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Pre-clerkship

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https://www.readbyqxmd.com/read/29704194/qualitative-assessment-of-clerkship-students-perspectives-of-the-topics-of-pain-and-addiction-in-their-preclinical-curriculum
#1
Inbar Raber, Alexander Ball, Jennifer Papac, Anuj Aggarwal, Rachel Sussman, Preetha Basaviah, Jordan Newmark, Anna Lembke
OBJECTIVE: A majority of physicians feel poorly trained in the treatment of chronic pain and addiction. As such, it is critical that medical students receive appropriate education in both pain management and addiction. The purpose of this study was to assess the pre-clinical curriculum in pain medicine and addiction from the perspective of students after they had completed their pre-clinical training and to assess what they perceived as the strengths and weaknesses of their training. METHODS: The authors conducted focused interviews among clinical medical students who had completed at least 6 months of clerkships...
April 27, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29557838/developing-a-problem-based-learning-approach-to-the-integration-of-environmental-and-occupational-health-topics-into-medical-school-curriculum
#2
Anisha Garg, Karen B Mulloy
OBJECTIVES: Pilot study incorporating environmental and occupational health (EOH) learning objectives into medical school curriculum using problem based learning approach. METHODS: 184 Case Western Reserve University medical students participated in problem based learning curriculum emphasizing EOH topics. Multiple choice (MCQ), short essay (SEQ), and summative short essay (SSEQ) questions assessed student knowledge. Two rating scale questions and one open-ended question determined student attitudes and confidence...
March 19, 2018: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29555723/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-to-substantial-clinical-exposure-a-mixed-methods-evaluation-of-a-pre-clerkship-curriculum-that-uses-education-as-the-context-for-learning
#3
Allison Brown, Aditya Nidumolu, Alexandra Stanhope, Justin Koh, Matthew Greenway, Lawrence Grierson
BACKGROUND: Quality Improvement (QI) training for health professionals is essential to strengthen health systems. However, QI training during medical school is constrained by students' lack of contextual understanding of the health system and an already saturated medical curriculum. The Program for Improvement in Medical Education (PRIME), an extracurricular offered at the Michael G. DeGroote School of Medicineat McMaster University (Hamilton, Canada), addresses these obstacles by having first-year medical students engage in QI by identifying opportunities for improvement within their own education...
March 19, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29548258/from-pipelines-to-pathways-the-memorial-experience-in-educating-doctors-for-rural-generalist-practice
#4
James Rourke, Shabnam Asghari, Oliver Hurley, Mohamed Ravalia, Michael Jong, Wanda Parsons, Norah Duggan, Katherine Stringer, Danielle O'Keefe, Scott Moffatt, Wendy Graham, Carolyn Sturge Sparkes, Janelle Hippe, Kristin Harris Walsh, Donald McKay, Asoka Samarasena
CONTEXT: This report describes the community context, concept and mission of The Faculty of Medicine at Memorial University of Newfoundland (Memorial), Canada, and its 'pathways to rural practice' approach, which includes influences at the pre-medical school, medical school experience, postgraduate residency training, and physician practice levels. Memorial's pathways to practice helped Memorial to fulfill its social accountability mandate to populate the province with highly skilled rural generalist practitioners...
March 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29538110/repeal-and-replace-a-note-of-caution-for-medical-school-curriculum-reformers
#5
Carl D Stevens
The sudden, dramatic collapse of the seven-year struggle in Congress to repeal and replace the Affordable Care Act holds important lessons for all would-be reformers, including those advocating fundamental changes in medical education. In this Invited Commentary, the author draws parallels between reform initiatives in health policy and those in medical education, highlighting that, in both settings, stakeholders rarely support "repeal" in the absence of a superior replacement, even when they view the status quo as deeply flawed...
March 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29383078/anything-but-shadowing-early-clinical-reasoning-in-emergency-department-improves-clinical-skills
#6
Regina Royan, Christine Wu, Nik Theyyunni, Sacha Montas, James A Cranford, Joseph B House, Michael P Lukela, Sally A Santen
Introduction: Transitioning from the pre-clinical environment to clerkships poses a challenge to students and educators alike. Students along with faculty developed the Clinical Reasoning Elective (CRE) to provide pre-clinical students exposure to patients in the emergency department and the opportunity to build illness scripts and practice clinical skills with longitudinal mentorship in a low-stakes environment before entering clerkships. It is a voluntary program. Each year, the CRE has received overwhelming positive feedback from students...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29326856/using-small-case-based-learning-groups-as-a-setting-for-teaching-medical-students-how-to-provide-and-receive-peer-feedback
#7
Emily C Bird, Neil Osheroff, Cathleen C Pettepher, William B Cutrer, Robert H Carnahan
As future physicians, nearly all medical students will be required to provide face-to-face feedback. Moreover, receiving high quality feedback from multiple perspectives is particularly valuable during the pre-clerkship training period. To address these needs, we developed a straightforward, easy to implement exercise that affords students the opportunity to practice giving and receiving feedback with peers. We describe how this exercise has been tailored to fit within the case-based learning small groups of our first-year curriculum and how to enhance the activity by weaving the basic principles of quality feedback into preparation sessions...
December 2017: Medical Science Educator
https://www.readbyqxmd.com/read/28951408/effects-of-a-new-parallel-primary-healthcare-centre-and-on-campus-training-programme-on-history-taking-physical-examination-skills-and-medical-students-preparedness-a-prospective-comparative-study-in-taiwan
#8
Ying-Ying Yang, Shuu-Jiun Wang, Ling-Yu Yang, Jiing-Feng Lirng, Chia-Chang Huang, Jen-Feng Liang, Fa-Yauh Lee, Shinn-Jang Hwang, Chin-Chou Huang, Ralph Kirby
OBJECTIVES: The primary healthcarecentre (PHCC) is the first place that medical students experience patient contact. Usually, medical students are frustrated by a lack of proper skills training for on-campus history taking (HT), physical examination (PE) and self-directed learning (SDL) to prepare for their PHCC and inhospital patient contact. For pre-clerks, this study aims to compare the effectiveness of PHCC training and PHCC training in combination with on-campus HT and PE training modules (PHCC+on-campus) on their clerkship preparedness...
September 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/28485102/a-web-based-peer-feedback-tool-for-physical-examination
#9
Ryan Luther, Lisa Richardson
BACKGROUND: Medical students do not have many formal opportunities to practise physical examinations during their pre-clerkship years. Consequently, they often practise their examination skills with peers outside of formal teaching sessions. There are also few opportunities for observation and feedback on their skills in this area. CONTEXT: The undergraduate medical programme at the University of Toronto is a 4-year programme where students learn clinical skills in the first 2 years prior to beginning clinical rotations...
May 9, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28395598/improving-clerkship-preparedness-a-hospital-medicine-elective-for-pre-clerkship-students
#10
Denise M Connor, Paul J Conlon, Bridget C O'Brien, Calvin L Chou
BACKGROUND: Medical students often struggle to apply their nascent clinical skills in clerkships. While transitional clerkships can orient students to new roles and logistics, students may benefit from developing clinical skills in inpatient environments earlier in their curriculum to improve readiness for clerkships. INTERVENTION: Our four- to six-session elective provides pre-clerkship students with individualized learning in the inpatient setting with the aim of improving clerkship preparedness...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28390032/a%C3%A2-qualitative-study-of-undergraduate-clerkships-in-the-intensive-care-unit-it-s-a%C3%A2-brand-new-world
#11
Enda O'Connor, Michael Moore, Walter Cullen, Peter Cantillon
INTRODUCTION: While ICU clerkships are commonplace in undergraduate medical education, little is known about how students learn there. This study aimed to explore students' perceptions of the ICU as a learning environment, the factors influencing their learning and any perceived differences between learning in the ICU and non-ICU settings. METHODS: We used interpretivist methodology, a social cognitive theoretical framework and a qualitative descriptive strategy...
June 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28375898/virtual-reality-compared-with-bench-top-simulation-in-the-acquisition-of-arthroscopic-skill-a-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Daniel Banaszek, Daniel You, Justues Chang, Michael Pickell, Daniel Hesse, Wilma M Hopman, Daniel Borschneck, Davide Bardana
BACKGROUND: Work-hour restrictions as set forth by the Accreditation Council for Graduate Medical Education (ACGME) and other governing bodies have forced training programs to seek out new learning tools to accelerate acquisition of both medical skills and knowledge. As a result, competency-based training has become an important part of residency training. The purpose of this study was to directly compare arthroscopic skill acquisition in both high-fidelity and low-fidelity simulator models and to assess skill transfer from either modality to a cadaveric specimen, simulating intraoperative conditions...
April 5, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28344717/a-digital-peer-to-peer-learning-platform-for-clinical-skills-development
#13
Jesse Basnak, Jennifer Ortynski, Meghan Chow, Emeka Nzekwu
BACKGROUND: Due to constraints in time and resources, medical curricula may not provide adequate opportunities for pre-clerkship students to practice clinical skills. To address this, medical students at the University of Alberta developed a digital peer-to-peer learning initiative. The initiative assessed if students can learn clinical skills from their peers in co-curricular practice objective structured clinical exams (OSCEs). METHODS: A total of 144 first-year medical students participated...
February 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/28186057/adding-live-streaming-to-recorded-lectures-in-a-non-distributed-pre-clerkship-medical-education-model
#14
Amanjot Sandhu, Aviva Fliker, Darren Leitao, Jodi Jones, Adrian Gooi
BACKGROUND: Live-streaming video has had increasing uses in medical education, especially in distributed education models. The literature on the impact of live-streaming in non-distributed education models, however, is scarce. OBJECTIVES: To determine the attitudes towards live-streaming and recorded lectures as a resource to pre-clerkship medical students in a non-distributed medical education model. METHODS: First and second year medical students were sent a voluntary cross-sectional survey by email, and were asked questions on live-streaming, recorded lectures and in person lectures using a 5-point Likert and open answers...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28018764/specialty-preferences-and-the-factors-influencing-them-among-pre-clerkship-medical-students-the-first-study-from-alfaisal-university-college-of-medicine-saudi-arabia
#15
Nouf Alsubaie, Hadeel S Aldhofaian, Lamya Alhuwaimel, Noorah Ruxshan, Fatimah Alghamdi, Ahmad Shamia, Ahmed Abu-Zaid
AIM: To explore the specialty preferences and the factors influencing them among pre-clerkship (second-year and third-year) medical students at Alfaisal University-College of Medicine, Riyadh, Saudi Arabia. METHODS: An online, anonymous, cross-sectional, self-rating survey was administered. The survey explored socio-demographical data, specialty preferences and the factors influencing such preferences. A gender-wise statistical analysis was performed. RESULTS: Two hundred fifty-two students participated in the survey (n=252/308; response rate: 81...
November 23, 2016: Curēus
https://www.readbyqxmd.com/read/27900072/comparison-of-medical-students-satisfaction-with-family-medicine-clerkships-between-university-hospitals-and-community-hospitals-or-clinics
#16
Eal Whan Park
BACKGROUND: The purpose of this study was to compare students' awareness of and satisfaction with clerkships in family medicine between a university hospital and a community hospital or clinic. METHODS: Thirty-eight 4th year medical students who were undergoing a clerkship in family medicine in the 1st semester of 2012 were surveyed via questionnaire. The questionnaire was administered both before and after the clerkship. RESULTS: External clerkships were completed in eight family medicine clinics and two regional hospitals...
November 2016: Korean Journal of Family Medicine
https://www.readbyqxmd.com/read/27878052/missing-the-mark-current-practices-in-teaching-the-male-urogenital-examination-to-canadian-undergraduate-medical-students
#17
Kristen McAlpine, Stephen Steele
INTRODUCTION: The urogenital physical examination is an important aspect of patient encounters in various clinical settings. Introductory clinical skills sessions are intended to provide support and alleviate students' anxiety when learning this sensitive exam. The techniques each Canadian medical school uses to guide their students through the initial urogenital examination has not been previously reported. METHODS: This study surveyed pre-clerkship clinical skills program directors at the main campus of English-speaking Canadian medical schools regarding the curriculum they use to teach the urogenital examination...
August 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27815803/advancements-in-undergraduate-medical-education-meeting-the-challenges-of-an-evolving-world-of-education-healthcare-and-technology
#18
REVIEW
P G Shelton, Irma Corral, Brandon Kyle
Restructuring of undergraduate medical education (UGME) has occurred from time to time over the past century. Many influences, including the persuasive report of Abraham Flexner in 1910, acted to reorganize medical education in the early twentieth century [1, 2]. In his report, Flexner called on American medical schools to enact higher graduation standards and to stringently adhere to the protocols of mainstream science in their teaching. Prior to this report, UGME had changed little over the previous century but over the last several decades, reform within medical education has become routine...
June 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27778174/pre-clerkship-teaching-are-we-missing-an-opportunity
#19
EDITORIAL
Viren N Naik
No abstract text is available yet for this article.
January 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27778172/participation-of-canadian-anesthesiology-departments-in-undergraduate-medical-education
#20
Colin Hamlin, Kanwar Bhangu, Alexander Villafranca, Manpreet Bhangu, Robert Brown, Marshall Tenenbein, Eric Jacobsohn
PURPOSE: Historically, anesthesiology departments have played a small role in teaching the pre-clerkship component of undergraduate medical education (UGME). The purpose of this study was to measure the current participation of Canadian anesthesiologists in UGME with a focus on pre-clerkship. METHODS: Three surveys were developed in collaboration with the Association of Canadian Departments of Anesthesia. After an initial series of validation procedures, the surveys were distributed to anesthesia department heads, UGME directors, and associate deans at the 17 Canadian medical schools...
January 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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