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Lee HJ, Akulian JA, Argento AC, Batra H, Lamb C, Mullon J, Murgu S. Interventional Pulmonary Fellowship Training: End of the Beginning. ATS Sch 2023; 4:405-412. [PMID: 38196682 PMCID: PMC10773264 DOI: 10.34197/ats-scholar.2022-0107ps] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 06/23/2023] [Indexed: 01/11/2024] Open
Abstract
Interventional pulmonology (IP) fellowship training has undergone increased popularity and growth. The Accreditation Council of Graduate Medical Education recently recognized IP medicine as a new subspecialty, which leads to new challenges and opportunities for a young subspecialty. Although the specialty-specific requirements are in progress, IP fellowship programs must plan ahead for the known common program requirements and anticipated accreditation process. The educational leadership in IP must identify and execute solutions to sustain continued excellence. This includes transitioning to a new regulatory environment with issues of funding new fellowships, keeping up to date with training/assessment of new procedures, and shaping the future through recruitment of talent to lead the young subspecialty.
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Affiliation(s)
- Hans J. Lee
- Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Jason A. Akulian
- Division of Pulmonary and Critical Care Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - A. Christine Argento
- Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Hitesh Batra
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Carla Lamb
- Lahey Hospital and Medical Center, Burlington, Massachusetts
| | - John Mullon
- Division of Pulmonary, Critical Care, and Sleep Medicine, Mayo Clinic, Rochester, Minnesota; and
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Markin NW, Adams AJ, Brakke TR, Duhachek-Stapelman AL. Assessment of Resident Performance During the Cardiac Anesthesia Rotation: Application of the House Officer Clinical Assessment in Cardiac Anesthesiology. J Cardiothorac Vasc Anesth 2020; 34:2618-2624. [DOI: 10.1053/j.jvca.2020.04.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 04/01/2020] [Accepted: 04/03/2020] [Indexed: 11/11/2022]
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3
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Capdeville M, Hargrave J, Patel PA, Patel KM, Desai RG, Trivedi KC, Feinman JW, Garner C, Fernando RJ, Gordon EK, Augoustides JG. Contemporary Challenges for Fellowship Training in Adult Cardiothoracic Anesthesiology: Perspectives From Program Directors Around the United States. J Cardiothorac Vasc Anesth 2020; 34:2047-2059. [DOI: 10.1053/j.jvca.2020.02.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 02/05/2020] [Indexed: 12/11/2022]
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4
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Al-Ghofaily L, Feinman JW, Augoustides JG, Kiefer JJ. Advancing Resident Assessment in Cardiac Anesthesiology-Refining Clinical Measures Beyond Cases Completed and Months Spent in Training. J Cardiothorac Vasc Anesth 2020; 34:2625-2627. [PMID: 32620491 DOI: 10.1053/j.jvca.2020.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 06/04/2020] [Indexed: 11/11/2022]
Affiliation(s)
- Lourdes Al-Ghofaily
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Jared W Feinman
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - John G Augoustides
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
| | - Jessie J Kiefer
- Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
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Pack R, Lingard L, Watling C, Cristancho S. Beyond summative decision making: Illuminating the broader roles of competence committees. MEDICAL EDUCATION 2020; 54:517-527. [PMID: 31991000 DOI: 10.1111/medu.14072] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 01/15/2020] [Accepted: 01/20/2020] [Indexed: 05/26/2023]
Abstract
CONTEXT Although competence committees (CCs) are most often conceptualised as group decision-making bodies, policy documents forward a more ambitious vision and outline several additional roles for CCs that support the continuous quality improvement of education programmes and promote formative feedback. However, whether these functions are encompassed in the everyday work of CCs is currently unknown. METHODS This constructivist grounded theory study elaborates the range of roles taken up by CCs and illuminates the processes through which these roles are actualised. Two investigators observed 27 CC meetings (>80 hours) across seven diverse postgraduate programmes at a single Canadian institution. Following each observation, a semi-structured interview was conducted with one CC member. Data collection and analysis unfolded iteratively. RESULTS In this study, CCs did much more than make summative decisions about progression and entrustment; they identified a variety of problems that arose at the levels of both the individual learner and the programme, and leveraged their knowledge of assessment data to develop solutions. The problem-solving work of CCs was enabled by the in-depth data review, synthesis and analysis work that occurred before scheduled meetings, outside protected academic or administrative time. Although this work often appeared invisible to those outside the committee, the insights gleaned from data review provided committee members with essential information about how their programme of assessment was unfolding in practice. CONCLUSIONS Competence committees may be an untapped resource that can support assessment for learning, local evaluation of competency-based medical education (CBME) implementation and continuous quality improvement for programmes of assessment. However, the ability of CCs to engage in this work is fragile and is currently sustained by the willingness of faculty members to devote their time and energy to it. The resourcing of CCs may have profound implications for translation of the theory of programmatic assessment and CBME into practice.
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Affiliation(s)
- Rachael Pack
- Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
| | - Lorelei Lingard
- Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
- Department of Medicine, University of Western Ontario, London, Ontario, Canada
| | - Christopher Watling
- Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
- Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, London, Ontario, Canada
| | - Sayra Cristancho
- Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
- Department of Surgery, University of Western Ontario, London, Ontario, Canada
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Feinman JW, Roberts ML, Al-Ghofaily L, Adenwala A, Augoustides JG. The Fellowship Experience in Adult Cardiothoracic Anesthesiology-Strategies for Applicants and Fellows to Navigate the Coronavirus Crisis. J Cardiothorac Vasc Anesth 2020; 34:2561-2565. [PMID: 32507456 PMCID: PMC7205713 DOI: 10.1053/j.jvca.2020.04.057] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 04/29/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Jared W Feinman
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania,Philadelphia, PA
| | - Monique L Roberts
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania,Philadelphia, PA
| | - Lourdes Al-Ghofaily
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania,Philadelphia, PA
| | - Adam Adenwala
- Department of Anesthesiology and Critical Care, Perelman School ofMedicine, University of Pennsylvania, Philadelphia, PA
| | - John G Augoustides
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania,Philadelphia, PA
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Feinman JW, Al-Ghofaily L, Augoustides JG. The Fellowship Milieu in Adult Cardiothoracic Anesthesiology-Fostering Psychological Well-being During the Coronavirus Crisis. J Cardiothorac Vasc Anesth 2020; 34:2557-2560. [PMID: 32418827 PMCID: PMC7194699 DOI: 10.1053/j.jvca.2020.04.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 04/16/2020] [Indexed: 12/22/2022]
Affiliation(s)
- Jared W Feinman
- Department of Anesthesiology and Critical Care Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Lourdes Al-Ghofaily
- Department of Anesthesiology and Critical Care Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - John G Augoustides
- Department of Anesthesiology and Critical Care Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
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Al-Ghofaily L, Feinman JW, Augoustides JG. Fellowship Training in Adult Cardiothoracic Anesthesiology: Navigating the New Educational Landscape as a Result of the Coronavirus Crisis. J Cardiothorac Vasc Anesth 2020; 34:2019-2021. [PMID: 32387019 PMCID: PMC7165092 DOI: 10.1053/j.jvca.2020.04.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 04/11/2020] [Indexed: 01/08/2023]
Affiliation(s)
- Lourdes Al-Ghofaily
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Jared W Feinman
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - John G Augoustides
- Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
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9
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Augoustides JG. Engaged in Excellence - Travelling Onwards and Upwards with Expanding Horizons. J Cardiothorac Vasc Anesth 2020; 33:1487-1488. [PMID: 31088628 DOI: 10.1053/j.jvca.2019.04.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- John G Augoustides
- Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
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Thoma B, Bandi V, Carey R, Mondal D, Woods R, Martin L, Chan T. Developing a dashboard to meet Competence Committee needs: a design-based research project. CANADIAN MEDICAL EDUCATION JOURNAL 2020; 11:e16-e34. [PMID: 32215140 PMCID: PMC7082472 DOI: 10.36834/cmej.68903] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
BACKGROUND Competency-based programs are being adopted in medical education around the world. Competence Committees must visualize learner assessment data effectively to support their decision-making. Dashboards play an integral role in decision support systems in other fields. Design-based research allows the simultaneous development and study of educational environments. METHODS We utilized a design-based research process within the emergency medicine residency program at the University of Saskatchewan to identify the data, analytics, and visualizations needed by its Competence Committee, and developed a dashboard incorporating these elements. Narrative data were collected from two focus groups, five interviews, and the observation of two Competence Committee meetings. Data were qualitatively analyzed to develop a thematic framework outlining the needs of the Competence Committee and to inform the development of the dashboard. RESULTS The qualitative analysis identified four Competence Committee needs (Explore Workplace-Based Assessment Data, Explore Other Assessment Data, Understand the Data in Context, and Ensure the Security of the Data). These needs were described with narratives and represented through visualizations of the dashboard elements. CONCLUSIONS This work addresses the practical challenges of supporting data-driven decision making by Competence Committees and will inform the development of dashboards for programs, institutions, and learner management systems.
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Affiliation(s)
- Brent Thoma
- Department of Emergency Medicine, University of Saskatchewan, Saskatchewan, Canada
- Correspondence: Dr. Brent Thoma, Room 2646, Box 16, 103 Hospital Drive, Saskatoon, SK S7N 0W8; ; phone: 1-306-881-0112; Twitter: @Brent_Thoma
| | - Venkat Bandi
- Department of Computer Science, University of Saskatchewan, Saskatchewan, Canada
| | - Robert Carey
- Department of Emergency Medicine, University of Saskatchewan, Saskatchewan, Canada
| | - Debajyoti Mondal
- Department of Computer Science, University of Saskatchewan, Saskatchewan, Canada
| | - Rob Woods
- Department of Emergency Medicine, University of Saskatchewan, Saskatchewan, Canada
| | - Lynsey Martin
- Department of Emergency Medicine, University of Saskatchewan, Saskatchewan, Canada
| | - Teresa Chan
- Division of Emergency Medicine, Department of Medicine, McMaster University, Ontario, Canada
- McMaster program for Education Research, Innovation, and Theory (MERIT), Ontario, Canada
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Trombetta C, Capdeville M, Patel PA, Feinman JW, AL-Ghofaily L, Gordon EK, Augoustides JG. The Program Evaluation Committee in the Adult Cardiothoracic Anesthesiology Fellowship – Harnessing Opportunities for Program Improvement. J Cardiothorac Vasc Anesth 2020; 34:797-804. [DOI: 10.1053/j.jvca.2019.08.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 08/05/2019] [Indexed: 12/15/2022]
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12
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Neelankavil J, Goeddel LA, Dwarakanath S, Methangkool E, Feinman JW, Harvey R, Hatton K, Kostibas MP, Shah R, Ho J, Patel PA, Howard-Quijano J, Nyhan D, Augoustides JG. Mentoring Fellows in Adult Cardiothoracic Anesthesiology for Academic Practice in the Contemporary Era—Perspectives From Mentors Around the United States. J Cardiothorac Vasc Anesth 2020; 34:521-529. [DOI: 10.1053/j.jvca.2019.01.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Indexed: 12/14/2022]
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13
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Goeddel LA, Kostibas MP, Augoustides JG. Applying for Fellowship Training in Adult Cardiothoracic Anesthesiology in the Contemporary Era - Keys for Success. J Cardiothorac Vasc Anesth 2019; 33:639-641. [PMID: 30773196 DOI: 10.1053/j.jvca.2019.01.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Lee A Goeddel
- Assistant Professor, Department of Anesthesiology and Critical Care Medicine, John Hopkins University, Baltimore, Maryland, USA
| | - Megan P Kostibas
- Assistant Professor, Department of Anesthesiology and Critical Care Medicine, John Hopkins University, Baltimore, Maryland, USA
| | - John G Augoustides
- Professor, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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