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  1. Article ; Online: Predicting Surgical Resident Performance With Situational Judgment Tests.

    Gardner, Aimee K / Costa, Paula

    Academic medicine : journal of the Association of American Medical Colleges

    2024  

    Abstract: Purpose: Situational judgment tests (SJTs) have been proposed as an efficient, effective, and equitable approach to residency program applicant selection. This study examined how SJTs can predict milestone performance during early residency.: Method: ...

    Abstract Purpose: Situational judgment tests (SJTs) have been proposed as an efficient, effective, and equitable approach to residency program applicant selection. This study examined how SJTs can predict milestone performance during early residency.
    Method: General surgery residency program applicants during 3 selection cycles (2018-2019, 2019-2020, 2020-2021) completed SJTs. Accreditation Council for Graduate Medical Education milestone performance data from selected applicants were collected in March and April 2019, 2020, and 2021 and from residents in March 2020, August 2020, March 2021, September 2021, and March 2022. Descriptive statistics and correlations were computed and analysis of variance tests performed to examine differences among 4 SJT performance groups: green, top 10% to 25%; yellow, next 25% to 50%; red, bottom 50%; and unknown, did not complete the SJT.
    Results: Data were collected for 70 residents from 7 surgery residency programs. Differences were found for patient care (F3,189 = 3.19, P = .03), medical knowledge (F3,176 = 3.22, P = .02), practice-based learning and improvement (F3,189 = 3.18, P = .04), professionalism (F3,189 = 3.82, P = .01), interpersonal and communication skills (F3,190 = 3.35, P = .02), and overall milestone score (F3,189 = 3.44, P = .02). The green group performed better on patient care, medical knowledge, practice-based learning and improvement, professionalism, and overall milestone score. The yellow group performed better than the red group on professionalism and overall milestone score, better than the green group on interpersonal and communication skills, and better than the unknown group on all but practice-based learning and improvement. The red group outperformed the unknown group on all but professionalism and outperformed the green group on medical knowledge.
    Conclusions: Situational judgment tests demonstrate promise for assessing important noncognitive attributes in residency applicants and align with national efforts to review candidates more holistically and minimize potential biases.
    Language English
    Publishing date 2024-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Autonomy lessons: Tips and tricks for building self-determination through the lens of a first time principal investigator.

    Keyes, Sarah-Ann / Gardner, Aimee

    Medical teacher

    2023  Volume 45, Issue 10, Page(s) 1129–1133

    Abstract: Early career faculty face many challenges, including establishing a career direction, building skills, balancing work and personal life demands, finding mentors, and establishing collegial relationships within their departments. Early career funding has ... ...

    Abstract Early career faculty face many challenges, including establishing a career direction, building skills, balancing work and personal life demands, finding mentors, and establishing collegial relationships within their departments. Early career funding has been shown to augment future success in academia; less is known about the impact of early career funding on the social, emotional, and professional identity aspects of work life. One theoretical perspective to examine this issue is self-determination theory, a broad psychological paradigm explaining motivation, well-being, and development. Self-determination theory is predicated on the idea that fulfillment of three basic needs leads to the achievement of integrated well-being. Optimizing autonomy (a sense of choice and control), competence (sense of mastery), and relatedness (a sense of belonging) accompanies greater motivation, productivity, and perceived success. The authors share how applying for and implementing an early career grant affected these three constructs. Early career funding manifested challenges and beneficial outcomes in relationship to each of the three psychological needs and led to important lessons that may be generally applicable to faculty across a wide range of disciplines. The authors offer broad principles as well as specific grant-related strategies for optimizing autonomy, competence, and relatedness while applying for and executing a grant.[Box: see text].
    MeSH term(s) Humans ; Motivation ; Faculty ; Mentors ; Personal Autonomy ; Achievement
    Language English
    Publishing date 2023-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2023.2192860
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Practical Guide to Surgical Simulation Research.

    Gardner, Aimee K / Kaji, Amy H / Boermeester, Marja

    JAMA surgery

    2024  Volume 159, Issue 4, Page(s) 453–454

    MeSH term(s) Humans ; Fellowships and Scholarships ; Simulation Training ; Educational Status
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2023.6684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Measuring the fire in their hearts: assessing passion for the profession among students pursuing surgical careers.

    Gardner, Aimee K / Willis, Ross E

    Global surgical education : journal of the Association for Surgical Education

    2022  Volume 1, Issue 1, Page(s) 6

    Abstract: Background: Leaders in surgery have posited that passion for the surgery profession is diminishing among entering trainees, and that its scarcity is related to the high levels of attrition observed in general surgery training. This study explores trends ...

    Abstract Background: Leaders in surgery have posited that passion for the surgery profession is diminishing among entering trainees, and that its scarcity is related to the high levels of attrition observed in general surgery training. This study explores trends in passion for the profession among applicants to general surgery training.
    Methods: Applicants to a large midwestern academic general surgery program were invited to complete a voluntary, anonymous 12-item Passion for Surgery Index (PSI) as part of their supplementary application package during the 2020-2021 and 2021-2022 residency selection seasons. The PSI is adapted from a generic work-related passion index and is based on the dualistic model of passion, organizing scores into harmonious passion and consuming passion. Applicants completed the index on a stand-alone website which automatically generated results pertaining to overall passion, harmonious passion, and consuming passion for the surgery profession. Applicants were provided with their results and provided feedback.
    Results: Sixty-one percent (871/1428) of invited applicants completed the PSI. Approximately 67.4% (
    Discussion: These results suggest that there is substantial variation in passion for the profession among those pursuing a career in surgery. While the majority of applicants reported a high level of harmonious passion for surgery, less than half of applicants reported a high level of consuming passion for surgery. This variability in consuming passion among entering trainees is concerning, as individuals with low or only moderate passion for the profession may not have the motivation or drive to persist in demanding training environments.
    Language English
    Publishing date 2022-02-28
    Publishing country United States
    Document type Journal Article
    ISSN 2731-4588
    ISSN (online) 2731-4588
    DOI 10.1007/s44186-022-00005-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Lessons We Learned From Each Other.

    Gardner, Aimee K

    Academic medicine : journal of the Association of American Medical Colleges

    2019  Volume 93, Issue 4, Page(s) 611

    Language English
    Publishing date 2019-06-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000002100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Maximizing Standardization While Ensuring Equity: Exploring the Role of Applicant Experiences, Attributes, and Metrics on Performance of a Surgery-Specific Situational Judgment Test.

    Chen, Jennifer H / Costa, Paula / Gardner, Aimee K

    Journal of surgical education

    2023  Volume 80, Issue 11, Page(s) 1703–1710

    Abstract: Background: Situational judgment tests (SJT) are hypothetical but realistic scenario-based assessments that allow residency programs to measure judgment and decision-making among future trainees. A surgery-specific SJT was created to identify highly ... ...

    Abstract Background: Situational judgment tests (SJT) are hypothetical but realistic scenario-based assessments that allow residency programs to measure judgment and decision-making among future trainees. A surgery-specific SJT was created to identify highly valued competencies among residency applicants. We aim to demonstrate a stepwise process for validation of this assessment for applicant screening through exploration of two often-overlooked sources of validity evidence - relations with other variables and consequences.
    Methods: This was a prospective multi-institutional study involving 7 general surgery residency programs. All applicants completed the SurgSJT, a 32-item test aimed to measure 10 core competencies: adaptability, attention to detail, communication, dependability, feedback receptivity, integrity, professionalism, resilience, self-directed learning, and team orientation. Performance on the SJT was compared to application data, including race, ethnicity, gender, medical school, and USMLE scores. Medical school rankings were determined based on the 2022 U.S. News & World Report rankings.
    Results: In total, 1491 applicants across seven residency programs were invited to complete the SJT. Of these, 1454 (97.5%) candidates completed the assessment. Applicants were predominantly White (57.5%), Asian (21.6%), Hispanic (9.7%), Black (7.3%), and 52% female. A total of 208 medical schools were represented, majority were allopathic (87.1%) and located in United States (98.7%). Less than a quarter of applicants (22.8%; N=337) were from a top 25 school based on U.S. News & World Report rankings for primary care, surgery, or research. Average USMLE Step 1 score was 235 (SD 37) and Step 2 score was 250 (SD 29). Sex, race, ethnicity, and medical school ranking did not significantly impact performance on the SJT. There was no relationship between SJT score and USMLE scores and medical school rankings.
    Conclusions: We demonstrate the process of validity testing and importance of two specific sources of evidence-consequences and relations with other variables, in implementing future educational assessments.
    MeSH term(s) Humans ; Female ; United States ; Male ; Judgment ; Prospective Studies ; Internship and Residency ; Educational Measurement ; Reference Standards
    Language English
    Publishing date 2023-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2023.05.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: How Can Best Practices in Recruitment and Selection Improve Diversity in Surgery?

    Gardner, Aimee K

    Annals of surgery

    2017  

    Language English
    Publishing date 2017-09-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000002496
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Getting on the Same Page: The Impact of Interviewer Education and Structured Interviews on Interrater Agreement in Residency Interviews.

    Gardner, Aimee K / Costa, Paula / Willis, Ross E

    Journal of surgical education

    2022  Volume 79, Issue 6, Page(s) e12–e16

    Abstract: Introduction: We explored the impact of implementing structured interviews and associated interviewer education on interrater agreement within a large academic residency program.: Methods: Faculty and senior resident interviewers from a large ... ...

    Abstract Introduction: We explored the impact of implementing structured interviews and associated interviewer education on interrater agreement within a large academic residency program.
    Methods: Faculty and senior resident interviewers from a large academic residency program participated in a 3-hour structured interview course. Before and after the course, participants completed a 15-item assessment pertaining to the characteristics, logistics, and guidelines associated with structured interviews. Along with interviewer training, interview day logistics also changed from an unstructured format (no specific questions, one overall 1-9 rating scale) to a structured interview format, including incorporation of behavioral-based competency questions that would be asked of every applicant and behavioral anchored rating scales (1-10; 10 = highest). Interrater agreement was assessed via intraclass correlation coefficients (ICC1) for the 2 years before and 2 years after incorporation of the structured interview format.
    Results: A total of 45 faculty and resident interviewers participated in the course in 2018. Participant knowledge significantly increased from an average of 36% to 79% after the course (p < 0.01). Prior to the intervention, overall interrater agreement was "poor" to "fair," with an ICC1 of 0.51 in 2016 and 0.49 in 2017. After the structured interview intervention, overall agreement increased to the "good" level with an ICC1 of 0.71 in 2018 and 0.66 in 2019. The proportion of applicants who received interview scores with at least 2 ratings more than 2 points apart significantly decreased from 59% to 47% after the intervention (p < 0.01).
    Conclusions: Incorporating an interviewer educational session and a structured interview format into residency selection can help increase agreement in ratings between interviewers. However, these data suggest that ongoing refresher trainings may be needed to maintain acceptable levels of interrater agreement.
    MeSH term(s) Humans ; Internship and Residency ; Education, Medical, Graduate
    Language English
    Publishing date 2022-07-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277538-9
    ISSN 1878-7452 ; 1931-7204
    ISSN (online) 1878-7452
    ISSN 1931-7204
    DOI 10.1016/j.jsurg.2022.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Educating physician-assistant students as agents of lifestyle medicine.

    Keyes, Sarah-Ann / Gardner, Aimee

    The clinical teacher

    2020  Volume 17, Issue 6, Page(s) 638–643

    Abstract: Background: The burden of chronic disease in the USA necessitates a shift in medicine and medical education from disease treatment to health and wellness promotion. At the forefront of this shift is the field of lifestyle medicine - the evidence-based ... ...

    Abstract Background: The burden of chronic disease in the USA necessitates a shift in medicine and medical education from disease treatment to health and wellness promotion. At the forefront of this shift is the field of lifestyle medicine - the evidence-based use of lifestyle modification to prevent, treat and reverse disease. Health care providers, including physician assistants (PAs), can be the vehicle of behaviour change for patients, families and communities, and must receive adequate training to practice lifestyle medicine.
    Methods: We describe a pilot lifestyle medicine curriculum implemented through a PA training programme run in the USA in the academic year 2016/2017. The curriculum included four taught modules on lifestyle medicine, two assessment activities and a survey of self-perceived competency, measured before and after the programme.
    Results: Forty students participated in the curriculum. Results showed a significant increase in self-perceived competencies in seven of nine lifestyle medicine areas (p < 0.001). After the curriculum, all students were successfully able to provide a written lifestyle medicine prescription for a mock patient, with the most common prescription topics including nutrition-related prescriptions (41%), followed by physical activity (26%), addressing substance use (10%), mental health or stresses (10%) and sleep (7%). Furthermore, on average students were able to correctly identify 70% of the desired recommendations for a mock patient.
    Conclusion: Lifestyle medicine curricula can be successfully integrated into existing PA curricula, with demonstrated increases in self-assessments of competency and practical skills.
    MeSH term(s) Curriculum ; Humans ; Life Style ; Physician Assistants ; Physicians ; Students
    Language English
    Publishing date 2020-04-06
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2151518-9
    ISSN 1743-498X ; 1743-4971
    ISSN (online) 1743-498X
    ISSN 1743-4971
    DOI 10.1111/tct.13152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Getting better all the time? Facilitating accurate team self-assessments through simulation.

    Gardner, Aimee K / Abdelfattah, Kareem

    BMJ simulation & technology enhanced learning

    2019  Volume 6, Issue 1, Page(s) 31–34

    Abstract: Introduction: Our study explores the extent to which teams are accurate assessors of their own performance and teamwork, and how simulation can help this critical skill develop over time.: Methods: Surgery residents in teams of three completed five ... ...

    Abstract Introduction: Our study explores the extent to which teams are accurate assessors of their own performance and teamwork, and how simulation can help this critical skill develop over time.
    Methods: Surgery residents in teams of three completed five daily simulations. After each scenario, each team reviewed their performance and jointly completed a scenario-specific team performance evaluation and a 17-item Communication and Teamwork Skills tool. Videos were rated to obtain discrepancy values. Paired-samples t-tests and mean comparisons were used to examine changes in team self-assessment accuracy and comparisons between high-performing and low-performing teams.
    Results: Resident (n=30) teams rated team performance higher than faculty across the first 3 days (p<0.01), but provided similar ratings thereafter. Agreement of team performance from day 1 to 5 significantly improved (p<0.001). Teams rated their teamwork higher than faculty across all days (p<0.01). Top performing teams provided more accurate self-assessments for both teamwork (average discrepancy 8% vs 39%) and team performance (average discrepancy 12% vs 23%).
    Conclusion: Teams that continue to work together over time may become more accurate judges of their own performance, but do not become more accurate assessors of teamwork competencies.
    Language English
    Publishing date 2019-12-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2799014-X
    ISSN 2056-6697 ; 2056-6697
    ISSN (online) 2056-6697
    ISSN 2056-6697
    DOI 10.1136/bmjstel-2018-000411
    Database MEDical Literature Analysis and Retrieval System OnLINE

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