The Monday Morning DripPediatric med ed for the busy educator
Issue 3 · Week of Oct 5, 2026

Safe to struggle, safe to say so.

A new 5-item scale offers a quick check on whether trainees feel safe sharing ideas, uncertainty, and mistakes. Residents who went through remediation echo it: transparency and personalization make or break the process. And as EHR metrics like TRACERs reveal each resident's practice patterns, how we share that data matters as much as the data.

In this issueA 5-item psych safety checkRemediation, residents' viewAutomated care metrics (TRACERs)
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Issue 4 · AudioWho (and what) is in the room with our learners?Week of Oct 12, 2026Issue 2 · Audio"Ready" has to be proven now.Week of Sept 28, 2026Issue 1 · Audio"Ready for what?"Week of Sept 28, 2026
☕ Coffee break with Beth
In my own words. Written by Beth, not AI.

How fun to see colleagues at my institution doing great scholarship on standardized ILP Forms. I took a look at their template - I saw areas of overlap with what we ask in our program, and of course some new ideas. I was intrigued by their first question: Please describe your personal and professional core values.

Golly, that's a big one. It sent me into a bit of a spiral wondering if I can define my own core values. I landed on kindness, family, growth. Not sure how well I live these broad values but maybe I should have an ILP with myself once or twice a year to check in on how I'm doing.

- Beth
Top reads
1
Well-beingAssessment

Psychological safety, measured in 5 questions

  • One health system put 9 candidate items in its annual trainee survey (400 of 480 answered) and trimmed them to 5: sharing ideas, giving and receiving feedback, expressing uncertainty, and mistakes as learning.
  • One factor, strong fit (CFI 0.99), omega 0.91, r = 0.67 with an external psych safety measure.
Try this: short enough for an end-of-rotation survey, so you can trend it by site or team. Caveat: single-institution evidence.
Tcheroyan R, Roberts MB, Joshi ART, et al. J Grad Med Educ. 2026;18(4):407-414. PMID 42602734. doi:10.4300/JGME-D-25-00666.1
Full text ›Abstract (PubMed) ›
2
Peds GMERemediation

Remediation through residents' eyes: be transparent, make it personal

  • National qualitative study: 11 pediatric residents who had been through remediation (2024).
  • Themes: weak feedback systems, too little transparency and personalization, and a toll on well-being and careers. The authors updated their PD-based remediation model.
Why it matters: residents want a transparent, personal process that feels psychologically safe. Pairs with last week's APPD "Trainee in Difficulty" piece.
Cahaney C, Li ST, Nelsen E, et al. Acad Pediatr. Online June 18, 2026. doi:10.1016/j.acap.2026.103343
Full text ›
3
EHR dataAssessment

TRACERs: your EHR may already know how each resident orders insulin

  • 3 IM programs built 2 automated, resident-attributed measures of inpatient diabetes care; EHR extraction matched expert review (96%+ sensitivity, 95%+ specificity).
  • In 615 residents and 6,192 admissions, discouraged bolus-only insulin ran 26.7%-42.6% by program, and residents varied more than programs.
Why it matters: a preview of real-time, practice-based data for CCCs, with real barriers (different EHRs, tricky attribution).
Burk-Rafel J, Sebok-Syer SS, Larson I, et al. Acad Med. Online July 28, 2026. doi:10.1093/acamed/wvag239
Full text ›
From Academic Pediatrics
Reflection
"Nothing You Can Say." A discussion piece. Title only; no abstract. Links Torwekar B. Online July 2. Full text ›
Educators
Med ed tracks pay off. Grads of one residency's medical education track (45/69 responded): 66% of attendings held formal educator roles; 89% said the track helped. Reed S, Stewart C. Full text ›
Primary care
Immigrant families. 49% of 488 pediatricians felt prepared to care for children in immigrant families; bilingual staff (aOR 1.92) and care coordination (aOR 1.89) helped. Rosenberg J, et al. Full text ›
Quick hits
ILP
A standardized ILP for GME: a modified Delphi template (JGME, Aug; PMID 42603034). Title only; abstract unreachable this run. See Beth's Coffee Break. Full text ›
Reflection
Measuring reflection: 172 anesthesia trainees scored 2.5/4 on REFLECT, no higher in later years. DunnGalvin A, et al. Acad Med. Full text ›
Patient safety
Order entry: Nurses and pharmacists say new doctors rely on them to catch errors; peds is a risky moment. Fingeret AL, et al. Acad Med. Full text ›
AI
"The cost of a better sentence": Acad Med editors warn AI can deskill and homogenize ideas and urge "thoughtful, fully informed" use. Roberts LW, Gottlieb M. Full text ›
Sources & caveats: From abstracts I read (OUP, ScienceDirect, PCOM repository) and ACGME, APPD, and NRMP pages. Crossref, PubMed/PMC, and AAP, JGME, Wiley, and T&F sites were unreachable this run, so Pediatrics, Hosp Pediatr, JAMA Peds, Med Educ, Med Teach, and any new JGME issue weren't checked. Please verify before citing.
📚 Keep reading: more from the archive
See all 4 issues →
Issue 4 · AudioWho (and what) is in the room with our learners?Week of Oct 12, 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 ☕