Recalibrating Self-Assessment: Navigating Imposter Syndrome Through Metacognitive Reflection.

Background: Accurate self-assessment is foundational for life-long learning, professional development and patient safety, yet many learners struggle to develop this fundamental skill. Even skilled self-assessors-or savvy calibrators-may sometimes struggle with self-assessment accuracy, particularly during professional transitions and challenges. This study explored the metacognitive processes employed by high-performing physicians to maintain or recalibrate accurate self-assessment across diverse professional contexts.

How to … Study Sensitive Topics.

Health professions education inevitably exposes learners to socially, emotionally, and ethically sensitive experiences-ranging from academic struggle and mistreatment to emotionally charged clinical encounters. These moments, often occurring in hierarchical and high-pressure clinical settings, can profoundly shape learners' professional identities and well-being. As educators strive to create more humane learning environments, it becomes essential to critically examine how such sensitive topics are navigated, studied, and represented in research.

Sampling Thoughtfully in Qualitative Research: Hallmarks of Rigour in Health Professions Education.

Methodologically sound sampling is fundamental to the rigour and impact of qualitative medical education research, directly shaping the depth and breadth of resulting insights. Recognizing the significant influence of sampling decisions on research outcomes, this paper offers a practical guide for researchers navigating these crucial choices. We begin by delineating commonly employed qualitative sampling strategies, critically examining their respective strengths and inherent limitations.

Sliding Doors: Pivotal Research Decisions and Their Influence on Exploring Sensitive Topics.

This paper is the third in a series that qualitatively explores sensitive topics in health professions education (HPE). Here, our purpose is to consider how researchers' topical, methodological, and theoretical design choices create myriad up and downstream effects impacting study processes, outcomes, and - ultimately - implications for practice. Specifically, this paper uses the Sliding Doors metaphor as a thought exercise to consider alternate research paths for Geringer and colleagues' exploration of the imposter phenomenon (Paper 2), contemplating the what ifs had authors used a different methodology, incorporated other theoretical lenses, or chose to focus their exploration of self-assessment from an entirely different vantage point.

Moving Past the Status Quo: Redefining the Feedback Landscape for Junior Clinician-Educator Career Development.

This perspective piece addresses the challenges junior clinician-educators face as they navigate career development within academic medical centers. In addition to understanding local promotion and tenure processes and seeking mentorship, we argue that faculty feedback is an often neglected, but essential, component in clinician-educator development. We repurpose and use the MISCA model-Message, Implementation, Student, Context, and Agents-as a framework to better understand and improve feedback for faculty.

Do You See What I See? A Comparison of CCC and Self-Assigned Milestones Across Military Medical Specialties.

Background: The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to complete competency-based assessments of medical trainees based on nationally established Milestones. Previous research demonstrates a strong correlation between CCC and resident scores on the Milestones in surgery, but little is known if this is true between specialties. In this study, we investigated a variety of specialties and sought to determine what factors affect self-assessment of milestones.

Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement.

The manifestations of syphilis, a sexually transmitted infection caused by Treponema pallidum, can be divided into primary, secondary, or tertiary stages. In addition, syphilis can cause a latent infection with no clinical manifestations and be diagnosed solely by serologic testing. Secondary syphilis is especially known for causing a rash and diverse clinical manifestation which can make its diagnosis challenging-particularly in patients whose medical and sexual histories do not align with the classical epidemiologic and textbook description of secondary syphilis.

Leadership Lessons From the Field: Leading Others to Cope With Death.

All healthcare leaders will inevitably face patient death and dealing with loss. While leaders have different preparation for this, many lack comfort and confidence navigating death, whether it be of a patient, family member, or colleague. Learning how to support others in dealing with death is a fundamental leadership skill.

Essential Thrombocythemia Complicated by Occlusive Thrombosis of the Abdominal Aorta.

Introduction: Essential thrombocythemia (ET) is a myeloproliferative neoplasm of excessive platelet production complicated by thrombohemorrhagic events. Thrombosis typically occurs in small to medium vessels; thrombosis of large vessels is rare.

Case Presentation: A 75-year-old woman with ET complicated by bilateral retinal vein occlusion was evaluated for fatigue, early satiety, and unintentional weight loss.