Nancy D. Spector
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View article: Pediatric nurse perspectives on patient‐ and family‐centered rounds: A qualitative study
Pediatric nurse perspectives on patient‐ and family‐centered rounds: A qualitative study Open
Background Patient‐ and family‐centered rounding (PFCR) models are used widely in pediatric hospitals and have been associated with better communication and fewer errors. Although model fidelity and sustainability are well‐documented chall…
View article: Revisiting a Faculty Career Management Life Cycle Model: Anticipating and Navigating Career Transitions in Academic Medicine
Revisiting a Faculty Career Management Life Cycle Model: Anticipating and Navigating Career Transitions in Academic Medicine Open
Career management models are valuable tools for faculty pursuing a career in academic medicine. These models help faculty transition through various stages of their careers, including commonly pursued academic advancements from assistant p…
View article: Gender Differences in the Path to Medical School Deanship
Gender Differences in the Path to Medical School Deanship Open
Importance Women account for only 28% of current US medical school deans. Studying the differences between women and men in their preparation to becoming deans might help to explain this discrepancy. Objective To identify differences in th…
View article: Burnout Among Mid-Career Academic Medical Faculty
Burnout Among Mid-Career Academic Medical Faculty Open
Importance Studies reveal that most physicians report symptoms of burnout. Less is known about burnout in mid-career medical faculty specifically. Objective To characterize burnout and its risk factors, particularly differences by gender, …
View article: Leadership Experiences and Perceptions of Mid-Career to Senior Clinician-Scientists: A Qualitative Exploration
Leadership Experiences and Perceptions of Mid-Career to Senior Clinician-Scientists: A Qualitative Exploration Open
Purpose This study aimed to elucidate the experiences and perceptions of mid-career to senior clinician-scientists in academic medicine regarding pursuing, attaining, or rejecting leadership roles as well as their conceptualization of the …
View article: Professional Experiences and Career Trajectories of Mid- to Senior-Career Women Clinician-Scientists
Professional Experiences and Career Trajectories of Mid- to Senior-Career Women Clinician-Scientists Open
Importance Despite increasing evidence and recognition of persistent gender disparities in academic medicine, qualitative data detailing the association of gender-based experiences with career progression remain sparse, particularly at the…
View article: Enhancing belonging and other stay factors to improve physician retention
Enhancing belonging and other stay factors to improve physician retention Open
J. K. S. reports that she participates in research funded by the Binational Scientific Foundation and is an advisor for Simplifed and a venture partner at Third Culture Capital. N. D. S. is a co-founder and holds equity in the I-PASS Patie…
View article: “How to article:” guidelines for serving on an expert panel
“How to article:” guidelines for serving on an expert panel Open
Academics in medicine are frequently asked to serve on panels to discuss their clinical, research, education, administrative or personal expertise. While panel discussions are often the highlight of a conference or event, in the medical li…
View article: Disrupting Faculty-on-Faculty Bullying in Academic Medicine: An Innovative Workshop
Disrupting Faculty-on-Faculty Bullying in Academic Medicine: An Innovative Workshop Open
This workshop fills a need in academic medicine through addressing how faculty members and institutions can help themselves and others to disrupt bullying. We will continue to disseminate this workshop at national conferences and at indivi…
View article: Mid to Senior Clinician Educator Career Transitions and Vitality
Mid to Senior Clinician Educator Career Transitions and Vitality Open
Mid- to late-career clinician educators (CEs) face many transitions, successes, and setbacks with variable guidance. Inflection points, or times of pivotal decision, occur during transitions between junior, mid, senior, and emeritus phases…
View article: Analysis of Race and Ethnicity Among United States Medical Board Leadership
Analysis of Race and Ethnicity Among United States Medical Board Leadership Open
Background: The inequitable representation of women and members of racial and ethnic minority groups in leadership positions within academic medicine is an ongoing challenge with practical and realistic solutions. The purpose of this study…
View article: Gender Representation Among Editors of Major Pediatric Journals
Gender Representation Among Editors of Major Pediatric Journals Open
This cross-sectional study analyzes inequities in the gender of editors for 3 major pediatric journals.
View article: Workplace Harassment, Cyber Incivility, and Climate in Academic Medicine
Workplace Harassment, Cyber Incivility, and Climate in Academic Medicine Open
Importance The culture of academic medicine may foster mistreatment that disproportionately affects individuals who have been marginalized within a given society (minoritized groups) and compromises workforce vitality. Existing research ha…
View article: Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity
Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity Open
Abundant disparities for women in medicine contribute to many women physicians considering leaving medicine. There is a strong financial and ethical case for leaders in academic medicine to focus on strategies to improve retention. This ar…
View article: Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity (Preprint)
Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity (Preprint) Open
UNSTRUCTURED Abundant disparities for women in medicine contribute to many women physicians considering leaving medicine. There is a strong financial and ethical case for leaders in academic medicine to focus on strategies to improve reten…
View article: Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex chronic conditions
Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex chronic conditions Open
Background Children with complex chronic conditions (CCCs) are at risk for adverse events (AEs) during hospitalizations. Objective We compared the effect of Patient and Family Centered (PFC)I‐PASS on AE rates in children with and without C…
View article: Utilizing co‐production to improve patient‐centeredness and engagement in healthcare delivery: Lessons from the Patient and Family‐Centered I‐PASS studies
Utilizing co‐production to improve patient‐centeredness and engagement in healthcare delivery: Lessons from the Patient and Family‐Centered I‐PASS studies Open
PFCRs have become commonplace in pediatric hospitals across the United States.1 PFCRs are a "model of communicating and learning between the patient, family, medical professionals, and students on an academic, inpatient ward setting" that …
View article: Implementation of the I‐PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study
Implementation of the I‐PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study Open
Background Handoff miscommunications are a leading source of medical errors. Harmful medical errors decreased in pediatric academic hospitals following implementation of the I‐PASS handoff improvement program. However, implementation acros…
View article: Gender Representation Among United States Medical Board Leadership
Gender Representation Among United States Medical Board Leadership Open
OBJECTIVE: To assess the gender composition of the American Board of Medical Specialties' (ABMS) member boards and evaluate the equitable inclusion of women and a subset of women physicians. METHODS: The gender of individuals on 24 boards …
View article: Family, nurse, and physician beliefs on family‐centered rounds: A 21‐site study
Family, nurse, and physician beliefs on family‐centered rounds: A 21‐site study Open
Background Variation exists in family‐centered rounds (FCR). Objective We sought to understand patient/family and clinician FCR beliefs/attitudes and practices to support implementation efforts. Designs, Settings and Participants Patients/…
View article: Patient and Family-Centered I-PASS SCORE Program: Resident and Advanced Care Provider Training Materials
Patient and Family-Centered I-PASS SCORE Program: Resident and Advanced Care Provider Training Materials Open
The Patient and Family-Centered I-PASS SCORE Program provides a structured framework for teaching advanced communication techniques that can improve provider knowledge of and confidence with engaging and communicating with patients/familie…
View article: Association of Patient and Family Reports of Hospital Safety Climate With Language Proficiency in the US
Association of Patient and Family Reports of Hospital Safety Climate With Language Proficiency in the US Open
This cohort study found that limited English proficiency was associated with lower odds of speaking up, questioning decisions or actions of providers, and being unafraid to ask questions when something does not seem right. This disparity m…