ROSTERS, RCTs, & the Complexity of Meded Outcomes
Release Date: 09/15/2020
Length of Episode: 24:45 Jon - Lara - Linda - Jason -info_outline  Re-Run of Episode 213
Today's paper was chosen by Dr. Linda Snell discussing the shift in responsibility and the need to survive. Authors: Walzak et al., Publication details: Working in the dead of night: exploring the transition to after-hours duty Med Educ. 2019 Mar;53(3):296-305info_outline  Re-Run of Ep 218 Does the apple fall far from the tree?
Released on May 14, 2019 Linda's article discusses what happens to those who go to medical school after parental influence. Authors: Griffin B, Hu W. Publication details: Parental career expectations: effect on medical students’ career attitudes over time. Med Educ. 2019 Feb 7. [Epub ahead of print]info_outline  Re-Run of Episode 224 Time, Motion, and Residency (or Death by EMR)
Episode length 24:50 This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in . The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays. Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around! Voting for Methods and Impact - at 20 minutes in....info_outline  Re-Run of Ep 234 Young et. al.
Episode length - 25:45 The purpose of this study is (1) to discuss the terms used in reference to clinical reasoning; (2) describe how the research team categorized those terms in relation to the meanings inferred by each term and (3) to report where there are disagreements in those interpretations Voting on Methods and Educational Impact start at 19:30 Authors: Young et al., Publication details: The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8info_outline  Re-Run of Episode 206 Physician Burnout = Badness
Jason selects an important paper on Physician burnout and how concerns have reached a strident pitch Authors: Panagioti, et al,. Publication details: JAMA Intern Med. 2018;178(10):1317-1330.info_outline  Re-Run of Episode 204 Pedagogy of the Oppressed (Teachers)
Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner? Authors: Shinkai et al. Publication details: Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7)info_outline  Re-Run of Episode 227 The Hitchhiker’s Guide to Clinical Performance Indicators
This paper, Smirnova et al, is a team of heavy hitting meded authors. The group set out to describe how CPIs, as measures of the activities, behaviours, and abilities of clinicians, can inform medical education and health care quality improvement. Authors conclusions: 19:55 Jason's Spare Keys: 20:37 Voting for Methods = 2, N/A, N/A, 2. Voting for Impact = 5, 4, 5, 4. Authors: Smirnova A et. al., Publication details: Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going? Acad...info_outline  Re-Run of Episode 216 Szulewski
Jon's chosen article explores the information-gathering techniques of residents by analyzing their initial visual fixation patterns in a simulated resuscitation environment. Authors: Szulewski et al., Publication details: A new way to look at simulation-based assessment: the relationship between gaze-tracking and exam performance CJEM. 2019 Jan;21(1):129-137. Epub 2018 Jun 21.info_outline  Re-Run of Episode 208 Lara Varpio's Methods Consult #6
This is 's 6th 'Methods Consult' for KeyLIME. As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research. Additional material about Thomas Kuhn, ontologies and epistemologies: Stanford Encyclopedia of Philosophy [Internet]. Stanford University: Center for the Study of Language and Information; 2019. Available from: Kuhn, TS. The Structure of Scientific Revolutions. 50th ed. Chicago IL: University of Chicago Press; 2012...info_outline
Episode length: 32:45
Author: Landrigan et. al.
Publication: Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts N Engl J Med. 2020 June 25;382(26):2514-2523.
Purpose: This Boston group has produced multiple previous papers relating to modified resident duty hours vs various outcomes. This time they share a multicentre study to look at the effect of 16-hour shifts vs “extended duration” duty hours for trainees in pediatric ICUs on “serious medical errors”, the ROSTERS study.
Methodology and Impact voting starts: 27:10
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Jason R. Frank: @drjfrank
Jonathan Sherbino: @sherbino
Linda Snell: @LindaSMedEd
Lara Varpio: @LaraVarpio
Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.
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Full transcript for this Episode is available upon request.