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 on the amount and quality of feedback given, the residents' communication skills, and impact on faculty through faculty development.
(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.