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Saumil Mahendra Chudgar

Professor of Medicine
Medicine, General Internal Medicine
DUMC Box 3534, Durham, NC 27710
Duke Hospital North Room 8277A, DUMC 3534, Durham, NC 27710

Selected Publications


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

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.

Journal Article Diagnosis (Berl) · July 12, 2021 OBJECTIVES: In 2015, the National Academy of Medicine IOM estimated that 12 million patients were misdiagnosed annually. This suggests that despite prolonged training in medical school and residency there remains a need to improve diagnostic reasoning educ ... Full text Link to item Cite

Internal Medicine Residency Program Responses to the Increase of Residency Applications: Differences by Program Type and Characteristics.

Journal Article J Grad Med Educ · December 2019 BACKGROUND: Over the past decade, the number of residency applications has increased substantially, causing many residency programs to change their recruitment practices. OBJECTIVE: We determined how internal medicine (IM) residency programs have responded ... Full text Link to item Cite

Is it a match? a novel method of evaluating medical school success.

Journal Article Med Educ Online · December 2018 BACKGROUND: Medical education program evaluation allows for curricular improvements to both Undergraduate (UME) and Graduate Medical Education (GME). UME programs are left with little more than match rates and self-report to evaluate success of graduates i ... Full text Link to item Cite

Evaluating the Impact of Early Clinical Role Exposure to Ease Transition to the Clinical Year

Journal Article Medical Science Educator · June 1, 2018 The transition to clinical training is a well-documented source of medical student stress. While students are taught the essential skills of patient interviewing and physical examination, exposure to their role on the ward team may be limited. We designed ... Full text Cite

Digital chalk-talk videos improve knowledge and satisfaction in renal physiology.

Journal Article Adv Physiol Educ · March 1, 2018 The authors began a curriculum reform project to improve the experience in a Renal Physiology course for first-year medical students. Taking into account both the variety of learning preferences among students and the benefits of student autonomy, the auth ... Full text Open Access Link to item Cite

See one, do one, teach…a lifetime.

Journal Article Clin Teach · February 2018 Full text Link to item Cite

An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers.

Journal Article J Gen Intern Med · November 2017 The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable P ... Full text Link to item Cite

How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit?

Journal Article Ann Am Thorac Soc · April 2017 RATIONALE: Care in the hospital is hazardous. Harm in the hospital may prolong hospitalization, increase suffering, result in death, and increase costs of care. Although the interprofessional team is critical to eliminating hazards that may result in adver ... Full text Open Access 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

How We Engage Graduating Professional Students in Interprofessional Patient Safety.

Journal Article Nurs Forum · October 2016 PROBLEM: Interprofessional curricula on patient safety do not acknowledge the culture and vulnerabilities of the student experience and often do not engage students. METHODS: We describe a patient safety collaboration between graduating nursing and medical ... Full text Link to item Cite

Preparing Residents to Be Effective Teachers: Get an Early Start!

Journal Article Medical Science Educator · September 1, 2016 Resident physicians play an essential role as teachers, but time to learn to teach effectively during residency is limited. Targeted education prior to beginning residency may help combat this problem. We successfully implemented a highly rated Effective C ... Full text Cite

Teaching crucial skills: An electrocardiogram teaching module for medical students.

Journal Article J Electrocardiol · 2016 BACKGROUND: Medical student performance in electrocardiogram (ECG) interpretation at our institution could be improved. Varied resources exist to teach students this essential skill. METHODS: We created an ECG teaching module (ECGTM) of 75 cases representi ... Full text Link to item Cite

A meaningful MESS (Medical Education Scholarship Support).

Journal Article Med Educ Online · 2016 BACKGROUND: Graduate medical education faculty bear the responsibility of demonstrating active research and scholarship; however, faculty who choose education-focused careers may face unique obstacles related to the lack of promotion tracks, funding, caree ... Full text Open Access Link to item Cite

Mystery behind the match: an undergraduate medical education-graduate medical education collaborative approach to understanding match goals and outcomes.

Journal Article Med Educ Online · 2016 BACKGROUND: There is a paucity of information regarding institutional targets for the number of undergraduate medical education (UME) graduates being matched to graduate medical education (GME) programs at their home institutions. At our institution, the D ... Full text 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

Poor Positive Predictive Value of Lyme Disease Serologic Testing in an Area of Low Disease Incidence.

Journal Article Clin Infect Dis · November 1, 2015 BACKGROUND: Lyme disease is diagnosed by 2-tiered serologic testing in patients with a compatible clinical illness, but the significance of positive test results in low-prevalence regions has not been investigated. METHODS: We reviewed the medical records ... Full text Open Access Link to item Cite

Course Offerings in the Fourth Year of Medical School: How U.S. Medical Schools Are Preparing Students for Internship.

Journal Article Acad Med · October 2015 The fourth year of medical school remains controversial, despite efforts to reform it. A committee from the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine examined transitions from medical school to i ... 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

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.

Journal Article Diagnosis (Berl) · July 12, 2021 OBJECTIVES: In 2015, the National Academy of Medicine IOM estimated that 12 million patients were misdiagnosed annually. This suggests that despite prolonged training in medical school and residency there remains a need to improve diagnostic reasoning educ ... Full text Link to item Cite

Internal Medicine Residency Program Responses to the Increase of Residency Applications: Differences by Program Type and Characteristics.

Journal Article J Grad Med Educ · December 2019 BACKGROUND: Over the past decade, the number of residency applications has increased substantially, causing many residency programs to change their recruitment practices. OBJECTIVE: We determined how internal medicine (IM) residency programs have responded ... Full text Link to item Cite

Is it a match? a novel method of evaluating medical school success.

Journal Article Med Educ Online · December 2018 BACKGROUND: Medical education program evaluation allows for curricular improvements to both Undergraduate (UME) and Graduate Medical Education (GME). UME programs are left with little more than match rates and self-report to evaluate success of graduates i ... Full text Link to item Cite

Evaluating the Impact of Early Clinical Role Exposure to Ease Transition to the Clinical Year

Journal Article Medical Science Educator · June 1, 2018 The transition to clinical training is a well-documented source of medical student stress. While students are taught the essential skills of patient interviewing and physical examination, exposure to their role on the ward team may be limited. We designed ... Full text Cite

Digital chalk-talk videos improve knowledge and satisfaction in renal physiology.

Journal Article Adv Physiol Educ · March 1, 2018 The authors began a curriculum reform project to improve the experience in a Renal Physiology course for first-year medical students. Taking into account both the variety of learning preferences among students and the benefits of student autonomy, the auth ... Full text Open Access Link to item Cite

See one, do one, teach…a lifetime.

Journal Article Clin Teach · February 2018 Full text Link to item Cite

An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers.

Journal Article J Gen Intern Med · November 2017 The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable P ... Full text Link to item Cite

How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit?

Journal Article Ann Am Thorac Soc · April 2017 RATIONALE: Care in the hospital is hazardous. Harm in the hospital may prolong hospitalization, increase suffering, result in death, and increase costs of care. Although the interprofessional team is critical to eliminating hazards that may result in adver ... Full text Open Access 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

How We Engage Graduating Professional Students in Interprofessional Patient Safety.

Journal Article Nurs Forum · October 2016 PROBLEM: Interprofessional curricula on patient safety do not acknowledge the culture and vulnerabilities of the student experience and often do not engage students. METHODS: We describe a patient safety collaboration between graduating nursing and medical ... Full text Link to item Cite

Preparing Residents to Be Effective Teachers: Get an Early Start!

Journal Article Medical Science Educator · September 1, 2016 Resident physicians play an essential role as teachers, but time to learn to teach effectively during residency is limited. Targeted education prior to beginning residency may help combat this problem. We successfully implemented a highly rated Effective C ... Full text Cite

Teaching crucial skills: An electrocardiogram teaching module for medical students.

Journal Article J Electrocardiol · 2016 BACKGROUND: Medical student performance in electrocardiogram (ECG) interpretation at our institution could be improved. Varied resources exist to teach students this essential skill. METHODS: We created an ECG teaching module (ECGTM) of 75 cases representi ... Full text Link to item Cite

A meaningful MESS (Medical Education Scholarship Support).

Journal Article Med Educ Online · 2016 BACKGROUND: Graduate medical education faculty bear the responsibility of demonstrating active research and scholarship; however, faculty who choose education-focused careers may face unique obstacles related to the lack of promotion tracks, funding, caree ... Full text Open Access Link to item Cite

Mystery behind the match: an undergraduate medical education-graduate medical education collaborative approach to understanding match goals and outcomes.

Journal Article Med Educ Online · 2016 BACKGROUND: There is a paucity of information regarding institutional targets for the number of undergraduate medical education (UME) graduates being matched to graduate medical education (GME) programs at their home institutions. At our institution, the D ... Full text 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

Poor Positive Predictive Value of Lyme Disease Serologic Testing in an Area of Low Disease Incidence.

Journal Article Clin Infect Dis · November 1, 2015 BACKGROUND: Lyme disease is diagnosed by 2-tiered serologic testing in patients with a compatible clinical illness, but the significance of positive test results in low-prevalence regions has not been investigated. METHODS: We reviewed the medical records ... Full text Open Access Link to item Cite

Course Offerings in the Fourth Year of Medical School: How U.S. Medical Schools Are Preparing Students for Internship.

Journal Article Acad Med · October 2015 The fourth year of medical school remains controversial, despite efforts to reform it. A committee from the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine examined transitions from medical school to i ... 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

The Internal Medicine Subinternship--Now More Important than Ever: A Joint CDIM-APDIM Position Paper.

Journal Article J Gen Intern Med · September 2015 For decades, the internal medicine (IM) subinternship has served as a critical interface between undergraduate and graduate medical education. As such, the vast majority of U.S. medical schools offer this rotation to help students prepare for post-graduate ... Full text Link to item Cite

The emotions of graduating medical students about prior patient care experiences.

Journal Article Patient Educ Couns · March 2015 OBJECTIVES: To determine the emotional responses to patient care activities described by fourth year medical students. METHODS: Qualitative content analysis for emerging themes in letters written by graduating medical students to patients during a Capstone ... Full text Link to item Cite

Faculty Development EXPRESS: Tools for Time-Challenged Faculty

Journal Article MedEdPORTAL · January 19, 2015 Full text Cite

The Impact of a Mandatory Immersion Curriculum in Integrative Medicine for Graduating Medical Students.

Journal Article Explore (NY) · 2015 BACKGROUND: Although many Americans utilize complementary and alternative medicine (CAM) services and products, few medical school curricula consistently provide instruction in counseling patients on the use of CAM or strategies for identifying credible ev ... Full text Link to item Cite

It Takes a Village”: An Interprofessional Patient Safety Experience for Nursing and Medical Students

Journal Article Medical Science Educator · October 1, 2013 Background: Interprofessional education (IPE) is a “core” competency in professional school education. Challenges to successful collaboration include: aligning student abilities/experience, providing meaningful clinically-based interaction, and the need fo ... Full text Cite

Disseminated Mycobacterium immunogenum infection presenting with septic shock and skin lesions in a renal transplant recipient.

Journal Article Transpl Infect Dis · August 2012 Mycobacterium immunogenum is a relatively new species within the Mycobacterium chelonae-Mycobacterium abscessus group of rapidly growing mycobacteria (RGM). M. immunogenum was first characterized in 2001 and, similar to other RGM, is an ubiquitous environm ... Full text Link to item Cite

Aspergillus niger: an unusual cause of invasive pulmonary aspergillosis.

Journal Article J Med Microbiol · July 2010 Infections due to Aspergillus species cause significant morbidity and mortality. Most are attributed to Aspergillus fumigatus, followed by Aspergillus flavus and Aspergillus terreus. Aspergillus niger is a mould that is rarely reported as a cause of pneumo ... Full text Open Access Link to item Cite

Gaps in procedural experience and competency in medical school graduates.

Journal Article Acad Emerg Med · December 2009 OBJECTIVES: The goal of undergraduate medical education is to prepare medical students for residency training. Active learning approaches remain important elements of the curriculum. Active learning of technical procedures in medical schools is particularl ... Full text Link to item 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 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

Regulation of connective tissue growth factor expression in the aqueous humor outflow pathway.

Journal Article Mol Vis · September 30, 2006 PURPOSE: Connective Tissue Growth Factor (CTGF) is an inducible secretory protein known to regulate proliferation and extracellular matrix production in various cell types. We hypothesize that CTGF plays a critical role in the physiological regulation of a ... Link to item Cite