Does being a coach benefit clinician-educators? A mixed methods study of faculty self-efficacy, job satisfaction and burnout
This study examines self-efficacy, job satisfaction, and burnout in coaches and other clinician-educators.MethodsWe conducted a mixed methods study using a quantitative survey followed by qualitative interviews of faculty at the University of California, San Francisco. Coaches (funded 20% full-time equivalents), faculty with other funded education positions (“funded”), and faculty without funded education positions (“ unfunded”) completed a 48-item survey addressing self-efficacy (teaching, professional development, and scholarship), job satisfaction, and burnout. Data were analyzed using analysis of variance f...
Source: Perspectives on Medical Education - August 18, 2021 Category: Universities & Medical Training Source Type: research
A professional knowledge base for collaborative reflection education: a qualitative description of teacher goals and strategies
DiscussionThe variety of strategies and goals that constitute the professional knowledge base for facilitating collaborative reflection in postgraduate medical education shows how diverse and situation-dependent such facilitation can be. Our analysis identifies a repertoire of tools that both novice and experienced teachers can use to develop their professional skill in facilitating collaborative reflection. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - August 17, 2021 Category: Universities & Medical Training Source Type: research
How supervisor trust affects early residents ’ learning and patient care: A qualitative study
DiscussionUnderstanding how trainees recognize supervisor trust can enhance interventions for improving the dialogue of trust between supervisors and trainees. It is important for supervisors to be cognizant of their trainees ’ interpretations of trust because it affects how trainees understand their patient care roles, perceive autonomy, and approach learning. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 23, 2021 Category: Universities & Medical Training Source Type: research
When names are on the line: Negotiating authorship with your team
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 14, 2021 Category: Universities & Medical Training Source Type: research
Factors associated with professional identity formation within psychiatry residency training: A longitudinal study
DiscussionExposure to psychiatry postings before residency, time in learning, and seniority are factors which influence PI development in residents. This has implications for psychiatry residency selection and training, adequate clinical exposure during training rotations, and continual support for new and senior residents to foster PI formation over time. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - July 7, 2021 Category: Universities & Medical Training Source Type: research
The system, the resident, and the preceptor: a curricular approach to continuity of care training
AbstractBackgroundContinuity of care (CoC) is integral to the practice of comprehensive primary care, yet research in the area of CoC training in residency programs is limited. In light of distributed medical education and evolving accreditation standards, a rigorous understanding of the context and enablers contributing to CoC education must be considered in the design and delivery of residency training programs.ApproachAt our preceptor-based community academic site, we developed a system—resident—preceptor (SRP) framework to explore factors that influence a resident’s perception regarding CoC, and established ...
Source: Perspectives on Medical Education - June 11, 2021 Category: Universities & Medical Training Source Type: research
Don ’t be reviewer 2! Reflections on writing effective peer review comments
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - June 11, 2021 Category: Universities & Medical Training Source Type: research
Intersections of power: videoconferenced debriefing of a rural interprofessional simulation team by an urban interprofessional debriefing team
This study explored power dynamics between rural simulation participants and urban expert co-debriefers during a simulated operating room crisis and debriefing. The aim is to gain a rich understanding of rural/urban relational dynamics embedded within the constraints and affordances of videoconferencing technology.MethodsIn situ observations of a videoconference-enabled simulation and debriefing were conducted, followed by seven semi-structured interviews, in this qualitative case study. A sociomateriality lens with additional sensitizing concepts of power from critical theory was employed to explore human and nonhum...
Source: Perspectives on Medical Education - June 9, 2021 Category: Universities & Medical Training Source Type: research
The visual vernacular: embracing photographs in research
AbstractThe increasing use of digital images for communication and interaction in everyday life can give a new lease of life to photographs in research. In contexts where smartphones are ubiquitous and many people are “digital natives”, asking participants to share and engage with photographs aligns with their everyday activities and norms more than textual or analogue approaches to data collection . Thus, it is time to consider fully the opportunities afforded by digital images and photographs for research purposes. This paper joins a long-standing conversation in the social science literature to move beyond the ...
Source: Perspectives on Medical Education - June 2, 2021 Category: Universities & Medical Training Source Type: research
Building a doctor, one skill at a time: Rethinking clinical training through a new skills-based feedback modality
This article proposes a new feedback modality called microskills, which are derived from the psychology, negotiation, and business literature, and are unique in their ability to elicit targeted feedback for trainee development. These microskills are grounded in both clinical and situational contexts, thereby mirroring le arners’ cognitive schemas and allowing for more natural skill selection and adoption. When taken as a whole, microskills are granular actions that map to larger milestones, competencies, and EPAs. This article outlines the theoretical justification for this new skills-based feedback modality, the meth...
Source: Perspectives on Medical Education - May 26, 2021 Category: Universities & Medical Training Source Type: research
Collaborative writing: Strategies and activities for writing productively together
(Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - May 7, 2021 Category: Universities & Medical Training Source Type: research
Shame in medical clerkship: “You just feel like dirt under someone’s shoe”
This study explores how senior medical students ’ experience and react to shame during clinical placements by asking them to reflect on (1) manifestations of shame experiences, (2) situations and social interactions that give rise to shame, and (3) perceived effects of shame on learning and professional identity development.MethodsIn this interpretive study, the authors recruited 16 senior medical students from two classes at a Norwegian medical school. In three focus group interviews, participants were invited to reflect on their experiences of shame. The data were analyzed usingsystematic text condensation, produ...
Source: Perspectives on Medical Education - May 5, 2021 Category: Universities & Medical Training Source Type: research
Relationships between medical students ’ co-regulatory network characteristics and self-regulated learning: a social network study
DiscussionThe present study reinforces the importance of co-regulatory networks for medical students ’ self-regulated learning during clinical clerkships. Findings imply that supporting development of strong networks aimed at frequent co-regulatory interactions may enhance medical students’ self-regulated learning in challenging clinical learning environments. Social network approaches offer pr omising ways of further understanding and conceptualising self- and co-regulated learning in clinical workplaces. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 30, 2021 Category: Universities & Medical Training Source Type: research
The prism model: advancing a theory of practice for arts and humanities in medical education
DiscussionThe Prism Model encourages greater pedagogical flexibility and critical reflection in arts and humanities teaching, offering a foundation for achieving its transformative potential. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 29, 2021 Category: Universities & Medical Training Source Type: research
Structural distress: experiences of moral distress related to structural stigma during the COVID-19 pandemic
ConclusionThese findings provide unique insights into teaching and learning about the care of structurally vulnerable populations and faculty ’s role related to resident advocacy and decision-making. The concept of structural distress may provide the foundation for future research into the intersection between resident well-being and training related to health equity. (Source: Perspectives on Medical Education)
Source: Perspectives on Medical Education - April 29, 2021 Category: Universities & Medical Training Source Type: research
