Publications by authors named "Julie A Dostal"

Introduction: Self-determination theory (SDT), when applied to curricular construction, emphasizes curiosity, self-awareness, and resilience. Physicians need these qualities to face the challenges of clinical practice. SDT offers a lens for medical educators to track learner development toward sustainable, rewarding careers.

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Background: Burnout continues to erode the physician workforce, and there are few effective intervention studies to guide educators.

Objective: We explored residents' experience in a model environment emphasizing resident wellness, safety, and interpersonal skills.

Methods: As 1 of 14 participants in the national Preparing the Personal Physician for Practice (P) project, the family medicine residency at Lehigh Valley Health Network implemented a series of curricular changes designed to transform the culture of education.

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Background And Objectives: Primary care residencies are undergoing dramatic changes because of changing health care systems and evolving demands for updated training models. We examined the relationships between residents' exposures to patient-centered medical home (PCMH) features in their assigned continuity clinics and their satisfaction with training.

Methods: Longitudinal surveys were collected annually from residents evaluating satisfaction with training using a 5-point Likert-type scale (1=very unsatisfied to 5=very satisfied) from 2007 through 2011, and the presence or absence of PCMH features were collected from 24 continuity clinics during the same time period.

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