Evidence map›Paper›PMID 34178266›Full record

ArticleJournal of graduate medical education2021

Assessing the Transition of Training in Health Systems Science From Undergraduate to Graduate Medical Education.

Sally A Santen, Stanley J Hamstra, Kenji Yamazaki, Jed Gonzalo, Kim Lomis, Bradley Allen, Luan Lawson, Eric S Holmboe, Marc Triola, Paul George and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of graduate medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Computer-Assisted Clinical Diagnosis and Treatment.Current allergy and asthma reports · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sally A Santenis Evaluation Consultant, American Medical Association, and Senior Associate Dean and Professor of Emergency Medicine, Virginia Commonwealth University School of Medicine.
Stanley J HamstraAt the time of writing, was Vice President, Milestones Research and Evaluation, Accreditation Council for Graduate Medical Education (ACGME), and is now Professor, Department of Surgery, University of Toronto, Adjunct Professor, Department of Medical Education, Feinberg School of Medicine, Northwestern University, and Research Consultant, ACGME.
Kenji Yamazaki, is Senior Analyst, Milestones Research and Evaluation, ACGME.
Jed Gonzalois Associate Professor of Medicine and Public Health Science, and Associate Dean for Health Systems Education, Penn State College of Medicine; at the time of writing.
Kim Lomiswas Associate Dean, Vanderbilt University School of Medicine, and is now Vice President, UME Innovations, American Medical Association.
Bradley Allenis Senior Associate Dean for Medical Student Education and Associate Professor of Clinical Infectious Diseases, Indiana University School of Medicine.
Luan Lawsonis Associate Dean for Curricular Innovation in Medical Education and Associate Professor of Emergency Medicine, Brody School of Medicine at East Carolina University.
Eric S Holmboeis Chief Research, Milestone Development, and Evaluation Officer, ACGME.
Marc Triolais Associate Dean for Educational Informatics and Director of the Institute for Innovations in Medical Education, NYU Grossman School of Medicine.
Paul Georgeis Associate Professor of Family Medicine and Associate Dean of Medical Education, Warren Alpert Medical School of Brown University.
Paul N Gormanis Professor of Medical Informatics and Clinical Epidemiology, Professor of Medicine, and Assistant Dean, Rural Medical Education, School of Medicine, Oregon Health & Science University.
Susan Skochelakis Group Vice President, Medical Education, American Medical Association.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe American Medical Association Accelerating Change in Medical Education (AMA-ACE) consortium proposes that medical schools include a new 3-pillar model incorporating health systems science (HSS) and basic and clinical sciences. One of the goals of AMA-ACE was to support HSS curricular innovation to improve residency preparation.

objectiveThis study evaluates the effectiveness of HSS curricula by using a large dataset to link medical school graduates to internship Milestones through collaboration with the Accreditation Council for Graduate Medical Education (ACGME).

methodsACGME subcompetencies related to the schools' HSS curricula were identified for internal medicine, emergency medicine, family medicine, obstetrics and gynecology (OB/GYN), pediatrics, and surgery. Analysis compared Milestone ratings of ACE school graduates to non-ACE graduates at 6 and 12 months using generalized estimating equation models.

resultsAt 6 months both groups demonstrated similar HSS-related levels of Milestone performance on the selected ACGME competencies. At 1 year, ACE graduates in OB/GYN scored minimally higher on 2 systems-based practice (SBP) subcompetencies compared to non-ACE school graduates: SBP01 (1.96 vs 1.82, 95% CI 0.03-0.24) and SBP02 (1.87 vs 1.79, 95% CI 0.01-0.16). In internal medicine, ACE graduates scored minimally higher on 3 HSS-related subcompetencies: SBP01 (2.19 vs 2.05, 95% CI 0.04-0.26), PBLI01 (2.13 vs 2.01; 95% CI 0.01-0.24), and PBLI04 (2.05 vs 1.93; 95% CI 0.03-0.21). For the other specialties examined, there were no significant differences between groups.

conclusionsGraduates from schools with training in HSS had similar Milestone ratings for most subcompetencies and very small differences in Milestone ratings for only 5 subcompetencies across 6 specialties at 1 year, compared to graduates from non-ACE schools. These differences are likely not educationally meaningful.

Indexed as

Internship and ResidencyAccreditationChildClinical CompetenceEducational MeasurementEducation, Medical, GraduateHumansUnited States

Identifiers

PMID34178266
PMCPMC8207938

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.