Key Literature in Medical Education
Episode 155 – Looking at attending docs at work … or how to get the most from your data
In this episode: Linda presents two papers in order to answer two questions...
- How Attending Physicians Negotiate Their Work Environment – “to generate an empiric, detailed, and updated view of the attending physician preceptor role and its interface with the complex work environment.”
- How evidence from observing attending physicians in the workplace links to a competency-based framework (CanMEDS competencies / Roles)
Publication details: How evidence from observing attending physicians links to a competency-based framework Med Educ. 2017 Jun; 51(6):633-644.
Article 2) Authors: Lemaire JB, Wallace JE, Sargious PM, Bacchus M, Zarnke K, Ward DR, Ghali WA.
Publication details: How Attending Physician Preceptors Negotiate Their Complex Work Environment: A Collective Ethnography. Acad Med. 2017 Jun 20. [Epub ahead of print]
Length: 24:10 min.
Episode 154 – The ITER Strikes Back: Return of the Narratives
In this episode: Jason’s chosen article for today’s podcast discusses the assessment tool ITERs and documented narratives.
Often ITERs are horribly misused but are still deployed as institutions need to record that a trainee was present and competencies were achieved.
Authors: Hatala R, Sawatsky AP, Dudek N, Ginsburg S, Cook DA.
Journal: Using In-Training Evaluation Report (ITER) Qualitative Comments to Assess Medical Students and Residents: A Systematic Review. Acad Med. 2017 Jun;92(6):868-879.
Length: 21:05 min.
Episode 153 – Methods Consult with Lara Varpio: Episode #1
In this episode: This is Lara's first 'Methods Consult' for KeyLIME. As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research. In this first consult Lara gives some background and the benefits of interdisciplinary collaboration for illuminating research. It's not about what's in it for me, but what's in it for us.
Length: 10:01 min.
Episode 152 – Peer-to-peer coaching to maintain competence in surgeons
In this episode: Today's paper is selected by Jon, he starts by confessing his own CPD is passive, and with no outcomes assessed he's unable to see if his interventions have changed his practice.
Authors: Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Frasier LL, Brys NA, Dombrowski JC, Wiegmann DA
Journal: Wisconsin Surgical Coaching Program. A Statewide Surgical Coaching Program Provides Opportunity for Continuous Professional Development. Ann Surg. 2017 Jun 22. [Epub ahead of print]
Length: 23:10 min.
Episode 151 – Ripped from the Headlines #1
In this episode: The hosts introduce a new series called “Ripped from the Manuscript”, inspired by Riffed from the headlines on CBC Radio. In this series, one of the hosts selects three quotes – two real, one fake – and asks their co-hosts to spot the fake!
Length: 10:17 min.
Episode 150 – Faculty Development – we have come so far, and we have so far to go
In this episode: Linda has chosen the paper this week which is a Research synthesis. The authors review the progress made in developing the key components for training educators and rewarding teaching excellence, explore reasons for the limited reform, and identify possible directions for the future.
Authors: Irby, DM and P O’Sullivan.
Journal: Developing and Rewarding Teachers as Educators and Scholars: Progress and Challenges. Medical Education. [ePub ahead of print]
Length: 20:00 min.
Episode 149 – It’s Hard to Predict Things…Especially the Future (KeyLIME Live! Part 2)
In this episode: Coming to you from ICRE 2017, the second part of KeyLIME live finds the co-host discussing an observational study where the authors assert that the #meded literature lacks studies that provide validity evidence for workplace-based assessments (WBAs). As any frequent listener knows, the hosts have often discussed the importance of the contemporary shift away from high-stakes, end-of-training exams, to programmatic assessment, an approaching involving a system that emphasizes WBAs sampled in authentic environments, often with direct observation, and collated in meaningful ways for decision-making. Will this paper change their point of view? Listen to find out!
Authors: Naidoo S, Lopes S, Patterson F, Mead HM, MacLeod S.
Journal: Can colleagues', patients' and supervisors' assessments predict successful completion of postgraduate medical training? Med Educ. 2017. 51(4):423-431.
Length: 22:55 min.
Episode 148 – The Flipped Classroom: what is the evidence? (KeyLIME Live! Part 1)
In this episode: Coming to you from ICRE 2017, our first of two parts of KeyLIME Live is hosted by our guest co-hosts, Karen Hauer. Her paper explores a hot topic in medical education: The Flipped Classroom (FC). This systematic review examines the evidence for the FC as a pedagogical strategy in medical education.
Authors: Chen F, Lui AM, Martinelli SM.
Journal: A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education. 2017. 51(6):585-597
Length: 26:08 min.
Episode 147 – Rudeness breaks teams
In this episode: This week’s paper aims to explore the impact of rudeness on the performance of medical teams. Jon shares: as a clinician, he thinks a lot about the function of a system to optimize the quality of patient care and prevent error, and, as an educator, he often thinks of how to effectively teach and structure patient encounters for learners to facilitate their acquisition of knowledge and experience – he’s aware that with improved experience, learners can provide better care. However, he admits he has never given serious attention to the psychology of team performance on patient outcomes – this paper changes all that!
Authors: Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA.
Journal: The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95.
Length: 20:10 min.
Episode 146 – The Mortality Rate of Residency Education
In this episode: *Author’s Note: Some KeyLIME podcast followers will find this a tough episode to discuss.* Issues of the wellness of health care providers are an increasingly discussed in medical education. The stressors and impact of medical practice on physician health have been documented for decades. So perhaps it is time to document the “mortality rate” of medical training… Jason's selection for this podcast, from Yaghmour et al in Academic Medicine, sets out to study and characterize US resident (postgraduate) trainee deaths from 2000-2014.
Authors: Yaghmour NA, Brigham TP, Richter T, Miller RS, Philibert I, Baldwin DC Jr, Nasca TJ.
Journal: Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014: Implications for the Learning Environment. Acad Med. 2017 Jul;92(7):976-983
Length: 23:02 min.
Episode 145 – Do they practice what you preach?
In this episode: Almost all postgraduate (residency) training programs apply a competency framework to structure curriculum, teaching, learning and assessment, with the CanMEDS framework being one of the most frequently used. Linda's selection this week, a grounded theory analysis of observations and interviews, aims to explore how the CanMEDS framework informs residents’ practice-based training and interactions with supervisors.
Authors: Renting N, Raat ANJ, Dornan T, Wenger-Trayner E, van der Wal MA, Borleffs JCC, Gans ROB, Jaarsma ADC.
Journal: Integrated and implicit: how residents learn CanMEDS roles by participating in practice. Med Educ. 2017 May 9. [Epub ahead of print]
Length: 28:14 min.
Episode 144 – Entrustment at the Beginning of Training
In this episode: Part 2 of a live session recorded at the 2017 CGEA Conference in Chicago with special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis! Part 2 finds Jason and the guest hosts mulling over a major question in medical education today: how do supervising physicians make decisions regarding who and how much to trust trainees and students who report to them.
Authors: Sheu L, O'Sullivan PS, Aagaard EM, Tad-Y D, Harrell HE, Kogan JR, Nixon J, Hollander H, Hauer KE.
Journal: How Residents Develop Trust in Interns: A Multi-Institutional Mixed-Methods Study. Academic Medicine. 2016 Oct;91(10):1406-1415.
Length: 18:25 min.
Episode 143 – Wagging the Dog: Student approaches for managing questioning by their preceptors
In this episode: Live from Chicago are special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis! Part 1 of a live session recorded at the 2017 CGEA Conference. Our guest hosts discuss a paper where the authors found that learners had specific strategies for attempting to manage situations where they were directly questioned by preceptors.
Authors: Lo L and Regehr G.
Journal: Medical Students' Understanding of Directed Questioning by Their Clinical Preceptors. Teaching and Learning in Medicine. 2017. 29 (1):5-12.
Length: 23:52 min
Episode 142 – Effective teaching of technical skills requires more than “see one, do one.”
In this episode: Sometimes health professional education can be embarrassing. Despite the maturity of the field, there are occasions when a study, such as the one in Jon's paper selection this week, can highlight shared assumptions among clinician educators. So, what is the most effective way to teach a technical skill? The KeyLIME team is here to help you figure it out!
Authors: Rossettini G, Rondoni A, Palese A, Cecchetto S, Vicentini M, Bettale F, Furri L, Testa M.
Journal: Effective teaching of manual skills to physiotherapy students. A Randomized Clinical Trial.. Medical Education. 2017. August. [ePub ahead of print]
Length: 22:45 min
Episode 141 – 10 Minute Primer on Qualitative Methods with guest host Lara Varpio!
In this episode: *We're doing something a little different this week as we welcome guest host Lara Varpio (@LaraVarpio)* Do you get lost in the med ed lingo? Do you regularly say ‘epistemology’ ‘reflexivity’ or ‘ethnography’? Do you want to know more? Lara Varpio, Associate Professor and Associate Director of Research, Graduate Programs in Health Professions Education at Uniformed Services University of the Health Sciences in Bethesda, MD gets the KeyLIME hosts up to speed.
Length: 12:54 min
Episode 140 – The End of Empathy?
In this episode: Empathy is widely regarded as a critical element of patient care and medical education. The more you have, the greater the patient and provider satisfaction, greater adherence to therapy, greater physician well-being and perceived clinical decision-making, greater physician joy at work. Jason's paper selection looks at "what is 'empathy' in health care, anyway?" and has the co-hosts questioning their own construct of empathy.
Authors: Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, Costa MJ, Quince T.
Journal: Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries.. Academic Medicine. 2016 Nov 1. [ePub ahead of print]
Length: 25:03 min
Episode 139 – What’s in a review… systematic, scoping, comprehensive…?
In this episode: Feedback to learners has always been important in Med Ed and is getting even more air time with the advent of CBME and mastery learning. While there has been a lot of literature on various aspects of feedback, it has not been broadly assessed. This scoping review, chosen by Linda, offers a wide perspective on the literature which may lead to further deeper reviews.
Authors: Bing-You R, Hayes V, Varaklis K, Trowbridge R, Kemp H, McKelvy D.
Journal: Feedback for Learners in Medical Education: What Is Known? A Scoping Review. Academic Medicine. 2017 Feb 7. [ePub ahead of print]
Length: 23:07 min
Episode 138 – The Gender Gap in Direct Observation Assessment
In this episode: Gender bias in the workplace should come as no surprise to KeyLIME-ers. Yet, many do not realize how pervasive sexism can be in the assessment of trainees in our residency programs. Jon's selection showcases the significant issue of gender bias in the academic environment and the hosts attempt to understand the scope of the problem.
Authors: Dayal A, O’Connor DM, Qadri U, Arora VM.
Journal: Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training. JAMA Internal Medicine. 2017. March 6. [ePub ahead of print]
Length: 22:05 min
Episode 137 – Can many wrongs eventually make a right?
In this episode: As the old adage goes- does ‘practice make perfect’? Or the not so old saying coming from mastery learning – does ‘perfect practice makes perfect’? The authors of Linda's selected paper - a report on a randomized education trial - want to convince us that ‘imperfect practice makes perfect’.
Authors: Dyre L , Tabor A, Ringstead C, Toldsgaard, MG.
Journal: Imperfect practice makes perfect: error management training improves transfer of learning. Medical Education. 2017 Feb;51(2):196-206.
Length: 22:15 min
Episode 136 – Keep a Safe Distance (from Graduation)
In this episode: Jason selects an article from Medical Education and the co-hosts discuss: When it comes to physicians in practice, what should clinician-educators focus on to make the most difference in patient outcomes?
Authors: Norcini JJ, Boulet JR, Opalek A, Dauphinee WD.
Journal: Patients of doctors further from medical school graduation have poorer outcomes. Medical Education. 2017. 51(5):480.
Length: 24:00 min
Episode 135 – Academics as businesspeople? How our med ed research leaders can change our organizations
In this episode: Linda's article selection asks: if HPESUs (health professions education scholarship units) are defined as “organizational structures within which a group of people is substantively engaged in health professions education scholarship’’ - does this mean heads of HPESUs act as Institutional Entrepreneurs?
Authors: Varpio L, O'Brien B, Durning S, van der Vleuten C, Gruppen L, Ten Cate O, Humphrey-Murto S, Irby DM, Hamstra SJ, Hu W.
Journal: Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs. Academic Medicine. 2017. Jan 24 [ePub ahead of print].
Length: 22:13 min
Episode 134 – If access to Google is universal, should exams be open “book"?
In this episode: In this week's paper, selected by Jon, the co-hosts discuss whether a a closed-book exam - that requires a learner to have encoded and recall the required information - is a superior educational process to an open-book exam that requires a learner to appraise and apply an array of widely available information?
Authors: Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR Jr, Boulet JR, Eva K.
Journal: Comparing Open-Book and Closed-Book Examinations: A Systematic Review. Academic Medicine. 2016 Apr; 91(4):583-99.
Length: 19 min
Episode 133 – The Observer Effect in Meded: The Learners’ View
In this episode: When was the last time you, dear KeyLIME listener, was observed performing a clinical task by someone who had some kind of power over your career? Was it a colleague as part of a simulation? An administrative leader? Was it at a conference? Was it a mandatory peer review? Was it comfortable for you? Did you change what you would normally do in that situation? Jason's choice this week explores that kind of experience, namely: the lived experience of physicians who have had direct observation while performing clinical tasks.
Authors: LaDonna K, Hatala R, Lingard L, Voyer S, Watling C.
Journal: Staging a performance: Learners’ perceptions about direct observation during residency. Medical Education. 2017 May;51(5):498-510.
Length: 23:35 min
Episode 132 – Can listening to trainees present a case provide info about their diagnostic reasoning ability?
In this episode: Linda's selection hails from a relatively unknown journal. The paper's author proposes that there is a link between the quality of case presentations (CP) by learners and the learner’s diagnostic reasoning (DR) ability.
Author: Onishi, H.
Journal: Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016 (3): 125-131.
Length: 18:30 min
Episode 131 – Systems Student or Social Worker? The mystery of the longitudinal integrated pre-clerkship
In this episode: This week's selection was a suggestion from Miguel Galán de Juana, one of our loyal listeners! For nearly 100 years, there have been calls from experts and other stakeholders to change medical education to incorporate “health systems science” (HSS). This push for HSS in health professions education is heating up, as multiple countries seek physicians who have new sets of skills and behaviours to improve the performance of health care systems and improve patient outcomes. Jason presents a qualitative study that sets out to identify “value-added roles for medical students within the health care delivery system” in Pennsylvania, USA.
Authors: Gonzalo JD, Graaf D, Johannes B, Blatt B, Wolpaw DR.
Journal: Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students. American Journal of Medical Quality. 2016 Apr 26. [Epub ahead of print]
Length: 24:32 min
Episode 130 – It’s NEVER better to burnout, than fade away…
In this episode: What are the effective solutions to prevent burnout and promote wellness for clinicians? Jon presents a systematic review that attempts to answer that problem. (All three hosts wanted to present this paper but Jon was the quickest to grab it!) His own specialty (Emergency Medicine) consistently ranks high in several studies on burnout.
Authors: Panagioti M, Efharis Panagopoulou E, Peter Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A.
Journal: Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine. 2016 Dec. [ePub ahead of print]
Length: 17:40 min
Episode 129 – Why do I Learn?
In this episode: Linda presents an article that summarizes five contemporary theories about motivation to learn, articulates key intersections and distinctions among these theories, and identifies important considerations for future research - the hosts agree all Clinician Educators in training should have this article on their bookshelf!
Authors: Cook DA, Artino AR Jr
Journal: Motivation to learn: an overview of contemporary theories. Medical Education. 2016. 50(10):997-1014.
Length: 23:30 min
Episode 128 – Pimping or enabling learning with Socratic teaching: a fine balance
In this episode: Linda reviews a commentary and literature synthesis that aims to characterize the theoretical foundations of the Socratic method in teaching, and contrast it with pimping by introducing the construct of “psychological safety".
Authors: Stoddard HA, O'Dell DV.
Journal: Would Socrates Have Actually Used the "Socratic Method" for Clinical Teaching? J Gen Intern Med. 2016 Sep;31(9):1092-6.
Length: 18:05 min
Episode 127 – Clinical Teaching: Does Size Matter?
In this episode: Jason has chosen today’s article to discuss how the ratio of teachers to learners is an important design factor.
Authors: Loewen PS, Gamble A, Legal M, Shah K, Tkachuk S, Zed PJ.
Journal: Learner-Preceptor Ratios for Practice-Based Learning Across Health Disciplines: A Systematic Review. Medical Education. 2016 Nov 23. [Epub ahead of print]
Length: 28:14 min
Episode 126 – Caveat Emptor. Free Online Resources: Good or Garbage?
In this episode: Jon’s chosen paper discusses the quality of blogs and podcasts used by residents - now that text books are in the process of becoming extinct.
Authors: Lin M, Joshi N, Grock A, Swaminathan A, Morley EJ, Branzetti J, Taira T, Ankel F, Yarris LM.
Journal: Approved Instructional Resources Series: A National Initiative to Identify Quality Emergency Medicine Blog and Podcast Content for Resident Education. J Grad Med Educ. 2016 May;8(2):219-25.
Length: 23:47 min
Episode 125 – SET up to fail: The Wars over Student Assessment of Teaching
In this episode: Jason rates this paper’s method section as a 5 because of the gargantuan effort involved, he also suggests we stop calling data ‘Teacher Evaluation’ and instead call it ‘Learner Satisfaction’.
Authors: Uttl B, White CA, Gonzalez DW
Journal: Meta-analysis of faculty's teaching effectiveness: Student evaluation of teaching ratings and student learning are not related. Studies in Educational Evaluation. 2016 Sept 19
Length: 27:15 min
Episode 124 – Reality check… How Clinical Competency Committees REALLY work
In this episode: Jon presents an important paper that one day could be known as the archeology of CBME.
Authors: Hauer KE, Chesluk B, Iobst W, Holmboe E, Baron RB, Boscardin CK, Cate OT, O'Sullivan PS.
Journal: Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment. Academic Medicine. 2015 Aug;90(8):1084-92.
Length: 18:07 min
Episode 123 – Help… my brain is full! How much can you remember in a handoff??
In this episode: Linda presents a ‘thought paper’ on the very complext task of Handover as the paper nicely combines educational theory and practical aspects. Linda believes it will win the ‘paper of the year’ award!
Authors: Young JQ1, Ten Cate O2, O'Sullivan PS3, Irby DM3.
Journal: Unpacking the Complexity of Patient Handoffs Through the Lens of Cognitive Load Theory. Teaching and Learning in Medicine. 2016;28(1):88-96.
Length: 28:00 min
Episode 122 – "Not everything that counts can be counted."
In this episode: Jon chose a commentary paper that discusses assessment by words not numbers.
Authors: Cook DA, Kuper A, Hatala R, Ginsburg S.
Journal: When Assessment Data Are Words: Validity Evidence for Qualitative Educational Assessments. JAcademic Medicine. 2016 Apr 5. [Epub ahead of print]
Length: 19:30 min
Episode 121 – I Can See CLER-ly Now, the Data Is Here
In this episode: Jason chose a rare paper on accreditation, it’s large in both number of pages and sample size and discusses the patterns found in US residency clinical learning.
Authors: Wagner R, Koh NJ, Patow C, Newton R, Casey BR, Weiss KB on behalf of the CLER Program*.
Journal: Detailed Findings from the CLER National Report of Findings 2016. Journal of Graduate Medical Education. 2016 May;8(2 Suppl 1):35-54.
Length: 22:15 min
Episode 120 – Some Assembly Required: How to Build A Program of Assessment
In this episode: KeyLIME LIVE guest co-host Eric J Warm selects a narative review by medical ‘Rock Star’ van der Vleuten on 12 Tips for programmatic assessment. If there’s one thing the audience can take away from the ICRE 2016 Jason R Frank says these tips should be it!
Authors: van der Vleuten CP, Schuwirth LW, Driessen EW, Govaerts MJ, Heeneman S.
Journal: 12 Tips for programmatic assessment. Medical Teacher. 2014 Nov 20:1-6. [Epub ahead of print]
Length: 25:52 min
Episode 119 – “Hello, My name is…” Definitions for Health Professions Education Scholars
In this episode: This podcast was recorded at ICRE 2016 Niagara Falls, Jon presents the first paper in the KeyLIME Live session which discusses the definitions relevant to a health professionals education scholarship.
Authors: Vleuten C, Hamstra SJ, Durning SJ.
Journal: Working Definitions of the Roles and an Organizational Structure in Health Professions Education Scholarship: Initiating an International Conversation. Academic Medicine. 2016 Aug 30. [Epub ahead of print]
Length: 21:52 min
Episode 118 – 19 Different Selection Techniques: from Graphology to Integrity
In this episode: Jason’s 2nd podcast in Sydney is selected by guest host Anthony Llewellyn which summarizes the selection techniques to find the right person for the right job.
Authors: Schmidt, F. John E. Hunter The Validity and Utility of Selection Methods in Personnel Psychology: Practical and Theoretical Implications of 85 Years of Research Findings. 1998.
Journal: Psychological Bulletin; 124(2):262-274.
Length: 34:55 min
onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards.
Episode 117 – Data from the field – what do the pediatric milestones reveal about readiness for independent practice?
In this episode: Jason’s in Sydney for the first of two KeyLIME podcasts from Down Under with two guest hosts Anthony Llewellyn and Mare-Louise Stokes to discuss a prospective cohort study on traning milestones.
Authors: Li ST, Tancredi DJ, Schwartz A, Guillot AP, Burke AE, Trimm RF, Guralnick S, Mahan JD, Gifford KA; Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN) Validity of Resident Self-Assessment Group.
Journal: Competent for Unsupervised Practice: Use of Pediatric Residency Training Milestones to Assess Readiness. Academic Medicine. 2016 Jul 26. [Epub ahead of print]
Length: 26:00 min
onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards.
Episode 116 – When is a clerkship not a clerkship?
In this episode: Linda reviews an article chosen by Medical Education. She calls it “When is a clerkship not a clerkship?”
Authors: Worley P, Couper I, Strasser R, Graves L, Cummings B-A, Woodman R, Stagg S, Hirsh D and the Consortium of Longitudinal Integrated Clerkships (CLIC).
Journal: A typology of longitudinal integrated clerkships. Medical Education. 2016. [epub ahead of print]
Length: 20:05 min
Episode 115 – Resident Duty Hours & Other Meded Time & Motion Disorders
In this episode: Jason presents a time and motion study of internal medicine residents duty hours.
Authors: Leafloor CW, Lochnan HA, Code C, Keely EJ, Rothwell DM, Forster AJ, Huang AR.
Journal: Time-motion studies of internal medicine residents' duty hours: a systematic review and meta-analysis. Adv Med Educ Pract. 2015. 17(6):621-9
Length: 18:15 min
Episode 114 – What does it mean to be 'competent' as a program director?
In this episode: Linda’s choice this week is a research paper that aims to develop an inventory of competencies for Program Directors. Jon agrees with Jason !!
Authors: Lieff SJ, Zaretsky A, Bandiera G, Imrie K, Spadafora S, Glover Takahashi S.
Journal: What do I do? Developing a competency inventory for postgraduate (residency) program directors. Medical Teacher. 2016 Apr 6:1-6. [Epub ahead of print]
Length: 24:51 min
Episode 113 – The FIRST Trial: Is all the effort of restricting resident duty hours worth all the effort?
In this episode: Jon’s longer that usual discussion is about Duty-Hour flexibility in surgical training.
Authors: Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD1, Stulberg JJ, Lewis FR.
Journal: National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. The New England Journal of Medicine. 2016 Feb;[ePub ahead of print]
Length: 30:35 min
Episode 112 – Who's The Boss? Freud & MedEd Specialty Choice
In this episode: Jason selected a paper on ‘why specialty choice is important’ to broaden your horizons, as it’s not his normal type of paper.
Authors: Lepièce B, Reynaert C, van Meerbeeck P, Dory V.
Journal: Title Social dominance theory and medical specialty choice. Advances in Health Sciences Education. 2016 Mar;21 (1):79-92
Length: 18:41 min
Episode 111 – What enables CE research? Mentoring for innovation in education and care
In this episode: Linda presents a editorial/commentary type of paper that she prefers to as ‘What enables CE research ?’
Authors: Blanchard RD, Visintainer PF, La Rochelle J.
Journal: Cultivating Medical Education Research Mentorship as a Pathway Towards High Quality Medical Education Research. Journal of General Internal Medicine. 2015 Sept;30 (9):1359-62
Length: 14:41 min
Episode 110 – How to figure out if your learner’s brain will explode while teaching them a procedure
In this episode: Jon Sherbino’s chosen article on cognitive overload asks ‘can you teach too much?’
Authors: Sewell JL, Boscardin CK, Young JQ, ten Cate O, O’Sullivan P.
Journal: Measuring cognitive load during procedural skills training with colonoscopy as an exemplar. Medical Education. 2016 Jun;[ePub ahead of print]
Length: 19:24 min
Episode 109 – Diagnosis: the Bias Emperor has no clothes
In this episode: Jason chose a paper that asks ‘Is bias in the eye of the beholder?’ Jon Sherbino is one of the authors !
Authors: Zwaan L, Monteiro S, Sherbino J, Ilgen J, Howey B, Norman G.
Journal: Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Quality and Safety. 2016 Jan;[ePub ahead of print]
Length: 21:45 min
Episode 108 – Why do that master’s degree in medical education?
In this episode: Linda’s title for this paper is, Why do a masters degree in Medical Education?
Authors: Sethi A, Schofield S, Ajjawi R, McAleer S.
Journal: How do postgraduate qualifications in medical education impact on health professionals?. Medical Teacher. 2016 Feb;38 2):162-7
Length: 16:00 min
Episode 107 – See one, do one…could it hurt one?
In this episode: Jon Sherbino discusses “see one, do one, teach one” and why this is not 21st Century methodology.
Authors: Sawyer T, White M, Zaveri P, Chang T, Ades A, French H, Anderson J, Auerbach M, Johnston L, Kessler D.
Journal: Learn, See, Practice, Prove, Do, Maintain: An Evidence-Based Pedagogical Framework for Procedural Skill Training in Medicine. Academic Medicine. 2015 Aug;90(8):1025-33
Length: 13:36 min
Episode 106 – An Education Purpose for Social Media?
In this episode: Linda Snells presents a paper on positive effects of social media for medical students.
Authors: Chretien KC, Tuck MG, Simon M, Singh LO, Kind T.
Journal: A Digital Ethnography of Medical Students who Use Twitter for Professional Development. Journal of General Internal Medicine. 2015 Nov;30(11):1673-80
Length: 22:20 min
Episode 105 – Feedback + #MedEd: A New Evidence-based Model
In this episode: Jon Sherbino presents a paper that looks beyond just feedback and provides a feedback model.
Authors: Sargeant J, Lockyer J, Mann K, Holmboe E, Silver I, Armson H, Driessen E, MacLeod T, Yen W, Ross K, Power M.
Journal: Facilitated Reflective Performance Feedback: Developing an Evidence- and Theory-Based Model That Builds Relationship, Explores Reactions and Content, and Coaches for Performance Change (R2C2). Academic Medicine. 2015 Jul; ePub ahead of print
Length: 16:12 min
Episode 104 – The Phantom Menace: Power, Culture, & Teaching Patient Safety
In this episode: Jason presents a paper hot off the press! This pre-publication from Medical Education discusses relationships between medical microculture and the willingness of residents to report adverse events.
Authors: Appelbaum NP, Dow A, Mazmanian PE, Jundt DK, Appelbaum EN.
Journal: The effect of power, leadership, and psychological safety on resident event reporting. Medical Education. 2016;[ePub ahead of print]
Length: 20:20 min
Episode 103 – Residency, Burnout, and the Poison of Loneliness
In this episode: Jason‘s selected paper sets out to examine the relationship between burnout, and loneliness or social newwork centricity.
Authors: Shapiro J, Zhang B, Warm EJ.
Journal: Residency as a Social Network: Burnout, Loneliness, and Social Network Centrality. Journal of Graduate Medical Education. 2015 Dec;7(4):617-23.
Length: 21:30 min
Episode 102 – Considering "Nonlinearity" across the Continuum in Med Ed Assessment
In this episode: Linda’s paper questions if competence is linear.
Authors: Durning SJ, Lubarsky S, Torre D, Dory V, Holmboe E.
Journal: Considering "Nonlinearity" Across the Continuum in Medical Education Assessment: Supporting Theory, Practice, and Future Research Directions. The Journal of Continuing Education in the Health Professions. 2015 Jul;35(3):232-43.
Length: 16:25 min
Episode 101 – Validity arguments: a practical guide
In this episode: Jon presents a paper that offers a counterpoint to a traditional understanding of validity.
Authors: Cook DA, Brydges R, Ginsburg S, Hatala R.
Journal: A contemporary approach to validity arguments: a practical guide to Kane’s framework. Medical Education. 2015 Jun;49 (6):560-75
Length: 18:15 min
Episode 100 – Transitions to Trust & the Psychology of Supervision
In this episode: Developing trust in trainees is the subject of todays article, chosen by Dr. Jason R. Frank.
Authors: Hauer KE, Oza SK, Kogan JR, Stankiewicz CA, Stenfors-Hayes T, Cate OT, Batt J, O’Sullivan PS.
Journal: How clinical supervisors develop trust in their trainees: a qualitative study. Medical Education. 2015 Aug;49 (8):783-95
Length: 20:55 min
Episode 99 – A qualitative study of academic careers in MedEd
In this episode: This podcast was recorded live at the ICRE 2015 in Vancouver with guest host Kevin Eva who presented this paper.
Authors: Bogetz Hu WCY, Thistlewaite JE, Weller J, Gallego G, Monteith J, McColl GJ.
Journal: ‘It was serendipity’: A qualitative study of academic careers in medical education. Medical Education 2015: 49: 1124–1136
Length: 21:15 min
Episode 98 – Training future healthcare professionals to provide effective chronic disease care – time to get serious
In this episode: Todays podcast was recorded LIVE at the ICRE, our guest host Eric Holmboe selected a paper on implementing educational interventions for chronic disease.
Authors: Bogetz JF, Rassbach CE, Bereknyei S, Mendoza FS, Sanders LM, Braddock CH III.
Journal: Training Health Care Professionals for 21st-Century Practice: A Systematic Review of Educational Interventions on Chronic Care. Academic Medicine. 2015 Jun [ePub ahead of print]:1-12
Length: 12:50 min
Episode 97 – Patient Perceptions of Successive Duty Hour Limits
In this episode: Linda Snell presents antoher duty hours paper but with a twist.
Authors: Arora M, Prochaska MT, Farnan JM, Meltzer DO.
Journal: Patient Perceptions of Whom is Most Involved in Their Care with Successive Duty Hour Limits. Journal of General Internal Medicine. 2015 Sept;30(9):1275-8.
Length: 15:50 min
Episode 96 – Clinical Teaching & Educational Imprinting Part 3
In this episode: Jason paper today continues the discussion of educational imprinting
Authors: Ryskina KL, Dine CJ, Kim EJ, Bishop TF, Epstein AJ.
Journal: Effect of Attending Practice Style on Generic Medication Prescribing. Journal of General Internal Medicine. 2015 Sept;30 (9):1286-1293
Length: 16:45 min
Episode 95 – When & why to dial 911 in the OR
In this episode: Jon presents an important paper regarding a complex issue.
Authors: Novick RJ,Lingard L, Cristancho, SM.
Journal: The Call, the Save, and the Threat: Understanding Expert Help-Seeking Behavior During Nonroutine Operative Scenarios. Journal of Surgical Education. 2015 Mar-Apr;72(2):302-9
Length: 16:20 min
Episode 94 – Are Milestones REALLY Good for Assessment? From this Paper, We Still Don't Know
In this episode: In today’s paper Jason discusses if milestones are good for assessment?
Authors: Bartlett KW, Whicker SA, Bookman J, Narayan AP, Staples, BB, Hering H, McGann KA.
Journal: Milestone-Based Assessments Are Superior to Likert-Type Assessments in Illustrating Trainee Progression. Journal of Graduate Medical Education. 2015 Mar;7 (1):75-80
Length: 22:50 min
Episode 93 – The All-Time “Best” in #MedEd
In this episode: Jon’s article for todays podcast tells you the best and most influential papers in the medical education field.
Authors: Azer SA.
Journal: The Top-Cited Articles in Medical Education: A Bibliometric Analysis. Academic Medicine. 2015 June [ePub ahead of print]:1-15
Length: 19:10 min
Episode 92 – Professional Identity Formation Process
In this episode: Linda presents good identity formation “Who you are” in todays podcast.
Authors: Green MJ.
Journal: Comics and medicine: peering into the process of professional identity formation. Academic Medicine. 2015 Jun;90 (6):774-9
Length: 18:33 min
Episode 91 – EPAs to Inform Decisions in a Residency Program
In this episode: Jon presents an early generation CBME implementation paper.
Authors: Schultz K, Griffiths J, Lacasse M.
Journal: The Application of Entrustable Professional Activities to Inform Competency Decisions in a Family Medicine Residency Program. Academic Medicine. 2015 Feb 23. [ePub ahead of print]
Length: 18:10 min
Episode 90 – The impact of adopting EHRs
In this episode: Linda presents a paper discussing the advantages and disadvantages of EHR becoming the norm.
Authors: Varpio L, Day K, Elliot-Miller P, King JW, Kuziemsky C, Parush A, Roffey T, Rashotte J.
Journal: The impact of adopting EHRs: how losing connectivity affects clinical reasoning. Medical Education. 2015 May;49(5):476-86
Length: 16:11 min
Episode 89 – 16 ways to Actually Teach Clinical Reasoning
In this episode: Jason presents todays paper which he calls - 16 ways to actually teach clinical reasoning.
Authors: Cutrer WB, Sullivan WM, Fleming AE.
Journal: Educational strategies for improving clinical reasoning. Current Problems in Pediatrics and Adolescent Health Care. 2013 Oct;43(9):248-57
Length: 27:45 min
Episode 88 – Practice does not make perfect
In this episode: Jon presents a paper that gets to the heart of the nature verses nurture debate.
Authors: Mosing MA, Madison G, Pedersen NL, Kuja-Halkola R, Ullén F.
Journal: Practice does not make perfect: no causal effect of music practice on music ability. Psychological Science. 2014 Sept; 25(9):1795-803
Length: 17:10 min
Episode 87 – Resident physicians' clinical training and error rate
In this episode: Linda’s article for this podcasts highlights the dual role of Residents – learners and workers.
Authors: Naveh E, Katz-Navon, T, Stern, Z.
Journal: Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Advances in Health Sciences Education: Theory and Practice. 2015 Mar; 20 (1): 59-71.
Length: 19:04 min
Episode 86 – Assessing learners. What’s better – checklists or global scores?
In this episode: Jon shares a paper comparing Checklists Vs Global rating scales. All 3 hosts give this paper 5 out of 5 for Methodology.
Authors: Ilgen JS, Ma IWY, Hatala R, Cook DA.
Journal: A systematic review of validity evidence for checklists versus global rating scales in simulation-based assessment. Medical Education, Feb 2015; 49(2): 161-73
Length: 19:05 min
Episode 85 – The Wars Over Student Assessment of Teaching
In this episode: Jason discusses what impacts the scores you give your teacher.
Authors: Spooren P, Brockx B, Mortelmans D.
Journal: On the Validity of Student Evaluation of Teaching: The State of the Art. Review of Educational Research. 2013 Dec; 83(4): 598-642.
Length: 19:25 min
Episode 84 – Pocket Sized Ultrasound
In this episode: Linda presents a fairly controversial paper.
Authors: Ojeda JC, Colbert JA, Lin X, McMahon GT, Doubilet PM, Benson CB, Wu J, Katz JT, Yialamas MA.
Journal: Pocket-sized ultrasound as an aid to physical diagnosis for internal medicine residents: a randomized trial. Journal of General Internal Medicine. 2015 Feb; 30(2):199-206.
Length: 17:15 min
Episode 83 – What is reflection?
In this episode: Jon discusses ‘Reflection’ — it’s never gone out of style although no standardized definition of it is available, does this study provide one?
Authors: Nguyen QD, Fernandez N, Karsenti T, Charlin B.
Journal: What is reflection? A conceptual analysis of major definitions and a proposal of a five-component model.Medical Education, Dec 2014, 48(12): 1176-89
Length: 16:55 min
Episode 82 – Educational Imprinting & the Geography of Destiny Part 2
In this episode: Jason Frank presents a paper on how your spending may be influenced by your residency training.
Authors: Chen C, Petterson S, Phillips R, Bazemore A, Mullan F.
Journal: Spending patterns in region of residency training and subsequent expenditures for care provided by practicing physicians for Medicare beneficiaries. JAMA 2014, 312 (22):2385-93
Length: 19:39 min
Episode 81 – Is bundling better?
In this episode: Linda’s title for today’s podcast is “ Is bundling better?”
Authors: Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP.
Journal: Rates of Medical Errors and Preventable Adverse Events Among Hospitalized Children Following Implementation of a Resident Handoff Bundle. JAMA, Dec 2013; 310 (21): 2262-70
Length: 19:22 min
Episode 80 – Educational Imprinting & the Geography of Destiny Part 1
In this episode: Jason presents a paper that suggests the geography of your training determines your future practice.
Authors: Asch DA, Nicholson S, Srinivas SK, Herrin J, Epstein AJ.
Journal: How Do You Deliver a Good Obstetrician? Outcome-Based Evaluation of Medical Education. Academic Medicine, Jan 2014; 89 (1):24-6
Length: 22:00 min
Episode 79 – Scholarship in the Digital Age
In this episode: Jon introduces a novel question in medical education scholarship that uses a novel platform of an open access digital journal.
Authors: Thoma B, Chan T, Benitez J, Lin M.
Journal: Educational Scholarship in the Digital Age: A Scoping Review and Analysis of Scholarly Products. The Winnower, 1:e141827.77297 (2014). DOI:10.15200/winn.141827.77297
Length: 19:50 min
Episode 78 – The more I see, the less I know for sure
In this episode: Linda Snell presents a paper that could be a contender for Paper of the Year.
Authors: Gingerich A, Kogan J, Yeates P, Govaerts M, Holmboe E.
Journal: Seeing the 'black box' differently: assessor cognition from three research perspectives, Medical Education (Nov 2014), 48 (11): 1055-68
Length: 22:12 min
Episode 77 – Can We Make a Better Handover? Can I-PASS the Test?
In this episode: Jason Frank asks, “Can I make a better handover and can I pass the test?” He presents this educational trial paper by Starmer et al.
Authors: Starmer AJ et al.
Journal: Changes in Medical Errors after Implementation of a Handoff Program, NEJM, 371 (19): 1803-12
Length: 28:00 min
Episode 76 – Less tired but less learning?
In this episode: Linda Snell presents a paper on duty hours and the perceptions of Program Directors.
Authors: Garg M, Drolet BC, Tammaro D, Fischer SA.
Journal: Resident duty hours: a survey of internal medicine program directors, Journal of General Internal Medicine, Oct 2014, 29 (10): 1349-54
Length: 21:33 min
Episode 75 – Chronometry in the learning of medical procedures
In this episode: Jon Sherbino presents an interesting paper on the measurement of time in learning medical procedures.
Authors: Pusic MV, Brydges R, Kessler D, Szyld D, Nachbar M, Kalet A.
Journal: What's your best time? Chronometry in the learning of medical procedures, Medical Education, May 2014, 48 (5): 479-88
Length: 12:23 min
Episode 74 – Web-based feedback after summative assessment
In this episode: KeyLIME Live is presented from The International Conference on Residency Education (ICRE) where the audience participated in discussion on - feedback after student assessment.
Authors: Harrison CJ, Könings KD, Molyneux A, Schuwirth LW, Wass V, van der Vleuten CP.
Journal: Web-based feedback after summative assessment: how do students engage? Medical Education, Jul 2013, 47(7): 734-44
Length: 29:43 min
Episode 73 – Trainee Assessment: Patient-care should be focal point
In this episode: Janet Bull (KeyLIME contest winner) chose and presents a paper live at the ICRE in Toronto. The paper is Reconceptualizing Variable Rater Assessments as Both an Educational and Clinical Care Problem.
Authors: Kogan JR, Conforti LN, Iobst WF, Holmboe ES
Journal: Academic Medicine 2014, 89 (5): 721-7
Length: 19:06 min
Episode 72 – Understanding how essential trust is in the workplace
In this episode: Jason Frank presents a Colossal paper that could be Paper of the Year. Understanding trust as an essential element of trainee supervision and learning in the workplace.
Authors: Hauer KE, ten Cate O, Boscardin C, Irby DM, Iobst, W, O’Sullivan PS.
Journal: Advances in Health Sciences Education (2014), 19 (3): 435-56
Length: 21:11 min
Episode 71 – Entrustment for resident assessment
In this episode: : Linda Snell leads the discussion on Entrustment and mapping of observable practice activities for resident assessment.
Authors: Warm EJ, Mathis BR, Held JD, Pai S, Tolentino J, Ashbrook L, Lee CK, Lee D, Wood S, Fichtenbaum CJ, Schauer D, Munyon R, Mueller C.
Journal: Journal of General Internal Medicine (Aug 2014), 29 (8): 1177-82
Length: 32:05 min
Episode 70 – Google Vs Evidence-Based Resources: Searching for Answers to Questions
Length: 18:13 min
Episode 69 –Licensing Examination Performance and the Outcomes of Care
In this episode: Jason Frank says this paper demonstrates important framing around Med Ed outcomes.
Authors: Norcini J, Boulet JR, Opalek A, Dauphinee WD.
Journal: The Relationship Between Licensing Examination Performance and the Outcomes of Care by International Medical School Graduates, Academic Medicine 2014, 89 (8): 1157-62
Length: 23:09 min
Episode 68 – Failure to fail: The institutional perspective
In this episode: Linda Snell presents a paper that may stimulate how you may think of your own institution.
Authors: Guerrasio J, Furfari KA, Rosenthal LD, Nogar CL, Wray KW, Aagaard EM.
Journal: Failure to fail: The institutional perspective. Medical Teacher 2014. [ePub ahead of print]: 1-5
Length: 17:10 min
Episode 67 – Is There Evidence for the Use of Workplace-Based Assessment in Surgical Training?
In this episode: Jon Sherbino discusses a paper from the Journal of Surgical Education.
Authors: Shalhoub J, Vesey AT, Fitzgerald JEF
Journal: What Evidence is There for the Use of Workplace-Based Assessment in Surgical Training?, Journal of Surgical Education, (14): 1-10
Length: 16:43 min
Episode 66 – Competency based training is a framework for incompetence
In this episode: Jason Frank presents a paper that can be used as a springboard for a couple of important conversations.
Authors: Glass J.
Journal: Competency based training is a framework for incompetence. BMJ 2014, 348
Length: 16:17 min
Episode 65 – Feasibility of Exam Room vs Conference Room Teaching
In this episode: Linda presents a paper that discussed a RCT in Medical Education.
Authors: Madson L, Rosenbaum M, Kreiter C, Lynch A, Witt A.
Journal: A Randomized Controlled Trial Assessing the Feasibility of Examination Room Versus Conference Room Teaching in a Psychiatric Setting. Teaching and Learning in Medicine 2014, 26 (1): 40-8
Length: 17:54 min
Episode 64 – Developing the role of data and analytics in health education
In this episode: Jon Sherbino discusses the opportunities and pitfalls of big data in a commentary paper.
Authors: Ellaway RH; Pusic MC; Galbraith RM; Cameron T.
Journal: Developing the role of big data and analytics in health professional education. Medical Teacher, 2014, 36 (3): 216-22
Length: 15:32 min
Episode 63 – Narrative Descriptions for Clinical Performance in the US
In this episode: Linda Snell discusses why narrative descriptions should replace grades for medical education.
Authors: Hanson JL, Rosenberg AA, Lane JL.
Journal: Narrative descriptions should replace grades and numerical ratings for clinical performance in medical education in the United States. Frontiers in Psychology, 4:1-10
Length: 23:55 min
Episode 62 – Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores
In this episode: Jon Sherbino presents a paper on the 2003 duty hours reform.
Authors: Silber JH, Romano PS, Itani KMF, Rosen AK, Small D, Lipner RS, Bosk CL, Wang Y, Halenar MJ, Korovaichuk S, Even-Shoshan O, Volpp KG.
Journal: Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores, Academic Medicine 2014. 89 (4): 1-8
Length: 16:19 min
Episode 61 – Making sense of differences through Bourdieu's concept of 'field'
In this episode: Jason presents a paper that explores and compares Med Ed institutions that studies are set in.
Authors: Brosnan C1.
Journal: Making sense of differences between medical schools through Bourdieu's concept of 'field'. Medical Education, 44 (7): 645-52
Length: 16:11 min
Episode 60 – Determining Resident Clinical Performance
In this episode: Linda Snell presents a single author paper that continues with the current assessment theme. Assessment is key to measuring performance in the clinical context.
Authors: Baker K1.
Journal: Determining resident clinical performance: getting beyond the noise. Anesthesiology 2011, 115 (4): 862-78
Length: 20:35 min
Episode 59 – Mechanisms That Contribute to Assessor Differences in Performance Assessments
In this episode: John Sherbino discusses the internal monolog observers have that lead them to look and pay attention to different elements of a learners behavior compared to someone else.
Authors: Yeates, P; O’Neill, P; Mann, K; Eva, K.
Journal: Seeing the same thing differently: Mechanisms that contribute to assessor differences in directly-observed performance assessments, Advances in health Sciences Education, 18 (3): 325-41
Length: 20:00 min
Episode 58 – Longitudinal Integrated Clerkships and Entrustable Professional Activities
In this episode: Linda Snell selected an article that’s a good model of a commentary paper.
Authors: Hirsh, DA; Holmboe, ES; ten Cate, O.
Journal: Time to Trust: Longitudinal Integrated Clerkships and Entrustable Professional Activities. Academic Medicine 89 (2): 201-4
Length: 22:48 min
Episode 57 – The Effect of Clinical Supervision on Patient and Residency Education Outcomes
In this episode: Jon Sherbino discusses an article that’s worthwhile having in your library.
Authors: Farnan, JM; Petty, LA; Georgitis, E; Martin, S; Chiu, E; Prochaska, M; Arora, VM.
Journal: A Systematic Review: The Effect of Clinical Supervision on Patient and Residency Education Outcomes, Academic Medicine 87 (4): 428-42
Length: 19:33 min
Episode 56 – Complication Rates Post Laparoscopic Gastric Bypass
In this episode: Jason Frank discusses a paper that asks important questions on how education changes patient outcomes.
Authors: Krell, KR; Birkmeyer, NJ; Reames, BN; Carlin, AM; Birkmeyer, JD; Finks, JF.
Journal: The Michigan Bariatric Surgery Collaborative. Effects of Resident Involvement on Complication Rates after Laparoscopic Gastric Bypass. Journal of The American College of Surgeons. [ePub ahead of print]: 1-8.
Length: 14:49 min
Episode 55 – General Surgery Residency Inadequately Prepares Trainees for Fellowship
In this episode: Linda Snell discusses the source paper that she first saw as an article in the New York Times (health section) on unprepared surgeons.
Authors: Mattar, SG; Alseidi, AA; Jones, DB; Jeyarajah, DR; Swanstrom, LL; Aye, RW; Wexner, SD; Martinez, JM; Ross, SB; Awad, MM; Franklin, ME; Arregui, ME; Schirmer, BD; Minter, RM
Journal: General Surgery Residency Inadequately Prepares Trainees for Fellowship: Results of a Survey of Fellowship Program Directors. Annals of Surgery, 258(3): 440-9.
Length: 20:58 min
Episode 54 – Team Trust - Team Effectiveness Relationship
In this episode: Jon Sherbino’s selected paper discuses how perception of a team’s cohesiveness can change your trust in them.
Authors: DeOrtentiis, PS; Summers, JK; Ammeter, AP; Douglas, C; Ferris, GR.
Journal: Cohesion and satisfaction as mediators of the team trust – team effectiveness relationship: An interdependence theory perspective. Career Development International 18(5):521-43.
Length: 15:54 min
Episode 53 – Composite reliability of a workplace-based assessment toolbox for postgraduate medical education
In this episode: "It's all about assessment in residency education" Linda Snell presents this paper - Composite reliability of a workplace-based assessment toolbox for postgraduate medical education
Authors: Moonen-van Loon, J.M.; Overeem, K.; Donkers, H.H.; van der Vleuten, C.P.; Driessen, E.W.
Journal: Advances in health Sciences Education. 2013; 18(5):1087-102.
Length: 19:11 min
Episode 52 – The CanMEDS framework: relevant but not quite the whole story
In this episode: Jason Frank describes this paper as an example of a systematic needs assessment.
Authors: Van der Lee, N.; Fokkema, J.P.; Westerman, M.; Driessen, E.W.; van der Vleuten, C.P.; Scherpbier, A.J.; Scheele, F.
Journal: Medical Teacher 2013; 35(11):949-55.
Length: 14:08 min
Episode 51 – Do Learners Really Know Best? Urban Legends in Education
In this episode: Jon Sherbino discusses an article he couldn’t put down. It blows up decades of myths around learning styles.
Authors: Kirschner, P.A.; van Merrienboer, J.J.G.
Journal: Educational Psychologist; 2013 48(3):169-83
Length: 19:20 min
Episode 50 – Explaining how faculty members act upon residents’ feedback to improve their teaching performance
In this episode: Linda Snell discusses how residents’ feedback is used for teaching performance.
Authors: van der Leeuw, R.M.; Slootweg, I.A.; Heineman, M.J.; Lombarts, K.M.
Journal: Medical Education; 41(11):1089-98
Length: 15:51 min
Episode 49 - Effect of Exposure to Good vs. Poor Medical Trainee Performance on Attending Physician Ratings of Subsequent Performances
In this episode: Jon Sherbino discussed a paper from 2012 JAMA Special Edition. This paper received 3 thumbs up for both Methods and Impact!
Authors: Yeates, P.; O'Neill, P.; Mann, K.; Eva, K.W.
Journal: JAMA; 308(21):2226-32
Length: 11:01 min
Episode 48 – Surgical skill and complication rates after bariatric surgery
In this episode: Jason Frank pitches a paper that he thinks is a good candidate for KeyLIMES paper of the year and it’s what every Clinical Educator needs to know.
Authors: Birkmeyer, J.D.; Finks, J.F.; O'Reilly, A.; Oerline, M.; Carlin, A.M.; Nunn, A.R.; Dimick, J.; Banerjee, M.; Bikrmeyer, N.J.; Michigan Bariatric Surgery Collaborative
Journal: New England Journal of Medicine; 369(15): 1434-42
Length: 13:12 min
Episode 47 – Social network diagnostics: a tool for monitoring group interventions
In this episode: Jason R Frank discusses a paper from an open access journal. Social network diagnostics: a tool for monitoring group interventions.
Authors: Gesell, S.B.; Barkin, S.L.; Valente, T.W.
Journal: Implementation Science; 2013; 8(1): 116
Length: 12:45 min
Episode 46 – Assessment in the post-psychometric era: Learning to love the subjective and collective
In this episode: Jon Sherbino presents Assessment in the post-psychometric era: Learning to love the subjective and collective.
Author: Hodges, B.
Journal: Medical Teacher; 35(7):564-68
Length: 14:43 min
Episode 45 – Does the think-aloud protocol reflect thinking? Exploring functional neuroimaging differences with thinking (answering multiple choice questions) versus thinking aloud
In this episode: Linda discusses if the think-aloud protocol reflects thinking.
Authors: Durning, S.J.; Artino, A.R.Jr.; Beckman, T.J.; Graner, J.; van der Vleuten, C.; Holmboe, E.; Schuwirth, L.
Journal: Medical Teacher; 2013; 35: 720–726
Length: 16:07 min
Episode 44 – Technology-Enhanced Simulation to Assess Health Professionals: A Systematic Review of Validity Evidence, Research Methods, and Reporting Quality
In this episode: Jon Sherbino says the Methods of this paper are exemplary, and if you want to know how to do a systematic review for Med Ed pick this up.
Authors: Cook, D.A.; Brydges, R.; Zendejas, B.; Hamstra, S.J.; Hatala, R.
Journal: Academic Medicine; 88(6):872-83
Length: 18:01 min
Episode 43 - Attributes of residents as teachers and role models – A mixed methods study of stakeholders
In this episode: Linda Snell presents a paper that looks at an evaluation tool for measuring residents as educators.
Authors: Butani, L; Paterniti, D; Tancredi, D; Li, ST.
Journal: Medical Teacher; 2012 Nov 8
Length: 16:36 min
Episode 42 - The design and utility of institutional teaching awards: A literature review
In this episode: Jason Frank discusses a paper on Teaching Awards in Institutions.
Authors: Huggett, K.N.; Greenberg, R.B.; Rao, D.; Richards, B.; Chauvin, S.W.; Fulton, T.B.; Kalishman, S.; Littlefield, J.; Perkowski, L.; Robins, L.; Simpson, D.
Journal: Medical Teacher; 34 (11):907-19
Length: 14:31 min
Episode 41 - The overall impact of testing on medical student learning: quantitative estimation of consequential validity
In this episode: Jonathan presents a paper that essentially looks at the idea of testing.
Authors: Kreiter, C.D.; Green, J.; Lenoch, S.; Saiki, T.
Journal: Advances in Health Sciences Education; Epub (ahead of print):1-10.
Length: 16:45 min
Episode 40 - Have Motivation Theories Guided the Development and Reform of Medical Education Curricula? A Review of the Literature
In this episode: Linda’s paper this week is "Have Motivation Theories Guided the Development and Reform of Medical Education Curricula? A review of the Literature"
Authors: Kusurkar, R.A.; Croiset, G.; Mann, K.V.; Custers, E.; ten Cate, O.
Journal: Academic Medicine; 87(6):735-743
Length: 22:01 min
Episode 39 - Can simulation replace part of clinical time? Two parallel randomised controlled trials
In this episode: Linda discusses a paper that asks Can simulation replace part of clinical time?
Authors: Watson, K.; Wright, A.; Morris, N.; McMeeken, J.; Rivett, D.; Blackstock, F.; Jones, A.; Haines, T.; O'Connor, V.; Watson, G.; Peterson, R.; Jull, G.
Journal: Medical Education; 2012 May 30 [Epub ahead of print]
Length: 16:51 min
Episode 38 - Factors that might undermine the validity of patient and multi-source feedback
In this episode: This is a note worthy paper presented by Jason Frank on Multi-source feedback, it could change your narrative on the topic, and it's a paper that Clinician Educators should have in their library.
Authors: Archer, J.; McAvoy, P.
Journal: Medical Education; 45 (9): 886-893
Length: 18:55 min
Episode 37 - Student perspectives on assessment: experience in a competency-based portfolio system
In this episode: Linda Snell discusses 'Student perspectives on assessment: experience in a competency-based portfolio system'
Authors: Altahawi, F.; Sisk, B.; Poloskey, S.; Hicks, C.; Dannefer, E.
Journal: Medical Teacher; 34(3):221-5
Length: 17:47 min
Episode 36 - The Impact of an Objective Structured Teaching Evaluation on Faculty Teaching Skills
In this episode: Linda Snell present a paper on OSTE's used for faculty development.
Authors: Julian, K.; Appelle, N.; O'Sullivan, P.; Morrizon, E.H.; Wamsley, M.
Journal: Teaching and Learning in Medicine; 24(1):3-7
Length: 18:15 min
Episode 35 - The dual nature of medical enculturation in postgraduate medical training and practice
In this episode: Linda discusses a reflections paper, which could be useful for Clinical Educators.
Authors: Gordon, J.; Markham, P.; Lipworth, W.; Kerridge, I.; Little, M.
Journal: Medical Education; 2012 Sept; 46(9):894–902
Length: 16:59 min
Episode 34 - Using marketing research concepts to investigate specialty selection by medical students
In this episode: Linda presents a paper on Market research. Using marketing research concepts to investigate specialty selection by medical students.
Authors: Weissman, C.; Schroeder, J.; Elchalal, U.; Weiss, Y.; Tandeter, H.; Zisk-Rony, R.Y.
Journal: Medical Education; 2012 Oct;46(10):974–982
Length: 14:17 min
Episode 33 - Tensions in Informed Self-Assessment: How the Desire for Feedback and Reticence to Collect and Use It Can Conflict
In this episode: Jon Sherbino presents a paper that explores conflicts in external feedback for self-assessment.
Authors: Mann, K.; van der Vleuten, C.; Eva, K.; Armson, H.; Chesluk, B.; Dornan, T.; Holmboe, E.; Lockyer, J.; Loney, E.; Sargeant, J.
Journal: Academic Medicine; 2011; 86:1120–1127
Length: 18:34 min
Episode 32 - The Ottawa Surgical Competency Operating Room Evaluation (O-SCORE): A Tool to Assess Surgical Competence
In this episode: Jon Sherbino discusses Global Assessment and closing the gap between volume and competence in the paper “The Ottawa Surgical Competency Operating Room Evaluation (O-Score)”
Authors: Gofton, W.T.; Dudek, N.L.; Wood, T.J.; Balaa, F.; Hamstra, S.J.
Journal: Academic Medicine; 2012 Aug 21. [Epub ahead of print]
Length: 15:42 min
Episode 31 - Competency Is Not Enough: Integrating Identity Formation Into the Medical Education Discourse
In this episode: Linda’s chosen paper today’s a review and titled “Competency is not enough”
Authors: Jarvis-Selinger, S.; Pratt, D.D.; Regehr, G.
Journal: Academic Medicine; 2012; 87 (9): 1-6
Length: 20:22 min
Episode 30 - Surgery 101: Evaluating the use of podcasting in a general surgery clerkship
In this episode: The hosts of KeyLIME discuss how podcasts were evaluated for core teaching over a six week period to undergrad general surgery clerkship.
Authors: White, J.; Sharma, N.; Boora, P.
Journal: Medical Teacher; 33(11):941-3
Length: 14:31 min
Episode 29 - A Proposed Model for an Optimal Mentoring Environment for Medical Residents: A Literature Review
In this episode: A guest host Ming-Ka Chan will present - A Proposed Model for an Optimal Mentoring Environment for Medical Residents: A Literature Review.
Authors: Davis, O.; Nakamura, J.
Journal: Academic Medicine, 85(6):1060-6
Length: 12:37 min
Episode 28 - A systematic review of the reliability of objective structured clinical examination scores
In this episode: Jon Sherbino discussed the reliability of OSCE’s and how many front line teachers seem to regard it as a gold standard because of its ubiquitous presence in UG med ed.
Authors: Brannick, M.; Erol-Korkmaz, H.; Prewett, M.
Journal: Medical Education; 45(12):1181-9
Length: 14:22 min
Episode 27 - Toward Hypothesis-Driven Medical Education Research: Task Force Report from the Millennium Conference 2007 on Educational Research
In this episode: This podcast isn’t the typical KeyLIME review as it’s a report driven from a conference. Linda Snell presents the paper by Fincher RM et al titled: Toward Hypothesis-Driven Medical Education Research: Task Force Report from the Millennium Conference 2007 on Educational Research.
Authors: Fincher, R.; White, C.B.; Huang, G.; Schwartzstein, R.
Journal: Academic Medicine; 2010;85(5):821-8
Length: 18:58 min
Episode 26 - To Think Is Good: Querying an Initial Hypothesis Reduces Diagnostic Error in Medical Students
In this episode: Jon and the KeyLIME co-hosts debate the 2 systems for reducing diagnostic errors in Med Students. The paper is To Think Is Good: Querying an Initial Hypothesis Reduces Diagnostic Error in Medical Students
Authors: Coderre, S.; Wright, B.; McLaughlin, K.
Journal: Academic Medicine; Vol.85, No.7/July 2010
Length: 16:12 min
Episode 25 - The Physical Exam and Other Forms of Fiction
In this episode: The Physical Exam and other forms of Fiction.
Authors: Kugler, J.; Verghese, A.
Journal: Journal of General Internal Medicine; 25(8):756-7
Length: 14:24 min
Episode 24 - Medical schools viewed from a political perspective: how political skills can improve education leadership
In this episode: Jason Frank presents “Medical schools viewed from a political perspective: how political skills can improve education leadership”.
Authors: Nordquist, J.; Grigsby, R.
Journal: Medical Education; December 2012
Length: 9:10 min
Episode 23 - Technology-Enhanced Simulation for Health Professions Education A Systematic Review and Meta-analysis
In this episode: The hosts discuss Technology-Enhanced Simulation for Health Professions Education, A systematic review and Meta-analysis. If you are looking for a methodological approach to how to do a systematic review – this paper is for you!
Authors: Cook, D.; Hatala, R.; Brydges, R.; Zendejas, B.; Szostek, J.; Wang, A.; Erwin, P.; Hamstra, S.
Journal: Journal of the American Medical Association; Sep 7 2011
Length: 19:38 min
Episode 22 - Handoffs in the Era of Duty Hours Reform: A Focused Review and Strategy to Address Changes in the Accreditation Council for Graduate Medical Education Common Program Requirements
In this episode: The hosts of KeyLIME discuss “Hand offs in the Era of duty hours”, Academic Medicine. 87(4): 403-10. The article has 12 authors (all but 2 are trainers) and offers a number of suggestions on the transition of care - where errors are of great interest.
Authors: DiRienzo, C.M.; Frush, K.; Barfield, M.E.; Gopwani, P.R.; Griffith, B.C.; Jiang, X.S.; Mehta, A.I.; Papavassiliou, P.; Rialon, K.L.; Stephany, A.M.; Zhang, T.; Andolsek, K.M.
Journal: Academic Medicine. 87(4): 403-10
Length: 15:26 min
Episode 21 - A Systematic Review: The Effect of Clinical Supervision on Patient and Residency Education Outcomes
In this episode: Linda Snell leads the discussion on a paper she believes could be the best paper of the year, it a hot topic and the article is: A Systematic Review: The Effect of Clinical Supervision on Patient and Residency Education Outcomes, Academic Medicine.
Authors: Farnan, J.M.; Petty, L.A.; Georgitis, E.; Martin, S.; Chiu, E.; Prochaska, M.; Arora,V.M.
Journal: Academic Medicine; April 2012
Length: 13:26 min
Episode 20 - Improving Resident Education and Patient Safety: A Method to Balance Initial Caseloads at Academic Year-End Transfer
In this episode: Improving Resident Education and Patient Safety: A Method to Balance Initial Caseloads at Academic Year-End Transfer
Authors: Young, J.Q.; Niehaus, B.; Lieu, S.C.; O'Sullivan, P.S.
Journal: Academic Medicine; September 2010
Length: 10:03 min
Episode 19 - Virtual patient simulation for learning and assessment: Superior results in comparison with regular course exams
In this episode: Anna Oswald discusses: Virtual Patient simulation for learning and assessment: Superior results in comparison with regular course exams from Medical Teacher.
Authors: Botezatu, M.; Hult, H.; Tessma, M.; Fors, U.
Journal: Medical Teacher; October 2010
Length: 18:00 min
Episode 18 - Reasons reviewers reject and accept manuscripts: the strengths and weaknesses in medical education reports
In this episode: In the last episode recorded in Riyadh, Jason explores “Reasons reviewers reject and accept manuscripts: The strengths and weaknesses in medical education reports” by Bordage from Academic Medicine.
Author: Bordage, G.
Journal: Academic Medicine; September 2001
Length: 9:05 min
Episode 17 - Educational Epidemiology: Applying Population-Based Design and Analytic Approaches to Study Medical Education and Getting Off the ‘‘Gold Standard’’: Randomized Controlled Trials and Education Research
In this episode: Two articles for the price of one! Linda discusses “Educational Epidemiology: Applying Population-Based Design and Analytic Approaches to Study Medical Education” By Carney et al, published in JAMA and “Getting Off the ‘‘Gold Standard’’: Randomized Controlled Trials and Education Research” by Sullivan published in JGME. Both papers discuss how randomized controlled trials are not necessarily the way to improve the quality of medical education studies.
Authors: Article 1: Carney, P.A.; Nierenberg, D.W.; Pipas, C.F., Brooks, W.B., Stukel, T.A.;, Keller A.M.; Article 2: Sullivan, G.
Journal: JAMA; September 2004 and Journal of Graduate Medical Education; September 2011
Length: 10:06 min
Episode 16 - Work hours and caseload as predictors of physician burnout
In this episode: Jason makes everyone’s brain melt with “Work hours and caseload as predictors of physician burnout” by Shirom et al from Applied Psychology.
Authors: Shirom, A.; Nirel, N.; Vinokur, A.
Journal: Applied Psychology; October 2010
Length: 10:04 min
Episode 15 - Toward authentic clinical evaluation: Pitfalls in the pursuit of competency
In this episode: Jason presents the paper “Toward authentic clinical evaluation: Pitfalls in the pursuit of competency” by Ginsberg et al from Academic Medicine.
Authors: Ginsburg, S.; McIlroy, J.; Oulanova, O.; Eva, K.; Regehr, G.
Journal: Academic Medicine; May 2010
Length: 10:30 min
Episode 14 - Can we predict problem residents?
In this episode: Jason looks for the answer to the question “Can we predict problem residents?” by Brenner et al from Academic Medicine.
Authors: Brenner, A.M.; Mathai, S.; Jain, S.; Mohl, P.C.
Journal: Academic Medicine; July 2010
Length: 9:50 min
Episode 13 - Presentations with an explicit outline are recalled better than ones without: A randomized controlled trial
In this episode: Jon discusses “Presentations with an explicit outline are recalled better than ones without: A randomized controlled trial” from Medical Teacher and written by Puhan et al.
Authors: Puhan, A.; Khan, K.S.; Steurer, J.
Journal: Academic Medicine; July 2010
Length: 7:55 min
Episode 12 - Successful Self-Directed Lifelong Learning in Medicine: A Conceptual Model Derived from Qualitative Analysis of a National Survey of Paediatric Resident
In this episode: Jason uses this week’s article to show that, contrary to popular belief, you can teach successful Lifelong Learning skills to residents.
Authors: Li, S.; Paterniti, D.A.; Co, J.P.T.; West, D.C.
Journal: Academic Medicine; July 2010
Length: 12:40 min
Episode 11 - Introducing competency-based postgraduate medical training: gains and losses
In this episode: Linda and her co-hosts explain why you can’t always judge an article by its title in “Introducing competency-based postgraduate medical training: gains and losses”, by Kjaer et al. and published in The International Journal of Medical Education.
Author: Kjaer, N.
Journal: International Journal of Medical Education; October 2011
Length: 9:57 min
Episode 10 - Retrieval Practice Produces More Learning than Elaborative Studying with Concept Mapping
In this episode: Jon lets us know how well Karpicke et al support their title’s declaration in “Retrieval Practice Produces More Learning than Elaborative Studying with Concept Mapping”, published in Science.
Authors: Karpicke, J.D.; Blunt, J.R.
Journal: Science; January 2011
Length: 11:05 min
Episode 9 - Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index
In this episode: Jason discusses “Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index” by Byrne et al from Academic Medicine.
Authors: Byrne, J.M.; Kashner, M.; Gilman, S.C.; Aron, D.C.; Cannon, G.W.; Chang, B.K.; Godleski, L.; Golden, R.M.; Henley, S.S.; Holland, G.J.; Kaminetzky, C.P.; Keitz, S.A.; Kirsh, S.; Muchmore, E.A.; Wicker, A.B.
Journal: Academic Medicine; July 2010
Length: 15:20 min
Episode 8 - When do supervising physicians decide to entrust residents with unsupervised tasks?
In this episode: Linda looks to answer the question from the article “When do supervising physicians decide to entrust residents with unsupervised tasks?” by Sterkenburg et al from Academic Medicine.
Authors: Sterkenberg, A.; Barach, P.; Kalkman, C.; Gielen, M.; ten Cate, O.
Journal: Academic Medicine; September 2010
Length: 22:18 min
Episode 7 - Promoting Residents' Professional Development and Academic Productivity Using a Structured Faculty Mentoring Program
In this episode: Jon presents “Promoting Residents' Professional Development and Academic Productivity Using a Structured Faculty Mentoring Program”, a research paper by Ogunyemi et al from Teaching and Learning in Medicine
Authors: Ogunyemi, D.; Solnik, M.J.; Alexander, C.; Fong, A.; Azziz, R.
Journal: Teaching and Learning in Medicine; April 2010
Length: 12:29 min
Episode 6 - Development of a student rating scale to evaluate teachers’ competencies for facilitating reflective learning
In this episode: Linda is won over by some of the ideas presented in “Development of a student rating scale to evaluate teachers’ competencies for facilitating reflective learning” by de Jong et al, in Medical Education.
Authors: Schaub-de Jong, M.A.; Schönrock-Adema, J.; Dekker, H.; Verkerk, M.; Cohen-Schotanus, J.
Journal: Medical Education; February 2011
Length: 13:17 min
Episode 5 - Competency-based Medical Education: Theory to practice
In this episode: Jon discusses “Competency-based Medical Education: Theory to practice” from Medical Teacher which the hosts either wrote or contributed to and certainly don’t have ulterior motives when they claim it is the best publication of 2010.
Authors: Frank, J.; Snell, L.; ten Cate, O.; Holmboe, E.; Carraccio, C.; Swing, S.; Harris, P.; Glasgow, N.; Campbell, Craig; Dath, D.; Harden, R.M.; Iobst, W.; Long, D.; Mungroo, R.; Richardson, D.; Sherbino, J.; Silver, I.; Taber, S.; Talbot, M.; Harris, K.A.
Journal: Medical Teacher; August 2010
Length: 8:09 min
Episode 4 - The ACGME Toolbox: Half empty or half full?
In this episode: Jon presents the editorial “The ACGME Toolbox: Half empty or half full?” by Green and Holmboe from Academic Medicine.
Authors: Green, M.L.; Holmboe, E.
Journal: Academic Medicine; May 2010
Length: 10:05 min
Episode 3 - Using direct observation, formal evaluation and an interactive curriculum to improve the sign-out practices of internal medicine interns
In this episode: Linda presents the paper “Using direct observation, formal evaluation and an interactive curriculum to improve the sign-out practices of internal medicine interns” by Gekhar and Spencer from Academic Medicine.
Authors: Gakhar, B.; Spencer, A.L.
Journal: Academic Medicine; July 2010
Length: 10:58 min
Episode 2 - To the point: Medical education reviews – providing feedback
In this episode: Linda lets us know how well they achieve their objectives in “To the point: Medical education reviews – providing feedback” by Bienstock et al, from the American Journal of Obstetrics and Gynecology.
Authors: Bienstock, J.L.; Cox, S.M.; Hueppchen, N.; Erickson, S.; Puscheck, E.E.; Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee
Journal: American Journal of Obstetrics and Gynecology; June 2007
Length: 11:17 min
Episode 1 - Assessing the quality of clinical teachers
In this episode: The first episode of Key Literature in Medical Education was recorded by Jason, Linda and Jonathan while in Riyadh during the Saudi Arabia conference on Residency Education. Jonathan kicks off the podcast by looking at “Assessing the quality of clinical teachers” by Fluit et al, from the Journal of General Internal Medicine.
Authors: Fluit, C.R.M.G.; Bolhuis, S.; Grol, R.; Laan, R.F.J.M.; Wensing, M.
Journal: Journal of General Internal Medicine; December 2010
Length: 13:49 min