Jointly discussing care plans for real-life patients: The potential of a  student-led interprofessional team meeting in undergraduate health professions education
ConclusionStudents from participating institutions confirmed that attending a  student-led interprofessional team meeting had enabled them to learn with, from and about other health professions in an active role. The use of real-life cases and the educational design contributed to the positive outcome of this interprofessional learning activity. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - November 7, 2019 Category: Universities & Medical Training Source Type: research

Guidelines: The dos, don ’ts and don’t knows of remediation in medical education
ConclusionsRemediation is a  high-stakes, highly complex process involving learners, faculty, systems, and societal factors. Our synthesis resulted in a list of guidelines that summarize the current state of educational theory and empirical evidence that can improve remediation processes at individual and institutional level s. Important unanswered questions remain; ongoing research can further improve remediation practices to ensure the appropriate support for learners, institutions, and society. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - November 5, 2019 Category: Universities & Medical Training Source Type: research

Exploring the evolving concept of ‘patient ownership’ in the era of resident duty hour regulations—experience of residents and faculty in an internal medicine night float system
DiscussionThese features of patient ownership can be used to frame discussions when coaching trainees. Residency programs should be mindful of the downstream effects of shift-based scheduling. We propose strategies to optimize factors that enable trainee development of patient ownership. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - October 14, 2019 Category: Universities & Medical Training Source Type: research

A  call for action: integrating climate change into the medical school curriculum
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - October 8, 2019 Category: Universities & Medical Training Source Type: research

The learning environment on a  student ward: an observational study
This study describes the characteristics of a  student ward that centred around a community of practice that shared a view of learning as a priority, allowing staff to provide clinical care without compromising students’ learning. This qualitative study at a single centre lays the groundwork for future research into other student wards. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - October 7, 2019 Category: Universities & Medical Training Source Type: research

A  multiple-trainee, multiple-level, multiple-competency (multi-TLC) simulation-based approach to training obstetrical emergencies
This report presents the outcomes of that evaluation derived from quasi-experimental comparisons of the new and previous curricula across four priorities for simulation-based education identified by the Department of Obstetrics and Gynecology at McMaster University (Hamilton, ON, Canada): increasing learning opportunities, maintaining or improving resident learning, maintaining or reducing program costs, and improving resident satisfaction. The evaluation revealed that the Multi-TLC curriculum permitted a greater breadth of direct observation and assessment across competencies, maintained the previous learning objectives ...
Source: Perspectives on Medical Education - October 6, 2019 Category: Universities & Medical Training Source Type: research

Clear skies ahead: optimizing the learning environment for critical thinking from a  qualitative analysis of interviews with expert teachers
DiscussionAn optimal learning environment for critical thinking was actively created by faculty to establish a  safe environment and shared understanding of expectations. Understanding how to produce a conducive learning climate is paramount in teaching essential topics such as critical thinking. These findings have potential utility for faculty development initiatives to optimize the learning environment. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - September 26, 2019 Category: Universities & Medical Training Source Type: research

Spinning the lens on physician power: narratives of humanism and healing
This article offers three personal vignettes illustrating the ability of power to p ositively affect lives in the practice of medicine, for patients and doctors alike. More of these stories are needed to uplift and rebalance the conversation on physician power and how it can be used for good. It is necessary to provide a narrative framework of what it looks like to be a healer an d a humanistic doctor to satisfy the general public through a commitment to cultivate multidimensional future healthcare providers. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - September 26, 2019 Category: Universities & Medical Training Source Type: research

Early identification of struggling learners: using prematriculation and early academic performance data
DiscussionNBME exams early in the curriculum may be an additional tool for early identification of struggling learners. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - September 26, 2019 Category: Universities & Medical Training Source Type: research

The Implicit Association Test in health professions education: A  meta-narrative review
DiscussionWhether used as a  tool to measure bias, raise awareness or trigger reflection, the use of the IAT provokes tension between distinct meta-narratives, posing a challenge to educators. Curriculum designers should consider the premise behind the IAT before using it, and be prepared to address potential reactions from learners such as defensiveness or criticism. Overall, findings suggest that educational approaches regarding implicit bias require critical reflexivity regarding assumptions, values and theoretical positioning related to the IAT. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - September 17, 2019 Category: Universities & Medical Training Source Type: research

Attrition among New Zealand medical students completing research degrees: A  20-year analysis
DiscussionDemographics of this cohort were not dissimilar to those of completing students. Although withdrawing students had a  higher exit rate from the medical degree, the rate of research involvement remained similar pre- and post-intercalation. The most commonly cited reasons for withdrawal were decreased satisfaction with research, and conflict with supervisors. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - August 21, 2019 Category: Universities & Medical Training Source Type: research

Every picture tells a  story: Content analysis of medical school website and prospectus images in the United Kingdom
In conclusion, for gender, medical schools are accurately reflecting national data. However, for ethnicity medical schools fail to accurately represent national data, leading to incorrect signalling about the ethnic makeup of their students. Additionally, medical schools are signalling to students a  strong preference for hospital-based settings, despite a strong national drive to recruit more general practitioners. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 24, 2019 Category: Universities & Medical Training Source Type: research

Role modelling in the training of hospital-based medical specialists: a  validation study of the Role Model Apperception Tool (RoMAT)
DiscussionThe RoMAT was internally consistent and valid to assess role model behaviour of the clinical teacher towards the resident in the hospital-based training of medical specialists. The poor inter-rater reliability, most likely due to homogeneous RoMAT responses, should be borne in mind when evaluating RoMAT scores on individual clinical teachers. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 24, 2019 Category: Universities & Medical Training Source Type: research

Development of a  scale to measure intrapersonal factors influencing speaking up in the operating room
DiscussionOur analyses provided initial evidence for the validity and reliability of a  10-item IPF scale. This instrument needs to be validated in other cohorts. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 24, 2019 Category: Universities & Medical Training Source Type: research

Limited by our limitations
AbstractStudy limitations represent weaknesses within a  research design that may influence outcomes and conclusions of the research. Researchers have an obligation to the academic community to present complete and honest limitations of a presented study. Too often, authors use generic descriptions to describe study limitations. Including redundant or irrelevant limitations is an ineffective use of the already limited word count. A meaningful presentation of study limitations should describe the potential limitation, explain the implication of the limitation, provide possible alternative approaches, and describe steps t...
Source: Perspectives on Medical Education - July 24, 2019 Category: Universities & Medical Training Source Type: research