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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 - November 23, 2021 Category: Universities & Medical Training Source Type: research

A behavioural study of obedience in health professional students
AbstractInterprofessional Education and Collaborative Practice (IPECP) is a field of study suggested to improve team functioning and patient safety. However, even interprofessional teams are susceptible to group pressures which may inhibit speaking up (positive deviance). Obedience is one group pressure that can inhibit positive deviance leading to negative patient outcomes. To examine the influence of obedience to authority in an interprofessional setting, an experimental simulated clinical scenario was conducted with Respiratory Therapy (RT) (n  = 40) and Advanced Care Paramedic (ACP) (n = 20) students. In an air...
Source: Advances in Health Sciences Education - November 22, 2021 Category: Universities & Medical Training Source Type: research

Vitalizing the evaluation of curricular implementation: a framework for attending to the “how and whys” of curriculum evolution
AbstractAs curricular reforms are implemented, there is often urgency among scholars to swiftly evaluate curricular outcomes and establish whether desired impacts have been realized. Consequently, many evaluative studies focus on summative program outcomes without accompanying evaluations of implementation. This runs the risk of Type III errors, whereby outcome evaluations rest on unverified assumptions about the appropriate implementation of prescribed curricular activities. Such errors challenge the usefulness of the evaluative studies, casting doubt on accumulated knowledge about curricular innovations, and posing probl...
Source: Advances in Health Sciences Education - November 15, 2021 Category: Universities & Medical Training Source Type: research

Is reflection like soap? a critical narrative umbrella review of approaches to reflection in medical education research
AbstractReflection is a complex concept in medical education research. No consensus exists on what reflection exactly entails; thus far, cross-comparing empirical findings has not resulted in definite evidence on how to foster reflection. The concept is as slippery as soap. This leaves the research field with the question, ‘how can research approach the conceptual indeterminacy of reflection to produce knowledge?’. The authors conducted a critical narrative umbrella review of research on reflection in medical education. Forty-seven review studies on reflection research from 2000 onwards were reviewed. The authors used ...
Source: Advances in Health Sciences Education - November 12, 2021 Category: Universities & Medical Training Source Type: research

Improving medical residents ’ self-assessment of their diagnostic accuracy: does feedback help?
This study shows that feedback on diagnostic performance did not improve physicians’ calibration for more difficult cases. One explanation could be that participants were confronted with their mistakes and thereafter lowered their confidence ratings even if cases were diagnosed correc tly. This shows how difficult it is to improve diagnostic calibration, which is important to prevent diagnostic errors or maltreatment. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - November 5, 2021 Category: Universities & Medical Training Source Type: research