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Medical Education Online

Timothy DeVita, Casey Bishop, Michael Plankey
Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) individuals face well-established health disparities. American medical schools have been inconsistent in their training in the care of LGBTQI-identified patient, and many have not formally assessed their curriculums for content related to the care of LGBTQI-identified patients. From 2015 to 2016, the authors systematically evaluated Georgetown University School of Medicine's preclinical curriculum for its LGBTQI competency using video lecture capture, LGBTQI health competencies published by the American Association of Medical Colleges (AAMC) and learning objectives developed by Vanderbilt University...
December 2018: Medical Education Online
Rani Polak, David Pober, Adi Finkelstein, Maggi A Budd, Margaret Moore, Julie K Silver, Edward M Phillips
BACKGROUND: Nutrition medical education training programs that are focused on home cooking are emerging. OBJECTIVE: This short communication describes the first synchronous tele-nutrition medical education training program using a novel Culinary Coaching (CC) model. DESIGN: Seven health coaches were trained and each coach delivered CC programs to four patients (28 total). Evaluations included:1) two questionnaires before, immediately after, and six months post training program; and 2) one questionnaire after each patient program...
December 2018: Medical Education Online
Erik Brodt, Amanda Bruegl, Erin K Thayer, M Patrice Eiff, Kelly Gonzales, Carlos Crespo, Dove Spector, Martina Kamaka, Dee-Ann Carpenter, Patricia A Carney
BACKGROUND: Trends in faculty rank according to racial and ethnic composition have not been reviewed in over a decade. OBJECTIVE:  To study trends in faculty rank according to racial and ethnicity with a specific focus on Indigenous faculty, which has been understudied. METHODS: Data from the Association of American Medical Colleges' Faculty Administrative Management Online User System was used to study trends in race/ethnicity faculty composition and rank between 2014 and 2016, which included information on 481,753 faculty members from 141 US allopathic medical schools...
December 2018: Medical Education Online
Salman Yousuf Guraya, Hamdi Almaramhy, Mona Faisal Al-Qahtani, Shaista Salman Guraya, Manal Bouhaimed, B Bilal
There is a sharp rise in the use of social networking sites (SNSs) by university students for various purposes. However, little is known about the use of SNSs for educational purposes. This study aims to determine educational use of SNSs by the medical students of two Saudi and a Kuwaiti medical school. A cross-sectional study was conducted by administering a 20-statement questionnaire to the undergraduate medical and allied health sciences students of two Saudi universities: Taibah University (TU) and Imam Abdulrahman AlFaisal University (IAFU), and one Kuwaiti university, Kuwait University (KU)...
December 2018: Medical Education Online
Gabrielle A Jacquet, Rachel A Umoren, Alison S Hayward, Justin G Myers, Payal Modi, Stephen J Dunlop, Suzanne Sarfaty, Mark Hauswald, Janis P Tupesis
BACKGROUND: Short-term experiences in global health (STEGH) are increasingly common in medical education, as they can provide learners with opportunities for service, learning, and sharing perspectives. Academic institutions need high-quality preparatory curricula and mentorship to prepare learners for potential challenges in ethics, cultural sensitivity, and personal safety; however, availability and quality of these are variable. OBJECTIVE: The objective of this study is to create and evaluate an open-access, interactive massive open online course (MOOC) that prepares learners to safely and effectively participate in STEGH, permits flexible and asynchronous learning, is free of charge, and provides a certificate upon successful completion...
December 2018: Medical Education Online
Edvin Schei, Ruth E Johnsrud, Thomas Mildestvedt, Reidar Pedersen, Stefán Hjörleifsson
BACKGROUND: Traditional preclinical curricula based on memorization of scientific facts constitute learning environments which may negatively influence both factual understanding and professional identity development in medical students. Little is known of how students themselves experience and interpret such educational milieus. OBJECTIVE: To investigate first-year medical students' view of the physician role, and their perception of the relevance and quality of teaching in a science-based preclinical curriculum...
December 2018: Medical Education Online
Jyh-Chong Liang, Yen-Yuan Chen, Hong-Yuan Hsu, Tzong-Shinn Chu, Chin-Chung Tsai
BACKGROUND: One of the strongly theorized areas of research associated with learning outcomes has been the approaches to learning. Few studies have been focused on examining the relationship between the approaches to learning medicine (ALM) and learning outcomes. OBJECTIVES: The objectives were: (1) to conduct psychometric testing of the ALM questionnaire; and (2) to examine the association between medical learners' ALM and learning outcomes. DESIGN: We developed the ALM questionnaire which was a modification of the Revised Learning Process questionnaire...
December 2018: Medical Education Online
Meghan McConnell, Ada Gu, Aysha Arshad, Arastoo Mokhtari, Khalid Azzam
CONTEXT: The CanMEDS framework promotes the development of competencies required to be an effective physician. However, it is still not well understood how to apply such frameworks to CPD contexts, particularly with respect to intrinsic competencies. OBJECTIVE: This study explores whether physician narratives around challenging cases would provide information regarding learning needs that could help guide the development of CPD activities for intrinsic CanMEDS competencies...
December 2018: Medical Education Online
Marie-Paule Gustin, Milena Abbiati, Raphael Bonvin, Margaret W Gerbase, Anne Baroffio
Students' approaches to learning are central to the process of learning. Previous research has revealed that influencing students' approaches towards deep learning is a complex process and seems much more difficult than expected, even in student-activating learning environments. There is evidence that learning approaches are impacted not only by the learning environment, but also by how students perceive it. However the nature of the links between the environment itself, the way in which it is perceived by students and students' learning approaches is poorly understood...
December 2018: Medical Education Online
Samuel Jang, Stephen A Rosenberg, Craig Hullett, Kristin A Bradley, Randall J Kimple
The Charting Outcomes resource is useful in gauging an applicant's competiveness for a given specialty. However, many variables are not reported in Charting Outcomes that may influence an applicant's ability to match. A significant proportion of applicants record their experiences in an anonymous, self-reported applicant spreadsheet. We analyzed factors associated with a successful match using this dataset to test the hypothesis that research productivity and high academic performance correlates with success rates...
December 2018: Medical Education Online
Kyong-Jee Kim, Bum Sun Kwon
In Multiple Mini Interviews (MMIs), the candidates start out with different stations depending on the sequence of rotation they are assigned; thus, their perceived difficulty level and nervousness with their first station may differ. We examined whether such differences influenced the candidates' overall performance in the MMI. A 32-item questionnaire was developed and administered to candidates for admission interviews at a medical school regarding their perceptions of the MMI. Candidates' interview scores were also obtained and were compared across groups who differed in the sequence of rotation of MMI stations...
December 2018: Medical Education Online
Kelly M Pennington, Yue Dong, Hongchuan H Coville, Bo Wang, Ognjen Gajic, Diana J Kelm
OBJECTIVE: The current study examines the feasibility and potential effects of long distance, remote simulation training on team dynamics. DESIGN: The study design was a prospective study evaluating team dynamics before and after remote simulation. SUBJECTS: Study subjects consisted of interdisciplinary teams (attending physicians, physicians in training, advanced care practitioners, and/or nurses). SETTING: The study was conducted at nine training sites in eight countries...
December 2018: Medical Education Online
Michael A Ainsworth, Karen M Szauter
BACKGROUND: An early concern note (ECN) program is used by some medical schools to identify, counsel, and intervene when students exhibit unprofessional behavior. Student maturity, insight, propensity for reflection, and receptiveness to feedback have been suggested as predictors of future behavior. OBJECTIVE: We hypothesized that (a) classifying students with a first ECN based on their response to the report would identify students at risk of repeat ECNs better than the action that prompted it and (b) receipt of multiple ECNs would identify students at risk of adverse academic events...
December 2018: Medical Education Online
Caley A Satterfield, Matthew M Dacso, Premal Patel
There continues to be an increase in the number of learners who participate in international health electives (IHEs). However, not all learners enter IHEs with the same level of knowledge, attitude, and previous experience, which puts undue burden on host supervisors and poses risks to student and patient safety. The Multiple Mini-Interview (MMI) is a technique that has become a popular method for undergraduate and postgraduate-level health science admissions programs. This paper describes the MMI process used by our program to screen first-year medical students applying for pre-clinical IHEs...
December 2018: Medical Education Online
Melody P Chung, Christine K Thang, Michelle Vermillion, Joyce M Fried, Sebastian Uijtdehaage
BACKGROUND: Despite widespread implementation of policies to address mistreatment, the proportion of medical students who experience mistreatment during clinical training is significantly higher than the proportion of students who report mistreatment. Understanding barriers to reporting mistreatment from students' perspectives is needed before effective interventions can be implemented to improve the clinical learning environment. OBJECTIVE: We explored medical students' reasons for not reporting perceived mistreatment or abuse experienced during clinical clerkships at the David Geffen School of Medicine at UCLA (DGSOM)...
December 2018: Medical Education Online
Tasha R Wyatt, Elena A Wood, John McManus, Kevin Ma, Paul M Wallach
BACKGROUND: Previous research on Emergency Medical Technician (EMT) programs as an early clinical experience indicates that medical students' confidence in patient care and team-building skills increases with participation. However, very little is known about the unplanned, long-term effects of EMT courses on medical students once they enter medical school. OBJECTIVES: This study examined the immediate outcomes produced by the month-long summer EMT course and the unplanned outcomes that students reported 1 year later...
December 2018: Medical Education Online
Christopher R Stephenson, Christopher M Wittich, Joel E Pacyna, Matthew K Wynia, Omar Hasan, Jon C Tilburt
Continuous quality improvement is a component of professionalism. Maintenance of Certification (MOC) is a mechanism in the USA for physicians to keep current with medical knowledge and contribute to practice improvement. Little is known about primary care physicians' perceptions of the practice improvement (Part IV) components of MOC. We aimed to determine primary care physicians' perceptions of their professional responsibility to participate in Part IV MOC. This was a cross-sectional study of primary care physicians using the American Medical Association Masterfile...
December 2018: Medical Education Online
Nicole Sitkin Zelin, Charlotte Hastings, Brendin R Beaulieu-Jones, Caroline Scott, Ana Rodriguez-Villa, Cassandra Duarte, Christopher Calahan, Alexander J Adami
BACKGROUND: Sexual and gender minority (SGM) individuals experience high rates of harassment and discrimination when seeking healthcare, which contributes to substantial healthcare disparities. Improving physician training about gender identity, sexual orientation, and the healthcare needs of SGM patients has been identified as a critical strategy for mitigating these disparities. In 2014, the Association of American Medical Colleges (AAMC) published medical education competencies to guide undergraduate medical education on SGM topics...
December 2018: Medical Education Online
Madison C Ratycz, Thomas J Papadimos, Allison A Vanderbilt
Substance abuse is a growing public health concern in the USA (US), especially now that the US faces a national drug overdose epidemic. Over the past decade, the number of drug overdose deaths has rapidly grown, largely driven by increases in prescription opioid-related overdoses. In recent years, increased heroin and illicitly manufactured fentanyl overdoses have substantially contributed to the rise of overdose deaths. Given the role of physicians in interacting with patients who are at risk for or currently abusing opioids and heroin, it is essential that physicians are aware of this issue and know how to respond...
December 2018: Medical Education Online
Veronica W Ho, Peter G Harris, Rakesh K Kumar, Gary M Velan
In higher education, most assessments or examinations comprise either multiple-choice items or open-ended questions such as modified essay questions (MEQs). Online concept and knowledge maps are potential tools for assessment, which might emphasize meaningful, integrated understanding of phenomena. We developed an online knowledge-mapping assessment tool, which provides automated feedback on student-submitted maps. We conducted a pilot study to investigate the potential utility of online knowledge mapping as a tool for automated assessment by comparing the scores generated by the software with manual grading of a MEQ on the same topic for a cohort of first-year medical students...
December 2018: Medical Education Online
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