Informal and Incidental Learning in the Clinical Learning Environment: Learning Through Complexity and Uncertainty During COVID-19
In the time of the COVID-19 pandemic, where clinical environments are plagued by both uncertainty and complexity, the importance of the informal and social aspects of learning among health care teams cannot be exaggerated. While there have been attempts to better understand the nuances of informal learning in the clinical environment through descriptions of the tacit or hidden curriculum, incidental learning in medical education has only been partially captured in the research. Understood through concepts borrowed from the Cynefin conceptual framework for sensemaking, the early stages of the pandemic immersed clinical team...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research
Will Any Road Get You There? Examining Warranted and Unwarranted Variation in Medical Education
Undergraduate and graduate medical education have long embraced uniqueness and variability in curricular and assessment approaches. Some of this variability is justified (warranted or necessary variation), but a substantial portion represents unwarranted variation. A primary tenet of outcomes-based medical education is ensuring that all learners acquire essential competencies to be publicly accountable to meet societal needs. Unwarranted variation in curricular and assessment practices contributes to suboptimal and variable educational outcomes and, by extension, risks graduates delivering suboptimal health care quality. M...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research
No Taxation Without Representation: Addressing the “Deaf Tax” in Academic Medicine
Minority faculty and trainees experience unique factors that can hinder their success in academic medicine—collectively referred to as “minority tax.” The authors argue that a similar “deaf tax” of unique barriers, experiences, and responsibilities disproportionately burdens deaf trainees and faculty. The cumulative effects of these deaf tax experiences represent a significant disadvantage for deaf professionals in academic medicine. Through a combination of relevant literature and the authors’ personal experiences as deaf professionals, several causative domains of deaf tax are outlined, including the fight fo...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research
Nephrotic Nightmares
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research
Mental Health Disclosure Questions on Medical Licensure Applications: Implications for Medical Students, Residents, and Physicians
Medical trainees and physicians experience high rates of depression, anxiety, suicidal ideation, and burnout. The stigma surrounding mental health may deter help-seeking behaviors and increase informal treatment to maintain anonymity. Invasive health history questions on state medical licensure applications regarding mental health diagnoses and treatment likely increase stigma, reduce help-seeking, and consequently may motivate some applicants to report an inaccurate history to the state medical board. Research on physician mental health, suicide rates, and lack of help-seeking have led to recommendations for changes to li...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Scholarly Perspectives Source Type: research
The Powers of a Fish: Clinical Thinking, Humanistic Thinking, and Different Ways of Knowing
How are ways of knowing similar between clinical reasoning and the humanities, and can the latter be used to elucidate the former? This commentary considers a conceptual model proposed by Prince and colleagues in this issue to explore the different ways of knowing in art and medicine. Their proposed model links 2 approaches to clinical reasoning with an analytic approach said to be characteristic of the humanities—visual thinking strategies (VTS)—to teach skills in clinical reasoning. They suggest that the VTS approach aligns well with the 2 clinical reasoning approaches and use this relationship to argue for the intro...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research
Academic Medical Centers and the U.S. Department of Veterans Affairs: A 75-Year Partnership Influences Medical Education, Scientific Discovery, and Clinical Care
The historic academic affiliation program between the U.S. Department of Veterans Affairs and academic medical centers recently marked its 75th anniversary. The partnership has dramatically influenced medical education, research, and clinical care in the United States. In commemorating the anniversary, this article highlights areas in medicine that the partnership has influenced. The authors provide examples from their own experiences of particularly effective collaborations and describe some of the limitations they have encountered. Looking toward the future, they highlight other areas in which collaboration may be partic...
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research
Medical Trainee Activism: Leading While Learning
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Student-Nominated Awards Recognizing Attendings’ Desirable Behaviors
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Developing a Formal Pathway for Clinician–Educator Training in Residency
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Design Thinking in Undergraduate Medical Education: Student-Driven Change Applied to Value in Medicine
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Instilling a Mindset of High-Value Care in Medical Students During Clinical Rotations
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Restructuring Interprofessional Education: A Student-Driven Strategic Plan
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
A Call for Climate Justice in Medical Curricula
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
Preparing the Next Generation of Health Professionals to Tackle Climate Change
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - August 1, 2022 Category: Universities & Medical Training Tags: Trainee-Authored Letters to the Editor Source Type: research
