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Medical Education

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https://www.readbyqxmd.com/read/28771800/current-efforts-in-medical-education-to-incorporate-national-health-priorities
#1
Manisha Nair, Gracia Fellmeth
As a reflection on the Edinburgh Declaration, this conceptual synthesis presents six important challenges in relation to the role of medical education in meeting current national health priorities. CONTEXT: This paper presents a conceptual synthesis of current efforts in medical education to incorporate national health priorities as a reflection on how the field has evolved since the Edinburgh Declaration. Considering that health needs vary from country to country, our paper focuses on three broad and cross-cutting themes: health equity, health systems strengthening, and changing patterns of disease...
August 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28771776/developing-and-rewarding-teachers-as-educators-and-scholars-remarkable-progress-and-daunting-challenges
#2
David M Irby, Patricia S O'Sullivan
CONTEXT: This article describes the scholarly work that has addressed the fifth recommendation of the 1988 World Conference on Medical Education: 'Train teachers as educators, not content experts alone, and reward excellence in this field as fully as excellence in biomedical research or clinical practice'. PROGRESS: Over the past 30 years, scholars have defined the preparation needed for teaching and other educator roles, and created faculty development delivery systems to train teachers as educators...
August 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28762538/assessing-patient-centred-communication-in-teaching-a%C3%A2-systematic-review-of-instruments
#3
REVIEW
Marianne Brouwers, Ellemieke Rasenberg, Chris van Weel, Roland Laan, Evelyn van Weel-Baumgarten
CONTEXT: Patient-centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient-centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments. OBJECTIVES: The aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor-patient communication and can be used to provide direct feedback...
August 1, 2017: Medical Education
https://www.readbyqxmd.com/read/28758242/should-disclosure-of-conflicts-of-interest-in-medicine-be-made-public-medical-students-views
#4
Jane Williams, Wendy Lipworth, Christopher Mayes, Ian Olver, Ian Kerridge
CONTEXT: Conflicts of interest (CoIs) are considered to be ubiquitous in health care and biomedicine. The disclosure of relevant interests is a first step in managing conflicts, although its usefulness is contested. Although several countries have mandated the public disclosure of doctors' financial relationships with the pharmaceutical industry, little is known about medical students' understanding of mandatory public disclosure. METHODS: Six 90-minute focus groups were conducted with medical students in New South Wales, Australia...
July 31, 2017: Medical Education
https://www.readbyqxmd.com/read/28758237/towards-an-understanding-of-how-appraisal-of-doctors-produces-its-effects-a-realist-review
#5
REVIEW
Nicola Brennan, Marie Bryce, Mark Pearson, Geoff Wong, Chris Cooper, Julian Archer
CONTEXT: Revalidation was launched in the UK to provide assurances to the public that doctors are up to date and fit to practice. Appraisal is a fundamental component of revalidation. Approximately 150 000 doctors are appraised annually, costing an estimated £97 million over 10 years. There is little understanding of the theory of how and why appraisal is supposed to produce its effects. A realist review of the literature was utilised to explore these issues, as they generate context-mechanism-outcome (CMO) configurations, resulting in the creation of theories of how and why appraisal of doctors produces its effects...
July 31, 2017: Medical Education
https://www.readbyqxmd.com/read/28758233/exploring-examinee-behaviours-as-validity-evidence-for-multiple-choice-question-examinations
#6
Luke T Surry, Dario Torre, Steven J Durning
CONTEXT: Clinical-vignette multiple choice question (MCQ) examinations are used widely in medical education. Standardised MCQ examinations are used by licensure and certification bodies to award credentials that are meant to assure stakeholders as to the quality of physicians. Such uses are based on the interpretation of MCQ examination performance as giving meaningful information about the quality of clinical reasoning. There are several assumptions foundational to these interpretations and uses of standardised MCQ examinations...
July 31, 2017: Medical Education
https://www.readbyqxmd.com/read/28758230/eyeballing-the-use-of-visual-appearance-to-diagnose-sick
#7
Matthew Sibbald, Jonathan Sherbino, Ian Preyra, Tara Coffin-Simpson, Geoff Norman, Sandra Monteiro
CONTEXT: Prior studies suggest that clinicians can categorise patients in an emergency room as 'sick' or 'not sick' using rapid visual assessment. The rapid nature of these decisions suggests clinicians are relying on pattern recognition or System 1 processing; however, this has not been studied experimentally. In this study, we explore the accuracy of these decisions using patient disposition (discharge, admission to ward or admission to critical care) as an objective outcome, and collect evidence to argue for the use of System 1 processing in the 'sick' or 'not sick' decision process...
July 31, 2017: Medical Education
https://www.readbyqxmd.com/read/28758234/beyond-your-very-eyes-eye-movements-are-necessary-not-sufficient
#8
LETTER
Ellen M Kok, Halszka Jarodzka
No abstract text is available yet for this article.
July 30, 2017: Medical Education
https://www.readbyqxmd.com/read/28748669/is-clinical-communication-the-one-area-of-clinical-oncology-that-needs-no-new-ideas
#9
LETTER
Peter Salmon, Bridget Young
No abstract text is available yet for this article.
July 27, 2017: Medical Education
https://www.readbyqxmd.com/read/28748637/a-new-paradigm-or-a-misrepresentation-of-current-communication-research-and-teaching
#10
LETTER
Jonathan Silverman, Evelyn van Weel-Baumgarten, Phyllis Butow, Lesley Fallowfield, Carma Bylund, Myriam Deveugele, Marcy Rosenbaum, Peter Martin, Paul Kinnersley
No abstract text is available yet for this article.
July 27, 2017: Medical Education
https://www.readbyqxmd.com/read/28748622/behind-your-very-eyes-a-response-to-kok-and-jarodzka
#11
LETTER
Simon Smith, Colm O'Tuathaigh, Patrick Henn
No abstract text is available yet for this article.
July 27, 2017: Medical Education
https://www.readbyqxmd.com/read/28744999/when-i-say-%C3%A2-resilience
#12
Andrew Teodorczuk, Richard Thomson, Kwong Chan, Gary D Rogers
No abstract text is available yet for this article.
July 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28744956/care-of-the-dying-a-qualitative-exploration-of-foundation-year-doctors-experiences
#13
Melody Redman, Jessica Pearce, Sareena Gajebasia, Miriam Johnson, Gabrielle Finn
CONTEXT: Foundation Year doctors (FYs), who are newly qualified, are expected to provide care for dying patients. Experiences at this early mandatory stage of training may form the foundation for future encounters, but little is documented about what these experiences involve. The aim of this research was to explore the experiences of FYs in caring for the dying, using the recently published Priorities for Care of the Dying Person as a conceptual framework, to identify areas for improvement in education and clinical practice...
July 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28744891/qualitative-research-using-realist-evaluation-to-explain-preparedness-for-doctors-memorable-firsts
#14
Janet Lefroy, Sarah Yardley, Ruth Kinston, Simon Gay, Stuart McBain, Robert McKinley
CONTEXT: Doctors must be competent from their first day of practice if patients are to be safe. Medical students and new doctors are acutely aware of this, but describe being variably prepared. OBJECTIVES: This study aimed to identify causal chains of the contextual factors and mechanisms that lead to a trainee being capable (or not) of completing tasks for the first time. METHODS: We studied three stages of transition: anticipation; lived experience, and post hoc reflection...
July 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28722157/matching-the-production-of-doctors-with-national-needs
#15
Des Gorman
CONTEXT: Matching the supply of health workers to need is necessary if a health system is to be sustainable, affordable and fit for purpose. On the 30th anniversary of the 1988 Edinburgh Declaration of the World Federation for Medical Education, levels of compliance with the 10th recommendation, 'Ensure admission policies that match the numbers of students trained with national needs for doctors', warrant review. There are two domains to such a review, concerning, respectively, how well these health needs are known, and whether workforce supply is well matched...
July 19, 2017: Medical Education
https://www.readbyqxmd.com/read/28722148/learning-from-dorothy-vaughan-artificial-intelligence-and-the-health-professions
#16
Brian D Hodges
No abstract text is available yet for this article.
July 19, 2017: Medical Education
https://www.readbyqxmd.com/read/28719136/comparing-alternative-and-traditional-dissemination-metrics-in-medical-education
#17
Aysah Amath, Kristin Ambacher, John J Leddy, Timothy J Wood, Christopher J Ramnanan
CONTEXT: The impact of academic scholarship has traditionally been measured using citation-based metrics. However, citations may not be the only measure of impact. In recent years, other platforms (e.g. Twitter) have provided new tools for promoting scholarship to both academic and non-academic audiences. Alternative metrics (altmetrics) can capture non-traditional dissemination data such as attention generated on social media platforms. OBJECTIVES: The aims of this exploratory study were to characterise the relationships among altmetrics, access counts and citations in an international and pre-eminent medical education journal, and to clarify the roles of these metrics in assessing the impact of medical education academic scholarship...
July 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28699231/when-i-say-%C3%A2-narrative-competence
#18
Megan Yu
No abstract text is available yet for this article.
July 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28620982/novice-students-navigating-the-clinical-environment-in-an-early-medical-clerkship
#19
Jenny Barrett, Steve C Trumble, Geoff McColl
CONTEXT: The black box that is student learning in clinical environments is an ongoing research project. Our previous research showed that despite the time that students are given to learn with, about and from patients, some lack confidence for those encounters and see few patients. The study reported here investigated individual and environmental factors affecting medical students' self-directed learning time in hospital. METHODS: We studied second year students in the four-year postgraduate Melbourne Medical School programme as they undertook the first of their four 9-week hospital placements in medical wards...
June 16, 2017: Medical Education
https://www.readbyqxmd.com/read/28612407/pre-registration-interprofessional-clinical-education-in-the-workplace-a-realist-review
#20
Fiona Kent, Jacinta Hayes, Sharon Glass, Charlotte E Rees
CONTEXT: The inclusion of interprofessional education opportunities in clinical placements for pre-registration learners has recently been proposed as a strategy to enhance graduates' skills in collaborative practice. OBJECTIVES: A realist review was undertaken to ascertain the contexts, mechanisms and outcomes of formal interprofessional clinical workplace learning. METHODS: Initial scoping was carried out, after which Ovid MEDLINE, CINAHL and EMBASE were searched from 2005 to April 2016 to identify formal interprofessional workplace educational interventions involving pre-registration learners...
June 14, 2017: Medical Education
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