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BMC Medical Education

Jose Francois, Jeffrey Sisler, Stephanie Mowat
BACKGROUND: The Manitoba Physician Achievement Review (MPAR) is a 360-degree feedback assessment that physicians undergo every 7 years to retain licensure. Deliberate reflection on feedback has been demonstrated to encourage practice change. The MPAR Reflection Exercise (RE), a peer-assisted debriefing tool, was developed whereby the physician selects a peer with whom to review and reflect on feedback, committing to change. This qualitative study explores how physicians who had undergone the MPAR used the RE, what areas of change are identified and committed to, and what they perceived as the role of reflection in the MPAR process...
March 14, 2018: BMC Medical Education
José María Ariso
Most scholars agree that empathy is one of the keys for medical education, but it is not yet clear precisely how this term should be defined. Currently, the predominant tendency in this area consists in considering empathy within the context of narrative medicine or, more specifically, within the interaction theory instead of the simulation theory of empathy. A significant development of the interaction theory is "second-order empathy". After describing the outlines of this kind of empathy, I suggest that the practitioner should also inquire about the patient's certainties - in Wittgenstein's sense - in order the better to enrich and understand her narrative...
March 14, 2018: BMC Medical Education
Roman Hari, Michael Harris, Peter Frey, Sven Streit
BACKGROUND: Exposure to a broad spectrum of patient cases is a mainstay of undergraduate medical education. This study aimed to assess how many primary care-specific clinical pictures final-year medical students in traditional block rotations had encountered, and how this changed after a curricular change that included the implementation of a four-year longitudinal clerkship in primary care. METHODS: Final-year students before, and after, implementation of the clerkship were asked which of the clinical pictures most relevant to primary care they had seen...
March 14, 2018: BMC Medical Education
M Douglas Jones, Traci Yamashita, Randal G Ross, Jennifer Gong
BACKGROUND: Although medical school programs oriented toward postgraduate specialty training have the potential to reduce the duration and cost of medical school for US medical students, success depends on the ability of students to predict their postgraduate specialties. It is clear that first-year choices are poorly predictive, but it is not known when predictions become sufficiently reliable to support specialty-oriented learning programs. We therefore examined the predictive value of specialty preferences expressed at the ends of the first, second and third years of medical school and asked whether concurrent expressions of confidence in choices improved predictive ability...
March 9, 2018: BMC Medical Education
Sam Brooks, Namita Biala, Sage Arbor
BACKGROUND: Medical school curricula strives to teach as much material as can be retained in a limited amount of time. A common "gold standard" resource used building curricula are medical objectives suggested by national societies. Unfortunately these objectives suffer from several functional limitations such as limited accessibility to society members, non-searchable formats (such as nested tables or pdf images), and inability to compare and search across societal objectives for redundancy or gaps...
March 2, 2018: BMC Medical Education
Katie Hinderaker, David V Power, Sharon Allen, Ellen Parker, Kolawole Okuyemi
BACKGROUND: Although electronic cigarette (e-cigarette) use has rapidly increased, there is little data about what United States medical students know or are taught about them. This study examined medical students' experiences, knowledge, and attitudes regarding e-cigarettes, as well as their evaluation of their education on e-cigarettes. METHODS: A cross-sectional online survey of medical students currently enrolled at the University of Minnesota Medical School (n = 984) was conducted over a three-week period in August and September 2015...
March 2, 2018: BMC Medical Education
Yeon Hee Kim, Ja Min, Soon Hee Kim, Sujin Shin
BACKGROUND: Critical reflection is effective in improving students' communication abilities and confidence. The aim of this study was to evaluate the effectiveness of a work-based critical reflection program to enhance novice nurses' clinical critical-thinking abilities, communication competency, and job performance. METHODS: The present study used a quasi-experimental design. From October 2014 to August 2015, we collected data from 44 novice nurses working in an advanced general hospital in S city in Korea...
February 27, 2018: BMC Medical Education
Zohair Jamil Gazzaz, Mukhtiar Baig, Bader Salem Mana Al Alhendi, Mohammed Mahdi Owiad Al Suliman, Awshaemah Salem Al Alhendi, Mana Saleh Hadi Al-Grad, Mohammed Abdullah Ali Qurayshah
BACKGROUND: Medical students have high levels of stress that could be due to the daily life stressors and the extra stress of academic burden. The present study investigated the perceived stress level as well as the reasons and sources of stress among medical students at a comparatively newly established medical college affiliated with King Abdulaziz University (KAU), Jeddah, Saudi Arabia (SA). METHODS: The present study was carried out at Rabigh Medical College (RMC), KAU, Jeddah, and completed in 2015...
February 23, 2018: BMC Medical Education
Mustafa S Rashid
Following publication of the original article [1], the corresponding author wrote to say that he had missed the names of some of the collaborators in the list he sent to the typesetters. In addition, there was a spelling error in one of the author's names: instead of Nagriz Seyidova it should read Nargiz Seyidova. The complete list of collaborators is as follows.
February 19, 2018: BMC Medical Education
Priscilla Harries, Carolyn Unsworth, Hulya Gokalp, Miranda Davies, Christopher Tomlinson, Luke Harries
BACKGROUND: Driving licensing jurisdictions require detailed assessments of fitness-to-drive from occupational therapy driver assessors (OTDAs). We developed decision training based on the recommendations of expert OTDAs, to enhance novices' capacity to make optimal fitness-to-drive decisions. The aim of this research was to determine effectiveness of training on novice occupational therapists' ability to make fitness-to-drive decisions. METHODS: A double blind, parallel, randomised controlled trial was conducted to test the effectiveness of decision training on novices' fitness-to-drive recommendations...
February 13, 2018: BMC Medical Education
Victor Mogre, Fred C J Stevens, Paul A Aryee, Anthony Amalba, Albert J J A Scherpbier
BACKGROUND: The provision of nutrition care by doctors is important in promoting healthy dietary habits, and such interventions can lead to reductions in disease morbidity, mortality, and medical costs. However, medical students and doctors report inadequate nutrition education and preparedness during their training at school. Previous studies investigating the inadequacy of nutrition education have not sufficiently evaluated the perspectives of students. In this study, students' perspectives on doctors' role in nutrition care, perceived barriers, and strategies to improve nutrition educational experiences are explored...
February 12, 2018: BMC Medical Education
Bunmi S Malau-Aduli, Teresa O'Connor, Robin A Ray, Yolanda van der Kruk, Michelle Bellingan, Peta-Ann Teague
Following publication of the original article [1], one of the authors reported that prior to publication her surname had changed from 'Kerlen' to 'van der Kruk', but that this change had not been incorporated in the final version.
February 12, 2018: BMC Medical Education
Mohammed Saqr, Uno Fors, Matti Tedre
BACKGROUND: Collaborative learning facilitates reflection, diversifies understanding and stimulates skills of critical and higher-order thinking. Although the benefits of collaborative learning have long been recognized, it is still rarely studied by social network analysis (SNA) in medical education, and the relationship of parameters that can be obtained via SNA with students' performance remains largely unknown. The aim of this work was to assess the potential of SNA for studying online collaborative clinical case discussions in a medical course and to find out which activities correlate with better performance and help predict final grade or explain variance in performance...
February 6, 2018: BMC Medical Education
Ling Ting Wu, Wenru Wang, Eleanor Holroyd, Violeta Lopez, Sok Ying Liaw
BACKGROUND: Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career choice. This study aims to identify the deterrents to choosing nursing among healthcare undergraduates by examining the differences in the factors influencing healthcare career choices and nursing as a career choice...
January 26, 2018: BMC Medical Education
Annette Burgess, Chris Roberts, Premala Sureshkumar, Karyn Mossman
BACKGROUND: Multiple Mini Interviews (MMIs) are being used by a growing number of postgraduate training programs and medical schools as their interview process for selection entry. The Australian General Practice and Training (AGPT) used a National Assessment Centre (NAC) approach to selection into General Practice (GP) Training, which include MMIs. Interviewing is a resource intensive process, and implementation of the MMI requires a large number of interviewers, with a number of candidates being interviewed simultaneously...
January 25, 2018: BMC Medical Education
Hirono Ishikawa, Daisuke Son, Masato Eto, Kiyoshi Kitamura, Takahiro Kiuchi
BACKGROUND: Patient-centered care has been one of the most frequently discussed principles in medical practice. However, there is a serious concern that the patient-centered attitudes of physicians diminish over the course of their medical education. This longitudinal study examined changes in resident physicians' patient-centered attitudes and their confidence in communicating with patients, and explored the relationship between the two traits. METHODS: The study participants were resident physicians at a university hospital in Tokyo...
January 25, 2018: BMC Medical Education
Jaime L Pacifico, Cees P M van der Vleuten, Arno M M Muijtjens, Erlyn A Sana, Sylvia Heeneman
BACKGROUND: In postgraduate training, there is a need to continuously assess the learning and working conditions to optimize learning. Students or trainees respond to the learning climate as they perceive it. The Dutch Residency Educational Climate Test (D-RECT) is a learning climate measurement tool with well-substantiated validity. However, it was originally designed for Dutch postgraduate trainees and it remains to be shown whether extrapolation to non-Western settings is viable. The dual objective of this study was to revalidate D-RECT outside of a Western setting and to evaluate the factor structure of a recently revised version of the D-RECT containing 35 items...
January 25, 2018: BMC Medical Education
Cornelia Mahler, Veronika Schwarzbeck, Johanna Mink, Katja Goetz
BACKGROUND: Interprofessional education is receiving increased attention worldwide. This has led to the development of a bachelor programme "Interprofessional Health Care" at the University of Heidelberg, Germany beginning in the winter semester 2011. Aim of this study was to evaluate the students' perception of this innovative programme regarding interprofessional learning. METHODS: An exploratory case study was conducted. A semi-structured guideline was developed and seven focus groups were performed with the students of the first three cohorts in 2012-2014...
January 25, 2018: BMC Medical Education
Ricci Harris, Donna Cormack, James Stanley, Elana Curtis, Rhys Jones, Cameron Lacey
BACKGROUND: Health professional racial/ethnic bias may impact on clinical decision-making and contribute to subsequent ethnic health inequities. However, limited research has been undertaken among medical students. This paper presents findings from the Bias and Decision-Making in Medicine (BDMM) study, which sought to examine ethnic bias (Māori (indigenous peoples) compared with New Zealand European) among medical students and associations with clinical decision-making. METHODS: All final year New Zealand (NZ) medical students in 2014 and 2015 (n = 888) were invited to participate in a cross-sectional online study...
January 23, 2018: BMC Medical Education
Sonali Prashant Chonkar, Tam Cam Ha, Sarah Shan Hang Chu, Ada Xinhui Ng, Melissa Li Shan Lim, Tat Xin Ee, Mor Jack Ng, Kok Hian Tan
No abstract text is available yet for this article.
January 18, 2018: BMC Medical Education
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