Background: The concept of using Entrustable Professional Activities (EPAs) in undergraduate medical education (UME) arose because residency program directors noticed a significant decline in their interns’ ability to perform the basic skills required of them upon starting residency. The internal medicine (IM) sub-internship (sub-I) rotation is primed to address the EPAs especially pertinent to the [...]

Background: End of rotation evaluations by attending physicians document resident performance and inform promotion. Unsatisfactory response rates and inadequate qualitative responses are a common problem. To address these issues, we implemented a single-question, Entrustable Professional Activities (EPA) based assessment tool on our inpatient ward rotations and compared it to our existing ACGME milestone-based assessment tool. [...]

Background: Entrustable Professional Activities (EPAs) are fast becoming the framework to assess medical student preparedness to deliver safe, high quality care. The hospital ward environment leads to highly variable teaching and evaluation of EPAs. Accordingly, we felt that the controlled teaching environment found in simulation (SIM) along with a standardized checklist with trained faculty would [...]

Background: Distrust of the healthcare system is longstanding in Black communities. This may especially threaten the health of the population when a highly contagious infection strikes. Perceptions, knowledge, and personal safety practices related to COVID-19 are unknown among hospitalized Black patients who distrust the healthcare system. Methods: Black patients hospitalized patients were surveyed between November [...]

Background: Trust has long been considered an important element in the doctor-patient relationship, and historically physicians have been considered one of the most trusted professions in the US. However, recent data suggests that patient trust in the healthcare system has eroded. One hypothesized cause of this loss of trust is the breakdown of the doctor-patient [...]

Background: Racial minorities are underrepresented in cancer-related clinical trials. One commonly recognized contributor to this is medical mistrust. Methods: This study used data from the 2020 National Cancer Institute’s Health Information National Trends Survey (HINTS), a cross-sectional, nationally representative sample of 3865 participants. We sought to determine the prevalence of medical mistrust and its impact [...]

Background: Multiple previous studies have indicated that patient experience is linked to the interactions with caregivers in healthcare settings.These interactions impact a patient’s perception in areas like trust and service quality. These are also thought to be associated with improved patient compliance and thus clinical outcomes. Purpose: Managing Up is a process to help create [...]

Background: Trusting relationships between faculty and learners, described as an “educational alliance,” play an important role in constructive feedback. Such relationships can be difficult to achieve in current clinical learning environments (CLEs), which may diminish faculty members’ willingness to give learners feedback that supports their growth and performance. Our study seeks to explore the role [...]

Background: Patients’ names are pronounced incorrectly during medical encounters, but there is limited literature on the impact name pronunciation has on patient experience. At our quaternary care center, there is no system to communicate the pronunciation of a patient’s name. Our clinical experience on the cardiology service highlighted the negative effects of name mispronunciation on [...]