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Featured Articles
Self-Assessment and Portfolios: Important Changes for Internal Medicine Training
As the focus of graduate medical education shifts from concentration on the processes of teaching to actual accomplishments of residents, fellows, and training programs (1), the change is driving training programs to find better ways to evaluate and assess the knowledge, skills, and attitudes of physicians-in-training. Two essential skills, however, are frequently not addressed in physician training: reflective practice and selfassessment. These skills are fundamental to maintain competence during a physician’s career and must be addressed in the training of medical students, residents, and fellows.
Incorporating Systems-Based Practice Education into Residency Programs
The formal incorporation of systems-based practice into internal medicine residency training programs is not without challenges. “Incorporating Systems Based Practice Education into Existing Residency Program Schedules and Structure” (a workshop presented at the 2006 Association of Program Directors in Internal Medicine Spring Meeting in Philadelphia, PA) detailed four strategies, including two web-based programs, for overcoming challenges.
The Art of Corrective Feedback
Educators know that feedback is one of
the most powerful tools for influencing a
learner’s behavior and helping the learner
grow. Guidelines for offering feedback
have been available to internal medicine residency
programs for more than 20 years (1). Corrective
feedback is perhaps the most important tool and
yet, all too often, physician educators are afraid to
provide feedback for fear of “pain” on the part of the
learner (or on the part of the teacher).
Growing Insights into Medical Professionalism
Current emphasis on professionalism in
medical school and residency education has
spawned a flurry of investigations. Recent
literature hints at a significant change
in the conceptual framework used to understand
and teach professionalism (1-6). Traditionally,
professionalism was viewed as an attitude or
character trait and was considered immutable.
Operating under this assumption, recruitment efforts
focused on selecting the “right” student or resident.
Oversight of professionalism in physicians-intraining
was considered a purview of the admissions
committee rather than the curriculum committee.
Innovations in Education
In upcoming issues of Academic Internal Medicine Insight, AAIM will use this space to highlight the goals and innovations pursued by residency programs participating in the Review Committee for Internal Medicine Educational Innovations Project. The goal of this review is to provide the academic internal medicine community a view into these programs and to stimulate broader consideration and discussion of these innovations. Future articles and presentations will detail the progress toward accomplishing innovation as well as the barriers encountered and lessons learned along the way.
Will Democrats Pursue a Health Care Agenda in 2007?
By taking control of the House of
Representatives and the Senate in the
mid-term elections, the Democratic Party
shifted the health care debate in 2007.
When it begins work in January under the control of
Democrats, the 110th Congress is expected to pursue
a different health care agenda than its predecessor.
This agenda will include several issues of interest to
faculty and staff in departments of internal medicine.
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