Medical Education

Letters of Recommendation: Program Directors Need to Do Better

It is interview season, and I am reviewing candidates for my residency program. It is a very humbling process. Even considering board scores, transcripts, and personal statements, the true person behind the dossier can remain opaque. How do we figure out who might be a good fit?...
| December 6th, 2018| Residency| 2 Comments|

Verrocchio, Leonardo, and the Art of Effective Feedback to Residents

Midyear reviews of residents are under way. I cherish these gatherings. We review evaluations, in-training exam scores, consider career goals, and design individual learning plans. We ponder the big picture. Where is the resident going? How are things? This season, I found myself questioning the effectiveness of...
| April 12th, 2018| Learning| 3 Comments|

Bloom’s Taxonomy — From Knowledge to Practice

Identify. Recognize. Interpret. Distinguish. What do these words have in common? They are all “Bloom’s verbs” — the foundational building blocks of learning objectives, according to one of the most widely used pedagogic models, Bloom’s taxonomy. Bloom’s taxonomy is the backbone of most CME and residency programs’...
| January 11th, 2018| Learning| 2 Comments|

Who Gets Chosen for Your Residency and Who Gets Overlooked? Implicit Bias in Medical Education

We are in the throes of interview season. At Yale, my fellow program directors and I have evaluated dozens, maybe hundreds of applications. We have tried to decide which applicants to interview on the basis of objective criteria — board exam scores, grades, deans’ letters. This practice...
| January 4th, 2018| Residency| 6 Comments|

Design Thinking in Health Care: Ear Wax, Hemolysis, and Other Opportunities

What do cerumen impaction, hemolysis, sternal dehiscence, and glomerular biopsies have in common? The opportunity to innovate. As I’ve plodded through entering data into my hospital’s electronic medical records (EMR) system, I’ve wondered: What would happen if a savvy physician were writing the code?  When I am...
| October 19th, 2017| Learning| 5 Comments|