Academic medicine : journal of the Association of American Medical Colleges
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Biography Historical Article Classical Article
Teaching of graduate surgery. 1933.
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Multicenter Study
The effects of sleep loss and fatigue on resident-physicians: a multi-institutional, mixed-method study.
To identify and model the effects of sleep loss and fatigue on resident-physicians' professional lives and personal well-being. ⋯ More residents perceived that sleep loss and fatigue had major impact on their personal lives during residency, leaving many personal and social activities and meaningful personal pleasures deferred or postponed. Sleep loss and fatigue also had major impact on residents' abilities to perform their work. This finding further substantiates the growing concern about the potential impact on professional development. These observations should be taken into account in developing new training guidelines and educational interventions for housestaff.
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Case Reports
Using simulation to instruct emergency medicine residents in cognitive forcing strategies.
Recent literature defines certain cognitive errors that emergency physicians will likely encounter. The authors have utilized simulation and debriefing to teach the concepts of metacognition and error avoidance. ⋯ Pilot data suggest that metacognitive strategies can be taught to residents, though they may be better understood by upper-level residents.
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To test the reliability of the 360-degree evaluation instrument for assessing residents' competency in interpersonal and communication skills. ⋯ The 360-degree instrument appears to be reliable to evaluate residents' competency in interpersonal and communication skills. Information from the assessment may provide feedback to residents. Areas of improvement identified by the scores would suggest areas for improvement and further ongoing assessment.
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To examine the influence of quality-of-life, academic, and workplace factors on residency program selection and determine whether factors are valued differently by applicants choosing surgical (SP) versus nonsurgical (NSP) programs. ⋯ Of factors that influence residency program selection, those related to the characteristics of the workplace environment and geography are the most important. Minimal differences exist between applicants selecting surgical and nonsurgical specialties regarding academic and quality-of-life issues.