Publications by authors named "M Pusic"

Objective: To examine pediatrician diagnostic skill development of dermatology image-based cases via a web-based tool and to determine case-level variables that were associated with diagnostic error.

Study Design: This was a multicenter, prospective, cross-sectional study. A convenience sample of pediatric trainees and attendees were eligible for participation.

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Article Synopsis
  • Pediatric pneumonia diagnoses are tricky due to overlapping symptoms with other respiratory issues, subjective radiograph interpretations, and non-diagnostic lab results.
  • The study analyzed children aged 3 months to 16 years in Canadian EDs before COVID-19, focusing on how accurately physicians could classify pneumonia types using an expert panel for consensus diagnosis.
  • Findings showed a significant mismatch between physicians’ diagnoses and consensus results, with over-diagnosis of typical bacterial pneumonia and recommendations for specific clinical and lab indicators to better identify bacterial cases.
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Purpose: Competency-based time-variable (CBTV) graduate medical education (GME) has been implemented in Canada, Europe, and the United States, yet its perceived value has not been explored. Promotion in Place (PIP) is a CBTV GME program in which residents graduating early advance to attending status with "sheltered independence" until the standard graduation date. This study describes perceived value of CBTV GME and PIP at Mass General Brigham by capturing diverse stakeholder perspectives.

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A procedure is outlined for point and interval estimation of location parameters associated with polytomous items, or raters assessing studied subjects or cases, which follow the rating scale model. The method is developed within the framework of latent variable modeling, and is readily applied in empirical research using popular software. The approach permits testing the goodness of fit of this widely used model, which represents a rather parsimonious item response theory model as a means of description and explanation of an analyzed data set.

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Introduction: Increasingly, medical training aims to develop physicians who are competent collaborators. Although interprofessional interactions are inevitable elements of medical trainees' workplace learning experiences, the existing literature lacks a cohesive model to conceptualise the learning potential residing in these interactions.

Methods: We conducted a critical review of the health professions and related educational literatures to generate an empirically and theoretically informed description of medical trainees' workplace interactions with other health professionals, including learning mechanisms and outcomes.

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