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Building a Culture of Curiosity in Family Medicine to Increase Research Capacity.
J Am Board Fam Med
December 2024
From the Department of Family Medicine, Louisiana State University Health Shreveport School of Medicine, Shreveport, LA (PHS, KH); La Crosse-Mayo Family Medicine Residency Program, La Crosse, WI (SS); UCSD Centers for Integrative Health, Department of Family Medicine, University of California San Diego, San Diego, CA (GK); Department of Family Medicine, Tufts University School of Medicine, Boston, MA (BE).
Family medicine as a discipline is the foundation of health care systems. In addition to clinical practice and education, research is a professional duty for family physicians. Unfortunately, the culture of family medicine has historically de-emphasized research.
View Article and Find Full Text PDFHaKom - the Halle continuum as a postgraduate medical training curriculum, illustrated using the development and delivery of the ready for duty course.
GMS J Med Educ
December 2024
University of Halle-Wittenberg, Medical Faculty, Dorothea Erxleben Learning Centre, Halle (Saale), Germany.
Objective: The Halle continuum (HaKom) is a course for doctors undergoing postgraduate medical training in southern Saxony-Anhalt. It revises the skills and knowledge acquired during undergraduate medical training and develops them on an individual and needs-driven basis. The development and establishment of the three-day ready for (resident on-call) duty () course, which has been held four times a year since 2020, will be used as an example to present the overall HaKom curriculum.
View Article and Find Full Text PDFUrology Resident Autonomy in the Veterans Affairs Healthcare System.
J Surg Educ
December 2024
Department of Surgery, Veterans Affairs of New Jersey Healthcare System, East Orange, New Jersey. Electronic address:
Purpose: Surgical resident autonomy in procedures has been eroding over time, due to multiple factors that include duty hour restrictions, focus on operating time, complication rate, and trust among supervising physicians. This study examines whether urology residents at the Veterans Affairs hospitals (VA) have experienced decreased surgical autonomy and contributing factors.
Methods: The national VA Surgical Quality Improvement Program (VASQIP) was queried for the most common urologic procedures between 2004 to 2019 with resident involvement.
Leveraging Lean Methodology to Improve Compliance With Work-Hour Restrictions.
JAMA Surg
December 2024
Department of Surgery, University of California, San Diego Health, La Jolla.
Importance: Since work-hour restrictions were instituted in 2003, sustainably complying with duty-hour regulations remains a challenge for general surgery residency programs across the nation.
Objective: To determine whether industry-based process improvement techniques could be leveraged to increase compliance with work-hour restrictions within a general surgery residency.
Design, Setting, And Participants: This quality improvement project using Lean methodology was conducted from October to November of the 2021 to 2022 academic year.
Purpose: This study aimed to explore the perspectives of residency program directors in Japan regarding overtime duty hours and the balance between clinical training and self-improvement activities. This study explores the impact of work-hour regulations on resident well-being and training quality, contributing to global discourse on medical education reform.
Participants And Methods: A cross-sectional survey was distributed to 701 residency training hospitals across Japan to investigate their readiness for new duty-hour limits under the Medical Care Act, which categorizes working hours into Level A (960 hours/year), Level B (1440 hours/year), and Level C-1 (1920 hours/year).
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