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BMC Medical Education

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https://www.readbyqxmd.com/read/28088241/perceptions-of-mistreatment-among-trainees-vary-at-different-stages-of-clinical-training
#1
Afif N Kulaylat, Danni Qin, Susie X Sun, Christopher S Hollenbeak, Jane R Schubart, Antone J Aboud, Donald J Flemming, Peter W Dillon, Edward R Bollard, David C Han
BACKGROUND: Mistreatment of trainees remains a frequently reported phenomenon in medical education. One barrier to creating an educational culture of respect and professionalism may be a lack of alignment in the perceptions of mistreatment among different learners. Through the use of clinical vignettes, our aim was to assess the perceptions of trainees toward themes of potential mistreatment at different stages of training. METHODS: Based on observations from external experts embedded in the clinical learning environment, six thematic areas of potential mistreatment were identified: verbal abuse, specialty-choice discrimination, non-educational tasks, withholding/denying learning opportunities, neglect and gender/racial insensitivity...
January 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086953/student-and-faculty-perceptions-on-the-rapid-scale-up-of-medical-students-in-ethiopia
#2
Brittney S Mengistu, Holly Vins, Caitrin M Kelly, Daphne R McGee, Jennifer O Spicer, Miliard Derbew, Abebe Bekele, Damen Haile Mariam, Carlos Del Rio, Henry M Blumberg, Dawn L Comeau
BACKGROUND: Ethiopia is a country of over 94 million people that has a severe physician shortage with approximately only 2.5 physicians per 100,000 persons. Recently, the Ethiopian government implemented a "flood and retain" initiative to rapidly increase the quantity of physicians in Ethiopia. Consequently, medical student enrollment at Addis Ababa University (AAU) School of Medicine increased from 100 to approximately 300-400 students per class. This study evaluated the impact of the rapid scale-up in the number of medical students on the quality of medical education at AAU and the impact of the U...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086879/validity-evidence-for-two-objective-structured-clinical-examination-stations-to-evaluate-core-skills-of-the-shoulder-and-knee-assessment
#3
Michael J Battistone, Andrea M Barker, J Peter Beck, Robert Z Tashjian, Grant W Cannon
BACKGROUND: We developed two objective structured clinical examinations (OSCEs) to educate and evaluate trainees in the evaluation and management of shoulder and knee pain. Our objective was to examine the evidence for validity of these OSCEs. METHODS: A multidisciplinary team of content experts developed checklists of exam maneuvers and criteria to guide rater observations. Content was proposed by faculty, supplemented by literature review, and finalized using a Delphi process...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086875/learning-global-health-a-pilot-study-of-an-online-collaborative-intercultural-peer-group-activity-involving-medical-students-in-australia-and-indonesia
#4
Mark Ambrose, Linda Murray, Nicholas E Handoyo, Deif Tunggal, Nick Cooling
BACKGROUND: There is limited research to inform effective pedagogies for teaching global health to undergraduate medical students. Theoretically, using a combination of teaching pedagogies typically used in 'international classrooms' may prove to be an effective way of learning global health. This pilot study aimed to explore the experiences of medical students in Australia and Indonesia who participated in a reciprocal intercultural participatory peer e-learning activity (RIPPLE) in global health...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086868/the-impact-of-students-and-curriculum-on-self-study-during-clinical-training-in-medical-school-a-multilevel-approach
#5
J Barbosa, A Silva, M A Ferreira, M Severo
BACKGROUND: In higher education, the focus has shifted from the acquisition of knowledge to learning objectives and skills. This means that, the majority of student learning time is spent independently working outside the classroom. Students take an active role in setting goals, deciding how to achieve them, and planning individual study time. Although extensive research has recognized the importance of curriculum and students' characteristics in time devoted to self-study, it is still unclear to what extent these variables affect time to study...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086770/social-pediatrics-weaving-horizontal-and-vertical-threads-through-pediatric-residency
#6
Meta van den Heuvel, Maria Athina Tina Martimianakis, Rebecca Levy, Adelle Atkinson, Elizabeth Ford-Jones, Michelle Shouldice
BACKGROUND: Social pediatrics teaches pediatric residents how to understand disease within their patients' social, environmental and political contexts. It's an essential component of pediatric residency training; however there is very little literature that addresses how such a broad-ranging topic can be taught effectively. The aim of this study was to determine and characterize social pediatric education in our pediatric residency training in order to identify strengths and gaps. METHODS: A social pediatrics curriculum map was developed, attending to 3 different dimensions: (1) the intended curriculum as prescribed by the Objectives of Training for Pediatrics of the Royal College of Physicians and Surgeons of Canada (RCPSC), (2) the formal curriculum defined by rotation-specific learning objectives, and (3) the informal/hidden curriculum as reflected in resident and teacher experiences and perceptions...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28073345/reasons-for-faculty-departures-from-an-academic-medical-center-a-survey-and-comparison-across-faculty-lines
#7
Sabine C Girod, Magali Fassiotto, Roseanne Menorca, Henry Etzkowitz, Sherry M Wren
BACKGROUND: Faculty departure can present significant intellectual costs to an institution. The authors sought to identify the reasons for clinical and non-clinical faculty departures at one academic medical center (AMC). METHOD: In May and June 2010, the authors surveyed 137 faculty members who left a west coast School of Medicine (SOM) between 1999 and 2009. In May and June 2015, the same survey was sent to 40 faculty members who left the SOM between 2010-2014, for a total sample size of 177 former faculty members...
January 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28061777/whatsapp-messenger-as-a-tool-to-supplement-medical-education-for-medical-students-on-clinical-attachment
#8
Lewis Raiman, Richard Antbring, Asad Mahmood
BACKGROUND: Instant messaging applications have the potential to improve and facilitate communication between hospital doctors and students, hence generating and improving learning opportunities. This study aims to demonstrate the feasibility and acceptability of instant messaging communication to supplement medical education for medical students whilst on clinical attachment. METHODS: A total of 6 WhatsApp Messenger (WhatsApp Inc.) groups were created for medical students on clinical attachment...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056986/goals-of-care-conversation-teaching-in-residency-a-cross-sectional-survey-of-postgraduate-program-directors
#9
Amanda Roze des Ordons, Aliya Kassam, Jessica Simon
BACKGROUND: Residents are commonly involved in establishing goals of care for hospitalized patients. While education can improve the quality of these conversations, whether and how postgraduate training programs integrate such teaching into their curricula is not well established. The objective of this study was to characterize perceptions of current teaching and assessment of goals of care conversations, and program director interest in associated curricular integration. METHODS: An electronic survey was sent to all postgraduate program directors at the University of Calgary...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056972/perceived-stress-in-first-year-medical-students-associations-with-personal-resources-and-emotional-distress
#10
Ines Heinen, Monika Bullinger, Rüya-Daniela Kocalevent
BACKGROUND: Medical students have been found to report high levels of perceived stress, yet there is a lack of theoretical frameworks examining possible reasons. This cross-sectional study examines correlates of perceived stress in medical students on the basis of a conceptual stress model originally developed for and applied to the general population. The aim was to identify via structural equation modeling the associations between perceived stress and emotional distress (anxiety and depression), taking into account the activation of personal resources (optimism, self-efficacy and resilient coping)...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056969/voluntary-attendance-of-small-group-brainstorming-tutoring-courses-intensify-new-clerk-s-excellence-in-clinical-care-a-pilot-study
#11
Ling-Yu Yang, Chia-Chang Huang, Hui-Chi Hsu, Ying-Ying Yang, Ching-Chi Chang, Chiao-Lin Chuang, Wei-Shin Lee, Jen-Feng Liang, Hao Min Cheng, Chin-Chou Huang, Fa-Yauh Lee, Shung-Tai Ho, Ralph Kirby
BACKGROUND: Clerkship provides a unique way of transferring the knowledge and skills gathered during medical school's curriculum into real-ward clinical care environment. The annual program evaluation has indicated that the training of clerks in diagnostic and clinical reasoning skills needed to be enhanced. Recently, "clinical excellence" program have been promoted in our institution to augment the excellence in clinical care of new clerks. Current study aims to evaluate whether this pilot program improve the "clinical excellence" of new clerks...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056962/an-investigation-of-professionalism-reflected-by-student-comments-on-formative-virtual-patient-encounters
#12
Ting Dong, William Kelly, Meredith Hays, Norman B Berman, Steven J Durning
BACKGROUND: This study explored the use of virtual patient generated data by investigating the association between students' unprofessional patient summary statements, which they entered during an on-line virtual patient case, and detection of their future unprofessional behavior. METHOD: At the USUHS, students complete a number of virtual patient encounters, including a patient summary, to meet the clerkship requirements of Internal Medicine, Family Medicine, and Pediatrics...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056948/educating-for-interprofessional-practice-moving-from-knowing-to-being-is-it-the-final-piece-of-the-puzzle
#13
Helena Ward, Lyn Gum, Stacie Attrill, Donald Bramwell, Iris Lindemann, Sharon Lawn, Linda Sweet
BACKGROUND: Professional socialisation and identity arise from interactions occurring within university-based interprofessional education, and workplace-based interprofessional practice experience. However, it is unclear how closely language and concepts of academic learning situations align with workplace contexts for interprofessional learning. This paper reports on a study that brought together university-based educators responsible for teaching health professional students and health service-based practitioners who supervise students in the field...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056975/impact-of-medical-student-origins-on-the-likelihood-of-ultimately-practicing-in-areas-of-low-vs-high-socio-economic-status
#14
Ian B Puddey, Denese E Playford, Annette Mercer
INTRODUCTION: Medical schools are in general over-represented by students from high socio-economic status backgrounds. The University of Western Australia Medical School has been progressively widening the participation of students from a broader spectrum of the community both through expanded selection criteria and quota-based approaches for students of rural, indigenous and other socio-educationally disadvantaged backgrounds. We proposed that medical students entering medical school from such backgrounds would ultimately be more likely to practice in areas of increased socio-economic disadvantage...
January 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28031044/coping-with-stress-in-medical-students-results-of-a-randomized-controlled-trial-using-a-mindfulness-based-stress-prevention-training-medimind-in-germany
#15
S M Kuhlmann, M Huss, A Bürger, F Hammerle
BACKGROUND: High prevalence rates of psychological distress in medical training and later professional life indicate a need for prevention. Different types of intervention were shown to have good effects, but little is known about the relative efficacy of different types of stress management interventions, and methodological limitations have been reported. In order to overcome some of these limitations, the present study aimed at evaluating the effect of a specifically developed mindfulness-based stress prevention training for medical students (MediMind) on measures of distress, coping and psychological morbidity...
December 28, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27993128/high-school-versus-graduate-entry-in-a-saudi-medical-school-is-there-any-difference-in-academic-performance-and-professionalism-lapses
#16
Ahmed Rumayyan Al Rumayyan, Abdulaziz Ahmed Al Zahrani, Tahir Kamal Hameed
BACKGROUND: King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) was the first university in the Kingdom of Saudi Arabia offering both high school entry and graduate entry (GE) students into medical school. We compared the academic performance and professionalism lapses of high school entry and GE students who undertook the same curriculum and examinations in the College of Medicine, Riyadh, KSAU-HS. METHODS: Examination scores of 196 high school graduates and 54 GE students over a 4-year period (2010-2014) were used as a measure of academic achievement...
December 19, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27986086/pelvic-and-breast-examination-skills-curricula-in-united-states-medical-schools-a-survey-of-obstetrics-and-gynecology-clerkship-directors
#17
Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen
BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies at their institutions...
December 16, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27964713/medical-students-feedback-regarding-their-clinical-learning-environment-in-primary-healthcare-a-qualitative-study
#18
Helena Salminen, Eva Öhman, Terese Stenfors-Hayes
BACKGROUND: An increasing part of medical students' learning takes place in primary healthcare (PHC) but little is known about how the students perceive PHC as a clinical learning environment. This study aimed to explore medical students' perceptions of the clinical learning environment in PHC and how these vary with stage of education. METHODS: Free-text course evaluation comments from students in nine different semesters during spring 2014 were analysed using qualitative content analysis...
December 13, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27955653/-how-do-medical-students-regulate-their-emotions
#19
Karolina Doulougeri, Efharis Panagopoulou, Anthony Montgomery
BACKGROUND: Medical training can be a challenging and emotionally intense period for medical students. However the emotions experienced by medical students in the face of challenging situations and the emotion regulation strategies they use remains relatively unexplored. The aim of the present study was to explore the emotions elicited by memorable incidents reported by medical students and the associated emotion regulation strategies. METHODS: Peer interviewing was used to collect medical students' memorable incidents...
December 12, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27955651/learning-pathology-using-collaborative-vs-individual-annotation-of-whole-slide-images-a-mixed-methods-trial
#20
Michael Sahota, Betty Leung, Stephanie Dowdell, Gary M Velan
BACKGROUND: Students in biomedical disciplines require understanding of normal and abnormal microscopic appearances of human tissues (histology and histopathology). For this purpose, practical classes in these disciplines typically use virtual microscopy, viewing digitised whole slide images in web browsers. To enhance engagement, tools have been developed to enable individual or collaborative annotation of whole slide images within web browsers. To date, there have been no studies that have critically compared the impact on learning of individual and collaborative annotations on whole slide images...
December 12, 2016: BMC Medical Education
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