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The COVID-19 pandemic has been particularly severe in New York City, resulting in a rapid influx of patients into New York-Presbyterian Hospital/Columbia University Irving Medical Center. The challenges precipitated by this pandemic have required urgent changes to existing models of care. Internal medicine residents are at the forefront of caring for patients with COVID-19, including the critically ill. This article describes the exigent restructuring of the New York-Presbyterian Hospital/Columb...
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#1David P. Sklar (UNM: University of New Mexico)H-Index: 31
COVID-19 has disrupted every aspect of the U.S. health care and health professions education systems, creating anxiety, suffering, and chaos and exposing many of the flaws in the nation's public health, medical education, and political systems. The pandemic has starkly revealed the need for a better public health infrastructure and a health system with incentives for population health and prevention of disease as well as outstanding personalized curative health. It has also provided opportunitie...
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The COVID-19 pandemic has presented unprecedented challenges and opportunities for medical schools in the United States In this Invited Commentary, the authors describe a unique collaboration between the University of Massachusetts Medical School (UMMS), the only public medical school in the state;the University of Massachusetts Memorial Medical Center (UMMMC);and the Commonwealth of Massachusetts Through this partnership, UMMS was able to graduate fourth-year medical students 2 months early and...
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#1Betsy Williams (KU: University of Kansas)H-Index: 7
#2Dillon WelindtH-Index: 2
Last. Michael V. WilliamsH-Index: 3
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PURPOSE Unprofessional behavior, which can include failure to engage, dishonest and/or disrespectful behavior, and poor self-awareness, can be demonstrated by medical trainees and practicing physicians. In the authors' experience, these types of behaviors are associated with exposure to adverse childhood experiences (ACEs). Given this overlap, the authors studied the percentage of ACEs among trainees and physicians referred for fitness-for-duty evaluations and patterns between the types of ACEs ...
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PURPOSE To explore the relationship between residents' perceptions of residency program leadership team behaviors and resident burnout and satisfaction. METHOD In February 2019, the authors surveyed all residents across the 77 graduate medical education training programs at Mayo Clinic's multiple sites. Survey items measured residents' perceptions of program director and associate program director behaviors (using a composite residency program leadership team score), resident burnout, and reside...
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The COVID-19 outbreak has sown clinical and administrative chaos at academic health centers throughout the country As COVID-19-related burdens on the health care system and medical schools piled up, questions from medical students far outweighed the capacity of medical school administrators to respond in an adequate or timely manner, leaving students feeling confused and without clear guidance In this Perspective, incoming and outgoing executive leaders of the University of Michigan Medical Scho...
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#1Catherine D. DeAngelis (Johns Hopkins University)H-Index: 36
As part of a special collection of articles on women in academic medicine, the author reflects on her 50 years in medicine as a trainee, faculty member, administrator, and editor-in-chief of the Journal of the American Medical Association (JAMA). She uses personal experiences to illustrate several lessons learned. First, good leaders share 4 characteristics of good leaders, each of which begins with the letter "T" (tenacity, tough mindedness-not toughness, thick skin, and tender heart). Second, ...
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#1Helen Church (University of Nottingham)
#2John SandarsH-Index: 23
Last. Deborah Murdoch-Eaton (University of Sheffield)H-Index: 18
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#1Jung G. KimH-Index: 1
#2Hector P. RodriguezH-Index: 23
Last. Diane R. RittenhouseH-Index: 21
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PURPOSE Despite the importance of training in ambulatory care settings for residents to acquire important competencies, little is known about the organizational and environmental factors influencing the relative amount of time primary care residents train in ambulatory care during residency. The authors examined factors associated with postgraduate year 1 (PGY1) residents' ambulatory care training time in Accreditation Council for Graduate Medical Education (ACGME)-accredited primary care progra...
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