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Medical Education Online

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https://www.readbyqxmd.com/read/27890048/cultural-hegemony-educators-perspectives-on-facilitating-cross-cultural-dialogue
#1
Zareen Zaidi, Daniëlle Verstegen, Rashmi Vyas, Omayma Hamed, Tim Dornan, Page Morahan
BACKGROUND: We live in an age when education is being internationalized. This can confront students with 'cultural hegemony' that can result from the unequal distribution of power and privilege in global society. The name that is given to awareness of social inequality is 'critical consciousness'. Cross-cultural dialogue provides an opportunity for learners to develop critical consciousness to counter cultural hegemony. The purpose of this research was to understand how learners engage with cross-cultural dialogue, so we can help them do so more effectively in the future...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27887664/translating-sickle-cell-guidelines-into-practice-for-primary-care-providers-with-project-echo
#2
Lisa M Shook, Christina B Farrell, Karen A Kalinyak, Stephen C Nelson, Brandon M Hardesty, Angeli G Rampersad, Kay L Saving, Wanda J Whitten-Shurney, Julie A Panepinto, Russell E Ware, Lori E Crosby
BACKGROUND: Approximately 100,000 persons with sickle cell disease (SCD) live in the United States, including 15,000 in the Midwest. Unfortunately, many patients experience poor health outcomes due to limited access to primary care providers (PCPs) who are prepared to deliver evidence-based SCD care. Sickle Treatment and Outcomes Research in the Midwest (STORM) is a regional network established to improve care and outcomes for individuals with SCD living in Indiana, Illinois, Michigan, Minnesota, Ohio, and Wisconsin...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27834170/feedback-in-formative-osces-comparison-between-direct-observation-and-video-based-formats
#3
Noëlle Junod Perron, Martine Louis-Simonet, Bernard Cerutti, Eva Pfarrwaller, Johanna Sommer, Mathieu Nendaz
INTRODUCTION: Medical students at the Faculty of Medicine, University of Geneva, Switzerland, have the opportunity to practice clinical skills with simulated patients during formative sessions in preparation for clerkships. These sessions are given in two formats: 1) direct observation of an encounter followed by verbal feedback (direct feedback) and 2) subsequent review of the videotaped encounter by both student and supervisor (video-based feedback). The aim of the study was to evaluate whether content and process of feedback differed between both formats...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27814779/speaking-up-using-ostes-to-understand-how-medical-students-address-professionalism-lapses
#4
Constance R Tucker, Beth A Choby, Andrew Moore, Robert Scott Parker, Benjamin R Zambetti, Sarah Naids, Jillian Scott, Jennifer Loome, Sierra Gaffney
BACKGROUND: Objective-structured teaching encounters (OSTEs) are used across many disciplines to assess teaching ability. The OSTE detailed in this paper assesses 191 fourth-year medical students' (M4) ability to identify and address lapses in professionalism based on Association of American Medical Colleges' professionalism competencies. The research questions addressed are How frequently do M4s address professionalism lapses observed during an OSTE? What factors influence whether M4s provide feedback when they observe professionalism lapses in an OSTE? METHODS: Standardized patients (SPs) and standardized learners (SLs) were recruited and trained to participate in a standardized encounter with specific cognitive, social, and behavioral errors, including professionalism lapses...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27806829/identity-text-an-educational-intervention-to-foster-cultural-interaction
#5
Zareen Zaidi, Daniëlle Verstegen, Rahat Naqvi, Tim Dornan, Page Morahan
BACKGROUND: Sociocultural theories state that learning results from people participating in contexts where social interaction is facilitated. There is a need to create such facilitated pedagogical spaces where participants can share their ways of knowing and doing. The aim of this exploratory study was to introduce pedagogical space for sociocultural interaction using 'Identity Text'. METHODS: Identity Texts are sociocultural artifacts produced by participants, which can be written, spoken, visual, musical, or multimodal...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27806828/the-impact-of-learning-communities-on-interpersonal-relationships-among-medical-students
#6
Eve Privman Champaloux, Meg G Keeley
BACKGROUND: Medical students at the University of Virginia (UVA) are mentored and learn within the framework of a four college learning community. Uniquely, these learning communities are used to organize the third-year clerkship rotations. METHODS: Students were surveyed after their first pre-clinical year and after their clerkship year to determine what the effect of the learning community was on their social and educational interpersonal relationships. RESULTS: Students knew a higher percentage of their college mates after completing their third-year clerkships within the framework of the college system...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27712619/organizing-graduate-medical-education-programs-into-communities-of-practice
#7
Robert G Bing-You, Kalli Varaklis
BACKGROUND: A new organizational model of educational administrative support was instituted in the Department of Medical Education (DME) to better meet increasing national accreditation demands. Residency and fellowship programs were organized into four 'Communities of Practice' (CoOPs) based on discipline similarity, number of learners, and geographic location. Program coordinator reporting lines were shifted from individual departments to a centralized reporting structure within the DME...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27702433/effectiveness-of-hands-on-tutoring-and-guided-self-directed-learning-versus-self-directed-learning-alone-to-educate-critical-care-fellows-on-mechanical-ventilation-a-pilot-project
#8
Kannan Ramar, Alice Gallo De Moraes, Bernardo Selim, Steven Holets, Richard Oeckler
BACKGROUND: Physicians require extensive training to achieve proficiency in mechanical ventilator (MV) management of the critically ill patients. Guided self-directed learning (GSDL) is usually the method used to learn. However, it is unclear if this is the most proficient approach to teaching mechanical ventilation to critical care fellows. We, therefore, investigated whether critical care fellows achieve higher scores on standardized testing and report higher satisfaction after participating in a hands-on tutorial combined with GSDL compared to self-directed learning alone...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27702432/mystery-behind-the-match-an-undergraduate-medical-education-graduate-medical-education-collaborative-approach-to-understanding-match-goals-and-outcomes
#9
Alisa Nagler, Deborah L Engle, Mariah Rudd, Saumil M Chudgar, John L Weinerth, Catherine M Kuhn, Edward Buckley, Colleen O'Connor Grochowski
BACKGROUND: There is a paucity of information regarding institutional targets for the number of undergraduate medical education (UME) graduates being matched to graduate medical education (GME) programs at their home institutions. At our institution, the Duke University, the number of UME graduates matched to GME programs declined dramatically in 2011. To better understand why this decline may have happened, we sought to identify perceived quality metrics for UME and GME learners, evaluate trends in match outcomes and educational program characteristics, and explore whether there is an ideal retention rate for UME graduates in their home institutions' GME programs...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27702431/do-mcat-scores-predict-usmle-scores-an-analysis-on-5-years-of-medical-student-data
#10
Jacqueline L Gauer, Josephine M Wolff, J Brooks Jackson
INTRODUCTION: The purpose of this study was to determine the associations and predictive values of Medical College Admission Test (MCAT) component and composite scores prior to 2015 with U.S. Medical Licensure Exam (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) scores, with a focus on whether students scoring low on the MCAT were particularly likely to continue to score low on the USMLE exams. METHOD: Multiple linear regression, correlation, and chi-square analyses were performed to determine the relationship between MCAT component and composite scores and USMLE Step 1 and Step 2 CK scores from five graduating classes (2011-2015) at the University of Minnesota Medical School (N=1,065)...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27687287/taking-osce-examiner-training-on-the-road-reaching-the-masses
#11
Katharine Reid, David Smallwood, Margo Collins, Ruth Sutherland, Agnes Dodds
BACKGROUND: To ensure the rigour of objective structured clinical examinations (OSCEs) in assessing medical students, medical school educators must educate examiners with a view to standardising examiner assessment behaviour. Delivering OSCE examiner training is a necessary yet challenging part of the OSCE process. A novel approach to implementing training for current and potential OSCE examiners was trialled by delivering large-group education sessions at major teaching hospitals. METHODS: The 'OSCE Roadshow' comprised a short training session delivered in the context of teaching hospital 'Grand Rounds' to current and potential OSCE examiners...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27680578/curing-neurophobia-in-medical-schools-evidence-based-strategies
#12
Abdelrahman Ibrahim Abushouk, Nguyen Minh Duc
Medical students often perceive neurology as the most difficult medical specialty. This perception is described as 'neurophobia' in the medical literature. Several studies have cited poor teaching, complex examination, and separation of basic and clinical sciences as major factors in the development of neurophobia. These negative perceptions can have serious implications, such as decreasing the students' desire to consider neurology as a future career and increasing referrals from other specialists to avoid dealing with neurological conditions...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27662824/an-anthropological-approach-to-teach-and-evaluate-cultural-competence-in-medical-students-the-application-of-mini-ethnography-in-medical-history-taking
#13
Jyh-Gang Hsieh, Mutsu Hsu, Ying-Wei Wang
PURPOSE: To use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students. METHODS: Between September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27640648/a-multicenter-study-how-do-medical-students-perceive-clinical-learning-climate
#14
Nilufer Demiral Yilmaz, Serpil Velipasaoglu, Sema Ozan, Bilge Uzun Basusta, Ozlem Midik, Sumer Mamakli, Nazan Karaoglu, Funda Tengiz, Halil İbrahim Durak, Hatice Sahin
BACKGROUND: The relationship between students and instructors is of crucial importance for the development of a positive learning climate. Learning climate is a multifaceted concept, and its measurement is a complicated process. The aim of this cross-sectional study was to determine medical students' perceptions about the clinical learning climate and to investigate differences in their perceptions in terms of various variables. METHODS: Medical students studying at six medical schools in Turkey were recruited for the study...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27637267/an-objective-structured-clinical-exam-to-measure-intrinsic-canmeds-roles
#15
Aliya Kassam, Michèle Cowan, Tyrone Donnon
BACKGROUND: The CanMEDS roles provide a comprehensive framework to organize competency-based curricula; however, there is a challenge in finding feasible, valid, and reliable assessment methods to measure intrinsic roles such as Communicator and Collaborator. The objective structured clinical exam (OSCE) is more commonly used in postgraduate medical education for the assessment of clinical skills beyond medical expertise. METHOD: We developed the CanMEDS In-Training Exam (CITE), a six-station OSCE designed to assess two different CanMEDS roles (one primary and one secondary) and general communication skills at each station...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27600828/near-peer-role-modeling-can-fourth-year-medical-students-recognized-for-their-humanism-enhance-reflection-among-second-year-students-in-a-physical-diagnosis-course
#16
Mimi McEvoy, Staci Pollack, Lawrence Dyche, William Burton
INTRODUCTION: Humanism is cultivated through reflection and self-awareness. We aimed to employ fourth-year medical students, recognized for their humanism, to facilitate reflective sessions for second-year medical students with the intention of positively influencing reflective process toward humanistic development. METHODS/ANALYSIS: A total of 186 students were randomly assigned to one of three comparison arms: eight groups of eight students (64 students) were facilitated by a fourth-year student who was a Gold Humanism Honor Society member (GHHS); eight groups (64 students) by a volunteer non-GHHS student; and seven groups (58 students) were non-facilitated...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27565131/building-and-executing-a-research-agenda-toward-conducting-implementation-science-in-medical-education
#17
Patricia A Carney, Gerald E Crites, Karen H Miller, Michelle Haight, Dimitrios Stefanidis, Eileen Cichoskikelly, David W Price, Modupeola O Akinola, Victoria C Scott, Summers Kalishman
BACKGROUND: Implementation science (IS) is the study of methods that successfully integrate best evidence into practice. Although typically applied in healthcare settings to improve patient care and subsequent outcomes, IS also has immediate and practical applications to medical education toward improving physician training and educational outcomes. The objective of this article is to illustrate how to build a research agenda that focuses on applying IS principles in medical education...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27562668/expanding-the-use-of-twitter-for-medical-education
#18
LETTER
Irene Moraitis, Miriam I Zegeye
No abstract text is available yet for this article.
2016: Medical Education Online
https://www.readbyqxmd.com/read/27543188/reliability-analysis-of-the-objective-structured-clinical-examination-using-generalizability-theory
#19
Juan Andrés Trejo-Mejía, Melchor Sánchez-Mendiola, Ignacio Méndez-Ramírez, Adrián Martínez-González
BACKGROUND: The objective structured clinical examination (OSCE) is a widely used method for assessing clinical competence in health sciences education. Studies using this method have shown evidence of validity and reliability. There are no published studies of OSCE reliability measurement with generalizability theory (G-theory) in Latin America. The aims of this study were to assess the reliability of an OSCE in medical students using G-theory and explore its usefulness for quality improvement...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27520404/medical-educational-culture-introducing-patients-to-applicants-as-part-of-the-medical-school-interview-feasibility-and-initial-impact-show-and-tell
#20
Shireen Madani Sims, James W Lynch
INTRODUCTION: The College of Medicine at our institution underwent a major curricular revision in order to develop a patient-centered context for learning. The admission process was revised to reflect this change, adopting a holistic review process, with the hope of attracting students who were particularly well suited to a patient-centered curriculum and learning culture. METHODS: Patients from a single practitioner, who were accustomed to working with medical students, were asked if they would like to select the next generation of physicians...
2016: Medical Education Online
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