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Medical Education

John R Boulet, Steven J Durning
CONTEXT: As the practice of medicine evolves, the knowledge, skills and attitudes required to provide patient care will continue to change. These competency-based changes will necessitate the restructuring of assessment systems. High-quality assessment programmes are needed to fulfil health professions education's contract with society. OBJECTIVES: We discuss several issues that are important to consider when developing assessments in health professions education...
September 14, 2018: Medical Education
Elizabeth Molloy, Margaret Bearman
The tension between expressing vulnerability and seeking credibility creates challenges for learning and teaching. This is particularly true in health care, in which practitioners are regarded as highly credible and making errors can often lead to dire consequences and blame. From a transformative learning perspective, expressing vulnerability may help individuals to access different ways of knowing. By contrast, from a sociological perspective, seeking to maintain credibility results in ritualised interactions and these ritualised encounters can reinforce credibility...
September 7, 2018: Medical Education
Jennifer A Cleland, Fiona Patterson, Mark D Hanson
OBJECTIVES: 'Wicked problems' are complex in nature, have innumerable causes associated with multiple social environments and actors with unpredictable behaviour and outcomes, and are difficult to define or even resolve. This paper considers why and how the frameworks of complexity theory and wicked problems can help medical educators consider selection and widening access (WA) to medicine through fresh eyes to guide future policy and practice. We illustrate how 'wickedity' can frame the key issues in this area, and then address steps that education stakeholders might take to respond to and act on these issues...
September 7, 2018: Medical Education
Harry Goldberg, Caitlin Hanlon
No abstract text is available yet for this article.
August 20, 2018: Medical Education
Karine Chevreul, Coralie Gandré, Jeanne Gervaix, Julien Thillard, Corinne Alberti, Dominique Meurs
CONTEXT: Previous studies, mainly originating from North America, suggest that women are less likely than men to obtain professorships in academic medical settings. However, research providing a comprehensive picture of such gender disparities in other national contexts and addressing associated contextual factors is lacking. OBJECTIVES: Our objectives were to assess gender differences in access to professorships in academic medical settings in France, to determine their evolution across regions and medical specialties and over time, and to identify the factors associated with the likelihood of a professor being a woman...
August 19, 2018: Medical Education
Carlos Fernando Collares, Dario Cecilio-Fernandes
No abstract text is available yet for this article.
August 19, 2018: Medical Education
Christopher J Watling, Shiphra Ginsburg
CONTEXT: Models of sound assessment practices increasingly emphasise assessment's formative role. As a result, assessment must not only support sound judgements about learner competence, but also generate meaningful feedback to guide learning. Reconciling the tension between assessment's focus on judgement and decision making and feedback's focus on growth and development represents a critical challenge for researchers and educators. METHODS: We synthesise the literature related to this tension, framed around four trends in education research: (i) shifting perspectives on assessment; (ii) shifting perspectives on feedback; (iii) increasing attention on learners' perceptions of assessment and feedback, and (iv) increasing attention on the influence of culture on assessment and feedback...
August 2, 2018: Medical Education
Melissa Bolier, Karolina Doulougeri, Joy de Vries, Esther Helmich
CONTEXT: Emotions play a central role in the professional development of doctors; however, research into how students are socialised to deal with emotions throughout medical school is still lacking. OBJECTIVES: This study aimed to gain a better understanding of the emotional socialisation of medical students (e.g. how they learn to express and respond to emotions evoked in clinical practice in the process of becoming a doctor). METHODS: In this longitudinal study, 12 medical students participated in annual, individual, semi-structured interviews, capturing the full 6-year medical school period...
July 30, 2018: Medical Education
Rola Ajjawi, Paul E S Crampton, Charlotte E Rees
CONTEXT: Research environments, or cultures, are thought to be the most influential predictors of research productivity. Although several narrative and systematic reviews have begun to identify the characteristics of research-favourable environments, these reviews have ignored the contextual complexities and multiplicity of environmental characteristics. OBJECTIVES: The current synthesis adopts a realist approach to explore what interventions work for whom and under what circumstances...
July 24, 2018: Medical Education
Chris B T Rietmeijer, Daniëlle Huisman, Annette H Blankenstein, Henk de Vries, Fedde Scheele, Anneke W M Kramer, Pim W Teunissen
CONTEXT: Direct observation (DO) of residents' performance, despite the importance that is ascribed to it, does not readily fit in with the practice of postgraduate medical education (PGME); it is infrequent and the quality of observation may be poor in spite of ongoing efforts towards improvement. In recent literature, DO is mostly portrayed as a means to gather information on the performance of residents for purposes of feedback and assessment. The role of DO in PGME is likely to be more complex and poorly understood in the era of outcome-based education...
July 24, 2018: Medical Education
David Prideaux
CONTEXT: Medical education has not been immune from forces for globalisation in the contemporary world. At the same time the social accountability of medical schools in addressing local health priorities has been emphasised. This paper explores the global-local tension in medical education through a careful selection of key overview papers. GLOBALISATION: Globalisation in medical education has taken two main forms: economic and altruistic. The former includes licensing curricula, recruiting internationally and establishing 'offshore' schools or campuses...
July 4, 2018: Medical Education
Paul A Tiffin, Kirsty Alexander, Jennifer Cleland
No abstract text is available yet for this article.
July 4, 2018: Medical Education
Martina Kelly, Tim Dornan, Tinu Ruparell
No abstract text is available yet for this article.
July 1, 2018: Medical Education
Michael Hessler, Daniel M Pöpping, Hanna Hollstein, Hendrik Ohlenburg, Philip H Arnemann, Christina Massoth, Laura M Seidel, Alexander Zarbock, Manuel Wenk
OBJECTIVES: Results from end-of-course student evaluations of teaching (SETs) are taken seriously by faculties and form part of a decision base for the recruitment of academic staff, the distribution of funds and changes to curricula. However, there is some doubt as to whether these evaluation instruments accurately measure the quality of course content, teaching and knowledge transfer. We investigated whether the provision of chocolate cookies as a content-unrelated intervention influences SET results...
June 29, 2018: Medical Education
Rune Dall Jensen, Mikkel Seyer-Hansen, Sayra M Cristancho, Mette Krogh Christensen
CONTEXT: A key concern for surgical educators is to prepare students to perform in the operating room while ensuring patient safety. Recent years have seen a renewed discussion of medical education through practice theoretical and sociomaterial lenses. These lenses are introduced to understand and prepare the learner to perform in the given context. This paper takes its point of departure from practice theory by introducing a lens through which to understand learning environments in surgery...
August 2018: Medical Education
Lisa Graves
No abstract text is available yet for this article.
August 2018: Medical Education
Fei Chen, Angela M Lui, Susan M Martinelli
No abstract text is available yet for this article.
August 2018: Medical Education
Esther Helmich, Marco Antonio de Carvalho-Filho
No abstract text is available yet for this article.
August 2018: Medical Education
D Jill Konkin, Douglas Myhre
No abstract text is available yet for this article.
August 2018: Medical Education
David P Sklar, Peter G M de Jong, Erik W Driessen, Kevin W Eva, Ronald M Harden, Grace C Huang, Gail M Sullivan
No abstract text is available yet for this article.
August 2018: Medical Education
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