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Transgender health content in medical education: a theory-guided systematic review of current training practices and implementation barriers & amp; facilitators
AbstractHealth disparities faced by transgender people are partly explained by barriers to trans-inclusive healthcare, which in turn are linked to a lack of transgender health education in medical school curricula. We carried out a theory-driven systematic review with the aim to (1) provide an overview of key characteristics of training initiatives and pedagogical features, and (2) analyze barriers and facilitators to implementing this training in medical education. We used queer theory to contextualize our findings. We searched the PubMed/Ovid MEDLINE database (October 2009 to December 2021) for original studies that repo...
Source: Advances in Health Sciences Education - April 12, 2022 Category: Universities & Medical Training Source Type: research

Beyond empathy decline: Do the barriers to compassion change across medical training?
Conclusions: In extending studies of empathy decline, this report suggests that students experience higher barriers to compassion as clinical training progresses. This is in contrast to existing studies contrasting physicians with medical students, where greater experience was associated with lower perceived barriers to compassion. Self-compassion may offset increases in barriers to care. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - April 7, 2022 Category: Universities & Medical Training Source Type: research

Massive open online course adoption amongst newly graduated health care providers
This study sought to understand the personal and social factors associated with MOOC adoption. Participants were newly graduated occupational therapists who registered for a leadership skills development MOOC. Qualitative interviews were conducted to understand unique perspectives of participants who did and did not complete the MOOC. Data were analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Participants reported they found the MOOC content beneficial in providing a foundational framework on which to develop their leadership skills. Even though MOOC content was organized into multip...
Source: Advances in Health Sciences Education - April 7, 2022 Category: Universities & Medical Training Source Type: research

Disruption in the space –time continuum: why digital ethnography matters
AbstractThere is increasing interest in the use of ethnography as a qualitative research approach to explore, in depth, issues of culture in health professions education (HPE). Our specific focus in this article is incorporating the digital into ethnography. Digital technologies are pervasively and increasingly shaping the way we interact, behave, think, and communicate as health professions educators and learners. Understanding the contemporary culture(s) of HPE thus means paying attention to what goes on in digital spaces. In this paper, we critically consider some of the potential issues when the field of ethnography ex...
Source: Advances in Health Sciences Education - April 7, 2022 Category: Universities & Medical Training Source Type: research

Ova-looking feminist theory: a call for consideration within health professions education and research
AbstractThe role of feminist theory in health professions education is often ‘ova-looked’. Gender is one cause of healthcare inequalities within contemporary medicine. Shockingly, according to the World Health Organisation, no European member state has achieved full gender equity in regard to health outcomes. Further, contemporary curricula have not evolved to reflect th e realities of a diverse society that remains riddled with inequity. This paper outlines the history of feminist theory, and applies it to health professions education research and teaching, in order to advocate for its continued relevance within conte...
Source: Advances in Health Sciences Education - April 7, 2022 Category: Universities & Medical Training Source Type: research

“The sins of our forefathers”: reimagining research in health professions education
This article proposes that HPE researchers engage in disruptive research practices by delinking with their disciplinary training, and reimagine their role in th e research process. To accomplish this, I suggest that they engage in three strategies: attend to the research team’s composition, embrace critical theory and investigate epistemological ignorance. These strategies are nowhere close to exhaustive, and they do not extend as far as the conversation must go in reimagining our role in the research enterprise. However, in providing some initial thoughts on this topic, I hope to invite the HPE community into discussion...
Source: Advances in Health Sciences Education - April 5, 2022 Category: Universities & Medical Training Source Type: research

Presenting cases in front of patients: implications for a key medical education genre
AbstractCase presentations have been researched as both an important form of intra/inter-professional communication, where a patient ’s clinical information is shared among health professionals involved in their care, and an equally key discursive tool in education, where learners independently assess a patient and present the case to their preceptor and/or care team. But what happens to the case presentation, a genre that gove rns physician (and learner) talk about patients, when it is used in patients’ presence? While they were commonly used at the bedside in the past, case presentations today are more commonly perfo...
Source: Advances in Health Sciences Education - April 2, 2022 Category: Universities & Medical Training Source Type: research

Intersectionality: a means for centering power and oppression in research
AbstractIntersectionality theory examines how matrices of power and interlocking structures of oppression shape and influence people ’s multiple identities. It reminds us that people’s lives cannot be explained by taking into account single categories, such as gender, race, sexuality, or socio-economic status. Rather, human lives are multi-dimensional and complex, and people’s lived realities are shaped by different factors and social dynamics operating together. Therefore, when someone occupies multiple marginalized intersections, their individual-level experiences reflect social and structural systems of power, pri...
Source: Advances in Health Sciences Education - April 2, 2022 Category: Universities & Medical Training Source Type: research

Barriers and facilitators for Indigenous students and staff in health and human services educational programs
AbstractIndigenous Peoples are underrepresented in many of the Health and Human Services Educational Programs (HHSEP, e.g.: Nursing, Social Work). As various studies have reported the benefits of diversifying HHSEP, the barriers and facilitators of increasing the number of Indigenous Peoples in these professions must be identified. The purpose of this exploratory study is to identify and understand the barriers and facilitators Indigenous Peoples face when entering, learning or working in HHSEP. A narrative approach was used in the facilitation of culturally safe sharing circles with Indigenous students and staff to collec...
Source: Advances in Health Sciences Education - March 24, 2022 Category: Universities & Medical Training Source Type: research

Mastery versus invention learning: impacts on future learning of simulated procedural skills
Conclusions: We suggest cautiously that the PS-I approach was not inferior to the ML approach, based on skill acquisitio n and PFL assessment outcomes. With ML anecdotally and empirically requiring more time, greater faculty involvement, and higher costs, our findings question the preference ML has received relative to other instructional designs, especially in the healthcare simulation community. We encourage researc hers to study the educational and resource impacts of instructional designs using non-inferiority designs. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - March 23, 2022 Category: Universities & Medical Training Source Type: research

Growth in basic science knowledge in first-year medical school and USMLE Step 1 results: a longitudinal investigation at one school
ConclusionsOur study found students had heterogeneous growth patterns in progress test results in their first year of medical school. Growth patterns were highly predictive of USMLE step 1 results. This study can provide performance benchmarks for our future students to assess their progress and for medical educators to identify students who need support and guidance. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - March 7, 2022 Category: Universities & Medical Training Source Type: research

Embodied teacher identity: a qualitative study on ‘practical sense’ as a basic pedagogical condition in times of Covid-19
AbstractWorldwide, the Covid-19 pandemic has transformed teaching contexts rapidly. Studies  on the effects of the Covid-19 pandemic have largely focused on students’ learning and well-being. In contrast, little is known about how emergency online teaching affects teachers. The aim of this study was to examine how disrupted teaching contexts during the Covid-19 pandemic affected academic teacher identities in health science education. Interviews were conducted with 19 experienced lecturers in health science education from two universities. Interview data were analysed using systematic text condensation. The esta...
Source: Advances in Health Sciences Education - March 2, 2022 Category: Universities & Medical Training Source Type: research

Journal standards
AbstractTaking the recent revision of the Journal ’s ‘Standards for an Acceptable Manuscript’ as a starting point, the Editor considers the meaning, durability, and implications of academic standards for journals in health professions education and those seeking to publish their work within them. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - March 1, 2022 Category: Universities & Medical Training Source Type: research

Feasibility assurance: a review of automatic item generation in medical assessment
ConclusionsAIG can solve current problems related to item development. It reveals itself as an auspicious next-generation technique for the future of medical assessment, promising several quality items both quickly and economically. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - March 1, 2022 Category: Universities & Medical Training Source Type: research

Pass/fail decisions and standards: the impact of differential examiner stringency on OSCE outcomes
This study uses linear mixed models to estimate the impact of different factors (examiner, station, candidate and exam) on station-level total domain score and, separately, on a single global grade. The exam data is from 442 separate administrations of an 18 station OSCE for international medical graduates who want to work in the National Health Service in the UK. We find that variation due to examiner is approximately twice as large for domain scores as it is for grades (16% vs. 8%), with smaller residual variance in the former (67% vs. 76%). Combined estimates of exam-level (relative) reliability across all data are 0.75...
Source: Advances in Health Sciences Education - March 1, 2022 Category: Universities & Medical Training Source Type: research