Evidence map›Paper›PMID 35020616›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2022

Measuring Graduate Medical Education Outcomes to Honor the Social Contract.

Robert L Phillips, Brian C George, Eric S Holmboe, Andrew W Bazemore, John M Westfall, Asaf Bitton

Abstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

6 authors.

Robert L PhillipsR.L. Phillips Jr is executive director, Center for Professionalism & Value in Health Care, American Board of Family Medicine Foundation, Washington, DC; ORCID: https://orcid.org/0000-0001-7882-1560 .
Brian C GeorgeB.C. George is director, Center for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, Michigan, executive director, Society for Improving Medical Professional Learning, Boston, Massachusetts, and senior scholar, Center for Professionalism & Value in Health Care, American Board of Family Medicine Foundation, Washington, DC.
Eric S HolmboeE.S. Holmboe is chief, Research, Milestones Development and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, Illinois.
Andrew W BazemoreA.W. Bazemore is senior vice president for research and policy, American Board of Family Medicine, and co-director, Center for Professionalism & Value in Health Care, American Board of Family Medicine Foundation, Washington, DC.
John M WestfallJ.M. Westfall is director, Robert Graham Center, American Academy of Family Physicians, Washington, DC.
Asaf BittonA. Bitton is executive director, Ariadne Labs, associate professor of medicine, Division of General Medicine, Brigham and Women's Hospital, associate professor of health care policy, Harvard Medical School, Boston, Massachusetts, and part-time senior advisor for primary care policy, Center for Medicare & Medicaid Innovation, Baltimore, Maryland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The graduate medical education (GME) system is heavily subsidized by the public in return for producing physicians who meet society's needs. Under the terms of this implicit social contract, decisions about how this funding is allocated are deferred to the individual training sites. Institutions receiving public funding face potential conflicts of interest, which have at times prioritized institutional purposes and needs over societal needs, highlighting that there is little public accountability for how such funding is used. The cost and institutional burden of assessing many fundamental GME outcomes, such as specialty, geographic physician distribution, training-imprinted cost behaviors, and populations served, could be mitigated as data sources and methods for assessing GME outcomes and guiding training improvement already exist. This new capacity to assess system-level outcomes could help institutions and policymakers strategically address the greatest public needs. Measurement of educational outcomes can also be used to guide training improvement at every level of the educational system (i.e., the individual trainee, individual teaching institution, and collective GME system levels). There are good examples of institutions, states, and training consortia that are already assessing and using GME outcomes in these ways. The ultimate outcome could be a GME system that better meets the needs of society and better honors what is now only an implicit social contract.

Indexed as

Internship and ResidencyPhysiciansEducation, Medical, GraduateHumansUnited States

Identifiers

PMID35020616
PMCPMC9028305

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.