Use of an e ‑portfolio mapping tool: connecting experiences, analysis and action by learners
AbstractReflective practice is an important characteristic of a  knowledgeable health professional. Reflection is needed to maintain professional competence, practice-based learning, and an improvement focused attitude. Yet, learners struggle with reflective practice activities as they are perceived as challenging and time consuming. We used the idea of concept mapping to design an e‑portfolio tool that supports learners with their reflective practice activities. The purpose of this article is to demonstrate the design and rationale of e‑portfolio mapping and how this tool could be used to support reflective practice ...
Source: Perspectives on Medical Education - May 15, 2019 Category: Universities & Medical Training Source Type: research

Visualizing faculty development impact: A  social network analysis
AbstractFaculty development programs have tended to focus on low levels of evaluation such as participant satisfaction rather than assess the actual changes that training has brought about in the workplace. This has prompted scholars to suggest using social network analysis as a  means to provide a more rigorous method of evaluating the impact of faculty development. To test the feasibility of such a suggestion, we used the social network analysis concepts of social cohesion to assess the impact of a year-long fellowship program conducted by Duke-NUS Medical School’s Academic Medicine Education Institute (AM·EI). Sp...
Source: Perspectives on Medical Education - April 17, 2019 Category: Universities & Medical Training Source Type: research

Eye-tracking for assessing medical image interpretation: A  pilot feasibility study comparing novice vs expert cardiologists
DiscussionThese preliminary results demonstrate interpretive decision errors among novices, suggesting they identify and process critical diagnostic features, but sometimes fail to accurately interpret those features. Results also showcase the feasibility of tracking and understanding eye movements during video-based coronary angiogram interpretation and suggest that eye tracking may be valuable for informing assessments of competency progression during medical education and training. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 10, 2019 Category: Universities & Medical Training Source Type: research

From semi-conscious to strategic paragraphing
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 9, 2019 Category: Universities & Medical Training Source Type: research

Emergency medicine residency fact board: Why our attempt to encourage on-shift learning failed
In this study, we addressed that barrier by placing an iPad-based live fact feed in the resident workroom of our emergency department, therefore allowing for passive learning while on shift. We hypothesized that residents with access to the live feed would score higher on monthly post-curriculum block exams. We ended up finding that the residents actually prefer a more active approach to learning and that many more people in the emergency department other than the residents benefitted fr om the fact board. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 4, 2019 Category: Universities & Medical Training Source Type: research

How phenomenology can help us learn from the experiences of others
ConclusionsPhenomenology is a  powerful research strategy that is well suited for exploring challenging problems in HPE. By building a better understanding of the nature of phenomenology and working to ensure proper alignment between the specific research question and the researcher’s underlying philosophy, we hope to encour age HPE scholars to consider its utility when addressing their research questions. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 4, 2019 Category: Universities & Medical Training Source Type: research

Eye tracking: the silver bullet of competency assessment in medical image interpretation?
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 3, 2019 Category: Universities & Medical Training Source Type: research

Factors associated with scientific misconduct and questionable research practices in health professions education
DiscussionIn total, 590 researchers completed the survey. Results from the final regression model indicated that researcher age had a  negative association with the misconduct score (b = -0.01,β = -0.22,t = -2.91,p <0.05), suggesting that older researchers tended to report less misconduct. On the other hand, those with more publications had higher misconduct scores (b = 0.001,β = 0.17,t = 3.27,p <  0.05) and, compared with researchers in the region of North America, researchers in Asia tended to have higher misconduct scores (b = 0.21,β = 0.12,t = 2.84,p <  0.01). ...
Source: Perspectives on Medical Education - March 25, 2019 Category: Universities & Medical Training Source Type: research

Every doctor needs a  wife: An old adage worth reexamining
AbstractHalf of medical school graduates are women, but female doctors experience significant professional tensions. Low numbers of women in leadership roles, high burnout and attrition, and continued harassment suggest a  culture that undermines the contributions of women. This manuscript explores research from sociology, business and medicine through a personal lens. Understanding the way gender influences the complex state of women in medicine suggests changes are needed in the architecture of the modern medical workforce. Individuals, mentors and organizations can make changes that would improve the way that the work...
Source: Perspectives on Medical Education - March 25, 2019 Category: Universities & Medical Training Source Type: research

Identifying the narrative used by educators in articulating judgement of performance
This study aims to explore how medical education experts voice their subjective judgements about learners and to what extent they are using clear, information-rich terminology (high-level semantic qualifiers); and to gain a  better understanding of the experts’ language used in these subjective judgements.MethodsSix experienced medical educators from urban and rural environments were purposefully selected. Each educator reviewed a  registrar clinical case analysis in a think out loud manner. The transcribed data were analyzed, codes were identified and ordered into themes. Analysis continued until saturation was reach...
Source: Perspectives on Medical Education - March 25, 2019 Category: Universities & Medical Training Source Type: research

Parent-provider paediatric literacy communication: A  curriculum for future primary care providers
DiscussionOur curriculum extends beyond previous studies by measuring recommended books, anticipatory guidance, and communication skills using paediatric SPs and standardized patient caregivers. Curriculum activities can be tailored to best promote parent-provider literacy communication training in other programs. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - March 24, 2019 Category: Universities & Medical Training Source Type: research

Using mobile virtual reality to enhance medical comprehension and satisfaction in patients and their families
AbstractPatients are typically debriefed by their healthcare provider after any medical procedure or surgery to discuss their findings and any next steps involving medication or treatment instructions. However, without any medical or scientific background knowledge, it can feel overwhelming and esoteric for a  patient to listen to a physician describe a complex operation. Instead, providing patients with engaging visuals and a virtual reality (VR) simulation of their individual clinical findings could lead to more effective transfer of medical knowledge and comprehension of treatment information. A  newly developed VR...
Source: Perspectives on Medical Education - March 24, 2019 Category: Universities & Medical Training Source Type: research

Animated stories of medical error as a  means of teaching undergraduates patient safety: an evaluation study
ConclusionThis pilot study confirmed that undergraduate students consider animated, personal stories of medical error an effective, engaging means of learning about patient safety. Longitudinal studies are required to confirm if measurable behaviour change is achieved. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - February 14, 2019 Category: Universities & Medical Training Source Type: research

Why institutional ethnography? Why now? Institutional ethnography in health professions education
AbstractThis ‘A Qualitative Space’ article takes a critical look at Dorothy Smith’s approach to inquiry known as institutional ethnography and its potentiality in contemporary health professions education research. We delve into institutional ethnography’s philosophical underpinnings, setting out the o ntological shift that the researcher needs to make within this critical feminist approach. We use examples of research into frontline healthcare, into the health work of patients and into education to allow the reader to consider what an institutional ethnography research project might offer. We lay out our vision ...
Source: Perspectives on Medical Education - February 11, 2019 Category: Universities & Medical Training Source Type: research

Putting post-decision wagering to the test: a  measure of self-perceived knowledge in basic sciences?
In this study, we evaluate the use of psychology-derived post-decision wagering for mappin g students self-perceived knowledge.MethodsStudents (n = 71) performed a pre-test on medical physiology, followed by a teacher-moderated discussion and a post-test with isomorph questions. Half of the students rated their self-perceived knowledge on each question using post-decision wagering, i. e. betting 1–5 points on the correctness of t heir answer, whereas the other half used a 5-point Likert scale to rate their confidence.ResultsSelf-perceived knowledge scores were higher for post-decision wagering (pre: 3.75  ±...
Source: Perspectives on Medical Education - February 5, 2019 Category: Universities & Medical Training Source Type: research