A layered analysis of self-explanation and structured reflection to support clinical reasoning in medical students
AbstractSelf-explanation and structured reflection have been studied independently with results suggesting that both learning interventions can effectively support medical students ’ clinical reasoning development. Given this evidence, medical schools may want/begin to implement these interventions in their curricula. Implementing educational interventions requires educators to maintain the core philosophy and principles of the interventions intact while adjusting implementa tion techniques to the specificities of individual learning contexts. Educational scholars have yet to explicitly articulate the philosophy, princip...
Source: Perspectives on Medical Education - July 29, 2020 Category: Universities & Medical Training Source Type: research
Developing and piloting a well-being program for hospital-based physicians
We report on developing and piloting a team-based program for physicians to improve their working conditions and well-being.ApproachProgram development steps involved: a preparatory phase, needs assessment, and program design. The program consisted of (1) a feedback tool addressing working conditions and well-being, and an intervention including (2a) a facilitated team dialogue and (2b) a team training on communication and collaborative job crafting. In the program’s pilot, 377 physicians from 48 teams in 14 Dutch hospitals used the feedback tool. Four teams participated in the team dialogue. Two teams perfor...
Source: Perspectives on Medical Education - July 27, 2020 Category: Universities & Medical Training Source Type: research
Double duty, shared responsibilities and feedback
literacy
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 5, 2020 Category: Universities & Medical Training Source Type: research
Double duty, shared responsibilities and feedback literacy
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 5, 2020 Category: Universities & Medical Training Source Type: research
Mindfulness in medical education: coming of age
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 5, 2020 Category: Universities & Medical Training Source Type: research
Exploring current physicians ’ failure to communicate clinical feedback back to transferring physicians after transitions of patient care responsibility: A mixed methods study
This study clarifies how often, and for what reasons, current physicians do or do not communicate back to transferring physicians about transitioned patients.MethodsIn 2018, 38 physicians at two academic teaching hospitals were interviewed about communication decisions regarding 618 transitioned patients. Researchers recorded quantitative and qualitative data in field notes, then coded communication rationales using directed content analysis. Descriptive statistics and m ixed effects logistic regression analyses identified communication patterns and examined associations with communication for three conditions: When curr...
Source: Perspectives on Medical Education - June 7, 2020 Category: Universities & Medical Training Source Type: research
A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement
This study identified key enablers and barriers to engagement with the EPA app. The findings provide guidance for future research and implementation efforts focused on the use of mobile platforms to capture direct observation feedback. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 4, 2020 Category: Universities & Medical Training Source Type: research
Are we generating more assessments without added value? Surgical trainees ’ perceptions of and receptiveness to cross-specialty assessment
DiscussionTrainees ’ trepidation at the idea of using outside assessors to meet increased assessment demands appeared grounded in their expectations for assessment. What trainees appeared to desire was a coach—someone who could break their performance into its critical individual components—as opposed to an ass essor whose role was limited to scoring their performance. Understanding trainees’ receptivity to new assessment approaches is crucial; otherwise training programs run the risk of generating more assessments without added value. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 4, 2020 Category: Universities & Medical Training Source Type: research
Mindful medical practice: An innovative core course to prepare medical students for clerkship
AbstractBackgroundMedical students show a decline in empathy and ethical reasoning during medical school that is most marked during clerkship. We believe that part of the problem is that students do not have the skills and ways of being and relating necessary to deal effectively with the overwhelming clinical experience of clerkship.ApproachAt McGill University in Montreal, starting in January 2015, we have taught a course on mindful medical practice that combines a clinical focus on the combination of mindfulness and congruent relating that is aimed at giving students the skills and ways of being to function effectiv...
Source: Perspectives on Medical Education - June 4, 2020 Category: Universities & Medical Training Source Type: research
Scenes, symbols and social roles: raising the curtain on OSCE performances
This study explored, at a micro-level, the social roles and behaviours occurring within the OSCE triad of simulated patients, candidates and examiners. We used a theoretical framework drawn fro m Goffman’s dramaturgy metaphor.MethodsOSCE candidates, examiners and simulated patients were invited, consented and recruited using maximal variation sampling. Participants were allocated to a summative OSCE circuit that had unobtrusive video cameras. Video footage of 18 stations was transcribed. Analysis was interpretative and iterative until a rich and thick description was achieved.ResultsFocusing on elements of Goffman ...
Source: Perspectives on Medical Education - June 4, 2020 Category: Universities & Medical Training Source Type: research
Clinical educational scholarship: polarized or integrated?
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 2, 2020 Category: Universities & Medical Training Source Type: research
Evaluating the reliability of gestalt quality ratings of medical education podcasts: A METRIQ study
DiscussionGestalt ratings of quality from approximately 20 health professionals are required to reliably assess the quality of a podcast. This finding should inform future work focused on developing and validating tools to support the evaluation of quality in these resources. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 2, 2020 Category: Universities & Medical Training Source Type: research
Measurement precision at the cut score in medical multiple choice exams: Theory matters
DiscussionWe found that conditional reliability shows inverse distributions and conclusions regarding the measurement precision at the cut score depending on the theory used. As the use of IRT seems to be more appropriate for criterion-oriented standard setting in the framework of competency-based medical education, our findings might have practical implications for the design and quality assurance of medical education assessments. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - May 27, 2020 Category: Universities & Medical Training Source Type: research
Development and evaluation of a simulation-based transition to clerkship course
We describe the development, structure and evaluation of a simulation-based transition to clerkship course.ApproachBeginning in 2012, our institution embarked upon an extensive curricular transformation geared toward competency-based education. As part of this effort, a group of 12 educators designed, developed and implemented a simulation-based transition course. The course curriculum involved seven goals, centered around the 13 Association of American Medical Colleges Core Entrustable Professional Activities for entering residency. Instructional techniques i ncluded high-fidelity simulation, and small and large gr...
Source: Perspectives on Medical Education - May 25, 2020 Category: Universities & Medical Training Source Type: research
“The storm has arrived”: the impact of SARS-CoV-2 on medical students
AbstractIn a few weeks, the global community has witnessed, and for some of us experienced first-hand, the human costs of the COVID-19 pandemic. There is incredible variability in how countries are choosing to thwart the disease’s outbreak, sparking intense discussions around what it means to teach and learn in the era of COVID-19, and more specifically, the role medical students play in the midst of the pandemic. A multi-national and multi-institutional group made up of a dedicated medical student from Austria, passionate clinicians and educators from Switzerland, and a PhD scientist involved in Me dical Education ...
Source: Perspectives on Medical Education - May 25, 2020 Category: Universities & Medical Training Source Type: research
