My husband and I recently traveled to Wuhan Medical School in the Hubei Province in central China. Our medical school has partnered with Wuhan to help inform their curricular reform efforts. We spent 4 days touring the hospitals and teaching facilities, meeting students and faculty, going on rounds, and giving talks. Although the language barrier was challenging, we had incredible translators who worked to translate every slide we spoke ...

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by Dr. Whoo, MD I have met several women who have completed residency and maybe even practiced beyond that, but decide to quit and stay at home with kids. I wonder - why would a woman who has gone through all of that training just quit? It would seem like the hard part is behind them and I am perplexed by their decision but, of course, I ...

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In the early 90s, I had the privilege of directing UCSF’s exceptional internal medicine residency program. It was a time of transition. A decade earlier, residency accreditation requirements (dictated by the Accreditation Council for Graduate Medical Education, ACGME) were fairly benign and largely ignored – marquee programs like ours were generally given carte blanche to organize our residents’ experience as we saw fit. When I took over our residency in 1992, ...

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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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