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Assessment of medical student burnout: toward an implicit measure to address current issues
AbstractThe feasibility of implicitly assessing medical student burnout was explored, using the Implicit Relational Assessment Procedure (IRAP), to measure longitudinal student burnout over the first two years of medical school and directly comparing it with an existing explicit measure of burnout (Maslach Burnout Inventory; MBI). Three successive cohorts of medical students completed both implicit and explicit measures of burnout at several time points during their first two years of medical school. Both assessments were conducted via the internet within a one-week period during the first week of medical school, the end o...
Source: Advances in Health Sciences Education - January 13, 2022 Category: Universities & Medical Training Source Type: research

Toward ‘seeing’ critically: a Bayesian analysis of the impacts of a critical pedagogy
This study offers the field important new options for studying historically challenging-to-evaluate impacts and supports theoretical assertions about the potential of critical pedagogies. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - January 1, 2022 Category: Universities & Medical Training Source Type: research

Learning to recognise what good practice looks like: how general practice trainees develop evaluative judgement
AbstractThe nature of healthcare means doctors must continually calibrate the quality of their work within constantly changing standards of practice. As trainees move into working as fully qualified professionals, they can struggle to know how well they are practising in the absence of formal oversight. They therefore need to build their evaluative judgement: their capability to interpret cues and messages from the clinical environment, allowing them to judge quality of practice. This paper explores how Australian general practice (GP) trainees develop their evaluative judgement. We interviewed 16 GPs, who had recently com...
Source: Advances in Health Sciences Education - December 2, 2021 Category: Universities & Medical Training Source Type: research

When patient-centred and family-centred approaches clash: Taiwanese health professions students' patient autonomy dilemmas
AbstractThe main purpose of the study was to examine whether health professions students in Taiwan who study in different programmes experience similar patient autonomy-related professionalism dilemmas caused by disconnections between school and clinical culture. To investigate this issue, we draw specifically on situated learning theory and its cultural concept to examine their professionalism dilemma narratives that were collected through interviews. Of the 79 interviewed students, nearly half of them experienced patient autonomy dilemmas caused by conflicts between school and clinical culture, which have significant neg...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

It does not have to be either or! Assessing competence in medicine should be a continuum between an analytic and a holistic approach
AbstractAssessing competence is a tremendous challenge in medical education. There are two contrasting approaches in competence assessment: ananalytic approach that aims to precisely measure observable constituents and facets of competence and a holistic approach that focuses on a comprehensive assessment of competences in complex real situations reflecting actual performance. We would like to contribute to the existing discourse about medical competence and its assessment by proposing an approach that can provide orientation for the development of competence-based assessment concepts in undergraduate and postgraduate medi...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Optimizing teacher basic need satisfaction in distributed healthcare contexts
This study aims to explore teaching-related basic need satisfaction, e.g. teachers ’ feelings of autonomy, competence and relatedness in teaching, in different healthcare contexts and to provide insight into its relation to contextual factors. We distributed a digital survey among healthcare professionals in university hospitals (UH), district teaching hospitals (DTH), and prima ry care (PC). We used the Teaching-related Basic Need Satisfaction scale, based on the Self-Determination theory, to measure teachers’ basic needs satisfaction in teaching. We studied relations between basic need satisfaction and perceived pres...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Pathways to performance in undergraduate medical students: role of conscientiousness and the perceived educational environment
This study examined conscientiousness and the perceived educational environment as independent and interactive predictors of medical students ’ performance within Biggs’ theoretical model of learning. Conscientiousness, the perceived educational environment, and learning approaches were assessed at the beginning of the third year in 268 medical students at the University of Geneva, Switzerland. Performance was examined at the end of t he third year via a computer-based assessment (CBA) and the Objective Structured Clinical Examination (OSCE). Path analysis was used to test the proposed model, whereby conscientiousness ...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Drawing on experience:  exploring the pedagogical possibilities of using rich pictures in health professions education
AbstractIn both clinical and health professions education research, rich pictures, or participant-generated drawings of complex phenomena, are gaining recognition as a useful method for exploring multifaceted and emotional topics in medicine. For instance, two recent studies used rich pictures to augment semi-structured interviews exploring trainees ’, health care professionals’ (HCPs), and parents’ experiences of difficult conversations in the Neonatal Intensive Care Unit (NICU)—an environment in which communication is often challenging, anxiety-provoking, and emotionally distressing. In both studies, participants...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Exploring complexities in the reform of assessment practice: a critical realist perspective
AbstractAlthough the principles behind assessmentfor andas learning are well-established, there can be a struggle when reforming traditional assessmentof learning to a program which encompasses assessmentfor andas learning. When introducing and reporting reforms, tensions in faculty may arise because of differing beliefs about the relationship between assessment and learning and the rules for the validity of assessments. Traditional systems of assessmentof learning privilege objective, structured quantification of learners ’ performances, and are doneto the students. Newer systems of assessment promote assessmentfor lear...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

A scoping review of clinical reasoning research with Asian healthcare professionals
AbstractClinical reasoning is the thought process that guides practice. Although a plethora of clinical reasoning studies in healthcare professionals exists, the majority appear to originate from Western cultures. A scoping review was undertaken to examine clinical reasoning related research across Asian cultures. PubMed, SciVerse Scopus, Web of Science and Airiti Library databases were searched. Inclusion criteria included full-text articles published in Asian countries (2007 to 2019). Search terms included clinical reasoning, thinking process, differential diagnosis, decision making, problem-based learning, critical thin...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Exploring the relationship between emotion and cognitive load types during patient handovers
This study explores how emotion influences the cognitive load experienced by trainees performing patient handovers. From January to March 2019, 693 (38.7%) of 1807 residents and fellows from a 24-hospital health system in New York city completed a survey after performing a handover. Participants rated their emotional state and cognitive load. The survey included questions about features of the learner, task, and instructional environment. The authors used factor analysis to identify the core dimensions of emotion. Regression analyses explored the relationship between the emotion factors and cognitive load types. Two emotio...
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Patients!
AbstractIn this editorial the Editor considers the roles and representations of patients in health professional education and their implications for educational scholarship in this field. She also considers the implications of patient presence and engagement for the social contract and the ways it is being placed under stress and strain. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - December 1, 2021 Category: Universities & Medical Training Source Type: research

Contributing to the hidden curriculum: exploring the role of residents and newly graduated physicians
This study examined how residents and newly graduated physicians conceived of their roles as active participants in the hidden curriculum. An interpretative phenomenological study was employed using individual, semi-structured interviews w ith residents and newly graduated physicians (n = 5) to examine their roles in perpetuating the hidden curriculum. A thematic analysis was conducted using a reflexive approach. Findings include insight into how residents and newly graduated physicians: (a) navigate the hidden curriculum for their own professional development; (b) intervene in others’ enactment of the hidden curricul...
Source: Advances in Health Sciences Education - November 25, 2021 Category: Universities & Medical Training Source Type: research