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Development and maintenance of a medical education research registry

Wilhite, Jeffrey A; Altshuler, Lisa; Zabar, Sondra; Gillespie, Colleen; Kalet, Adina
BACKGROUND:Medical Education research suffers from several methodological limitations including too many single institution, small sample-sized studies, limited access to quality data, and insufficient institutional support. Increasing calls for medical education outcome data and quality improvement research have highlighted a critical need for uniformly clean and easily accessible data. Research registries may fill this gap. In 2006, the Research on Medical Education Outcomes (ROMEO) unit of the Program for Medical Innovations and Research (PrMEIR) at New York University's (NYU) Robert I. Grossman School of Medicine established the Database for Research on Academic Medicine (DREAM). DREAM is a database of routinely collected, de-identified undergraduate (UME, medical school leading up to the Medical Doctor degree) and graduate medical education (GME, residency also known as post graduate education leading to eligibility for specialty board certification) outcomes data available, through application, to researchers. Learners are added to our database through annual consent sessions conducted at the start of educational training. Based on experience, we describe our methods in creating and maintaining DREAM to serve as a guide for institutions looking to build a new or scale up their medical education registry. RESULTS:At present, our UME and GME registries have consent rates of 90% (n = 1438/1598) and 76% (n = 1988/2627), respectively, with a combined rate of 81% (n = 3426/4225). 7% (n = 250/3426) of these learners completed both medical school and residency at our institution. DREAM has yielded a total of 61 individual studies conducted by medical education researchers and a total of 45 academic journal publications. CONCLUSION/CONCLUSIONS:We have built a community of practice through the building of DREAM and hope, by persisting in this work the full potential of this tool and the community will be realized. While researchers with access to the registry have focused primarily on curricular/ program evaluation, learner competency assessment, and measure validation, we hope to expand the output of the registry to include patient outcomes by linking learner educational and clinical performance across the UME-GME continuum and into independent practice. Future publications will reflect our efforts in reaching this goal and will highlight the long-term impact of our collaborative work.
PMCID:7305610
PMID: 32560652
ISSN: 1472-6920
CID: 4510572

In the room where it happens: do physicians need feedback on their real-world communication skills? [Editorial]

Zabar, Sondra; Hanley, Kathleen; Wilhite, Jeffrey A; Altshuler, Lisa; Kalet, Adina; Gillespie, Colleen
PMID: 31704892
ISSN: 2044-5423
CID: 4186612

Can Appreciative Inquiry Improve Interdisciplinary Experiences [Meeting Abstract]

Trivedi, Shreya P; Reiff, Stefanie; Ha, Jung-Eun; Moussa, Marwa; Boardman, Davis; Altshuler, Lisa; Duran, Deserie; Lee-Riley, Lorna; Mansfield, Laura; Volpicelli, Frank
ORIGINAL:0014788
ISSN: 1525-1497
CID: 4610362

Erratum: Clinical problem solving and social determinants of health: A descriptive study using unannounced standardized patients to directly observe how resident physicians respond to social determinants of health (Diagnosis (2020) 7: 3 (313-324) DOI: 10.1515/dx-2020-0002)

Wilhite, J A; Hardowar, K; Fisher, H; Porter, B; Wallach, A B; Altshuler, L; Hanley, K; Zabar, S R; Gillespie, C C
Corrigendum to: Jeffrey A. Wilhite*, Khemraj Hardowar, Harriet Fisher, Barbara Porter, Andrew B. Wallach, Lisa Altshuler, Kathleen Hanley, Sondra R. Zabar and Colleen C. Gillespie. Clinical problem solving and social determinants of health: a descriptive study using unannounced standardized patients to directly observe how resident physicians respond to social determinants of health. Diagnosis 2020, Volume 7, Issue 3, pages 313-324. https://urldefense.proofpoint.com/v2/url?u=https-3A__doi.org_10&d=DwIBAg&c=j5oPpO0eBH1iio48DtsedeElZfc04rx3ExJHeIIZuCs&r=CY_mkeBghQnUPnp2mckgsNSbUXISJaiBQUhM-Uz9W58&m=TyoCBAKzCpBZ4-uIICybN67eGKr9ePdBC-WexDhSuSM&s=-H9hUl6CWWk07_DiPQFbSmQyI2qWxw4tQLZIEBIpIVY&e= . 1515/dx-2020-0002. Unfortunately, a typographic error in the results portion of the abstract was missed during final stages of proofing and editing. The count of full elicitors should read as 38/68 rather than 28/68, and the % of negative elicitors is 23%. The corrected results read as follows: Residents fell into three groups when it came to clinical problem-solving around a housing trigger for asthma: those who failed to ask about housing and therefore did not uncover mold as a potential trigger (neglectors - 21%; 14/68); those who asked about housing in negative ways that prevented disclosure and response (negative elicitors - 23%, 16/68); and those who elicited and explored the mold issue (full elicitors - 56%; 38/68).
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EMBASE:2008498847
ISSN: 2194-8011
CID: 4674562

PILOT THEMATIC ANALYSIS OF WEEKLY PSYCHOSOCIAL ROUNDS CASES IN PRIMARY CARE RESIDENCY: FOR WHICH CHALLENGES DO RESIDENTS SEEK HELP AND SUPPORT? [Meeting Abstract]

Boardman, Davis; Tanenbaum, Jessica; Altshuler, Lisa; Lipkin, Mack
ISI:000567143602358
ISSN: 0884-8734
CID: 4799192

STRENGTHENING THE PRIMARY CARE PIPELINE: LESSONS LEARNED FROM A PRE- HEALTH VOLUNTEER PROGRAM THAT ENGAGES STUDENTS IN AN URBAN, UNDER-SERVED CLINIC [Meeting Abstract]

Fisher, Harriet; Dong, Jennifer; Zabar, Sondra; Holmes, Isaac; Altshuler, Lisa
ISI:000567143602377
ISSN: 0884-8734
CID: 4799372

OSCE CASE BANK INVENTORY 2001-2018: PROGRAMMATIC EVALUATION OF PERFORMANCE BASED ASSESSMENT CASE CHARACTERISTICS [Meeting Abstract]

Mari, Amanda; Kulusic-Ho, Adriana; Bostwick, Amanda; Fisher, Harriet; Altshuler, Lisa; Gillespie, Colleen; Wilhite, Jeffrey; Hanley, Kathleen; Greene, Richard E.; Adams, Jennifer; Zabar, Sondra R.
ISI:000567143602350
ISSN: 0884-8734
CID: 4799292

IMPLICIT BIAS: TRENDS IN EVALUATION [Meeting Abstract]

Cannell, Elisabeth; Cook, Tiffany E.; Wilhite, Jeffrey; Altshuler, Lisa; Greene, Richard E.
ISI:000567143600382
ISSN: 0884-8734
CID: 5192322

Training Primary Care Physicians to Serve Underserved Communities: Follow-up Survey of Primary Care Graduates [Letter]

Altshuler, Lisa; Fisher, Harriet; Hanley, Kathleen; Ross, Jasmine; Zabar, Sondra; Adams, Jennifer; Lipkin, Mack
PMID: 31342328
ISSN: 1525-1497
CID: 3988152

Igniting activation: Using unannounced standardized patients to measure patient activation in smoking cessation

Wilhite, Jeffrey A; Velcani, Frida; Watsula-Morley, Amanda; Hanley, Kathleen; Altshuler, Lisa; Kalet, Adina; Zabar, Sondra; Gillespie, Colleen C
Introduction/UNASSIGNED:Despite a decline, smoking rates have remained high, especially in communities with lower income, education, and limited insurance options. Evidence shows that physician-initiated counseling on smoking cessation is effective and saves lives, and that specific skills are needed to appropriately lead this type of patient-physician communication. Residency is a critical moment for future physicians and may be the optimal time to learn, practice, and refine this skillset. Unannounced Standardized Patients (USPs) have been found to be effective, incognito evaluators of resident practices. Methods/UNASSIGNED:This study introduced rigorously trained actors (USPs) into two urban, safety-net clinics to assess resident ability to engage, activate, and counsel a pre-contemplative smoker. A complementary chart review assessed appropriate documentation in the patient's electronic health record (EHR) and its relationship to counseling style and prescribing practices. Results/UNASSIGNED:Resident scores (% well done) on patient education and engagement were low (33% and 23%, respectively). Residents who coupled cessation advice with an open discussion style activated their patients more than those who solely advised cessation across all comparable measures. On EHR documentation, residents who accurately documented smoking history were more likely to directly advise their patient to quit smoking when compared to residents who did not document (t(97) = 2.828, p = .006, Cohen's D = 0.56). Conclusions/UNASSIGNED:Results highlight the need to reinforce training in patient-centered approaches including motivational interviewing, counseling, and shared decision-making. Future research should focus on the effects of smokers in pre-contemplation on physician counseling style and examine the relationship between medical training and provider communication to guide interventions.
PMCID:6544561
PMID: 31193839
ISSN: 2352-8532
CID: 3930162