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Miller M, Lindley AR, West JD, Thayer EK, Godfrey EM. Does lower use of academic affiliation by university faculty in top U.S. newspapers contribute to misinformation about abortion? J Commun Healthc 2023; 16:7-20. [PMID: 36919808 DOI: 10.1080/17538068.2022.2150166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
BACKGROUND University faculty are considered trusted sources of information to disseminate accurate information to the public that abortion is a common, safe and necessary medical health care service. However, misinformation persists about abortion's alleged dangers, commonality, and medical necessity. METHODS Systematic review of popular media articles related to abortion, gun control (an equally controversial topic), and cigarette use (a more neutral topic) published in top U.S. newspapers between January 2015 and July 2020 using bivariate analysis and logistic regression to compare disclosure of university affiliation among experts in each topic area. RESULTS We included 41 abortion, 102 gun control, and 130 smoking articles, which consisted of 304 distinct media mentions of university-affiliated faculty. Articles with smoking and gun control faculty experts had statistically more affiliations mentioned (90%, n = 195 and 88%, n = 159, respectively) than abortion faculty experts (77%, n = 54) (p = 0.02). The probability of faculty disclosing university affiliation was similar between smoking and gun control (p = 0.73), but between smoking and abortion was significantly less (Ave Marginal Effects - 0.13, p = 0.02). CONCLUSIONS Fewer faculty members disclose their university affiliation in top U.S. newspapers when discussing abortion. Lack of academic disclosure may paradoxically make these faculty appear less 'legitimate.' This leads to misinformation, branding abortion as a 'choice,' suggesting it is an unessential medical service. With the recent U.S. Supreme Court landmark decision, Dobbs v. Jackson Women's Health Organization, and subsequent banning of abortion in many U.S. states, faculty will probably be even less likely to disclose their university affiliation in the media than in the past.
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Affiliation(s)
- Madison Miller
- Medical Student, University of Washington School of Medicine, Seattle, WA, USA
| | - Alexa R Lindley
- Department of Family Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Jevin D West
- Information School, Co-Founder of the Center for an Informed Public, University of Washington, Seattle, WA, USA
| | - Erin K Thayer
- Department of Family Medicine, Keck School of Medicine of University of Southern California, Los Angeles, USA
| | - Emily M Godfrey
- Departments of Family Medicine and Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, USA
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Godfrey EM, Thayer EK, Mentch L, Kazmerski TM, Brown G, Pam M, Al Achkar M. Development and evaluation of a virtual patient-centered outcomes research training program for the cystic fibrosis community. Res Involv Engagem 2021; 7:86. [PMID: 34863273 PMCID: PMC8645106 DOI: 10.1186/s40900-021-00328-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 11/15/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Patient-centered outcomes research (PCOR) emphasizes patient-generated research priorities and outcomes, and engages patients throughout every stage of the research process. In the cystic fibrosis (CF) community, patients frequently provide input into research studies, but rarely are integrated onto research teams. Therefore, we developed and evaluated a virtual pilot PCOR training program to build PCOR capacity in the CF community (patients, caregivers, researchers, nonprofit stakeholders and providers). We aimed to show changes among participants' perceived PCOR knowledge (a.k.a PCOR knowledge), confidence in engaging stakeholders, and post-training session satisfaction. METHODS Guided by a prior CF community educational needs assessment, our researcher and patient-partner team co-developed a four-part virtual online training program. We structured the program towards two learner groups: patients/caregivers and researchers/providers. We evaluated participants' PCOR knowledge, confidence in engaging stakeholders, and session satisfaction by administering 5-point Likert participant surveys. We tested for significant differences between median ratings pre- and post-training. RESULTS A total of 28 patients/caregivers, and 31 researchers/providers participated. For both learner groups, we found the training resulted in significantly higher PCOR knowledge scores regarding "levels of engagement" (p = .008). For the patient/caregiver group, training significantly increased their PCOR knowledge about the barriers/enablers to doing PCOR (p = .017), effective PCOR team elements (p = .039), active participation (p = .012), and identifying solutions for successful PCOR teams (p = .021). For the researcher/healthcare provider group, training significantly increased participants' ability to describe PCOR core principles (p = .016), identify patient-partners (p = .039), formulate research from patient-driven priorities (p = .039), and describe engagement in research grants (p = .006). No learner group had significant changes in their confidence score. Most participants were either "satisfied" or "very satisfied" with the training program. CONCLUSIONS Overall, our virtual pilot PCOR training program was well received by patients, caregivers, researchers and providers in the CF community. Participants significantly improved their perceived knowledge with core PCOR learning items. Trial registration Retrospectively registered at clinicaltrials.gov (NCT04999865).
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Affiliation(s)
- Emily M Godfrey
- Department of Family Medicine, School of Medicine, University of Washington, 4311 11th Ave NE, Box 354982, Seattle, WA, 98105, USA.
| | - Erin K Thayer
- Department of Family Medicine, School of Medicine, University of Washington, 4311 11th Ave NE, Box 354982, Seattle, WA, 98105, USA
| | - Laura Mentch
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, USA
| | - Traci M Kazmerski
- Department of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Georgia Brown
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, USA
| | - Molly Pam
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, USA
| | - Morhaf Al Achkar
- Department of Family Medicine, School of Medicine, University of Washington, 4311 11th Ave NE, Box 354982, Seattle, WA, 98105, USA
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Wool JL, Walkinshaw LP, Spigner C, Thayer EK, Jones-Smith JC. A Qualitative Study of Living in a Healthy Food Priority Area in One Seattle, WA, Neighborhood. Int J Environ Res Public Health 2021; 18:ijerph182212251. [PMID: 34832005 PMCID: PMC8625696 DOI: 10.3390/ijerph182212251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 11/13/2021] [Accepted: 11/15/2021] [Indexed: 11/16/2022]
Abstract
Policy makers in several major cities have used quantitative data about local food environments to identify neighborhoods with inadequate access to healthy food. We conducted qualitative interviews with residents of a healthy food priority area to assess whether residents' perceptions of food access were consistent with previous quantitative findings, and to better understand lived experience of food access. We found that proximity to stores, transportation mode, and cost shaped decisions about food shopping. The local food bank played an important role in improving food access. Participants had varied suggestions for ways to improve the neighborhood, both related and unrelated to the food environment.
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Thayer EK, Farquhar SA, Walkinshaw LP, Wool JL, Jones-Smith JC. Youth Perceptions of the Food Environment in One Seattle, WA Neighborhood: A Qualitative Study. Journal of Hunger & Environmental Nutrition 2021. [DOI: 10.1080/19320248.2021.1971136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Erin K Thayer
- Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States
| | - Stephanie A Farquhar
- Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States
| | - Lina P Walkinshaw
- Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States
| | - Jenny L. Wool
- Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States
| | - Jessica C. Jones-Smith
- Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States
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Thayer EK, Pam M, Al Achkar M, Mentch L, Brown G, Kazmerski TM, Godfrey E. Best Practices for Virtual Engagement of Patient-Centered Outcomes Research Teams During and After the COVID-19 Pandemic: Qualitative Study. J Particip Med 2021; 13:e24966. [PMID: 33646964 PMCID: PMC7954110 DOI: 10.2196/24966] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Revised: 12/10/2020] [Accepted: 12/14/2020] [Indexed: 11/20/2022] Open
Abstract
Background Patient-centered outcomes research (PCOR) engages patients as partners in research and focuses on questions and outcomes that are important to patients. The COVID-19 pandemic has forced PCOR teams to engage through web-based platforms rather than in person. Similarly, virtual engagement is the only safe alternative for members of the cystic fibrosis (CF) community, who spend their lives following strict infection control guidelines and are already restricted from in-person interactions. In the absence of universal best practices, the CF community has developed its own guidelines to help PCOR teams engage through web-based platforms. Objective This study aimed to identify the important attributes, facilitators, and barriers to teams when selecting web-based platforms. Methods We conducted semistructured interviews with CF community members, nonprofit stakeholders, and researchers to obtain information regarding their experience with using web-based platforms, including the effectiveness and efficiency of these platforms and their satisfaction with and confidence while using each platform. Interviews conducted via Zoom were audio recorded and transcribed. We identified key themes through content analysis with an iterative, inductive, and deductive coding process. Results In total, 15 participants reported using web-based platforms for meetings, project management, document sharing, scheduling, and communication. When selecting web-based platforms, participants valued their accessibility, ease of use, and integration with other platforms. Participants speculated that successful web-based collaboration involved platforms that emulate in-person interactions, recognized the digital literacy levels of the team members, intentionally aligned platforms with collaboration goals, and achieved team member buy-in to adopt new platforms. Conclusions Successful web-based engagement in PCOR requires the use of multiple platforms in order to fully meet the asynchronous or synchronous goals of the project. This study identified the key attributes for the successful practice of PCOR on web-based platforms and the common challenges and solutions associated with their use. Our findings provide the best practices for selecting platforms and the lessons learned through web-based PCOR collaborations.
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Affiliation(s)
- Erin K Thayer
- Department of Family Medicine, University of Washington, Seattle, WA, United States
| | - Molly Pam
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Morhaf Al Achkar
- Department of Family Medicine, University of Washington, Seattle, WA, United States
| | - Laura Mentch
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Georgia Brown
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Traci M Kazmerski
- Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States
| | - Emily Godfrey
- Department of Family Medicine, University of Washington, Seattle, WA, United States
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Godfrey EM, Kazmerski TM, Brown G, Thayer EK, Mentch L, Pam M, Al Achkar M. Educational Needs and Preferences for Patient-Centered Outcomes Research in the Cystic Fibrosis Community: Mixed Methods Study. JMIR Form Res 2021; 5:e24302. [PMID: 33661127 PMCID: PMC7974760 DOI: 10.2196/24302] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 11/04/2020] [Accepted: 01/17/2021] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Cystic fibrosis (CF) is a rare, life-shortening, multiorgan disease, the treatment of which has seen significant increases in the life expectancy of those with CF. Many advances in CF care are thanks to the dedicated and active participation of people with CF as research participants. Unfortunately, most CF research teams still do not fully partner with people with CF or their caregivers. OBJECTIVE The aim of this study was to determine the interest, knowledge gaps, and desired format for patient-centered outcomes research (PCOR) training in the CF community. METHODS We surveyed patients, caregivers, researchers, research staff, and diverse health care providers via list servers and social media outreach about their knowledge of, experience with, and preferences for PCOR training components. We followed the survey with 3 small-group discussion sessions with 22 participants who completed the survey to establish consensus and prioritize key learning components of a PCOR training program. We summarized results using descriptive statistics. RESULTS A total of 170 participants completed the survey (patients/caregivers: 96/170, 56.5%; researchers/health care providers: 74/170, 43.5%). Among providers, 26% (19/74) were physicians/advanced practice providers, 20% (15/74) were nurses, and 54% (40/74) were from other disciplines. Among all participants, 86.5% (147/170) expressed interest in learning about PCOR, although training topics and training format differed between the patient/caregiver and researcher/health care provider groups. Before participating in PCOR, patients/caregivers wanted to understand more about expectations of them as partners on PCOR research teams (82/96, 85%). Meanwhile, researchers/health care providers desired information on how to include outcomes important to patients/caregivers (55/74, 74%) and the quality and impact of PCOR research (52/74, 70% and 51/74, 69%, respectively). Patients/caregivers were most interested in learning about the time commitment as a PCOR team member (75/96, 78%). Researchers/health care providers wanted to receive training about how to establish trust (47/74, 64%) and maintain confidentiality (47/74, 64%) when including patient or caregiver partners on the PCOR team. During follow-up discussions, participants emphasized the importance of addressing the traditional patient/caregiver and researchers/health care provider hierarchy by teaching about transparency, appreciation, creating a common language between the groups, and providing specific training on "how" to do PCOR. CONCLUSIONS Our findings suggest CF community members are interested in PCOR. A high-quality training program would fill a current deficit in methodological research. This assessment identified the topics and formats desired and can be used to develop targeted training to enhance meaningful PCOR in CF.
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Affiliation(s)
- Emily M Godfrey
- Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, United States
| | - Traci M Kazmerski
- Department of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States
| | - Georgia Brown
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Erin K Thayer
- Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, United States
| | - Laura Mentch
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Molly Pam
- Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, WA, United States
| | - Morhaf Al Achkar
- Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, United States
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Carney PA, Thayer EK, Green LA, Warm EJ, Holmboe ES, Carraccio C, Eiff MP. Conditions Influencing Collaboration Among the Primary Care Disciplines as They Prepare the Future Primary Care Physician Workforce. Fam Med 2020; 52:398-407. [PMID: 32196119 DOI: 10.22454/fammed.2020.741660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND AND OBJECTIVES Much can be gained by the three primary care disciplines collaborating on efforts to transform residency training toward interprofessional collaborative practice. We describe findings from a study designed to align primary care disciplines toward implementing interprofessional education. METHODS In this mixed methods study, we included faculty, residents and other interprofessional learners in family medicine, internal medicine, and pediatrics from nine institutions across the United States. We administered a web-based survey in April/May of 2018 and used qualitative analyses of field notes to study resident exposure to team-based care during training, estimates of career choice in programs that are innovating, and supportive and challenging conditions that influence collaboration among the three disciplines. Complete data capture was attained for 96.3% of participants. RESULTS Among family medicine resident graduates, an estimated 87.1% chose to go into primary care compared to 12.4% of internal medicine, and 36.5% of pediatric resident graduates. Qualitative themes found to positively influence cross-disciplinary collaboration included relationship development, communication of shared goals, alignment with health system/other institutional initiatives, and professional identity as primary care physicians. Challenges included expressed concerns by participants that by working together, the disciplines would experience a loss of identity and would be indistinguishable from one another. Another qualitative finding was that overwhelming stressors plague primary care training programs in the current health care climate-a great concern. These include competing demands, disruptive transitions, and lack of resources. CONCLUSIONS Uniting the primary care disciplines toward educational and clinical transformation toward interprofessional collaborative practice is challenging to accomplish.
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Affiliation(s)
- Patricia A Carney
- Department of Family Medicine, Oregon Health & Science University, Portland, OR
| | - Erin K Thayer
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
| | | | | | - Eric S Holmboe
- Accreditation Council for Graduate Medical Education, Chicago, IL
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Abstract
BACKGROUND AND OBJECTIVES Little is known about how the academic coaching needs of medical students differ between those who are racially, ethnically, and socially underrepresented minority (RES-URM) and those who represent the majority. This single-site exploratory study investigated student perceptions and coaching needs associated with a mandatory academic coaching program, and coaches' understanding of and preparedness to address these potentially differing needs. METHODS Coaching needs of second- and third-year medical students were assessed using two initial focus groups and two validation focus groups, one consisting of RES-URM students and the other majority medical students. Coaches were assessed using a cross-sectional self-administered survey designed to determine their perceptions of differing coaching needs of students Results: Seven themes emerged from the student focus groups. Three of these reflected the coaching relationship, and four reflected the coaching process. RES-URM students expressed stress around sharing vulnerability that was not expressed among majority students. Sixty-eight percent of coaches expressed that RES-URM students would not have differing needs of their coaches. Coaches self-rated as being somewhat (45%), moderately (29%), or very (13%) skilled at coaching RES-URM students. CONCLUSIONS RES-URM students cite different coaching needs than majority students that most coaches do not recognize. Faculty and program development regarding these unique needs is warranted.
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Affiliation(s)
| | | | - Erin K Thayer
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
| | - Nicole M Deiorio
- Virginia Commonwealth University School of Medicine, Richmond, VA
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Carney PA, Thayer EK, Palmer R, Galper AB, Zierler B, Eiff MP. The benefits of interprofessional learning and teamwork in primary care ambulatory training settings. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.xjep.2019.03.011] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Austin JP, Carney PA, Thayer EK, Rozansky DJ. Use of Active Learning and Sequencing in a Weekly Continuing Medical Education/Graduate Medical Education Conference. J Contin Educ Health Prof 2019; 39:136-143. [PMID: 30969200 DOI: 10.1097/ceh.0000000000000247] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
INTRODUCTION Active learning and sequencing have been described as effective techniques for improving educational conferences. However, few departmental continuing medical education/graduate medical education (CME/GME) conferences, such as Grand Rounds (GR), have adopted these techniques. The purpose of this study was to describe the development, implementation, and evaluation of Friday Forum (FF), a weekly CME/GME conference that incorporated active learning and sequencing techniques into a new educational offering, complementary to GR, within a medium-sized academic pediatrics department. METHODS Implemented in 2013, FF was designed to address 5 medically relevant themes in a sequential, rotating, interactive format, and included: (1) clinical reasoning, (2) evidence-based medicine, (3) morbidity & mortality, (4) research in progress, and (5) ethics. In 2018, at the conclusion of its fifth year, a survey and focus groups of faculty, residents, and fellows explored the relative value of FF compared with the departmental GR. RESULTS Survey response rates for residents/fellows and faculty were 37/76 (48.7%) and 57/112 (50.9%), respectively. FF was rated highly for helping participants develop rapport with colleagues, exposing participants to interactive strategies for large-group teaching and value for time spent. GR was rated highly for helping participants learn about academic endeavors outside the department and emerging challenges in pediatrics. Qualitatively, two key themes emerged for FF: desire for interaction (community building) and topical variety. DISCUSSION Using active learning and sequencing techniques, we implemented a novel CME/GME conference that enhanced our learning community by integrating the education of faculty and trainees, and achieved complementary objectives to GR.
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Affiliation(s)
- Jared P Austin
- Dr. Austin: Associate Professor, Department of Pediatrics, Oregon Health and Science University, Portland, OR. Dr. Carney: Professor, Department of Family Medicine, Oregon Health and Science University, Portland, OR. Ms. Thayer: Research Associate, Department of Family Medicine, Oregon Health and Science University, Portland, OR. Dr. Rozansky: Professor, Department of Pediatrics, Oregon Health and Science University, Portland, OR
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Brodt E, Bruegl A, Thayer EK, Eiff MP, Gonzales K, Crespo C, Spector D, Kamaka M, Carpenter DA, Carney PA. Concerning trends in allopathic medical school faculty rank for Indigenous people: 2014-2016. Med Educ Online 2018; 23:1508267. [PMID: 30103656 PMCID: PMC6095016 DOI: 10.1080/10872981.2018.1508267] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 06/29/2018] [Accepted: 07/26/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Trends in faculty rank according to racial and ethnic composition have not been reviewed in over a decade. OBJECTIVE To study trends in faculty rank according to racial and ethnicity with a specific focus on Indigenous faculty, which has been understudied. METHODS Data from the Association of American Medical Colleges' Faculty Administrative Management Online User System was used to study trends in race/ethnicity faculty composition and rank between 2014 and 2016, which included information on 481,753 faculty members from 141 US allopathic medical schools. RESULTS The majority of medical school faculty were White, 62.4% (n = 300,642). Asian composition represented 14.7% (n = 70,647). Hispanic, Latino, or of Spanish Origin; Multiple Race-Hispanic; Multiple Race-Non-Hispanic; and Black/African American faculty represented 2.2%, 2.3%, 3.0%, and 3.0%, respectively. Indigenous faculty members, defined as American Indian/Alaska Native (AIAN), Native Hawaiian or Other Pacific Islander (NHPI), represented the smallest percentage of faculty at 0.11% and 0.18%, respectively. White faculty predominated the full professor rank at 27.5% in 2016 with a slight decrease between 2014 and 2016. Indigenous faculty represented the lowest percent of full professor faculty at 5.2% in 2016 for AIAN faculty and a decline from 4.6% to 1.6% between 2014 and 2016 for NHPI faculty (p < 0.001). CONCLUSIONS While US medical school faculty are becoming more racially and ethnically diverse, representation of AIAN faculty is not improving and is decreasing significantly among NHPI faculty. Little progress has been made in eliminating health disparities among Indigenous people. Diversifying the medical workforce could better meet the needs of communities that historically and currently experience a disproportionate disease burden.
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Affiliation(s)
- Erik Brodt
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Amanda Bruegl
- Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA
| | - Erin K. Thayer
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - M. Patrice Eiff
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Kelly Gonzales
- Community Health Program, School of Public Health, Oregon Health & Science and Portland State University, Portland, OR, USA
| | - Carlos Crespo
- Community Health Program, Undergraduate Training Biomedical Research, Oregon Health & Science University and Portland State University, School of Public Health, Portland, OR, USA
| | - Dove Spector
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Martina Kamaka
- Department of Native Hawaiian Health, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, USA
| | - Dee-Ann Carpenter
- Department of Native Hawaiian Health, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, USA
| | - Patricia A. Carney
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
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Taylor D, Picker B, Woolever D, Thayer EK, Carney PA, Galper AB. Reply to “Moving From Uncertainty to Internal Emotional Responses”. Fam Med 2018; 50:791. [DOI: 10.22454/fammed.2018.308146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Deborah Taylor
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Bethany Picker
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Donald Woolever
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Erin K. Thayer
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
| | | | - Ari B. Galper
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
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Taylor D, Picker B, Woolever D, Thayer EK, Carney PA, Galper AB. A Pilot Study to Address Tolerance of Uncertainty Among Family Medicine Residents. Fam Med 2018; 50:531-538. [DOI: 10.22454/fammed.2018.634768] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background and Objectives: Because patients often present to their family physicians with undifferentiated medical problems, uncertainty is common. Family medicine residents must manage both the ambiguity inherent in the field as well as the very real uncertainty of learning to become a skilled physician with little experience to serve as a guide. The purpose of this analysis was to assess the impact of a new curriculum on family medicine residents’ tolerance of ambiguity.
Methods: We conducted an exploratory quasi-experimental study to assess the impact of a novel curriculum designed to improve family medicine residents’ tolerance of ambiguity. Four different surveys were administered to 25 family medicine residents at different stages in their training prior to and immediately and 6 months after the new curriculum.
Results: Although many constructs remained unchanged with the intervention, one important construct, namely perceived threats of ambiguity, showed significant and sustained improvement relative to before undertaking this curriculum (score of 26.2 prior to the intervention, 22.1 immediately after, and 22.0 6 months after the intervention).
Conclusions: A new curriculum designed to improve tolerance to ambiguity appears to reduce the perceived threats of ambiguity in this small exploratory study.
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Affiliation(s)
- Deborah Taylor
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Bethany Picker
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Donald Woolever
- Central Maine Medical Center Family Medicine Residency Program, Lewiston, ME
| | - Erin K. Thayer
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
| | | | - Ari B. Galper
- Oregon Health and Science University, Department of Family Medicine, Portland, OR
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Thayer EK, Rathkey D, Miller MF, Palmer R, Mejicano GC, Pusic M, Kalet A, Gillespie C, Carney PA. Applying the institutional review board data repository approach to manage ethical considerations in evaluating and studying medical education. Med Educ Online 2016; 21:32021. [PMID: 27443407 PMCID: PMC4956727 DOI: 10.3402/meo.v21.32021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 06/10/2016] [Indexed: 05/29/2023]
Abstract
ISSUE Medical educators and educational researchers continue to improve their processes for managing medical student and program evaluation data using sound ethical principles. This is becoming even more important as curricular innovations are occurring across undergraduate and graduate medical education. Dissemination of findings from this work is critical, and peer-reviewed journals often require an institutional review board (IRB) determination. APPROACH IRB data repositories, originally designed for the longitudinal study of biological specimens, can be applied to medical education research. The benefits of such an approach include obtaining expedited review for multiple related studies within a single IRB application and allowing for more flexibility when conducting complex longitudinal studies involving large datasets from multiple data sources and/or institutions. In this paper, we inform educators and educational researchers on our analysis of the use of the IRB data repository approach to manage ethical considerations as part of best practices for amassing, pooling, and sharing data for educational research, evaluation, and improvement purposes. IMPLICATIONS Fostering multi-institutional studies while following sound ethical principles in the study of medical education is needed, and the IRB data repository approach has many benefits, especially for longitudinal assessment of complex multi-site data.
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Affiliation(s)
- Erin K Thayer
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA;
| | - Daniel Rathkey
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Marissa Fuqua Miller
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Ryan Palmer
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - George C Mejicano
- Department of Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Martin Pusic
- Division of Learning Analytics, Institute for Innovations in Medical Education, NYU School of Medicine, New York, NY, USA
- Department of Emergency Medicine, NYU School of Medicine, New York, NY, USA
| | - Adina Kalet
- Medical Education Outcomes Unit, Program for Medical Education Innovation and Research, NYU School of Medicine, New York, NY, USA
| | - Colleen Gillespie
- Division of Evaluation and Outcomes, Institute for Innovations in Medical Education, NYU School of Medicine, New York, NY, USA
- Department of Medicine, Institute for Innovations in Medical Education, NYU School of Medicine, New York, NY, USA
| | - Patricia A Carney
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
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15
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West C, Graham L, Palmer RT, Miller MF, Thayer EK, Stuber ML, Awdishu L, Umoren RA, Wamsley MA, Nelson EA, Joo PA, Tysinger JW, George P, Carney PA. Implementation of interprofessional education (IPE) in 16 U.S. medical schools: Common practices, barriers and facilitators. ACTA ACUST UNITED AC 2016; 4:41-49. [PMID: 28184380 DOI: 10.1016/j.xjep.2016.05.002] [Citation(s) in RCA: 61] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Enhanced patient outcomes and accreditation criteria have led schools to integrate interprofessional education (IPE). While several studies describe IPE curricula at individual institutions, few examine practices across multiple institutions. PURPOSE To examine the IPE integration at different institutions and determine gaps where there is potential for improvement. METHOD In this mixed methods study, we obtained survey results from 16 U.S. medical schools, 14 of which reported IPE activities. RESULTS The most common collaboration was between medical and nursing schools (93%). The prevalent format was shared curriculum, often including integrated modules (57%). Small group activities represented the majority (64%) of event settings, and simulation-based learning, games and role-play (71%) were the most utilized learning methods. Thirteen schools (81.3%) reported teaching IPE competencies, but significant variation existed. Gaps and barriers in the study include limitations of using a convenience sample, limited qualitative analysis, and survey by self-report. CONCLUSIONS Most IPE activities focused on the physician role. Implementation challenges included scheduling, logistics and financial support. A need for effective faculty development as well as measures to examine the link between IPE learning outcomes and patient outcomes were identified.
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Affiliation(s)
- Courtney West
- Texas A&M University Health Science Center, College of Medicine, Bryan, TX, USA
| | - Lori Graham
- Texas A&M University Health Science Center, College of Medicine, Bryan, TX, USA
| | - Ryan T Palmer
- Oregon Health & Science University, Portland, OR, USA
| | - Marissa Fuqua Miller
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Erin K Thayer
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Margaret L Stuber
- David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA
| | - Linda Awdishu
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, San Diego, CA, USA
| | - Rachel A Umoren
- Department of Pediatrics, University of Washington, Seattle, WA, USA
| | - Maria A Wamsley
- University of California, San Francisco, San Francisco, CA, USA
| | | | - Pablo A Joo
- Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, USA
| | - James W Tysinger
- University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Paul George
- Warren Alpert Medical School of Brown University, Providence, RI, USA
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16
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Carney PA, Palmer RT, Fuqua Miller M, Thayer EK, Estroff SE, Litzelman DK, Biagioli FE, Teal CR, Lambros A, Hatt WJ, Satterfield JM. Tools to Assess Behavioral and Social Science Competencies in Medical Education: A Systematic Review. Acad Med 2016; 91:730-42. [PMID: 26796091 PMCID: PMC4846480 DOI: 10.1097/acm.0000000000001090] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
PURPOSE Behavioral and social science (BSS) competencies are needed to provide quality health care, but psychometrically validated measures to assess these competencies are difficult to find. Moreover, they have not been mapped to existing frameworks, like those from the Liaison Committee on Medical Education (LCME) and Accreditation Council for Graduate Medical Education (ACGME). This systematic review aimed to identify and evaluate the quality of assessment tools used to measure BSS competencies. METHOD The authors searched the literature published between January 2002 and March 2014 for articles reporting psychometric or other validity/reliability testing, using OVID, CINAHL, PubMed, ERIC, Research and Development Resource Base, SOCIOFILE, and PsycINFO. They reviewed 5,104 potentially relevant titles and abstracts. To guide their review, they mapped BSS competencies to existing LCME and ACGME frameworks. The final included articles fell into three categories: instrument development, which were of the highest quality; educational research, which were of the second highest quality; and curriculum evaluation, which were of lower quality. RESULTS Of the 114 included articles, 33 (29%) yielded strong evidence supporting tools to assess communication skills, cultural competence, empathy/compassion, behavioral health counseling, professionalism, and teamwork. Sixty-two (54%) articles yielded moderate evidence and 19 (17%) weak evidence. Articles mapped to all LCME standards and ACGME core competencies; the most common was communication skills. CONCLUSIONS These findings serve as a valuable resource for medical educators and researchers. More rigorous measurement validation and testing and more robust study designs are needed to understand how educational strategies contribute to BSS competency development.
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Affiliation(s)
- Patricia A Carney
- P.A. Carney is professor of family medicine and of public health and preventive medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. R.T. Palmer is assistant professor of family medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. M.F. Miller is senior research assistant, Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. E.K. Thayer is research assistant, Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. S.E. Estroff is professor, Department of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina. D.K. Litzelman is D. Craig Brater Professor of Medicine and senior director for research in health professions education and practice, Indiana University School of Medicine, Indianapolis, Indiana. F.E. Biagioli is professor of family medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. C.R. Teal is assistant professor, Department of Medicine, and director, Educational Evaluation and Research, Office of Undergraduate Medical Education, Baylor College of Medicine, Houston, Texas. A. Lambros is active emeritus associate professor, Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina. W.J. Hatt is programmer analyst, Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. J.M. Satterfield is professor of clinical medicine, University of California, San Francisco, School of Medicine, San Francisco, California
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