Optimizing Motivation Theory for Medical Training: Teaching on the Wards

By Eric Gantwerker MD, MMSc (MedEd), FACS
November 15, 2018

As we take theory to practice we discuss what motivates our trainees to learn and how can we use motivational learning theory to promote deep and meaningful learning among our trainees.

Self-determination theory (SDT) purports that humans are by nature curious and have the desire to learn.1,2 SDT underlies the concept of motivation; described as a continuum from amotivation (lack of motivation) to extrinsic motivation (external rewards) to intrinsic motivation (inherent interest).3 A closely related concept is self-regulated learning (SRL), described by Zimmerman et al., that delineates the complex interplay between motivations, learning, assessment, and metacognition that impacts effective learning processes.4,5

Intrinsic motivation and SRL have been associated with deeper forms of learning, improved performance, increased interest, commitment, and satisfaction.2,3 As we take theory to practice we discuss what motivates our trainees to learn and how can we use motivational learning theory to promote deep and meaningful learning among our trainees. Strategies to foster intrinsic motivation and SRL have been tied to three basic psychological needs: autonomy, competence, and relatedness.1,2 In addition, some common practices are discussed regarding their impact on motivation and SRL. Continue reading “Optimizing Motivation Theory for Medical Training: Teaching on the Wards”

HMS Online CME Courses Approved for MAT Waiver Training

by The HMS CME Online Team
November 2018

NP and PA MAT Waiver Training

Through the Comprehensive Addiction and Recovery Act (CARA), nurse practitioners (NP) and physician assistants (PA) can become waivered to prescribe buprenorphine in the treatment of opioid use disorder (OUD) after completing 24 hours of specialized training.

We are pleased to announce that The Substance Abuse and Mental Health Services Administration (SAMHSA) has approved two of Harvard Medical School’s CME Online Opioid Use Disorder Education Program courses as fulfilling the 16-hour portion of the NP/PA 24-hour required training for waiver eligibility. These courses are: Continue reading “HMS Online CME Courses Approved for MAT Waiver Training”

Do You Need an MBA to Be a Physician Leader?

By Ted A James, MD, MHCM, FACS
September 6, 2018

…leadership skills, like any other type of skill, can be learned and improved…. More challenging, however, is the development of the personal attributes that are necessary for effective leadership.”

-Charanjit S. Rihal, MD
Chair, Department of Cardiovascular Medicine, Mayo Clinic

Physicians as Administrative Leaders

Physicians possess a deep understanding of what is required to optimize the process of caring for people, and health care systems that are serious about transformation need to harness the power, talent, and creativity of clinicians as organizational leaders. Toward this end, a growing number of physicians are moving into executive leadership, and organizations are experiencing the benefit of having these physicians in key roles, providing input into what is best for patients and the organization as a whole. Continue reading “Do You Need an MBA to Be a Physician Leader?”

Turning the Tide on Physician Suicide

By Ami B. Bhatt, MD, FACC
June 14, 2018

Since the two very sudden public suicide deaths of Kate Spade and Anthony Bourdain, society has again recognized that we never know what is under the surface of another’s façade. As physicians, these tragic occurrences emphasize that our caregiving requires seeing the entirety of an individual’s many parts.

While we acknowledge that the façade is not fake—it is but one true representation of an individual, well-curated, like pages on Facebook or Instagram—no one mourns the corporate façade created for these individuals. We mourn the fact that despite feeling we know someone, we didn’t see it coming. This is that much harder when it is a loved one, and most frightening when you might see it in yourself.  Especially, if you are a physician. Continue reading “Turning the Tide on Physician Suicide”

What Does Trauma-Informed Care Look Like?

May 11, 2018

[The following post by has been shared with us by Harvard Health Publishing where it originally appeared in April of 2018. In light of increased emphasis on engaging patients in shared decision making, we invite you to add your thoughts about, and experiences with, trauma-informed care in the comment section after reading this post.]

Trauma-informed care: What it is, and why it’s important

by Monique Tello, MD, MPH
Contributing editor, Harvard Health Publishing

Many years ago, when I was a trainee, I helped take care of patients at a family medicine clinic.* One day, a school-aged brother and sister came in for their annual physicals. Continue reading “What Does Trauma-Informed Care Look Like?”

“Should international medical graduates do research?”

Medical researcher with vials of blood.

Kenneth B. Christopher, MD, SM,
November 29, 2017

Dr. Kenneth Christopher is the associate director of global education at Harvard Medical School and the course director for Introduction to Postgraduate American Medicine, an online course that prepares international medical graduates for careers in the American health system.

Dr. Christopher has written for and about international medical graduates for many years, and has agreed to share some of his blog posts with our Lean Forward audience.

The topic of today’s reblog is whether or not research has any value for international medical graduates seeking careers in the American health care system.

Internal Medicine Residency for IMGs

I get asked the “should I do research” and “where can I do research” question often. From my look at the NRMP data about half of those who match have research which means half do not.

If you are going to do two years of research and delay your application and increase the distance from your year of graduation you better produce something like this. High quality research is difficult and takes a lot of time to produce. You need to join a productive group and bring something to the table. Few IMG applicants who do any research time without previous training (MPH, MSc, PhD) have much to show for it. Performing research to get into residency is not worth the effort. Pursuing research because your passion to become an academic is a laudable act in my opinion.

If you think about it, most successful IMG applicants will match…

View original post 262 more words

A Primary Care Doctor Delves into the Opioid Epidemic

November 14, 2017

[The following post by Monique Tello, MD, MPH, has been shared with us by Harvard Health Publishing, having originally appeared on their website in February 2017.]

Our nephew Christopher died of a heroin overdose in October 2013. It had started with pain pills and experimentation, and was fueled by deep grief. He was charismatic, lovable, a favorite uncle, and a hero to all the children in his life. His death too young was a huge loss to our family. I have always felt that I didn’t do enough to help prevent it, and perhaps, in a way, even contributed. Continue reading “A Primary Care Doctor Delves into the Opioid Epidemic”