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Medical Education

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https://www.readbyqxmd.com/read/29446155/not-just-trust-factors-influencing-learners-attempts-to-perform-technical-skills-on-real-patients
#1
Susan L Bannister, Mark S Dolson, Lorelei Lingard, David A Keegan
CONTEXT: As part of their training, physicians are required to learn how to perform technical skills on patients. The previous literature reveals that this learning is complex and that many opportunities to perform these skills are not converted into attempts to do so by learners. This study sought to explore and understand this phenomenon better. METHODS: A multi-phased qualitative study including ethnographic observations, interviews and focus groups was conducted to explore the factors that influence technical skill learning...
February 15, 2018: Medical Education
https://www.readbyqxmd.com/read/29430729/beyond-catharsis-the-nuanced-emotion-of-patient-storytellers-in-an-educational-role
#2
Taylor Roebotham, Lisa Hawthornthwaite, Lauren Lee, Lorelei A Lingard
CONTEXT: As health care organisations seek to cultivate patient and family-centred care, patient storytelling has emerged as a valued educational resource. However, repeatedly harnessing patient perspectives to educate health care professionals may have consequences. We need robust insight into what it means to be a patient storyteller in order to ensure ethical and appropriate engagement with patients as an educational resource. METHODS: Constructivist grounded theory was used to explore the experience of patients involved in a storytelling curriculum as part of hospital staff continuing education...
February 12, 2018: Medical Education
https://www.readbyqxmd.com/read/29417600/a-critical-narrative-review-of-transfer-of-basic-science-knowledge-in-health-professions-education
#3
REVIEW
Jean-Marie Castillo, Yoon Soo Park, Ilene Harris, Jeffrey J H Cheung, Lonika Sood, Maureen D Clark, Kulamakan Kulasegaram, Ryan Brydges, Geoffrey Norman, Nicole Woods
CONTEXT: 'Transfer' is the application of a previously learned concept to solve a new problem in another context. Transfer is essential for basic science education because, to be valuable, basic science knowledge must be transferred to clinical problem solving. Therefore, better understanding of interventions that enhance the transfer of basic science knowledge to clinical reasoning is essential. This review systematically identifies interventions described in the health professions education (HPE) literature that document the transfer of basic science knowledge to clinical reasoning, and considers teaching and assessment strategies...
February 8, 2018: Medical Education
https://www.readbyqxmd.com/read/29388317/very-short-answer-questions-reliability-discrimination-and-acceptability
#4
Amir H Sam, Samantha M Field, Carlos F Collares, Cees P M van der Vleuten, Val J Wass, Colin Melville, Joanne Harris, Karim Meeran
CONTEXT: Single-best-answer questions (SBAQs) have been widely used to test knowledge because they are easy to mark and demonstrate high reliability. However, SBAQs have been criticised for being subject to cueing. OBJECTIVES: We used a novel assessment tool that facilitates efficient marking of open-ended very-short-answer questions (VSAQs). We compared VSAQs with SBAQs with regard to reliability, discrimination and student performance, and evaluated the acceptability of VSAQs...
February 1, 2018: Medical Education
https://www.readbyqxmd.com/read/29388259/retrieval-practice-enhances-the-ability-to-evaluate-complex-physiology-information
#5
John Dobson, Tracy Linderholm, Jose Perez
OBJECTIVE: Many investigations have shown that retrieval practice enhances the recall of different types of information, including both medical and physiological, but the effects of the strategy on higher-order thinking, such as evaluation, are less clear. The primary aim of this study was to compare how effectively retrieval practice and repeated studying (i.e. reading) strategies facilitated the evaluation of two research articles that advocated dissimilar conclusions. A secondary aim was to determine if that comparison was affected by using those same strategies to first learn important contextual information about the articles...
February 1, 2018: Medical Education
https://www.readbyqxmd.com/read/29388251/when-i-say-%C3%A2-stress
#6
Joy R Rudland, Tim J Wilkinson
No abstract text is available yet for this article.
February 1, 2018: Medical Education
https://www.readbyqxmd.com/read/29383741/chart%C3%A2-stalking-list-making-and-physicians-efforts-to-track-patients-outcomes-after-transitioning-responsibility
#7
Judith L Bowen, Bridget C O'Brien, Jonathan S Ilgen, David M Irby, Olle Ten Cate
CONTEXT: Transitions of patient care responsibility occur frequently between physicians. Resultant discontinuities make it difficult for physicians to observe clinical outcomes. Little is known about what physicians do to overcome the practical challenges to learning these discontinuities create. This study explored physicians' activities in practice as they sought follow-up information about patients. METHODS: Using a constructivist grounded theory approach, semi-structured interviews with 18 internal medicine hospitalist and resident physicians at a single tertiary care academic medical center explored participants' strategies when deliberately conducting follow-up after they transitioned responsibility for patients to other physicians...
January 30, 2018: Medical Education
https://www.readbyqxmd.com/read/29349892/-can-the-patient-speak-postcolonialism-and-patient-involvement-in-undergraduate-and-postgraduate-medical-education
#8
Malika Sharma
CONTEXT: Patients are increasingly being engaged in providing feedback and consultation to health care institutions, and in the training of health care professionals. Such involvement has the potential to disrupt traditional doctor-patient power dynamics in significant ways that have not been theorised in the medical literature. Critical theories can help us understand how power flows when patients are engaged in the training of medical students. METHODS: This paper applies postcolonial theory to the involvement of patients in the development and delivery of medical education...
January 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29349804/integrity-situational-judgement-test-for-medical-school-selection-judging-what-to-do-versus-what-not-to-do
#9
Wendy E de Leng, Karen M Stegers-Jager, Marise Ph Born, Axel P N Themmen
CONTEXT: Despite their widespread use in medical school selection, there remains a lack of clarity on exactly what situational judgement tests (SJTs) measure. OBJECTIVES: We aimed to develop an SJT that measures integrity by combining critical incident interviews (inductive approach) with an innovative deductive approach. The deductive approach guided the development of the SJT according to two established theoretical models, of which one was positively related to integrity (honesty-humility [HH]) and one was negatively related to integrity (cognitive distortions [CD])...
January 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29349791/predicting-patterns-of-change-and-stability-in-student-performance-across-a-medical-degree
#10
Barbara Griffin, Piers Bayl-Smith, Wendy Hu
CONTEXT: Evidence of predictive validity is essential for making robust selection decisions in high-stakes contexts such as medical student selection. Currently available evidence is limited to the prediction of academic performance at single points in time with little understanding of the factors that might undermine the predictive validity of tests of academic and non-academic qualities considered important for success. This study addressed these issues by predicting students' changing performance across a medical degree and assessing whether factors outside an institution's control (such as the uptake of commercial coaching) impact validity...
January 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29318646/improving-the-validity-of-script-concordance-testing-by-optimising-and-balancing-items
#11
Michael Sh Wan, Elina Tor, Judith Nicky Hudson
BACKGROUND: A script concordance test (SCT) is a modality for assessing clinical reasoning. Concerns had been raised about the plausible validity threat to SCT scores if students deliberately avoided the extreme answer options to obtain higher scores. The aims of the study were firstly to investigate whether students' avoidance of the extreme answer options could result in higher scores, and secondly to determine whether a 'balanced approach' by careful construction of SCT items (to include extreme as well as median options as model responses) would improve the validity of an SCT...
January 9, 2018: Medical Education
https://www.readbyqxmd.com/read/29314172/shifting-mindsets-a-realist-synthesis-of-evidence-from-self-management-support-training
#12
REVIEW
Freya Davies, Fiona Wood, Alison Bullock, Carolyn Wallace, Adrian Edwards
CONTEXT: Accompanying the growing expectation of patient self-management is the need to ensure health care professionals (HCPs) have the required attitudes and skills to provide effective self-management support (SMS). Results from existing training interventions for HCPs in SMS have been mixed and the evidence base is weaker for certain settings, including supporting people with progressive neurological conditions (PNCs). We set out to understand how training operates, and to identify barriers and facilitators to training designed to support shifts in attitudes amongst HCPs...
January 4, 2018: Medical Education
https://www.readbyqxmd.com/read/29266421/socially-accountable-medical-education-strengthens-community-health-services
#13
Torres Woolley, Servando D Halili, Jusie-Lydia Siega-Sur, Fortunato L Cristobal, Carole Reeve, Simone J Ross, Andre-Jacques Neusy
CONTEXT: Socially accountable health professional education (SAHPE) is committed to achieving health equity through training health professionals to meet local health needs and serve disadvantaged populations. This Philippines study investigates the impact of SAHPE students and graduates on child and maternal health services and outcomes. METHODS: This is a non-randomised, controlled study involving a researcher-administered survey to 827 recent mothers (≥1 child aged 0-5 years)...
December 20, 2017: Medical Education
https://www.readbyqxmd.com/read/29266396/when-i-say-%C3%A2-anthropological-gaze
#14
William Ventres, Jerome Crowder
No abstract text is available yet for this article.
December 20, 2017: Medical Education
https://www.readbyqxmd.com/read/29243284/professional-paradox-identity-formation-in-qualified-doctors-pursuing-further-training
#15
Mercedes Chan, Dan Pratt, Gary Poole, Ravi Sidhu
CONTEXT: Many newly qualified specialists and subspecialists pursue additional training. Although their motivations are many, the pursuit of further training as an alternative to unemployment is an emerging trend. Paradoxically, doctors continue as trainees with a consultant's credentials, and without the guarantee of eventual employment. This study explores seven doctors' experiences, the effects of further training on their professional identity formation (PIF), and how these effects are reconciled on a personal and professional level...
December 15, 2017: Medical Education
https://www.readbyqxmd.com/read/29230856/the-role-of-the-assessment-policy-in-the-relation-between-learning-and-performance
#16
Rob Kickert, Karen M Stegers-Jager, Marieke Meeuwisse, Peter Prinzie, Lidia R Arends
CONTEXT: Optimising student learning and academic performance is a continuous challenge for medical schools. The assessment policy may influence both learning and performance. Previously, the joint contribution of self-regulated learning (SRL) and participation in scheduled learning activities towards academic performance has been reported. However, little is known about the relationships between SRL, participation and academic performance under different assessment policies. OBJECTIVES: The goal of this study was to investigate differences in average scores of SRL, participation and academic performance of students under two assessment policies: (i) a conjunctive lower stakes, lower performance standard (old) assessment policy and (ii) a compensatory higher stakes, higher performance standard (new) assessment policy...
December 11, 2017: Medical Education
https://www.readbyqxmd.com/read/29226349/what-do-we-know-about-coaching-in-medical-education-a-literature-review
#17
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
#18
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
#19
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
#20
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
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