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      Pondering the Pandemic’s Problems: A Program Director’s Perspective

      editorial
      Digestive Diseases and Sciences
      Springer US

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          Abstract

          The year 2020 was challenging for many fellowship programs with regard to training or even burnouts. In this article, I will reflect on being a new program director having to deal with new responsibilities amidst an evolving pandemic. I highlight ten takeaway reflections with the hope that others may find these relevant to their current situation as training program leaders and mentors.

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          Most cited references9

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          Explaining Development and Change in Organizations

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            Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review.

            To evaluate published evidence that the Accreditation Council for Graduate Medical Education's six general competencies can each be measured in a valid and reliable way. In March 2008, the authors conducted searches of Medline and ERIC using combinations of search terms "ACGME," "Accreditation Council for Graduate Medical Education," "core competencies," "general competencies," and the specific competencies "systems-based practice" (SBP) and "practice based learning and improvement (PBLI)." Included were all publications presenting new qualitative or quantitative data about specific assessment modalities related to the general competencies since 1999; opinion pieces, review articles, and reports of consensus conferences were excluded. The search yielded 127 articles, of which 56 met inclusion criteria. Articles were subdivided into four categories: (1) quantitative/psychometric evaluations, (2) preliminary studies, (3) studies of SBP and PBLI, and (4) surveys. Quantitative/psychometric studies of evaluation tools failed to develop measures reflecting the six competencies in a reliable or valid way. Few preliminary studies led to published quantitative data regarding reliability or validity. Only two published surveys met quality criteria. Studies of SBP and PBLI generally operationalized these competencies as properties of systems, not of individual trainees. The peer-reviewed literature provides no evidence that current measurement tools can assess the competencies independently of one another. Because further efforts are unlikely to be successful, the authors recommend using the competencies to guide and coordinate specific evaluation efforts, rather than attempting to develop instruments to measure the competencies directly.
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              Navigating the Complexities of Undergraduate Medical Curriculum Change

              Changing an undergraduate medical curriculum is a recurring, high-stakes undertaking at medical schools. This study aimed to explore how people leading major curriculum changes conceived of the process of enacting change and the strategies they relied on to succeed in their efforts.

                Author and article information

                Contributors
                andrew.ong.m.l@singhealth.com.sg
                Journal
                Dig Dis Sci
                Dig Dis Sci
                Digestive Diseases and Sciences
                Springer US (New York )
                0163-2116
                1573-2568
                3 February 2021
                : 1-3
                Affiliations
                GRID grid.428397.3, ISNI 0000 0004 0385 0924, Singhealth Gastroenterology Residency Program, , Singapore and Duke-NUS Graduate Medical School, ; Singapore, Singapore
                Article
                6851
                10.1007/s10620-021-06851-4
                7854025
                33532969
                df2d816e-8100-42de-a7fd-57a6b62b23cd
                © The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 12 January 2021
                Categories
                Fellows and Young GIS Section

                Gastroenterology & Hepatology
                Gastroenterology & Hepatology

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