Graduate Medical Education
Supporting Graduate Medical Education
In 2017, the American Medical Women’s Association established a Graduate Medical Education (GME) Task Force to enable its members involved in GME to have a platform for addressing issues directly relevant to medical education and training. This effort, which began following the 2017 AMWA Annual Meeting in San Francisco, was born out of the recognition of the need to support women in GME, both at the faculty and trainee level. Since 2018, a 2-hour GME Symposium has been held at the AMWA Annual Meeting, focused on topics that include gender equity, mentorship, innovations in medical education, medical humanities, resiliency and wellness, GME expansion, workforce preparedness, faculty development, and career advancement.
The GME symposium is open to all GME faculty, administration, and trainees and provides an opportunity to address relevant issues within GME and a forum for collaboration across different specialties. As the AMWA Annual Meeting is typically hosted in various geographic regions across the US, we are especially interested in engaging the local GME communities where the meeting is hosted, allowing additional opportunities for a Residency Fair, as introduced at the 2019 Medical Women’s International Association Congress in New York. We also hope that the option for future Virtual Symposia, as conducted in March 2020 due to the COVID-19 pandemic, will allow us to engage the broader GME community at all levels.
Chair: Joan Lo, MD, FACP
Kim Templeton, MD, FAOA, FAMWA
Theresa Rohr-Kirchgraber, MD, FACP, FAMWA
103rd AMWA ANNUAL MEETING
March 21, 2018 (Philadelphia, PA)
2018 PANEL: NEW FRONTIERS IN GRADUATE MEDICAL EDUCATION (GME)
Exploring New Ways to Educate Residents through GME Innovations
Joan Lo, MD, FACP
Research Scientist, Division of Research, Kaiser Permanente Northern California
Assistant Program Director, Kaiser Permanente Oakland Internal Medicine Residency
Clinical Professor of Medicine, University of California, San Francisco
Why and How GME Needs to Change
Marshall A. Wolf, MD, MACP
Emeritus Vice Chairman for Medical Education, Brigham and Women’s Hospital
Emeritus Program Director, Brigham & Women’s Hospital Internal Medicine Residency Professor of Medicine, Harvard Medical School
What Do We Need to Do to Address Wellness?
Kim Templeton, MD, FAMWA
Professor of Orthopedic Surgery and Health Policy and Management
University of Kansas School of Medicine
Program Director, University of Kansas Medical Center Orthopedic Residency
Past President, American Medical Women’s Association
Wellness in Graduate Medical Education—An ACGME Imperative
Joan Younger Meek, MD, MS, FAAP
Associate Dean for Graduate Medical Sciences and Designated Institutional Official
Professor, Clinical Sciences; Florida State University College of Medicine
Chair, American Academy of Pediatrics, Section on Breastfeeding
2018 GME SYMPOSIUM
AMWA Residency Division Introduction
Advancing the Work of Women in GME through AMWA
Joan Lo, MD, FACP
Looking at Resident Burnout through a Gendered Lens
Kim Templeton, MD, FAMWA
How We Promote Wellness During Residency Training: Examples from the Field
Joan Younger Meek, MD, MS, FAAP
Nurturing Residents-A Challenging and Rewarding Activity
Marshall A. Wolf, MD, MACP
Using Story to Change Medical Culture
Jessica Nutik Zitter, MD, MPH
Critical and Palliative Care Specialist, Highland Hospital, Alameda, CA
Author of Extreme Measures: Finding a Better Path to the End of Life
MEDICAL WOMEN’S INTERNATIONAL ASSOCIATION CENTENARY CONGRESS
July 26, 2019 (New York, NY)
2019 GME SYMPOSIUM
The Vision and Voice of Women in GME
Joan C. Lo, MD, MS, FACP (title previously listed)
Kaiser Permanente Northern California Division of Research
GME Research Director, Assistant Residency Program Director
WIM: Creating A More JEDI Healthcare Environment
Darilyn V. Moyer, MD, FACP
Executive Vice President and CEO, American College of Physicians
Ensuring Safe and Equitable Environments for Women Training to Become Physicians
Reshma Jagsi, MD, DPhil
Deputy Chair of Radiation Oncology, Director, Center for Bioethics & Social Sciences
University of Michigan
Women’s Leadership and Gender Bias Curriculum for Internal Medicine Residents
Maria Yialamas, MD
Associate Program Director, Internal Medicine Residency, Brigham & Women’s Hospital
Assistant Professor of Medicine, Harvard Medical School
Developing a Fellows’ Academy to Prepare Senior Trainees for Independent Practice
Rini B. Ratan, MD
Vice Chair of Education and Associate Professor of OB/Gyn
Residency Program Director, OB/Gyn, Columbia University
Art and Critique in Medicine
Somalee Banerjee, MD, MPH Associate Physician, Hospital Medicine
Kaiser Permanente Oakland; Senior Research Fellow, Neerman
The Challenges and Success of Fellowship Training in a Multi-Specialty Run Practice
Diana J. Galindo MD, FACP, AGSF
Head, Section of Geriatric Medicine & Fellowship Program Director
Cleveland Clinic Florida; Affiliate Associate Professor, FAU
Leveling the Playing Field: Women Start Your Engines!
Theresa Rohr-Kirchgraber, MD, FACP, FAMWA
Executive Director, Indiana University (IU) National Center of Excellence in Women’s Health
Planning for Re-Entry to Practice
Kimberly Templeton, MD, FAMWA, FAOA (title previously listed)
105th AMWA ANNUAL MEETING
Mar 27, 2020 (held virtually)
2020 GME SYMPOSIUM (105th AMWA Annual Meeting Session Breakout, 3/27/20)
So You Think You Want to Start a Family Medicine Residency
Deborah Edberg, MD
Director of GME Development
Department of Family Medicine, Rush University
GME Expansion Beyond the Academic Health Center
Stephen John Cico, MD, MEd
Assistant Dean for Graduate Medical Education
Associate Professor of Clinical Emergency Medicine and Clinical Pediatrics
Fellowship Director, Pediatric Emergency Medicine Indiana University School of Medicine
Training Future Faculty with the Clinician Educator Training Pathway
Christen K. Dilly, MD, MEHP
Assistant Professor of Medicine
Indiana University School of Medicine
Stress, Burnout and Depression in GME
Carol A. Bernstein, MD
Professor and Vice Chair for Faculty Development and Wellbeing
Departments of Psychiatry and Obstetrics and Gynecology
Albert Einstein College of Medicine Montefiore Medical Center
Your Academic Career: What I wish I had Known at the Beginning
Anne Walling, MB, ChB
Former Associate Dean for Faculty Development, Family and Community Medicine
Kansas University School of Medicine-Wichita Author, Academic Promotion for Clinicians
Vivian E. Shih Medical Education Fund
In 2019, the American Medical Women’s Association established the Dr. Vivian E. Shih Graduate Medical Education Fund to support initiatives in graduate medical education for women in medicine. Dr. Vivian Shih has been recognized as an internationally renowned expert in the field of metabolic genetics and a scientist, mentor, educator, and pediatric specialist. The Fund will help support and inspire future women in medical training and the programs that nurture their professional growth.
Dr. Vivian Shih has had a long and storied career as one of the leading experts in inherited disorders of amino acid and related metabolism. Born in 1934 in China, Dr. Shih graduated from National Taiwan University of Medicine in 1958. She came to the United States for post-graduate training and completed a rotating internship at Edgewater Hospital (Chicago), residency in pediatrics at Philadelphia General Hospital, and fellowship in pediatric neurology at Children’s Hospital of Philadelphia and neurology at Massachusetts General Hospital in Boston. She trained under Dr. Mary L. Efron at the Massachusetts General Hospital before joining the faculty in 1967, initially as an Instructor in Neurology of Harvard Medical School, Assistant Professor in 1970, and Associate Professor in 1976. For decades until her retirement, Dr. Shih was Director of the Amino Acid Disorders Laboratory within the Neurology Service of Massachusetts General Hospital (MGH) and a pioneering scientist whose research on amino acid metabolic disorders have led to critical advancement of the field. She has been a research mentor to numerous trainees and postdoctoral fellows, as well as a clinical educator and was honored with MGH’s Teacher of the Year Award in the Pediatric Neurology Service in 1998. During her career, she published over 140 articles in peer reviewed journals, was twice the recipient of the Javits Neuroscience Investigator Award (1985, 1992), and was a member of numerous medical societies, most notably serving as President of the Society for Inherited Metabolic Disorders and a founding member of the American College of Medical Genetics. She retired in 2010 and currently resides in Massachusetts.
“Woman physicians often take on a myriad of roles. Dr. Vivian Shih was an internationally renowned expert in the field of metabolic genetics, and also a scientist, mentor, educator, and pediatric specialist. During our medical school years, she was also our aunt and mentor, welcoming us into her home in Belmont, MA – our home away from home. We hope that the Vivian E. Shih Graduate Medical Education Fund will support and inspire future women in medical training and the programs that nurture their professional growth.”
Eliza Lo Chin, MD, MPH – Executive Director, American Medical Women’s Association
Joan C. Lo, MD, MS – GME Task Force Chair, American Medical Women’s Association
Vivian E. Shih Scholars
2019-2020 Inaugural Vivian E. Shih Scholar – Dr. Amanda Xi
Amanda Xi, MD, MSE is an Anesthesiology Critical Care Fellow at Massachusetts General Hospital (MGH). She is a recent graduate of the MGH Anesthesiology residency and was part of the Charter Class at Oakland University William Beaumont (OUWB) School of Medicine. Amanda founded the AMWA branch at OUWB, served in leadership positions within the AMWA National Student and Resident Divisions, and has been part of planning the AMWA Annual Meetings for the last 6 years. Currently, Amanda also serves as the Vice Chair and Chair-Elect for the Accreditation Council for Graduate Medical Education (ACGME) Council of Review Committee Residents. Outside of medicine, Amanda enjoys trying new restaurants, reading, and connecting with others through social media.
Dr. Xi’s work in GME:
“Education has always been a passion of mine. Throughout college, I worked as a tutor and teaching assistant, and later, I organized an after school engineering club at an underserved middle school. Learners tend to be curious and push the boundaries of my knowledge; this feeling of constantly being challenged is a huge motivating factor for me. As I progressed through medical training, I looked for an opportunity to merge my interests in medical education with administration and found that opportunity during my internship through the Accreditation Council for Graduate Medical Education (ACGME) Transitional Year Review Committee. My program director during my Transitional Year internship was part of this ACGME committee and shared the opportunity to join as the resident member. When I applied, I also discovered that my program director at Massachusetts General Hospital was also on the respective ACGME Anesthesiology Review Committee and was supportive of my involvement.
The ACGME’s mission is to improve health care and population health by assessing and advancing the quality of resident physicians’ education through accreditation. In order to achieve this mission, the organization ensures that each committee assessing accreditation status includes a resident member. In addition to being part of the specialty or institutional review committee, every resident member is also part of the Council for Review Committee Residents (CRCR). The CRCR advises the ACGME Board of Directors and provides a platform for resident-led initiatives.
During my term on the Transitional Year Review Committee, I discovered that the CRCR offered the unique opportunity to interface and collaborate with a motivated, multispecialty group of residents invested in improving graduate medical education. Work on wellbeing through the launch of the Back to Bedside Collaborative has led to the funding of 60+ resident-led projects across the country to foster meaning and joy in work and allow them to engage on a deeper level with what is at the heart of medicine: their patients. CRCR focus topic discussions on inconsistent parental leave policies across training programs and specialties led to the formation of a Parental Leave Task Force. Subcommittees of the CRCR – well-being and leadership – have led sessions at the ACGME Annual Education Conference (AEC). Numerous articles originating from the CRCR have been published in the Journal of Graduate Medical Education (JGME). Inspired by the transformative discussions and initiatives led by members of the CRCR, I ran for the position of Vice Chair and subsequently Chair of the Council. Currently, I am in my two-year term as Chair of the CRCR and look forward to continuing the momentum we have gained.”
SELECTED REFERENCES FROM THE 2018-2020 AMWA GME SYMPOSIA
- Butkus R, Serchen J, Moyer DV, Bornstein SS, Hingle ST; Health and Public Policy Committee of the American College of Physicians. Achieving gender equity in physician compensation and career advancement: A position paper of the American College of Physicians. Ann Intern Med 2018 May 15;168(10):721-723.
- The National Academies of Sciences, Engineering, and Medicine (2018). Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine. Washington DC: The National Academies Press.
- Rotenstein LS, Berman RA, Katz JT, Yialamas MA. Making the Voices of Female Trainees Heard. Ann Intern Med. 169 (5), 339-40, 2018.
- Beeler WH, Cortina LM, Jagsi R. Diving beneath the surface: Addressing gender inequities among clinical investigators. J Clin Invest 2019 Aug 5;129(9):3468-3471.
- Fiellin LE, Moyer DV. Assuring gender safety and equity in health care: The time for action is now. Ann Intern Med. 2019 Jul 16;171(2):127-128.
- Carr PL, Raj A, Kaplan SE, Terrin N, Breeze JL, Freund KM. Gender differences in academic medicine: Retention, rank, and leadership comparisons from the National Faculty Survey. Acad Med 2018 Nov;93(11):1694-1699.
- Lautenberger DM, Dandar VM. 2018-2019 The state of women in academic medicine: Exploring pathways to equity. Association of American Medical Colleges, 2020. https://www.aamc.org/data-
reports/data/2018-2019-state- women-academic-medicine- exploring-pathways-equity.
SEX AND GENDER-BASED MEDICINE
- McGregor AJ, Chin EL, Rojek MK, Digre KB, Lopez AM, Jenkins K, Johnston L, Jenkins M. Sex and Gender Health Education Summit: Advancing Curricula Through a Multidisciplinary Lens. J Womens Health (Larchmt). 2019 Dec;28(12):1728-1736.
STRESS, BURNOUT, WELLBEING
- Ishak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, Ogunyemi D, Bernstein CA. Burnout During Residency Training: A Literature Review. J Grad Med Educ 2009 Dec;1(2):236-42.
- Mata DA, Ramos MA, Bansal N, Khan R, Guille C, DiAngelantonio E, Sen S. Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA 2015 Dec 8;314(22):2373-2383.
- Goldman ML, Shah RN, Bernstein CA. Depression and suicide among physician trainees: Recommendations for a national response. JAMA Psychiatry 2015; 72(5):411-412.
- National Academies of Sciences, Engineering, Medicine. 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press.
- Templeton K, Bernstein CA, Sukhera J, Nora LM, Newman C, Burstin H, Guille C, Lynn L, Schwarze ML, Sen S, Busis N. Gender-based differences in burnout: Issues faced by women physicians. NAM Perspectives 2019. Discussion Paper, National Academy of Medicine, Washington, DC.
- Dir. Dan Krauss. Perf. Monica Bhargava and Jessica Zitter. Extremis. Netflix, 2016.
- Zitter JN. Extreme Measures: Finding a Better Path to the End of Life. New York, NY: Penguin Random House LLC: 2017.
- Petterson SM, Liaw WR, Tran C, Bazemore AW. Estimating the residency expansion required to avoid projected primary care physician shortages by 2035. Ann Fam Med 2015 Mar;13(2):107-14.
FACULTY DEVELOPMENT AND ADVANCEMENT
- Dilly CK, Carlos WG, Hoffmann-Longtin K, Buckley J, Burgner A. Bridging the gap for future clinician-educators. Clin Teach 2018 Dec;15(6):488-493.
- Walling A. Academic Promotion for Clinicians: A Practical Guide to Academic Promotion and Tenure in Medical Schools. Cham, Switzerland: Springer Nature 2018.
The proceedings from the first three GME Symposiums were published in a special Women in Medicine issue of The Permanente Journal.