Academic medicine : journal of the Association of American Medical Colleges
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Multicenter Study
Stories from the field: students' descriptions of gender discrimination and sexual harassment during medical school.
Previous studies have documented the prevalence of gender discrimination and sexual harassment during medical training, but very few have examined the behaviors that students perceive as discriminatory or harassing. The authors addressed this lack of information by examining graduating medical students' written descriptions of personal experiences with such behaviors during medical school. ⋯ The results support earlier findings of the prevalence of gender discrimination and sexual harassment during undergraduate medical education. Perhaps formal antiharassment policies should provide examples of unacceptable behavior that are based on categories such as those revealed by this analysis. Perhaps, too, medical students' comments could be used to develop educational interventions for physicians in supervisory positions.
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Multicenter Study
Impact of reduced duty hours on residents' educational satisfaction at the University of California, San Francisco.
To assess the impact of the Accreditation Council for Graduate Medical Education duty-hour limitations on residents' educational satisfaction. ⋯ In this residency program, duty-hour reduction did not improve educational satisfaction. Educational satisfaction may be more a function of workload than hours worked; therefore, systematic changes to residents' work-life may be necessary to improve educational satisfaction.
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Multicenter Study Comparative Study
Does students' exposure to gender discrimination and sexual harassment in medical school affect specialty choice and residency program selection?
To examine the role of gender discrimination and sexual harassment in medical students' choice of specialty and residency program. ⋯ This study suggests that exposure to gender discrimination and sexual harassment during undergraduate education may influence some medical students' choice of specialty and, to a lesser degree, ranking of residency programs.
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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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Multicenter Study Comparative Study
Clinical faculty tracks and academic success at the University of California Medical Schools.
To describe the five faculty series for medical school faculty in the University of California (UC) system, their criteria for advancement, associated challenges, and the different ways they are used by each school. ⋯ Clinical series in the UC system are used differently at the five medical schools. Appointing junior faculty in series with minimal expectations as a "safe starting place" is favored for building long-term faculty. Faculty in all series tend to do well in the academic review process, indicating that these series define distinct expectations. Clinical faculty's accomplishments are increasingly understood, valued, and rewarded.