Implementation of a "Best Self" Exercise to Decrease Imposter Phenomenon in Residents.

Imposter phenomenon (IP) is common in medicine. An intervention from the business world, the Reflected Best Self Exercise (RBSE), in which an individual elicits stories of themselves at their best, has not been studied in medical residents. To determine the feasibility of implementing the RBSE and its potential for reducing IP in residents.

Outcomes of the Internal Medicine Supplemental Application: Preliminary Data on the 2022-2023 Match.

Introduction: Preference signaling (program signals and geographic preference divisions) was introduced as a component of the supplemental application for internal medicine applicants applying to programs within the United States (USA) during the 2021-22 cycle. These signals were intended to address application inflation by allowing applicants to express interest in and increase their likelihood of receiving interviews from their top programs. There is little published data, however, to describe the impact of preference signaling on the likelihood of receiving interviews from a program.

Leadership and Impostor Syndrome in Surgery.

Background: Impostor syndrome is an internalized sense of incompetence and not belonging. We examined associations between impostor syndrome and holding leadership positions in medicine.

Study Design: A cross-sectional survey was distributed to US physicians from June 2021 to December 2021 through medical schools and professional organizations.

Multicenter Validation of an Emergency Department-Based Screening Tool to Identify Elder Abuse.

Study Objective: Emergency department (ED) visits provide an important opportunity for elder abuse identification. Our objective was to assess the accuracy of the ED Senior Abuse Identification (ED Senior AID) tool for the identification of elder abuse.

Methods: We conducted a study of the ED Senior AID tool in 3 US EDs.

Meeting American Geriatrics Society Competencies: Are Residents Meeting Expectations for Quality Care of Older Adults?

In order to determine how often internal medicine and family medicine residents performed specific actions related to the geriatric competencies established by the American Geriatrics Society (AGS) when caring for older hospitalized adults, a cross-sectional anonymous survey of residents at the University of North Carolina, University of Washington, Wake Forest University, Duke University, and Emory University was undertaken. Data on frequency of self-reported behaviors were analyzed, with comparisons made for different levels of training, institution, and program. A total of 375 residents responded for an overall response rate of 48%.

Teaching medical students the art of the 'write-up'.

Background: The creation of a complete 'write-up' continues to be essential to the clinical learning experience for medical students. The ability to document a clinical encounter is a key communication skill and Core Entrustable Professional Activity for entering residency.

Methods: We developed a guide to the comprehensive write-up, a grading rubric, and a videotaped encounter with a standardised doctor and patient.

A quality improvement project to reduce the complications associated with indwelling urinary catheters.

The indwelling urinary (Foley) catheter is a widely utilized device in the modern hospital environment in the United States. Under certain established medical conditions, these devices serve as a valuable tool in patient care. However, many indwelling urinary catheters are either placed inappropriately or are left in place longer than their intended use.

Older adults' attitudes about continuing cancer screening later in life: a pilot study interviewing residents of two continuing care communities.

Background: Individualized decision making has been recommended for cancer screening decisions in older adults. Because older adults' preferences are central to individualized decisions, we assessed older adults' perspectives about continuing cancer screening later in life.

Methods: Face to face interviews with 116 residents age 70 or over from two long-term care retirement communities.

Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey.

Background: Estimates of life expectancy assist physicians and patients in medical decision-making. The time-delayed benefits for many medical treatments make an older adult's life expectancy estimate particularly important for physicians. The purpose of this study is to assess older adults' beliefs about physician-estimated life expectancy.