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Medical Education

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https://www.readbyqxmd.com/read/29044652/the-impact-of-accreditation-on-medical-schools-processes
#1
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
#2
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
#3
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
#4
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
#5
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
https://www.readbyqxmd.com/read/28984388/educating-for-collaborative-practice-an-interpretation-of-current-achievements-and-thoughts-for-future-directions
#6
Judith Nicky Hudson, Anne Croker
CONTEXT: The Edinburgh Declaration, developed in 1998 as a pledge to alter the character of medical education to more effectively meet the needs of society, included a recommendation to increase the opportunity for joint learning between health and health-related professions, as part of the training for teamwork. This article acknowledges achievements since the Declaration in relation to this recommendation, using an umbrella term for the phenomenon, 'educating for collaborative practice', and presents a perspective framed as a series of questions to encourage reflection on future directions...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28984375/context-matters-when-striving-to-promote-active-and-lifelong-learning-in-medical-education
#7
Joris J Berkhout, Esther Helmich, Pim W Teunissen, Cees P M van der Vleuten, A Debbie C Jaarsma
WHERE DO WE STAND NOW?: In the 30 years that have passed since The Edinburgh Declaration on Medical Education, we have made tremendous progress in research on fostering 'self-directed and independent study' as propagated in this declaration, of which one prime example is research carried out on problem-based learning. However, a large portion of medical education happens outside of classrooms, in authentic clinical contexts. Therefore, this article discusses recent developments in research regarding fostering active learning in clinical contexts...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28984374/lessons-learned-from-15-years-of-non-grades-based-selection-for-medical-school
#8
Karen M Stegers-Jager
CONTEXT: Thirty years ago, it was suggested in the Edinburgh Declaration that medical school applicants should be selected not only on academic, but also on non-academic, attributes. The main rationale behind extending medical school selection procedures with the evaluation of (non-academic) personal qualities is that this will lead to the selection of students who will perform better as a doctor than those who are selected on the basis of academic measures only. A second rationale is the expectation that this will lead to a representative health workforce as a result of reduced adverse impact...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28984354/cpd-of-the-future-a-partnership-between-quality-improvement-and-competency-based-education
#9
Joan Sargeant, Brian M Wong, Craig M Campbell
CONTEXT: Many of those involved in continuing professional development (CPD) over the past 10 years have engaged in discussions about its goals and activities. Whereas in the past CPD was viewed as an education intervention directed towards the medical expert role, recent research highlights the need to expand the scope of CPD and to promote its more explicit role in improving patient care and health outcomes. Recent developments in quality improvement (QI) and competency-based medical education (CBME), guided by appropriate theories of learning and change, can shed light on how the field might best advance...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28984007/navigating-difficult-conversations-the-role-of-self-monitoring-and-reflection-in-action
#10
Anita Cheng, Kori LaDonna, Sayra Cristancho, Stella Ng
CONTEXT: Clinicians draw upon experiential knowledge to manoeuvre difficult conversations, using tacit knowledge that is difficult to explicitly teach. Instead, learners are taught to communicate through role-play and checklists, both of which are approaches that may fail during moments of clinical complexity. We know that difficult conversations may provoke anxiety in learners, but we know little about how they learn to navigate them. Without a deeper understanding, we may fail to equip learners with the skills to manoeuvre these conversations in practice...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28971502/supervisor-trainee-continuity-and-the-quality-of-work-based-assessments
#11
Warren J Cheung, Nancy L Dudek, Timothy J Wood, Jason R Frank
CONTEXT: Work-based assessments (WBAs) represent an increasingly important means of reporting expert judgements of trainee competence in clinical practice. However, the quality of WBAs completed by clinical supervisors is of concern. The episodic and fragmented interaction that often occurs between supervisors and trainees has been proposed as a barrier to the completion of high-quality WBAs. OBJECTIVES: The primary purpose of this study was to determine the effect of supervisor-trainee continuity on the quality of assessments documented on daily encounter cards (DECs), a common form of WBA...
October 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28971499/restoration-of-resident-sleep-and-wellness-with-block-scheduling
#12
James Bordley, Algene G Agustin, Mohamed A Ahmed, Raeesa Khalid, Anthony M Paluso, Bethany S Kobza, Aaron W Spaugy, Jonathan Emens, Sima S Desai, Akram Khan
CONTEXT: Block scheduling during residency is an innovative model in which in-patient and ambulatory rotations are separated. We hypothesised that this format may have a positive impact on resident sleep and wellness in comparison with a traditional format. METHODS: We performed a single-centre, cross-sectional, observational study of residents rotating in the medical intensive care unit (MICU). Residents were observed for 4 weeks at a time: internal medicine (IM) residents were observed for 3 weeks in the MICU followed by 1 week in an ambulatory context, and non-IM residents were observed for 4 weeks in the MICU...
October 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28949033/translating-medical-school-social-missions-to-student-experiences
#13
Rachel H Ellaway, Kaatje Van Roy, Robyn Preston, Jennene Greenhill, Amy Clithero, Salwa Elsanousi, Janet Richards, Charlie Labarda, Lisa Graves, Marykutty Mammen, Abbas A Assayed, Sara Willems
CONTEXT: There is a growing focus on the social missions of medical schools as a way of expressing an institutional commitment to service, responsibility and accountability. However, there has been little exploration of how a social mission translates to student experiences. METHODS: This multicentre study explored how the social missions of eight medical schools (from Australia, Belgium, Canada, the Philippines, South Africa, Sudan and the USA) translated to their medical education programmes, and how their students perceived the mission...
September 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28949032/implementing-economic-evaluation-in-simulation-based-medical-education-challenges-and-opportunities
#14
Yiqun Lin, Adam Cheng, Kent Hecker, Vincent Grant, Gillian R Currie
CONTEXT: Simulation-based medical education (SBME) is now ubiquitous at all levels of medical training. Given the substantial resources needed for SBME, economic evaluation of simulation-based programmes or curricula is required to demonstrate whether improvement in trainee performance (knowledge, skills and attitudes) and health outcomes justifies the cost of investment. Current literature evaluating SBME fails to provide consistent and interpretable information on the relative costs and benefits of alternatives...
September 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28905431/including-health-promotion-and-illness-prevention-in-medical-education-a-progress-report
#15
Richard Hays
CONTEXT: In 1988, the World Federation of Medical Education called for reform in medical education, publishing 12 recommendations. The sixth recommendation of this Edinburgh Declaration was to 'complement instruction about the management of patients with increased emphasis on promotion of health and prevention of disease'. Thirty years on, this paper reports an exploration of what has changed since then. METHODS: Several search strategies were used, including websites of medical standards organisations, and formal searches of PubMed and Google Scholar using key words such as 'medical education standards', 'health promotion', 'illness prevention', 'effectiveness' and 'assessment'...
September 14, 2017: Medical Education
https://www.readbyqxmd.com/read/28895184/when-i-say-%C3%A2-hermeneutic-phenomenology
#16
William Bynum, Lara Varpio
No abstract text is available yet for this article.
September 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28884468/when-i-say-%C3%A2-healing
#17
Robert Sternszus, Glenn Regehr
No abstract text is available yet for this article.
September 7, 2017: Medical Education
https://www.readbyqxmd.com/read/28884465/coordinating-medical-education-and-health-care-systems-the-power-of-the-social-accountability-approach
#18
Charles Boelen
CONTEXT: As the purpose of medical education is to produce graduates able to most effectively address people's health concerns, there is general agreement that coordination with the health care system is essential. For too long, coordination has been dealt with in a subjective manner with only few landmarks to ensure objective and measurable achievements. Over the last 30 years, since the Edinburgh Declaration on medical education, progress has been made, namely with the concept of social accountability...
September 7, 2017: Medical Education
https://www.readbyqxmd.com/read/28857233/ecological-theories-of-systems-and-contextual-change-in-medical-education
#19
Rachel H Ellaway, Joanna Bates, Pim W Teunissen
INTRODUCTION: Contemporary medical practice is subject to many kinds of change, to which both individuals and systems have to respond and adapt. Many medical education programmes have their learners rotating through different training contexts, which means that they too must learn to adapt to contextual change. Contextual change presents many challenges to medical education scholars and practitioners, not least because of a somewhat fractured and contested theoretical basis for responding to these challenges...
August 30, 2017: Medical Education
https://www.readbyqxmd.com/read/28833360/understanding-the-impact-of-simulated-patients-on-health-care-learners-communication-skills-a-systematic-review
#20
REVIEW
Jessica Kaplonyi, Kelly-Ann Bowles, Debra Nestel, Debra Kiegaldie, Stephen Maloney, Terry Haines, Cylie Williams
CONTEXT: Effective communication skills are at the core of good health care. Simulated patients (SPs) are increasingly engaged as an interactive means of teaching, applying and practising communication skills with immediate feedback. There is a large body of research into the use of manikin-based simulation but a gap exists in the body of research on the effectiveness of SP-based education to teach communication skills that impact patient outcomes. The aim of this systematic review was to critically analyse the existing research, investigating whether SP-based communication skills training improves learner-patient communication, how communication skill improvement is measured, and who measures these improvements...
August 18, 2017: Medical Education
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