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BackgroundMany programs struggle to recruit, select, and match a diverse class of residents, and the most effective strategies for holistic review of applications to enhance diversity are not clear.ObjectiveWe determined if holistic pediatric residency application review guided by frameworks that assess for bias along structural, interpersonal, and individual levels would increase the number of matched residents from racial and ethnic groups that are underrepresented in medicine (UiM).MethodsBetween 2017 and 2020, University of California San Francisco Pediatrics Department identified structural, interpersonal, and individual biases in existing selection processes and developed mitigation strategies in each area. Interventions included creating a shared mental model of desirable qualities in residents, employing a new scoring rubric, intentional inclusion of UiM faculty and trainees in the selection process, and requiring anti-bias training for everyone involved with recruitment and selection.ResultsSince implementing these changes, the percentage of entering interns who self-identify as UIM increased from 11% in 2015 to 45% (OR 6.8, P = .008) in 2019 and to 35% (OR 4.6, P = .035) in 2020.ConclusionsUsing an equity framework to guide implementation of a pediatric residency program's holistic review of applications increased the numbers of matched UiM residents over a 3-year period.

Crash reduction factors are widely used by engineers for prioritizing safety investments. Work zones are routinely analyzed by the length and duration of queues. Queue detection warning technology has been growing in availability and reliability in recent years. However, there is sparse literature on the impact of freeway queueing on crash rates. This paper analyzes three years of crash data and crowd-sourced probe vehicle data to classify crashes as being associated with queueing conditions or free flow conditions. In 2014, only 1.2% of the distanced-weighted hours of operation of Indiana interstates operated at or under 45 MPH. A three-year study on Indiana interstates indicates that commercial vehicles were involved in over 87% of back-of-queue fatal crashes compared to 39% of all fatal crashes during free flow conditions. A new measure of crash rate was developed to account for the presence and duration of queues: crashes per mile-hour of congestion. The congested crash rate on all Indiana interstates in 2014 was found to be 24 times greater than the uncongested crash rate. These data were also separated into both rural and urban categories. In rural areas, the congested crash rate is 23 times the uncongested crash rate. In urban areas, the congested crash rate is 21 times the uncongested crash rate. Queues are found to be present for five minutes or longer prior to approximately 90% of congestion crashes in 2014. Longer term, this information shows the importance in the development of technology that can warn motorists of traffic queues.

Crash reduction factors are widely used by engineers for prioritizing safety investments. Work zones are routinely analyzed by the length and duration of queues. Queue detection warning technology has been growing in availability and reliability in recent years. However, there is sparse literature on the impact of freeway queueing on crash rates. This paper analyzes three years of crash data and crowd-sourced probe vehicle data to classify crashes as being associated with queueing conditions or free flow conditions. In 2014, only 1.2% of the distanced-weighted hours of operation of Indiana interstates operated at or under 45 MPH. A three-year study on Indiana interstates indicates that commercial vehicles were involved in over 87% of back-of-queue fatal crashes compared to 39% of all fatal crashes during free flow conditions. A new measure of crash rate was developed to account for the presence and duration of queues: crashes per mile-hour of congestion. The congested crash rate on all Indiana interstates in 2014 was found to be 24 times greater than the uncongested crash rate. These data were also separated into both rural and urban categories. In rural areas, the congested crash rate is 23 times the uncongested crash rate. In urban areas, the congested crash rate is 21 times the uncongested crash rate. Queues are found to be present for five minutes or longer prior to approximately 90% of congestion crashes in 2014. Longer term, this information shows the importance in the development of technology that can warn motorists of traffic queues.

Crash reduction factors are widely used by engineers for prioritizing safety investments. Work zones are routinely analyzed by the length and duration of queues. Queue detection warning technology has been growing in availability and reliability in recent years. However, there is sparse literature on the impact of freeway queueing on crash rates. This paper analyzes three years of crash data and crowd-sourced probe vehicle data to classify crashes as being associated with queueing conditions or free flow conditions. In 2014, only 1.2% of the distanced-weighted hours of operation of Indiana interstates operated at or under 45 MPH. A three-year study on Indiana interstates indicates that commercial vehicles were involved in over 87% of back-of-queue fatal crashes compared to 39% of all fatal crashes during free flow conditions. A new measure of crash rate was developed to account for the presence and duration of queues: crashes per mile-hour of congestion. The congested crash rate on all Indiana interstates in 2014 was found to be 24 times greater than the uncongested crash rate. These data were also separated into both rural and urban categories. In rural areas, the congested crash rate is 23 times the uncongested crash rate. In urban areas, the congested crash rate is 21 times the uncongested crash rate. Queues are found to be present for five minutes or longer prior to approximately 90% of congestion crashes in 2014. Longer term, this information shows the importance in the development of technology that can warn motorists of traffic queues.

Crash reduction factors are widely used by engineers for prioritizing safety investments. Work zones are routinely analyzed by the length and duration of queues. Queue detection warning technology has been growing in availability and reliability in recent years. However, there is sparse literature on the impact of freeway queueing on crash rates. This paper analyzes three years of crash data and crowd-sourced probe vehicle data to classify crashes as being associated with queueing conditions or free flow conditions. In 2014, only 1.2% of the distanced-weighted hours of operation of Indiana interstates operated at or under 45 MPH. A three-year study on Indiana interstates indicates that commercial vehicles were involved in over 87% of back-of-queue fatal crashes compared to 39% of all fatal crashes during free flow conditions. A new measure of crash rate was developed to account for the presence and duration of queues: crashes per mile-hour of congestion. The congested crash rate on all Indiana interstates in 2014 was found to be 24 times greater than the uncongested crash rate. These data were also separated into both rural and urban categories. In rural areas, the congested crash rate is 23 times the uncongested crash rate. In urban areas, the congested crash rate is 21 times the uncongested crash rate. Queues are found to be present for five minutes or longer prior to approximately 90% of congestion crashes in 2014. Longer term, this information shows the importance in the development of technology that can warn motorists of traffic queues.

In Indiana, distracted driving and unexpected queues have led to an increase in the amount of back-of-queue crashes, particularly on approach to work zones. This report presents new strategies for the assessment of both transportation safety and traffic operations using crowd-sourced probe vehicle data and a speed laser vehicle re-identification scheme. This report concludes by recommending strategies for the placement of variable speed limits (VSL) adjacent to work zones and suggestions for future research.

PurposeDespite the growing emphasis on early clinical experiences, preceptors still face challenges integrating preclerkship medical students into their practices. Entrustable professional activities (EPAs), which frame competencies in the context of clinical workplace activities, may provide explicit guidance on appropriate student roles and activities. This study aimed to develop and appraise content validity evidence for EPAs for clerkship entry.MethodThe authors employed a multistep process from November 2012 to June 2014. They identified EPA content domains using study data, student focus groups, and preceptor interviews. They then mapped each domain to preclerkship course objectives, graduation competencies, and resident-level EPAs to ensure relevancy and adequacy. Next, they developed seven-part EPA descriptions for each domain with specifications/limitations; expected knowledge, skills, and attitudes; associated competencies; and assessment information. Subsequently, they conducted local, national, and international workshops to verify the appropriateness of the content and supervision level, before finalizing each EPA with additional expert and stakeholder review.ResultsThis process resulted in five EPAs for entry into clerkship: (1) information gathering, (2) information integration for a differential diagnosis and plan, (3) health care team communication, (4) information sharing with patients, and (5) resource identification. Workshop participants approved and refined the content for each EPA and agreed that a single level of supervision (practice under reactive supervision) was appropriate.ConclusionsThe development of these EPAs indicates support for setting a standard for entry into clerkship, provides guidance for engaging preclerkship students in clinical workplace activities, and can be adapted for use by any institution.

PurposeDespite the growing emphasis on early clinical experiences, preceptors still face challenges integrating preclerkship medical students into their practices. Entrustable professional activities (EPAs), which frame competencies in the context of clinical workplace activities, may provide explicit guidance on appropriate student roles and activities. This study aimed to develop and appraise content validity evidence for EPAs for clerkship entry.MethodThe authors employed a multistep process from November 2012 to June 2014. They identified EPA content domains using study data, student focus groups, and preceptor interviews. They then mapped each domain to preclerkship course objectives, graduation competencies, and resident-level EPAs to ensure relevancy and adequacy. Next, they developed seven-part EPA descriptions for each domain with specifications/limitations; expected knowledge, skills, and attitudes; associated competencies; and assessment information. Subsequently, they conducted local, national, and international workshops to verify the appropriateness of the content and supervision level, before finalizing each EPA with additional expert and stakeholder review.ResultsThis process resulted in five EPAs for entry into clerkship: (1) information gathering, (2) information integration for a differential diagnosis and plan, (3) health care team communication, (4) information sharing with patients, and (5) resource identification. Workshop participants approved and refined the content for each EPA and agreed that a single level of supervision (practice under reactive supervision) was appropriate.ConclusionsThe development of these EPAs indicates support for setting a standard for entry into clerkship, provides guidance for engaging preclerkship students in clinical workplace activities, and can be adapted for use by any institution.

In Indiana, distracted driving and unexpected queues have led to an increase in the amount of back-of-queue crashes, particularly on approach to work zones. This report presents new strategies for the assessment of both transportation safety and traffic operations using crowd-sourced probe vehicle data and a speed laser vehicle re-identification scheme. This report concludes by recommending strategies for the placement of variable speed limits (VSL) adjacent to work zones and suggestions for future research.

The 2013–2014 Indiana Mobility Report: Full Version examines the mobility performance of Indiana’s state highway system. Minute-by-minute crowdsourced probe vehicle speed data and vehicle volume data were used to develop performance measures that identify, quantify, and visualize the location and duration of congestion on Indiana Interstates. The report presents overall system performance, including a monthly overview covering January 2011 through June 2014 as well as selected highlights of significant projects. In addition to the Interstate system, the report characterizes selected high-priority arterial corridors to rank their mobility performance in terms of travel time and travel time reliability. The full version includes the following appendices: Appendix A: Interstate Speed Profiles Appendix B: Interstate Speed Profiles with Linear Distance Scale Appendix C: Interstate Congestion Hour Summaries Appendix D: Interstate Summary Statistics Appendix E: Interstate Segment Congestion Rankings

The 2013–2014 Indiana Mobility Report: Summary Version examines the mobility performance of Indiana’s state highway system. Minute-by-minute crowdsourced probe vehicle speed data and vehicle volume data were used to develop performance measures that identify, quantify, and visualize the location and duration of congestion on Indiana Interstates. The summary report presents overall system performance, including a monthly overview covering January 2011 through June 2014 as well as selected highlights of significant projects. In addition to the Interstate system, the report characterizes selected high-priority arterial corridors to rank their mobility performance in terms of travel time and travel time reliability.

The 2013–2014 Indiana Mobility Report: Full Version examines the mobility performance of Indiana’s state highway system. Minute-by-minute crowdsourced probe vehicle speed data and vehicle volume data were used to develop performance measures that identify, quantify, and visualize the location and duration of congestion on Indiana Interstates. The report presents overall system performance, including a monthly overview covering January 2011 through June 2014 as well as selected highlights of significant projects. In addition to the Interstate system, the report characterizes selected high-priority arterial corridors to rank their mobility performance in terms of travel time and travel time reliability. The full version includes the following appendices: Appendix A: Interstate Speed Profiles Appendix B: Interstate Speed Profiles with Linear Distance Scale Appendix C: Interstate Congestion Hour Summaries Appendix D: Interstate Summary Statistics Appendix E: Interstate Segment Congestion Rankings

The 2013–2014 Indiana Mobility Report: Summary Version examines the mobility performance of Indiana’s state highway system. Minute-by-minute crowdsourced probe vehicle speed data and vehicle volume data were used to develop performance measures that identify, quantify, and visualize the location and duration of congestion on Indiana Interstates. The summary report presents overall system performance, including a monthly overview covering January 2011 through June 2014 as well as selected highlights of significant projects. In addition to the Interstate system, the report characterizes selected high-priority arterial corridors to rank their mobility performance in terms of travel time and travel time reliability.

This report briefly describes the New York City Police Department (NYCPD) Automated Fuel Monitoring system from the original study, through system design, to implementation. The system provides complete control of fuel usage for an agency with 4,000 motor vehicles and 25,000 vehicle operators. As far as is known, it is the largest system of its kind installed to date. The system can be scaled up or down to meet the needs of other governmental units. Estimated annual cost savings to NYCPD are $2,000,000., See also Volume 2, AD-A119 954.

SPR-3900, In Indiana, distracted driving and unexpected queues have led to an increase in the amount of back-of-queue crashes, particularly on approach to, work zones. This report presents new strategies for the assessment of both transportation safety and traffic operations using crowd-sourced, probe vehicle data and a speed laser vehicle re-identification scheme. This report concludes by recommending strategies for the placement of, variable speed limits (VSL) adjacent to work zones and suggestions for future research.