Medical Education Commons^™

Approaching Well-Being Through The Research Lens: How Hca Healthcare Colleagues Are Building Healthy Work And Learning Environments, Gregory Guldner, Allison Woodall, Deepinder Bal, Jennifer Larkin, Cynthia Borum, Sunny Hull, Annette Edens, Lisa H. Moore, Elaine K. Miller, Harold Gomez Acevedo, Katia M. Lugo Enriquez, Noor Judge, Yanie Oliva, Pablo E. Ramirez Caraballo, Faraz Jaffer, Prerna S. Sharma, Daniel Heller, Siddarth Kathuria, Nathaniel Banet, Orlando Nieves-Lugo, Adrienne Madison, Lily Martin, Oliwier Dziadkowiec

HCA Healthcare Journal of Medicine

At the heart of our commitment to the care and improvement of human life are the physicians who dedicate themselves to delivering exceptional care. To support not only our physicians’ professional excellence but also to foster personal fulfillment, HCA Healthcare partnered with Claremont Graduate University to establish the Physician Wellness Research Lab (PWR Lab). In his new role as the Vice President of Academic Affairs for Graduate Medical Education (GME), Dr Guldner led a nationwide search to establish and implement a new approach to well-being. At HCA Healthcare, we believe that true flourishing requires transforming the work and learning environment …

A Four-Year Analysis Of #Orthotwitter Use During Match Week: Can X Be A Potential Equalizer For Students Left Unmatched?, Desiree E Ojo, Davis Hedbany, Brook Willett, Brandon D Rust, Geoffrey Deckard, Omar Guerrero, Jalen Warren, Michael Megafu, Morgan Turnow, Jaime Bellamy

Medical Education Articles

Background The orthopedic surgery match has changed. Since the COVID-19 pandemic, orthopedic surgery candidates and residency programs have used #Orthotwitter to promote, advocate, and educate their followers. This study aimed to evaluate changes in the use of #OrthoTwitter and #OrthoMatch during Match Week over a four-year period, including trends in author type, post content, institutional affiliation, engagement, and posting activity, with particular attention to posts involving unmatched applicants. Methodology The top tweets containing the hashtags #Orthotwitter and/or #OrthoMatch during the 2021, 2022, 2023, and 2024 Match Week were reviewed and collected. Tweets between the years 2021, 2022, 2023, and 2024 …

Enhancing Clinical Care Quality Through 1-On-1 Quality Improvement Education In Family Medicine, Jude K A Des Bordes, Shira K. Goldstein, Nahid J. Rianon

HCA Healthcare Journal of Medicine

Background

Ongoing improvement and evaluation of clinical care are essential to maintaining high standards. The Accreditation Council for Graduate Medical Education (ACGME) requires all accredited family medicine programs to provide quality improvement (QI) education. Given competing educational demands, residency programs must adopt innovative approaches to teaching QI. This article describes an individualized approach to QI education that we implemented in our family medicine residency program and the outcome of its evaluation.

Methods

Guided by a logic model and evaluated using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, this quasi-experimental 1-group pre-test-post-test study (July 2022-June 2023) involved all second-year …

An Innovative Model For Graduate Medical Education Faculty Development Through Physician-In-Training Delivery, Daniel A. Nguyen, Dustin Wilkes, Marshall Hall, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Background

Faculty development is a core requirement for Accreditation Council for Graduate Medical Education (ACGME)-accredited residency programs. Successfully delivering content to faculty can be challenging. This pilot study aimed to assess expert-developed sessions delivered by resident physicians to faculty at the completion of their clinical rotations.

Methods

A prospective cohort project was conducted, involving precepting faculty and resident physicians in a dermatology residency program. Each resident, at the end of their rotation, delivered a faculty development program to their attending physician. Each resident participated in the program for 1-3 years. The faculty development programs were based on faculty development programs …

A Scalable Model For Resident And Faculty Well-Being: Applying Self-Determination Theory And The Job Demands-Resources Framework In Graduate Medical Education, Gregory Guldner, Adam Neufeld

HCA Healthcare Journal of Medicine

Despite growing attention to burnout in graduate medical education (GME), many institutional efforts remain fragmented and lack theoretical coherence. In response, HCA Healthcare developed a system-wide initiative grounded in Self-Determination Theory (SDT) and the Job Demands-Resources (JD-R) framework to guide leadership development, learning climate improvement, and resident and faculty well-being. What began as a single-program effort evolved into a multi-year, system-wide initiative involving more than 5800 residents across 366 programs at 85 hospitals. In collaboration with workplace psychologists from Claremont Graduate University and Immersyve Health, the initiative integrated theory-informed leadership workshops, validated assessment platforms, and continuous quality-improvement processes to help …

Resident Scholarly Activity Plan And Scorecard Implementation In Graduate Medical Education, Michele L. Mccarroll, Afsha Rais Kaisani, Joseph Kessler, Tasaduq H. Mir

HCA Healthcare Journal of Medicine

Background

Scholarly activity (SA) is a requirement of the Accreditation Council on Graduate Medical Education (ACGME); however, many programs struggle with interpreting ACGME trainee requirements and lack standardized tools to effectively communicate, document, and track individualized, resident-centered approaches to SA. This educational project aimed to develop a universal educational graduate medical education (GME) SA plan and scorecard tool to establish shared program expectations, provide formative and summative feedback on SA progression, track SA, and support individualized SA pathways aligned with residents’ professional goals.

Methods

In May 2022, faculty, associate program directors, and program directors within the North Texas Division of …

Building A Better Clinical Competency Committee: A Multi-Institutional Approach To Improving The Quality Of Resident Feedback Through Appreciative Inquiry, Nikita Khetan, Emma Omoruyi, Elizabeth Hanson

HCA Healthcare Journal of Medicine

Background

The Accreditation Council for Graduate Medical Education (ACGME) requires pediatric faculty to convene twice yearly as a Clinical Competency Committee (CCC) to review resident performance and provide feedback. Variability in review processes and limited feedback quality remain common challenges. Incorporating Appreciative Inquiry within a Deliberate Practice framework may enhance the quality of summative feedback provided to residents.

Methods

This project was conducted with pediatric residents and faculty during the 2019–20 academic year at The University of Texas Health Science Center at Health San Antonio (UTHSA) and during the 2021-22 academic year at The University of Texas Health Science Center …

The Distinguished Humanitarian Society, Ashley Charales, Grace Desrochers, Lakshmi Tatineni, Shane Jenks, Rajeev Raghavan

HCA Healthcare Journal of Medicine

Background

The Gold Humanism Honor Society (GHHS) is a nationally recognized organization present at over 80% of medical schools in the United States to promote humanism, integrity, and volunteerism among students. There is no equivalent national honor society present at the majority of Graduate Medical Education (GME) training programs.

Methods

Our institution created the Distinguished Humanitarian Society (DHS) as a local honor society in 2022 to recognize trainees who exemplified the ideals espoused by GHHS. In January and February 2025, we conducted semi-structured interviews to extract themes regarding inductees’ experiences with the DHS. Both interviewers used the same list of …

Gamification To Improve Emergency Medical Service Personnel Knowledge Of Medical Capacity Determination, Ross Sinicrope, Nasim Motaghedi, Zackary Yates, Elliott Richardson, Stephanie Schiffert, Jacob Wright, Abigail Alorda, Jeffrey Katz, Linh Nguyen, Shayne Gue, Christine Van Dillen, Ayanna Walker

HCA Healthcare Journal of Medicine

Background

As medical education evolves, innovative techniques are being explored to enhance learning and engagement. While existing literature on gamification in medical education primarily focuses on graduate medical education, its application in other fields, such as nursing or emergency medical services (EMS), remains underexplored. This study evaluates the feasibility of using gamification to teach EMS personnel about patient capacity assessment and examines its impact on the frequency of pre-hospital transport.

Methods

A relay race with 3 stations was developed by emergency medicine residents, EMS fellows, and emergency medicine and emergency medical services teaching faculty to teach capacity assessment. Each station …

Impact Of Innovative Interprofessional Practice And Education Intervention Led By Graduate Medical Education Resident Physicians With School-Based Nursing In 32 School Districts, Christoffer A. Amdahl, Hans Drawbert, Sadra Forati, Tyler Fields, James Mantil, Afsha Rais Kaisani, Marci Ayers, Michele L. Mccarroll Phd

HCA Healthcare Journal of Medicine

Background

School nurses play a critical role in student well-being, underscoring their growing importance in both education and health care systems. Research consistently demonstrates their contributions to individual student care and broader population health.

Methods

This resident-led project explored community-based partnerships to facilitate mutual learning between school nurses and graduate medical education (GME) physicians. Conducted during the 2023–2024 academic year, this quality initiative (QI) involved the Medical City Healthcare (HCA Healthcare) GME programs and North Texas school districts. Educational resources were delivered through in-person teaching sessions led by resident physicians and hands-on medical simulations. School nurses who attended the Continuing …

Improving Scholarly Activity Through A Bundled Intervention Of Resident-Faculty Connection And Research Ideas, Katie Suleta, Norman W. Gill

HCA Healthcare Journal of Medicine

Background

Residents report barriers to engaging in scholarly activity despite this being a common requirement across residency programs. Two commonly reported barriers are a lack of mentorship by faculty and a lack of ideas for projects that meet the criteria for scholarly activity. The study objective is to describe the effect of an intervention to address a lack of mentorship and a lack of ideas for scholarly activities.

Methods

A retrospective cohort design was utilized to investigate changes in scholarly activity between 2 academic years. An internal medicine residency program with 30 residents and 17 faculty members participated in an …

2026 North Texas Gme Research Forum Program, Hca Healthcare

North Texas GME Research Forum 2026

No abstract provided.

Ai Scribe Use In Residency Training: A Call For Specialty Society Guidance In Graduate Medical Education, Julia A. Giordano, Elizabeth Jones

Department of Dermatology and Cutaneous Biology Faculty Papers

Artificial intelligence (AI) is increasingly used for documentation purposes in clinical practice, yet guidance for resident use is limited. Given the substantial documentation burden on medical trainees, AI-powered scribing tools may offer benefits, but their integration into residency training raises educational, supervisory, and patient safety considerations. This study aimed to assess the availability of resident-specific guidance on AI scribe use from major medical and specialty organizations and to summarize current evidence on AI scribes in residency. We reviewed five major medical and specialty society websites (AAD, AMA, ACGME, AAMC, ABMS) via website searches and direct emails and conducted a PubMed …

Use Of Preference Signals In Family Medicine Residency Recruitment, John E. Snellings, Hanwen Miao, Daniel L. Meyer, Miranda A. Moore

Department of Family and Community Medicine Faculty Publications

Background and Objectives: Increases in graduate medical education application volume led to the introduction of preference signaling—a tool within the Electronic Residency Application Service that allows applicants to signal their sincere interest to a limited number of programs. This study aims to evaluate how family medicine program directors used preference signals during the 2023–2024 recruitment season, the first year this tool was available to family medicine programs. Understanding program director perspectives on preference signal utility is crucial for determining the tool’s impact on the residency selection process.

Methods: Data were collected through the Council of Academic Family Medicine Educational Research …

Determinants Of Successful Neurosurgery Match Among Do Graduates: A Retrospective Analysis Of 111 Matched Applicants, Ankush Chandra, Alexander Hayes, Cameron Ehsan, Laura Zima, James Trippett, Angel Bueno, Jun Kim, Walter R. Johnson, Manish Aghi

Gulf Coast Division GME Research Day 2026

No abstract provided.

Integration Of Ai Resources To Enhance Obstetric And Gynecology Resident Education, Victoria Ruggiero, Cameron Stokes, Nicole Tenzel

North Texas GME Research Forum 2026

Background: Graduate medical education faculty, while responsible for overseeing the clinical training of their residents, are additionally tasked with providing effective resident education. AI offers a potential solution to enhance development and delivery of educational topics to their trainees, while decreasing the time needed to prepare formal education resources. This study aims to evaluate resident satisfaction for different learning tools generated by AI platforms while also assess their retention of clinical content.

Methods: Three topics related to menopause were identified: (1) Menopause Physiology and Diagnosis, (2) Hormonal Therapy for Treatment of Vasomotor Symptoms, and (3) Treatment of Genitourinary symptoms. Evidence-based …

The Scope Effect: A Quality Improvement Initiative To Enhance Communication, Awareness, And Connection In Family Medicine Residency, Shana-Kay Lambert-Johnson, Amy Nguyen-Pham, Tasaduq Mir

North Texas GME Research Forum 2026

No abstract provided.

Beyond The Assumption: A Comparison Of Resident And Attending Prescribing Errors In Ambulatory Care, Shana-Kay Lambert-Johnson, Megan Wesling, Keneisha Houston, Isabel Vecino, Tasaduq Mir

North Texas GME Research Forum 2026

BACKGROUND: Medication prescribing errors remain a leading cause of preventable patient harm in ambulatory care. This study examined whether the severity, frequency, and distribution of medication prescribing errors differ between residents and attendings in outpatient settings to inform graduate medical education (GME) and system-level medication safety strategies.

METHODS: This retrospective observational study was conducted across a multi-specialty ambulatory care network. Ambulatory medication-related events involving residents and attendings occurring between January 1 and December 31, 2025, were identified through voluntary reporting in a cloud-based risk management system. Events were categorized by prescriber role and classified using the National Coordinating Council for …

Impact Of A Resident-Created Family Medicine Clerkship Guide On Medical Student Preparedness, Shana-Kay Lambert-Johnson, Tasaduq Mir, Fredricka Barr

North Texas GME Research Forum 2026

BACKGROUND: Third-year medical students enter the family medicine clerkship with strong foundations in the basic medical sciences. However, they can feel underprepared to meet the demands of outpatient care, including navigating clinic workflows, documenting efficiently, and leading patient-centered visits. This transition-to-clerkship learning curve may contribute to stress during a critical phase of clinical development. Structured educational support during this transition has the potential to enhance learner confidence, promote meaningful learning, and foster positive engagement with family medicine. Through resident-led quality improvement, this project aimed to improve medical student preparedness and confidence for the family medicine clerkship using a resident-created intervention. …

Can Chatgpt Cut It? Evaluating Ai In Dermatologic Surgery Reconstruction, Anthony Concilla, Benjamin R. Cooper, Taha F. Rasul, David Ciocon, Adam Chahine

South Atlantic Division GME Research Days 2026

No abstract provided.

Association Between Emergency Medicine Residency Program And Diagnostic Efficiency For Pulmonary Embolism, Kerolos Abadeer, Kalyan Mantha, W Angelo Kantrales, Pranav Bommineni, Martin Wegman

South Atlantic Division GME Research Days 2026

No abstract provided.

Correlation Between Manual Dexterity And Medical Students' And Interns' Match Results, Bethany Bowling, Lilly Mcinrow, Sara Hitt, Peyton Matt, Joe Slattery, Anthony Royek

South Atlantic Division GME Research Days 2026

No abstract provided.

Balancing Act: Examining The Relationship Between Organizational Culture And Burnout Within Graduate Medical Education Program Coordinators, Michael Conrad

Graduate Theses and Dissertations

This phenomenological study examined the lived experience of working as a graduate medical education (GME) program coordinator to determine how organizational culture impacts their burnout. The study was guided by the Job Demand-Resource Theory and the Conservation of Resources theory. When job demands outweigh job resources for an individual for a long period of time, it can result in burnout. Job resources can be used to buffer against demands and promote job growth, engagement, and learning. It is this concept which leads individuals to protect their resources when needed and to strive to develop new resources. Data was collected through …

Is It Retaliation Or Remediation? Educating Our Learners On The Difference, France M. Leandre, Almari Ginory

HCA Healthcare Journal of Medicine

The goal of this article is to discuss 1 of the questions in the Accreditation Council for Graduate Medical Education Resident/Fellow Survey, which assesses the fear of retaliation in a program. To better understand the needs of residents and facilitate the reporting of concerns, programs must evaluate and educate residents on the difference between remediation and retaliation.

Multi-Center Survey Of Medicine Residents And Self-Assessment On Cardiac Complications In Obstetric Patients, Kevyn Niu, Christie A. Tran, Robert J. Subbiondo Md, Olubenga Oyesanmi

HCA Healthcare Journal of Medicine

Background

Internal medicine (IM) residents receive significant cardiology training, and previous surveys have evaluated IM resident competency on obstetric (OB)-related subjects. However, there is minimal literature on self-reported competence of cardiac-specific complications in OB patients. Our study assessed self-reported comfort and competency regarding cardiovascular complications in OB patients with medical residents across several specialties.

Methods

We surveyed 207 residents across 3 specialties and 3 teaching hospitals on 10 questions regarding their self-reported confidence in managing cardiovascular complications in OB patients, including practice setting, specific cardiac issues, and stages of labor. We received 42 responses. Results were obtained using Google Sheets …

Being Well: Stories Of Coping And Resilience, Simiao Li-Sauerwine, Abbas Husain, Al'ai Alvarez, Gillian Baty, Manish Garg, Ryan Bodkin, Andy Grock, Marc Borenstein, Pamela Dyne

Journal of Wellness

Introduction: The approach to physician well-being has transformed from a focus on identification of distress to embracing a comprehensive model that values vulnerability, growth, self-compassion, and a sense of purpose and community in the profession. This manuscript, a collaborative effort by the Council of Residency Directors in Emergency Medicine Well-being Committee and the Society for Academic Emergency Medicine Wellness Committee, presents the personal narratives of academic emergency physicians during which they faced challenges and stressors, as well as supportive resources they found helpful. The scenarios are written by the individuals themselves as they experienced them.

Discussion: Through these shared and …

2025 North Texas Gme Research Forum Program, Hca Healthcare

North Texas Research Forum 2025

No abstract provided.

Perspectives On A Recently Merged Family Medicine Residency Program: A Post-Match Survey Of Ranked, Unmatched Applicants, John E. Snellings, Karo G. Ohanian, Ismail El Moudden

Eastern Virginia Medical Journal

Introduction: Residency program mergers are a topic of much consternation and relatively little scholarly investigation in graduate medical education. After undergoing a residency merger in July 2020, the newly formed Eastern Virginia Medical School (EVMS) Family Medicine Residency Program investigated the effects of the merger on the perspectives of the applicant pool for the subsequent 2020–2021 recruiting season. Methods: We conducted an anonymous survey of EVMS Family Medicine applicants during the 2020– 2021 recruiting season. Students who interviewed with the residency and were subsequently placed on the program’s National Residency Matching Program (NRMP) rank order list (ROL) but did not …

Improving Antibiotic Decision Making Amongst Medical Residents, Andrew Baird, Mina Guirguis, Brian Steiner, Daniel Khashchuk

South Atlantic Division GME Research Day 2025

No abstract provided.

The Benefit Of Protected Time Before Emergency Medicine Didactic, Stevley M. Koshy, Garrett Reber, David Lindow

Gulf Coast Division GME Research Day 2025

No abstract provided.