Modern MedEd

Microaggressions: What They Are and How to Resolve Them

Host: Christopher Morosky, MD, MS Co-host: Fei Cai, MD Guest: Sharlay K. Butler, MD, MPH Overview Join the Modern MedEd hosts as they explore the topic of microaggressions in the clinical learning environment. Dr. Fei Cai reviews key excerpts from her interview with special guest Dr. Sharlay Butler. What are microaggressions, and how do we recognize them when they occur?  How are microaggressions contributing to inequities in the field of reproductive healthcare, and is there evidence that microaggressions are directly impacting our students and learners? And, what resources are recommended for interrupting and resolving microaggressions, and ultimately promoting accountability and positive, long-term changes to our medical education systems and institutions? Show Notes Dr. Sharlay Butler: https://physiciandirectory.brighamandwomens.org/details/15365/sharlay-butler-obstetrics_gynecology-boston [https://physiciandirectory.brighamandwomens.org/details/15365/sharlay-butler-obstetrics_gynecology-boston] Dr. Fei Cai: https://creogsovercoffee.com/about-us [https://creogsovercoffee.com/about-us] https://twitter.com/fei_cai_md [https://twitter.com/fei_cai_md] Dr. Christopher Morosky: UConn Health [https://facultydirectory.uchc.edu/profile?profileId=Morosky-Christopher] https://twitter.com/cmmorosky [https://twitter.com/cmmorosky]  References: Anderson N et al. The Association of Microaggressions with Depressive Symptoms and Institutional Satisfaction Among a National Cohort of Medical Students [https://pubmed.ncbi.nlm.nih.gov/33939079/]. J Gen Intern Med. 2022 Feb;37(2):298-307. doi: 10.1007/s11606-021-06786-6. Ackerman-Barger K et al. Microaggressions, school satisfaction and depression: A national survey of nursing students [https://doi.org/10.1016/j.outlook.2022.02.002]. Nurs Outlook. 2022 May-Jun;70(3):496-505. Hoi KK et al. Gender Microaggressions During Virtual Residency Interviews and Impact on Ranking of Programs During the Residency Match [https://doi.org/10.4300/jgme-d-21-00927.1]. J Grad Med Educ. 2022 Aug;14(4):398-402.   This season of Modern MedEd, an APGO podcast, was made possible by an unrestricted educational grant from Bayer Healthcare Pharmaceuticals.

Step 1 Tensions: New Perspectives in the Pass/Fail Era

Host: Christopher Morosky, MD, MS Co-host: Leslie Hardy Hood, MD Guest: Jamie L. North Ware, MD, FACOG Overview Join the Modern MedEd hosts as they explore the transition of the USMLE Step 1 exam to a pass/fail outcome. Dr. Leslie Hardy Hood reviews key excerpts from her interview with special guest Dr. Jamie North Ware. What is the purpose of the Step 1 exam, and why did the score reporting system recently change?  How are learners and educators adapting, and how do the changes potentially impact curriculum design for medical students? And, without numerical scores acting as a differentiator for academic performance, how can students demonstrate their competence and individual talents as they look ahead to the residency application process? Show Notes Dr. Jamie North Ware: https://meharrymedicalgroup.com/provider/jamie-l-ware-m-d-facog/ [https://meharrymedicalgroup.com/provider/jamie-l-ware-m-d-facog/] Dr. Leslie Hardy Hood: https://www.linkedin.com/in/leslie-hardy-hood-18849211b/ [https://www.linkedin.com/in/leslie-hardy-hood-18849211b/] Dr. Christopher Morosky: UConn Health [https://facultydirectory.uchc.edu/profile?profileId=Morosky-Christopher] https://twitter.com/cmmorosky [https://twitter.com/cmmorosky]  Additional Resources: USMLE Step 1 Transition to Pass/Fail Only Score Reporting [https://www.usmle.org/usmle-step-1-transition-passfail-only-score-reporting] The Step 1 exam is going pass/fail. Now what? [https://www.aamc.org/news-insights/step-1-exam-going-pass-fail-now-what] Summary Report and Preliminary Recommendations from the Invitational Conference on USMLE Scoring, March 2019 [https://www.usmle.org/sites/default/files/2021-08/incus_summary_report.pdf] This season of Modern MedEd, an APGO podcast, was made possible by an unrestricted educational grant from Bayer Healthcare Pharmaceuticals.

Clerkship Grading: Criterion Referenced vs. Normative Referenced

Host: Christopher Morosky, MD, MS Co-host: Renee Morales, MD Guest: Louis N. Pangaro, MD, MACP Overview Join the Modern MedEd hosts as they explore the topic of clerkship grading. Dr. Renee Morales reviews key excerpts from her interview with special guest Dr. Louis N. Pangaro. What is the RIME framework, and how can educators successfully employ this tool in their evaluation of learners?  How do we define criterion referenced versus normative referenced grading, and what are the potential advantages and disadvantages of each method? And, what administrative actions can we take within our programs and institutions to promote a more fair and equitable grading process? Disclosures Dr. Louis N. Pangaro’s opinions are his own, and do not represent the opinions of his academic institution or the Department of Defense. Dr. Pangaro had no relevant financial disclosures for the purpose of this discussion. Show Notes Dr. Louis N. Pangaro: Professor of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD [https://www.usuhs.edu/node/11100] Dr. Renee Morales: Eastern Virginia Medical School [https://www.evms.edu/patient_care/specialties/obstetrics_and_gynecology/physicians_and_providers/general_obstetrics__gynecology/name_134055_en.php] Dr. Christopher Morosky: UConn Health [https://facultydirectory.uchc.edu/profile?profileId=Morosky-Christopher] https://twitter.com/cmmorosky [https://twitter.com/cmmorosky]  References: For more resources on RIME, check out Dr. Pangaro’s annotated bibliography of related papers [https://drive.google.com/file/d/19vySRA4pMCYrkA2oKX8R_DOdcbjsYxUa/view] Dr. Pangaro’s Google Scholar Link [https://scholar.google.com/citations?user=J-AjoWsAAAAJ&hl=en] This season of Modern MedEd, an APGO podcast, was made possible by an unrestricted educational grant from Bayer Healthcare Pharmaceuticals.

Holistic Review: An Expert Primer in Reducing Implicit Bias

Host: Christopher Morosky, MD, MS Co-host: Leslie Hardy Hood, MD Guest: Laura Minikel, MD Overview Join the Modern MedEd hosts as they explore how holistic review can help to reduce the impact of implicit bias in the residency application process. Dr. Leslie Hardy Hood reviews key excerpts from her interview with special guest Dr. Laura Minikel. What does implicit bias look like in letters of recommendation, and how can letter writers and application reviewers recognize and address their own biases? How does holistic review work, and how can a program train and prepare application reviewers on this method? And, how can a holistic review process enacted at an institutional level help to advance equity in women’s healthcare for patients and providers?  Show Notes Dr. Laura Minikel [https://mydoctor.kaiserpermanente.org/ncal/providers/lauralminikel] Dr. Leslie Hardy Hood [https://www.linkedin.com/in/leslie-hardy-hood-18849211b/] Dr. Christopher Morosky [https://facultydirectory.uchc.edu/profile?profileId=Morosky-Christopher] https://twitter.com/cmmorosky [https://twitter.com/cmmorosky]  References: University of Arizona: Best Practices: Reduce Unconscious Bias [https://hr.arizona.edu/sites/default/files/Best%20Practices%20-%20Reducing%20Unconscious%20Bias.pdf] Unconscious Bias Training: UCSF [https://diversity.ucsf.edu/programs-resources/training/unconscious-bias-training] Gender Bias Calculator: Letters of Recommendation [https://advance.cc.lehigh.edu/content/gender-bias-calculator-letters-recommendation] Dr. Melanie Tervalon: Cultural Humility [https://melanietervalon.com/resources/] Dr. Jann Murray-García: Cultural Humility [https://health.ucdavis.edu/nursing/ourteam/faculty/Murray-Garcia_bio.html] This season of Modern MedEd, an APGO podcast, was made possible by an unrestricted educational grant from Bayer Healthcare Pharmaceuticals.

Rethinking: The Secret Ingredient for Addressing Burnout, Negotiation, and Communication

Host: Christopher Morosky, MD, MS Co-host: Renee Morales, MD Guest: Linda Street, MD Overview Join the Modern MedEd hosts as they explore the topic of Rethinking in medical education. Dr. Renee Morales reviews key excerpts from her interview with special guest Dr. Linda Street. What is Rethinking, and how do we begin to understand and practice this skill? How can Rethinking help clinicians address burnout and stress, challenges that are increasingly impacting medical professionals? And, how can we use Rethinking skills to improve the general culture of medical education and negotiate more healthy, sustainable career conditions that promote equity and diversity in medicine? Show Notes Dr. Linda Street: Simply Street MD [https://www.simplystreetmd.com/]  Simply Worth It on Apple Podcasts [https://podcasts.apple.com/us/podcast/simply-worth-it-physician-negotiations-with-dr-linda/id1548597809] Dr. Renee Morales: Eastern Virginia Medical School [https://www.evms.edu/patient_care/specialties/obstetrics_and_gynecology/physicians_and_providers/general_obstetrics__gynecology/name_134055_en.php] Dr. Christopher Morosky: UConn Health [https://facultydirectory.uchc.edu/profile?profileId=Morosky-Christopher] https://twitter.com/cmmorosky [https://twitter.com/cmmorosky]     References: Burnout: The Secret to Unlocking the Stress Cycle [https://www.burnoutbook.net/] by Emily Nagoski, PhD and Amelia Nagoski, DMA  Adam Grant, PhD [https://adamgrant.net/]  This season of Modern MedEd, an APGO podcast, was made possible by an unrestricted educational grant from Bayer Healthcare Pharmaceuticals.