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Seeing the invisible: extracurricular learning processes and learning outcome as experienced by student volunteers accompanying persons in a socially vulnerable situation to healthcare appointments —an ethnographic study
This study explores an extracurricular learning approach, called the Social Health Bridge-Building Programme, designed to address health inequities. Student volunteers accompany persons in a socially vulnerable situation to healthcare appointments. Operating outside the realms of health education, the programme intends to provide an alternative road to training healthcare students to become capable of engaging with diverse populations, and reducing barriers to healthcare access. Based on an ethnographic fieldwork, using interviews and participant observation ( “walking along”) as methods, the aim of the study was to ex...
Source: Advances in Health Sciences Education - December 1, 2023 Category: Universities & Medical Training Source Type: research

The effect of interprofessional education on the work environment of health professionals: a scoping review
AbstractTo explore the existing literature on the effect of Interprofessional Education (IPE) on the work environment of health professionals. The research question was systematized according to the PCC (Population, Concept, and Context) format. A scoping review was performed. A search of multiple bibliographic databases identified 407 papers, of which 21 met the inclusion criteria. The populations of the 21 studies reviewed were composed of professionals in the fields of medicine, nursing, psychology, occupational therapy, physiotherapy, and social work, among others. The study contexts were both academic and nonacademic ...
Source: Advances in Health Sciences Education - December 1, 2023 Category: Universities & Medical Training Source Type: research

How should I determine author order for this paper?
AbstractThis column is intended to address the kinds of knotty problems and dilemmas with which many scholars grapple in studying health professions education. In this article, the authors conclude their short series of articles on academic authorship by addressing the question of how to determine author order, including taking into account power dynamics that may be at play. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - December 1, 2023 Category: Universities & Medical Training Source Type: research

What does consumer and community involvement in health-related education look like? A mixed methods study
AbstractConsumer and community involvement (also referred to as patient and public involvement) in health-related curricula involves actively partnering with people with lived experience of health and social care systems. While health professions education has a long history of interaction with patients or consumers, a shift in the way consumer and community engage in health-related education has created novel opportunities for mutual relationships valuing lived experience expertise and shifting traditional education power relations. Drawing on a mixed methods design, we explored consumer and community involvement practice...
Source: Advances in Health Sciences Education - November 30, 2023 Category: Universities & Medical Training Source Type: research

Creating synergies among education/research, practice, and policy environments to build capacity for the scholar role in occupational therapy and physiotherapy in the Canadian context
AbstractScholarly practice (SP) is considered a key competency of occupational therapy and physiotherapy. To date, the three sectors —education/research, practice, and policy/regulation—that support SP have been working relatively independently. The goals of this project were to (a) understand how representatives of the three sectors conceptualize SP; (b) define each sector’s individual and collective roles in supporting SP ; (c) identify factors influencing the enactment of SP and the specific needs of how best to support SP; and (d) co-develop goals and strategies to support SP across all sectors. We used interpret...
Source: Advances in Health Sciences Education - November 28, 2023 Category: Universities & Medical Training Source Type: research

Implicit versus explicit first impressions in performance-based assessment: will raters overcome their first impressions when learner performance changes?
AbstractFirst impressions can influence rater-based judgments but their contribution to rater bias is unclear. Research suggests raters can overcome first impressions in experimental exam contexts with explicit first impressions, but these findings may not generalize to a workplace context with implicit first impressions. The study had two aims. First, to assess if first impressions affect raters ’ judgments when workplace performance changes. Second, whether explicitly stating these impressions affects subsequent ratings compared to implicitly-formed first impressions. Physician raters viewed six videos where learner pe...
Source: Advances in Health Sciences Education - November 27, 2023 Category: Universities & Medical Training Source Type: research

Trust, but verify
AbstractIn this editorial, the editor considers issues of trust, accountability, and verification in the work of scholars, institutions, and journals, and challenges readers to examine the interdependencies of trust, accountability, and verification in shaping the field of health professions education. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - November 22, 2023 Category: Universities & Medical Training Source Type: research

The integrated curriculum and student empathy: a longitudinal multi-cohort analysis
AbstractResearch has demonstrated erosion of empathy in students during medical education. Particularly, U.S. studies have demonstrated empathy declines during clinical training in the third and fourth year of traditional medical programs. Yet, studies conducted outside the U.S. have not confirmed this trend. Timing and extent of patient interactions have been identified as empathy-protective factors. The need to examine empathy within different learning contexts has been noted, as has the need for longitudinal and time-series research designs to analyze trajectories. Between fall 2010 and spring 2019, we assessed empathy ...
Source: Advances in Health Sciences Education - November 9, 2023 Category: Universities & Medical Training Source Type: research

Development and validation of the Workplace Learning Inventory in Health Sciences Education: a multimethod study
This study yields a set of scales for each area on both levels. Study 2 is a quantitative study to assess the psychometric properties. The results show acceptable values in terms of unidimensionality, reliability and validity for each of the 31 scales. The newly developed Workplace Learning Inventory is comprehensive; the scales are relevant to workplace learning and short enough that their administration is feasible in the workplace setting. The rigorous process of questionnaire development contributes to the validity of scales. By providing the Workplace Learning Inventory, we hope to encourage research on workplace lear...
Source: Advances in Health Sciences Education - November 8, 2023 Category: Universities & Medical Training Source Type: research

State-of-the-art review of medical improvisation curricula to teach health professional learners communication
AbstractMedical improvisation (improv) applies theater principles and techniques to improve communication and teamwork with health professionals (HP). Improv curricula have increased over time, but little is known about best practices in curricula development, implementation, and assessment. We sought to complete a state-of-the-art review of medical improv curricula to teach HP learners communication skills. A literature search of MEDLINE and 8 other databases on HP medical education and medical improv communication curricula occurred. We screened 1869 articles published from 2012 to 2022. Seventeen articles were selected ...
Source: Advances in Health Sciences Education - November 3, 2023 Category: Universities & Medical Training Source Type: research

Accounting for agency in structural competency
AbstractTo emphasize to learners how factors outside individual control impact health, scholars introduced the concept of structural competency. Structural competency refers to the development of analytical skills that reveal the larger societal context beyond the patient-clinician interaction that shapes health outcomes. The growing adoption of structural competency curricula, however, has revealed that prelicensure and early career health professionals can feel overwhelmed by the mismatch between the wide scale of entrenched problems and the limited scope of their therapeutic skills. In this Reflections paper, I draw on ...
Source: Advances in Health Sciences Education - November 1, 2023 Category: Universities & Medical Training Source Type: research

Should we be joint first authors?
AbstractThis column is intended to address the kinds of knotty problems and dilemmas with which many scholars grapple in studying health professions education. In this article, the authors address the question of co-first authorship bearing in mind the why, when and how of this consideration as well as the potential consequences. This guidance should help authors and mentors when this situation arises. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - October 26, 2023 Category: Universities & Medical Training Source Type: research

Procedural simulation in venipuncture for medical undergraduates and its transfer to the bedside: a cluster randomized study
AbstractSimulation is accepted as an effective method of learning procedural skills. However, the translational outcomes of skills acquired through simulation still warrants investigation. We designed this study to assess if skills laboratory training in addition to bedside learning (intervention group [IG]) would provide better learning results than bedside learning alone (control group [CG]) in the context of venipuncture training. This prospective, cluster-randomized, single-blind study took place at the Faculty of Medicine, University of Kelaniya, Sri Lanka. Seventeen clusters of second-year medical students were rando...
Source: Advances in Health Sciences Education - October 25, 2023 Category: Universities & Medical Training Source Type: research

Feasibility and reliability of the pandemic-adapted online-onsite hybrid graduation OSCE in Japan
AbstractObjective structured clinical examination (OSCE) is widely used to assess medical students ’ clinical skills. Virtual OSCEs were used in place of in-person OSCEs during the COVID-19 pandemic; however, their reliability is yet to be robustly analyzed. By applying generalizability (G) theory, this study aimed to evaluate the reliability of a hybrid OSCE, which admixed in-person and online methods, and gain insights into improving OSCEs’ reliability. During the 2020–2021 hybrid OSCEs, one examinee, one rater, and a vinyl mannequin for physical examination participated onsite, and a standardized simulated patient...
Source: Advances in Health Sciences Education - October 18, 2023 Category: Universities & Medical Training Source Type: research

The influence of a digital clinical reasoning test on medical student learning behavior during clinical clerkships
This study has identified several ways in which the DCRT influences students ’ learning practices in a way that can benefit their clinical-reasoning skills. Additionally, it stresses the importance of ensuring the alignment of theoretical principles with real-world practice, both in the development and utilization of assessment tools and their content. Further research is needed to investigate the long-term impact of the DCRT on young physicians’ working practice. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - October 18, 2023 Category: Universities & Medical Training Source Type: research