Publications by authors named "Aashish Didwania"
Article Synopsis
- The study focuses on the "One-minute preceptor" (OMP) method used in medical education, aiming to create a checklist for observing teachers’ behavior during medical rounds.
- Researchers developed a 6-item checklist and trained observers to assess changes in teaching behavior, measuring inter-rater reliability using percent agreement and Cohen's kappa.
- The results indicated high agreement among raters (0.8 to 0.9), with Cohen’s kappa scores showing moderate reliability, particularly strong for the commitment step but weaker for correcting mistakes, emphasizing the checklist's potential to enhance the teaching assessment in medical settings.
Exploring US internal medicine resident career preferences: a Q-methodology study.
Adv Health Sci Educ Theory Pract
August 2023
Career selection in medicine is a complex and underexplored process. Most medical career studies performed in the U.S.
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- Laser-assisted drug delivery (LADD) is a technique used for medical and cosmetic purposes, but there's a need for better guidelines to help clinicians use it safely and effectively.
- A comprehensive review of existing studies identified 54 relevant publications that informed new recommendations, which were developed through consensus among a panel of experts.
- Key findings include that LADD is generally safe for use on various skin types, effective for treating certain skin conditions, and that drug delivery can be optimized through specific techniques, although prophylactic antibiotics are only necessary in certain cases.
Background: Residency programs apply varying criteria to the resident selection process. However, it is unclear which applicant characteristics reflect preparedness for residency.
Objective: We determined the applicant characteristics associated with first-year performance in internal medicine residency as assessed by performance on Accreditation Council for Graduate Medical Education (ACGME) Milestones.
Background: Understanding factors in internal medicine (IM) resident career choice may reveal important needed interventions for recruitment and diversity in IM primary care and its subspecialties. Self-reported learner confidence is higher in men than in women in certain areas of practicing medicine, but has never been explored as a factor in career choice.
Objective: The purpose of this study is to elucidate associations between confidence, gender, and career choice.
Background: Underrepresented minority (URM) trainees face unique challenges in academic medicine. Near-peer mentorship is an under-described method to support URM trainees.
Objective: We created and evaluated the Student to Resident Institutional Vehicle for Excellence (STRIVE) program in a large urban medical school and associated residency programs.
Simulation-based mastery learning (SBML) programs have been shown to be beneficial to improve procedural skill acquisition. However, simulated procedure performance can be affected by a host of factors, including stress. This investigation examined the preliminary efficacy of bolstering an established SBML program for medical residents with a brief mindfulness intervention (called a PITSTOP) to reduce procedural stress and improve simulator performance.
View Article and Find Full Text PDFBackground: Up to 60% of preventable mortality is attributable to social determinants of health (SDOH), yet training on SDOH competencies is not widely implemented in residency. The objective of this study was to assess internal and family medicine residents' competence at identifying and addressing SDOH.
Methods: Residents' perceived competence at identifying, discussing, and addressing SDOH in outpatient settings was assessed using a single questionnaire administered in March 2017.
Developing Equity Report Cards for Residents Training in Primary Care.
J Health Care Poor Underserved
January 2020
Background: Most residency programs do not provide trainees with health equity data for their clinic patients.
Methods: Equity report cards were developed for internal and family medicine residents in a large health system. After considering which equity indictors were available, how to attribute patients to residents, and what level of granularity was feasible, equity reports were created for five ambulatory quality measures.
Health Equity in Graduate Medical Education: Exploring Internal Medicine Residents' Perspectives on a Social Determinants of Health Curriculum.
J Health Care Poor Underserved
January 2020
Background: There is a clear mandate for resident training in social determinants of health (SDOH) and health equity stemming from patients' needs and program accreditation requirements.
Objective: To explore residents' perspectives on the impact of an SDOH curriculum.
Methods: In 2017, we developed an SDOH curriculum for 38 PGY-2 Internal medicine residents at our institution.
Introduction: Inpatient telemetry monitoring is a commonly used technology designed to detect and monitor life-threatening arrhythmias. However, residents are rarely educated in the proper use and interpretation of telemetry monitoring.
Methods: We developed a training module containing an educational video, PowerPoint presentation, and hands-on interactive learning session with a telemetry expert.
Article Synopsis
- The study aimed to assess how medical training incorporates social determinants of health (SDH) for primary care residents, as traditional curricula focus mainly on disease mechanisms.
- The authors reviewed 5,523 articles published between 2007 and 2017, ultimately identifying 43 relevant programs, with a majority (67%) located in internal medicine.
- Findings revealed a wide range of curriculum designs, with 74% using lectures and many employing hands-on learning, but highlighted a lack of standardized evaluations to measure the impact on residents' skills and behaviors.
Background: Mastery learning in health professions education requires learners to learn and undergo assessment until they demonstrate a high level of competence. Setting defensible standards is key to accurately assessing educational outcomes in mastery learning. The Mastery Angoff method was proposed recently to set a minimum passing standard (MPS) for mastery learning curricula.
View Article and Find Full Text PDFBackground: Although many studies of quality improvement (QI) education programmes report improvement in learners' knowledge and confidence, the impact on learners' future engagement in QI activities is largely unknown and few studies report project measures beyond completion of the programme.
Method: We developed the Academy for Quality and Safety Improvement (AQSI) to prepare individuals, across multiple departments and professions, to lead QI. The 7-month programme consisted of class work and team-based project work.
Background: Unprofessional behaviors undermine the hospital learning environment and the quality of patient care.
Objective: To assess the impact of an interactive workshop on the perceptions of and self-reported participation in unprofessional behaviors.
Methods: We conducted a pre-post survey study at 3 internal medicine residency programs.
Background: Effective communication during patient care transitions is essential for high-quality patient care.
Objective: The purpose of this study was (1) to objectively assess patient handoff skills of internal medicine residents, and (2) to evaluate correlations between clinical experience and patient handoff skill self-assessment with directly observed skill.
Methods: We studied simulated patient handoffs in postgraduate year (PGY)-1 and PGY-2 residents between July 2011 and September 2011, using a standardized scenario in an observed structured handoff exam (OSHE).
Background: Unprofessional behavior can compromise care and detract from the hospital learning environment. Discrepancy between professional behaviors formally taught and what is witnessed has become increasingly evident.
Methods: With funding from the American Board of Internal Medicine Foundation, a workshop was developed to address unprofessional behaviors related to inpatient care previously identified in a multi-institution survey.
Importance: In 2003, the first phase of duty hour requirements for US residency programs recommended by the Accreditation Council for Graduate Medical Education (ACGME) was implemented. Evidence suggests that this first phase of duty hour requirements resulted in a modest improvement in resident well-being and patient safety. To build on these initial changes, the ACGME recommended a new set of duty hour requirements that took effect in July 2011.
View Article and Find Full Text PDFPurpose: Patient care quality worsens during academic year turnover. Incoming interns' uneven clinical skills likely contribute to this phenomenon, known as the "July effect." The aim of this study was to evaluate the impact of a simulation-based mastery learning (SBML) boot camp on internal medicine interns' clinical skills.
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