[430] Re-Run of Episode 224 Time, Motion, and Residency (or Death by EMR)
Release Date: 09/05/2023
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Episode 272 was first released on July 14, 2020. Episode length: 26:52 Author: Puschel et. al. Publication: Academic excellence in Latin America: Social accountability of medical schools Medical Teacher June 2020. Social accountability is a key dimension of and a standard of excellence in medical education. But what is social accountability and why is it important? Voting for Methodology and Educational Impact: 21:03
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Episode length: 28:46 Author: Young et. al. Publication: A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement Perspect Med Educ June 2020. Tech is never a solution for poor educational design. But, good educational design can fail because of logistics. Voting for Methodology and Educational Impact: 22:50
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Episode length: 27:23 Author: Young M. Publication: The utility of failure: a taxonomy for research and scholarship Perspect Med Educ. 2019 Dec;8(6):365-371. Purpose of study: Meredith riffed philosophy of science concepts and on Firestein’s book called Failure: why science is successful (Oxford Press 2016) and explored the idea that failure of a well-designed study has benefit. She set out to: • provide language for describing scholarly failures, • promote learning and interpretation from failed projects, and • support discussions of the value of...
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Episode length: 28:11 Author: Thoma et. al. Publication: Next Steps in the Implementation of Learning Analytics in Medical Education: Consensus from an International Cohort of Medical Educators J Grad Med Educ. 2020 Jun;12(3):303-311. Purpose: From the authors: “We sought to characterize barriers to the use of learning analytics techniques in medical education by identifying the questions of educators interested in this field.”
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Episode length: 40:35 The purpose of this paper is 1) To describe interpretations of commonly used phrases in Letters of reference by PDs other than in pediatrics. 2) To identify areas of agreement or variation between pediatrics, surgery, and IM LORs. Author Saudek et. al. Publication . Acad Med. 2019 Nov;94 Audience questions/comments start at: 24:52 36:30 Voting on Methodology and Educational Impact
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How good are you at diagnosis? Is Diagnosis a top priority in Medical Education? Barnett et al., Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs IndividualPhysicians. JAMA Network Open. 2019 Mar 1;2(3)
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Jon's selected paper for review today is about 'Complexity Science' and does it address the oxymoron of bring order to a system that is unpredictable. Authors: Cristancho et al. Publication details: What is the state of complexity science in medical education research? Med Educ. 2019 Jan;53(1):95-104
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Episode length 29:38 Jason's chosen paper is on Authorship, which is a fundamental attribution for scholarly contribution, and is the basis of career advancement, global recognition, funding, wellness, professional identity, and even historical legacy. Unfortunately, it is mired in tomfoolery. Voting on Methods at 27:15, and Educational Impact 27:30 Authors: Maggio et. al. Publication details: Exploring researchers' perspectives on authorship decision making. Med Educ. 2019 Sep 1. doi: 10.1111/medu.13950. [Epub ahead of print]
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Length of Episode: 24:45 Jon - Lara - Linda - Jason -
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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):296-305
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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 episode 165.
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.
Authors: Chaiyachati et al.,
Publication details: Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15.