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Teaching and Learning in Medicine

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https://www.readbyqxmd.com/read/30514128/comparison-of-the-ottawa-surgical-competency-operating-room-evaluation-o-score-to-a-single-item-performance-score
#1
David Saliken, Nancy Dudek, Timothy J Wood, Matthew MacEwan, Wade T Gofton
Construct: We compared a single-item performance score with the Ottawa Surgical Competency Operating Room Evaluation (O-SCORE) for their ability in assessing surgical competency. BACKGROUND: Surgical programs are adopting competency-based frameworks. The adoption of these frameworks for assessment requires tools that produce accurate and valid assessments of knowledge and technical performance. An assessment tool that is quick to complete could improve feasibility, reduce delays, and result in a higher volume of assessments of learners...
December 4, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30428732/teaching-nicu-fellows-how-to-relay-difficult-news-using-a-simulation-based-curriculum-does-comfort-lead-to-competence
#2
Nada Ghoneim, Vedanta Dariya, Danielle Guffey, Charles G Minard, Ernest Frugé, Leslie L Harris, Karen E Johnson, Jennifer Arnold
PROBLEM: Neonatal Intensive Care Unit (NICU) clinicians must frequently relay difficult news to patient families, and the need for formal training for NICU trainees to develop this skill has been established. Although previous studies have shown improved trainee self-efficacy and comfort in handling difficult conversations after formal communication training, it remains unclear whether these interventions lead to improved objectively assessed short-term and long-term performance. INTERVENTION: A simulation-based intervention emphasizing the SPIKES protocol for delivery of bad news was implemented for 15 fellows in the 3-year Baylor College of Medicine Neonatal-Perinatal Medicine fellowship program in the 2013-2014 academic year...
November 14, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30417708/community-preceptors-motivations-and-views-about-their-relationships-with-medical-students-during-a-longitudinal-family-medicine-experience-a-qualitative-case-study
#3
Charo Rodríguez, Emmanuelle Bélanger, Peter Nugus, Miriam Boillat, Marion Dove, Yvonne Steinert, Leonora Lalla
Phenomenon: Although current evidence emphasizes various benefits of community-oriented programs, little is still known about the nature of the relationships that students and family physicians develop in this educational setting. Our aim in this study was twofold: to identify family physicians' motivations to enroll as preceptors in a longitudinal undergraduate family medicine program and to explore the nature of the student-preceptor relationships built during the course. Approach: This was a qualitative exploratory case study...
November 10, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30321063/relationships-matter-enhancing-trainee-development-with-a-simple-clerkship-curriculum-reform
#4
J Kevin Dorsey, Austin M Beason, Steven J Verhulst
PROBLEM: The traditional clerkship model of brief encounters between faculty and students results in reduced meaningful learning opportunities due to the lack of a relationship that enables repeated observation, supervisor feedback, trust formation, and growth. INTERVENTION: Clinical clerkships at our institution were restructured to decrease fragmentation of supervision and foster an educational alliance between faculty and student. A mixed-methods approach was used to study the impact of this curriculum reform on the student experience in the obstetrics and gynecology clerkship...
October 15, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30303403/keystone-exploring-pediatric-residents-experiences-in-a-longitudinal-integrated-block
#5
Catherine D Michelson, Kristina Dzara, Subha Ramani, Robert Vinci, Daniel Schumacher
PROBLEM: Residency training in many specialties has traditionally been divided into short, discrete, single-specialty rotations. Although providing the learner with in-depth exposure to a specific discipline, educators have challenged this rotational model, citing problems with patient and team continuity and maladaptive coping. Longitudinal integrated clerkships, adopted by many medical schools, offer an alternative model and have demonstrated improved outcomes for students related to patient-centeredness, advocacy, and integration with teams...
October 10, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30303399/a-phenomenological-study-of-italian-students-responses-to-professional-dilemmas-a-cross-cultural-comparison
#6
Fabrizio Consorti, Shiphra Ginsburg, Ming J Ho, Laura Potasso, Emanuele Toscano
Phenomenon: Medical professionalism is a complex construct, based in social and cultural influences, yet little research has been done to show how culture influences the behaviors and attitudes of medical students. We presented Italian students with the same professional dilemmas used in a previous Canadian and Taiwanese cross-cultural study to look for similarities and differences and detect elements of Italian culture that influenced how students responded to dilemmas. The aim was to provide medical educators with some insights into students' behavioral strategies and feelings when faced with a professional dilemma...
October 10, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30273071/questioning-style-and-pimping-in-clinical-education-a-quantitative-score-derived-from-a-survey-of-internal-medicine-teaching-faculty
#7
John W McEvoy, John H Shatzer, Sanjay V Desai, Scott M Wright
Construct: Pimping is a controversial pedagogical technique in medicine, and there is a tension between pimping being considered as "value adding" in some circumstances versus always unacceptable. Consequently, faculty differ in their attitudes toward pimping, and such differences may be measurable and used to inform future research regarding the impact of pimping on learner outcomes. BACKGROUND: Despite renewed attention in medical education on creating a supportive learning environment, there is a dearth of prior research on pimping...
October 1, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30216101/embarking-on-a-journey-of-discovery-developing-transitional-skill-sets-through-a-scholarly-concentration-program
#8
Kara E Sawarynski, Dwayne M Baxa, Robert Folberg
PROBLEM: Medical student participation in research enhances appreciation of the scientific literature and the conduct of investigation, and may lead to an interest in academic medicine. Independent medical student research offers frequently overlooked opportunities to develop and assess professional practice abilities, including project design and implementation, interprofessional team communication, and time management. These skills, useful to physicians, are often challenging for medical students to master as they transition into clinical careers...
September 14, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30216098/medical-student-perceptions-of-on-call-modalities-a-focus-group-study
#9
Ori Scott, Chris Novak, Karen Forbes
Phenomenon: The call component of clerkship presents students with unique opportunities and challenges. Clerkship programs employ various call modalities, including traditional call, night float, and evening call. The impact of these call models on the student experience has not been explored in depth. APPROACH: Focus groups were conducted with 4th-year medical students, exploring their multidimensional experiences with various call modalities during clerkship. Transcripts were analyzed using thematic analysis...
September 14, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/30216097/using-a-six-domain-framework-to-include-biopsychosocial-information-in-the-standard-medical-history
#10
Brent C Williams, Denege A Ward, Davoren A Chick, Eric L Johnson, Paula T Ross
PROBLEM: The traditional approach to physicians' history taking is designed to facilitate diagnosis and treatment of biomedical conditions. However, in the 21st century, health is critically influenced by the interaction of biomedical conditions and nonbiomedical factors such as patient's ability to manage chronic disease and the social determinants of health. Interventions to expand routine history taking to include nonbiomedical factors have not been widely adopted, possibly due to the difficultly of incorporating long checklists into routine care and the inability to achieve consensus on the relevant behavioral or social determinants of health content applicable to all patients...
September 14, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29648898/use-of-standard-guidelines-for-department-of-medicine-summary-letters
#11
Matthew Fitz, Jeffrey La Rochelle, Valerie Lang, Deborah DeWaay, William Adams, Farah Nasraty
Phenomenon: Fourth-year medical students obtain Department of Medicine (DOM) letters ("Chair" letters) to support their residency applications. Writing and interpreting DOM letters are challenging. There is heterogeneity in the letters that makes it difficult to both write and read these letters. APPROACH: The purpose of this study is to determine the value of new guidelines developed by a task force of clerkship directors and program directors in internal medicine and assess the implementation of these guidelines...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29384413/having-the-headspace-for-compassion-toward-self-and-others-a-qualitative-study-of-medical-students-views-and-experiences
#12
Stephanie Tierney, Cameron-Tosh Ozer, Sophie Perry
Phenomenon: Debate about compassion exhibited by healthcare professionals has escalated, following a perceived decline over recent years. At the same time, a growing interest in self-compassion has emerged, which is seen as facilitating compassion toward others. Little research has explored, in depth, what compassion to self and others means to medical students. Therefore, a study was designed to address this gap in knowledge. APPROACH: A qualitative study was conducted, involving students from all 4 years of a graduate-entry medical school in the United Kingdom...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29381099/quality-evaluation-scores-are-no-more-reliable-than-gestalt-in-evaluating-the-quality-of-emergency-medicine-blogs-a-metriq-study
#13
Brent Thoma, Stefanie S Sebok-Syer, Isabelle Colmers-Gray, Jonathan Sherbino, Felix Ankel, N Seth Trueger, Andrew Grock, Marshall Siemens, Michael Paddock, Eve Purdy, William Kenneth Milne, Teresa M Chan
Construct: We investigated the quality of emergency medicine (EM) blogs as educational resources. PURPOSE: Online medical education resources such as blogs are increasingly used by EM trainees and clinicians. However, quality evaluations of these resources using gestalt are unreliable. We investigated the reliability of two previously derived quality evaluation instruments for blogs. APPROACH: Sixty English-language EM websites that published clinically oriented blog posts between January 1 and February 24, 2016, were identified...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29377731/there-s-a-lot-more-to-being-a-physician-insights-from-an-intensive-clinical-shadowing-experience-in-internal-medicine
#14
Lauren Block, Kevin Wang, Catherine C Gao, Albert W Wu, Leonard S Feldman
Phenomenon: Although most premedical students shadow physicians prior to starting medical school, there is no set of guidelines or expectations to facilitate effective experiences for students and physicians, nor is there data on the value of shadowing medical trainees as a way to learn about the training environment. We sought to understand premedical student perspectives on an intensive resident shadowing experience. APPROACH: This was a qualitative study using anonymous data from focus groups conducted with premedical student participants in a month-long time motion analysis of internal medicine interns at two large academic medical centers...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29364745/do-gold-humanism-honor-society-inductees-differ-from-their-peers-in-empathy-patient-centeredness-tolerance-of-ambiguity-coping-style-and-perception-of-the-learning-environment
#15
Elizabeth Gaufberg, Lisette Dunham, Edward Krupat, Brent Stansfield, Charles Christianson, Susan Skochelak
Construct: Induction into the Gold Humanism Honor Society (GHHS) during medical school is recognized as an indicator of humanistic orientation and behavior. Various attitudes and interpersonal orientations including empathy and patient-centeredness have been posited to translate into behaviors constituting humanistic care. BACKGROUND: To our knowledge there has never been a longitudinal, multi-institutional empirical study of the attitudinal and interpersonal orientations correlated with GHHS membership status...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29364732/improving-practice-guideline-adherence-through-peer-feedback-impact-of-an-ambulatory-cardiology-curriculum
#16
Karl M Richardson, Jai Singh, Dan Muñoz, Julie B Damp, Lisa A Mendes
PROBLEM: Graduate medical trainees must be prepared to practice in a quality-driven system that values adherence to and documentation of evidence-based care. Few validated approaches exist to teach these skills. Our objective was to develop, implement, and evaluate an ambulatory practice improvement curriculum capitalizing on peer feedback aimed at improving cardiology fellow guideline knowledge, adherence, and chart documentation. INTERVENTION: Four outpatient topics were reviewed in dedicated 1-hour sessions: stable ischemic heart disease, heart failure, atrial fibrillation, and aortic valvular disease...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29351403/project-on-the-good-physician-further-evidence-for-the-validity-of-a-moral-intuitionist-model-of-virtuous-caring
#17
G Michael Leffel, Ross A Oakes Mueller, Sandra A Ham, Kyle E Karches, Farr A Curlin, John D Yoon
THEORY: In the Project on the Good Physician, the authors propose a moral intuitionist model of virtuous caring that places the virtues of Mindfulness, Empathic Compassion, and Generosity at the heart of medical character education. HYPOTHESES: Hypothesis 1a: The virtues of Mindfulness, Empathic Compassion, and Generosity will be positively associated with one another (convergent validity). Hypothesis 1b: The virtues of Mindfulness and Empathic Compassion will explain variance in the action-related virtue of Generosity beyond that predicted by Big Five personality traits alone (discriminant validity)...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29283674/patient-narratives-as-a-teaching-tool-a-pilot-study-of-first-year-medical-students-and-patient-educators-affected-by-intellectual-developmental-disabilities
#18
RANDOMIZED CONTROLLED TRIAL
Alon Coret, Kerry Boyd, Kevin Hobbs, Joyce Zazulak, Meghan McConnell
PROBLEM: People with intellectual and developmental disabilities (IDD) face complex biopsychosocial challenges and are medically underserved. This is in part due to insufficient resources and supports but can also be attributed to a lack of adequate physician training in addressing the unique needs of this population. INTERVENTION: This study aimed to introduce 1st-year medical students to the IDD population using a blended educational experience that included video narratives of and direct interactions with people affected by IDD...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29283669/systems-thinking-and-systems-based-practice-across-the-health-professions-an-inquiry-into-definitions-teaching-practices-and-assessment
#19
Margaret M Plack, Ellen F Goldman, Andrea R Scott, Christine Pintz, Debra Herrmann, Kathleen Kline, Tracey Thompson, Shelley B Brundage
Phenomenon: Systems thinking is the cornerstone of systems-based practice (SBP) and a core competency in medicine and health sciences. Literature regarding how to teach or apply systems thinking in practice is limited. This study aimed to understand how educators in medicine, physical therapy, physician assistant, nursing, and speech-language pathology education programs teach and assess systems thinking and SBP. APPROACH: Twenty-six educators from seven different degree programs across the five professions were interviewed and program descriptions and relevant course syllabi were reviewed...
July 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29240451/hpe-as-a-field-implications-for-the-production-of-compelling-knowledge
#20
Anneke van Enk, Glenn Regehr
ISSUE: Research in education, including health professions education, has long struggled with the competing concerns of academic and practice-based stakeholders. Inspired partially by the work of Stokes and other theorists in science and technology studies, we propose that discussions about compelling research in health professions education might be usefully advanced by considering what it would mean if the community framed itself as a knowledge-producing field instead of aligning itself with either disciplinary or practical interests...
July 2018: Teaching and Learning in Medicine
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