Journal of graduate medical education
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Simulation training is widely accepted as an effective teaching tool, especially for dealing with high-risk situations. ⋯ This blinded, randomized study found no effect on primary outcomes. A notable finding was the percentage of internal medicine residents who misidentified cardiac arrest rhythms.
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Anesthesiology residents acquire clinical skills and acumen primarily from experience providing anesthesia for procedural cases, with prior preparation maximizing learning. Ambulatory surgery and associated management styles create fluid anesthesiology staffing-reducing predictability for learners and disrupting continuity of care. ⋯ Anesthesiology residents prepare for many procedures that do not eventuate and frequently start other cases without prior opportunity for preparation and study. Transitions of care further reduce continuity of care and fragment supervision.
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Medicare funding for graduate medical education may be cut in the next federal budget. ⋯ Our institution estimated Medicare direct medical education support per resident at $40,000/y, and total funding was $130,000/resident. At our tertiary care institution, the unbilled work of 1 orthopedic resident on call amounts to more than 60% of Medicare direct medical education and indirect medical education funding annually.
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Studies show postinterview communication from applicants may affect their placement on the program's National Resident Matching Program (NRMP) rank order list. ⋯ Postinterview correspondence by applicants was not associated with position on the rank order list. Correspondence does not benefit the applicant and can lead to misleading statements, which may violate the NRMP participation agreement.