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Article ; Online: Holistic Review in Family Medicine Residency Programs: A CERA Study.

Truong, Oanh H / Wang, Jenny Y / Cronholm, Peter F

2024

Abstract: Background and objectives: Interest in using holistic review for residency recruitment as a strategy to improve the diversity of the physician workforce has increased. However, no data are published on the prevalence of holistic review in the selection ... ...

Abstract	Background and objectives: Interest in using holistic review for residency recruitment as a strategy to improve the diversity of the physician workforce has increased. However, no data are published on the prevalence of holistic review in the selection process for family medicine residency programs. We designed this study to assess programs' knowledge, skills, and attitudes; prevalence; barriers to implementation; and program characteristics associated with the use of holistic review. Methods: Data for this study were elicited as part of a 2023 survey conducted by the Council of Academic Family Medicine Educational Research Alliance. The nationwide, web-based survey was sent to 739 family medicine residency program directors. Results: A total of 309 program directors completed the holistic review portion of the survey. Programs that understood and agreed with holistic review used it more in their selection process. Holistic review was more common in programs with higher rates of residents, faculty, and patients that are underrepresented in medicine. Barriers to holistic review utilization were increased number of applicants, increased resources associated with holistic review, and lack of consensus on the holistic review approach. Conclusions: The holistic review process is an area of growing interest to diversify the physician workforce, especially among residencies caring for underresourced communities. Further discussions on the specific scoring rubrics of family medicine residency programs that use holistic review are needed and could help programs that are facing barriers. Widespread use of holistic review to diversify the physician workforce has the potential to improve patient care access and health.
Language	English
Publishing date	2024-04-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	639374-3
ISSN	1938-3800 ; 0742-3225
ISSN (online)	1938-3800
ISSN	0742-3225
DOI	10.22454/FamMed.2024.515525
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Article: Editorial: Exploring cancer stem cells signaling pathways.

Mekapogu, Alpha R / Suárez, Cecilia A / Wang, Jenny Y

Frontiers in oncology

2023 Volume 13, Page(s) 1274509

Language	English
Publishing date	2023-08-18
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2023.1274509
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Article ; Online: Durable Medical Equipment: A Streamlined Approach.

Teel, Joseph / Wang, Jenny Y / Loschiavo, Monica

Family practice management

2021 Volume 28, Issue 2, Page(s) 15–20

MeSH term(s)	Documentation/methods ; Durable Medical Equipment/trends ; Equipment and Supplies Utilization/trends ; Humans
Language	English
Publishing date	2021-03-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	1226804-5
ISSN	1531-1929 ; 1069-5648
ISSN (online)	1531-1929
ISSN	1069-5648
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Zs.A 4233: Show issues

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Article ; Online: Glasses Versus Observation for Moderate Bilateral Astigmatism in 1- to <7-Year-Olds.

Wang, Jenny Y / Hodge, David O / Mohney, Brian G

American journal of ophthalmology

2021 Volume 234, Page(s) 183–187

Abstract: Purpose: To compare visual outcomes in children with moderate bilateral astigmatism treated with glasses with those who were merely observed.: Design: Retrospective case series.: Methods: The medical records of all children 1 to <7 years of age ... ...

Abstract	Purpose: To compare visual outcomes in children with moderate bilateral astigmatism treated with glasses with those who were merely observed. Design: Retrospective case series. Methods: The medical records of all children 1 to <7 years of age who were diagnosed with moderate bilateral astigmatism (+1.25 to +3.25 diopters [D]) at a single institution over a 12-year period were retrospectively reviewed. Children with anisometropia ≥1.00 D, hyperopia ≥+3.00 D, myopia ≥-3.00D, amblyopia, or strabismus at diagnosis were excluded. Observation or full spectacle correction of astigmatism was at the provider's discretion. Kaplan-Meier rates of developing amblyopia and strabismus were assessed over a minimum follow-up of 18 months. Results: Eighty-five (6.9%) of 1235 subjects met the inclusion criteria; 58 (68.2%) were prescribed glasses while 27 (31.8%) were observed. The groups differed by mean age at diagnosis (3.56 ± 1.42 years for observed vs 4.31 ± 1.36 years for glasses [P = .03]) and mean amount of astigmatism (1.73 ± 0.43 D for observed vs 2.00 ± 0.51 D for glasses [P = .02]). By 4 years of follow-up, the Kaplan-Meier rate of developing amblyopia was 8.3% (95% confidence interval [CI] 0%-19.4%) in the observed group and 10.3% (95% CI 1.5%-19.1%) in the glasses group [P = .74] while strabismus was 7.1% (95% CI 0%-20.6%) among those observed and 7.1% (95% CI 0.4%-13.8%) of those prescribed glasses [P = .60]. Conclusions: Rates of amblyopia and strabismus were similar and modest in this cohort of children with moderate bilateral astigmatism treated with glasses vs observation. These results suggest that prescribing glasses for these children may be no better than observation in preventing the development of amblyopia or strabismus.
MeSH term(s)	Amblyopia/diagnosis ; Amblyopia/epidemiology ; Amblyopia/therapy ; Astigmatism/epidemiology ; Astigmatism/therapy ; Child ; Eyeglasses ; Humans ; Hyperopia/therapy ; Retrospective Studies ; Strabismus/diagnosis ; Strabismus/therapy ; Visual Acuity
Language	English
Publishing date	2021-07-31
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80030-2
ISSN	1879-1891 ; 0002-9394
ISSN (online)	1879-1891
ISSN	0002-9394
DOI	10.1016/j.ajo.2021.07.029
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Article ; Online: An Improved Protocol for Establishment of AML Patient-Derived Xenograft Models.

Hassan, Nunki / Yang, Jonason / Wang, Jenny Y

STAR protocols

2020 Volume 1, Issue 3, Page(s) 100156

Abstract: Patient-derived xenografts (PDXs) are the most valuable tool for preclinical drug testing because they retain the genetic diversity and phenotypic heterogeneity of the original tumor. Acute myeloid leukemia (AML) remains difficult to engraft in ... ...

Abstract	Patient-derived xenografts (PDXs) are the most valuable tool for preclinical drug testing because they retain the genetic diversity and phenotypic heterogeneity of the original tumor. Acute myeloid leukemia (AML) remains difficult to engraft in immunodeficient mice. This is particularly true for long-term frozen patient specimens. This protocol is designed to establish PDXs of human AML with improved engraftment rates. The optimized approach increases the viability of patient cells before implantation, efficiently monitors
MeSH term(s)	Animals ; Bone Marrow/pathology ; Cell Survival ; Dissection ; Femur/pathology ; Freezing ; Humans ; Leukemia, Myeloid, Acute/blood ; Leukemia, Myeloid, Acute/pathology ; Mice ; Spleen/pathology ; Tibia/pathology ; Xenograft Model Antitumor Assays/methods
Language	English
Publishing date	2020-10-28
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2666-1667
ISSN (online)	2666-1667
DOI	10.1016/j.xpro.2020.100156
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Article ; Online: Ensuring Success of a Residents-as-Mentors Program: Promoting Mentor Availability.

Wang, Jenny Y / Wang, Flint Y

Journal of graduate medical education

2017 Volume 9, Issue 6, Page(s) 784

MeSH term(s)	Attitude of Health Personnel ; Internship and Residency ; Mentors ; Physicians
Language	English
Publishing date	2017-12-22
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2578612-X
ISSN	1949-8357 ; 1949-8349
ISSN (online)	1949-8357
ISSN	1949-8349
DOI	10.4300/JGME-D-17-00523.1
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Article ; Online: SHARPening Residency Selection: Implementing a Systematic Holistic Application Review Process.

Igarabuza, Laura / Gusoff, Geoffrey M / Maharaj-Best, Ayiti-Carmel / Baylson, Margaret J / Betancourt, Renée M / Nicklin, David E / Wang, Jenny Y

Academic medicine : journal of the Association of American Medical Colleges

2023 Volume 99, Issue 1, Page(s) 58–62

Abstract: Problem: Traditional metrics used in residency application review processes are systematically biased against applicants from minoritized communities that are underrepresented in medicine (URiM). These biases harm not just URiM applicants but also ... ...

Abstract	Problem: Traditional metrics used in residency application review processes are systematically biased against applicants from minoritized communities that are underrepresented in medicine (URiM). These biases harm not just URiM applicants but also residency programs and patients. Although several residency programs have implemented holistic reviews to mitigate these biases, few tested tools exist that can be adapted and implemented in a wide variety of settings within academic medicine. Approach: This article describes advances made in the third year of a longitudinal, ongoing quality improvement project that used the A3 framework to improve recruitment of URiM residents to a family medicine residency program. The authors devised a systematic holistic application review process (SHARP) to determine which applicants to invite to interview with the program. SHARP's development began in August 2019, and after significant discussion with program leadership and iterations of rubric refinement, the program adopted SHARP in September 2020 to review applications for the 2021 application cycle. Outcomes: Compared with the 2016 to 2020 period before SHARP implementation, data from the 2021 and 2022 residency application cycles after SHARP implementation showed a significant increase in the proportion of interviewed candidates who identify as URiM (from 23% to 38%, P < .001) and matched candidates who identify as URiM (from 27% to 62%, P = .004). There was also a notable increase in the number and diversity of reviewers who evaluated applicants to the program. Next steps: SHARP is a promising tool to mitigate the effects of racism and other biases against URiM applicants to residency programs. Residency programs across specialties may benefit from adopting SHARP and adapting it based on their own goals and priorities.
MeSH term(s)	Humans ; Internship and Residency ; Medicine
Language	English
Publishing date	2023-09-12
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.0000000000005451
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Zs.A 112: Show issues

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Article ; Online: A systematic review of the sensitivity and specificity of lateral flow devices in the detection of SARS-CoV-2.

Mistry, Dylan A / Wang, Jenny Y / Moeser, Mika-Erik / Starkey, Thomas / Lee, Lennard Y W

BMC infectious diseases

2021 Volume 21, Issue 1, Page(s) 828

Abstract: Background: Lateral flow devices (LFDs) are viral antigen tests for the detection of SARS-CoV-2 that produce a rapid result, are inexpensive and easy to operate. They have been advocated for use by the World Health Organisation to help control outbreaks ...

Abstract	Background: Lateral flow devices (LFDs) are viral antigen tests for the detection of SARS-CoV-2 that produce a rapid result, are inexpensive and easy to operate. They have been advocated for use by the World Health Organisation to help control outbreaks and break the chain of transmission of COVID-19 infections. There are now several studies assessing their accuracy but as yet no systematic review. Our aims were to assess the sensitivity and specificity of LFDs in a systematic review and summarise the sensitivity and specificity of these tests. Methods: A targeted search of Pubmed and Medxriv, using PRISMA principles, was conducted identifying clinical studies assessing the sensitivity and specificity of LFDs as their primary outcome compared to reverse transcriptase polymerase chain reaction (RT-PCR) for the detection of SARS-CoV-2. Based on extracted data sensitivity and specificity was calculated for each study. Data was pooled based on manufacturer of LFD and split based on operator (self-swab or by trained professional) and sensitivity and specificity data were calculated. Results: Twenty-four papers were identified involving over 26,000 test results. Sensitivity from individual studies ranged from 37.7% (95% CI 30.6-45.5) to 99.2% (95% CI 95.5-99.9) and specificity from 92.4% (95% CI 87.5-95.5) to 100.0% (95% CI 99.7-100.0). Operation of the test by a trained professional or by the test subject with self-swabbing produced comparable results. Conclusions: This systematic review identified that the performance of lateral flow devices is heterogeneous and dependent on the manufacturer. Some perform with high specificity but a great range of sensitivities were shown (38.32-99.19%). Test performance does not appear dependent on the operator. Potentially, LFDs could support the scaling up of mass testing to aid track and trace methodology and break the chain of transmission of COVID-19 with the additional benefit of providing individuals with the results in a much shorter time frame.
MeSH term(s)	Antigens, Viral/analysis ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19 Testing/standards ; False Negative Reactions ; False Positive Reactions ; Female ; Humans ; Male ; Pandemics ; RNA, Viral/genetics ; Reverse Transcriptase Polymerase Chain Reaction ; SARS-CoV-2/genetics ; SARS-CoV-2/immunology ; SARS-CoV-2/isolation & purification ; Sensitivity and Specificity
Chemical Substances	Antigens, Viral ; RNA, Viral
Language	English
Publishing date	2021-08-18
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	2041550-3
ISSN	1471-2334 ; 1471-2334
ISSN (online)	1471-2334
ISSN	1471-2334
DOI	10.1186/s12879-021-06528-3
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Article ; Online: Diplopia after strabismus surgery for adults with nondiplopic childhood-onset strabismus.

Wang, Jenny Y / Leske, David A / Hatt, Sarah R / Holmes, Jonathan M

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus

2019 Volume 23, Issue 6, Page(s) 313.e1–313.e5

Abstract: Purpose: To describe frequency of postoperative diplopia after strabismus surgery in nondiplopic adults with childhood-onset strabismus and to report health-related quality-of-life (HRQOL) outcomes.: Methods: We prospectively enrolled 79 adults with ... ...

Abstract	Purpose: To describe frequency of postoperative diplopia after strabismus surgery in nondiplopic adults with childhood-onset strabismus and to report health-related quality-of-life (HRQOL) outcomes. Methods: We prospectively enrolled 79 adults with no diplopia in any gaze who had childhood-onset strabismus and were scheduled for strabismus surgery. Diplopia was assessed preoperatively and at 6 weeks and 1 year postoperatively using a standardized diplopia questionnaire with 5 response options in 7 gaze positions. HRQOL was assessed using the Adult Strabismus-20 (AS-20) questionnaire, with self-perception, interactions, reading function, and general function domains. Results: Constant diplopia in straight-ahead distance and reading gaze occurred in 1 patient (1% [95% CI, 0%-7%] at 6 weeks and 2% [95% CI, 0%-10%] at 1 year). Regarding the rate of any diplopia (including rarely) in any gaze, 15 of 78 patients (19%) reported diplopia at 6 weeks, of whom 13 had diplopia in straight-ahead distance gaze; 8 (10%), in reading gaze. At 1 year, 8 of 51 patients (16%) reported any diplopia (including rarely) in any gaze, of whom 7 had diplopia in straight-ahead distance gaze and 4 (8%) in reading gaze. Mean AS-20 scores improved at 1 year overall (by 32, 19, 14, and 15 points, resp., per domain) and for the 8 diplopic patients (by 21, 13, 16, and 11 points). Conclusions: In adults with nondiplopic strabismus, constant postoperative diplopia is rare, although the rate of intermittent diplopia is higher. Even when postoperative diplopia occurs, HRQOL often improves.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Diplopia/etiology ; Diplopia/physiopathology ; Female ; Follow-Up Studies ; Health Status ; Humans ; Male ; Middle Aged ; Oculomotor Muscles/surgery ; Postoperative Period ; Prospective Studies ; Strabismus/surgery ; Vision, Binocular/physiology ; Visual Acuity ; Young Adult
Language	English
Publishing date	2019-10-03
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	1412476-2
ISSN	1528-3933 ; 1091-8531
ISSN (online)	1528-3933
ISSN	1091-8531
DOI	10.1016/j.jaapos.2019.07.005
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Article ; Online: Tangling the web: deception in online research.

Wang, Jenny Y / Kitsis, Elizabeth A

The American journal of bioethics : AJOB

2013 Volume 13, Issue 11, Page(s) 59–61

MeSH term(s)	Alcohol Drinking ; Deception ; Decision Making ; Humans ; Informed Consent/ethics ; Personal Autonomy ; Public Health ; Randomized Controlled Trials as Topic/ethics ; Research Design/standards
Language	English
Publishing date	2013
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	2060433-6
ISSN	1536-0075 ; 1526-5161
ISSN (online)	1536-0075
ISSN	1526-5161
DOI	10.1080/15265161.2013.840868
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