One of the biggest ongoing controversies in medical education is around the role of experience in practice on patient outcomes. KeyLIMErs will know that we have previously covered several previous papers looking at factors that influence graduates’ practice outcomes, including time since graduation. The literature on this topic is mixed and conflicting.

Authors: Goodwin J, Salameh H, Zhou J, Singh S, Kuo YF, Nattinger AB.

Publication details: 

Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2018 Feb 1;178(2):196-203.

 View the abstract here

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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It's the perennial topic in Medical Education - 'Feedback' and what do we really know about the quality of feedback given in our clinical environments? This paper sets out to gather validity evidence.

Authors:  Bing-You R, Ramesh S, Hayes V, Varaklis K, Ward D & Blanco M

Publication details: Trainees' Perceptions of Feedback: Validity Evidence for Two FEEDME (Feedback in Medical Education) Instruments, Teaching and Learning in Medicine, 2017 Dec 14.

View the abstract here

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 Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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Workplace Based Assessment is a hot topic in Med Ed and pretty essential to CBME and being used in many clinical learning settings, but is our understanding of it is limited, evident is varied and conflicting.

Authors: Barrett A, Galvin R, Scherpbier AJ, Teunissen PW, O'Shaughnessy A, Horgan M.

Publication details: 

Is the learning value of workplace-based assessment being realised? A qualitative study of trainer and trainee perceptions and experiences. Postgrad Med J. 2017 Mar;93(1097):138-142.

 View the abstract here

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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Jon's paper seeks to inform scholars about common reasons for internal editor review rejections, which will hopefully stop letters that start like this 'Dear So and So, Thank you for your submission. Our journal receives many more submissions than it can publish. Unfortunately, we are unable to publish your manuscript'.

Authors: Meyer HS, Durning SJ, Sklar D and Maggio LA

Publication details:

Making the First Cut: An Analysis of Academic Medicine Editors' Reasons for Not Sending Manuscripts Out for External Peer Review. Acad Med. 2017 Aug 1. [Epub ahead of print]

View the abstract here

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 Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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The assessment literature has seen strong a migration towards emphasizing direct observation and the use of expert raters in the last decade.  Rater cognition (i.e. how an individual constructs an assessment of performance) has been a critical element in ensuring the validity of direct observation assessments.

Authors: Gomez-Garibello C. Young M

Publication details: 

Emotions and Assessment: Considerations for Rater-Based Judgments of Entrustment. Medical Education. 2017. [ePub ahead of print)

 View the abstract here

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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What is the most effective way to prepare senior medical students for the transition to residency? 

Do the new intensive 'Surgical Boot Camps' for junior residency work? This study attempted to fill some of the gaps in the understanding of the effects of such courses on learning and performance in residency.

Authors:  Wunder JA, Brandt CP, Lipman JM.

Publication details: A surgical residency preparatory course for senior medical students leads to earlier independence in ACGME competencies. Am J Surg. 2017 Nov 8. [Epub ahead of print] 

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 Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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Linda presents two papers in order to answer two questions...

1. How Attending Physicians Negotiate Their Work Environment – “to generate an empiric, detailed, and updated view of the attending physician preceptor role and its interface with the complex work environment.”
2. How evidence from observing attending physicians in the workplace links to a competency-based framework (CanMEDS competencies / Roles)

Article 1)

Authors: Bacchus M, Ward DR, de Grood J, Lemaire JB

Publication details: How evidence from observing attending physicians links to a competency-based framework Med Educ. 2017 Jun; 51(6):633-644.

Article 2)

Authors: Lemaire JB, Wallace JE, Sargious PM, Bacchus M, Zarnke K, Ward DR, Ghali WA.

Publication details: How Attending Physician Preceptors Negotiate Their Complex Work Environment: A Collective Ethnography. Acad Med. 2017 Jun 20. [Epub ahead of print]

View the abstract here

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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Jason’s chosen article for today’s podcast discusses the assessment tool ITERs and documented narratives.

Often ITERs are horribly misused but are still deployed as institutions need to record that a trainee was present and competencies were achieved.

Authors: Hatala R, Sawatsky AP, Dudek N, Ginsburg S, Cook DA.

Publication details: Using In-Training Evaluation Report (ITER) Qualitative Comments to Assess Medical Students and Residents: A Systematic Review. Acad Med. 2017 Jun;92(6):868-879.

View the abstract here

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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This is Lara Varpio's first '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.

In this first consult Lara gives some background and the benefits of interdisciplinary collaboration for illuminating research.

It's not about what's in it for me, but what's in it for us.

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Lara Varpio: @LaraVarpio 

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Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

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A copy of the transcript can be found here

Today's paper is selected by Jon, he starts by confessing his own CPD is passive, and with no outcomes assessed he's unable to see if his interventions have changed his practice.

Authors: Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Frasier LL, Brys NA, Dombrowski JC, Wiegmann DA

Publication details: Wisconsin Surgical Coaching Program. A Statewide Surgical Coaching Program Provides Opportunity for Continuous Professional Development.  Ann Surg. 2017 Jun 22. [Epub ahead of print] PubMed link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!