Novel educational interventions in residency increase knowledge of chronic liver disease and career interest in hepatology

Abstract

Our novel curriculum and nonelective hepatology rotation has effectively demonstrated improvement in internal medicine residents' comfort with and knowledge of CLD, and increased career interest in hepatology was also observed after completion of the curriculum, which suggests that more exposure to CLD could positively impact recruitment to the workforce; larger, multicenter studies are needed to validate these results. (Hepatology 2016;64:2210-2218).

The Time Is Now for Mandatory Liver‐Focused Clinical Experiences in Medical School

“…The implementation of a mandatory hepatology experience improved these deficits and garnered career interest in hepatology. (4,5) These findings evoke the hypothesis that earlier exposure to educational interventions in medical school could further augment the development of a physician workforce that is comfortable with the management of CLD.…”

“…The implementation of a mandatory hepatology experience improved these deficits and garnered career interest in hepatology. (4,5) These findings evoke the hypothesis that earlier exposure to educational interventions in medical school could further augment the development of a physician workforce that is comfortable with the management of CLD.However, in a brief survey of the top 25 U.S. medical schools, with 10 responding, only 234 of the 2,770 third and fourth-year medical students (8.4%) received dedicated exposure to CLD in one of three different clinical settings: an inpatient hepatology service, an inpatient consult service (either exclusively hepatology consults or a combination of gastroenterology and hepatology consults), or outpatient hepatology clinics (unpublished data). Importantly, of the six schools that provided a dedicated inpatient CLD service, those that assigned students to a mandatory rotation had a much larger proportion of students rotating than those that offered it as an elective (mean 17.4% versus 1.2%), suggesting that future curricula need to be mandatory to ensure adequate exposure to CLD across classes of students.…”

Hepatology mentorship: A bold idea: Data from the emerging liver scholars program

“…In 2010, AASLD leadership acknowledged a relative shortage of hepatologists, both in the short and long term, despite ongoing efforts to stimulate interest in the subspecialty . This need presented the opportunity to offer uncommitted medicine trainees exposure to the field of liver disease.…”

“…In 2010, AASLD leadership acknowledged a relative shortage of hepatologists, both in the short and long term, despite ongoing efforts to stimulate interest in the subspecialty. (5) This need presented the opportunity to offer uncommitted medicine trainees exposure to the field of liver disease. The governing board elected to continue the time-honored tradition of mentorship and to offer young trainees a first experience similar to their own by offering attendance, accompanied by a mentor, to the annual Liver Meeting.…”

Mandatory Hepatology Education for Internal Medicine Residents: Long‐Term Effects and Implications for Workforce Needs

“…( 12 ) Therefore, we created a mandatory, inpatient, hepatology rotation with a complementary didactic curriculum that was shown to improve comfort with and knowledge of CLD and also generated an increase in hepatology career interest following completion of the rotation. ( 13 ) Understanding the durability and longevity of these effects on a residency program is needed to better guide the use of a mandatory hepatology curriculum as a recruitment tool as well as the creation of other subspecialty curricula. This study aimed to prospectively analyze the long‐term effects of a mandatory hepatology curriculum within a cohort of IM residents over a 4‐year period.…”