Recent Publications by CFE Educators
Recent Published articles, books, and other scholarship by Academy members, CFE Education Scientists, and CFE Faculty.
Impact of Age in Single-Level Versus Multilevel Airway Compromise: A Multi-Institutional Review.
2024
Authors: Laohakittikul C, Khalsa IK, Rao SJ, Stockton SD, Madden LL, Cates DJ, Young VN
Neuroanatomy of the nociceptive system: From nociceptors to brain networks.
2024
Authors: Motzkin JC, Basbaum AI, Crowther AJ
Outcomes in Randomized Clinical Trials Testing Changes in Daily Water Intake: A Systematic Review.
2024
Authors: Hakam N, Guzman Fuentes JL, Nabavizadeh B, Sudhakar A, Li KD, Nicholas C, Lui J, Tahir P, Jones CP, Bent S, Breyer BN
Belonging as a Core Trait Within the Practice of Medicine.
2024
Authors: Jaji Z, Sekar DR, Ortiz Worthington R, Larsen D, Maleque N, Boscardin CK, Buranosky RA, Logio L
Extended Monitoring for Transition to Oral Corticosteroids in Acute Severe Ulcerative Colitis May Be Unnecessarily Prolonging Length of Stay.
2024
Authors: Ear S, Cordero J, McConnell R, Velayos F, Mahadevan U, Lewin S
The Contributions of RIME in Furthering Medical Education Scholarship.
2024
Authors: Roberts LW, O'Brien BC, DeVilbiss MB
Prospective study on comparison of simulation-based mastery learning versus conventional apprentice-based learning for basic endoscopy training.
2024
Authors: Maulahela H, Soetikno RM, Kaltenbach TR, Annisa NG, Putri NAR, Syam AF, Simadibrata M, Findyartini A, Indriatmi W
BACKGROUND AND AIM
The simulation-based mastery learning (SBML) method holds promise for improving the efficiency and effectiveness of endoscopy training. However, further study is required to establish its advantages over the traditional method. We aim to prospectively compare outcomes between gastrointestinal endoscopy trainees taught using SBML and those trained using conventional apprenticeship methods for upper endoscopy.
METHODS
We performed a blinded, stepwise, comparative study with SBML participants deliberately practicing deconstructed steps of upper endoscopy and apprenticeship participants observing procedures. Three blinded trainers assessed trainees' skills using a validated esophagogastroduodenoscopy (EGD) tool pre-and post-training. The minimum pass standard (MPS) was set at a score > 2. We compared MPS of the groups using standard statistics and paired t-test.
RESULTS
Six trainees were enrolled in the SBML group, and six in the conventional group. All trainees in the SBML group passed the minimum standard compared with the conventional group (P = 0.06). All trainees in the SBML group obtained significantly higher scores in overall basic GI endoscopic skills, esophageal, stomach, and duodenal observation skills than those of the conventional apprenticeship group (P 0.05). The SBML curriculum led to three times more learning (Cohen's d = 6.5) than the conventional method (Cohen's d = 1.8).
CONCLUSION
This prospective study supports SBML for upper endoscopy training compared with the traditional apprentice-based method. SBML resulted in a steeper learning curve, as trainees learned three times more during the same period. Furthermore, trainees developed a uniform competency level at the end of training.
View on PubMedComment on: Effect of gender and age on bDMARD efficacy for axial spondyloarthritis patients: a meta-analysis of randomized controlled trials.
2024
Authors: Eder L, Pardo JP, Mease P, Gensler LS
Variation in Mentions of Race and Ethnicity in Notes in Intensive Care Units Across a Health Care System.
2024
Authors: Cobert J, Espejo E, Boscardin J, Mills H, Ashana D, Raghunathan K, Heintz TA, Chapman AC, Smith AK, Lee S
BACKGROUND
Social constructs like race can affect how patients are perceived and impact care. This study investigated whether mentions of race in notes for critically ill patients differed according to patients' race.
METHODS
This retrospective cohort study included intensive care unit notes for adults (≥18 years old) admitted to any of 6 intensive care units at University of California, San Francisco, from 2012 through 2020. Notes were linked to National Provider Identifier records to obtain note writer characteristics. Logistic regression analysis with robust SEs clustered on note writers was adjusted for patient-, note- and clinician-level characteristics. Any race or ethnicity mention was the outcome of interest.
RESULTS
Among 5573 patients with 292 457 notes by 9742 unique note writers, 3225 patients (57.9%) self-reported their race as White, 997 (17.9%) as Asian, 860 (15.4%) as Latinx, and 491 (8.8%) as Black. Note writers documented race/ethnicity for 20.8% of Black, 10.9% of Latinx, 9.1% of White, and 4.4% of Asian patients. Black patients were more likely than White patients to have race mentioned in notes (adjusted odds ratio, 2.05 [95% CI, 1.49-2.82]).
CONCLUSIONS
Black patients were more than twice as likely as White patients to have race mentioned in notes. Note language containing information on social constructs has consequences for clinicians and patients reading notes and for algorithms trained on clinical notes.
View on PubMedThe Urgency of Climate-Resilient Health Systems in Pakistan: Lessons From the 2022 Floods.
2024
Authors: Akthar TM, Reid MJA
