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Medical Education

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https://www.readbyqxmd.com/read/28097675/the-swamplands-of-reflection-using-conversation-analysis-to-reveal-the-architecture-of-group-reflection-sessions
#1
Mario Veen, Anne de la Croix
CONTEXT: Many medical schools include group reflection in their curriculum, and many researchers have considered both the concept and the outcomes of reflection. However, no research has been carried out on how 'reflective talk' is structured in the classroom. This paper describes how tutors and residents organise group reflection sessions in situ by describing an example of group reflection in medical education. Our aim is to provide an evidence base that can be used by medical educators to think about the way reflection should be included in their curriculum...
January 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28093833/cracking-the-code-residents-interpretations-of-written-assessment-comments
#2
Shiphra Ginsburg, Cees Pm van der Vleuten, Kevin W Eva, Lorelei Lingard
CONTEXT: Interest is growing in the use of qualitative data for assessment. Written comments on residents' in-training evaluation reports (ITERs) can be reliably rank-ordered by faculty attendings, who are adept at interpreting these narratives. However, if residents do not interpret assessment comments in the same way, a valuable educational opportunity may be lost. OBJECTIVES: Our purpose was to explore residents' interpretations of written assessment comments using mixed methods...
January 16, 2017: Medical Education
https://www.readbyqxmd.com/read/28084019/is-being-a-medical-educator-a-lonely-business-the-essence-of-social-support
#3
Joost W van den Berg, Christel P M Verberg, Albert J J A Scherpbier, A Debbie C Jaarsma, Kiki M J M H Lombarts
CONTEXT: Social support helps prevent burnout and promotes its positive opposite, work engagement. With higher work engagement performance increases. The context-specific aspects of social support for medical educators, in their educator role, are unknown. To help facilitate social support our study describes the essential elements of social support and their meaning for medical educators. METHODS: We held interviews with medical educators purposefully sampled for diverse backgrounds and working circumstances and who spent a considerable amount of time on education...
January 13, 2017: Medical Education
https://www.readbyqxmd.com/read/28084033/low-performing-students-have-insightfulness-when-they-reflect-in-action
#4
Mike Tweed, Gordon Purdie, Tim Wilkinson
CONTEXT: Measuring appropriateness of certainty of responses in a progress test using descriptors authentic to practice as reflection-in-action builds on existing theories of self-monitoring. Clinicians making decisions require the ability to accurately self-monitor, including certainty of being correct. Inappropriate certainty could lead to medical error. Self-assessment and certainty of assessment performance have been measured in a variety of ways. Previous work has shown that those with less experience are less accurate in self-assessment, but such studies looked at self-assessment using methods less authentic to clinical practice...
January 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28078685/peer-assessment-of-professional-behaviours-in-problem-based-learning-groups
#5
Chris Roberts, Christine Jorm, Stacey Gentilcore, Jim Crossley
CONTEXT: Peer assessment of professional behaviour within problem-based learning (PBL) groups can support learning and provide opportunities to identify and remediate problem behaviours. OBJECTIVES: We investigated whether a peer assessment of learning behaviours in PBL is sufficiently valid to support decision making about student professional behaviours. METHODS: Data were available for two cohorts of students, in which each student was rated by all of their PBL group peers using a modified version of a previously validated scale...
January 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28078667/philanthropy-in-health-professions-education-research-determinants-of-success
#6
Robert Paul, Elisa Hollenberg, Brian D Hodges
CONTEXT: Fund-raising is a new practice in medical education research. OBJECTIVES: This qualitative study explores a cross-sectional analysis of philanthropy in medical education in Canada and Europe and identifies some common characteristics in the fund-raising system, key roles and characteristics of research sites that have had success. METHODS: Medical education research sites that had received donations greater than Can$100 000 were identified by searching publicly available sources...
January 11, 2017: Medical Education
https://www.readbyqxmd.com/read/28032364/possibility-and-agency-in-figured-worlds-becoming-a-good-doctor
#7
Deirdre Bennett, Yvette Solomon, Colm Bergin, Mary Horgan, Tim Dornan
CONTEXT: Figured Worlds is a socio-cultural theory drawing on Vygotskian and Bakhtinian traditions, which has been applied in research into the development of identities of both learners and teachers in the wider education literature. It is now being adopted in medical education. OBJECTIVE: The objective of this paper is to show what Figured Worlds can offer in medical education. Having explained some of its central tenets, we apply it to an important tension in our field...
December 29, 2016: Medical Education
https://www.readbyqxmd.com/read/27995660/a-new-paradigm-for-clinical-communication-critical-review-of-literature-in-cancer-care
#8
REVIEW
Peter Salmon, Bridget Young
OBJECTIVES: To: (i) identify key assumptions of the scientific 'paradigm' that shapes clinical communication research and education in cancer care; (ii) show that, as general rules, these do not match patients' own priorities for communication; and (iii) suggest how the paradigm might change to reflect evidence better and thereby serve patients better. METHODS: A critical review, focusing on cancer care. We identified assumptions about patients' and clinicians' roles in recent position and policy statements...
December 20, 2016: Medical Education
https://www.readbyqxmd.com/read/27995651/-trust-versus-competency-in-the-workplace
#9
LETTER
Arvin Damodaran, Boaz Shulruf, Philip Jones
No abstract text is available yet for this article.
December 20, 2016: Medical Education
https://www.readbyqxmd.com/read/27995650/socio-cultural-issues-in-medical-school-we-don-t-know-enough
#10
LETTER
Simon De Freitas
No abstract text is available yet for this article.
December 20, 2016: Medical Education
https://www.readbyqxmd.com/read/27943372/imperfect-practice-makes-perfect-error-management-training-improves-transfer-of-learning
#11
Liv Dyre, Ann Tabor, Charlotte Ringsted, Martin G Tolsgaard
CONTEXT: Traditionally, trainees are instructed to practise with as few errors as possible during simulation-based training. However, transfer of learning may improve if trainees are encouraged to commit errors. The aim of this study was to assess the effects of error management instructions compared with error avoidance instructions during simulation-based ultrasound training. METHODS: Medical students (n = 60) with no prior ultrasound experience were randomised to error management training (EMT) (n = 32) or error avoidance training (EAT) (n = 28)...
February 2017: Medical Education
https://www.readbyqxmd.com/read/27943366/putting-the-puzzle-together-the-role-of-problem-definition-in-complex-clinical-judgement
#12
Sayra Cristancho, Lorelei Lingard, Thomas Forbes, Michael Ott, Richard Novick
CONTEXT: We teach judgement in pieces; that is, we talk about each aspect separately (patient, plan, resources, technique, etc.). We also let trainees figure out how to put the pieces together. In complex situations, this might be problematic. Using data from a drawing-based study on surgeons' experiences with complex situations, we explore the notion of 'problem definition' in real-world clinical judgement using the theoretical lens of systems engineering. METHODS: 'Emergence', the sensitising concept for analysis, is rooted in two key systems premises: that person and context are inseparable and that what emerges is an act of choice...
February 2017: Medical Education
https://www.readbyqxmd.com/read/27921321/from-paperwork-to-parenting-experiences-of-professional-staff-in-student-support
#13
Wendy C Y Hu, Eleanor Flynn, Rebecca Mann, Robyn Woodward-Kron
CONTEXT: For academic staff, responding to student concerns is an important responsibility. Professional staff, or non-academic staff who do administrative work in medical schools, are often the first to be approached by students, yet there is little research on how they manage student issues. Informed by the conceptual framework of emotional labour, we examined the experiences of professional staff, aiming to identify theoretical and practical insights for improving the provision of student support...
December 5, 2016: Medical Education
https://www.readbyqxmd.com/read/27917517/student-evaluation-team-focus-groups-increase-students-satisfaction-with-the-overall-course-evaluation-process
#14
Katharina Brandl, Jess Mandel, Babbi Winegarden
CONTEXT: Most medical schools use online systems to gather student feedback on the quality of their educational programmes and services. Online data may be limiting, however, as the course directors cannot question the students about written comments, nor can students engage in mutual problem-solving dialogue with course directors. We describe the implementation of a student evaluation team (SET) process to permit course directors and students to gather shortly after courses end to engage in feedback and problem solving regarding the course and course elements...
December 5, 2016: Medical Education
https://www.readbyqxmd.com/read/27896846/international-study-of-medical-school-learning-environments-and-their-relationship-with-student-well-being-and-empathy
#15
Sean Tackett, Scott Wright, Robert Lubin, Jianing Li, Hui Pan
OBJECTIVE: To assess whether favourable perceptions of the learning environment (LE) were associated with better quality of life, less burnout and more empathy across three undergraduate medical education programmes in Israel, Malaysia and China. METHODS: Cross-sectional surveys were administered at the end of the 2013-2014 academic year at three medical schools: Technion American Medical Students Program (TAMS) in Israel, Perdana University-Royal College of Surgeons in Ireland School of Medicine (PURCSI) in Malaysia and Peking Union Medical College (PUMC) in China...
November 29, 2016: Medical Education
https://www.readbyqxmd.com/read/27885702/when-i-say-%C3%A2-critical-pedagogy
#16
John Sandars
No abstract text is available yet for this article.
November 25, 2016: Medical Education
https://www.readbyqxmd.com/read/27882593/can-colleagues-patients-and-supervisors-assessments-predict-successful-completion-of-postgraduate-medical-training
#17
Sathya Naidoo, Safiatu Lopes, Fiona Patterson, Helen M Mead, Sheona MacLeod
BACKGROUND: Workplace-based assessments (WPBAs) are widely used in postgraduate training programmes internationally. WPBAs can function as both an assessment and an educational tool. Although some WPBAs are a mandatory requirement of approved curricula (as in the UK), little previous research has explored the extent to which such assessments are associated with adverse outcomes in postgraduate training. The present study examines whether the assessment element of Multisource Feedback, Patient Satisfaction Questionnaire and Educational Supervisors Review ratings can indicate if a trainee is likely to experience difficulty in successfully completing their planned training programme (i...
November 23, 2016: Medical Education
https://www.readbyqxmd.com/read/27882584/when-i-say-%C3%A2-chief-complaint
#18
Edward Krupat
No abstract text is available yet for this article.
November 23, 2016: Medical Education
https://www.readbyqxmd.com/read/27882583/how-clinical-medical-students-perceive-others-to-influence-their-self-regulated-learning
#19
Joris J Berkhout, Esther Helmich, Pim W Teunissen, Cees P M van der Vleuten, A Debbie C Jaarsma
OBJECTIVES: Undergraduate medical students are prone to struggle with learning in clinical environments. One of the reasons may be that they are expected to self-regulate their learning, which often turns out to be difficult. Students' self-regulated learning is an interactive process between person and context, making a supportive context imperative. From a socio-cultural perspective, learning takes place in social practice, and therefore teachers and other hospital staff present are vital for students' self-regulated learning in a given context...
November 23, 2016: Medical Education
https://www.readbyqxmd.com/read/27882580/when-i-say-%C3%A2-sociomateriality
#20
Mark Goldszmidt
No abstract text is available yet for this article.
November 23, 2016: Medical Education
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