Journal of general internal medicine
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Enhancing residency recruitment with modifications to interviews has been an area of national interest, further catalyzed by the transition to universal virtual interviewing (UVI). In 2018, our internal medicine residency program redesigned the recruitment process using virtual interviews. ⋯ Virtual interviews were highly rated with increased preference following universal adoption. Optional AVDs separated from virtual interviews enhance applicant understanding of the program and were more effective when offered in-person before the pandemic-related restrictions. As programs begin to reintroduce in-person elements, the SPLIT recruitment model offers an innovative approach that addresses applicant and program needs.
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The acting internship (AI) in internal medicine plays a key role in the transition from medical school to residency. While there have been recent changes in medical education including a pass/fail USMLE Step 1 and increasing use of competency-based assessment, there has not been a large survey of the state of the AI in many years. ⋯ The internal medicine AI continues to be a staple in the medical school experience, but there is variation in the structure, curriculum, and expectations on the rotation. Opportunities exist to improve standardization of the AI experience and expectations to better prepare medical students for the transition from medical school to residency.
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Editorial
Combatting Fragmentation: Lessons Learned from an Integrative Approach to Teaching Health Equity.
While social medicine education is a long-established field of study within medical education,1 implementation has historically been through elective coursework making integration, assessment, and evaluation challenging. The launch of the novel Washington University in St. ⋯ Additionally, the Gateway HEJ curriculum presented an opportunity to explore novel ways of assessing medical students, as well as illuminating additional opportunities for faculty development to ensure fidelity to the HEJ content. This paper includes the process of development as well as the lessons learned, limitations, and future plans for iterative improvements to the curriculum.
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The use of technology in diabetes mellitus (DM) management has been growing. The indications and coverage for continuous glucose monitoring (CGM) have increased. Primary care (PC) clinics, including resident continuity clinics, are the frontline for DM management; however, they struggle to adopt CGM. ⋯ Given the demand for DM management in the PC setting, this targeted CGM curriculum has promise to help residents adopt CGM into their practice.
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The imperative to train physicians in skills required to lead care transformation is increasingly recognized, yet few Graduate Medical Education (GME) programs exist to meet this need. ⋯ The Care Transformation program provides real-world experiences and skillsets that are increasingly valuable in modern healthcare delivery.