KeyLIME KeyLIME

Today's paper was chosen by Dr. Linda Snell discussing the shift in responsibility and the need to survive.
Authors:  Walzak et al., 
Publication details: Working in the dead of night: exploring the transition to after-hours duty Med Educ. 2019 Mar;53(3):296-305 

Released on May 14, 2019
 
Linda's article discusses what happens to those who go to medical school after parental influence.
Authors: Griffin B, Hu W.
Publication details: Parental career expectations: effect on medical students’ career attitudes over time. Med Educ. 2019 Feb 7. [Epub ahead of print]

Episode length 24:50
This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165. 
The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.
Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!
Voting for Methods and Impact - at 20 minutes in.
 Authors:  Chaiyachati et al.,
Publication details:  Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15. 

Episode length - 25:45
 The purpose of this study is
(1) to discuss the terms used in reference to clinical reasoning;
(2) describe how the research team categorized those terms in relation to the meanings inferred by each term and
(3) to report where there are disagreements in those interpretations 
Voting on Methods and Educational Impact start at 19:30
Authors:  Young et al.,
Publication details: The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8 

Jason selects an important paper on Physician burnout and how concerns have reached a strident pitch
Authors:  Panagioti, et al,.
Publication details: Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330.

Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner? 
Authors:  Shinkai et al. 
Publication details:  Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7)