Transfer of Learning and the Pervasiveness of Context: Overcoming the Effect of Context During Debriefing
Throughout my career as a
simulation educator, I noticed that students would often return to the
simulation center to go through a case that was very similar to previous cases
they’d managed, whether or not they’d successfully managed the previous cases.
Yet, despite our best efforts at providing feedback through quality debriefing,
they could not apply the previously acquired knowledge and skills into this
new, similar situation (i.e., transfer of
learning would not occur). This is a constant finding in the cognitive
psychology and transfer literature.1–3
We looked at this literature to come up with the CDR (cont...
Source: Academic Medicine Blog - March 19, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective debriefing learners teaching Source Type: blogs
Beyond Facilitating Communication: The Value of Designated Interpreters
A few months ago, my sign language interpreter tapped me on the shoulder. “Your colleague is giving a newcomer a tour. They’re talking about where she can find tea in the building.” Tea! Glorious Earl Greys and calming fruit herbals! I rose to say hello and, not only did I learn about an important (and free) source of caffeine, but I also bonded with my colleagues.
As a physician with hearing loss, I firmly believe in the designated interpreter (DI) model described by Wyatte Hall and colleagues in their recent Academic Medicine article. Dr. Hall and I both would be lesser clinicians without our DIs, not because th...
Source: Academic Medicine Blog - March 12, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective deaf physicians designated interpreter health care teams inclusion medical education Source Type: blogs
Book Review: Continuing Professional Development in Medicine and Health Care: Better Education, Better Patient Outcomes
The
imperative that physicians and all health care professionals must engage in
lifelong learning to remain professionally competent has been a recurring theme
for decades. The default has been to rely on lectures, the traditional continuing
medical education (CME) format, and journals to convey needed information. Now
it is recognized that the pace of change—as reflected by estimates of the
doubling time of medical knowledge, which have decreased from 7 years in 1982,
to 3.5 years in 2010, and is projected to be 73 days in 20201—has
accentuated the difficulties of remaining competent, let alone current, and the
delete...
Source: Academic Medicine Blog - March 5, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective book review continuing medical education continuing professional development Maintenance of Certification Source Type: blogs
Reflexivity: Tips for Cultivating the Mind of an Anthropologist
In this study, my co-authors and I sought to explore resident and faculty perspectives on how institutional culture influences the impact of feedback, feedback seeking, and receptivity (About politeness…). Often, I learn more from the research process than the results.
Setting
the scene: Based
on previous research, we believed that our participants would perceive
institutional culture as a major influence on all aspects of feedback. The
first step was to acknowledge these beliefs and revisit them as we collected,
analyzed, and interpreted data. We jotted down our opinions about feedback
culture in a journal and ensure...
Source: Academic Medicine Blog - February 19, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective qualitative research scholarly publishing Source Type: blogs
To Pull Back the Curtain on Shame in Medical Education, I Had to Start With Myself
The moment I made the error—an unfathomable vaginal laceration caused by my hands during the vacuum-assisted delivery—it felt as if a massive floodlight, centered right over my head, descended on me. All eyes in the room, aghast at my error and its outcome, bore straight through me. A rush of anxiety and fear flushed down my body, and I felt an overwhelming urge to disappear. So, I did. I slipped out quietly and eventually hid myself on other side of the labor and delivery unit, in a corner of a room, on the floor, behind a chair.
That’s when the really painful feelings hit me.
With an acute, dizzying sense of disori...
Source: Academic Medicine Blog - February 5, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical students residents shame Source Type: blogs
Meet the Academic Medicine Editorial Board: What experience has had the biggest impact on your career?
We asked the members of the Academic Medicine editorial board about the experience that has had the biggest impact on their career. This is what they said.
Colin P. West, MD, PhD, Mayo Clinic
I don’t know that I can pick out one single experience. Instead, I think the general principle that has served me well is to ensure that every project I work on offers intentional value: I am passionate about it directly, or it is a conduit to other projects I care about deeply, or I will gain a new skill set by participating.
John P. Sánchez, MD, MPH, Rutgers New Jersey Medical School
The one experience that had the biggest impac...
Source: Academic Medicine Blog - January 22, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Editorial Board Q & A Featured CPD curriculum international medical education MedEdPORTAL mentoring narrative medicine professional development research teaching Source Type: blogs
Creating Family-Friendly Learning Environments: Parental Leave and Other Policies in GME
Joining editor-in-chief David Sklar and senior staff editor Toni Gallo (@AcadMedJournal) to discuss their personal experiences with parental leave and other policies that can help create more family-friendly training environments for physicians are recent and current residents Ariel Sklar, Alli Webb, and Michael Maguire. Guests also discuss the graduate medical education learning environment and the implications of these issues for trainees and their institutions.
This episode is now available through iTunes, the Apple Podcast app, and SoundCloud.
Read more about this topic, including the report by Blair and colleagues and...
Source: Academic Medicine Blog - January 15, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Trainee Perspective GME learning environment medical education parental leave residency Source Type: blogs
Patients Are People to Be Helped, Not Conditions to Be Treated
When I was trying to figure out where to attend medical school, someone I sought advice from told me, “Almost nobody asks where I did my medical school training. I could have almost done the first two years in the library by myself!” It distressed me that I could, in theory, attend a top school and still spend half of my time there studying in a library.
Dell Medical School at the University of Texas at Austin, described in a recent Commentary for Academic Medicine, had a different value proposition. The school purposefully structured the curriculum so that I couldn’t be stuck in a library for the first two years of ...
Source: Academic Medicine Blog - January 10, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective bedside manner medical education patient care physician-patient relationship Source Type: blogs
The Implications of Physicians ’ Late-Career Transitions and Retirement Decisions
How do we think about the entirety of a physician’s career? Discussing the individual, institutional, and workforce implications of physicians’ late-career transitions and retirement decisions in this new episode of the Academic Medicine Podcast are editor-in-chief David Sklar, senior staff editor Toni Gallo (@AcadMedJournal), and authors Karen Leslie, MD, MEd (@karenraven) and Joanna Cain, MD.
This episode is now available through iTunes, the Apple Podcast app, and SoundCloud.
Read more about this topic, including Dr. Leslie’s article and Dr. Cain’s article which were discussed in this episode, at ...
Source: Academic Medicine Blog - December 18, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective career development continuing professional development faculty development late-career transitions retirement workforce Source Type: blogs
Author Reading: n = 1
“I did not want to take for granted relationships with my loved ones—a girlfriend, a friend, a family member, a patient. For them I needed to create a new perspective, one where n = 1 and where the one in front of me matters most.”
Physician Adam Weiner reflects on balancing time spent on work and time spent with those he loves.
This new episode of our podcast is now available through iTunes, the Apple Podcast app, and SoundCloud. Adam’s essay was published in the Teaching and Learning Moments column in the December issue of Academic Medicine.
Further Reading
Weiner AB. n = 1. Acad Med. 2018;93:1820. (S...
Source: Academic Medicine Blog - December 13, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Trainee Perspective medical education research residency teaching and learning moments work-life balance Source Type: blogs
Self-Proctored and Self-Developed: How a Flexible Preclinical Medical School Curriculum Enables Personal and Professional Development
“Did you drop out of school without telling us?” my dad asked with a chuckle. Throughout my preclinical years at the University of Michigan Medical School, we enjoyed this running joke because I rarely attended lectures and was often out of town on weekends visiting loved ones instead of studying in the library.
Contrary to my dad’s suspicions, I successfully completed my preclinical requirements with a strong foundation of medical knowledge. I did not achieve this with a photographic memory, but rather with the support of my school’s unique preclinical curriculum that offered on-demand lecture video streaming and ...
Source: Academic Medicine Blog - December 11, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective flexible testing medical students professional identity professionalism unproctored testing Source Type: blogs
What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the December Issue
The December issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org. Highlights from the issue include:
San Juan Bautista School of Medicine’s Experience in the Aftermath of Hurricane Maria
Brugal and Pérez discuss San Juan Bautista School of Medicine’s actions and lessons learned in the aftermath of Hurricane Maria hitting Puerto Rico in 2017.
Going Up? Tips for the Medical Educator’s “Elevator Pitch”
Dzara and Kesselheim provide tips for developing an effective professional mission statement to help facilitate ca...
Source: Academic Medicine Blog - December 4, 2018 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview empathy faculty development medical education medical student wellness medical students professionalism social determinants of health Source Type: blogs
Author Reading: Snapback
“He was hesitant, but truths spoken truthfully can make a world of difference between not-so-different strangers. And he liked that my subjects and verbs did not match, that my r’s rolled, and that my s’s turned into lisps. This part—this sound—was familiar to him.”
Physician Claudia Miranda reflects on an encounter with a patient who reminded her of her childhood, who reminded her of the connection between patients and doctors and the many ways they can be linked together.
This new episode of our podcast is now available through iTunes, the Apple Podcast app, and SoundCloud. Claudia Miranda’s essay w...
Source: Academic Medicine Blog - November 27, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective cultural humility doctor-patient relationship language patient care Source Type: blogs
Redesigning Residency for Connection and Resilience
Editor’s Note: For more on the topic of social connection and burnout, please see this Academic Medicine article. For even more on burnout, be sure to check out this collection.
Meaningful connections matter. Meaningful connections are those relationships that nourish us, that make us feel the opposite of anonymous—from a patient’s smile, to a shared laugh with a co-resident, to an attending’s pat on the back. On a day-to-day level, these connections with the people around us sustain us, make us resilient, and prevent burnout.
Having recently completed internal medicine residency, I can attest that medical training...
Source: Academic Medicine Blog - November 20, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective burnout medical education medical student wellness residency residents Source Type: blogs
Author Reading: Lorraine
“I traced in my mind our timeline of visits every other month, as I got to know Lorraine and the rest of her family. We celebrated many triumphs and mourned countless setbacks together, relating to her health and to her kids.”
Physician Emily Gordon reflects on her memories of one patient, Lorraine, who taught her about the role that family plays in healing and in health.
This new episode of our podcast is now available through iTunes, the Apple Podcast app, and SoundCloud. Emily Gordon’s essay was published in the Teaching and Learning Moments column in the November issue of Academic Medicine.
Further Re...
Source: Academic Medicine Blog - November 15, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective bedside learning doctor-patient relationship family patient care Source Type: blogs
