Ninety-seven articles were included from 182 full-text articles of the initial 2,001 hits. All studies were of average or good quality and the majority had an observational study design.Ninety-six studies provided insight into the effect of 'the level of experience of residents' on patient outcomes during residency training. Within these studies, the start of the academic year was not without risk (five out of 19 studies), but individual progression of residents (seven studies) as well as progression through residency training (nine out of 10 studies) had a positive effect on patient outcomes.
"Welcome to the Resident Exchange, a unique place for medical residents to share cases, learn and connect. Each week, we'll provide you with thought-provoking cases and discussions from a growing network of residents across various hospitals and specialties. The topics have been handpicked to provide keen clinical encounters, enhance practice-based learning and stimulate discussion via board examination-style questions. We look forward to your participation. "
"This article applies a descriptive, patient care model of the hateful patient to residency education. It is our belief that having a descriptive model for hateful residents, including the unpleasant emotional reactions evoked by such learners, will help educators better manage their own negative feelings about these residents and implement effective early intervention strategies."
While fellows are often believed to be a detracting factor to residency training, we found that pediatric resident attitudes toward the fellows were generally positive. In our experience, in the specialty of neonatology a fellow-led education program can positively contribute to both resident and fellow learning and satisfaction.
"A large number of medical residents are unable to correctly interpret crucial statistical concepts that are commonly found in the medical literature. They are also especially prone to the gambler's fallacy bias, which may undermine clinical judgment and medical decision making. Formalized systematic teaching of biostatistics during residency will be required to de-bias residents and ensure that they are proficient in understanding and communicating statistical information."
" Residents in difficulty have multiple areas of weakness. The CanMEDS framework is an effective approach to classifying problems and designing remediation plans. Successful completion of residency education after remediation is the most common outcome."
"Nine organizations involved in postgraduate medical education and experts from across Canada have joined together to produce a groundbreaking report outlining pan-Canadian principles, key findings, recommendations and metrics to inform decision-making about resident duty hours across the country. Supported by Health Canada, the final report, Fatigue, Risk and Excellence: Towards a Pan-Canadian Consensus on Resident Duty Hours, includes five principles and detailed recommendations that are intended to outline a path forward that optimizes patient care and training for the 21st century."
"A structured residency-based curriculum facilitates resident demonstration of SBP and practice-based learning and improvement. Residents gain knowledge and skills though this enterprise and hospitals gain access to trainees who help to solve ongoing problems and meet accreditation requirements."
" It is essential to set clear expectations for professional behavior with faculty and residents. A notice of deficiency should define the expected acceptable behavior, timeline for improvement, and consequences for noncompliance. Faculty should note and address systems problems that unintentionally reinforce and thus enable unprofessional behavior. "
"The curriculum introduces a simple, stepwise framework for delivering high-value care and focuses on teaching trainees to incorporate high-value, cost-conscious care principles into their clinical practice. It consists of ten 1-hour, case-based, interactive sessions designed to be flexibly incorporated into the existing conference structure of a residency training program."
Key benefits of the NAS include the creation of a national framework for assessment that includes comparison data, reduction in the burden associated with the current process-based accreditation system, the opportunity for residents to learn in innovative programs, and enhanced resident education in quality, patient safety, and the new competencies. Over time, we envision that the NAS will allow the ACGME to create an accreditation system that focuses less on the identification of problems and more on the success of programs and institutions in addressing them.
"Creating an enabling and nurturing environment prior to and during residency training may be necessary to sustain the motivation to engage in health advocacy. Findings from this study suggest possibilities for a resident-guided participatory curriculum development process around health advocacy. Recommendations for promoting health advocacy in postgraduate training include effective integration of health advocacy in the curriculum by providing protected time and resources, providing experiential learning opportunities and fostering a community of practice for physician health advocates."
Get Ready! puts residents on the FAST TRACK to competency, knowledge, & skills
* Web-based modules and assessments can be completed by residents ANYWHERE, ANYTIME
* Applies to all specialties - No faculty development time or costs
* Designed to increase competency knowledge quickly
* Helps meet ACGME General Competency requirements
"There were clear and substantial differences between the perceptions of resident and attending physicians about when the supervising attending physician should be notified in each of the 6 vignettes."
"his resource is designed to help develop residents and fellows as teachers of medical students. The content addresses an aspect of teaching that many housestaff find challenging - that of providing effective formative feedback to medical students on clinical rotations."
"Routine adoption of smartphones by residents appeared to improve efficiency over the use of pagers for physicians, nurses, and allied health professionals. This was balanced by negative communication issues of increased interruptions, a gap in perceived urgency, weakened interprofessional relationships, and unprofessional behavior. Further communication interventions are required that balance efficiency and interruptions while maintaining or even improving interprofessional relationships and professionalism."