Research Topics
| Thomas J BeckmanSummaryAffiliation: Mayo Clinic Country: USA Publications
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Publications
Resident physician well-being and assessments of their knowledge and clinical performanceThomas J Beckman
Department of Internal Medicine, College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA
J Gen Intern Med 27:325-30. 2012..However, these assessments may be influenced by residents' mental health. The relationship between residents' well-being and empathy and assessments of their global performance remains unclear...
Evaluation and medical management of erectile dysfunctionThomas J Beckman
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
Mayo Clin Proc 81:385-90. 2006..Additionally, we review major considerations when prescribing phosphodiesterase type 5 inhibitors and other medical treatments, including intraurethral alprostadil, penile injection therapy, and testosterone replacement...
Factor instability of clinical teaching assessment scores among general internists and cardiologistsThomas J Beckman
Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA
Med Educ 40:1209-16. 2006..We sought to determine the factor stability of this 3-dimensional model among cardiologists and to compare domain-specific scores between general internists and cardiologists...
Methicillin-resistant Staphylococcus aureus prostatitisThomas J Beckman
Division of General Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
Urology 69:779.e1-3. 2007..We describe what we believe to be the first case of a patient with community-acquired methicillin-resistant S. aureus acute prostatitis as determined by cultures of prostatic tissue, blood, and nares...
Proposal for a collaborative approach to clinical teachingThomas J Beckman
Division of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA
Mayo Clin Proc 84:339-44. 2009..We believe that practicing this approach, which emphasizes respectful teacher-learner relationships, improves the quality of every clinical teaching encounter...
Developing scholarly projects in education: a primer for medical teachersThomas J Beckman
Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Med Teach 29:210-8. 2007..They conclude with outcomes, which should be distinguished from assessment methods and instruments, and are separated into Kirkpatrick's hierarchy of reaction, learning, behavior and results...
Impact of resident well-being and empathy on assessments of faculty physiciansThomas J Beckman
Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
J Gen Intern Med 25:52-6. 2010..Teaching effectiveness is an important criterion for promoting clinician-educators. However, the relationship between residents' psychological characteristics and their assessments of faculty physicians is unknown...
Experience with a medical education research group at the Mayo ClinicThomas J Beckman
Division of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA
Med Teach 31:518-21. 2009..Clinician-educators are encouraged to engage in scholarly activity despite numerous barriers to conducting educational research. We found no reports of formal educational research groups among general internists...
Determining reliability of clinical assessment scores in real timeThomas J Beckman
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Teach Learn Med 21:188-94. 2009..For ongoing assessments over extended time frames, real-time reliability computations may alert users to possible changes in the learning environment that are revealed by variations in reliability over time...
Evaluating an instrument for the peer review of inpatient teachingThomas J Beckman
Division of General Internal Medicine, Mayo Clinic and Mayo Clinic Foundation, Rochester, MN 55905, USA
Med Teach 25:131-5. 2003..In conclusion, the MTEF is overall internally consistent for the peer review of inpatient teaching at Mayo. Hence, the MTEF may be a useful element in the peer evaluation of teaching at our institution...
What is the validity evidence for assessments of clinical teaching?Thomas J Beckman
Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN, USA
J Gen Intern Med 20:1159-64. 2005..Although a variety of validity evidence should be utilized when evaluating assessment tools, a review of teaching assessments suggested that authors pursue a limited range of validity evidence...
Regular screening in type 2 diabetes. A mnemonic approach for improving compliance, detecting complicationsThomas J Beckman
Division of General Internal Medicine, Department of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
Postgrad Med 115:19-20, 23-7. 2004..It has also been accepted by medical students and residents as a valuable aid in the management of diabetes. My hope is that this system of organization will help the reader provide more effective care to these patients as well...
Lessons learned from a peer review of bedside teachingThomas J Beckman
Division of General Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
Acad Med 79:343-6. 2004..Finally, he learned that experienced attending physicians often demonstrate teaching sessions focused on psychosocial aspects of care, the use of simple questions, and a willingness to expose their own inadequacies...
How reliable are assessments of clinical teaching? A review of the published instrumentsThomas J Beckman
Department of Internal Medicine, Department of Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Mayo Foundation, Rochester, MN, USA
J Gen Intern Med 19:971-7. 2004..Learner feedback is the primary method for evaluating clinical faculty, despite few existing standards for measuring learner assessments...
Evaluation and medical management of benign prostatic hyperplasiaThomas J Beckman
Division of General Internal Medicine, Men s Health Center for Urology, and Department of Urology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Mayo Clin Proc 80:1356-62. 2005..We also review supporting evidence and treatment considerations for saw palmetto and the 2 major classes of prescription medications, alpha1-adrenergic antagonists and 5alpha-reductase inhibitors...
The interpersonal, cognitive and efficiency domains of clinical teaching: construct validity of a multi-dimensional scaleThomas J Beckman
Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA
Med Educ 39:1221-9. 2005..Consequently, we investigated the construct validity of faculty assessments comprised of interpersonal and cognitive domains, utilising evaluations obtained from resident doctors on an internal medicine hospital service...
A comparison of clinical teaching evaluations by resident and peer physiciansThomas J Beckman
Division of General Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN, USA
Med Teach 26:321-5. 2004..Furthermore, peer evaluations yield higher inter-rater and internal reliabilities than resident evaluations, indicating that peer physicians are more reliable than residents for assessing bedside teaching...
Validation of a method to measure resident doctors' reflections on quality improvementChristopher M Wittich
Department of Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota 5590, USA
Med Educ 44:248-55. 2010..Therefore, we developed and determined the validity of the Mayo Evaluation of Reflection on Improvement Tool (MERIT) for assessing resident reflection on QI opportunities...
Measuring motivational characteristics of courses: applying Keller's instructional materials motivation survey to a web-based courseDavid A Cook
Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Acad Med 84:1505-9. 2009..The IMMS has received little use or study in medical education. The authors sought to evaluate the validity of IMMS scores and compare scores between standard and adaptive Web-based learning modules...
Improving participant feedback to continuing medical education presenters in internal medicine: a mixed-methods studyChristopher M Wittich
Department of Internal Medicine, Division of General Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
J Gen Intern Med 27:425-31. 2012..Feedback is essential for improving the skills of continuing medical education (CME) presenters. However, there has been little research on improving the quality of feedback to CME presenters...
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient eventsChristopher M Wittich
Department of Internal Medicine, Division of General Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Acad Med 86:737-41. 2011....
Predictive validity evidence for medical education research study quality instrument scores: quality of submissions to JGIM's Medical Education Special IssueDarcy A Reed
Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA
J Gen Intern Med 23:903-7. 2008....
Behaviors of highly professional resident physiciansDarcy A Reed
Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
JAMA 300:1326-33. 2008..Unprofessional behaviors in medical school predict high stakes consequences for practicing physicians, yet little is known about specific behaviors associated with professionalism during residency...
Internal structure of mini-CEX scores for internal medicine residents: factor analysis and generalizabilityDavid A Cook
Division of General Internal Medicine and Office of Education Research, Mayo Clinic College of Medicine, Baldwin 4 A, 200 First Street SW, Rochester, MN 55905, USA
Adv Health Sci Educ Theory Pract 15:633-45. 2010..The mini-CEX is widely used to rate directly observed resident-patient encounters. Although several studies have explored the reliability of mini-CEX scores, the dimensionality of mini-CEX scores is incompletely understood...
Group assessments of resident physicians improve reliability and decrease halo errorMatthew R Thomas
Division of Primary Care Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
J Gen Intern Med 26:759-64. 2011..Individual faculty assessments of resident competency are complicated by inconsistent application of standards, lack of reliability, and the "halo" effect...
A multi-institutional survey of internal medicine residents' learning habitsRandall S Edson
Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
Med Teach 32:773-5. 2010..Resident physicians are expected to demonstrate medical knowledge. However, little is known about the residents' reading habits and learning preferences...
Relationship between critical reflection and quality improvement proposal scores in resident doctorsChristopher M Wittich
Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Med Educ 45:149-54. 2011..We used validated methods to explore associations between resident doctors' reflections on QI opportunities and the quality of their QI project proposals...
Introducing resident doctors to complexity in ambulatory medicineDavid A Cook
Department of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Med Educ 42:838-48. 2008..Our objectives were to develop and evaluate an intervention to enhance residents' appreciation for the diversity of acceptable approaches when managing complex patients...
Effect of rater training on reliability and accuracy of mini-CEX scores: a randomized, controlled trialDavid A Cook
Office of Education Research, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA
J Gen Intern Med 24:74-9. 2009..Mini-CEX scores assess resident competence. Rater training might improve mini-CEX score interrater reliability, but evidence is lacking...
Selection criteria for internal medicine residency applicants and professionalism ratings during internshipMichael W Cullen
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA
Mayo Clin Proc 86:197-202. 2011..To determine whether standardized admissions data in residents' Electronic Residency Application Service (ERAS) submissions were associated with multisource assessments of professionalism during internship...
Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning systemChristopher M Wittich
Department of Internal Medicine, Division of General Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
J Gen Intern Med 26:293-8. 2011..Critical reflection by faculty physicians on adverse patient events is important for changing physician's behaviors. However, there is little research regarding physician reflection on quality improvement (QI)...
An assessment of the methodologic quality of medical education research studies published in The American Journal of SurgeryDarcy A Reed
Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Am J Surg 198:442-4. 2009..This study examined the methodologic quality of medical education research published in The American Journal of Surgery (AJS) relative to other journals and in AJS itself over time...
Association between funding and quality of published medical education researchDarcy A Reed
Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55901, USA
JAMA 298:1002-9. 2007..Methodological shortcomings in medical education research are often attributed to insufficient funding, yet an association between funding and study quality has not been established...
Perspective: Transformative learning: a framework using critical reflection to link the improvement competencies in graduate medical educationChristopher M Wittich
Department of Internal Medicine, Division of General Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
Acad Med 85:1790-3. 2010..Educators who adopt the transformative learning framework should be able to design meaningful QI curricula that encourage residents to be reflective and empower them with QI skills...
Reflections on experimental research in medical educationDavid A Cook
Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Adv Health Sci Educ Theory Pract 15:455-64. 2010..Fifth, single-group pretest-posttest studies are susceptible to numerous validity threats. Finally, educational interventions (including the comparison group) must be described in detail sufficient to allow replication...
Resident physicians' knowledge of underserved patients: a multi-institutional surveyMark L Wieland
Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA
Mayo Clin Proc 85:728-33. 2010..To measure actual and perceived resident physician knowledge of underserved patient populations...
A novel advance directives course provides a transformative learning experience for medical studentsPaul S Mueller
Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
Teach Learn Med 22:137-41. 2010..Inadequate physician training may be a barrier to physician-patient discussions of advance directives (ADs)...
Resident physicians' perspectives on effective outpatient teaching: a qualitative studyJohn B Kisiel
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Adv Health Sci Educ Theory Pract 15:357-68. 2010..These findings support learning theories and previous factor analytic studies. However, this qualitative study provided insights that could not be gleaned from assessment scores alone...
Adapting web-based instruction to residents' knowledge improves learning efficiency: a randomized controlled trialDavid A Cook
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA
J Gen Intern Med 23:985-90. 2008..Increased clinical demands and decreased available time accentuate the need for efficient learning in postgraduate medical training. Adapting Web-based learning (WBL) to learners' prior knowledge may improve efficiency...
Perspective: a practical approach to defining professional practice gaps for continuing medical educationChristopher M Wittich
Department of Internal Medicine, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota, USA
Acad Med 87:582-5. 2012..The authors anticipate that LASO will be able to provide all CME course directors with a practical approach to defining educational gaps for CME accreditation...
Does scale length matter? A comparison of nine- versus five-point rating scales for the mini-CEXDavid A Cook
Division of General Internal Medicine and Office of Education Research, Mayo Clinic College of Medicine, Baldwin 4 A, 200 First Street SW, Rochester, MN 55905, USA
Adv Health Sci Educ Theory Pract 14:655-64. 2009..This study sought to evaluate the interrater reliability and accuracy of mini-clinical evaluation exercise (mini-CEX) scores, comparing the traditional mini-CEX nine-point scale to a five-point scale...
A systematic review of titles and abstracts of experimental studies in medical education: many informative elements missingDavid A Cook
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Med Educ 41:1074-81. 2007..Informative titles and abstracts facilitate reading and searching the literature...
Quality of reporting of experimental studies in medical education: a systematic reviewDavid A Cook
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Med Educ 41:737-45. 2007..Determine the prevalence of essential elements of reporting in experimental studies in medical education...
Visiting medical student elective and clerkship programs: a survey of US and Puerto Rico allopathic medical schoolsPaul S Mueller
Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA
BMC Med Educ 10:41. 2010..No published reports of studies have provided aggregate data on visiting medical student (VMS) programs at allopathic medical schools...
Code status discussions: agreement between internal medicine residents and hospitalized patientsLaura L Loertscher
Department of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
Teach Learn Med 22:251-6. 2010..Medical residents frequently participate in code status discussions, yet their competency in this role has not been evaluated...
Aging and cognitive performance: challenges and implications for physicians practicing in the 21st centurySteven J Durning
Department of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA
J Contin Educ Health Prof 30:153-60. 2010..We conclude with implications for the health care system and areas of future research...
Current concepts in validity and reliability for psychometric instruments: theory and applicationDavid A Cook
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
Am J Med 119:166.e7-16. 2006..Increased attention to the systematic collection of validity evidence for scores from psychometric instruments will improve assessments in research, patient care, and education...
Using social media to improve continuing medical education: a survey of course participantsAmy T Wang
Division of General Internal Medicine, Mayo Clinic, Rochester, MN
Mayo Clin Proc 87:1162-70. 2012....
Validation of a method for assessing resident physicians' quality improvement proposalsJames L Leenstra
Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
J Gen Intern Med 22:1330-4. 2007..Residency programs involve trainees in quality improvement (QI) projects to evaluate competency in systems-based practice and practice-based learning and improvement. Valid approaches to assess QI proposals are lacking...
Musculoskeletal injectionChristopher M Wittich
Division of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA
Mayo Clin Proc 84:831-6; quiz 837. 2009..Experience with joint injection and the pharmacological principles described in this article should allow primary care physicians to become comfortable and proficient with musculoskeletal injections...
Educational epidemiologyThomas J Beckman
JAMA 292:2969; author reply 2970-1. 2004
