Scholars@Duke
Kathryn Marijoan Andolsek

Kathryn Marijoan Andolsek

Professor in Family Medicine and Community Health
Family Medicine and Community Health, Family Medicine
kathryn.andolsek@duke.edu
Duke Box 3648, 201 Trent Dr. 0159 Duke South Orange ZN, Durham, NC 27710
201 Trent Drive, 0159 Duke South Orange Zone, Durham, NC 27710

Selected Publications

Development of a curricular thread to foster medical students' critical reflection and promote action on climate change, health, and equity.

Journal Article PLoS One · 2024 INTRODUCTION: Due to the health consequences arising from climate change, medical students will inevitably interact with affected patients during their training and careers. Accordingly, medical schools must incorporate education on the impacts of climate ... Full text Open Access Link to item Cite

Diversity in Mission Statements and Among Students at US Medical Schools Accredited Since 2000.

Journal Article JAMA Netw Open · December 1, 2023 IMPORTANCE: Diversity in the physician workforce improves patient care and decreases health disparities. Recent calls for social justice have highlighted the importance of medical school commitment to diversity and social justice, and newly established med ... Full text Link to item Cite

Creation of an asynchronous faculty development curriculum on well-written narrative assessments that avoid bias.

Journal Article BMC Med Educ · April 14, 2023 BACKGROUND: The COVID-19 pandemic in parallel with concerns about bias in grading resulted in many medical schools adopting pass/fail clinical grading and relying solely on narrative assessments. However, narratives often contain bias and lack specificity. ... Full text Link to item Cite

Transformative Learning and Critical Consciousness: A Model for Preclerkship Medical School Substance Use Disorder Education.

Journal Article Acad Psychiatry · April 2023 OBJECTIVE: Preparing medical students to provide compassionate person-centered care for people with substance use disorders (SUD) requires a re-envisioning of preclerkship SUD education to allow for discussions on stigma, social determinants of health, sys ... Full text Open Access Link to item Cite

Shaping a Career as a Clinician Educator.

Journal Article J Grad Med Educ · December 2022 Full text Link to item Cite

Developing Virtual Simulations to Confront Racism and Bias in Health Professions Education

Journal Article Clinical Simulation in Nursing · October 1, 2022 Background: Bias and racism against Black, Indigenous and People of Color (BIPOC) is omnipresent in health professions and healthcare. Healthcare educators indicate they need more training and resources to confidently confront racism and bias when it occur ... Full text Cite

Seeing is Believing: Inclusion of Biomedical Scientist Educators as Observers on Clinical Rounds.

Journal Article Medical science educator · June 2022 Increasingly, medical school curricula seek to integrate the biomedical and clinical sciences. Inclusion of the basic sciences into the clinical curricula is less robust than including clinical content early in medical school. We describe inclusion of biom ... Full text Open Access Cite

Tolerance for Ambiguity Among Medical Students: Patterns of Change During Medical School and Their Implications for Professional Development.

Journal Article Acad Med · July 1, 2021 PURPOSE: Tolerance for ambiguity (TFA) is important for physicians, with implications for ethical behavior and patient care. This study explores how medical students' TFA changes from matriculation to graduation and how change in empathy and openness to di ... Full text Link to item Cite

Use and Potential Misuse of Milestones.

Journal Article J Grad Med Educ · April 2021 Full text Link to item Cite

Navigating Academic Law in Competency Decisions.

Journal Article J Grad Med Educ · April 2021 Full text Link to item Cite

Behavior Change Counseling of Patients with Substance Use Disorders by Health Professions Students.

Journal Article Acad Psychiatry · April 2020 OBJECTIVE: The purpose of this project was to create an interprofessional substance use disorders (SUDs) course that provided health professions students an opportunity to acquire and apply behavior change counseling skills for patients with SUDs with dire ... Full text Link to item Cite

A Pilot Interprofessional Course on Substance Use Disorders to Improve Students' Empathy and Counseling Skills.

Journal Article Am J Pharm Educ · April 2020 Objective. To implement and assess the effectiveness of an interprofessional course designed to provide pharmacy and nursing students with opportunities to improve their understanding of substance use disorders (SUDs), assess their attitudes toward patient ... Full text Link to item Cite

Interprofessional Substance Use Disorder Education in Health Professions Education Programs: A Scoping Review.

Journal Article Acad Med · March 2020 PURPOSE: The authors conducted this scoping review to (1) provide a comprehensive evaluation and summation of published literature reporting on interprofessional substance use disorder (SUD) education for students in health professions education programs a ... Full text Link to item Cite

A Timely Problem: Parental Leave During Medical Training.

Journal Article Acad Med · November 2019 Shifting demographics and concerns about burnout prevention merit a reexamination of existing structures and policies related to leaves of absence that may be necessary during medical training. In this Invited Commentary, the authors address the issue of p ... Full text Link to item Cite

An Interprofessional Substance Use Disorder Course to Improve Students' Educational Outcomes and Patients' Treatment Decisions.

Journal Article Acad Med · November 2019 PURPOSE: Substance use is a public health concern. Health professions organizations recommend improvements in substance use disorder (SUD) education. Mezirow's transformative learning theory was used as the educational framework to develop a course that wo ... Full text Link to item Cite

In Reply to Griffith and to Weissman.

Journal Article Acad Med · November 2019 Full text Link to item Cite

More About USMLE Step 1 Scoring In Reply

Journal Article ACADEMIC MEDICINE · November 1, 2019 Link to item Cite

Successfully Navigating the Physician Job Interview.

Journal Article J Grad Med Educ · October 2019 Full text Link to item Cite

In Reply to de Haan et al.

Journal Article Acad Med · July 2019 Full text Link to item Cite

One Small Step for Step 1.

Journal Article Acad Med · March 2019 Step 1 of the United States Medical Licensing Examination (USMLE) is a multiple-choice exam primarily measuring knowledge about foundational sciences and organ systems. The test was psychometrically designed as pass/fail for licensing boards to decide whet ... Full text Link to item Cite

A Framework for Resident Participation in Population Health.

Journal Article Acad Med · January 2019 Population health experiences have become more common in medical education. Yet, most resident population health experiences are in patient panel management and fail to connect with the rapidly growing movement of cross-sector, data-driven, and community-l ... Full text Open Access Link to item Cite

Review of Community Health Needs Assessment for Increasing Awareness and Reducing Disparities

Chapter · January 1, 2019 Healthcare disparities/inequities have been identified as a critical aspect of healthcare quality and included as part of the Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER). As one would expect, add ... Full text Cite

Physician Well-Being: Organizational Strategies for Physician Burnout.

Journal Article FP Essent · August 2018 Until recently, most initiatives to address physician burnout have focused on improving the resilience of individual physicians. These measures are necessary but insufficient since it is now recognized that organizations have a major role in causing, preve ... Link to item Cite

Utilizing Bloom's taxonomy to design a substance use disorders course for health professions students.

Journal Article Subst Abus · 2018 BACKGROUND: Substance use disorders (SUDs) are a public health problem affecting millions of Americans. Despite their prevalence, there are few health care resources allocated for SUDs treatment. Relatively few health care professionals are exposed to SUDs ... Full text Link to item Cite

An Interprofessional Course on Substance Use Disorders for Health Professions Students.

Journal Article Acad Med · December 2017 PROBLEM: Substance use disorders (SUDs) affect millions of Americans. Nevertheless, there is insufficient health care resource allocation for these patients. One reason may be the lack of education and training about SUDs in health professions programs. AP ... Full text Link to item Cite

Direct Observation Reassessed.

Journal Article J Grad Med Educ · August 2017 Full text Link to item Cite

CaPOW! Using Problem Sets in a Capstone Course to Improve Fourth-Year Medical Students' Confidence in Self-Directed Learning.

Journal Article Acad Med · March 2017 PROBLEM: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. APP ... Full text Open Access Link to item Cite

Developing a model for effective leadership in healthcare: a concept mapping approach.

Journal Article J Healthc Leadersh · 2017 PURPOSE: Despite increasing awareness of the importance of leadership in healthcare, our understanding of the competencies of effective leadership remains limited. We used a concept mapping approach (a blend of qualitative and quantitative analysis of grou ... Full text Open Access Link to item Cite

Improving the Medical Student Performance Evaluation to Facilitate Resident Selection.

Journal Article Acad Med · November 2016 The Medical Student Performance Evaluation (MSPE) was introduced as a refinement of the prior "dean's letter" to provide residency program directors with a standardized comprehensive assessment of a medical student's performance throughout medical school. ... Full text Link to item Cite

Facilitating Institutional Oversight and Program Improvement Through Educational Competency Committees.

Journal Article J Grad Med Educ · July 2016 BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) requires programs to engage annually in program evaluation and improvement. OBJECTIVE: We assessed the value of creating educational competency committees (ECCs) that use successf ... Full text Link to item Cite

A pilot study of orthopaedic resident self-assessment using a milestones' survey just prior to milestones implementation.

Journal Article Int J Med Educ · January 11, 2016 OBJECTIVE: To pilot test if Orthopaedic Surgery residents could self-assess their performance using newly created milestones, as defined by the Accreditation Council on Graduate Medical Education. METHODS: In June 2012, an email was sent to Program Directo ... Full text Open Access Link to item Cite

Transitions of Care in an Era of Healthcare Transformation.

Journal Article J Healthc Manag · 2016 In the practice of modern emergency medicine (EM), transitions of care (TOC) have taken a prominent role, and during this time of healthcare reform, TOC has become a focal point of improvement initiatives across the continuum of care. This review includes ... Link to item Cite

Using Transitional Year Milestones to Assess Graduating Medical Students' Skills During a Capstone Course.

Journal Article J Grad Med Educ · December 2015 BACKGROUND: Undergraduate medical education (UME) follows the lead of graduate medical education (GME) in moving to competency-based assessment. The means for and the timing of competency-based assessments in UME are unclear. OBJECTIVE: We explored the fea ... Full text Link to item Cite

Chasing Perfection and Catching Excellence in Graduate Medical Education.

Journal Article Acad Med · September 2015 Featured Publication The author reflects on the chapter titled "Preserving Excellence in Residency Training and Medical Care" in Dr. Kenneth Ludmerer's book Let Me Heal: The Opportunity to Preserve Excellence in American Medicine. Rather than assuming that the status quo repre ... Full text Link to item Cite

GME Concentrations: A Collaborative Interdisciplinary Approach to Learner-Driven Education.

Journal Article J Grad Med Educ · September 2015 BACKGROUND: Graduate medical education (GME) programs may struggle to provide the knowledge, skills, and experiences necessary to meet trainee career interests and goals beyond a clinical focus. Sponsoring institutions can partner with programs to deliver ... Full text Link to item Cite

Ambiguity tolerance of students matriculating to U.S. medical schools.

Journal Article Acad Med · November 2014 Featured Publication PURPOSE: To examine the psychometric adequacy of a tolerance for ambiguity (TFA) scale for use with medical students. Also, to examine the relationship of TFA to a variety of demographic and personal variables in a national sample of entering U.S. medical ... Full text Link to item Cite

Redefining Quality in Medical Education Research: A Consumer's View.

Journal Article J Grad Med Educ · September 2014 BACKGROUND: Despite an explosion of medical education research and publications, it is not known how medical educator consumers decide what to read or apply in their practice. OBJECTIVE: To determine how consumers of medical education research define quali ... Full text Link to item Cite

The professionalism disconnect: do entering residents identify yet participate in unprofessional behaviors?

Journal Article BMC Med Educ · March 27, 2014 BACKGROUND: Professionalism has been an important tenet of medical education, yet defining it is a challenge. Perceptions of professional behavior may vary by individual, medical specialty, demographic group and institution. Understanding these differences ... Full text Open Access Link to item Cite

Standardizing and Evaluating Transitions of Care in the Era of Duty Hour Reform: One Institution's Resident-Led Effort.

Journal Article J Grad Med Educ · December 2013 BACKGROUND: Compliance with the Accreditation Council for Graduate Medical Education duty hour standards may necessitate more frequent transitions of patient responsibility. INTERVENTION: We created a multidisciplinary Patient Safety and Quality Council wi ... Full text Open Access Link to item Cite

Complex cases in primary care: report of a CME-certified series addressing patients with multiple comorbidities.

Journal Article Int J Clin Pract · September 2013 AIM: To assess whether participation in a series of continuing medical education-certified activities presenting complicated case scenarios resulted in evidence-based decision making for patients with chronic comorbid conditions. METHODS: A series of inter ... Full text Link to item Cite

Fostering creativity: how the Duke Graduate Medical Education Quasi-Endowment encourages innovation in GME.

Journal Article Acad Med · February 2013 Featured Publication The Duke Medicine Graduate Medical Education Quasi-Endowment, established in 2006, provides infrastructure support and encourages educational innovation. The authors describe Duke's experience with the "grassroots innovation" part of the fund, the Duke Inn ... Full text Link to item Cite

To match or not: factors influencing resident choice of graduate medical education program.

Journal Article J Grad Med Educ · June 2012 BACKGROUND: Little is known about the factors that influence applicants' decisions to select a graduate medical education training program. Programs may improve their recruitment by better understanding that process. METHODS: Following the Match for the ye ... Full text Link to item Cite

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

Journal Article Acad Med · April 2012 Featured Publication With changes in the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements related to transitions in care effective July 1, 2011, sponsoring institutions and training programs must develop a common structure for transition ... Full text Link to item Cite

Internal reviews benefit programs of the review team members and the program under review.

Journal Article J Grad Med Educ · December 2010 BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) mandates that sponsoring institutions conduct internal reviews. In 1998, the ACGME Institutional Review Committee gave Duke University Hospital a citation for an inadequate intern ... Full text Link to item Cite

Use of an institutional template for annual program evaluation and improvement: benefits for program participation and performance.

Journal Article J Grad Med Educ · June 2010 PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Offic ... Full text Link to item Cite

Efficacy and efficiency of webcast orientations versus live resident orientations: results of a 2-year survey.

Journal Article J Grad Med Educ · March 2010 BACKGROUND: Beginning a graduate medical education training program is associated with a steep learning curve for incoming residents. OBJECTIVE: To compare the efficacy and efficiency of live versus webcast formats for Institutional Orientation. METHODS: T ... Full text Link to item Cite

Addressing the systems-based practice requirement with health policy content and educational technology.

Journal Article Med Teach · 2010 Duke University Hospital Office of Graduate Medical Education and Duke University's Fuqua School of Business collaborated to offer a Health Policy lecture series to residents and fellows across the institution, addressing the "Systems-based Practice" compe ... Full text Link to item Cite

The unintended consequences of portfolios in graduate medical education.

Journal Article Acad Med · November 2009 Featured Publication Portfolios have emerged in graduate medical education despite lack of consensus on their definition, purpose, or usefulness. Portfolios can be used as a tool for residents to record their accomplishments, reflect on their experiences, and gain formative fe ... Full text Link to item Cite

Contraception

Chapter · January 1, 2009 Contraception is an inherent part of good health care for women. Fertility is not a disease, and therefore contraception is not a purely medical concern but an area for collaborative care in which the woman and clinician, as well as frequently her partner( ... Full text Cite

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

Journal Article Crit Care Med · January 2009 Featured Publication OBJECTIVE: To determine the impact of the Accreditation Council for Graduate Medical Education mandates for duty hours and competencies on instruction, evaluation, and patient care in intensive care units in the United States. DESIGN: A Web-based survey wa ... Full text Link to item Cite

Pre-placement screening of resident physicians by substance abuse testing: Efficacy, cost, and physician opinions

Journal Article Drugs: Education, Prevention and Policy · February 1, 2008 Aims: There is a high risk of physicians developing a chemical dependence. Detection of chemically dependent resident physicians is difficult. Our objective was to assess our experience with pre-placement substance-abuse screening of resident physicians an ... Full text Cite

Development of a web-based, specialty specific portfolio.

Journal Article Med Teach · May 2007 Featured Publication BACKGROUND: This article illustrates the creation of a specialty specific portfolio that can be used by several different residency programs to document resident competence during a given rotation. METHODS: Three different disciplines (anesthesiology, surg ... Full text Link to item Cite

Evaluation of an online bioterrorism continuing medical education course.

Journal Article J Contin Educ Health Prof · 2006 Featured Publication INTRODUCTION: Much of the international community has an increased awareness of potential biologic, chemical, and nuclear threats and the need for physicians to rapidly acquire new knowledge and skills in order to protect the public's health. The present s ... Full text Link to item Cite

Problem-based learning of research skills.

Journal Article J Electrocardiol · January 2006 Featured Publication PURPOSE: To determine whether a short-term, problem-based educational intervention leads to increased research activity among health care practitioners. SUBJECTS AND METHODS: Participant's success was evaluated as a composite of 2 outcomes. These were (1) ... Full text Link to item Cite

Risk assessment.

Journal Article Prim Care · March 2000 Risk assessment is the process by which clinicians screen for conditions that, if unmanaged, result in complications of pregnancy or adverse birth outcomes and for which an intervention would improve the well-being of the mother, child, and family. One of ... Full text Link to item Cite

Women at high risk for breast cancer: A primary care perspective

Journal Article Primary Care Update for Ob/Gyns · January 1, 1998 Breast cancer is both a biologically and psychologically devastating disease. For women at high risk, there exists an enormous and often confusing array of recommendations for optimal care. The obstetrician/gynecologist has an opportunity an d responsibili ... Full text Cite

Obstetric risk assessment.

Journal Article Prim Care · September 1993 Obstetric risk assessment is an important component of comprehensive obstetric care. It is a tool used to evaluate the medical, psychosocial, familial, and environmental factors that increase the chance of an adverse outcome. Such outcomes may involve the ... Link to item Cite

Cycle control with triphasic norgestimate and ethinyl estradiol, a new oral contraceptive agent.

Journal Article Acta Obstet Gynecol Scand Suppl · 1992 Effective cycle control was demonstrated based on two multicenter, 2-year studies of the triphasic oral contraceptive (OC) agent containing the new progestin norgestimate. The estrogen in this OC is ethinyl estradiol. These open-label Phase III studies wer ... Full text Link to item Cite

Teaching occupational and environmental medicine in primary care residency training programs: experience using three approaches during 1984-1991.

Journal Article Am J Med Sci · July 1991 Featured Publication There is a critical shortage of physicians trained to recognize and treat occupational and environmental health problems. We implemented several required teaching programs for internal medicine and family medicine residents that focus on providing primary ... Full text Link to item Cite

Maximizing the functional status of geriatric patients in an acute community hospital setting.

Journal Article Gerontologist · August 1989 Featured Publication Patients (n = 103) admitted to an inpatient geriatric care unit focusing on restoration of functional status were compared to similar patients (n = 75) admitted to a control-unit. Study unit patients showed significantly greater improvement in basic functi ... Full text Link to item Cite

Caregivers and elderly relatives. The prevalence of caregiving in a family practice.

Journal Article Arch Intern Med · October 1988 Featured Publication Persons 65 years and older are the most rapidly growing age group in the United States. As age increases, functional ability deteriorates and the need for help from another person escalates. Caring for elderly persons experiencing functional deterioration ... Full text Link to item Cite

What residents know about child abuse. Implications of a survey of knowledge and attitudes.

Journal Article Am J Dis Child · June 1988 Featured Publication Residency training programs are the appropriate milieu in which physicians should receive specialized training in the diagnosis and management of child abuse. The purposes of the present study were to assess and compare residents' knowledge of child abuse ... Full text Link to item Cite

Infertility: a family practice approach.

Journal Article J Fam Pract · May 1988 Link to item Cite

CAREGIVER BURDEN IN A FAMILY-PRACTICE

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1, 1987 Link to item Cite

Ectopic pregnancy: 'classic' vs common presentation.

Journal Article J Fam Pract · May 1987 Ectopic pregnancies are common, are increasing in incidence, and are preventable causes of reproductive morbidity and death. They are also frequently misdiagnosed, and are one of the most common causes for malpractice claims made against primary care physi ... Link to item Cite

Neuroleptic-induced neutropenia in the elderly.

Journal Article J Am Geriatr Soc · March 1987 A case reported here of Haloperidol-induced neutropenia demonstrates one of many important drug reactions to which the elderly may be predisposed. Neuroleptics can lead to neutropenia by toxic or immunologic mechanisms, and it is impossible to predict whic ... Full text Link to item Cite

Drug therapy team review in a long-term care facility.

Journal Article Drug Intell Clin Pharm · 1987 Featured Publication Full text Link to item Cite

Drug-prescribing in a family medicine residency program with a pharmacotherapeutics curriculum

Journal Article Journal of Medical Education · January 1, 1986 Cite

Use of hypnosis with children.

Journal Article J Fam Pract · March 1980 Hypnosis is a valuable if underused medical tool for increasing compliance, decreasing discomfort and fear, and teaching patients a sense of mastery and constructive control. This article focuses upon the pediatric patient requiring common out-patient proc ... Link to item Cite

Tetracycline toxicity presenting as generalized vasculitis.

Journal Article South Med J · August 1978 Featured Publication We believe, then, that our patient represents an infrequently reported form of tetracycline toxicity. She developed a picture consistent with multisystem involvement, with a positive ANA test. All of the toxic manifestations were reversed upon withdrawal o ... Full text Link to item Cite

Letter: Art of medicine for aged doctors.

Journal Article N Engl J Med · October 7, 1976 Link to item Cite