The supply, distribution, specialty mix, and other characteristics of the nearly 900,000 professionally-active U.S. physicians

Seeking a Stable Foundation to Build on: 1st-Year Residents' Views of High-Value Care Teaching

Kira Rysinka, MD
Sep. 6, 2019

Rey Perez, David Aizenberg, Trocon Davis, Kira L Ryskina

Abstract [from journal]

Background: United States (US) residency programs have been recently mandated to teach the concept of high-value care (HVC) defined as care that balances the benefits of interventions with their harms and costs. We know that reflective practice is a key to successful learning of HVC; however, little is known about resident perceptions of HVC learning. To better inform HVC teaching in graduate medical education, we asked 1st-year residents to reflect on their HVC learning.

Methods: We conducted three focus


Trends in Racial/Ethnic Representation Among US Medical Students

Sep. 4, 2019

Lanair Amaad Lett, H. Moses Murdock, Whitney U. Orji, Jaya Aysola, Ronnie Sebro

Abstract [from journal]

Importance: With increasing efforts to create a diverse physician workforce that is reflective of the demographic characteristics of the US population, it remains unclear whether progress has been made since 2009, when the Liaison Committee on Medical Education set forth new diversity accreditation guidelines.

Objective: To examine demographic trends of medical school applicants and matriculants relative to the overall age-adjusted US population.

Design, Setting, and Participants:


Pursuing a Career in Academic Surgery Among African American Medical Students

Aug. 8, 2019

Sanford Roberts, Judy A. Shea, Morgan Sellers, Paris D. Butler, Rachel Rapaport Kelz

Abstract [from journal]

Background: There are few African American students in medical school, and even fewer are choosing academic surgical careers. The objective of this study is to provide insight into what barriers URM students perceive when considering a career in academic surgery.

Methods: This qualitative, descriptive study was conducted at the University of Pennsylvania. Sixteen African American students with an interest in surgery were recruited to participate in the study. The outcomes reported are themes of how participants


The Clinician Crowdsourcing Challenge: Using Participatory Design to Seed Implementation Strategies

Jun. 14, 2019

Rebecca E. Stewart, Nathaniel Williams, Y. Vivian Byeon, Alison Buttenheim, Sriram Sridharan, Kelly Zentgraf, David T. Jones, Katelin HoskinsMolly CandonRinad S. Beidas

Abstract [from journal]

Background: In healthcare settings, system and organization leaders often control the selection and design of implementation strategies even though frontline workers may have the most intimate understanding of the care delivery process, and factors that optimize and constrain evidence-based practice implementation within the local system. Innovation tournaments, a structured participatory design strategy to crowdsource ideas, are a promising approach to participatory design that may increase the effectiveness of implementation


Radiation Oncologist Characteristics and their Association with Outcomes in Patients with Head and Neck Cancer

May. 9, 2019

Siddharth Jain, Richard Popple, Jeff Szychowski, Bisakha Sen, Julie L. Locher, Meredith L. Kilgore

Abstract [from journal]

Purpose: Intensity modulated radiation therapy (IMRT) is widely used in the treatment of head and neck cancers (HNC). There is not enough evidence to suggest that some radiation oncologists (ROs) are associated with better outcomes in patients with HNC. We conducted a cross-sectional analysis to evaluate the effect of ROs' characteristics on outcomes in patients with HNC treated with IMRT.

Methods and Materials: The study used the Surveillance Epidemiology and End Results-Medicare linked database to identify


Do Longer Shifts Affect Residents’ Sleep or Patient Safety?

Mar. 25, 2019

Do residents need more sleep? Two new studies in the New England Journal of Medicine compare the effects of standard versus flexible duty-hours on residents’ sleep and patient safety.

The iCOMPARE trial randomized 63 internal medicine residency programs, consisting of over 5,000 trainees, to standard duty-hour policies or flexible policies. All programs were held to an 80-hour work week, but flexible policies had no limits on shift lengths and did not mandate time off between shifts.

Patient Awareness of Industry Payments to Physicians

Mar. 14, 2019

When patients see their doctors, they expect that their health and clinical needs will be the main drivers of decisions regarding treatment. However, studies have shown that other factors may influence clinical decisions, such as doctors' interactions and relationships with drug companies. So what can patients do if they want to learn about these influences when choosing who will care for them?