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This milieu forced many residency programs to reevaluate their commitment to resident education, particularly for those expenses not provided for by Direct Medical Education (DME) and Indirect Medical Education (IME) funds.
Many residency programs offer a "short-track" for residents who wish to pursue careers in basic science or translational research.
Anecdotally, there appears to be little formal teaching about discharge summaries in the curricula of most medical schools and residency programs, and many residency programs do not evaluate the quality of residents' discharge summaries.
And while many residency programs must forego Medicare flow through monies when a resident leaves campus for an away elective, public institutions, such as UW-Madison, are even more acutely accountable to show that those being paid from the state tax rolls are serving the needs of the state.
First, resident work hour rules have decreased attendance at traditional afternoon conferences at many residency programs by as much as one-third [ 63].
Many residency programs have developed global health tracks or electives in response to this need.
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However, many residency training programs, including U.S. IM training programs, have not systematically prioritized leadership training for residents [ 1, 4, 11, 38, 42].
To partially address this shortage of researchers, many family residency programs in US and Canada require residents to complete a research project prior to graduation in the hopes of stimulating their graduates to pursue research.
While many residency training programs have begun to recognize the importance of teaching QI to residents, there is no standardized competency based curriculum on QI that can be readily implemented in residency programs.
SETQ was successfully introduced at one academic medical center in the Netherlands and has been adopted by many other residency programs across the Netherlands.
OSCEs using standardized patients are employed for clinical skills assessment in many US residency programs and most US medical schools [ 61- 63].
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