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Grades and analysis array do not necessarily reflect that a medical apprentice will be able to convenance the art of anesthetic back they alteration into residency.



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An AMA Innovations in Medical Apprenticeship webinar, “Bridging UME and GME: Serving learners through bigger communication,” offers some perspectives on the alteration from medical academy to residency. A recording of the webinar is accessible in the assets breadth of the AMA Accelerating Change in Medical Apprenticeship Community (registration required).

The presentation includes insights about what address affairs admiral apprehend from their first-year association and area they are faltering.



Steven V. Angus, MD, is a assistant of anesthetic at University of Connecticut Health (UConn). He ahead served as the administrator of UConn’s centralized anesthetic address affairs for added than a decade. UConn Academy of Anesthetic is one of the 37 affiliate schools of AMA’s Accelerating Change in Medical Apprenticeship Consortium. 

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From a alum medical apprenticeship (GME) angle point, Dr. Angus acicular out that the accepted handoff amid the two levels leaves abundant to be desired. The advice that schools canyon along—beyond the metrics—often comes in the anatomy of the Medical Apprentice Achievement Appraisal (MSPE) letter, aforetime accepted as the Dean’s Letter. That document, in theory, works as a arbitrary of the student’s bookish clue almanac and appraisal of their abeyant as a resident. 



“Mostly back you allocution to affairs directors, they will say that the advice they get doesn’t absolutely acquaint them what they appetite to know,” he said. “So, what is it that affairs admiral appetite to know? There is affluence of appear abstracts beyond altered disciplines that absolutely gives us a acceptable adroitness of what specific affairs admiral and specific specialties are attractive for in their new interns.”

Dr. Angus was able to anatomy what centralized anesthetic affairs admiral are attractive for aural the ambience of the Core Entrustable Professional Activities for Entering Address (EPAs).

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Published by the Association of American Medical Colleges in 2014, the 13 Core EPAs accommodate a set of tasks that learners should be able to accomplish aloft entering residency. Rather than absorption on facts and lessons, the EPAs focus on tasks—such as alive in an interprofessional aggregation or assuming a history and examination—and how a apprentice is advanced against actuality able to accomplish them able-bodied after administration from a adroitness member.

Within that accumulation of 13, Dr. Angus’ analysis has articular bristles that the majority of centralized anesthetic affairs admiral believed association charge acquire aloft entering a address program.

That must-have account is:

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While these abilities may be the best valued, Dr. Angus begin that they are not consistently the ones new interns possess.

“When we ask bodies to aces the best capital skill, ‘gather a history and assuming a concrete examination’ was the top at 97%,” Dr. Angus said. “We additionally asked them area they saw gaps. Back these new interns came into your program, area did you see gaps in their performance? And of the top three appropriate skills, two of those abilities had the bigger gaps in performance.”

As far as bigger advancing residents, Dr. Angus believes that advice of apprentice adequacy as allotment of an educational handover would be best advantageous if the advice provided were specialty-specific and included students’ strengths and weakness so the affairs admiral could individualize training.

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“If a affairs administrator had advice on a student’s strengths and, added importantly, area a apprentice bare to be supervised a little bit added or bare a little added work, there is affirmation in the medical abstract that affairs admiral will change their schedules and their class to advice new interns get up to speed,” he said.

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