Journal of general internal medicine
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Nonlinear career paths are increasingly common. Women in academia pursuing nonlinear career paths experience negative impacts on career trajectory. No published studies have examined how pursuit of nonlinear career paths might perpetuate gender inequities within academic hospital medicine. ⋯ Women academic hospitalists reported taking EL more often than men and experienced disproportionately more adverse impacts to personal lives and careers. Surprisingly, men reported taking NTWA to address burnout and childbirth at similar rates to women. Our findings lay the groundwork for additional exploration of cultural and policy interventions, particularly improved paid leave policies.
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Telehealth visits have become an integral model of healthcare delivery since the COVID-19 pandemic. This rapid expansion of telehealthcare delivery has forced faculty development and trainee education in telehealth to occur simultaneously. In response, academic medical institutions have quickly implemented clinical training to teach digital health skills to providers across the medical education continuum. ⋯ It proposes strategies for the successful integration of the AAMC telehealth competencies and ACGME milestones into medical education, including skills in communication, data gathering, and patient safety with appropriate telehealth use. Direct observation tools in the paper offer educators novel instruments to assess telehealth competencies in medical students, residents, and peer faculty. The integration of AAMC and ACGME telehealth competencies and the new assessment tools in this paper provide a unique perspective to advance clinical practice and teaching skills in telehealthcare delivery.
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Physician burnout is increasingly recognized as a crisis across health care systems, with Wellness committees and Wellness officers becoming commonplace in large institutions. Unfortunately, these well-intended bodies often propagate the message that individuals are responsible for solving their own burnout, minimizing the importance of institutional responsibility in the problem. This essay explores the parallels between current Wellness initiatives and the petrochemical industry, specifically focusing on their messaging efforts and the role of implied blame and subsequent felt shame. It then explores how systematic efforts to push back against the petrochemical industry might serve as a model upon which to base future Wellness efforts.