Explanipedia

Faculty Development for the People: Workplace‐Based Solutions for Busy Clinicians Open

Erica C. Brode, Joey Bernal, Susannah Cornes, Lekshmi Santhosh, Josette Rivera , et al. · 2025

Background Across clinical learning environments (CLEs), learners often encounter supervising clinicians who do not self‐identify as educators and, therefore, may not seek out faculty development to augment their teaching skills. To reach …

Host-microbe multiomic profiling identifies distinct COVID-19 immune dysregulation in solid organ transplant recipients Open

Harry Pickering, Joanna Schaenman, Hoang Van Phan, Cole Maguire, Alexandra Tsitsiklis , et al. · 2025

Revitalizing grand rounds in the time of COVID Open

Lekshmi Santhosh, Lee Anne Rosenstein, Robert M. Wachter · 2024

COVID presented an opportunity to revolutionize the traditional format of Medical Grand Rounds (MGR). In this Commentary , we explore the educational ramifications of shifting MGR virtually with a focus on COVID-related content and its lon…

Physician- and Large Language Model-Generated Hospital Discharge Summaries: A Blinded, Comparative Quality and Safety Study Open

Christopher Y. K. Williams, Charumathi Raghu Subramanian, Syed Salman Ali, Michael Apolinario, Elisabeth Askin , et al. · 2024

Importance High quality discharge summaries are associated with improved patient outcomes but contribute to clinical documentation burden. Large language models (LLMs) provide an opportunity to support physicians by drafting discharge summ…

Pleural Procedure Education in Fellowship Open

Ilana Roberts Krumm, Van K. Holden, Lekshmi Santhosh · 2024

The Accreditation Council for Graduate Medical Education (ACGME) requires that pulmonary fellows "demonstrate competence in the prevention, evaluation, and management of inpatients and outpatients with disorders of the pleura."1Accreditati…

Explor-A-Thora: A Novel Three-Dimensionally Printed Pleural Simulator Open

Ilana Roberts Krumm, S. Drapeau, Bryan S. Kim, Yaron Gesthalter, Lekshmi Santhosh · 2024

The development of a low-cost, high-fidelity pleural procedure simulator addresses the current limitations of commercially available pleural simulators. By integrating three-dimensional printing technology and easily accessible materials, …

Medical Education and Quality Improvement: Ever the Twain Shall Meet? Reply to Chiles: Improvement Is the Prize: Suggestions for Success Open

Avraham Z. Cooper, Snigdha Jain, Lekshmi Santhosh, W. Graham Carlos · 2024

Seven Practical Recommendations for Designing and Conducting Qualitative Research in Medical Education Open

Patrick G. Lyons, Sherie Gause, Michelle N. Eakin, Bridget C. O’Brien, Lekshmi Santhosh · 2024

Qualitative research seeks to provide context, nuance, and depth of understanding in regard to systems, behaviors, and/or lived experiences. As such, it plays a key role in many areas of medical education. Composed of myriad methods and me…

Reckoning with uncertainty to repair trust Open

Lekshmi Santhosh · 2024

An eager MS1 drinks from the fountain of knowledge, filling her brain with medical facts, answering multiple-choice questions dutifully, choosing the "single best right answer."An industrious MS3 proposes thoughtful courses of action in he…

Creation of a sustainable longitudinal women in Leadership Development (WILD) curriculum focused on graduate medical education trainees Open

Colleen A. McGourty, Francine T. Castillo, Grace Donzelli, Bridget P. Keenan, Margaret E. Gilbreth , et al. · 2024

Background Although women comprise the majority of medical students, gender disparities emerge early and remain at the highest levels of academia. Most leadership courses focus on faculty or students rather than women graduate medical educ…

The ABCs of Cultivating Psychological Safety for Clinical Learner Growth Open

W. G. Brown, Lekshmi Santhosh, Nancy H. Stewart, Rosemary Adamson, May M. Lee · 2024

The learning risks inherent to clinical graduate medical education (GME) are great—even without extraneous challenges (Figure 1).1-5 Despite this, the clinical learning environment (CLE) has often been characterized by power distance, sham…

Centering health equity during handoff communications Open

Ritu Bansal, Monisha Bhatia, Lekshmi Santhosh · 2024

Despite increasing attention to health disparities, inequities in health outcomes continue to plague our society.1, 2 The Joint Commission notes that communication breakdowns are the leading factor contributing to sentinel events, which di…

Validating the Physician Documentation Quality Instrument for Intensive Care Unit–Ward Transfer Notes Open

Patrick G. Lyons, J.C. Rojas, Alice F. Bewley, Sara Malone, Lekshmi Santhosh · 2024

We report moderate validity evidence for the mPDQI-9 to assess the usefulness of ICU-ward transfer notes written by internal medicine residents.

Changes in Gender and Racial/Ethnic Diversity in US Residency Program Applications From 2018 to 2022 Open

Laura A. Huppert, Lekshmi Santhosh, Sarah Alba-Nguyen, Cindy J. Lai, Jennifer M. Babik · 2024

Background Residency application patterns by gender and race/ethnicity offer important insights about diversity in residency recruitment. It is unknown how the COVID-19 pandemic and virtual interviewing affected these patterns. Objective W…

Policies to Support Lactation at Highly Ranked US Medical Schools Open

Lekshmi Santhosh, Ashley Vo, Caroline Wick, Michelle Mourad, Urmimala Sarkar , et al. · 2023

This cross-sectional study analyzes lactation support policies at the top 50 US schools of medicine.

Eye on the Prize: Patient Outcomes Research in Medical Education Open

Avraham Z. Cooper, Snigdha Jain, Lekshmi Santhosh, W. Graham Carlos · 2023

The overarching goal of medical education is to train clinicians who achieve and maintain competence in patient care. Although the field of medical education research has acknowledged the importance of education on clinical practices and o…

Exercises in Clinical Reasoning: Beyond the Surface Open

James W. Salazar, Daniel J. Minter, Zian H. Tseng, Lekshmi Santhosh · 2023

Mind the Gap: A Single-Site, 12-Year Analysis of Trends in Medicine Residents Taking Gap Years before Fellowship Open

Lekshmi Santhosh, Megan McGrath, Jennifer M. Babik · 2023

Importance of Reconnection With ICU Survivors to ICU Recovery Program Clinicians Open

Tammy L. Eaton, Valerie Danesh, Carla M. Sevin, Kelly Potter, Han Su , et al. · 2023

Presently, ICU recovery care has appropriately focused on ICU survivor and caregiver outcomes. The provision of ICU recovery services through specialized post-ICU programs are one approach clinicians and researchers have focused their effo…

Discourage Paint-by-Numbers Presentations Open

Aaron Baugh, Lekshmi Santhosh · 2023

Medical Societies Must Choose Professional Meeting Locations Responsibly in a Post-<i>Roe</i> World Open

Alison G. Lee, Jason H. Maley, Kathryn A. Hibbert, Kathleen M. Akgün, Katrina Hauschildt , et al. · 2023

"Medical Societies Must Choose Professional Meeting Locations Responsibly in a Post-Roe World." Annals of the American Thoracic Society, 0(ja), pp. –

Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents Open

Emily M. Olson, D. M. Sanborn, Timothy G. Dyster, Diana J. Kelm, Sara G. Murray , et al. · 2023

Gender disparities in access to procedural training during ICU rotations were seen at one institution but not another. There were ubiquitous perceptions that assertiveness was important to access procedural opportunities. We hypothesize th…

Time to reimagine diagnosis in the acute care setting Open

Michael S. Pulia, Dimitrios Papanagnou, Lekshmi Santhosh · 2023

Diagnostic error is a significant cause of preventable patient harm across health care settings, yet progress has proven elusive. This was recently brought into sharp focus by an Agency for Healthcare Research and Quality (AHRQ)-sponsored …

Improving Communication in Intensive Care Unit to Ward Transitions: Protocol for Multisite National Implementation of the ICU-PAUSE Handoff Tool Open

Elle Fukui, Patrick G. Lyons, E. J. Harris, Emma McCune, J.C. Rojas , et al. · 2023

Background The intensive care unit (ICU)–ward transfer poses a particularly high-risk period for patients. The period after transfer has been associated with adverse events and additional work for care teams related to miscommunication or …

Impact of a Multidisciplinary Post-COVID-19 Clinic on Hospital Admissions and ED Visits Open

Sophia Levan, Michelle Mourad, Brian L. Block, Rupal Shah, Lekshmi Santhosh · 2023

A National Leadership Incubator to Promote Equity in Diagnostic Excellence Open

Lekshmi Santhosh, Efrén J. Flores, Komal Bajaj · 2022

This Viewpoint discusses the structure of the National Academy of Medicine’s Scholars in Diagnostic Excellence program and the lessons learned from this national leadership incubator.

Jane (or Dr Doe?) Will Reply to Your Patient Portal Message Now Open

Lekshmi Santhosh, Leah J. Witt · 2022

In this issue of JAMA Network Open, Harvey and colleagues 1 analyzed more than 90 000 electronic messages sent to physicians by more than 34 000 patients and found that women physicians, doctor of osteopathic medicine (DO) physicians, and …

Teaching the science of uncertainty Open

Glenn Moulder, E. J. Harris, Lekshmi Santhosh · 2022

As we increasingly acknowledge the ubiquitous nature of uncertainty in clinical practice (Meyer AN, Giardina TD, Khawaja L, Singh H. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and futu…

Best Practices for Remediation in Pulmonary and Critical Care Medicine Fellowship Training Open

Erin Camac, Nancy H. Stewart, Lekshmi Santhosh, W. Graham Carlos, Joshua L. Denson , et al. · 2022

Evidence-based remediation helps struggling learners in pulmonary and critical care fellowship to improve their ability to meet Accreditation Council for Graduate Medical Education (ACGME) milestones.

Analysis of Narrative Text in Evaluations of Continuing Medical Education Faculty by Gender Open

Lekshmi Santhosh, Alexandra E. Rojek, Joanne W. L. Yim, Sarah Lisker, Katarina Wang , et al. · 2022

This mixed-methods study examines the performance ratings and feedback received by female and male lecturers at national internal medicine conferences.

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