Objectives: Most of the literature on micro- and macro-aggressions from the perspectives of physicians and learners derives almost exclusively from surveys and focus groups. A more thorough understanding of individual perspectives is necessary to further advance this subject. The objective of this study was to explore physicians’ and physician trainees’…
Physician burnout, deficit, and scope of practice – these terms have become all too familiar when discussing the state of health care in 2023. The physician deficit in the US is increasing at an historic rate, leading to financial, mental, medical, and even legal strain on the very institutions and…
Objectives: Since the inception of the coronavirus disease 2019 (COVID-19) pandemic, the United States has been the leader in cases and deaths. Healthcare workers treating these severely ill patients are at risk of many deleterious consequences. Residents, in particular, may be affected by physical as well as psychological consequences. Because…
Objective: For resident wellness, it is important to understand and discern the relative contributions of each factor to resident stress. Methods: After institutional review board approval, a 20-question survey instrument was provided to 90 residents across four specialties (Internal Medicine, Emergency Medicine, General Surgery, and Orthopedic Surgery) at a university-affiliated…
Objectives: Physicians in training may be particularly vulnerable to the negative effects of discrimination and inappropriate behaviors by patients. We sought to determine the frequency of inappropriate behaviors by patients toward Internal Medicine (IM) residents, residents’ confidence to manage the behaviors, and differences among demographic characteristics, including race, sex, and…
Objectives: To describe associations between resident level of training, timing of medication orders, and the types of inpatient medication ordering errors made by internal medicine residents. Methods: This study reviewed all inpatient medication orders placed by internal medicine residents at a tertiary care academic medical center from July 2011 to…
Objectives: Explore the performance patterns of invasive bedside procedures at an academic medical center, evaluate whether patient characteristics predict referral, and examine procedure outcomes. Methods: This was a prospective, observational, and retrospective chart review of adults admitted to a general medicine service who had a paracentesis, thoracentesis, or lumbar puncture…
Objectives: In this new era of educational milestones and entrustable professional activities, residency programs have recognized the need to directly observe resident performance. In fact, there is little information about how often residents are observed, what procedures they perform early in training, and whether they receive feedback. Previous publications have…
Objectives: Numerous national groups recognize that healthcare providers should be trained to care for patients with special healthcare needs who are transitioning from pediatric to adult health care, yet there is little emphasis on this training in most residency programs. The survey discussed here assessed resident preferences for a curriculum…
Objective: To determine the prevalence of burnout in residents in obstetrics and gynecology through the use of a validated tool. Methods: The Maslach Burnout Inventory Human Services questionnaire is a previously validated tool that measures burnout. Obstetrics and gynecology residents from Texas were invited to participate in this study in…
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