Nicole M Deiorio

• MD
• Associate Dean at Virginia Commonwealth University

Background It is essential that medical education (MedEd) fellows achieve desired outcomes prior to graduation. Despite the increase in postgraduate MedEd fellowships in emergency medicine (EM), there is no consistently applied competency framework. We sought to develop entrustable professional activities (EPAs) for EM MedEd fellows. Methods From...

Competency-based medical education (CBME) requires a criterion-referenced approach to assessment. However, despite best efforts to advance CBME, there remains an implicit, and at times, explicit, demand for norm-referencing, particularly at the junction of undergraduate medical education (UME) and graduate medical education (GME). In this manuscrip...

Purpose Goal orientation (GO) describes an individual’s approach to different achievement situations. Understanding the motivations and approach to achieving goals of medical students is vital with the increasing emphasis on self-directed learning. The purpose of this study was to identify themes in self-improvement reflections that relate to each...

Coaching is rapidly advancing in medical education as a relational process of facilitating sustainable change and growth. Coaching can support learners in emergency medicine at any stage by improving self‐reflection, motivation, psychological capital, and goal creation and attainment. Different from the traditional models of advising and mentoring,...

Importance Gaps in readiness for indirect supervision have been identified for essential responsibilities encountered early in residency, presenting risks to patient safety. Core Entrustable Professional Activities (EPAs) for entering residency have been proposed as a framework to address these gaps and strengthen the transition from medical school...

Background Coaching supports academic goals, professional development and wellbeing in medical education. Scant literature exists on training and assessing coaches and evaluating coaching programs. To begin filling this gap, we created a set of coach competencies for medical education using a modified Delphi approach. Methods An expert team assemb...

Background Research abstracts are submitted for presentation at scientific conferences, however, criteria for judging abstracts are variable. We sought to develop two rigorous abstract scoring rubrics for education research submissions reporting (1) quantitative data and (2) qualitative data; and then to collect validity evidence to support score i...

Introduction As educators seek to improve medical student well‐being, it is essential to understand the interplay between distress and important outcomes. Performance on Step 1 of the United States Medical Licensing Examination has played a significant role in selection for postgraduate residency positions in the U.S., and consequently is a source...

Calls to change the residency selection process have increased in recent years, with many focusing on the need for holistic review and alternatives to academic metrics. One aspect of applicant performance to consider in holistic review is proficiency in behavioral competencies. The Association of American Medical Colleges (AAMC) developed the AAMC...

Introduction: Interest is growing in specialty-specific assessments of student candidates based on clinical clerkship performance to assist in the selection process for postgraduate training. The most established and extensively used is the emergency medicine (EM) Standardized Letter of Evaluation (SLOE), serving as a substitute for the letter of...

Background: Evidence to support coaching in medical education has grown over the past decade leading educators to search for resources to aid the development of their own coaching programs. A sample of medical schools in the USA were surveyed to describe coaching programs to assist other institutions in the development and implementation of program...

The Match is a daunting process for everyone, but it can be exceedingly more complicated for couples. Accordingly, the Couples Match was introduced by the National Residency Match Program in 1984 and has been witnessing a steady increase in the number of participating couples over the past 30 years. The highest number of couples participating in th...

In “Applicant Attitudes towards the Association of American Medical Colleges’ Standardized Video Interview” (1) the authors describe their own program's applicant experiences with the EMSVI. The viewpoints of the applicants toward the SVI were largely negative. While the authors do identify the limitations of their study, we as members of the AAMC...

Background and objectives: Little is known about how the academic coaching needs of medical students differ between those who are racially, ethnically, and socially underrepresented minority (RES-URM) and those who represent the majority. This single-site exploratory study investigated student perceptions and coaching needs associated with a manda...

Purpose: This study examined applicant reactions to the Association of American Medical Colleges (AAMC) Standardized Video Interview (SVI) during its first year of operational use in emergency medicine (EM) residency program selection in order to identify strategies to improve applicants' SVI experience and attitudes. Method: Individuals who sel...

Background Coaching is emerging as a novel approach to guide medical students toward becoming competent, reflective physicians and master adaptive learners. However, no instruments currently exist to measure academic coaching at the undergraduate medical education level. Objective To describe the development and psychometric assessments of two ins...

Purpose: To evaluate how emergency medicine (EM) residency programs perceived and used Association of American Medical Colleges (AAMC) SVI total scores and videos during the Electronic Residency Application Service (ERAS) 2018 cycle. Method: Study 1 (November 2017) used a program director survey to evaluate user reactions to the SVI following th...

Purpose: Innovative tools are needed to help shift residency selection toward a more holistic process that balances academic achievement with other knowledge and skills important for success in residency. The authors evaluated the feasibility of the AAMC Standardized Video Interview (SVI) and evidence of the validity of SVI total scores. Method:...

Introduction: The medical education community is piloting early entry to residency as a potential outcome to competency-based education and as a way to more quickly train future physicians in specialties of need. However, there is limited knowledge of which specialties may be best suited to this streamlined training. Student career desires may cha...

Because change is ubiquitous in healthcare, clinicians must constantly make adaptations to their practice to provide the highest quality care to patients. In a previous article, Cutrer et al. described a metacognitive approach to learning based on self-regulation, which facilitates the development of the Master Adaptive Learner (MAL). The MAL proce...

The Association of American Medical Colleges (AAMC) Standardized Video Interview (SVI) is an asynchronous video interview in which interviewees provide audio/video responses to text-based questions. The SVI contains six questions targeting two Accreditation Council for Graduate Medical Education competencies: Interpersonal and Communication Skills...

We, along with our colleagues on the Emergency Medicine Standardized Video Interview Working Group1 (EMSVI WG), are writing to respond to Drs. Buckley, Hoch, & Huang's commentary on the Association of American Medical Colleges (AAMC) Standardized Video Interview (SVI). Our response is intended to provide a more balanced perspective on the SVI proje...

Studies of college bound high school students found that these learners base study practices on their beliefs about how they perceive they learn best. Research on study habits and examination performance is absent in medical education but is important because it suggests potential ways a learner can regulate performance. We tested the hypothesis th...

Increasing numbers of graduating U.S. medical students are not securing a graduate medical education (GME) position, even after participating in the National Resident Matching Program (also known as “the Match”) and the Supplemental Offer and Acceptance Program. The reasons for an unsuccessful Match include increasing numbers of applicants compared...

The Council of Emergency Medicine Residency Directors’ (CORD) Academy for Scholarship in Education in Emergency Medicine was founded in 2010 to support emergency medicine educators, advance educational methods and scholarship in Emergency Medicine, and foster collaboration among members. As one of the first academies housed in a specialty organizat...

This article was migrated. The article was not marked as recommended. Academic coaching is emerging as a new model in preparing medical students for competency-based learning and creating their professional identity as lifelong learners (Schumacher, Englander, & Carraccio, 2013). Based on our review of the literature and our own experiences creatin...

Background Individualized education is emerging as an innovative model for physician training. This requires faculty coaching to guide learners’ achievements in academic performance, competency development, and career progression. In addition, coaching can foster self-reflection and self-monitoring using a data-guided approach to support lifelong l...

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...

Background: The Council of Emergency Medicine Residency Directors (CORD) Standardized Letter of Recommendation (SLOR) has become the primary tool used by emergency medicine (EM) faculty to evaluate residency candidates. A survey was created to describe the training, beliefs, and usage patterns of SLOR writers. Methods: The SLOR Task Force create...

In this commentary, common misperceptions about education research, and specifically for emergency medicine education research, are addressed. Recommendations for designing and publishing high-quality projects are also provided.

The Council of Emergency Medicine Residency Directors (CORD) introduced the standardized letter of recommendation (SLOR) in 1997, and it has become a critical tool for assessing candidates for emergency medicine (EM) training. It has not itself been evaluated since the initial studies associated with its introduction. This study characterizes curre...

Background: We sought to characterize persons who requested to opt out of an exception from informed consent (EFIC) cardiac arrest trial and their reasons for opting out. Methods: At one site of a multi-site, out-of-hospital, cardiac arrest EFIC trial (September 2007 - June 2009), persons who did not want to participate in the study could reques...

The 2012 Academic Emergency Medicine (AEM) consensus conference "Education Research In Emergency Medicine: Opportunities, Challenges, and Strategies for Success" convened a diverse group of stakeholders in medical education to target gaps in emergency medicine (EM) education research and identify priorities for future study. A total of 175 registra...

Health care struggles to transfer recent discoveries into high-quality medical care. Therefore, translational science seeks to improve the health of patients and communities by studying and promoting the translation of findings from bench research into clinical care. Similarly, medical education practice may be slow to adopt proven evidence of bett...

This article presents the proceedings of the 2012 Academic Emergency Medicine consensus conference breakout group charged with identifying areas necessary for future research regarding effectiveness of educational interventions for teaching emergency medicine (EM) knowledge, skills, and attitudes outside of the clinical setting. The objective was t...

ACADEMIC EMERGENCY MEDICINE 2011; 18:S27–S35 © 2011 by the Society for Academic Emergency Medicine As medical educators strive to adopt an evidence-based, outcomes-driven approach to teaching, education research in emergency medicine (EM) is burgeoning. Many educational challenges prompt specific research questions that are well suited to investiga...

We sought to characterize the experiences and preferences of applicants to emergency medicine (EM) residency programs about being contacted by programs after their interview day but before the rank list submission deadline. This cross-sectional study surveyed all applicants to an academic EM residency during the 2006-2007 interview cycle. Participa...

Education research in emergency medicine has made some advances, but still suffers from poorly designed studies and isolated projects that are small and cannot be generalized to other institutions. This commentary argues for the need of an emergency medicine education research group (EMERG). EMERG would facilitate and coordinate better quality educ...

Emergency medicine (EM) residency programs spend significant time and money offering an interview day experience for their applicants. The day may include a range of activities, although which are most important from the applicants' point of view are not known. An anonymous web-based survey was sent to all applicants to an EM residency program from...

News media are used for community education and notification in exception from informed consent clinical trials, yet their effectiveness as an added safeguard in such research remains unknown. We assessed the number of callers requesting opt-out bracelets after each local media report and described the errors and content within each media report. W...

Little is known about the factors important to applicants when selecting an emergency medicine residency. We sought to identify which residency-specific criteria applicants value in selecting a training program. We conducted an anonymous survey of emergency medicine interviewees at our residency. Applicants were asked to rate each of 18 factors on...

The purpose of this study was to evaluate Emergency Medical Services (EMS) providers' attitudes and experiences about enrolling patients in clinical research trials utilizing the federal rules for exception from informed consent. We hypothesized that Emergency Medical Technicians (EMTs) would have varied attitudes about research using an exception...

Emergency department (ED) crowding is a national crisis that contributes to medical error and system inefficiencies. There is a natural concern that crowding may also adversely affect undergraduate and graduate emergency medicine (EM) education. ED crowding stems from a myriad of factors, and individually these factors can present both challenges a...

The most effective means of community consultation is unknown. We evaluated differences in community opinion elicited by varying means of consultation. We compared responses with a cross-sectional, standardized survey administered as part of the community consultation for the Resuscitation Outcomes Consortium (ROC) hypertonic saline trial. Surveys...

SINCE 1996, U.S. FEDERAL REGULATIONS allow research without informed consent to study emergency conditions, if there is currently no satisfactory treatment for the condition, no time to obtain advance consent from the patient or representative, and if there is community involvement through a public disclosure and community consultation process. REB...

In the application process for Emergency Medicine (EM) residencies, the tacit start date for offering interviews has been November 1, the day the Medical Student Performance Evaluations (MSPEs) are released. We hypothesized that even before November 1, a large number of our applicants had already received "early" invitations to interview this year....

Emergency exception to informed consent regulation was introduced to provide a venue to perform research on subjects in emergency situations before obtaining informed consent. For a study to proceed, institutional review boards (IRBs) need to determine if the regulations have been met. To determine IRB members' experience reviewing research protoco...

Although subject protection is the cornerstone of medical ethics, when considered in the context of research using emergency exception from informed consent, its success is debatable. The participants of a breakout session at the 2005 Academic Emergency Medicine Consensus Conference discussed the issues surrounding subject protection and advanced t...

To determine the availability of end-tidal CO2 measurement in confirmation of endotracheal tube placement in the non-arrest patient, and to assess its use in academic and non-academic emergency departments. Emergency physicians in the USA were surveyed by mail in the beginning of the year 2000 regarding availability at their institution of both col...

Phenylpropanolamine (PPA) recently has been publicly implicated as a cause of stroke and other neurologic events. In November of 2000, the Food and Drug Administration (FDA) requested a voluntary recall of the product from all manufacturers. However, medications containing PPA still can be found in many homes of those unaware of the voluntary recal...

To assess public views on emergency exception to informed consent in resuscitation research, public awareness of such studies, and effective methods of community consultation and public notification. A face-to-face survey was conducted in two academic Level I trauma center emergency departments (EDs) in Oregon and Minnesota from June through August...

. Iserson's Getting into a Residency A Guide for Medical Students, Fifth Edition By Kenneth V. Iserson. Tucson, AZ: Galen Press, Ltd., 2000; 624 pp; $36.95 (softcover).