Learning clinical skills: an ecological perspective
AbstractThe pedagogy underpinning clinical psychology training is often reliant upon the acquisition and transmission of knowledge and the practice of skills. The dominant paradigm in the training of clinical psychologists emphasises competence-based training drawing upon a scientist practitioner model of practice, often underpinned by knowledge of evidence-based interventions. Little has changed over the past 40  years. Training is predicated upon the assumption that effective therapy is attributed to the therapist’s skills to implement specific therapeutic processes and her or his capacity to form an effective working...
Source: Advances in Health Sciences Education - June 24, 2022 Category: Universities & Medical Training Source Type: research

When and how teachers intervene in group discussions on experiences from practice in postgraduate medical education: an interactional analysis
AbstractMedical educators constantly make decisions on when and how to intervene. Current literature provides general suggestions about types of teacher interventions. Our study aims to specify that knowledge by describing in detail the actions teachers do when intervening, the interactional consequences of those actions, and how these relate to teacher roles in group discussions. We collected all first teacher interventions (n  = 142) in 41 videorecorded group discussions on experiences from practice at the Dutch postgraduate training for General Practice. We analyzed the interventions using Conversation Analysis. Fir...
Source: Advances in Health Sciences Education - June 20, 2022 Category: Universities & Medical Training Source Type: research

“Important but risky”: attitudes of global thought leaders towards cost and value research in health professions education
This study contributes to a wider conversation in the literature about cost and value research by bringing in the views of global HPE thought leaders. Our findings provide insight to inform how best to engage and empower educators and researchers in the processes of asking and answering meaningful, acce ptable and relevant cost and value questions in HPE. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - June 16, 2022 Category: Universities & Medical Training Source Type: research

Threshold concepts in health professions education research: a scoping review
AbstractThreshold concepts (TCs) are increasingly used in health professions education (HPE) research. TCs are claimed to be conceptual gateways which are often traversed with substantial difficulty.  In this paper, we report on a scoping review investigating the following research question: What is the scope and nature of the currently available research on threshold concepts in health professions education literature? We employed Arksey and O’Malley’s model for scoping reviews. A search for literature on TCs in HPE research between 2003 and 2020 yielded 999 records of which 59 were included in the review. The data ...
Source: Advances in Health Sciences Education - June 16, 2022 Category: Universities & Medical Training Source Type: research

The implementation of interprofessional education: a scoping review
ConclusionLack of complete detailed reporting limits evidence of IPE implementation, however, this review highlighted challenges and yielded key lessons to guide faculty in the implementation of IPE. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - June 10, 2022 Category: Universities & Medical Training Source Type: research

A state-of-the-art review of speaking up in healthcare
AbstractThroughout healthcare, including education, the need for voicing of concern by speaking up is a globally recognized issue that has come to the fore in the last ten years. There has been a rapid growth in the number of review articles on the topic. To prevent diffusion of knowledge and support future research it is necessary to gather the existing knowledge in a single place. The purpose of the present article is to bring together the existing reviews on speaking up to create a source of unified knowledge representing the current"State of the Art" to advance future research and practice. A State-of-the-Art...
Source: Advances in Health Sciences Education - June 6, 2022 Category: Universities & Medical Training Source Type: research

The relationship between school burnout, sense of school belonging and academic achievement in preclinical medical students
AbstractThe purpose of the study was to evaluate the relationship between school burnout, sense of school belonging, and academic achievement in medical students. This cross-sectional study was performed with students at the Ondokuz May ıs University Medical Faculty (Samsun, Turkey) between 1 and 31 May 2019. Six hundred one (71.0%) first, second, and third-year students were included in the study. A questionnaire was employed as the data collection method. The questionnaire consisted of two parts. The first part consisted of ques tions investigating sociodemographic information produced by the authors by scanning the lit...
Source: Advances in Health Sciences Education - June 1, 2022 Category: Universities & Medical Training Source Type: research

From distress to detachment: exploring how providing care for stigmatized patients influences the moral development of medical trainees
AbstractIn acute hospital settings, medical trainees are often confronted with moral challenges and negative emotions when caring for complex and structurally vulnerable patients. These challenges may influence the long term moral development of medical trainees and have significant implications for future clinical practice. Despite the importance of moral development to medical education, the topic is still relatively under-explored. To gain a deeper understanding of moral development in trainees, we conducted a qualitative exploration of how caring for a stigmatized population influences their moral development. Data wer...
Source: Advances in Health Sciences Education - May 29, 2022 Category: Universities & Medical Training Source Type: research

Stakeholders ’ perception on the implementation of Developmental Progress Assessment: using the Theoretical Domains Framework to document behavioral determinants
ConclusionGoing forward, we could develop and implement tailored and theory driven interventions to promote a shared understanding of LA, and maintain potential positive outcomes while reducing negative ones. Furthermore, ressources to support LA implementation need to be addressed to facilitate its uptake. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - May 27, 2022 Category: Universities & Medical Training Source Type: research

Assessing the validity of test scores using response process data from an eye-tracking study: a new approach
This study proposes a new method for evaluating alternative score interpretations by using eye-tracking data and machine learning. We collect eye-tracking data from 26 students responding to clinical MCQs. Analysis is performed by providing 119 eye-tracking fea tures as input for a machine-learning model aiming to classify correct and incorrect responses. The predictive power of various combinations of features within the model is evaluated to understand how different feature interactions contribute to the predictions. The emerging eye-movement patterns in dicate that incorrect responses are associated with working from th...
Source: Advances in Health Sciences Education - May 5, 2022 Category: Universities & Medical Training Source Type: research

Examining the validity argument for the Ottawa Surgical Competency Operating Room Evaluation (OSCORE): a systematic review and narrative synthesis
AbstractThe Ottawa Surgical Competency Operating Room Evaluation (OSCORE) is an assessment tool that has gained prominence in postgraduate competency-based training programs. We undertook a systematic review and narrative synthesis to articulate the underlying validity argument in support of this tool. Although originally developed to assess readiness for independent performance of a procedure, contemporary implementation includes using the OSCORE for entrustment supervision decisions. We used systematic review methodology to search, identify, appraise and abstract relevant articles from 2005 to September 2020, across MEDL...
Source: Advances in Health Sciences Education - May 5, 2022 Category: Universities & Medical Training Source Type: research

Comparison of two different mindfulness interventions among health care students in Finland: a randomised controlled trial
AbstractWe investigated the short- and long-term effects of two different evidence-based mindfulness training on students ’ stress and well-being. A randomised controlled trial with three measurement points (baseline, post-intervention, and 4 months post-intervention) was conducted among undergraduate students of medicine, dentistry, psychology, and logopaedics at the University of Helsinki. The participants were ra ndomly assigned into three groups: (1) face-to-face mindfulness training based on the Mindfulness Skills for Students course (n = 40), (2) a web-based Student Compass program using Mindfulness and Accept...
Source: Advances in Health Sciences Education - May 3, 2022 Category: Universities & Medical Training Source Type: research

Extending growth curves: a trajectory monitoring approach to identification and interventions in struggling medical student learners
AbstractGiven gaps in both identifying and providing targeted interventions to struggling learners, the purpose of this study is to both improve rapid identification and to improve individualized academic advising for learners using this visual representation of performance. Across three graduating classes, individual growth curves were calculated for each student on National Board of Medical Examiners customized assessments during the pre-clerkship period using their deviation from the class average at each assessment point. These deviation scores were cumulatively summed over time and were regressed onto the sequence of ...
Source: Advances in Health Sciences Education - April 25, 2022 Category: Universities & Medical Training Source Type: research

Exploring professional identity in rehabilitation professions: a scoping review
The objective was to determine the extent, range and nature of the literature on professional identity/professional identity formation in rehabilitation professionals. Findings from the scoping review based on Arksey and O ’Malley’s methodological framework are presented. A search was conducted on MEDLINE (Ovid), Embase (Ovid), AMED, CINAHL, and ProQuest Dissertations and Theses from 1996 to October 2020 for empirical and conceptual studies on OT, PT, and S-LP clinicians or students. Of 4983 retrieved records, 53 papers were selected for data extraction. Data were organised into themes for professional identity/profess...
Source: Advances in Health Sciences Education - April 25, 2022 Category: Universities & Medical Training Source Type: research

What role does basic research have in an applied field?
AbstractResearch in health professions education has often been portrayed as an applied field, one that draws on more basic forms of research in pursuing what are primarily practical ends. While there is an undeniable practical side to much of the work published in our field, and in this Journal in particular, this can be problematic when the necessary basic research is not extant. In this editorial, two of this Journal ’s editors consider some of the challenges in bridging these basic research gaps in an erstwhile applied field, and the implications for the kinds of research we undertake and for the identity of the fiel...
Source: Advances in Health Sciences Education - April 25, 2022 Category: Universities & Medical Training Source Type: research