The Association Between Remote Work During the First Wave of the Pandemic and Faculty Perceptions of Their Productivity and Career Trajectory: A Cross Sectional Survey.

Introduction: Early in the pandemic, studies documented that there are gendered differences in many factors related to working during the pandemic, especially for caregivers. This study aimed to focus on the effects of remote work, rather than the pandemic in general, on perceptions of productivity and career trajectory in research and education faculty at an academic health center.

Methods: A questionnaire was developed and distributed to all faculty in the Department of Medicine.

Using a Consensus-Driven Approach to Incorporate Holistic Review Into an Internal Medicine Residency Program.

Background: Despite growing interest in incorporating holistic review within residency admissions, implementation by residency programs remains challenging.

Objective: To incorporate holistic review into the internal medicine residency program at the University of Wisconsin and to report initial feasibility and acceptability data.

Methods: During the 2020-2021 application cycle, residency stakeholders performed a consensus-driven process to identify highly valued applicant attributes.

The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance.

Background: Residency program directors will likely emphasize the United States Medical Licensing Exam (USMLE) Step 2 clinical knowledge (CK) exam more during residency application given the recent USMLE Step 1 transition to pass/fail scoring. We examined how internal medicine clerkship characteristics and NBME subject exam scores affect USMLE Step 2 CK performance.

Design: The authors used univariable and multivariable generalized estimating equations to determine associations between Step 2 CK performance and internal medicine clerkship characteristics and NBME subject exams.

First, do no harm: impact of the transition to an integrated curriculum on medical knowledge acquisition of the transitional cohort.

Introduction: Many medical schools are moving toward integrated curricula in response to the 2010 Carnegie report. However, there is often apprehension that student performance on standard assessment metrics of medical knowledge acquisition could suffer during the transition period. Therefore, we sought to analyze the impact of curriculum redesign on the medical knowledge acquisition of the transitional cohort, as measured by NBME subject exam scores.

Beyond "Read More": An Intervention to Improve Faculty Written Feedback to Learners.

Background: High-quality feedback is necessary for learners' development. It is most effective when focused on behavior and should also provide learners with specific next steps and desired outcomes. Many faculty struggle to provide this high-quality feedback.

Acute Kawasaki disease: not just for kids.

Kawasaki Disease is a small-to-medium-vessel vasculitis that preferentially affects children. Kawasaki Disease can occur in adults, but the presentation may differ from that observed in children. Typical findings in both adults and children include fever, conjunctivitis, pharyngitis, and skin erythema progressing to a desquamating rash on the palms and soles.

Evidence-based medicine: answering questions of diagnosis.

Using medical evidence to effectively guide medical practice is an important skill for all physicians to learn. The purpose of this article is to understand how to ask and evaluate questions of diagnosis, and then apply this knowledge to the new diagnostic test of CT colonography to demonstrate its applicability. Sackett and colleagues have developed a step-wise approach to answering questions of diagnosis: Step1: Define a clinical question and its four components: Patient, intervention, comparison and outcome.

Rhabdomyolysis from the combination of a statin and gemfibrozil: an uncommon but serious adverse reaction.

We report a patient with renal insufficiency who developed rhabdomyolysis 1 month after initiating cerivastatin and gemfibrozil for hyperlipidemia. Myopathy caused by HMG-CoA reductase inhibitors (statins) alone is rare, but occurs more frequently when a statin is used with gemfibrozil, a medication that likely has a direct toxic effect on muscles. Predisposing factors to the development of myopathy from the combination include use of medications affecting statin metabolism, higher doses of statins, renal insufficiency, diuretics, and hypothyroidism.

Can specialists and generalists teach clinical skills to second-year medical students with equal effectiveness?

Purpose: To compare the effectiveness of specialists and generalists as small-group leaders teaching basic physical examination skills to preclinical medical students.

Method: Specialists and generalists were randomly assigned to teach physical examination skills to 69 groups of second-year students (n = 288). At the conclusion of the course, the specialist- and generalist-led groups were compared using three measures: students' scores on an objective structured clinical exam (OSCE), students' evaluations of their small-group leaders, and leaders' self-evaluations of confidence in teaching.