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Failing professional practice placements in allied health: What do we understand about the student experience? A scoping review
AbstractProfessional practice placements are an essential component of allied health and nursing programs. Whilst most students pass these placements, a small percentage of students will fail or be at risk of failing. Supporting students undergoing a failing experience is a time critical, time consuming, emotional and resource-heavy task which is often undertaken by key university staff and impacts all stakeholders. Whilst several studies have provided insight into this experience from the educator and/or university perspective, this scoping review aimed to identify the students ’ experience of failing or nearly failing ...
Source: Advances in Health Sciences Education - June 7, 2023 Category: Universities & Medical Training Source Type: research

Clinical reasoning in pharmacy: What do eye movements and verbal protocols tell us about the processing of a case task?
This study investigates pharmacy students ’ reasoning while solving a case task concerning an acute patient counselling situation in a pharmacy. Participants’ (N = 34) reasoning processes were investigated with written tasks utilizing eye-tracking in combination with verbal protocols. The case was presented in three pages, each page being followed by written questions. Eye movements were recorded during case processing. Success in the task required diff erentiating the relevant information from the task redundant information, and initial activation of several scripts and verification of the most likely one, when ad...
Source: Advances in Health Sciences Education - June 5, 2023 Category: Universities & Medical Training Source Type: research

The potential of structured learning diaries for combining the development and assessment of self-regulated learning
AbstractStructured Self-Regulated Learning (SSRL) diaries have the potential for combining the development and assessment of a student ’s SRL processes over time. The aim of this study was to evaluate the extent to which an SSRL diary can develop SRL and provide a reliable longitudinal assessment of SRL development in academically low-achieving undergraduate medical students. We conducted a quasi-experimental study with low-achie ving medical students at Tehran University of Medical Sciences. The intervention was a weekly SSRL diary, with 21 items in two parts (before and after studying) that was integrated with weekly e...
Source: Advances in Health Sciences Education - June 5, 2023 Category: Universities & Medical Training Source Type: research

Thresholds of becoming: an exploration of threshold concepts as a means to support professional identity formation in competency-based curricula
AbstractInherent in every clinical preceptor ’s role is the ability to understand the learning needs of individual trainees, enabling them to meet their potential. Competency-based medical education frameworks have been developed to this end, but efforts to identify behaviours and activities that define competence are based on mapping knowle dge, skills and ability, which can be difficult to integrate into a comprehensive picture of who the trainee is becoming. Professional identity formation, in contrast, prioritizes attention to who trainees are becoming, but provision of detailed guidance to preceptors on how to best ...
Source: Advances in Health Sciences Education - June 1, 2023 Category: Universities & Medical Training Source Type: research

Power to the people? A co-produced critical review of service user involvement in mental health professions education
AbstractMeaningful service user involvement in health professions education requires integrating knowledge held by “lay” people affected by health challenges into professional theories and practices. Involving service users redefines whose knowledge “counts” and implies a shift in power. Such a shift is especially significant in the mental health field, where power imbalances between health professionals and service users are magnified. However, reviews of the literature on service user involvement in mental health professional education do little to explore how power manifests in this work. Meanwhile critical and ...
Source: Advances in Health Sciences Education - May 29, 2023 Category: Universities & Medical Training Source Type: research

Relinquishing control? Supervisor co-regulation may disrupt students ’ self-regulated learning during simulation-based training
We examined diagnostic accuracy and learning trace data across sessions, and conducted semi-structured interviews to explore participants’ understandings of t heir underlying choices and learning strategies. SRL participants’ outcomes were non-inferior to Co-RL participants on the immediate post-test and retention test, but not on the PFL assessment (i.e., inconclusive). Analyzing interview transcripts (N = 31) generated three themes: perceived util ity of initial learning supports for future learning; SRL strategies and sequencing of murmurs; and perceived control over learning across sessions. Co-RL participants ...
Source: Advances in Health Sciences Education - May 28, 2023 Category: Universities & Medical Training Source Type: research

“As a psychiatry resident I am invited to explore my identity. But when I accept that invitation, I still encounter a wall.” A qualitative study on inclusion experienced by psychiatry residents with a migration background, sexual minority identity and/or working-class background
AbstractDiversity in terms of class, sexual identity and migration background among medical students in high income countries has increased greatly in recent decades. Some research into the experiences of these new groups of doctors has been performed. However, no previous research into the experiences of psychiatry residents specifically, is known. This qualitative study investigates how psychiatry residents, from these minoritized groups, experience their training regarding inclusion. Inclusion is defined as the degree to which one ’s needs for connection and for being valued in one’s uniqueness, is satisfied. In-dep...
Source: Advances in Health Sciences Education - May 25, 2023 Category: Universities & Medical Training Source Type: research

The effects of mindfulness-based interventions in medical students: a systematic review
AbstractThe number of studies on the effects of mindfulness on healthcare professionals is increasing. The main aim of this study was to collate the quantitative results of original studies analyzing the effects of mindfulness-based interventions on a variety of outcomes in medical students. We also analyzed how the study design and characteristics of the intervention affect the results, and identified qualitative effects of mindfulness interventions. A literature search was performed in different databases in June 2020. Original articles meeting the following criteria were included: (1) at least 50% of the participants we...
Source: Advances in Health Sciences Education - May 25, 2023 Category: Universities & Medical Training Source Type: research

The influence of occupational therapy students ’ preferred language on academic and clinical performance in a Canadian university program
AbstractThe Occupational Therapy Program at this Canadian university is a French program however, students must be bilingual to function in English or French clinical fieldwork settings. An understanding of the role of language in successful completion of program requirements was needed to effectively support students ’ education. The study objectives were to identify the role of linguistic factors in students’ academic and clinical performance and to provide recommendations for strategies to address areas of learning difficulty. A multimethod approach used 4 data sources: (1) Multiple Mini Interview (MMI) in formal la...
Source: Advances in Health Sciences Education - May 24, 2023 Category: Universities & Medical Training Source Type: research

Towards accountability-centred practices: governance in OSCEs subordinating patient and practitioner clinical experience
AbstractNew public management ideals and standards have become increasingly adhered to in health professions education; this is particularly apparent in high-stakes assessment, as a gateway to practice. Using an Institutional Ethnographic approach, we looked at the work involved in running high-stakes Objective Structured Clinical Exams (OSCEs) throughout an academic year including use of observations, interviews and textual analysis. In our results, we describe three types of ‘work’—standardising work, defensibility work and accountability work–summarising these in the discussion as an Accountability Circuit, whic...
Source: Advances in Health Sciences Education - May 18, 2023 Category: Universities & Medical Training Source Type: research

Modeling the social determinants of resilience in health professions students: impact on psychological adjustment
AbstractStressors inherent to training and stemming from the learning environment are associated with high rates of burnout, depression, and mental health problems in health professions students (HPS). There is evidence that disadvantaged or stigmatized groups are particularly affected. These problems not only impact students after graduation but may also have detrimental effects on patient outcomes. Resilience, conceptualized as the process of adapting well in the face of adversity, has inspired an increasing number of interventions aimed at addressing those problems in HPS. These interventions have mostly targeted indivi...
Source: Advances in Health Sciences Education - May 16, 2023 Category: Universities & Medical Training Source Type: research

Pathologists aren ’t pigeons: exploring the neural basis of visual recognition and perceptual expertise in pathology
AbstractVisual (perceptual) reasoning is a critical skill in many medical specialties, including pathology, diagnostic imaging, and dermatology. However, in an ever-compressed medical curriculum, learning and practicing this skill can be challenging. Previous studies (including work with pigeons) have suggested that using reward-feedback-based activities, novices can gain expert levels of visual diagnostic accuracy in shortened training times. But is this level of diagnostic accuracy a result of image recognition (categorization) or is it the acquisition of diagnostic expertise? To answer this, the authors measured electro...
Source: Advances in Health Sciences Education - May 15, 2023 Category: Universities & Medical Training Source Type: research

The impact of emotionally challenging situations on medical students ’ professional identity formation
In this study, we explored medical students ’ experiences of emotionally challenging situations in work-based learning, and the impact these experiences had on forming medical students’ professional identities. We conducted an analysis of narrative data (n = 85), using a constructivist grounded theory approach. The narratives were made up of medical students’ reflective essays at the end of their education (tenth term). The analysis showed that students’ main concern when facing emotionally challenging situations during their work-based educa tion was the struggle to achieve and maintain a professional approach...
Source: Advances in Health Sciences Education - May 15, 2023 Category: Universities & Medical Training Source Type: research

Student mistakes and teacher reactions in bedside teaching
AbstractWe analyse interactions between teachers and students during video-recorded bedside teaching sessions in internal medicine, orthopaedics and neurology. Multiple raters used a high-inference categorical scheme on 36 sessions. Our research questions concern the types of student mistakes, clinical teachers ’ reactions to them and if they use different strategies to address different types of mistakes. We used a Poisson model and generalized mixed models to analyse these research questions. Most frequently, students made reproduction mistakes. Relatively high rates of rejection and a similar prevalen ce of low and hi...
Source: Advances in Health Sciences Education - May 11, 2023 Category: Universities & Medical Training Source Type: research

Inattention in health professions education scholarship
AbstractIn this editorial, the Editor-in-Chief considers inattention to details and the implications thereof in education scholarship and academic writing. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - May 4, 2023 Category: Universities & Medical Training Source Type: research