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Teaching and Learning in Medicine

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https://www.readbyqxmd.com/read/28498034/assessment-of-resident-physicians-communicator-and-collaborator-competencies-by-interprofessional-clinicians-a-mixed-methods-study
#1
Lyn K Sonnenberg, Lesley Pritchard-Wiart, Carol S Hodgson, YongQiang Yu, Sharla King
Phenomenon: As we move toward competency-based medical education, greater emphasis is being placed on assessing a more comprehensive skill set, including the ability to communicate and collaborate effectively in the workplace. Nonphysician members on interprofessional (IP) teams have valuable perspectives on actual resident performance and are often not adequately engaged in the provision of feedback to residents. Based on the educational theories of collaborative evaluation and social constructivism, this research examined the ability of IP clinicians to provide feedback to residents...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28498004/a-sequential-implementation-model-for-workforce-development-a-case-study-of-medical-residency-training-for-substance-use-concerns
#2
Patricia S O'Sullivan, Patrick Yuan, Derek D Satre, Maria Wamsley, Jason Satterfield
PROBLEM: In graduate medical education, residency programs are often educationally isolated from each other, with varying needs and patient populations, so strategies are needed when attempting to implement training in evidence-based practices across multiple residencies. INTERVENTION: Using implementation science as a guide, we adapted a community development model to sequentially implement an evidence-based intervention, Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and drug use problems, across internal medicine, pediatrics, emergency medicine, psychiatry, and obstetrics and gynecology residency programs...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28498003/a-novel-approach-to-assessing-professionalism-in-preclinical-medical-students-using-multisource-feedback-through-paired-self-and-peer-evaluations
#3
Amanda R Emke, Steven Cheng, Ling Chen, Dajun Tian, Carolyn Dufault
Phenomenon: Professionalism is integral to the role of the physician. Most professionalism assessments in medical training are delayed until clinical rotations where multisource feedback is available. This leaves a gap in student assessment portfolios and potentially delays professional development. APPROACH: A total of 246 second-year medical students (2013-2015) completed self- and peer assessments of professional behaviors in 2 courses following a series of Team-Based Learning exercises...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28497991/medical-students-professional-development-as-educators-revealed-through-reflections-on-their-teaching-following-a-students-as-teachers-course
#4
Michelle H Yoon, Benjamin C Blatt, Larrie W Greenberg
Phenomenon: Teaching is an important part of the tri-partite mission of every medical center. Although teaching often is given lower priority and recognition as opposed to patient care and/or research, this activity for many physicians in academic medicine ranks second to their patient care responsibilities. Medical teacher training has traditionally been aimed at faculty and residents through faculty development initiatives, continuing education for physicians at professional conferences, formalized degree or certificate programs in education, and residents as teachers programs...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28497985/examining-medical-student-specialty-choice-through-a-gender-lens-an-orientational-qualitative-study
#5
Victoria Smith, Cheri Bethune, Katrina F Hurley
Phenomenon: A growing number of women are entering the medical workforce, yet their distribution across medical specialties remains nonuniform. We sought to describe how culture, bias, and socialization shape gendered thinking regarding specialty choice at a Canadian undergraduate medical institution. APPROACH: We analyzed transcripts from the Career Choices Project: 16 semistructured focus group discussions with 70 students graduating from Memorial University of Newfoundland in 2003, 2006, 2007, and 2008...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28497983/promoting-responsible-electronic-documentation-validity-evidence-for-a-checklist-to-assess-progress-notes-in-the-electronic-health-record
#6
Jennifer A Bierman, Kathryn Kinner Hufmeyer, David T Liss, A Charlotta Weaver, Heather L Heiman
Construct: We aimed to develop an instrument to measure the quality of inpatient electronic health record- (EHR-) generated progress notes without requiring raters to review the detailed chart or know the patient. BACKGROUND: Notes written in EHRs have generated criticism for being unnecessarily long and redundant, perpetuating inaccuracy and obscuring providers' clinical reasoning. Available assessment tools either focus on outpatient progress notes or require chart review by raters to develop familiarity with the patient...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28358219/supporting-evidence-informed-teaching-in-biomedical-and-health-professions-education-through-knowledge-translation-an-interdisciplinary-literature-review
#7
Rochelle E Tractenberg, Morris Gordon
Phenomenon: The purpose of "systematic" reviews/reviewers of medical and health professions educational research is to identify best practices. This qualitative article explores the question of whether systematic reviews can support "evidence informed" teaching and contrasts traditional systematic reviewing with a knowledge translation (KT) approach to this objective. APPROACH: Degrees of freedom analysis (DOFA) is used to examine the alignment of systematic review methods with educational research and the pedagogical strategies and approaches that might be considered with a decision-making framework developed to support valid assessment...
March 30, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28318319/medical-student-perceptions-of-the-learning-environment-in-medical-school-change-as-students-transition-to-clinical-training-in-undergraduate-medical-school
#8
Lisette Dunham, Michael Dekhtyar, Gregory Gruener, Eileen CichoskiKelly, Jennifer Deitz, Donna Elliott, Margaret L Stuber, Susan E Skochelak
Phenomenon: The learning environment is the physical, social, and psychological context in which a student learns. A supportive learning environment contributes to student well-being and enhances student empathy, professionalism, and academic success, whereas an unsupportive learning environment may lead to burnout, exhaustion, and cynicism. Student perceptions of the medical school learning environment may change over time and be associated with students' year of training and may differ significantly depending on the student's gender or race/ethnicity...
March 20, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28296513/who-is-the-preferred-tutor-in-clinical-skills-training-physicians-nurses-or-peers
#9
Ece Şükriye Abay, Sevgi Turan, Orhan Odabaşı, Melih Elçin
Phenomenon: Clinical skills centers allow structured training of undergraduate medical students for the acquisition of clinical skills in a simulated environment. Physician, nurse, or peer tutors are employed for training in those centers. All tutors should have appropriate training about the methodology used in the clinical skills training. Many of the studies revealed the effectiveness of various types of tutors. The aim of our study was to evaluate medical students' satisfaction with clinical skills training, and their opinions about the differences in coaching skills among the physician, nurse, and peer tutors...
March 15, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28281832/outcomes-of-introducing-early-learners-to-interprofessional-competencies-in-a-classroom-setting
#10
Kelly S Lockeman, Sharon K Lanning, Alan W Dow, Joseph A Zorek, Deborah DiazGranados, Carole K Ivey, Shawne Soper
PROBLEM: Although interprofessional practice is important for improving healthcare delivery, there is little evidence describing interprofessional education (IPE) outcomes beyond changes in attitudes and knowledge of prelicensure learners. More rigorous evaluation of early IPE is needed to determine its impact on teaching interprofessional collaborative practice and providing a solid foundation for applying collaborative skills in the clinical environment. INTERVENTION: First-year students (N = 679) in 7 health professions programs participated in a 4-session series focusing on professional roles and responsibilities, teams and teamwork, and the healthcare system...
March 10, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28272900/the-development-and-impact-of-a-social-media-and-professionalism-course-for-medical-students
#11
Alexandra W Gomes, Gisela Butera, Katherine C Chretien, Terry Kind
PROBLEM: Inappropriate social media behavior can have detrimental effects on students' future opportunities, but medical students are given little opportunity to reflect upon ways of integrating their social media identities with their newly forming professional identities. INTERVENTION: In 2012, a required educational session was developed for 1st-year medical students on social media and professional identity. Objectives include identifying professionalism issues and recognizing positive social media use...
March 8, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28402207/journal-watch-from-ace-alliance-for-clinical-education-annual-review-of-medical-education-articles-in-internal-medicine-journals-2014-2015
#12
Katherine Walsh, Irene Alexandraki, Alfred P Burger, Shobhina G Chheda, Deborah DeWaay, Mark J Fagan, Susan A Glod, Debra S Leizman, Beth Liston, Clifford D Packer, Amber T Pincavage, Joseph T Wayne, Alison Aldrich, Karen Szauter
No abstract text is available yet for this article.
April 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28051893/shame-in-medical-education-a-randomized-study-of-the-acquisition-of-intimate-examination-skills-and-its-effect-on-subsequent-performance
#13
Wolf E Hautz, Therese Schröder, Katja A Dannenberg, Maren März, Henrike Hölzer, Olaf Ahlers, Anke Thomas
THEORY: Although medical students are exposed to a variety of emotions, the impact of emotions on learning has received little attention so far. Shame-provoking intimate examinations are among the most memorable events for students. Their emotions, however, are rarely addressed during training, potentially leading to withdrawal and avoidance and, consequently, performance deficits. However, emotions of negative valance such as shame may be particularly valuable for learning, as they might prompt mental rehearsal...
April 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27997224/implementing-peer-learning-in-clinical-education-a-framework-to-address-challenges-in-the-real-world
#14
Joanna Hong Meng Tai, Benedict J Canny, Terry P Haines, Elizabeth K Molloy
Phenomenon: Peer learning has many benefits and can assist students in gaining the educational skills required in future years when they become teachers themselves. Peer learning may be particularly useful in clinical learning environments, where students report feeling marginalized, overwhelmed, and unsupported. Educational interventions often fail in the workplace environment, as they are often conceived in the "ideal" rather than the complex, messy real world. This work sought to explore barriers and facilitators to implementing peer learning activities in a clinical curriculum...
April 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27813688/the-health-professions-education-pathway-preparing-students-residents-and-fellows-to-become-future-educators
#15
H Carrie Chen, Maria A Wamsley, Amin Azzam, Katherine Julian, David M Irby, Patricia S O'Sullivan
PROBLEM: Training the next generation of health professionals requires leaders, innovators, and scholars in education. Although many medical schools and residencies offer education electives or tracks focused on developing teaching skills, these programs often omit educational innovation, scholarship, and leadership and are narrowly targeted to one level of learner. INTERVENTION: The University of California San Francisco created the Health Professions Education Pathway for medical students, residents, and fellows as well as learners from other health professional schools...
April 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28098483/academic-performance-on-first-year-medical-school-exams-how-well-does-it-predict-later-performance-on-knowledge-based-and-clinical-assessments
#16
Edward Krupat, Stephen R Pelletier, Jules L Dienstag
Number of appearances in the bottom quartile of 1st-year medical school exams were used to represent the extent to which students were having academic difficulties. Medical educators have long expressed a desire to have indicators of medical student performance that have strong predictive validity. Predictors traditionally used fell into 4 general categories: demographic (e.g., gender), other background factors (e.g., college major), performance/aptitude (e.g., medical college admission test scores), and noncognitive factors (e...
January 18, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28051890/journal-watch-from-ace-alliance-for-clinical-education-review-of-medical-education-articles-in-obstetrics-and-gynecology-2013-2015
#17
Brittany Star Hampton, Archana Pradhan, Jodi Abbott, Samantha D Buery-Joyner, LaTasha B Craig, David Forstein, Laura Hopkins, Abigail Wolf, Sarah M Page-Ramsey
No abstract text is available yet for this article.
January 4, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28051889/race-ethnicity-in-medical-education-an-analysis-of-a-question-bank-for-step-1-of-the-united-states-medical-licensing-examination
#18
Kelsey Ripp, Lundy Braun
Phenomenon: There is growing concern over racial/ethnic bias in clinical care, yet how best to reduce bias remains challenging, in part because the sources of bias in medical education are poorly understood. One possible source is the routinized use of race/ethnicity in lectures, assessment, and preparatory materials, including question banks for licensing examinations. Because students worldwide use question banks to prepare for the United States Medical Licensing Examination, we examined how race/ethnicity was used in one of the most commonly recommended question banks...
January 4, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28117621/acknowledgments
#19
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27813672/high-frequency-learning-goals-using-self-regulated-learning-to-influence-day-to-day-practice-in-clinical-education
#20
Douglas P Larsen, Robert T Naismith, Mathew Margolis
PROBLEM: Although self-regulated learning (SRL) is considered a fundamental skill that must be developed in physician training, many programs of SRL utilize learning goals that are generated only at the beginning of learning experiences or are widely spaced apart in time. These goals are often not formally shared with those actually working with the learner in the clinical setting. INTERVENTION: We developed a program of written, student-generated weekly learning goals in which students focused on processes of becoming better doctors for their patients...
January 2017: Teaching and Learning in Medicine
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