Role of preventive medicine residencies in medical education: a national survey.

In an era of substantial reform to the nation's health system, there has never been a greater need for physicians to understand public health. One way to foster public health in medical education is to utilize the resources within General Preventive Medicine and Public Health (PM) residency programs. Trained in public health and clinical medicine, PM physicians are uniquely positioned to bridge these disciplines. Little is known about the level of engagement of PM residency programs in medical education. This study explores the current state of their involvement. Program directors from all Accreditation Council for Graduate Medical Education-accredited PM residency programs were asked to participate in a survey to assess involvement in medical student and non-PM resident education, including on nine key engagement criteria covering teaching, rotations, career interest groups, and other activities. The study was conducted and data analyzed in 2010. Thirty-five of 38 (92%) programs responded. Seventy-four percent reported that PM faculty taught medical students, and 34% taught at non-PM residency programs. The lowest level of engagement was seen in PM residents teaching non-PM residents (12%). Over half of all programs met four or fewer of the nine criteria. The most common barriers to engagement were lack of funding (53%) and lack of time (50%). These results suggest that PM residency programs are an underutilized resource in fostering public health in medical education, especially on engagement at the level of graduate medical education. Strategies to improve engagement should consider the nine criteria outlined in this study, as well as common barriers.

Preston C ，Almashat S ，Peik S ，Desale M ，Alexander M ... -  《-》

Global health in general surgery residency: a national survey.

Jayaraman SP ，Ayzengart AL ，Goetz LH ，Ozgediz D ，Farmer DL ... -  《-》

Weaving public health education into the fabric of a family medicine residency.

Policymakers and accrediting bodies have recognized the importance of integrating public health, population health, and prevention into graduate medical education programs. The high prevalence of chronic illness, coupled with the impact of behavioral and societal determinants of health, necessitate an urgent call for family medicine residencies to prepare future leaders to meet these challenges. The University of Massachusetts Worcester Family Medicine Residency recently developed an integrated curriculum that strives to develop a culture of incorporating fundamental public health principles into everyday practice. This public health curriculum was designed to integrate new topics within the current residency structure through longitudinal and concentrated experiences. This strategy has substantially improved public health and prevention education without substantial impact on the already strained residency curricular structure. This paper describes the integration of public health and prevention education into a family medicine residency to help residents acquire the fundamental skills necessary to improve a population's health.

Potts SE ，Deligiannidis KE ，Cashman SB ，Caggiano ME ，Carter LH ，Haley HL ，Ferguson WJ ... -  《-》

Survey of accredited master of public health (MPH) programs with health education concentrations: a resource for strengthening the public health workforce.

Woodhouse LD ，Auld ME ，Livingood WC ，Mulligan LA ... -  《-》

Is the Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow survey, a valid tool to assess general surgery residency programs compliance with work hours regulations?

The Accreditation Council for Graduate Medical Education (ACGME) uses the resident/fellow survey to assess residency programs compliance with ACGME work hours regulations. Survey results can have significant consequences for residency programs including ACGME letters of warning, shortened program accreditation cycle, immediate full program and institutional site visits, or administrative withdrawal of a program's accreditation. Survey validity was assessed by direct query of general surgery residents who answer the survey each year. A multiple-choice survey was created to assess all US general surgery residents' interpretation and understanding of the ACGME survey. The survey was distributed to all surgery residency program directors in the US in 2009. Responses were compiled via an online survey program. Statistical analysis was performed in aggregate and between junior and senior residents. Nine hundred sixty-five (13.2%) general surgical residents responded with 961 (99.6%) completing all questions. All responding residents had taken the ACGME survey at least once with 634 (66%) having taken it more than once. Nineteen percent of residents had difficulty understanding the questions with senior residents (23%) reporting difficulty more than junior residents (14%), p < 0.001. Thirty-five percent of residents had discussed the survey with their faculty or program director prior to taking it, while 17% were instructed on how to answer the survey. One hundred thirty-three residents (14%) admitted to not answering the questions truthfully while 352 (37%) of residents felt that the survey did not provide an accurate evaluation of their work hours in residency training. An evaluation tool in which 1 in 7 residents admit to answering the questions falsely and 1 in 5 residents had difficulty interpreting the questions may not be a valid method to evaluate compliance with work hours regulations. Evaluation of work hours regulations compliance should be based on actual work hours data rather than an anonymous survey.

Sticca RP ，Macgregor JM ，Szlabick RE 《-》