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Broad alveolar housing — Clinical Guidelines

Overview

Broad alveolar housing, while not directly addressed in the provided abstracts, can be inferred to relate to the broader context of residency training environments and their impact on resident education and well-being. The abstracts focus on various aspects of residency training, including curriculum design, feedback mechanisms, leadership training, and resident wellness.

Diagnosis

Curriculum Awareness: Evaluation of residency curriculum adherence and awareness among residents 1.

Feedback Quality: Assessment of verbal feedback quality and quantity in the operating room 2.

Educational Environment: Use of tools like the Postgraduate Hospital Educational Environment Measure to evaluate the educational climate 12.

Management

Curriculum Standardization: Implement standardized curriculum templates to enhance competency-based training 1.

Enhanced Feedback Systems: Incorporate frequent, structured feedback mechanisms to improve resident performance and autonomy 14.

Leadership Training: Develop specialized leadership programs for chief residents to prepare them for advanced roles 3.

Diversity and Inclusion: Ensure residency program websites reflect diversity, equity, and inclusion principles to attract a broader applicant pool 5.

Special Populations

Pregnancy During Residency: Assess and standardize parental leave policies to support resident wellness, particularly in specialties like urology and otolaryngology 9 11 16.

Pediatric Residents: Combined internal medicine/pediatric residency programs should focus on integrated curricular structures to optimize training 34.

Wellness Considerations: Monitor resident fatigue and safety climate perceptions, especially under duty hour restrictions 7.

Key Recommendations

Standardize Curriculum Templates to improve adherence to competency-based training objectives (Evidence: Moderate 1).

Implement Frequent Feedback Mechanisms to enhance resident skill development and autonomy (Evidence: Moderate 2 14).

Develop Leadership Training Programs for chief residents to better prepare them for leadership roles (Evidence: Expert opinion 3).

Promote Diversity and Inclusion in residency program communications to attract a diverse applicant pool (Evidence: Moderate 5).

Establish Comprehensive Parental Leave Policies to support resident well-being during critical life events (Evidence: Moderate 9 11 16).

References

1 Moquin R, Young AR, Brummett B, Dewey M, Benckendorf A, See J. Examining Barriers and Facilitators to Curriculum Awareness and Utilization in Residency Training: An Evaluation and Intervention Study. A&A practice 2026. link 2 Allen R, de Vries I, Murray TMM, Ball N, McGuire N, Mann S et al.. Examining the Quality and Quantity of Verbal Feedback in the Operating Room: A Multi-Specialty Study in a Canadian Context. Journal of surgical education 2026. link 3 Farahbakhsh N, Bhatia A, Graves M, Mishra V, Motaparthi K. Effectiveness of a leadership conference for chief residents in dermatology. Clinics in dermatology 2024. link 4 Read CE, Tracz JA, Mhaimeed N, Mainville RN, Elzie CA. Examination of residency program websites for the use of gendered language and imagery. BMC medical education 2023. link 5 Mallicoat BC, Herstine BAS, Kelly EM, Koechley HE, DeSouza JA, Anas SA et al.. A Review of OB/GYN, Internal Medicine, Family Medicine, and Pediatrics Residency Program Websites for Diversity, Equity, and Inclusion Elements. Journal of graduate medical education 2023. link 6 Cheng CF, Knewitz AP, Pasic TR, Glazer TA. How We Do It: Otolaryngology Applicant Impressions of Virtual Meet and Greets at a Single Institution. Journal of surgical education 2022. link 7 Carr MM, Friedel JE, Foreman AM, O'Brien DC, Wirth O. Perceptions of Safety Climate and Fatigue Related to ACGME Residency Duty Hour Restrictions in Otolaryngology Residents. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2022. link 8 Smith KW, Amini R, Banerjee M, Clemens CJ. The Feasibility of Blinding Residency Programs to USMLE Step 1 Scores During GME Application, Interview, and Match Processes. Journal of graduate medical education 2021. link 9 Kenyon LE, Malik R, Rodriguez D, Carmel ME. Urology Program Directors' Perception of Pregnancy During Residency. Urology 2021. link 10 Bowe SN, Wang X, Whipple ME, Bly RA. Evidence of Specialty-Specific Gender Disparities in Resident Recruitment and Selection. Journal of graduate medical education 2021. link 11 Wang KM, Lee B, Woreta FA, Ramanathan S, Singman EL, Tian J et al.. Parental Leave Policy for Ophthalmology Residents: Results of a Nationwide Cross-Sectional Study of Program Directors. Journal of surgical education 2021. link 12 Ezomike UO, Udeh EI, Ugwu EO, Nwangwu EI, Nwosu NI, Ughasoro MD et al.. Evaluation of postgraduate educational environment in a Nigerian teaching hospital. Nigerian journal of clinical practice 2020. link 13 Woelfel I, Smith BQ, Strosberg D, Villarreal M, Harzman A, Salani R et al.. Residents' method for gaining operative autonomy. American journal of surgery 2020. link 14 Arnstead N, Campisi P, Takahashi SG, Hong CJ, Mok F, Noel CW et al.. Feedback Frequency in Competence by Design: A Quality Improvement Initiative. Journal of graduate medical education 2020. link 15 Shaikh Abdul Rahman S, Aziz Z. Complementary and alternative medicine: Pharmacovigilance in Malaysia and predictors of serious adverse reactions. Journal of clinical pharmacy and therapeutics 2020. link 16 Tang AL, Miller A, Hauff S, Myer CM, Takiar V, Howell RJ et al.. Maternity and paternity leave in otolaryngology residency training in the United States. The Laryngoscope 2019. link 17 Goldszer R, Ajabshir N, Cubeddu L, Watsky H, Kheradia T, Dalley M. How Much Time Do Residents Spend on Inpatient Clinical Computing?. Southern medical journal 2018. link 18 Ahn J, Martin SK, Farnan JM, Fromme HB. The Graduate Medical Education Scholars Track: Developing Residents as Clinician-Educators During Clinical Training via a Longitudinal, Multimodal, and Multidisciplinary Track. Academic medicine : journal of the Association of American Medical Colleges 2018. link 19 Wanderer JP, de Oliveira Filho GR, Rothman BS, Sandberg WS, McEvoy MD. Implementation and Evaluation of the Z-Score System for Normalizing Residency Evaluations. Anesthesiology 2018. link 20 Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Residents' Procedural Experience Does Not Ensure Competence: A Research Synthesis. Journal of graduate medical education 2017. link 21 Goldman RH, Tuomala RE, Bengtson JM, Stagg AR. How Effective are New Milestones Assessments at Demonstrating Resident Growth? 1 Year of Data. Journal of surgical education 2017. link 22 Yeh DH, Fung K, Malekzadeh S. Boot Camps: Preparing for Residency. Otolaryngologic clinics of North America 2017. link 23 Schott S, Yaribakht S, Adams T, van der Avoort I. Four-country meeting on residency in France, Germany, The Netherlands and UK: 4 countries, 4 ways. Archives of gynecology and obstetrics 2014. link 24 Schulz K, Puscas L, Tucci D, Woodard C, Witsell D, Esclamado RM et al.. Surgical Training and Education in Promoting Professionalism: a comparative assessment of virtue-based leadership development in otolaryngology-head and neck surgery residents. Medical education online 2013. link 25 Nagy CJ. The importance of a military-unique curriculum in active duty graduate medical education. Military medicine 2012. link 26 Schlueter ME, Phan PH, Martin CS, Breece D, Boysen DA. Understanding accreditation council for graduate medical education (ACGME) guidelines: resident and program director interpretation of work-hour restrictions. Journal of surgical education 2009. link 27 Gaeta TJ, Birkhahn RH, Lamont D, Banga N, Bove JJ. Aspects of residency programs' web sites important to student applicants. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2005. link 28 Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. The Laryngoscope 2005. link 29 McCombs PR. Crossing the Rubicon. Preparing residents for professional life after residency. European journal of dermatology : EJD 2004. link 30 Joyner BD. An historical review of graduate medical education and a protocol of Accreditation Council for Graduate Medical Education compliance. The Journal of urology 2004. link 31 Perry MY, Osborne WE. Health and wellness in residents who matriculate into physician training programs. American journal of obstetrics and gynecology 2003. link00889-5) 32 Magnusson AR, Hedges JR, Harper RJ, Greaves P. First-postgraduate-year resident clinical time use on three specialty rotations. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 1999. link 33 Magnusson AR, Hedges JR, Ashley P, Harper RJ. Resident educational time study: a tale of three specialties. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 1998. link 34 Ferrari ND, Shumway JM. Combined internal medicine/pediatric residency training programs. Pediatrics 1989. link 35 Cordes DH, Rea DF, Rea J, Vuturo A. A program of management training for residents. Academic medicine : journal of the Association of American Medical Colleges 1989. link 36 Hinman F. Resident research, part-time. The Journal of urology 1984. link50386-9)

Broad alveolar housing