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1.
Hand Clin ; 39(1): 73-78, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36402528

RESUMO

Hand surgery is a subspecialty that requires additional fellowship training after a primary residency; a long and competitive journey to achieve success. An underrepresented in medicine (UIM) student's journey to becoming a hand surgeon in the United States adds another level of challenge given several defined obstacles. Despite the lack of representation, the chances of becoming a hand surgeon are difficult but not impossible. A comprehensive strategy for an UIM student to become a hand surgeon is outlined in detail.


Assuntos
Mãos , Ortopedia , Humanos , Estados Unidos , Mãos/cirurgia , Bolsas de Estudo , Ortopedia/educação
2.
Skeletal Radiol ; 52(1): 83-89, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35969257

RESUMO

OBJECTIVE: Resulting from the COVID-19 pandemic, a virtual interview format was adopted in lieu of in-person interviews for fellowship recruitment. The purpose of this study is to analyze the potential effect that virtual interviews have on musculoskeletal radiology fellowship match results and collect opinions of the process. MATERIALS AND METHODS: An anonymous survey was sent to 87 listed US-based musculoskeletal radiology fellowship directors, who were asked for their 2019-2020 and 2020-2021 match data: fellowship positions, interviewees, ranked interviewees, and matched ranks. They rated effectiveness of virtual interviews on a ten-point scale (1 poor-10 excellent) and provided an ideal percentage of future interviews to be conducted virtually. RESULTS: Thirty responses were received (34.4% response rate). Primary analysis found significant increase in the mean number of candidates ranked in 2020-2021, 14.6 to 17.5 (p = 0.047). The mean rank of matched applicants increased from 6.02 to 6.43, without significance (p = 0.821). Secondary analysis, which attempted to exclude internally matched programs, found significant increases in 2020-2021 in the mean number of applicants-28.7 to 32.4 (p = 0.017), interviews conducted-17.8 to 21.3 (p = 0.007), and candidates ranked by programs-16.3 to 19.8 (p = 0.015). The mean rank of matched applicants increased from 6.39 to 7.03, without significance (p = 0.713). CONCLUSION: With results showing an increase in applications, interviews conducted, and ranked applicants while lowering the average rank of matched candidates, musculoskeletal radiology fellowship directors should consider interviewing more applicants than they usually would in the prior in-person recruitment format.


Assuntos
COVID-19 , Internato e Residência , Radiologia , Humanos , Bolsas de Estudo , Seleção de Pessoal/métodos , Pandemias , Radiologia/educação , Inquéritos e Questionários
3.
Technol Cult ; 63(4): 1140-1156, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36341611

RESUMO

When COVID-19 prevented scholars from traveling to libraries, archives, and museums, staff at those institutions devised creative strategies for providing remote access to their holdings. This article examines one such initiative launched by the Linda Hall Library of Science, Engineering, and Technology in Kansas City, Missouri. The Library's prioritization of print over archival materials, experience fulfilling document delivery requests, and investments in digitization infrastructure facilitated the transition to a completely virtual fellowship program during the 2021-22 academic year. Although virtual fellowships could not replicate every aspect of in-person residencies, they nonetheless supplied scholars with much-needed funding, research materials, and membership in a scholarly community. Based on the program's initial success, the Library plans to continue offering virtual fellowships to scholars otherwise unable to conduct research on site.


Assuntos
COVID-19 , Bibliotecas Médicas , Humanos , Bolsas de Estudo , Engenharia , Arquivos
4.
Technol Cult ; 63(4): 1157-1167, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36341612

RESUMO

Several scholars give their perspective on the virtual fellowships they received from the Linda Hall Library of Science, Engineering, and Technology. Initially, Technology and Culture's public history editors wanted to host a roundtable with these scholars and publish the resulting conversation, but that proved difficult in pandemic-stressed times. Instead, Allison Marsh conducted individual interviews with recent fellows, collating the transcripts in an edited Q&A format. The result is not exactly a conversation, more an anthology of perspectives on the nature of historical research during the pandemic. The fellows unanimously praise the Linda Hall Library staff and the technical support they provided, but they have divergent opinions on the access and usefulness of digitized materials. Their responses show how technology and technical infrastructure fundamentally shape the research process.


Assuntos
Bolsas de Estudo , Pandemias , Humanos , Editoração
5.
New Dir Stud Leadersh ; 2022(175): 51-59, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-36316975

RESUMO

This article explores who is participating in leadership learning initiatives in higher education and how they are represented in research, assessment, and evaluation. The article is useful to leadership educators because it explores who is conducting leadership research, assessment, evaluation, and scholarship (i.e., positionality)-and how these factors may influence methods and findings.


Assuntos
Liderança , Aprendizagem , Humanos , Bolsas de Estudo
7.
Fam Med ; 54(10): 804-813, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36350745

RESUMO

BACKGROUND AND OBJECTIVES: The first all-virtual residency application cycle took place in 2021. Virtual programming can reduce cost, time, and travel burden; these may be especially beneficial to applicants with fewer resources and those from underrepresented backgrounds (URM). Little is known about how applicants evaluate key ranking factors, especially in a virtual format. This study aimed to assess how applicants evaluated programs in the virtual cycle. METHODS: We surveyed 271 fourth-year students at three Chicago medical schools after rank-list submission and prior to receiving match results in March 2021. The survey included questions on online content and importance of different ranking factors as well as open-ended questions on how participants evaluated their most important factors. We analyzed quantitative data using descriptive statistics and χ2 tests. We analyzed qualitative data using thematic content analysis. RESULTS: Applicants cited goodness of fit, geographic location, program reputation, fellowship opportunities, and work/life balance as the top-five most important factors. URM applicants were more likely to prioritize diversity at institution or location (P<.0001). Interactions with residents and faculty and opportunities to observe interprogram dynamics were key to assessing fit but were often limited by the virtual format. Additional emergent themes provided recommendations for future cycles. Program websites and videos were rated as the most important online content types. CONCLUSIONS: This study provides information about how applicants evaluated the factors they deemed most important in assessing and ranking programs, which can help residency programs improve their recruitment efforts.


Assuntos
Internato e Residência , Humanos , Bolsas de Estudo , Inquéritos e Questionários , Chicago
8.
Br J Hosp Med (Lond) ; 83(10): 1-6, 2022 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-36322435

RESUMO

Clinical teaching fellowships are becoming increasingly popular, with the numbers of posts ever-expanding. This increase has accelerated as education and training start to recover from the effects of the COVID-19 pandemic. However, the nature of these roles, the entry requirements and the potential benefits are often poorly defined. This article outlines the author's experience of working as a clinical teaching fellow for a year and provides tips on what to look out for when considering these roles, as well as how to get the most out of them.


Assuntos
COVID-19 , Educação de Pós-Graduação em Medicina , Humanos , Pandemias , Bolsas de Estudo , Ensino
10.
J Contin Educ Nurs ; 53(11): 478-480, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36318714

RESUMO

In the setting of demand for health care providers exceeding the supply of physicians, shift toward value-based care, and institutional gaps in the understanding of advanced practice provider (APP) scope of practice, one urban academic pediatric hospital developed 12-month subspecialty post-graduate fellowship programs for APPs in 18 subspecialties in an effort to optimize APP utilization at top of license and increase access to high-quality care. [J Contin Educ Nurs. 2022;53(11):478-480.].


Assuntos
Bolsas de Estudo , Médicos , Humanos , Criança
11.
J Healthc Manag ; 67(6): 436-445, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36350581

RESUMO

GOAL: Although women make up most of the healthcare workforce, they are underrepresented in higher levels of leadership positions. Leadership development programs for early careerists, such as administrative fellowships, have been suggested as one strategy for accelerating gender equity in leadership roles. However, the potential impact of these programs has not yet been the subject of systematic evaluation. In this study, we examined the (1) benefits of administrative fellowship programs on career attainment and (2) differences in attainment by gender. METHODS: We completed this study using a data set involving alumni from a consortium of 11 graduate healthcare management programs whose students frequently pursue administrative fellowships. Our data included individual-level demographic and career attainment data for graduating classes from 5, 10, and 20 years prior to the reference year. Using multiple regression analysis, we tested the relationship of three independent variables-graduation year, gender, and completion of a fellowship-on career attainment. This analysis enabled us to determine differences in overall career attainment by gender, evaluate the role of fellowships in career attainment, and consider the differential impact of fellowships on attainment by gender. PRINCIPAL FINDINGS: Our findings suggest that fellowship programs accelerate leadership career paths for individual leaders, but that the effect is stronger for males than their female counterparts. PRACTICAL APPLICATIONS: These findings not only support the value of administrative fellowships for early careerist leadership development but also suggest that closing the gender disparity gap in leadership may require additional and focused career-supportive strategies. We provide recommendations for healthcare organizations in developing their administrative fellowship programs to help minimize the gender disparity in healthcare leadership positions. Furthermore, we discuss research implications and future areas of research in administrative fellowships.


Assuntos
Bolsas de Estudo , Liderança , Masculino , Feminino , Humanos , Fatores Sexuais , Atenção à Saúde , Pessoal de Saúde/educação
12.
Adv Chronic Kidney Dis ; 29(6): 526-533, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36371117

RESUMO

Evaluations serve as the backbone of any educational program and can be broadly divided into formative and summative evaluations. Formative evaluations are "just in time" evaluations focused on informing the learning process, whereas summative evaluations compare fellows to a preset standard to determine their readiness for unsupervised practice. In the nephrology fellowship programs, evaluations assess competence in the framework of ACGME Milestones 2.0. A variety of learning venues, evaluators, and tools should be incorporated into the measurement process. It is important to determine which milestones can be best assessed in each education venue to decrease the burden of assessment fatigue. Additionally, programs can diversify the evaluators to include nurses, medical students, peers, and program coordinators in addition to faculty to provide a well-rounded assessment of the fellows and share the assessment burden. Lastly, the evaluation data should be presented to fellows in a format where it can inform goal setting. The evaluation system needs to evolve along with the changes being made in curriculum design. This will help to make fellowship learning effective and efficient.


Assuntos
Bolsas de Estudo , Nefrologia , Humanos , Nefrologia/educação , Educação de Pós-Graduação em Medicina , Competência Clínica , Currículo
13.
Adv Chronic Kidney Dis ; 29(6): 516-519, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36371115

RESUMO

Nephrologists have a significant role in educating and mentoring trainees. They are considered role models and a major reason for fellows to be attracted to the specialty. Nephrology training programs not only support fellows in their teaching endeavors but also provide them with the necessary knowledge and skills required for advancing their careers as clinician educators. However, such career development tracks are limited in number and most focus on early career faculty. Here we present an overview of the various teaching opportunities for fellows at the University of North Carolina (UNC) Nephrology fellowship program and the development of a fellow-oriented clinician educator track. Our goal as part of the nephrology community is to empower the current nephrology fellows to develop fulfilling careers as nephrology clinician educators.


Assuntos
Bolsas de Estudo , Nefrologia , Humanos , Educação de Pós-Graduação em Medicina , Currículo , Escolha da Profissão
14.
Adv Chronic Kidney Dis ; 29(6): 510-515, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36371114

RESUMO

Nephrology education has changed significantly since the first nephrology fellowship programs were established in the United States in the 1950s and 1960s. The past several years have seen increased opportunities for subspecialization in areas such as interventional nephrology, onconephrology, and glomerular disease. Notable trends in fellowship curricula include the expansion of education in home dialysis and palliative care, driven by policy changes and focus on patient-centered care. In addition, point-of-care ultrasound has garnered significant interest due to its potential to provide diagnostic information that improves patient care. An important area that remains largely unaddressed appears to be education about the business and administrative aspects of nephrology. Meanwhile, the importance of training in hemodialysis catheter placement and kidney biopsy has come into question due to the small proportion of nephrologists performing these procedures today. Nephrology fellowship programs should strive to tailor their curriculum to meet the interests and needs of individual fellows.


Assuntos
Bolsas de Estudo , Nefrologia , Humanos , Estados Unidos , Nefrologia/educação , Cuidados Paliativos , Hemodiálise no Domicílio , Sistemas Automatizados de Assistência Junto ao Leito , Currículo
15.
Adv Chronic Kidney Dis ; 29(6): 520-525, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36371116

RESUMO

Kidney pathology education is a critical component in training of nephrology fellows, as well as for continuing medical education for practicing nephrologists. Kidney pathology images are included on nephrology fellow board exams, and clinicopathologic correlation of kidney biopsy findings is critical in everyday clinical practice. Nephropathology training is a requirement by the American College of Graduate Medical Education within nephrology fellowship curricula. However, greater than one-third of fellowship program directors believe that nephropathology training for their fellows is not sufficient. During the Coronavirus Disease-19 pandemic, the use of digital learning has become commonplace with virtual conferences (local, national, and international) and online meetings becoming the norm for education. Nephrology has become a leader in free open-access online medical education, both prior to and, to even a greater extent, during the pandemic. Here, we review available resources to nephrology fellows and other learners to supplement nephropathology training, which includes medical blogs, journal clubs, interactive quizzes and games, online conferences, podcasts, and mentorship opportunities. These resources are archived and provide durable content to learners of all stages of training, even beyond the pandemic.


Assuntos
COVID-19 , Nefrologia , Humanos , Estados Unidos , Nefrologia/educação , COVID-19/epidemiologia , Bolsas de Estudo , Educação de Pós-Graduação em Medicina/métodos , Rim/patologia , Currículo
16.
J Prim Care Community Health ; 13: 21501319221138193, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36377210

RESUMO

PURPOSE: The UMass Chan Medical School/New England AIDS Education and Training Center Community-Based HIV and Viral Hepatitis Fellowship was launched in 2014 to train physicians and nurse practitioners to become experts in outpatient management of HIV, hepatitis B and C, and latent tuberculosis. The purpose of this study was to identify areas of strength and improvement and understand fellows' perceptions of the program and its impact on their current positions and career trajectories. METHODS: Qualitative study utilizing a semi-structured interview guide with (11) fellowship graduates (8 MDs; 3 NPs). 45 to 60 min interviews were conducted in April and May 2021, recorded and transcribed. Transcripts were analyzed for representative themes and general patterns in the data. RESULTS: Results indicate high satisfaction with the fellowship, which left a positive and indelible impact on their careers and patient care. Fellows highlighted the program's commitment to health equity, its role in transforming them into leaders and advocates for HIV in primary care, and their ability to balance their work and training demands with their personal lives and needs. The fellowship motivated them to become more involved in public health initiatives, serve marginalized communities and reduce their health disparities. They expressed confidence in their ability to independently manage outpatient HIV, viral hepatitis B and C, and latent tuberculosis, and found areas of overlap with their work in primary care. CONCLUSION: As the care of people with HIV becomes more commonplace in primary care clinics, it is imperative that primary care providers receive the necessary training and education to meet this need. Our study of 11 former fellows shows that the Community-Based HIV and Viral Hepatitis Fellowship offers such training, spreads it to other institutions, and can be a model for other programs nationwide.


Assuntos
Infecções por HIV , Hepatite Viral Humana , Tuberculose Latente , Humanos , Bolsas de Estudo , Pesquisa Qualitativa
17.
Ann Med ; 54(1): 3333-3341, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36411680

RESUMO

INTRODUCTION: Pediatric residents and subspecialty fellows experience a significant number of stressors during training, but they have rarely been self-reported or compared between groups. This qualitative study aimed to identify and compare themes of stressors experienced by pediatric residents and subspecialty fellows at a single large children's hospital. MATERIALS AND METHODS: Using an open-ended survey at single time point for each group, we asked residents and fellows to list the stressors they face in training. The survey data was iteratively analyzed using thematic analysis then quantified by its frequency in each group and compared using a chi-square distribution or a Fisher's exact test, as appropriate. RESULTS: Twenty-eight of 159 residents (18%) and 38 of 180 fellows (21%) answered the survey question, and an average of 2.8 stressors were identified by each resident and fellow. Two major themes and five major subthemes were shared between both groups. The theme Stressors at Home included the subthemes Difficulty Maintaining Overall Health and External Stressors. The theme Stressors at Work encompassed the subthemes Clinical Stressors Innate to Patient Care, Demanding Workload and Schedule, and Stressors Related to Culture of Work Environment. Within the subthemes, there were differences in categories of stressors between the groups. While there was no statistically significant difference in the distribution of themes, subthemes, or categories of stressors mentioned between groups, in general residents identified stressors associated with lack of autonomy and control whereas fellows focused on clinical uncertainty and complex situations. CONCLUSIONS: While residents and fellows shared similar themes and subthemes for stressors, there was variability between individual categories. This study identified individual self-reported stressors that can be used by programs to design interventions to improve trainee well-being, but it also implies that programmatic support at different levels of training should be tailored to the target group.KEY MESSAGEAt our hospital, we found that some self-reported stressors facing pediatric residents and fellows were common and some unique.Stressors included those that can be eliminated or diminished as well as those that cannot.With knowledge that these disparities exist, training programs should use unique strategies to provide support for the two groups and their stressors.


Assuntos
Tomada de Decisão Clínica , Bolsas de Estudo , Humanos , Criança , Incerteza , Hospitais Pediátricos , Inquéritos e Questionários
18.
Korean J Gastroenterol ; 80(5): 217-220, 2022 Nov 25.
Artigo em Coreano | MEDLINE | ID: mdl-36426555

RESUMO

The Korean Society of Gastroenterology (KSG) and the Korean Society of Gastrointestinal Endoscopy (KSGE) have tried to promote high-quality patient care, and safety in the field of gastrointestinal (GI) diseases. In 2017, the training guidelines for GI fellows have been made, and the education board of KSGE revised 2 year- program of GI fellows. The guideline includes the total number of assigned patients, the number of GI endoscopy procedures, attendance of academic conferences, and research presentations. The traditional training model of GI fellowship is known as an "apprenticeship". Unfortunately, it might increase confusion between what trainees are observing and prior information. Now, practical hands-on training system using simulator helps to provide a support program for GI fellowship education. In order to facilitate training program, trainers will need to carefully plan the teaching. Therefore, it improves knowledge and performance for trainers. What we should keep in mind is that this hands-on program has the goal of making a good gastroenterologist, not just making an endoscopist. At same time, the application of cognitive education in GI fellow training must be performed. On the other side, the privileging and credentialing for endoscopic subspecialty should be made. The provision of benefits could serve as an important foundation for maintaining GI specialist board system.


Assuntos
Bolsas de Estudo , Gastroenterologia , Humanos , Inquéritos e Questionários , Gastroenterologia/educação , República da Coreia , Endoscopia Gastrointestinal , Ensaios Clínicos Controlados Aleatórios como Assunto
19.
Med Educ Online ; 27(1): 2133587, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36217945

RESUMO

PROBLEM: While some academic health centers have organizational structures to support educational scholarship, such as Medical Education Research Units (MERU), many education scholars may lack access to such institutional resources to support their research agenda and professional growth. APPROACH: In 2014, as part of an externally funded education grant, three faculty educators established a unique education data management system Research & Evaluation Data for Educational Improvement (REDEI). Lacking an institutional MERU, they established an educational research community of practice (CoP) using REDEI as the research dataset. The senior faculty member's effort to facilitate the group is funded by the Dean's Office. OUTCOMES: The CoP meets every 2 weeks to generate research ideas, discuss analytic approach and strategy, review analyses designed to address or explore a research question, and plans for manuscript development. Our CoP has grown from 3 to 18 members representing faculty educators, administrators, and staff across many departments in the School of Medicine. As of 2021, the REDEI system contains performance data on 1,246 students across all years of undergraduate medical education. To date, we have published 11 peer-reviewed educational research manuscripts. Five learners have served as coauthors (three medical students and two residents), three of whom were first authors. Eleven additional papers are in process. This community of practice supports productivity, provides mentorship, overcomes barriers, and is flexible enough for people to join when they can or when an area of interest is actively under development. NEXT STEPS: We are working on educational interdisciplinary research grant submission and creating collaborations with other institutions. Our focus remains on honing skills in grantsmanship, identification of impactful research questions, application of rigorous methods and instrumentation to address them, and refining process of budget development, timelines, and other planning strategies.


Assuntos
Educação Médica , Estudantes de Medicina , Currículo , Docentes de Medicina , Bolsas de Estudo , Humanos , Desenvolvimento de Pessoal
20.
Fam Med ; 54(9): 700-707, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36219426

RESUMO

BACKGROUND AND OBJECTIVES: The John Peter Smith (JPS) Family Medicine Residency Program participated in two national experiments: Preparing the Personal Physician for Practice (P4, 2007-2012) and the Length of Training Pilot, which began in 2013. In these experiments, JPS created optional integrated 4-year areas of emphasis (AOE). The objective of this study was to examine the career outcomes of JPS graduates differentiated by those who completed a 4-year AOE, versus traditional fourth-year fellowship, vs 3-year only. METHODS: We surveyed each graduate who started residency from 2007-2016 on their scope of practice. We also searched each graduate via Google to identify each of their practice sites and ascertain their status as a Health Professional Shortage Area (HPSA) or Medically Underserved Area for primary care (MUA-P). RESULTS: Of the 220 residents who entered the program as interns, 70 completed an integrated AOE (31.8%), 54 completed 3 years of training with a traditional fourth-year fellowship (24.5%, 40 at JPS, 14 at another location), and 93 completed only 3 years of training (42.3%). The overall percentage of JPS graduates who work in the United States (n=201) in HPSAs or MUA-Ps is similar to national numbers (45.3% vs 43.5% for HPSAs, 35.3% vs 33.3% for MUA-Ps). Graduates of a JPS integrated AOE track were more likely to work in a HPSA or MUA-P than other graduates (81.4% vs 38.5% traditional fellowship vs 45.6% 3-year only, P<.001; US practice sites only). Graduates of sports medicine fellowships were particularly less likely to work in HPSAs/MUA-Ps than other graduates (26.1%). Graduates of integrated AOEs provided much broader scopes of cognitive and procedural services than fellowship or 3-year graduates. CONCLUSIONS: In JPS graduates, 4 years of training with an integrated AOE had a large association with serving vulnerable populations, and providing broader cognitive and procedural services.


Assuntos
Medicina de Família e Comunidade , Internato e Residência , Escolha da Profissão , Bolsas de Estudo , Humanos , Área Carente de Assistência Médica , Área de Atuação Profissional , Âmbito da Prática , Estados Unidos
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