 2009 Category: Neurology Authors: Amer Alshekhlee, Tobias Walbert, Michael DeGeorgia, David C. Preston, Anthony J. Furlan Tags: Original Articles Source Type: journals