Background: Physician advocacy and knowledge of healthcare policy are vital elements of medical education and included within the ACGME Core Competency of Systems-Based Practice. The ability to advocate effectively has potential to impact healthcare regulations for both inpatient and outpatient practice. However, many GME programs do not incorporate these topics into their trainee education. To [...]

Background: When left untreated tuberculosis has the potential to cause significant morbidity and mortality. In many instances adequate microbiologic therapy does not exclude chronic respiratory complications. Bronchostenosis is an under recognized complication with potentially far reaching complications. Methods: Patients with evidence of bronchial stenosis and lung volume loss who were previously treated with pulmonary tuberculosis [...]

Background: Point-of-care ultrasound (POCUS) is becoming an important part of internal medicine (IM) residency training. Achieving competency requires performing a large volume of clinical exams which can be difficult within the constraints of residency. Often cited barriers include insufficient resident time and the interruption of daily workflow. Methods: Prospective cohort study within a 700-bed, quaternary [...]

Background: As acting interns (or sub-interns), fourth-year medical students are placed in the intern role to develop skills important for internship. At our institution, this has traditionally occurred on inpatient teaching teams that also include residents, interns, and third-year medical students. Because teaching teams are at times crowded with learners, our acting interns have often [...]

Background: Worldwide, the number of refugees continues to increase. By the end of 2017, there were an estimated 68.5 million individuals forcibly displaced worldwide due to persecution, conflict, or generalized violence. Refugees have unique and complex health care conditions and needs. Most physicians receive limited, if any, training on providing medical care to refugees. The aim [...]

Background: Gender disparities in academic medicine are well-documented. In many current academic settings, decisions regarding faculty promotion, teaching time, and pay are influenced by performance evaluations. As a result, it is crucial to understand how evaluations may be impacted by gender bias. There are three aims to this study: 1) assess for differences in the [...]

Background: Background:Compassion fatigue is a form of occupational stress which occurs when individuals are exposed to suffering and trauma on an ongoing basis. The purpose of this study was to explore the experiences of compassion fatigue among medical students (M3 and M4) at MCW during clinical clerkship. Methods: Methods: A questionnaire was administered to 403 [...]

Background: The National Board of Medical Examiners (NBME) mandates shelf examinations for all upper-level medical students completing the Internal Medicine (IM) clerkship. Undergraduate medical curricula have adopted many disparate strategies for succinctly delivering “high-yield” topics to students prior to their examinations, such as PowerPoint presentations, mock examinations, and review of challenging questions from question banks [...]

Background: Despite a commitment to high-quality medical education, diagnostic errors continue to be pervasive. Clinical presentations with nonspecific symptoms and diagnoses with wide differentials are prone to diagnostic errors; dizziness may be the epitome of this conundrum. Dizziness is a common symptom, costly to assess, and frequently misdiagnosed. Diagnostic decisions have high stakes, given the [...]

Background: Academic hospitalists have identified teaching learners as the most fulfilling aspect of their jobs. Components of effective clinical education include teaching at the bedside and giving feedback. To enhance and develop the teaching and professional developmental skills of early-career hospitalists, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and [...]