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Medical Education

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https://www.readbyqxmd.com/read/29226349/what-do-we-know-about-coaching-in-medical-education-a-literature-review
#1
REVIEW
Ben Lovell
CONTEXT: Coaching has been employed successfully in the competitive sports, professional music, and business and corporate worlds. It is now emerging as a training modality in medical education. OBJECTIVES: This paper reviews the current evidence on coaching strategies for doctors and medical students. METHODS: An applied literature search was conducted in PubMed, MEDLINE and Web of Science. Predetermined definitions of coaching interventions and their evaluations were used to narrow 993 papers down to 21, which were included in the final review...
December 11, 2017: Medical Education
https://www.readbyqxmd.com/read/29205440/effect-of-reflection-on-medical-students-situational-interest-an-experimental-study
#2
Ligia M C Ribeiro, Silvia Mamede, Alexandre S Moura, Eliza M de Brito, Rosa M D de Faria, Henk G Schmidt
CONTEXT: Reflection has been considered crucial to learning. Engaging in reflection while solving problems is expected to foster identification of knowledge gaps and interest in learning more about them, the latter being a major motivational force in learning. Although theoretically sound, this assumption still lacks empirical evidence. This experiment investigated whether reflection while diagnosing clinical cases of different levels of difficulty influences medical students' awareness of knowledge gaps and situational interest...
December 4, 2017: Medical Education
https://www.readbyqxmd.com/read/29205433/faculty-feedback-that-begins-with-resident-self-assessment-motivation-is-the-key-to-success
#3
Alex Moroz, Margaret Horlick, Neil Mandalaywala, David T Stern
CONTEXT: The seeking and incorporating of feedback are necessary for continuous performance improvement in medicine. We know that beginning feedback conversations with resident self-assessment may reduce some of the tensions experienced by faculty staff. However, we do not fully understand how residents experience feedback that begins with self-assessment, and whether any existing theoretical frameworks can explain their experiences. METHODS: We conducted a constructivist grounded theory study exploring physical medicine and rehabilitation residents' experiences as they engaged in a structured self-assessment and faculty staff feedback programme...
December 4, 2017: Medical Education
https://www.readbyqxmd.com/read/29193365/making-the-leap-to-medical-education-a-qualitative-study-of-medical-educators-experiences
#4
Julie Browne, Katie Webb, Alison Bullock
CONTEXT: Medical educators often have prior and primary experience in other academic and clinical disciplines. Individuals seeking successful careers in the education of medical students and doctors must, at some point in their development, make a conscious transition into a new identity as a medical educator. This is a necessary move if individuals are to commit to acquiring and maintaining specialist expertise in medical education. Some achieve this transition successfully, whereas others struggle and may even lose interest and abandon the endeavour...
November 28, 2017: Medical Education
https://www.readbyqxmd.com/read/29178211/improving-case-study-research-in-medical-education-a%C3%A2-systematised-review
#5
Colleen Cheek, Richard Hays, Janie Smith, Penny Allen
CONTEXT: Case study research (CSR) is a research approach that guides holistic investigation of a real phenomenon. This approach may be useful in medical education to provide critical analyses of teaching and learning, and to reveal the underlying elements of leadership and innovation. There are variations in the definition, design and choice of methods, which may diminish the value of CSR as a form of inquiry. OBJECTIVES: This paper reports an analysis of CSR papers in the medical education literature...
November 27, 2017: Medical Education
https://www.readbyqxmd.com/read/29119616/when-i-say-%C3%A2-gamification
#6
Allan McDougall
No abstract text is available yet for this article.
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29119591/widening-participation-in-medicine-new-insights-from-school-students-aspirations
#7
Jennifer Gore, Sally Patfield, Kathryn Holmes, Maxwell Smith
OBJECTIVES: Students from lower socio-economic status backgrounds continue to be under-represented in medical education. Although various initiatives have been implemented by universities to widen participation, their effectiveness and their timing remain contentious. Prior studies have primarily focused on students already on a medical pathway, with little analytical attention given to the aspirations of primary and secondary school-aged students. The aim of this study was to identify the characteristics of students who express early interest in medicine and ascertain the degree to which diversification of the future medical student cohort is indicated...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29119582/emotions-and-assessment-considerations-for-rater-based-judgements-of-entrustment
#8
Carlos Gomez-Garibello, Meredith Young
CONTEXT: Assessment is subject to increasing scrutiny as medical education transitions towards a competency-based medical education (CBME) model. Traditional perspectives on the roles of assessment emphasise high-stakes, summative assessment, whereas CBME argues for formative assessment. Revisiting conceptualisations about the roles and formats of assessment in medical education provides opportunities to examine understandings and expectations of the assessment of learners. The act of the rater generating scores might be considered as an exclusively cognitive exercise; however, current literature has drawn attention to the notion of raters as measurement instruments, thereby attributing additional factors to their decision-making processes, such as social considerations and intuition...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29105861/using-paradox-theory-to-understand-responses-to-tensions-between-service-and-training-in-general-surgery
#9
Jennifer Cleland, Ruby Roberts, Simon Kitto, Pia Strand, Peter Johnston
CONTEXT: The tension between service and training in pressured health care environments can have a detrimental impact on training quality and job satisfaction. Yet the management literature proposes that competing demands are inherent in organisational settings: it is not the demands as such that lead to negative outcomes but how people and organisations react to opposing tensions. We explored how key stakeholders responded to competing service-training demands in a surgical setting that had recently gone through a highly-publicised organisational crisis...
November 6, 2017: Medical Education
https://www.readbyqxmd.com/read/29105813/how-can-systems-engineering-inform-the-methods-of-programme-evaluation-in-health-professions-education
#10
David Rojas, Lawrence Grierson, Maria Mylopoulos, Patricia Trbovich, Darius Bagli, Ryan Brydges
CONTEXT: We evaluate programmes in health professions education (HPE) to determine their effectiveness and value. Programme evaluation has evolved from use of reductionist frameworks to those addressing the complex interactions between programme factors. Researchers in HPE have recently suggested a 'holistic programme evaluation' aiming to better describe and understand the implications of 'emergent processes and outcomes'. FRAMEWORK: We propose a programme evaluation framework informed by principles and tools from systems engineering...
November 6, 2017: Medical Education
https://www.readbyqxmd.com/read/29098706/completeness-of-the-reporting-of-evidence-based-practice-educational-interventions-a-review
#11
REVIEW
Loai Albarqouni, Paul Glasziou, Tammy Hoffmann
CONTEXT: Complete reporting of intervention details in trials of evidence-based practice (EBP) educational interventions is essential to enable clinical educators to translate research evidence about interventions that have been shown to be effective into practice. In turn, this will improve the quality of EBP education. OBJECTIVES: This study was designed to examine the completeness of reporting of EBP educational interventions in published studies and to assess whether missing details of educational interventions could be retrieved by searching additional sources and contacting study authors...
November 2, 2017: Medical Education
https://www.readbyqxmd.com/read/29098696/recommendations-for-undergraduate-medical-electives-a-uk-consensus-statement
#12
Connie Wiskin, Michael Barrett, Birgit Fruhstorfer, Matthias L Schmid
INTRODUCTION: Many doctors, across grades and specialities, supervise or advise students and juniors undertaking elective placements. Electives form part of medical curricula on a worldwide scale. The Medical Schools Council (MSC) Electives Committee in the UK identified a gap in the current literature in relation to provision of comprehensive recommendations for the design and management of undergraduate elective programmes. Electives afford many known benefits for medical and other health care students, but the context, and risks (impacting potentially on patient, public and student well-being) are usually different from those associated with 'home' clinical placements...
November 2, 2017: Medical Education
https://www.readbyqxmd.com/read/29076231/competency-based-medical-education-the-discourse-of-infallibility
#13
Victoria A Boyd, Cynthia R Whitehead, Patricia Thille, Shiphra Ginsburg, Ryan Brydges, Ayelet Kuper
BACKGROUND: Over the last two decades, competency-based frameworks have been internationally adopted as the primary educational approach in medicine. Yet competency-based medical education (CBME) remains contested in the academic literature. We look broadly at the nature of this debate to explore how it may shape scholars' understanding of CBME, and its implications for medical education research and practice. In doing so, we deconstruct unarticulated discourses and assumptions embedded in the CBME literature...
October 27, 2017: Medical Education
https://www.readbyqxmd.com/read/29058337/when-i-say-%C3%A2-affordance-perception
#14
Anneke G van der Niet
No abstract text is available yet for this article.
October 23, 2017: Medical Education
https://www.readbyqxmd.com/read/29058332/learning-support-interventions-for-year-1-medical-students-a-review-of-the-literature
#15
REVIEW
Masego B Kebaetse, Maikutlo Kebaetse, Gaonyadiwe G Mokone, Oathokwa Nkomazana, Mpho Mogodi, John Wright, Rosemary Falama, Elizabeth Park
CONTEXT: The journey through medical school can be challenging, especially for undergraduate medical students who must deal with a demanding curriculum, coupled with the demands of transitioning into adulthood. Despite experiencing learning challenges, most students succeed with appropriate learning support. Many medical schools offer learning support programmes, particularly in the latter years, but it has been suggested that such support could be more beneficial, especially during the initial years...
October 23, 2017: Medical Education
https://www.readbyqxmd.com/read/29044652/the-impact-of-accreditation-on-medical-schools-processes
#16
Danielle Blouin, Ara Tekian, Carol Kamin, Ilene B Harris
OBJECTIVES: Increased emphasis is being placed worldwide on accreditation of undergraduate medical education programmes, and costs of participation in accreditation continue to rise. The primary purposes of accreditation are to ensure the quality of medical education and to promote quality improvement. Student performance data as indicators of the impact of accreditation have important limitations. The purpose of this study was to evaluate the impact of accreditation using an innovative marker: the processes implemented at medical schools as a result of accreditation...
October 18, 2017: Medical Education
https://www.readbyqxmd.com/read/29044683/the-supervisory-encounter-and-the-senior-gp-trainee-managing-for-through-and-with
#17
James Brown, Debra Nestel, Tim Clement, Mark Goldszmidt
OBJECTIVE: Help-seeking supervisory encounters provide important learning experiences for trainees preparing for independent practice. Although there is a body of expert opinion and theories on how supervisor encounters should happen, supporting empirical data are limited. This is particularly true for the senior general practice (GP) trainee. Without knowing what happens during these encounters, we cannot know how to maximise their educational potential. This study aimed to understand what happens when senior GP trainees call on their supervisor when caring for patients and how learning can be enhanced when this occurs...
October 16, 2017: Medical Education
https://www.readbyqxmd.com/read/29044675/-oh-my-god-i-can-t-handle-this-trainees-emotional-responses-to-complex-situations
#18
Esther Helmich, Laura Diachun, Radha Joseph, Kori LaDonna, Nelleke Noeverman-Poel, Lorelei Lingard, Sayra Cristancho
CONTEXT: Dealing with emotions is critical for medical trainees' professional development. Taking a sociocultural and narrative approach to understanding emotions, we studied complex clinical situations as a specific context in which emotions are evoked and influenced by the social environment. We sought to understand how medical trainees respond to emotions that arise in those situations. METHODS: In an international constructivist grounded theory study, 29 trainees drew two rich pictures of complex clinical situations, one exciting and one frustrating...
October 16, 2017: Medical Education
https://www.readbyqxmd.com/read/28994457/back-from-basics-integration-of-science-and-practice-in-medical-education
#19
Glen Bandiera, Ayelet Kuper, Maria Mylopoulos, Cynthia Whitehead, Mariela Ruetalo, Kulamakan Kulasegaram, Nicole N Woods
CONTEXT: In 1988, the Edinburgh Declaration challenged medical teachers, curriculum designers and leaders to make an organised effort to change medical education for the better. Among a series of recommendations was a call to integrate training in science and clinical practice across a breadth of clinical contexts. The aim was to create physicians who could serve the needs of all people and provide care in a multitude of contexts. In the years since, in the numerous efforts towards integration, new models of curricula have been proposed and implemented with varying levels of success...
October 10, 2017: Medical Education
https://www.readbyqxmd.com/read/28994456/-the-other-right-control-strategies-and-the-role-of-language-use-in-laparoscopic-training
#20
Heather Emmerton-Coughlin, Christopher Schlachta, Lorelei Lingard
CONTEXT: Laparoscopic techniques present a particular challenge to the academic surgeon in maintaining control and patient safety. The authors explored the use of verbal and physical control strategies including deixis, language used to locate subject in spatio-temporal, social and discoursal contexts, in this setting. METHODS: Forty cases of laparoscopic cholecystectomy at an academic centre were video and audio-recorded. Surgeon and trainee discourses and physical gestures during the crucial anatomical steps of the operation were qualitatively analysed using a hybrid inductive and deductive technique with explicit attention to the use of deixis...
October 10, 2017: Medical Education
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