https://padlet.com/ap024851/rucatx2axrzq en-us 2018-12-15 15:47:17 UTC 2024-05-31 03:20:42 UTC hello@padlet.com ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/314898695 Due to the competitive pressures of becoming a doctor, the United State’s medical education system is at a crisis because of the cutthroat culture practiced by students in many premedical education programs, the misdirected training of medical students, and the overwhelming responsibility placed upon residents.]]> 2018-12-15 15:49:58 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/314898695 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/314900219 2018-12-15 16:10:50 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/314900219 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/314900692 "In a career path that epitomizes selfless service where does this kind of behavior come into play? How can a competitive and sometimes subversive student suddenly metamorphose into the compassionate physician we all want to visit? More importantly, are we setting up the right kind of environment for our future doctors’ mentalities to culture in?"]]> 2018-12-15 16:17:24 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/314900692 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/314901046 Dr. Kakaday demonstrates that the cutthroat culture of premedical education is reinforcing the student's nature of learning to be selfish and competitive in a field that requires selflessness and cooperation. The competitive environment setting the mentality to become the best at any cost and without the help of others; the opposite of what doctors should be.]]> 2018-12-15 16:20:59 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/314901046 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/314901203 Current resident, received BS from UCSD and MD from OHSU, and has personally experienced the cutthroat culture of premedical education.]]> 2018-12-15 16:22:48 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/314901203 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315580468 2018-12-18 16:11:46 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315580468 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315580637 2018-12-18 16:12:08 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315580637 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315635023 2018-12-18 18:08:53 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315635023 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315643785 The learning environment of premedical education on many American undergraduate campuses appears to be relentlessly competitive, potentially undermining virtues of moral character critical to success in medical school and to eventual clinical excellence.]]> 2018-12-18 18:26:39 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315643785 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315645099 Gail Geller: The director of Education Initiatives in the Berman Institute of Bioethics, professor in multiple departments of medicine, holds a BS, ScD, and MHS Degree, and has 25 years of experience in conducting ethical research.

Meredith Caldwell: Expert in the industries of management and consulting and holds an MBA degree.

Maria W. Merritt: A core faculty member of the Berman Institute of Bioethics, associate professor in the John Hopkins Bloomberg School of Public Health, and has a BS in biology and a PhD in philosophy.]]> 2018-12-18 18:29:30 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315645099 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315645224 This insight by Dr. Geller et al. builds the case in that the relentless competition experienced in premedical education forces many students to abandon their morals in order to stay ahead of the class and make the cut; which does not aid in their future medical education nor does it translate to becoming an ethical and competent physician.]]> 2018-12-18 18:29:47 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315645224 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315645852 “It necessarily means I want other people to do badly so I can do well because of the curve, and it’s just really antithetical to how doctors should be. … I can’t help but feel like ‘I hope people bomb this test so I can do well.’ There is definitely a top-to-bottom system that forces you to be really scared. And when you’re scared, you’re irrational, and you start hating other people and being selfish.”]]> 2018-12-18 18:31:10 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315645852 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315646119 Course Moderator and Senior Editor for Stanford University, Clinical Research Coordinator for UCSF Medical Center, and a Visiting Scholar for 4 years in the University of Glasgow.]]> 2018-12-18 18:31:48 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315646119 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/315646153 The former medical student expresses her experiences as reasonable as a result of the overwhelming competition psychologically manipulating her to believe that there was no other way to get around the competition. Not recieving a reward for the hard work and long hours invested into studying just to stay ahead of the curve, but to fail nonetheless because there was someone who was better.]]> 2018-12-18 18:31:53 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/315646153 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316125135 With the competitive pressures of becoming a doctor and the increasing burnout, dept, and depression for students pursuing a career in medicine in the United States, should the medical education system be optimized to be less restricting while still insuring that the students will become competent future physicians?

]]> 2018-12-20 11:50:19 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316125135 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316127124 "The Duke student suggests that the students (mainly admitted because of their high MCAT scores) who thrive in this environment are typically 'hyper-competitive, grade obsessed, rat-race running student who can game the system well and memorize and regurgitate information.' A 4th-year medical student added to this astute assessment, stating that these schools taught more to the test instead of patient care."]]> 2018-12-20 12:02:47 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316127124 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316129475 America University of Antigua (AUA) College of Medicine is a for-profit international medical school accredited by the Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) while also holding a presence in many states in the United States, Canada, and India.]]> 2018-12-20 12:17:41 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316129475 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316129618 This inference by AUAmed gets straight to the point by stating that students accepted into top universities of medicine, such as Duke University, are the students who embraced the competitive nature of premedical education with open arms. Thus, conditioning themselves into becoming a machine that top medical schools would love to have in their curriculum.]]> 2018-12-20 12:18:27 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316129618 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316132174 “'I can’t,'” she sighed, explaining that the student did extremely well on all her tests and worked harder than almost anyone in her class. “'The problem,'” she said, “'is that we have no multiple choice exams when it comes to things like clinical intuition, communication skills and bedside manner.'”]]> 2018-12-20 12:32:23 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316132174 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316133079 Surgeon that graduated from Northwestern University, Harvard University, and Yale University, received an MD from Northwestern University Feinberg School of Medicine, and author of  "Final Exam: A Surgeon's Reflections on Mortality", and a New York Times columnist.]]> 2018-12-20 12:37:26 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316133079 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316133235 Dr. Chen demonstrates a scenario of a medical student who has not developed the necessary medical skills to proficiently complete their clinical rotations besides the fact that she was a model student with perfect grades and top scores on her exams. However, being a scholarly student does not develop fundamental skills that will be used for the rest of her medical career.]]> 2018-12-20 12:38:16 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316133235 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316303294 2018-12-20 21:43:07 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316303294 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316303471 2018-12-20 21:44:34 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316303471 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316309285 "As students progress through medical school their attitude scores decline. The reasons for the shift in attitude scores are not clear but they may relate to a ceiling of high attitude scores at entry, loss of idealism and the impact of the unintended curriculum. Further study of the impact of medical education on student attitudes is warranted."]]> 2018-12-20 22:34:45 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316309285 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316309529 Wayne Woloschuk: Graduate from the University of Calgary and Cumming School of Medicine, expert in
Evidence Based Medicine, Primary Care Medicine, and Family Medicine, and author of 62 other publications affiliated with topics in medicine.

Peter H. Harasym: Graduate from the University of Calgary and Cumming School of Medicine, expert in Community Health Sciences, and author of 51 other publications affiliated with topics in medicine.

Walley Temple: Graduate from the University of Calgary and Cumming School of Medicine, a Surgical Oncologist, and author of 132 other publications affiliated with topics in medicine.]]> 2018-12-20 22:36:56 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316309529 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316309571 The explanation Dr. Woloschuk et. al provided for the decline in attitude scores, the total score received based on observable knowledge of practice and behavior in a clinical setting, sums up the conclusion that medical schools in the United States lack a curriculum that teaches its students principle skills which they will be using day to day in their lives as physicians.]]> 2018-12-20 22:37:19 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316309571 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316328577 2018-12-21 02:12:39 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316328577 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316328637 2018-12-21 02:13:14 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316328637 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316334651 "Burnout can also be regarded as a byproduct of the culture of medicine, exemplified by an educational system and profession that reward self-denial, persistence, and expert performance under trying conditions, driving learners to perfect clinical abilities with far less attention to the personal-social, leadership, and teamwork skills necessary to achieve success in our complex systems."]]> 2018-12-21 03:19:36 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316334651 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316334731 "... as an individual stays awake longer, the pressure to sleep increases and alertness deteriorates. For example, after 24 hrs of continuous wakefulness, performance of cognitive tasks is similar to that when blood alcohol concentrations are 100 mg/dL, a level considered above the legal limit for driving. Even after 17 hrs of wakefulness, performance was similar to a blood alcohol concentration of 50 mg/dL. Residents also experience decrements in clinical performance caring for simulated critically ill patients after 26 hrs of wakefulness."]]> 2018-12-21 03:20:52 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316334731 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316334834 "In our study population of 258 pediatric residents across 11 pediatric residency programs, 39% experienced burnout. Residents with burnout were significantly more likely to endorse suboptimal patient care attitudes and behaviors as compared with residents without burnout."]]> 2018-12-21 03:22:20 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316334834 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335102 "I am currently in my fourth year of postgraduate training and third year of residency in Radiation Oncology. Duty hour violations are a rare occurrence in this field, which is primarily based in the outpatient setting. As I have progressed through residency, I have enjoyed gradually increasing levels of responsibility and autonomy within the safe network of supervision by attending physicians. Each patient and each radiation treatment plan provides a unique learning experience. "]]> 2018-12-21 03:25:06 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335102 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335189 2018-12-21 03:26:14 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335189 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335265 2018-12-21 03:27:07 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335265 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335698 Dr. Mahan demonstrates his reasoning that resident burnout is the byproduct of being unable to adjust from the competitive culture of premedical education and medical school to the culture of medicine during residency. The practiced culture of medicine is one that requires collaborativeness and leadership rather than competitiveness and self-reliance.]]> 2018-12-21 03:32:23 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335698 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335731 Dr. Peets and Dr. Ayas provide a detailed comparison of the cognitive performance and alertness between residents that have been awake for 24 hours caring for patients and an individual with a blood alcohol level of 100 mg/dl. Concluding that they perform similar to one another and adding on that residents even take on 26 hour shifts when it comes to taking care of critically ill patients.]]> 2018-12-21 03:32:43 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335731 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316335763 Tamara Elizabeth Baer: Graduated with and MD in General Pediatrics, specializes in Adolescent Medicine and Pediatrics, and has been affiliated with Boston Children's Hospital for 9 years.

Angelica M. Feraco: Graduated with an MD from the University of San Francisco, specializes in Cancer and Blood Disorder Centers, and is affiliated with Boston Children's Hospital and its Tumor Center, Blood Disorders Center and Hematologic Malignancy Center.

Tuysuzoglu Selin Sagalowsky: Graduated with an MD from the Albert Einstein College of Medicine, specializes in Pediatrics, and has been affiliated with Boston Children's Hospital for 9 years.]]> 2018-12-21 03:33:06 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316335763 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316336001 Graduated from Allegheny University of the Health Sciences with an MD, specializes in Pediatric Nephrology, Nephrology, and Pediatrics, and has 41 years of experience.]]> 2018-12-21 03:35:58 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316336001 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316337463 Adam Peets: Graduated from University of British Columbia with an MD and MSc, specializes in Critical Care Medicine, and is currently the Program Director of Critical Care Medicine Residency Program in same university.

Najib T. Ayas: Graduated from University of British Columbia with an MD and MPH, specializes in Critical Care Medicine, and is currently the Faculty of Medicine in same university.]]> 2018-12-21 03:55:10 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316337463 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316337635 Dr. Baer et. al conduct an experiment on a total of 258 residents from 11 different residency programs across the United States. Their results concluded that 39% of the population experienced burnout which then, in turn, were more likely to provide suboptimal care to their patients when compared to their peers whom were not experiencing burnout. ]]> 2018-12-21 03:57:17 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316337635 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316340309 Graduated with an MD from Duke University School of Medicine and received a PhD in Pathology, specializes in Radiation Oncology, and has 6 years of experience with the same university.]]> 2018-12-21 04:39:17 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316340309 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316340334 Dr. Mowery narrates his experiences in residency as positive and providing as a means to grow individually through the honoring responsibility of being the primary care physician for his patients and its opportune cases to learn something new. Furthermore, he states that duty violations, working more hours than necessary, are rare in his field of medicine.]]> 2018-12-21 04:39:55 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316340334 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316404224 Dr, Mahan argues that resident burnout is the byproduct of being unable to adapt to the new culture of medicine after practicing the competitive culture of premedical education and medical school for so long.
Dr. Mowery states that he experienced no issues with adjusting into his residency program and narrates his experience so far as motivating.]]> 2018-12-21 14:36:20 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316404224 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316426775 2018-12-21 16:11:27 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316426775 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316427148 2018-12-21 16:12:35 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316427148 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316427441 2018-12-21 16:13:37 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316427441 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316427894 2018-12-21 16:15:34 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316427894 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316428130 2018-12-21 16:16:36 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316428130 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316429981 2018-12-21 16:24:17 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316429981 ap024851 https://padlet.com/ap024851/rucatx2axrzq/wish/316430213 2018-12-21 16:25:24 UTC https://padlet.com/ap024851/rucatx2axrzq/wish/316430213