Kathryn M Andolsek

Kathryn M Andolsek
Duke University Medical Center | DUMC

MD, MPH

About

85
Publications
6,115
Reads
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966
Citations
Citations since 2016
36 Research Items
612 Citations
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2016201720182019202020212022020406080100120
2016201720182019202020212022020406080100120
2016201720182019202020212022020406080100120

Publications

Publications (85)
Article
Full-text available
Increasingly, medical school curricula seek to integrate the biomedical and clinical sciences. Inclusion of the basic sciences into the clinical curricula is less robust than including clinical content early in medical school. We describe inclusion of biomedical scientists on patient care rounds to increase the visibility of biomedical sciences, to...
Preprint
Full-text available
Background: Bedside teaching is fundamental to clinical education, providing opportunities for teaching and assessment, but is rarely evaluated or compared across students’ experiences. Our purpose was to evaluate key differences in teaching practices between required clerkships. Methods: This is a mixed-methods observational study at Duke Universi...
Article
Purpose: Tolerance for ambiguity (TFA) is important for physicians, with implications for ethical behavior and patient care. This study explores how medical students' TFA changes from matriculation to graduation and how change in empathy and openness to diversity are associated with this change. Method: Data for students who took the Matriculati...
Article
Objective. To implement and assess the effectiveness of an interprofessional course designed to provide pharmacy and nursing students with opportunities to improve their understanding of substance use disorders (SUDs), assess their attitudes toward patients with SUDs, receive instruction and feedback on behavior change counseling, and engage in int...
Article
Purpose: The authors conducted this scoping review to (1) provide a comprehensive evaluation and summation of published literature reporting on interprofessional substance use disorder (SUD) education for students in health professions education programs and (2) appraise the research quality and outcomes of interprofessional SUD education studies....
Chapter
Healthcare disparities/inequities have been identified as a critical aspect of healthcare quality and included as part of the Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER). As one would expect, addressing healthcare disparities is a universal challenge requiring the collaboration of GME edu...
Article
Objective The purpose of this project was to create an interprofessional substance use disorders (SUDs) course that provided health professions students an opportunity to acquire and apply behavior change counseling skills for patients with SUDs with direct observation, assessment, and feedback. Methods The interprofessional SUDs course was offere...
Article
Purpose: Substance use is a public health concern. Health professions organizations recommend improvements in substance use disorder (SUD) education. Mezirow's Transformative Learning Theory was used as the educational framework to develop a course that would provide students with opportunities to improve their understanding of SUDs; to assess, ch...
Article
Shifting demographics and concerns about burnout prevention merit a reexamination of existing structures and policies related to leaves of absence that may be necessary during medical training. In this Invited Commentary, the authors address the issue of parental leave for medical students and residents. Discussion about parental leave for these tr...
Article
Step 1 of the United States Medical Licensing Examination (USMLE) is a multiple-choice exam primarily measuring knowledge about foundational sciences and organ systems. The test was psychometrically designed as pass/fail for licensing boards to decide whether physician candidates meet minimum standards they deem necessary to obtain the medical lice...
Article
Population health experiences have become more common in medical education. Yet, most resident population health experiences are in patient panel management and fail to connect with the rapidly growing movement of cross-sector, data-driven, and community-led initiatives dedicated to improving the health of populations defined by geography rather th...
Article
Until recently, most initiatives to address physician burnout have focused on improving the resilience of individual physicians. These measures are necessary but insufficient since it is now recognized that organizations have a major role in causing, preventing, and mitigating physician burnout. Burnout must be addressed by organizational change. T...
Article
Full-text available
OBJECTIVES/SPECIFIC AIMS: To provide students an opportunity to select health care-oriented course work that reflects both their interests and the increasingly diverse spectrum of health professions education and health care careers. To increase the opportunity for students to enter professional schools and health care professions with enhanced eng...
Article
Background: Substance use disorders (SUDs) are a public health problem affecting millions of Americans. Despite its prevalence, there are few healthcare resources allocated for SUDs treatment. Relatively few healthcare professionals are exposed to SUDs education in their respective programs, which may be one reason for this resource insufficiency....
Article
Full-text available
Purpose: Despite increasing awareness of the importance of leadership in healthcare, our understanding of the competencies of effective leadership remains limited. We used a concept mapping approach (a blend of qualitative and quantitative analysis of group processes to produce a visual composite of the group's ideas) to identify stakeholders' men...
Article
Problem: Substance use disorders (SUDs) affect millions of Americans. Nevertheless, there is insufficient health care resource allocation for these patients. One reason may be the lack of education and training about SUDs in health professions programs. Approach: The authors developed a required, interprofessional SUDs course for health professi...
Article
The Medical Student Performance Evaluation (MSPE) was introduced as a refinement of the prior "dean's letter" to provide residency program directors with a standardized comprehensive assessment of a medical student's performance throughout medical school. The author argues that, although the MSPE was created with good intentions, many have question...
Article
Background: The Accreditation Council for Graduate Medical Education (ACGME) requires programs to engage annually in program evaluation and improvement. Objective: We assessed the value of creating educational competency committees (ECCs) that use successful elements of 2 established processes-institutional special reviews and institutional over...
Article
In the practice of modern emergency medicine (EM), transitions of care (TOC) have taken a prominent role, and during this time of healthcare reform, TOC has become a focal point of improvement initiatives across the continuum of care. This review includes a comprehensive examination of various regulatory, accreditation, and policy-based elements wi...
Article
Problem: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. Approach: Ninety-two graduating fourth-year medical students from Duke University School of Me...
Article
Full-text available
Objective: To pilot test if Orthopaedic Surgery residents could self-assess their performance using newly created milestones, as defined by the Accreditation Council on Graduate Medical Education. Methods: In June 2012, an email was sent to Program Directors and administrative coordinators of the154 accredited Orthopaedic Surgery Programs, askin...
Article
Background: Undergraduate medical education (UME) follows the lead of graduate medical education (GME) in moving to competency-based assessment. The means for and the timing of competency-based assessments in UME are unclear. Objective: We explored the feasibility of using the Accreditation Council for Graduate Medical Education Transitional Yea...
Article
The author reflects on the chapter titled "Preserving Excellence in Residency Training and Medical Care" in Dr. Kenneth Ludmerer's book Let Me Heal: The Opportunity to Preserve Excellence in American Medicine. Rather than assuming that the status quo represents excellence, however, the author asserts that we must make an informed judgment regarding...
Article
Full-text available
Background: Graduate medical education (GME) programs may struggle to provide the knowledge, skills, and experiences necessary to meet trainee career interests and goals beyond a clinical focus. Sponsoring institutions can partner with programs to deliver content not included in typical clinical experiences of GME programs. Objective: To perform...
Article
Abstract Faculty Development EXPRESS is intended to provide on-demand, convenient information to clinical faculty to enhance their skills as teachers. These tools are intended to promote clinical faculty development in their educational roles. The product was developed in response to requests from residency program directors and core faculty member...
Article
Purpose: To examine the psychometric adequacy of a tolerance for ambiguity (TFA) scale for use with medical students. Also, to examine the relationship of TFA to a variety of demographic and personal variables in a national sample of entering U.S. medical students. Method: The authors used data from the 2013 Association of American Medical Colle...
Article
Full-text available
Despite an explosion of medical education research and publications, it is not known how medical educator consumers decide what to read or apply in their practice. To determine how consumers of medical education research define quality and value. Journal of Graduate Medical Education editors performed a literature search to identify articles on med...
Article
Full-text available
Professionalism has been an important tenet of medical education, yet defining it is a challenge. Perceptions of professional behavior may vary by individual, medical specialty, demographic group and institution. Understanding these differences should help institutions better clarify professionalism expectations and provide standards with which to...
Article
Full-text available
Compliance with the Accreditation Council for Graduate Medical Education duty hour standards may necessitate more frequent transitions of patient responsibility. We created a multidisciplinary Patient Safety and Quality Council with a Task Force on Handoffs (TFH), engaging residents at a large, university-based institution. The TFH identified core...
Article
To assess whether participation in a series of continuing medical education-certified activities presenting complicated case scenarios resulted in evidence-based decision making for patients with chronic comorbid conditions. A series of interactive live workshops and online case studies presented evidence-based, practical information addressing the...
Article
The Duke Medicine Graduate Medical Education Quasi-Endowment, established in 2006, provides infrastructure support and encourages educational innovation. The authors describe Duke's experience with the "grassroots innovation" part of the fund, the Duke Innovation Fund, and discuss the Innovation Fund's processes for application, review, and impleme...
Article
Little is known about the factors that influence applicants' decisions to select a graduate medical education training program. Programs may improve their recruitment by better understanding that process. Following the Match for the years 2008 though 2010, an electronic survey was sent to 664 applicants to 15 Duke University graduate medical educat...
Article
With changes in the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements related to transitions in care effective July 1, 2011, sponsoring institutions and training programs must develop a common structure for transitions in care as well as comprehensive curricula to teach and evaluate patient handoffs. In respon...
Article
Full-text available
Duke University Hospital Office of Graduate Medical Education and Duke University's Fuqua School of Business collaborated to offer a Health Policy lecture series to residents and fellows across the institution, addressing the "Systems-based Practice" competency.During the first year, content was offered in two formats: live lecture and web/podcast....
Article
Full-text available
The Accreditation Council for Graduate Medical Education (ACGME) mandates that sponsoring institutions conduct internal reviews. In 1998, the ACGME Institutional Review Committee gave Duke University Hospital a citation for an inadequate internal review (IR) process. Since then, we have instituted several iterative changes. We describe the evolutio...
Article
Full-text available
The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Office of Graduate Medical Education (OGME) used an institutional practice-based learning and improvement st...
Article
Full-text available
Beginning a graduate medical education training program is associated with a steep learning curve for incoming residents. To compare the efficacy and efficiency of live versus webcast formats for Institutional Orientation. This 2-year non-blinded study, with a nonrandomized cohort, compares outcomes for trainees oriented Summer 2005 in a ''live-lec...
Article
Portfolios have emerged in graduate medical education despite lack of consensus on their definition, purpose, or usefulness. Portfolios can be used as a tool for residents to record their accomplishments, reflect on their experiences, and gain formative feedback. This exercise may help prepare physicians for lifelong learning as well as enhance pat...
Article
Aims: There is a high risk of physicians developing a chemical dependence. Detection of chemically dependent resident physicians is difficult. Our objective was to assess our experience with pre-placement substance-abuse screening of resident physicians and their attitudes about this procedure. We hypothesized that the frequency of positive pre-emp...
Article
Contraception is an inherent part of good health care for women. Fertility is not a disease, and therefore contraception is not a purely medical concern but an area for collaborative care in which the woman and clinician, as well as frequently her partner(s), exchange knowledge, values and options in planning and/or preventing her pregnancies. Intr...
Article
To determine the impact of the Accreditation Council for Graduate Medical Education mandates for duty hours and competencies on instruction, evaluation, and patient care in intensive care units in the United States. A Web-based survey was designed to determine the current methods of teaching and evaluation in the intensive care unit, barriers to ch...
Article
This article illustrates the creation of a specialty specific portfolio that can be used by several different residency programs to document resident competence during a given rotation. Three different disciplines (anesthesiology, surgery and medicine) worked together to create a critical care medicine portfolio. We began by reviewing the curriculu...
Article
Introduction: Much of the international community has an increased awareness of potential biologic, chemical, and nuclear threats and the need for physicians to rapidly acquire new knowledge and skills in order to protect the public's health. The present study evaluated the educational effectiveness of an online bioterrorism continuing medical educ...
Article
To determine whether a short-term, problem-based educational intervention leads to increased research activity among health care practitioners. Participant's success was evaluated as a composite of 2 outcomes. These were (1) reporting results for the project designed during the practicum and (2) conducting subsequent research activities. The study...
Article
Risk assessment is the process by which clinicians screen for conditions that, if unmanaged, result in complications of pregnancy or adverse birth outcomes and for which an intervention would improve the well-being of the mother, child, and family. One of the major US health care goals is that by the year 2000, at least 90% of pregnant women will r...
Article
Breast cancer is both a biologically and psychologically devastating disease. For women at high risk, there exists an enormous and often confusing array of recommendations for optimal care. The obstetrician/gynecologist has an opportunity and responsibility for assessing actual risk, determining a care strategy, and addressing the patient’s underst...
Chapter
Benign breast conditions and diseases are commonly encountered in primary care. Primary health care providers must be able to: Elicit an accurate history Perform an accurate examination of the breasts Differentiate between benign and medically significant complaints or findings Utilize available office procedures for evaluation of breast lesions Re...
Chapter
The routine health assessment of any patient should include inquiries about symptoms related to the breast, previous breast surgery, pertinent family history (age of any first degree female relatives—mother or sisters—with breast cancer and the age at which their cancer or cancers developed in relation to menopause), pain, mass, or discharge (Table...
Article
Obstetric risk assessment is an important component of comprehensive obstetric care. It is a tool used to evaluate the medical, psychosocial, familial, and environmental factors that increase the chance of an adverse outcome. Such outcomes may involve the mother, the infant, or both. Risk assessment collects and organizes data obtained from a perti...
Article
Effective cycle control was demonstrated based on two multicenter, 2-year studies of the triphasic oral contraceptive (OC) agent containing the new progestin norgestimate. The estrogen in this OC is ethinyl estradiol. These open-label Phase III studies were conducted in the United States by 33 investigators at 33 sites who treated a total of 1,783...
Article
There is a critical shortage of physicians trained to recognize and treat occupational and environmental health problems. We implemented several required teaching programs for internal medicine and family medicine residents that focus on providing primary care for these problems. Clinical experiences were developed using the university and medical...
Article
Patients (n = 103) admitted to an inpatient geriatric care unit focusing on restoration of functional status were compared to similar patients (n = 75) admitted to a control-unit. Study unit patients showed significantly greater improvement in basic functional capabilities from admission to discharge than did control-unit patients. A mixed picture...
Article
Persons 65 years and older are the most rapidly growing age group in the United States. As age increases, functional ability deteriorates and the need for help from another person escalates. Caring for elderly persons experiencing functional deterioration is stressful, creating hidden patients among caregivers. This study surveyed randomly selected...
Article
• Persons 65 years and older are the most rapidly growing age group in the United States. As age increases, functional ability deteriorates and the need for help from another person escalates. Caring for elderly persons experiencing functional deterioration is stressful, creating hidden patients among caregivers. This study surveyed randomly select...
Article
Residency training programs are the appropriate milieu in which physicians should receive specialized training in the diagnosis and management of child abuse. The purposes of the present study were to assess and compare residents' knowledge of child abuse and their attitudes toward the propriety of different forms of childhood discipline. We survey...
Article
Ectopic pregnancies are common, are increasing in incidence, and are preventable causes of reproductive morbidity and death. They are also frequently misdiagnosed, and are one of the most common causes for malpractice claims made against primary care physicians. The classic description of the presenting signs and symptoms of ectopic pregnancy was d...
Article
A case reported here of Haloperidol-induced neutropenia demonstrates one of many important drug reactions to which the elderly may be predisposed. Neuroleptics can lead to neutropenia by toxic or immunologic mechanisms, and it is impossible to predict which patients will sustain this potentially life-threatening reaction. Fever and infection may be...
Article
Hypnosis is a valuable if underused medical tool for increasing compliance, decreasing discomfort and fear, and teaching patients a sense of mastery and constructive control. This article focuses upon the pediatric patient requiring common out-patient procedures. Four case studies are presented. Techniques are discussed with reference to patient se...
Article
We believe, then, that our patient represents an infrequently reported form of tetracycline toxicity. She developed a picture consistent with multisystem involvement, with a positive ANA test. All of the toxic manifestations were reversed upon withdrawal of the drug.

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