Steven J Durning

Biographic Data

ID7721023
NAMESteven J Durning
GIVEN NAMESSteven J
FAMILY NAMEDurning
SIGNATUREDURNING S J
AFFILIATIONSUniformed Services University of the Health Sciences
ORCID0000-0001-5223-1597
VERIFIEDYes
TOTAL WORKS44
TOTAL CITATIONS0
AUTHOR COUNT44
EDITOR COUNT0
FIRST PUBLICATION YEAR2008
LATEST PUBLICATION YEAR2026
H-INDEX0

  • Differing Pathways to Decision-Making

    Open AccessJerusalem Merkebu, Angelica Lee et al.ARTICLESAGE Open2026

    This research examines the complex connections between metacognition, reflection, and emotional regulation and how they affect different kinds of career decisions. By integrating these cognitive, emotional, and reflective dimensions, we employed structural equation modeling to investigate their mediation effects on career decisions, an area previously under-researched. Our findings from undergraduate populations reveal that metacognition mediates…

  • Training climate matters

    Open AccessTing-Lan Ma, Binbin Zheng et al.ARTICLEMedical Education Online2026

    BACKGROUND: Medical trainee mistreatment remains a widespread challenge in graduate medical education, contributing to burnout, depression, and workforce attrition. Graduate medical education programs have sought to create safer learning environments by fostering programmatic openness-climates perceived as transparent, welcoming, and supportive. Yet it remains unclear how such programmatic conditions interact with individual experiences of belong…

  • How postgraduate medical trainees conceptualise management reasoning

    Open AccessAndrew S Parsons, Charles Morris et al.ARTICLEMedical Education2026

  • Generating synthetic patient vignettes from real medical texts for the teaching of clinical reasoning

    Open AccessLigia Maria Cayres Ribeiro, Grigory Sidorenkov et al.ARTICLEMedical Teacher2026

    WHAT WAS THE EDUCATIONAL CHALLENGE?: Experience with simulated clinical cases is a relevant component in the development of clinical reasoning (CR). Generating and vetting cases that are locally relevant is, however, a complex and time-consuming process. WHAT IS THE PROPOSED SOLUTION?: We propose the use of generative artificial intelligence (AI) to create synthetic patients (SyP), in the form of narratives, based on real-world data describing pa…

  • Using neurocognitive profiles and common personality traits to predict academic success in written examination and growth trajectory in undergraduate medical education

    Ryan R Landoll, Madison F Clark et al.ARTICLEMedical Teacher2026

    Introduction A central challenge in academic remediation is identifying struggling learners prior to a major academic failure. Standardized assessments may fail to capture contributions to score more aligned with humanistic theories of learning such as motivation, psychological needs, and response to prior failure. Thus, the current study sought to understand how neurocognitive and social/personality data predict academic success and academic tra…

  • Perceptions of Key Responsibilities and Professional Development Interests of Senior Educational Leaders

    Open AccessDuane R Bidwell, Anita Samuel et al.ARTICLEAcademic Medicine2025

  • Ecological Psychology

    Open AccessJohn C Penner, Steven J Durning et al.ARTICLEAcademic Medicine2025

    Effective mentoring can help individuals navigate the complex, dynamic environment of academic medicine as they work to develop meaningful and fulfilling careers. Despite robust research into the characteristics of effective mentoring relationships and successful mentoring programs, resources that support mentors and mentees in engaging in career development in academic medicine are limited. Ecological psychology, a theory focusing on how the dyn…

  • Curriculum Research Solutions

    Donald A Cook, Karen E Hauer et al.ARTICLEAcademic Medicine2025

    Health professions educators frequently seek to study their curriculum (e.g., a new or revised curriculum for a degree-granting program, a component of that curriculum, or a stand-alone course). Despite local enthusiasm, curriculum-focused studies are often hard to publish and have been repeatedly discouraged. Yet, few authors have proposed practical solutions. The purpose of this article is to articulate common problems with curriculum research …

  • A Scalable Advising Model for Part-Time, Distant Learners in Graduate Health Professions Education Programs

    Open AccessHolly S Meyer, Annie Wildermuth et al.ARTICLEAcademic Medicine2025

  • Variability and gaps in teamwork assessment tools for health care teams in health professions education

    Open AccessJustin J Choi, S Schreurs et al.ARTICLEMedical Education2025

  • Assessment of management reasoning

    Donald A Cook, Steven J Durning et al.ARTICLEMedical Teacher2025

    PURPOSE: Management reasoning is a distinct subset of clinical reasoning. We sought to explore features to be considered when designing assessments of management reasoning. METHODS: This is a hybrid empirical research study, narrative review, and expert perspective. In 2021, we reviewed and discussed 10 videos of simulated (staged) physician-patient encounters, actively seeking actions that offered insights into assessment of management reasoning…

  • Beyond thinking fast and slow

    Andrew S Parsons, Thilan P Wijesekera et al.ARTICLEMedical Teacher2025

    From dual process to a family of theories known collectively as situativity, both micro and macro theories of cognition inform our current understanding of clinical reasoning (CR) and error. CR is a complex process that occurs in a complex environment, and a nuanced, expansive, integrated model of these theories is necessary to fully understand how CR is performed in the present day and in the future. In this perspective, we present these individ…

  • Fellows and medical students as tutors

    Binbin Zheng, Joseph M Maciuba et al.ARTICLEMedical Teacher2025

    BACKGROUNDS: Clinical reasoning (CR) is a foundational ability for medical students, requiring the integration of analytical and non-analytical (intuitive) approaches. While expert performing clinicians often struggle to articulate their CR, near-peer teaching (NPT) offers a promising approach to facilitate CR development. This study explores how NPT supports beginning medical students in learning CR through small group discussions. METHODS: This…

  • Socioecological drivers of burnout – a mixed methods study of military health providers

    Open AccessBolanle Olapeju, Ting Dong et al.ARTICLEFrontiers in Public Health2024

    Introduction: Health provider burnout is highly prevalent (28-51%) in the US and may contribute to a projected national health provider shortage by 2030. The Socioecological Model (SEM) is a proven conceptual framework used to identify influencing factors and design relevant solutions to improve health outcomes across multiple ecological levels. This study applied the SEM to identify modifiable drivers and solutions of burnout across multiple lev…

  • In Search of a “Metric System” for Measuring Faculty Effort

    Open AccessLauren A Maggio, Joseph A Costello et al.ARTICLEAcademic Medicine2024

  • The dynamics of self‐monitoring in medicine

    Open AccessW Rainey Johnson, Steven J Durning et al.ARTICLEMedical Education2024

    MedEdDoc et al. delve into how the concepts of 'safety' and 'efficiency' in self‐monitoring can be used to influence clinical practice and #MedEd

  • Physicians have feelings

    Open AccessThomas Bertagnoli, Steven J Durning et al.ARTICLEMedical Education Online2024

    The complex interaction between clinical reasoning themes, emotional valence, and changes with contextual factors have important implications for clinical practice, education, and future research on CR

  • What is metacognitive reflection? The moderating role of metacognition on emotional regulation and reflection

    Open AccessJerusalem Merkebu, Anastasia Kitsantas et al.ARTICLEFrontiers in Education2023

    Introduction This paper explores the trilateral relationship among metacognition, emotional regulation, and reflection under the integrative framework of metacognitive reflection. Methods Data were gathered from undergraduate participants at a large state university on the East Coast ( N = 493). The quantitative data were derived from: the Metacognitive Awareness Inventory (MAI), the Self-Reflection and Insight Scale (SR-IS), and the Cognitive Re…

  • Does Masking MCAT Scores During Admissions Increase Equity

    Open AccessMichael J Arnold, Ting Dong et al.ARTICLEAcademic Medicine2023

  • Management Reasoning

    Open AccessDonald A Cook, Christopher R Stephenson et al.ARTICLEAcademic Medicine2023

  • A scoping review of self‐monitoring in graduate medical education

    Open AccessW Rainey Johnson, Steven J Durning et al.ARTICLEMedical Education2023

  • Management reasoning and patient-clinician interactions

    Donald A Cook, Ian Hargraves et al.ARTICLEMedical Teacher2023

    PURPOSE: To expand understanding of patient-clinician interactions in management reasoning. METHODS: We reviewed 10 videos of simulated patient-clinician encounters to identify instances of problematic and successful communication, then reviewed the videos again through the lens of two models of shared decision-making (SDM): an 'involvement-focused' model and a 'problem-focused' model. Using constant comparative qualitative analysis we explored t…

  • Distributed cognition

    James G Boyle, Matthew R Walters et al.ARTICLEMedical Teacher2023

    Distributed cognition (DCog) is a member of the family of situativity theories that widens the lens of cognition from occurring solely inside the head to being socially, materially and temporally distributed within a dynamic system. The concept of extending the view of cognition to outside the head of a single health professional is relatively new in the healthcare system. DCog has been increasingly used by researchers to describe many ways in wh…

  • Using the think aloud protocol in health professions education

    W Rainey Johnson, Anthony R Artino et al.ARTICLEMedical Teacher2023

    The think aloud protocol (TAP) has two components, the think aloud interview, a technique for verbal data collection, and protocol analysis, a technique for predicting and analyzing verbal data. TAP is a useful method for those attempting to observe, explore, and understand individuals' thoughts, which remain among the most difficult research areas in health professions education. Notably, the long, complex history and heterogeneous implementatio…

  • The pursuit of fairness in assessment

    Nyoli Valentine, Steven J Durning et al.ARTICLEMedical Teacher2022

    Health professions education has undergone significant changes over the last few decades, including the rise of competency-based medical education, a shift to authentic workplace-based assessments, and increased emphasis on programmes of assessment. Despite these changes, there is still a commonly held assumption that objectivity always leads to and is the only way to achieve fairness in assessment. However, there are well-documented limitations …