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My paper has been rejected without review. What do I do now?
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 why papers may be desk rejected (rejected without going out for formal peer review) and describe simple steps for authors to optimize their work so it gets past the desk reject stage. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - May 4, 2023 Category: Universities & Medical Training Source Type: research

“Rater training” re-imagined for work-based assessment in medical education
AbstractIn this perspective, the authors critically examine “rater training” as it has been conceptualized and used in medical education. By “rater training,” they mean the educational events intended toimprove rater performance and contributions during assessment events. Historically, rater training programs have focused on modifying faculty behaviours to achieve psychometric ideals (e.g., reliability, inter-rater reliability, accuracy). The authors argue these ideals may now be poorly aligned with contemporary research informing work-based assessment, introducing a compatibility threat, with no clear direction on...
Source: Advances in Health Sciences Education - May 4, 2023 Category: Universities & Medical Training Source Type: research

The power of rotation schedules on the career selection decisions of medical students
AbstractChoosing a career pathway in medicine is a high stakes decision for both medical students and the field of medicine as a whole. While past research has examined how characteristics of the medical student or specialties influence this decision, we introduce temporal elements as novel variables influencing career selection decisions in medicine. Specifically, we investigate how timing and duration of residency options, based on a rotation schedule that medical students have limited control over, influence their career selection decisions. An archival study investigating 5 years of medical student rotation schedules (...
Source: Advances in Health Sciences Education - May 2, 2023 Category: Universities & Medical Training Source Type: research

Do you see what I see? Feeding interprofessional workplace learning using a diversity of theories
AbstractIn this Commentary, Stalmeijer and Varpio highlight the importance of using different theoretical frameworks to make visible the potential of and need for research into interprofessional learning and guidance during workplace-based learning in the health professions. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - May 1, 2023 Category: Universities & Medical Training Source Type: research

Cliques within the crowd: identifying medical conference attendee subgroups by their motivations for participation
This study explores whether, and how, motivations for attendance can be grouped in relation to preferences to offer guidance to organizers and attendees. A pragmatic constructivist case study approach using mixed methods was adopted. Semi-structured interviews completed with key informants underwent thematic analysis. Survey results outlining attendees ’ perspectives underwent cluster and factor analysis. Stakeholder interviews (n = 13) suggested attendees could be grouped by motivations predictable from level of specialisation in a field and past engagement with conferences. From n = 1229 returned questionnaires...
Source: Advances in Health Sciences Education - April 29, 2023 Category: Universities & Medical Training Source Type: research

Using collaborative autoethnography to explore the teaching of qualitative research methods in medicine
This article explores experiences of teaching qualitative research (QR) broadly, and qualitative methods (QM) more specifically in medicine, highlighting the challenges faced, and offering recommendations for overcoming them. Using collective online interviews, collaborative autoethnography (CAE) was employed to generate data comprising educator ’s reflective accounts of teaching QM in medical schools across two continents. Three main themes were identified through collaborative thematic analysis: making meaningful contributions from a marginalized position; finding our pedagogical feet; and recognizing the translational...
Source: Advances in Health Sciences Education - April 27, 2023 Category: Universities & Medical Training Source Type: research

A suggestive approach for assessing item quality, usability and validity of Automatic Item Generation
AbstractAutomatic Item Generation (AIG) refers to the process of using cognitive models to generate test items using computer modules. It is a new but rapidly evolving research area where cognitive and psychometric theory are combined into digital framework. However, assessment of the item quality, usability and validity of AIG relative to traditional item development methods lacks clarification. This paper takes a top-down strong theory approach to evaluate AIG in medical education. Two studies were conducted: Study I —participants with different levels of clinical knowledge and item writing experience developed medical...
Source: Advances in Health Sciences Education - April 25, 2023 Category: Universities & Medical Training Source Type: research

Moderators uncertainty tolerance (UT) in healthcare: a systematic review
The objectives of this review were to further characterize moderators of healthcare UT and explore moderator influences on the perceptions and responses to uncertainty experien ced by healthcare professionals. Framework analysis of qualitative primary literature was conducted on 17 articles, focusing on the impacts of UT on healthcare providers. Three domains of moderators were identified and characterized relating to the healthcare provider’s personal attributes, patien t-derived uncertainty and the healthcare system. These domains were further categorized into themes and subthemes. Results suggest these moderators infl...
Source: Advances in Health Sciences Education - April 25, 2023 Category: Universities & Medical Training Source Type: research

The invisible work of co-creating disability access in work integrated learning
AbstractPromoting health equity necessitates the diversification of healthcare workforces. Disability is one aspect of diversity that is increasing in healthcare. While the number of Disabled students in health professions increases, barriers in their work integrated learning (WIL), such as placements in hospitals or clinics, persist. While literature has addressed some of these barriers, there is less known about the social processes that enable access in work integrated learning when it does occur. Therefore, an interdisciplinary team from design, geography, occupational science, nursing, occupational therapy, critical d...
Source: Advances in Health Sciences Education - April 24, 2023 Category: Universities & Medical Training Source Type: research

Oncology residents ’ experiences of decision-making in a clinical learning environment: a phenomenological study
AbstractOncology residents routinely engage in ethically complex decision-making discussions with patients, while observing and interacting with their teaching consultant. If clinical competency in oncology decision-making guidance is to be taught deliberately and effectively, it is necessary to understand resident experiences in this context to develop appropriate educational and faculty development initiatives. Four junior and two senior postgraduate oncology residents participated in semi-structured interviews during October and November 2021 which explored their experiences of real-world decision-making scenarios. Van ...
Source: Advances in Health Sciences Education - April 20, 2023 Category: Universities & Medical Training Source Type: research

Decolonising dental educational research: reflections from a white researcher
This article aims to contribute to this nascent debate by contemplating the question- is it appropriate, or possible, for a white researcher to undertake decolonisation work in dental education? If so, what would it entail or ‘look’ like? To answer this important question, the author offers a reflective account of their ethical and epistemological journey with this very question. This journey begins with how I, a white researcher, first became aware of the everyday racism experienced by my racially and ethnically min oritized students, the whiteness of dental educational spaces and how my white privilege and position a...
Source: Advances in Health Sciences Education - April 19, 2023 Category: Universities & Medical Training Source Type: research

Using Q methodology in health sciences education to study subjectivity
This article is written as a primer with a focus on understanding Q at a deeper level rather than a step-by-step guide. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - April 18, 2023 Category: Universities & Medical Training Source Type: research

A scoping review of frameworks utilized in the design and evaluation of courses in health professional programs to address the role of historical and ongoing colonialism in the health outcomes of Indigenous Peoples
AbstractIndigenous education curriculum has been implemented in health professional programs as a potential solution to addressing commonly held false beliefs, as well as negative social attitudes and behaviours. As such it is important to map and analyze the current literature on educational initiatives that teach about historical and ongoing colonialism as a determinant of health to identify commonly used theoretical frameworks and outcomes assessed, as well as the intended and unintended short- and long-term outcomes on health professional learner ’s beliefs, attitudes and behaviours. This scoping review follows the f...
Source: Advances in Health Sciences Education - April 17, 2023 Category: Universities & Medical Training Source Type: research

The impact of student engagement on satisfaction with medical education in china: a supplementary perspective
In this study, student engagement was categorized into behavioral, emotional and cognitive dimensions. The findings showed that medical student satisfaction was relatively low and was significantly affected by student satisfaction, especially the behavioral engagement in clinical rotations and pr ofessional identity of emotional engagement. These findings could put a supplementary perspective on improving student satisfaction through student engagement, and offer notable implications for future research and practice. (Source: Advances in Health Sciences Education)
Source: Advances in Health Sciences Education - April 13, 2023 Category: Universities & Medical Training Source Type: research

Diagnosing virtual patients: the interplay between knowledge and diagnostic activities
AbstractClinical reasoning theories agree that knowledge and the diagnostic process are associated with diagnostic success. However, the exact contributions of these components of clinical reasoning to diagnostic success remain unclear. This is particularly the case when operationalizing the diagnostic process with diagnostic activities (i.e., teachable practices that generate knowledge). Therefore, we conducted a study investigating to what extent knowledge and diagnostic activities uniquely explain variance in diagnostic success with virtual patients among medical students. The sample consisted ofN = 106 medical stud...
Source: Advances in Health Sciences Education - April 13, 2023 Category: Universities & Medical Training Source Type: research