JAMA : the journal of the American Medical Association
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Randomized Controlled Trial
Effect of exposure to good vs poor medical trainee performance on attending physician ratings of subsequent performances.
Competency-based models of education require assessments to be based on individuals' capacity to perform, yet the nature of human judgment may fundamentally limit the extent to which such assessment is accurately possible. ⋯ In an experimental setting, attending physicians exposed to videos of good medical trainee performances rated subsequent borderline performances lower than those who had been exposed to poor performances, consistent with a contrast bias.
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Editorial Comment
The US primary care workforce and graduate medical education policy.
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Randomized Controlled Trial Comparative Study
Effects of 2- vs 4-week attending physician inpatient rotations on unplanned patient revisits, evaluations by trainees, and attending physician burnout: a randomized trial.
Data are sparse on the effect of varying the durations of internal medicine attending physician ward rotations. ⋯ The use of 2-week inpatient attending physician rotations compared with 4-week rotations did not result in an increase in unplanned patient revisits. It was associated with better self-rated measures of attending physician burnout and emotional exhaustion but worse evaluations by trainees.