Current Research and Scholarly Interests
I am interested in graduate medical education -- particularly in understanding how learners learn in the clinical environment; how learners can optimally communicate with patients and families, to improve patient understanding, patient satisfaction, and patient safety; and how to improve diversity, inclusion, and equity.
A few of my studies/areas of interest include:
(1) Diversity and Inclusion: We have built and are studying an innovative approach to improving diversity, inclusion, belonging, and equity -- the LEAD (Leadership Education in Advancing Diversity) Program, a 10-month longitudinal leadership program to promote leadership skills in improving diversity and inclusion.
(2) Coaching Initiative: An innovative approach to provide longitudinal assessment and feedback to residents, and help residents develop skills of lifelong learning and self-reflection. This program pairs a faculty coach with ten residents, who they follow for all three years. We are studying the impact of coaching on residents' professional identity formation.
(3) Scholarly Concentrations: We are studying the impact of scholarly concentrations on resident learners' scholarship, subsequent scholarly activity, career development.
Prior studies have included:
(1) National Nighttime Curriculum Study: Measured the impact of a national nighttime curriculum on residents' perception of learning, confidence and knowledge in handling routine overnight issues. Prospective study of 89 residency programs, over 2000 learners that found a significant improvement in knowledge, confidence, and attitudes.
(2) IPASS Study (National Handoff Study; we were one of nine pilot sites): Implemented an educational intervention to improve residents' knowledge and use of handoff tools.
(3) Bedside IPASS Study: Improving Family-Centered Rounds to Improve Patient Safety and Communication: We were one of seven sites in this national study to evaluate the impact of a new FCR rounding structure on patient safety and communication with patients and families.
(4) Shared Decision-Making: We were one of four sites on this NIH R25-funded study of shared decision-making on internal medicine and pediatrics rounds.
(5) Remediation: Created better tools for identifying and helping remediating learners.
(6) Residents as Teachers: Measured the impact of our required senior resident rotation in teaching.