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Perspectives on Medical Education

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https://www.readbyqxmd.com/read/29134620/pre-residency-publication-and-its-association-with-paediatric-residency-match-outcome-a%C3%A2-retrospective-analysis-of-a%C3%A2-national-database
#1
Ronish Gupta, Mark L Norris, Nicholas Barrowman, Hilary Writer
INTRODUCTION: Scholarly activity is considered valuable in the resident selection process by candidates and program directors alike, despite existing literature suggesting applicants with scholarly work do not perform better in the match. These studies, however, are limited in that they have only measured whether candidates have successfully matched or not. To try and reconcile the existing disconnect in the value of pre-residency scholarly activity, we sought to deepen the understanding by investigating whether pre-residency publication is associated with a higher rank-order list match achievement...
November 13, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29119470/failure-to-flow-an-exploration-of-learning-and-teaching-in-busy-multi-patient-environments-using-an-interpretive-description-method
#2
Teresa M Chan, Kenneth Van Dewark, Jonathan Sherbino, Alan Schwartz, Geoff Norman, Matthew Lineberry
INTRODUCTION: As patient volumes continue to increase, more attention must be paid to skills that foster efficiency without sacrificing patient safety. The emergency department is a fertile ground for examining leadership and management skills, especially those that concern prioritization in multi-patient environments. We sought to understand the needs of emergency physicians (EPs) and emergency medicine junior trainees with regards to teaching and learning about how best to handle busy, multi-patient environments...
November 8, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29119469/learning-to-prescribe-intravenous-fluids-a%C3%A2-scoping-review
#3
REVIEW
Richard F R McCrory, Gerard Joseph Gormley, Alexander Peter Maxwell, Tim Dornan
INTRODUCTION: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the current state of published evidence about how junior doctors prescribe IV fluid therapy and learn how to do it. METHODS: We searched five electronic databases and grey literature from 1994 until June 2016 for articles describing any aspect of IV fluid prescribing practice or its education...
November 8, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29098637/standardized-residency-training-in-china-the-new-internal-medicine-curriculum
#4
Jonathan Lio, Yanqing Ye, Hongmei Dong, Shalini Reddy, John McConville, Renslow Sherer
China formally established a system of national standardized medical residency training in 2014, which affects the health of its 1.4 billion people. Accompanying this system were new guidelines and standards for internal medicine residency training. However, the majority of the standards focused on process measurements, such as minimum case requirements of diseases and procedural skills, rather than describing broader physician competencies in the domains of professionalism, patient care, communication, teamwork, quality improvement, and scholarship...
November 2, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29071550/to-fail-is-human-remediating-remediation-in-medical-education
#5
Adina Kalet, Calvin L Chou, Rachel H Ellaway
INTRODUCTION: Remediating failing medical learners has traditionally been a craft activity responding to individual learner and remediator circumstances. Although there have been moves towards more systematic approaches to remediation (at least at the institutional level), these changes have tended to focus on due process and defensibility rather than on educational principles. As remediation practice evolves, there is a growing need for common theoretical and systems-based perspectives to guide this work...
October 25, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29071549/predatory-publishers-and-fraudulent-conferences-perspectives-and-implications-for-novice-researchers
#6
LETTER
Eric Mercier, Pier-Alexandre Tardif, Marcel Émond, Natalie Le Sage
No abstract text is available yet for this article.
October 25, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29071548/are-differences-between-groups-different-at-different-occasions
#7
Jimmie Leppink, Patricia O'Sullivan, Kal Winston
No abstract text is available yet for this article.
October 25, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29071547/symposia-in-undergraduate-medical-education-tailoring-training-in-competencies-to-students-needs
#8
Karin Reefman, Hester E M Daelmans, Ursula M H Klumpers, Gerda Croiset
INTRODUCTION: In mastering competencies, it is a challenge to create training sessions which acknowledge individual students' needs and are logistically feasible in the medical master's program. METHODS: Symposia were implemented in the medical master's program to provide knowledge and training of skills in a number of topics, providing a positive contribution to students' competencies and personal development. Each symposium contained a morning and afternoon program, structured around medical and societal themes addressing various competencies and covering current national and international events...
October 25, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29064072/physicians-professional-performance-an-occupational-health-psychology-perspective
#9
Renée A Scheepers
INTRODUCTION: Physician work engagement is considered to benefit physicians' professional performance in clinical teaching practice. Following an occupational health psychology perspective, this PhD report presents research on how physicians' professional performance in both doctor and teacher roles can be facilitated by work engagement and how work engagement is facilitated by job resources and personality traits. METHODS: First, we conducted a systematic review on the impact of physician work engagement and related constructs (e...
October 24, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28956293/guidelines-the-do-s-don-ts-and-don-t-knows-of-direct-observation-of-clinical-skills-in-medical-education
#10
Jennifer R Kogan, Rose Hatala, Karen E Hauer, Eric Holmboe
INTRODUCTION: Direct observation of clinical skills is a key assessment strategy in competency-based medical education. The guidelines presented in this paper synthesize the literature on direct observation of clinical skills. The goal is to provide a practical list of Do's, Don'ts and Don't Knows about direct observation for supervisors who teach learners in the clinical setting and for educational leaders who are responsible for clinical training programs. METHODS: We built consensus through an iterative approach in which each author, based on their medical education and research knowledge and expertise, independently developed a list of Do's, Don'ts, and Don't Knows about direct observation of clinical skills...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28952061/getting-off-the-carousel-de-centring-the-curriculum-in-medical-education
#11
EDITORIAL
Cynthia R Whitehead
No abstract text is available yet for this article.
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28952049/getting-off-the-carousel-exploring-the-wicked-problem-of-curriculum-reform
#12
Lorraine Hawick, Jennifer Cleland, Simon Kitto
INTRODUCTION: Making substantial changes to the form and delivery of medical education is challenging. One reason for this may be misalignment between existing conceptualizations of curricula and curriculum reform in medical education, with the former perceived as 'complex' yet the latter as linear. Reframing curriculum reform as a process-driven, complex entity may enhance the possibility of change. To explore the utility of this approach, we carried out an exploratory case study of curriculum reform in a real-life context...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28871474/does-your-discussion-realize-its-potential
#13
EDITORIAL
Lorelei Lingard
No abstract text is available yet for this article.
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28852991/is-feedback-to-medical-learners-associated-with-characteristics-of-improved-patient-care
#14
REVIEW
Victoria Hayes, Robert Bing-You, Kalli Varaklis, Robert Trowbridge, Heather Kemp, Dina McKelvy
PURPOSE: To investigate the association of medical learner feedback with patient management and outcomes. METHODS: The authors investigated 27 articles that utilized patient data or chart reviews as a subset of a prior feedback scoping review. Data extraction was completed by two authors and all authors reviewed the descriptive data analysis. RESULTS: The studies were predominantly short-term investigations conducted in the US at academic teaching hospitals (89%) with one medical discipline (78%), most commonly internal medicine (56%)...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28840491/longitudinal-qualitative-research-in-medical-education
#15
Dorene F Balmer, Boyd F Richards
No abstract text is available yet for this article.
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28822105/peer-led-small-groups-are-we-on-the-right-track
#16
Fraser Moore
INTRODUCTION: Peer tutor-led small group sessions are a valuable learning strategy but students may lack confidence in the absence of a content expert. This study examined whether faculty reinforcement of peer tutor-led small group content was beneficial. METHODS: Two peer tutor-led small group sessions were compared with one faculty-led small group session using questionnaires sent to student participants and interviews with the peer tutors. One peer tutor-led session was followed by a lecture with revision of the small group content; after the second, students submitted a group report which was corrected and returned to them with comments...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28819803/if-at-first-you-don-t-succeed%C3%A2-%C3%A2-adoption-of-ipad-marking-for-high-stakes-assessments
#17
Terry Judd, Anna Ryan, Eleanor Flynn, Geoff McColl
Large-scale interview and simulation-based assessments such as objective structured clinical examinations (OSCEs) and multiple mini interviews (MMIs) are logistically complex to administer, generate large volumes of assessment data, and are strong candidates for the adoption of computer-based marking systems. Adoption of new technologies can be challenging, and technical failures, which are relatively commonplace, can delay and/or create resistance to ongoing implementation.This paper reports on the adoption process of an electronic marking system for OSCEs and MMIs following an unsuccessful initial trial...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28815466/medical-students-perceptions-of-a%C3%A2-novel-institutional-incident-reporting-system-a%C3%A2-thematic-analysis
#18
Morris Gordon, Dillan Parakh
BACKGROUND: Errors in healthcare are a major patient safety issue, with incident reporting a key solution. The incident reporting system has been integrated within a new medical curriculum, encouraging medical students to take part in this key safety process. The aim of this study was to describe the system and assess how students perceived the reporting system with regards to its role in enhancing safety. METHODS: Employing a thematic analysis, this study used interviews with medical students at the end of the first year...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28516341/fairness-the-hidden-challenge-for-competency-based-postgraduate-medical-education-programs
#19
Colleen Y Colbert, Judith C French, Mary Elizabeth Herring, Elaine F Dannefer
Competency-based medical education systems allow institutions to individualize teaching practices to meet the needs of diverse learners. Yet, the focus on continuous improvement and individualization of curricula does not exempt programs from treating learners in a fair manner. When learners fail to meet key competencies and are placed on probation or dismissed from training programs, issues of fairness may form the basis of their legal claims. In a literature search, we found no in-depth examination of fairness...
October 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28516340/social-studying-and-learning-among-medical-students-a%C3%A2-scoping-review
#20
REVIEW
Daniela Keren, Jocelyn Lockyer, Rachel H Ellaway
INTRODUCTION: Medical students study in social groups, which influence their learning, but few studies have investigated the characteristics of study groups and the impacts they have on students' learning. A scoping review was conducted on the topic of informal social studying and learning within medical education with the aim of appraising what is known regarding medical student attitudes to group study, the impact of group study on participants, and the methods that have been employed to study this...
October 2017: Perspectives on Medical Education
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