Enhancing the collective, protecting the personal: the valuable role of composite narratives in medical education research
AbstractNarrative research approaches provide the opportunity for constructing a  detailed understanding of lived experiences relevant to medical education, in areas such as illness narratives, explorations of doctor-patient relationships, and the development of professional identities in students and educators. The benefits of the depth of data gathered in narrative research a re, however, counterbalanced by possible weaknesses relating to a focus on individual cases and the risk of identification of participants where subjects are sensitive or unique. To address these concerns, researchers from a variety of social sci...
Source: Perspectives on Medical Education - August 11, 2022 Category: Universities & Medical Training Source Type: research

Continuing professional development challenges in a  rural setting: A mixed-methods study
In this study, we explored the barriers that health professionals in a rural healthcare context faced participating in CPD activitie s and their preferences regarding educational strategies to overcome these challenges.MethodsThis mixed-methods (exploratory sequential) study in a  community hospital in rural Mexico includes 22 interviews, 3 focus groups, 40 observational hours, and a questionnaire of healthcare staff.ResultsDespite low engagement with CPD activities (67% not motivated), all participants expressed interest and acknowledged the importance of learning for their practice. Barriers to participating includ...
Source: Perspectives on Medical Education - August 9, 2022 Category: Universities & Medical Training Source Type: research

Early career experiences of international medical program graduates: An international, longitudinal, mixed-methods study
DiscussionIMP graduates lack support in practical aspects of career orientation and international exposure. Most IMPs essentially prepare their graduates for a  career elsewhere. Gaps and challenges that IMP graduates experience in this cross-border career transition entail a responsibility for preparation and guidance that is currently lacking in IMP curricula. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 26, 2022 Category: Universities & Medical Training Source Type: research

Assessment of final-year medical students ’ entrustable professional activities after education on an interprofessional training ward: A case-control study
DiscussionITW training seems to prepare medical students well to practice competencies which are relevant for prospective entrustment decisions and can be deduced by senior physicians from case presentations. Further studies with larger student cohorts are needed to corroborate this finding and observable EPAs could also be defined to assess students ’ competencies after ITW training. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 21, 2022 Category: Universities & Medical Training Source Type: research

Disparity in refuge: the plight of international students seeking health and education in the midst of the Ukrainian war
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 19, 2022 Category: Universities & Medical Training Source Type: research

Joining the meta-research movement: A  bibliometric case study of the journal Perspectives on Medical Education
DiscussionThis case study provides a  glimpse into PME and offers evidence for PME’s next steps. In the future, PME is committed to growing the journal thoughtfully; diversifying and educating editorial teams, authors, and reviewers, and liberating and sharing journal data. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 21, 2022 Category: Universities & Medical Training Source Type: research

Management reasoning scripts: Qualitative exploration using simulated physician-patient encounters
DiscussionManagement scripts constitute a  key feature of management reasoning, and could represent a new target for training in clinical reasoning (distinct from illness scripts). (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 2, 2022 Category: Universities & Medical Training Source Type: research

Adapting despite “walls coming down”: Healthcare providers’ experiences of COVID-19 as an implosive adaptation
DiscussionAccording to our participants, not all adaptations have to be successful during a  crisis. The language of reality check, scramble and pivot provides a framework for teams to talk about and make sense of their approaches to crisis, even beyond the COVID-19 pandemic. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - May 30, 2022 Category: Universities & Medical Training Source Type: research

Social justice in medical education: inclusion is not enough —it’s just the first step
This study explores how medical students from vulnerable social groups experience belongingness as they join the medical community.MethodsThis qualitative study applied thematic analysis to 10  interviews with medical students admitted to one medical school through an affirmative policy. The interviews followed the drawing of a rich picture, in which the students represented a challenging situation experienced in their training, considering their socio-economic and racial background. T he analysis was guided by the modes of belonging (engagement, imagination, andalignment) described by the Communities of Practice framew...
Source: Perspectives on Medical Education - May 23, 2022 Category: Universities & Medical Training Source Type: research

Attachment anxiety and depressive symptoms in undergraduate medical students
This study investigates to what extent medical students ’ depressive symptoms are related to differences in students’ insecure attachment styles and their perception of reduced access to emotion regulation strategies.MethodsIn a  cross-sectional quantitative study, undergraduate medical students at the beginning of their second academic year completed online questionnaires measuring their attachment style, difficulties in emotion regulation, and depressive symptoms.ResultsOut of the 390 medical students invited, 267 participated in the survey. Higher secure attachment was associated with fewer depressive symptoms. Med...
Source: Perspectives on Medical Education - May 19, 2022 Category: Universities & Medical Training Source Type: research

“Can you recommend a journal for my paper?”
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - May 2, 2022 Category: Universities & Medical Training Source Type: research

Need for universal acceptance of preprinting by editors of journals of health professional education
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 25, 2022 Category: Universities & Medical Training Source Type: research

Bridging medical education goals and health system outcomes: An instrumental case study of pre-clerkship students ’ improvement projects
ConclusionEvaluation of HSI curricula needs to include effects on health systems so that program design can optimize the experience for all involved. Our study offers a  framework others can use to evaluate system-level effects of project-based HSI curricula and shows several ways in which students’ engagement can add value to health systems. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 8, 2022 Category: Universities & Medical Training Source Type: research

The scope of health professions education requires complementary and diverse approaches to knowledge synthesis
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 7, 2022 Category: Universities & Medical Training Source Type: research

Quality of cost evaluations of physician continuous professional development: Systematic review of reporting and methods
Discussion, with overall reporting index 292 (83) (maximum 500). Valuation methods were reported infrequently (resource selection 10 of 62 [16%], resource quantitation 10 [16%], pricing 26 [42%]), as were descriptions/discussion of the physicians trained (42 [68%]), training setting (42 [68%]), training intervention (40 [65%]), sensitivity analyses of uncertainty (9 [15%]), and generalizability (30 [48%]). MERSQI scores ranged from 6.0 to 16.0 (mean 11.2 [2.4]). Changes over time in reporting index (initial 241 [105], final 321 [52]) and MERSQI scores (initial 9.8 [2.7], final 11.9 [1.9]) we re not statistical...
Source: Perspectives on Medical Education - March 31, 2022 Category: Universities & Medical Training Source Type: research