Background: In 2023, the Accreditation Council for Graduate Medical Education (ACGME) proposed changes to Pediatric Residency programs allowing for greater individualization of resident experiences and increased ambulatory care time. The ACGME changes may lead some institutions to expand pediatric hospital medicine (PHM) services to provide coverage of hospitalized children previously cared for by residents. We [...]

Background: Graduate medical education programs often use anonymous virtual comment boxes to elicit feedback from residents, fostering a culture of openness and aligning with ACGME standards.(1,2) These platforms allow residents to express concerns safely and anonymously, promoting trust and transparency. While previous studies highlight their positive impact on wellness, no comprehensive analysis exists regarding their [...]

Background: The proportion of young adults with complex medical needs and chronic illnesses cared for at pediatric hospitals is substantially increasing. ACGME requires both pediatric and Internal Medicine (IM) residents to manage patients with complex or chronic conditions and coordinate care across the healthcare continuum, including transitioning to adult care. However, barriers to transitioning these [...]

Background: Since the ACGME established duty hour limits in 2003, there has been an increasing prevalence of night float rotations in internal medicine residency training. Conferences and formal didactics are a critical component of resident education. However, residents on night float rotations typically miss these essential educational activities that are typically held during the daytime [...]

Background: Sexual harassment encompasses unwelcome verbal and physical sexual attention, including gender-based behaviors in social settings. It violates fundamental human rights and poses a global issue for men and women. In medical communities, it has been linked to burnout, isolation, workforce attrition, and the perpetuation of unprofessional behaviors through medical education. In the U.S., annual [...]

Background: Hospital medicine is a rapidly growing specialty within internal medicine, offering diverse career opportunities in clinical practice, teaching, research, innovation, and quality improvement (QI). As with any other specialty within Internal Medicine, residents interested in Hospital Medicine need specialty guidance, mentorship, and professional development when considering careers in Hospital Medicine. The Hospital Internal Medicine [...]

Background: Women represented 55.4% of U.S medical school matriculants in 2023. [1] Parents-in-training report high levels of parental stress. Women more often identify as the primary caregiver, anticipate training extensions, and face barriers to breastfeeding and childcare stress. [2] We aimed to identify opportunities to ease the return to work for birthing parents. Purpose: We [...]

Background: Interns feel stressed about assuming responsibility, prioritization of tasks and working in multi-professional teams when they transition to residency. Games offer the ability for learners to engage in active learning, application of knowledge, skill building, problem solving, time-management, simulated patient interaction and teamwork. A medical escape room can offer a unique opportunity to practice [...]

Background: Point-of-care ultrasound (POCUS) is an invaluable clinical tool gaining traction as more physicians recognize its utility. However, pediatric residency programs lag behind internal medicine (IM) and emergency medicine in incorporating formal POCUS training. A survey of 90 programs found that 37.5% of IM and 43.5% of medicine-pediatrics (MP) programs offered formal curricula, compared to [...]