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“Come and share your story and make everyone cry”: complicating service user educator storytelling in mental health professional education
AbstractIt has become relatively common practice within health professional education to invite people who have used mental health and social care services (orservice user educators) to share their stories with health professional learners and students. This paper reports on findings from a postcritical ethnographic study of the practice of service user involvement (SUI), in which we reflexively inquired into conceptualizations of service user educators ’ knowledge contributions to health professional education in the accounts of both service user- and health professional educators. This research was conducted in respons...
Source: Advances in Health Sciences Education - September 8, 2022 Category: Universities & Medical Training Source Type: research

Exploring the relationships between first impressions and MMI ratings: a pilot study
AbstractThe phenomenon of first impression is well researched in social psychology, but less so in the study of OSCEs and the multiple mini interview (MMI). To explore its bearing on the MMI method we included a rating of first impression in the MMI for student selection executed 2012 at the University Medical Center Hamburg-Eppendorf, Germany (196 applicants, 26 pairs of raters) and analyzed how it was related to MMI performance ratings made by (a) the same rater, and (b) a different rater. First impression was assessed immediately after an applicant entered the test room. Each MMI-task took 5  min and was rated subseque...
Source: Advances in Health Sciences Education - September 2, 2022 Category: Universities & Medical Training Source Type: research

Study smart – impact of a learning strategy training on students’ study behavior and academic performance
AbstractRecent research shows the importance to teach students the self-regulated use of effective learning strategies at university. However, the effects of such training programs on students ’ metacognitive knowledge, use of learning strategies, and academic performance in the longer term are unknown. In the present study, all first-year pharmacology students from one university attended a learning strategy training program, i.e., the ‘Study Smart program’, in their first weeks. T he 20% (n = 25) lowest scoring students on the first midterm received further support regarding their learning strategies. Results s...
Source: Advances in Health Sciences Education - August 23, 2022 Category: Universities & Medical Training Source Type: research

“A whole other competence story”: exploring faculty perspectives on the process of workplace-based assessment of entrustable professional activities
AbstractThe centrality of entrustable professional activities (EPAs) in competency-based medical education (CBME) is predicated on the assumption that low-stakes, high-frequency workplace-based assessments used in a programmatic approach will result in accurate and defensible judgments of competence. While there have been conversations in the literature regarding the potential of this approach, only recently has the conversation begun to explore the actual experiences of clinical faculty in this process. The purpose of this qualitative study was to explore the process of EPA assessment for faculty in everyday practice.  W...
Source: Advances in Health Sciences Education - August 23, 2022 Category: Universities & Medical Training Source Type: research

Negotiating humanity: an ethnography of cadaver-based simulation
We describe how medical educators involved in CBS have developed a skillset specific to their role: negotiating humanity. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - August 22, 2022 Category: Universities & Medical Training Source Type: research

Placement educators ’ perspectives of international social work students’ sociopragmatic communication skills
AbstractInternational students who speak English as an additional language report experiencing communication issues while completing their studies and work-integrated learning placements in a range of Anglophone countries, including Canada, the United Kingdom, the United States of America and Australia. To address this issue, accreditation and registration bodies for a number of health professions, such as social work and nursing, have advocated for increasing the test score requirements for university English language entry. However, from a sociolinguistic perspective, decisions concerning ways to address communication ch...
Source: Advances in Health Sciences Education - August 18, 2022 Category: Universities & Medical Training Source Type: research

Health occupations salary outcomes: intersections of student race, gender, and first-generation status
This study used the National Science Foundation ’s National Survey of College Graduates dataset to capture data across time, examining the intersectionality of race, gender, and first-generation status on the salary outcomes of students who earn degrees related to health occupations. Results indicate that the intersecting identities of students who earn a bachelor’s degree or higher in the health professions impact salary outcomes. Results of this study have implications for higher education policies that can impact increased diversity in the health occupations workforce pipeline. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - August 18, 2022 Category: Universities & Medical Training Source Type: research

Reconstructing the concept of empathy: an analysis of Japanese doctors ’ narratives of their experiences with illness
AbstractThe ability of doctors to empathise with patients is a crucial concern in establishing humanistic medicine. Therefore, the cultivation of this ability has been discussed extensively in medical education. One theory suggests that the experience of patienthood can increase empathy among doctors. This theory is supported by previous research that published doctors ’ illness narratives. However, the concept of empathy has been ambiguously defined in academic fields, including medicine; therefore, analysing how doctors experience ‘empathy’ in their interactions with patients is difficult. Our research question is ...
Source: Advances in Health Sciences Education - August 11, 2022 Category: Universities & Medical Training Source Type: research

Understanding students ’ participation in physiotherapy and nursing work settings
AbstractStudents ’ health profession education includes learning at the workplace through placements. For students, participating in daily work activities in interaction with supervisors, co-workers and peers is a valuable practice to learn the expertise that is needed to become a health care professional. To cont ribute to the understanding of HPE-students’ workplace learning, the focus of this study is to identify affordances and characterise student’s participation during placements. We applied a research design based on observations. Three student-physiotherapists and four student-nurses were shadowed during two ...
Source: Advances in Health Sciences Education - August 9, 2022 Category: Universities & Medical Training Source Type: research

Making space to learn about teaching: expanding teaching horizons through postgraduate education
AbstractClinicians develop as teachers via many activities, from on-the-job training to formal academic programmes. Yet, understanding how clinicians develop the sensibilities of an educator and an appreciation of the complexity of educational environments is challenging. Studies of teacher development have maintained a relatively narrow definition of educational practice. A more expansive view encompasses clinical teachers ’ roles in relation to elements beyond learners or content, such as the cultures and other structures of healthcare institutions. In our online Postgraduate Certificate in Clinical Education, space an...
Source: Advances in Health Sciences Education - August 9, 2022 Category: Universities & Medical Training Source Type: research

Does a deep learning inventory predict knowledge transfer? Linking student perceptions to transfer outcomes
AbstractStudents are often encouraged to learn ‘deeply’ by abstracting generalizable principles from course content rather than memorizing details. So widespread is this perspective that Likert-style inventories are now routinely administered to students to quantify how much a given course or curriculum evokes deep learning. The predictive v alidity of these inventories, however, has been criticized based on sparse empirical support and ambiguity in what specific outcome measures indicate whether deep learning has occurred. Here we further tested the predictive validity of a prevalent deep learning inventory, the Revis...
Source: Advances in Health Sciences Education - August 9, 2022 Category: Universities & Medical Training Source Type: research

Using cultural historical activity theory to reflect on the sociocultural complexities in OSCE examiners ’ judgements
This study applies cultural historical activity theory (CHAT) to address this gap in exploring examiners’ judgements in a high-stakes OSCE. Based on the idea that OSCE examiners’ judgements are socially constructed and mediated by their clinical roles, the objective was to explore the sociocultural factors that influenced examiners’ judgements of student competence and use the findings to inform ex aminer training to enhance assessment practice. Seventeen semi-structured interviews were conducted with examiners who assessed medical student competence in progressing to the next stage of training in a large-scale OSCE ...
Source: Advances in Health Sciences Education - August 9, 2022 Category: Universities & Medical Training Source Type: research

Improving procedural skills acquisition of students during medical device training: experiments on e-Learning vs. e-Learning with hands-on
AbstractIn the context of medical device training, e-Learning can address problems like unstandardized content and different learning paces. However, staff and students value hands-on activities during medical device training. In a blended learning approach, we examined whether using a syringe pump while conducting an e-Learning program improves the procedural skills needed to operate the pump compared to using the e-Learning program only. In two experiments, the e-Learning only group learned using only the e-Learning program. The e-Learning  + hands-on group was instructed to use a syringe pump during the e-Learning t...
Source: Advances in Health Sciences Education - August 7, 2022 Category: Universities & Medical Training Source Type: research

The quest for normality
AbstractIn this editorial, the editor reflects on what ‘going back to normal’ means in the context of health professions education, and she suggests that pursuing normality may not be the best goal or outcome for health professions educators, learners, or researchers. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - August 1, 2022 Category: Universities & Medical Training Source Type: research

Learning deliberate reflection in medical diagnosis: does learning-by-teaching help?
AbstractDeliberate reflection has been found to foster diagnostic accuracy on complex cases or under circumstances that tend to induce cognitive bias. However, it is unclear whether the procedure can also be learned and thereby autonomously applied when diagnosing future cases without instructions to reflect. We investigated whether general practice residents would learn the deliberate reflection procedure through ‘learning-by-teaching’ and apply it to diagnose new cases. The study was a two-phase experiment. In the learning phase, 56 general-practice residents were randomly assigned to one of two conditions. They eith...
Source: Advances in Health Sciences Education - August 1, 2022 Category: Universities & Medical Training Source Type: research