Darren B. Taichman, MD, PhD
Visit Annals Teaching Tools for more resources for educators from Annals and ACP.
From the Editors of Annals of Internal Medicine and Education Guest Editor, Gretchen Diemer, MD, FACP, Associate Dean of Graduate Medical Education and Affiliations, Thomas Jefferson University.
Listen to an audio recording, read by Dr. Michael LaCombe.
Ask your learners if they feel inadequate as physicians.
Do they have symptoms of burnout? Do they criticize themselves for how they feel? Do they worry others would be critical if they were to report how they feel? Do they feel alone?
What systems are in place at your institution to ensure that trainees know to whom they may reach out for support? Is there a system in place that actively reaches out to be sure your trainees are well?
Are mental health issues, including suicidality, among physicians (and among trainees specifically) proactively addressed at your institution? Or is addressing them discouraged, even if inadvertently? What resources and programs are in place? If you don't know, whom should you ask? Who should be talking about it?
Ask your learners what the rationale is for allogeneic hematopoietic cell transplantation. By what mechanisms might relapse and cure be achieved in malignancies that have been resistant to “standard” chemotherapeutic approaches?
What are the potential acute side effects of the procedure? What about in the long term?
Are the risks following autologous stem cell transplantation different? Pose the multiple-choice question provided below to your learners, and see if they catch the difference.
How have outcomes changed for patients undergoing allogeneic hematopoietic cell transplantation over the past 2 decades? The authors note that cancer relapse remains the largest obstacle to better survival. Which data indicate this?
Ask your learners to define “primary care.”
Do your learners think it is important for a patient to have a primary care physician? Why? Are outcomes better?
What did this study find?
What are potential explanations for the decline in the number of primary care visits? The authors provide 3 possible explanations in the discussion.
The editorialist notes that more people now have insurance than in the past. Why then might cost remain an impediment to care? What does the editorialist say?
Do your learners think it is OK if services previously received from primary care are instead provided in alternative ways, such as at “ready clinics”? Why or why not? What are the potential advantages and disadvantages?
What do your learners see for the future?
Ask your learners when anticoagulation is indicated for valvular heart conditions.
Watch the short video with your learners.
When may anticoagulation be temporarily stopped for a procedure? When is “bridging” needed?
Use the multiple-choice questions to help introduce topics for discussion.
Ask your residents whether student debt has influenced their choice of career paths.
What other variables are important to your learners as they consider their futures?
Discuss trends in fellowship applications to areas such as geriatrics. Why are they declining? Is this a problem? What do your learners think can be done?
Taichman DB. Annals for Educators - 18 February 2020. Ann Intern Med. 2020;172:ED4. doi: https://doi.org/10.7326/AWED202002180
Download citation file:
Published: Ann Intern Med. 2020;172(4):ED4.
Cardiology, Education and Training, Hematology/Oncology, Leukemia/Lymphoma, Valvular Heart Disease.
Results provided by:
Copyright © 2020 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use