The organic formation of a wellness committee: A unique, student-led approach to implementing a wellness program in medical school
AbstractBackgroundMedical school wellness programs are rapidly becoming a prevalent feature of medical education. The wellness component of medical education is addressed by a multitude of different approaches, but is often led by administrative faculty rather than students.ApproachThe first-year medical student authors collectively established a medical school wellness committee that is entirely student-driven. The goal of the wellness committee was to organize and promote student ideas centered on six aspects of wellness.EvaluationThe formation, initial successes, and hurdles to the inception and continuation of the...
Source: Perspectives on Medical Education - April 2, 2020 Category: Universities & Medical Training Source Type: research
Developing occupational therapists ’ capabilities for decision-making capacity assessments: how does a support role facilitate workplace learning?
DiscussionParticipants valued the authentic workplace learning opportunities afforded by the dedicated support role. Findings suggest that capabilities, such as decision-making capacity assessment, can be developed through practice when enriched by a dedicated support role. However, further research examining the sustainability and transferability of this model and its application to other capabilities are warranted. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - March 30, 2020 Category: Universities & Medical Training Source Type: research
Longitudinal resident coaching in the outpatient setting: A novel intervention to improve ambulatory consultation skills
AbstractBackgroundDirect observation with feedback to learners should be a mainstay in resident education, yet it is infrequently done and its impact on consultation skills has rarely been assessed.ApproachThis project presents the framework and implementation of a longitudinal low-frequency, high-intensity direct observation and coaching intervention, and elaborates on insights learned. Internal medicine interns at one residency training program were randomized to an ambulatory coaching intervention or usual precepting. Over one year, coached interns had th ree complete primary care visits directly observed by a facu...
Source: Perspectives on Medical Education - March 29, 2020 Category: Universities & Medical Training Source Type: research
Teaching next-generation sequencing to medical students with a portable sequencing device
AbstractBackgroundThere continues to be a disjoint between the emergence of new diagnostic technologies and venues to train new physicians on how to apply them. Next-generation sequencing (NGS) has become a very important tool for a wide range of clinical applications. Technical complexity and cost have been the major obstacles in incor porating these technologies into the classroom.Goal for innovationWe opted to use the MinION, which is a new portable DNA sequencer that can produce data in real-time at a relatively low cost, for a NGS hands-on workshop with medical students.Steps takenWe conducted a pilot NGS ha...
Source: Perspectives on Medical Education - March 2, 2020 Category: Universities & Medical Training Source Type: research
Correction to: The do ’s, don’ts and don’t knows of establishing a sustainable longitudinal integrated clerkship
Unfortunately information regarding the disclaimer of Paul Worley ’s affiliation is missing from the original article. Please find the information here:Paul Worley is affiliated to the Prideaux Centre for Research in Health Professions Education, Flinders University, Adelaide, Australia. He is the … (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - February 26, 2020 Category: Universities & Medical Training Source Type: research
Evaluation of the effect of a new clinical reasoning curriculum in a pre-clerkship clinical skills course
This study was conducted through our longitudinal clinical skills course.Second year medical (M2) students who received the clinical reasoning curriculum in 2018 formed the study cohort. M2 students from the previous year, who did not have the clinical reasoning curriculum, formed the comparison cohort. Several modalities were used to teach clinical reasoning including whole case approach, serial cue approach, self-explanation of pathophysiological mechanisms and comparison of closely related diagnoses. The students interviewed a standardized patient and documented the history along with three likely diagnoses.ResultsStu...
Source: Perspectives on Medical Education - February 12, 2020 Category: Universities & Medical Training Source Type: research
Bridging the gap: Responding to resident burnout and restoring well-being
AbstractThere is an increasing awareness of high burnout found among physicians. Resident physicians particularly face heightened stress due to inherent pressures of training in addition to systemic challenges common to healthcare. It is crucial that medical training programs and organizations create a culture which promotes physician well-being. We conducted an evaluation of a quality assurance pilot program aimed at creating a safe space for increasing burnout awareness and well-being among resident physicians. The program was voluntary, offered to psychiatry residents enrolled at McMaster U niversity, and comprised ...
Source: Perspectives on Medical Education - February 9, 2020 Category: Universities & Medical Training Source Type: research
Development of a CanMEDS-based instrument for evaluating medical students’ perceptions of the key competencies of a socially accountable healthcare practitioner
This study describes the design of an instrument to evaluate medical students ’ perceptions of the essential competencies of socially accountable healthcare practitioners. Used longitudinally, the data may provide evidence of the successes of our programs and identify areas where further improvements are required. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - February 6, 2020 Category: Universities & Medical Training Source Type: research
Impostorism in third-year medical students: an item analysis using the Clance impostor phenomenon scale
DiscussionThird-year medical students identified most strongly with items related to unfounded fear of failure, hesitance to share recognition before it is announced, remembering failures rather than successes, believing themselves less capable than others, and worrying about succeeding. In contrast, attribution of accomplishments to luck was not prominent for these students. Responses to certain items also differed depending on gender and perceived burnout or depersonalization, but not self-reported under-represented minority status. This observation may inform the development of interventions tailored to foster wellness ...
Source: Perspectives on Medical Education - February 5, 2020 Category: Universities & Medical Training Source Type: research
Knowledge, skills and beetles: respecting the privacy of private experiences in medical education
AbstractIn medical education, we assess knowledge, skills, and a third category usually called values or attitudes. While knowledge and skills can be assessed, this third category consists of ‘beetles’, after the philosopher Wittgenstein’s beetle-in-a-box analogy. The analogy demonstrates that private experiences such as pain and hunger are inaccessible t o the public, and that we cannot know whether we all experience them in the same way. In this paper, we claim that unlike knowledge and skills, private experiences of medical learners cannot be objectively measured, assessed, or directly accessed in any way. If we...
Source: Perspectives on Medical Education - February 4, 2020 Category: Universities & Medical Training Source Type: research
Perspectives on Medical Education: three changes in our guidelines to make authors ’ and reviewers’ lives easier
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - February 4, 2020 Category: Universities & Medical Training Source Type: research
Students ’ perceptions of learning environment and their leisure-time exercise in medical school: Does sport background matter?
DiscussionThe findings indicate that sport background is associated with students ’ perceptions of the learning environment as supportive of their needs for autonomy and relatedness, but not for competence, and is linked to their leisure-time exercise in medical school. The observed relationships could help inform medical schools curricular initiatives in preventing student bur nout right from the start of medical school. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - February 2, 2020 Category: Universities & Medical Training Source Type: research
Finding your feet: student participation during initiation of international clinical placements
This study sought to unpack the initiation process during international clinical placements with the ultimate aim to achieve active student participation.MethodsFollowing a constructivist grounded theory approach, we conducted two individual interviews with 15 undergraduate healthcare students (before departure and whilst on placement). To identify emerging themes, we applied an iterative process of data collection and constant comparative analysis. Several team dis cussions informed further analysis, allowing us to reach a more conceptual level of theory.ResultsFrom our findings we constructed a four-phase model of ...
Source: Perspectives on Medical Education - February 2, 2020 Category: Universities & Medical Training Source Type: research
The do ’s, don’ts and don’t knows of establishing a sustainable longitudinal integrated clerkship
ConclusionImplementing a longitudinal integrated clerkship is a complex process requiring the involvement of a wide group of stakeholders in both hospitals and communities. The complexity of the change management processes requires careful and sustained attention, with a particular focus on the outcomes of the programs for students and the communities in which they learn. Effective and consistent leadership and adequate resourcing are important. There is a need to select teaching sites carefully, involve students and faculty in allocation of students to sites and support students and faculty though the implement atio...
Source: Perspectives on Medical Education - January 16, 2020 Category: Universities & Medical Training Source Type: research
Support, technology and mental health: correlates of trainee workplace satisfaction
DiscussionMultiple workplace factors are correlated with trainee satisfaction, but they are not the factors (such as financial debt) that we initially hypothesized. The factors we identified, including clinical staff support and personal mental health, may be targets for further study and/or pilot interventions aimed at improving satisfaction. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - January 16, 2020 Category: Universities & Medical Training Source Type: research
