A guest column by the American College of Physicians, exclusive to KevinMD.com. by Steven Weinberger, MD, FACP Since the Accreditation Council for Graduate Medical Education (ACGME) instituted its Outcome Project approximately 10 years ago, residency training programs have progressively focused on how well their residents have acquired knowledge, skills and attitudes in six broad domains. These “general competencies” include medical knowledge, patient ...

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A guest column by the American Board of Internal Medicine, exclusive to KevinMD.com. The debate about recertification recently in the New England Journal of Medicine and highlighted earlier this week on KevinMD.com and in an Associated Press article brings to light some of the real challenges facing the future of the Maintenance of Certification (MOC) program. I have been through ...

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I'm due to recertify in Internal Medicine soon, so a recent perspective from the New England Journal of Medicine caught my eye. Of the many criticisms of the Maintenance of Certification Exam, one that stands out is whether the format and questions were relevant to modern clinical practice. It's not. Two contrasting opinions were written, and I'm inclined to agree with the dissenting commentary. There is little data correlating those who ...

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by Dr. Whoo, MD Q. I just found out last week that I'll be a new mom in November, making me an official mother in medicine! I've been reading the blog for a while, because I love hearing what all of you have to say about your lives. Here's my question: What tips would you give for surviving residency while pregnant, especially 30-hour calls (without caffeine)? -- From a future mom and ...

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Patient safety has become more pronounced in hospitals today. But for the movement to have its full impact, doctors have to buy into it wholeheartedly. And that's where the progress is slower. In her recent New York Times column, surgeon Pauline Chen discusses the "culture of fear" that pervades medical training. She cites a report from the Lucian Leape Institute of the National Patient Safety Foundation, which concluded that ...

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Dr. Carolyn Clancy, head of the Agency of Healthcare Research and Quality, recently highlighted the definite need for enhanced patient safety and training on healthcare IT for residents who will be the practicing docs of the future. At the very end, she compared the future of residency training to James Cameron's Avatar – an epic battle followed by enlightenment. Because I am a huge science fiction fan and working in graduate medical ...

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Originally published in MedPage Today by Peggy Peck, MedPage Today Executive Editor A red dress jauntily displayed on cans of Diet Coke has become the latest symbol in the ongoing debate about pharmaceutical company support of research or CME. But whose dress is it? The American Heart Association says it's "not our red dress," even as leading pharma critic Steven Nissen, MD, ...

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The following is part of a series of original guest columns by the American College of Physicians. by Steven Weinberger, MD, FACP The New England Journal of Medicine‘s March 11 issue included an interesting “Clinical Decisions” article. Looking at a hypothetical case of an endocrinologist with time-unlimited board certification, the editors posed the question of whether he should voluntarily ...

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Learning how to do a pelvic exam can be uncomfortable for medical students doing it for the first time. There's a trend in medical schools to use "simulators" and mannequins, rather than model patients, to teach students. At the University of Minnesota medical school, tabletop anatomical models have largely replaced humans. Although the school denies costs are an issue, the savings are significant -- currently it costs $150,000 to hire ...

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by Brian Eule While the debate continues to rage over the health care reform bill in Washington D.C., today at Noon Eastern time, the newest class of 15,000-plus graduating medical students will get their marching orders, beginning their lives working in medicine. It’s called Match Day and each year, on the third Thursday of March, the nation’s graduating medical school students gather with their classmates and wait for an envelope with their ...

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