The Monday Morning DripPediatric med ed for the busy educator
Issue 4 · Week of Oct 12, 2026

Who (and what) is in the room with our learners?

Generative AI is now a reasoning partner at the bedside, so the authors of this week's top read argue we should teach and supervise the learner-AI pair, with graduated autonomy, not just the learner. Coaches who keep students tied to their values ease the jump to residency. And a growing share of the doctors our residents train beside come from Caribbean schools, most into primary care.

In this issueRedesigning reasoning for the AI eraCoaches and the residency transitionCaribbean grads in the US workforce
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Heads up: this digest is AI-generated (compiled by Claude) and may not have been fully checked by me. Summaries can contain errors, so please verify with the original source before citing or acting on anything.
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Issue 3 · AudioSafe to struggle, safe to say so.Week of Oct 5, 2026Issue 2 · Audio"Ready" has to be proven now.Week of Sept 28, 2026Issue 1 · Audio"Ready for what?"Week of Sept 28, 2026
Top reads
1
AIClinical reasoning

Teach the learner-AI pair: redesigning clinical reasoning education for generative AI

  • Scholarly Perspective: GAI is an "out-in-the-world" reasoning tool, so the unit of learning shifts from the individual learner to the learner-AI pair, with room for upskilling but also never-skilling, mis-skilling, and deskilling.
  • Vignettes across training stages lead to 5 redesign strategies: introduce GAI early, keep reasoning-first workflows, grant graduated autonomy for GAI use in care, train faculty to supervise GAI-assisted reasoning, and rethink assessment.
Try this: treat AI use like any other entrustment decision on your team: talk about when learners use it on their own and when they reason first and check after.
Schaye VE, Parsons AS, Olson APJ, Abdulnour RE, Daniel M. Acad Med. Online Oct 8, 2026. doi:10.1093/acamed/wvag318
Full text ›
2
UMECoaching

What a longitudinal coach adds on the road to residency

  • Qualitative focus groups at Tufts (Apr-Jul 2025) with graduating students, coaches, and deans of student affairs.
  • 4 core coaching moves: values-based reflection, emotional support, respecting student agency, and nudging students to a broader advising network. All 3 groups stressed validating students and keeping them tied to their values.
Why it matters: these moves map onto how we onboard interns. Asking about values on day 1 may pay off.
Boehm L, Blanco M, Hayes V, et al. Acad Med. Online Oct 10, 2026. doi:10.1093/acamed/wvag322
Full text ›
3
WorkforceIMGs

Caribbean medical schools: about 1 in 20 licensed US physicians

  • ACGME residency data (2013-2023) plus FSMB licensure data: first US licenses to Caribbean grads rose from 33 in 1980 to 2,768 in 2024; 49,256 now hold a license (~5% of licensed physicians).
  • Caribbean grads train in family medicine at more than twice the rate of US/Canadian grads and other IMGs, and are younger (mean age 44.1 vs 51.5 and 55.2).
Why it matters: a big, growing primary care pipeline. The authors call for accreditation-mandated transparency on student outcomes.
Gruppuso PA, Pei X, Arnhart K, et al. Acad Med. Online Oct 8, 2026. doi:10.1093/acamed/wvag317
Full text ›
Sources & caveats: A short issue on purpose: only items first online Sep 28-Oct 11, 2026, each from an abstract or page I read (Acad Med on OUP; ACGME, ABP, and APPD pages). Checked with nothing new in the window: Adv Health Sci Educ and the current JAMA Netw Open issue. Not checked this run (Crossref, ScienceDirect, PubMed, and publisher sites blocked): Academic Pediatrics, JGME, Pediatrics, Hosp Pediatr, J Pediatr, JAMA Pediatr, Med Educ, Med Teach, TLM, PME, and the general/IM journals. Please verify before citing.
📚 Keep reading: more from the archive
See all 4 issues →
Issue 3 · AudioSafe to struggle, safe to say so.Week of Oct 5, 2026Issue 2 · Audio"Ready" has to be proven now.Week of Sept 28, 2026Issue 1 · Audio"Ready for what?"Week of Sept 28, 2026
The Monday Morning Drip · AI-generated by Claude, not fully reviewed · see you next Monday ☕