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BMC Medical Education

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https://www.readbyqxmd.com/read/28335820/exploring-the-tensions-of-being-and-becoming-a-medical-educator
#1
Ahsan Sethi, Rola Ajjawi, Sean McAleer, Susie Schofield
BACKGROUND: Previous studies have identified tensions medical faculty encounter in their roles but not specifically those with a qualification in medical education. It is likely that those with postgraduate qualifications may face additional tensions (i.e., internal or external conflicts or concerns) from differentiation by others, greater responsibilities and translational work against the status quo. This study explores the complex and multi-faceted tensions of educators with qualifications in medical education at various stages in their career...
March 23, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28335770/a-model-of-influences-on-the-clinical-learning-environment-the-case-for-change-at-one-u-s-medical-school
#2
Howard B Fleit, Richard J Iuli, Janet E Fischel, Wei-Hsin Lu, Latha Chandran
BACKGROUND: The learning environment within a school of medicine influences medical students' values and their professional development. Despite national requirements to monitor the learning environment, mistreatment of medical students persists. METHODS: We designed a program called WE SMILE: We can Eradicate Student Mistreatment In the Learning Environment with a vision to enhance trainee and faculty awareness and ultimately eliminate medical student mistreatment...
March 23, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28327147/medical-student-changes-in-self-regulated-learning-during-the-transition-to-the-clinical-environment
#3
Kenneth K Cho, Brahm Marjadi, Vicki Langendyk, Wendy Hu
BACKGROUND: Self-regulated learning (SRL), which is learners' ability to proactively select and use different strategies to reach learning goals, is associated with academic and clinical success and life-long learning. SRL does not develop automatically in the clinical environment and its development during the preclinical to clinical learning transition has not been quantitatively studied. Our study aims to fill this gap by measuring SRL in medical students during the transitional period and examining its contributing factors...
March 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28327141/the-first-nationwide-survey-of-md-phds-in-the-social-sciences-and-humanities-training-patterns-and-career-choices
#4
Seth M Holmes, Jennifer Karlin, Scott D Stonington, Diane L Gottheil
BACKGROUND: While several articles on MD-PhD trainees in the basic sciences have been published in the past several years, very little research exists on physician-investigators in the social sciences and humanities. However, the numbers of MD-PhDs training in these fields and the number of programs offering training in these fields are increasing, particularly within the US. In addition, accountability for the public funding for MD-PhD programs requires knowledge about this growing population of trainees and their career trajectories...
March 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28327124/exploring-the-influence-of-cultural-orientations-on-assessment-of-communication-behaviours-during-patient-practitioner-interactions
#5
Kyle J Wilby, Marjan J B Govaerts, Zubin Austin, Diana H J M Dolmans
BACKGROUND: Research has shown that patients' and practitioners' cultural orientations affect communication behaviors and interpretations in cross-cultural patient-practitioner interactions. Little is known about the effect of cultural orientations on assessment of communication behaviors in cross-cultural educational settings. The purpose of this study is to explore cultural orientation as a potential source of assessor idiosyncrasy or between-assessor variability in assessment of communication skills...
March 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28320367/the-development-and-validation-of-the-clinicians-awareness-towards-cognitive-errors-catches-in-clinical-decision-making-questionnaire-tool
#6
Keng Sheng Chew, Yee Cheng Kueh, Adlihafizi Abdul Aziz
BACKGROUND: Despite their importance on diagnostic accuracy, there is a paucity of literature on questionnaire tools to assess clinicians' awareness toward cognitive errors. A validation study was conducted to develop a questionnaire tool to evaluate the Clinician's Awareness Towards Cognitive Errors (CATChES) in clinical decision making. METHODS: This questionnaire is divided into two parts. Part A is to evaluate the clinicians' awareness towards cognitive errors in clinical decision making while Part B is to evaluate their perception towards specific cognitive errors...
March 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28302151/analysis-of-psychometric-properties-of-the-modified-setq-tool-in-undergraduate-medical-education
#7
Ahmed Al Ansari, Kathryn Strachan, Sumaya Hashim, Sameer Otoom
BACKGROUND: Effective clinical teaching is crucially important for the future of patient care. Robust clinical training therefore is essential to produce physicians capable of delivering high quality health care. Tools used to evaluate medical faculty teaching qualities should be reliable and valid. This study investigates the psychometric properties of modification of the System for Evaluation of Teaching Qualities (SETQ) instrument in the clinical years of undergraduate medical education...
March 16, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28302124/reliability-and-acceptability-of-six-station-multiple-mini-interviews-past-behavioural-versus-situational-questions-in-postgraduate-medical-admission
#8
Toru Yamada, Juichi Sato, Hiroshi Yoshimura, Tomoya Okubo, Eiji Hiraoka, Takashi Shiga, Tadao Kubota, Shigeki Fujitani, Junji Machi, Nobutaro Ban
BACKGROUND: The multiple mini-interview (MMI) is increasingly used for postgraduate medical admissions and in undergraduate settings. MMIs use mostly Situational Questions (SQs) rather than Past-Behavioural Questions (PBQs). A previous study of MMIs in this setting, where PBQs and SQs were asked in the same order, reported that the reliability of PBQs was non-inferior to SQs and that SQs were more acceptable to candidates. The order in which the questions are asked may affect reliability and acceptability of an MMI...
March 16, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28288618/discrepancies-between-perceptions-of-students-and-deans-regarding-the-consequences-of-restricting-students-use-of-electronic-medical-records-on-quality-of-medical-education
#9
Ivan Solarte, Karen D Könings
BACKGROUND: Electronic medical records (EMR) are more used in university hospitals, but the use of EMR by medical students at the workplace is still a challenge, because the conflict of interest between medical accountability for hospitals and quality of medical education programs for students. Therefore, this study investigates the use of EMR from the perspective of medical school deans and students, and determines their perceptions and concerns about consequences of restricted use of EMR by students on quality of education and patient care...
March 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28284205/usage-of-3d-models-of-tetralogy-of-fallot-for-medical-education-impact-on-learning-congenital-heart-disease
#10
RANDOMIZED CONTROLLED TRIAL
Yue-Hin Loke, Ashraf S Harahsheh, Axel Krieger, Laura J Olivieri
BACKGROUND: Congenital heart disease (CHD) is the most common human birth defect, and clinicians need to understand the anatomy to effectively care for patients with CHD. However, standard two-dimensional (2D) display methods do not adequately carry the critical spatial information to reflect CHD anatomy. Three-dimensional (3D) models may be useful in improving the understanding of CHD, without requiring a mastery of cardiac imaging. The study aimed to evaluate the impact of 3D models on how pediatric residents understand and learn about tetralogy of Fallot following a teaching session...
March 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28270204/friend-or-foe-flipped-classroom-for-undergraduate-electrocardiogram-learning-a-randomized-controlled-study
#11
RANDOMIZED CONTROLLED TRIAL
Zeng Rui, Xiang Lian-Rui, Yue Rong-Zheng, Zeng Jing, Wan Xue-Hong, Zuo Chuan
BACKGROUND: Interpreting an electrocardiogram (ECG) is not only one of the most important parts of clinical diagnostics but also one of the most difficult topics to teach and learn. In order to enable medical students to master ECG interpretation skills in a limited teaching period, the flipped teaching method has been recommended by previous research to improve teaching effect on undergraduate ECG learning. METHODS: A randomized controlled trial for ECG learning was conducted, involving 181 junior-year medical undergraduates using a flipped classroom as an experimental intervention, compared with Lecture-Based Learning (LBL) as a control group...
March 7, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28259161/improving-disclosure-of-medical-error-through-educational-program-as-a-first-step-toward-patient-safety
#12
Chan Woong Kim, Sun Jung Myung, Eun Kyung Eo, Yerim Chang
BACKGROUND: Although physicians believe that medical errors should be disclosed to patients and their families, they often hesitate to do so. In this study, we assessed the effectiveness of an education program for medical error disclosure. METHODS: In 2015, six medical interns and 79 fourth-year medical students participated in this study. The education program included practice of error disclosure using a standardized patient scenario, feedback, and short didactic sessions...
March 4, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28253880/medical-students-research-productivity-and-career-preferences-a-2-year-prospective-follow-up-study
#13
Riitta Möller, Maria Shoshan
BACKGROUND: Linking undergraduate medical education to scientific research is necessary for the quality of future health care, and students´ individual research projects are one way to do so. Assessment of the impact of such projects is of interest for both educational and research-oriented segments of medical schools. Here, we examined the scholarly products and medical students' career preferences 2 years after a mandatory research project course. METHODS: A prospective cross-sectional questionnaire study...
March 3, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28253870/intraosseous-access-can-be-taught-to-medical-students-using-the-four-step-approach
#14
Monika Afzali, Ask Daffy Kvisselgaard, Tobias Stenbjerg Lyngeraa, Sandra Viggers
BACKGROUND: The intraosseous (IO) access is an alternative route for vascular access when peripheral intravascular catheterization cannot be obtained. In Denmark the IO access is reported as infrequently trained and used. The aim of this pilot study was to investigate if medical students can obtain competencies in IO access when taught by a modified Walker and Peyton's four-step approach. METHODS: Nineteen students attended a human cadaver course in emergency procedures...
March 2, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28249602/relating-professionalism-and-conscientiousness-to-develop-an-objective-scalar-proxy-measure-of-professionalism-in-anaesthetic-trainees
#15
M A Sawdon, K Whitehouse, G M Finn, J C McLachlan, D Murray
BACKGROUND: The concept of professionalism is complex and subjective and relies on expert judgements. Currently, there are no existing objective measures of professionalism in anaesthesia. However, it is possible that at least some elements of professionalism may be indicated by objective measures. A number of studies have suggested that conscientiousness as a trait is a significant contributor to professionalism. METHODS: A 'Conscientiousness Index' (CI) was developed by collation of routinely collected data from tasks expected to be carried out by anaesthetic trainees such as punctual submission of holiday and 'not-on-call' requests, attendance at audit meetings, timely submission of completed appraisal documentation and sickness/absence notifications...
March 1, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28245868/institutional-factors-affecting-participation-in-national-faculty-development-programs-a-nation-wide-investigation-of-medical-schools
#16
Do-Hwan Kim, Jinyoung Hwang, Seunghee Lee, Jwa-Seop Shin
BACKGROUND: Medical schools have used faculty development programs as an essential means to improve the instruction of faculty members. Thus far, however, participating in such programs has been largely voluntary for individuals even though a certain degree of participation is required to achieve practical effectiveness. In addition, the learning behaviors of faculty members are known to be influenced by organizational contexts such as a hidden curriculum. Therefore, this study explored the organizational characteristics of medical schools affecting attendance at faculty development programs...
February 28, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28241762/building-capacity-in-clinical-epidemiology-in-africa-experiences-from-masters-programmes
#17
REVIEW
Taryn Young, Celeste Naude, Tania Brodovcky, Tonya Esterhuizen
BACKGROUND: To describe and contrast programmatic offering of Clinical Epidemiology Masters programmes in Africa, to evaluate experiences of graduates and faculty, and assess if graduates are playing roles in research, practice and teaching of Clinical Epidemiology. METHODS: We searched and identified relevant programmes, reviewed programmatic documentation, interviewed convenors and surveyed graduates. Participants provided informed consent, interviews with faculty were recorded and transcribed for analysis purposes, and graduates participated in an online survey...
February 27, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28241756/medical-students-experiences-of-their-own-professional-development-during-three-clinical-terms-a-prospective-follow-up-study
#18
Susanne Kalén, Hanna Lachmann, Maria Varttinen, Riitta Möller, Tomas S Bexelius, Sari Ponzer
BACKGROUND: A modern competency-based medical education is well implemented globally, but less is known about how the included learning activities contribute to medical students' professional development. The aim of this study was to explore Swedish medical students' perceptions of the offered learning activities and their experiences of how these activities were connected to their professional development as defined by the CanMEDS framework. METHODS: A prospective mixed method questionnaire study during three terms (internal medicine, scientific project, and surgery) in which data were collected by using contextual activity sampling system, i...
February 27, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28228144/incorporating-one-health-into-medical-education
#19
Peter M Rabinowitz, Barbara J Natterson-Horowitz, Laura H Kahn, Richard Kock, Marguerite Pappaioanou
One Health is an emerging concept that stresses the linkages between human, animal, and environmental health, as well as the need for interdisciplinary communication and collaboration to address health issues including emerging zoonotic diseases, climate change impacts, and the human-animal bond. It promotes complex problem solving using a systems framework that considers interactions between humans, animals, and their shared environment. While many medical educators may not yet be familiar with the concept, the One Health approach has been endorsed by a number of major medical and public health organizations and is beginning to be implemented in a number of medical schools...
February 23, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28228099/impact-of-adding-additional-providers-to-resident-workload-and-the-resident-experience-on-a-medical-consultation-rotation
#20
Michele Fang, Eric Linson, Manish Suneja, Ethan F Kuperman
BACKGROUND: Excellence in Graduate Medical Education requires the right clinical environment with an appropriate workload where residents have enough patients to gain proficiency in medicine with optimal time for reflection. The Accreditation Council for Graduate Medical Education (ACGME) has focused more on work hours rather than workload; however, high resident workload has been associated with lower resident participation in education and fatigue-related errors. Recognizing the potential risks associated with high resident workload and being mindful of the costs of reducing resident workload, we sought to reduce residents' workload by adding an advanced practice provider (APP) to the surgical comanagement service (SCM) and study its effect on resident satisfaction and perceived educational value of the rotation...
February 22, 2017: BMC Medical Education
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