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https://www.readbyqxmd.com/read/29771997/core-neurological-examination-items-for-neurology-clerks-a-modified-delphi-study-with-a-grass-roots-approach
#1
Chi-Hung Liu, Li-Ling Hsu, Cheng-Ting Hsiao, Suh-Ing Hsieh, Chun-Wei Chang, Elaine Shinwei Huang, Yeu-Jhy Chang
BACKGROUND: With the evolution of treatments for neurological diseases, the contents of core neurological examinations (NEs) for medical students may need to be modified. We aimed to establish a consensus on the core NE items for neurology clerks and compare viewpoints between different groups of panelists. METHODS: First, a pilot group proposed the core contents of NEs for neurology clerks. The proposed core NE items were then subject to a modified web-based Delphi process using the online software "SurveyMonkey"...
2018: PloS One
https://www.readbyqxmd.com/read/29768072/an-integrated-developmental-four-year-medical-school-curriculum-in-palliative-care-a-longitudinal-content-evaluation-based-on-national-competency-standards
#2
Erin M Denney-Koelsch, Robert Horowitz, Timothy Quill, Constance D Baldwin
BACKGROUND: While palliative care (PC) competencies for medical school graduates have been defined, the lack of established curriculum models and assessment tools hampers curricular evaluation. OBJECTIVE: To describe the scope and content of the University of Rochester's longitudinal, integrated four-year PC curriculum after 17 years of implementation, review student evaluative responses, and compare the curriculum to national competency standards. DESIGN AND SETTING: Combining and reorganizing a published PC curriculum assessment tool and a list of medical school PC competencies, we created a novel nine-topic framework to assess the content coverage of our curriculum...
May 16, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29766539/block-versus-longitudinal-integrated-clerkships-students-views-of-rural-clinical-supervision
#3
Martin Witney, Vivian Isaac, Denese Playford, Leesa Walker, David Garne, Lucie Walters
CONTEXT: Medical students undertaking longitudinal integrated clerkships (LICs) train in multiple disciplines concurrently, compared with students in block rotations who typically address one medical discipline at a time. Current research suggests that LICs afford students increased access to patients and continuity of clinical supervision. However, these factors are less of an issue in rural placements where there are fewer learners. The aim of this study was to compare rural LIC and rural block rotation students' reported experiences of clinical supervision...
May 15, 2018: Medical Education
https://www.readbyqxmd.com/read/29762798/a-prenatal-standardized-patient-experience-for-medical-students-on-their-family-medicine-clerkship
#4
Sarah E Stumbar, Suzanne Minor, Marquita Samuels
BACKGROUND AND OBJECTIVES: Students on their family medicine clerkship at Herbert Wertheim College of Medicine get little clinical exposure to obstetric care, which is not commonly provided by family physicians in urban settings. To address this, we added to our clerkship didactic curriculum a 2-hour session involving a standardized patient (SP). The SP is collectively interviewed by the student group during four simulated prenatal visits, each of which present a different complication of pregnancy...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29762796/institutional-nih-research-funding-and-a-culture-of-support-for-family-medicine-their-relationship-to-family-medicine-specialty-choice
#5
Arch G Mainous, Maribeth Porter, Denny Fe Agana, Alexander W Chessman
BACKGROUND AND OBJECTIVES: The United States suffers from a low proportion of medical students pursuing family medicine (FM). Our objective was to examine institutional characteristics consistent with a focus on National Institutes of Health (NIH) research, institutional support for FM education, and the proportion of medical students choosing FM. METHODS: The 2015 CERA Survey of Family Medicine Clerkship Directors was merged with institutional NIH funding data from 2014 and medical student specialty choice in 2015...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29762794/teaching-competencies-for-community-preceptors
#6
Darin Brink, Deb Simpson, Byron Crouse, Jeffrey Morzinski, Douglas Bower, Ruth Westra
BACKGROUND AND OBJECTIVES: Although community physicians provide one-fourth of the outpatient training received in medical school, usually there is no formal training of the preceptor. Currently there is no agreed-upon list of teaching competencies for community physician-preceptors. Using a modified Delphi process, the authors aimed to identify core teaching competencies for community preceptors for use in training and evaluation. METHODS: A medical educator and three faculty members with expertise in faculty development created a list of teaching competencies organized in five domains...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29757680/comparison-of-two-veterinary-emergency-and-critical-care-clerkship-grading-protocols
#7
Bobbi J Conner, Linda S Behar-Horenstein, Yu Su
Universal guidelines for evaluating veterinary students' clinical clerkship performance are unavailable. At our institution, each service determines its own grading protocol. In this study, researchers compared clinician, staff, and student perceptions of a traditional and newly devised grading practice on the Emergency and Critical Care (ECC) clerkship. ECC clinicians and technicians were asked to assess the existing grading protocol for the clerkship. The system was then revised to better align with clerkship objectives...
May 14, 2018: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/29756098/objectively-structured-verbal-examination-to-assess-surgical-clerkship-education-an-evaluation-of-students-perception
#8
Şükrü Aydın Düzgün, Sezgin Zeren, Zülfü Bayhan
Objective: The objectivity and reliability of examining methods are controversial. We subjected fourth-year medical students to a specially designed verbal exam which we called objectively structured verbal examination. We aimed to evaluate feedback from students about objectively structured verbal examination as an assessment instrument for gauging their surgical knowledge. Material and Methods: Objectively structured verbal examination modules were developed according to the learning goals of the surgical clerkship...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29750064/review-of-mini-clinical-evaluation-exercise-mini-cex-in-a-psychiatry-clerkship
#9
Edwin Meresh, David Daniels, Aparna Sharma, Murali Rao, Kaushal Mehta, David Schilling
Background: Direct observation of medical students with actual patients is important for the assessment of clinical skills including interviewing and counseling skills. This article describes medical students' experience of mini-clinical evaluation exercise (mini-CEX) during their clerkship in consultation psychiatry. Materials and methods: In our center during inpatient consultation psychiatry clerkship, all rotating students are expected to complete one mini-CEX assessment as part of their clinical training...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29742614/curricular-transformation-in-health-systems-science-the-need-for-global-change
#10
Jed D Gonzalo, Terry Wolpaw, Dan Wolpaw
In this Invited Commentary, the authors propose a counter-perspective to the article by Borkan and colleagues, who advocate for a circumscribed, piloted, choice-focused approach to introducing curricular redesign options in undergraduate medical education, particularly in the area of health systems science. In making this case, Borkan and colleagues cluster several kinds of innovative curricular changes that the authors of this commentary believe are best separated by the scope of change and associated educational strategy: 1) innovations customized to student interest and motivation, which are best served by focused programmatic interventions, 2) innovations such as longitudinal integrated clerkships (LICs) that represent creative and needed educational strategies but may be difficult to expand due to complex barriers, and 3) innovations that are truly transformational, with critical connections far beyond the boundaries of the medical school curriculum, which must be addressed in a comprehensive approach-despite the challenges, frustrations, and difficulties...
May 8, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29742116/choosing-emergency-medicine-influences-on-medical-students-choice-of-emergency-medicine
#11
John C Ray, Laura R Hopson, William Peterson, Sally A Santen, Sorabh Khandelwal, Fiona E Gallahue, Melissa White, John C Burkhardt
BACKGROUND: Relatively little is understood about which factors influence students' choice of specialty and when learners ultimately make this decision. OBJECTIVE: The objective is to understand how experiences of medical students relate to the timing of selection of Emergency Medicine (EM) as a specialty. Of specific interest were factors such as how earlier and more positive specialty exposure may impact the decision-making process of medical students. METHODS: A cross-sectional survey study of EM bound 4th year US medical students (MD and DO) was performed exploring when and why students choose EM as their specialty...
2018: PloS One
https://www.readbyqxmd.com/read/29739387/variability-and-dimensionality-of-students-and-supervisors-mini-cex-scores-in-undergraduate-medical-clerkships-a-multilevel-factor-analysis
#12
Christoph Berendonk, Anja Rogausch, Armin Gemperli, Wolfgang Himmel
BACKGROUND: The mini clinical evaluation exercise (mini-CEX)-a tool used to assess student-patient encounters-is increasingly being applied as a learning device to foster clinical competencies. Although the importance of eliciting self-assessment for learning is widely acknowledged, little is known about the validity of self-assessed mini-CEX scores. The aims of this study were (1) to explore the variability of medical students' self-assessed mini-CEX scores, and to compare them with the scores obtained from their clinical supervisors, and (2) to ascertain whether learners' self-assessed mini-CEX scores represent a global dimension of clinical competence or discrete clinical skills...
May 8, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29728146/pharmacy-students-provision-of-health-promotion-counseling-services-during-a-community-pharmacy-clerkship-a-cross-sectional-study-northwest-ethiopia
#13
Dessalegn Asmelashe Gelayee, Gashaw Binega Mekonnen
BACKGROUND: Globally, undergraduate pharmacy education comprises practice programs aimed to address different competencies. This study was intended to investigate pharmacy students' provision of health promotion (HP) counseling services during a community pharmacy clerkship in Northwest Ethiopia. METHODS: A prospective cross-sectional study was conducted on fifty one fifth-year pharmacy students immediately after completion of a 2-week community pharmacy clerkship...
May 4, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29727598/moving-beyond-the-theoretical-medical-students-desire-for-practical-role-specific-ethics-training
#14
Shana D Stites, Justin Clapp, Stefanie Gallagher, Autumn Fiester
Background It has been widely reported that medical trainees experience situations with profound ethical implications during their clinical rotations. To address this most U.S. medical schools include ethics curricula in their undergraduate programs. However, the content of these curricula vary substantially. Our pilot study aimed to discover, from the students' perspective, how ethics pedagogy prepares medical students for clerkship and what gaps might remain. METHODS: This qualitative study organized focus groups of third- and fourth-year medical students...
May 4, 2018: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/29713211/medical-students-logbook-case-loads-do-not-predict-final-exam-scores-in-surgery-clerkship
#15
Jasim Alabbad, Fawaz Abdul Raheem, Ahmad Almusaileem, Sulaiman Almusaileem, Saba Alsaddah, Abdulaziz Almubarak
Purpose: To investigate the reliability of medical student logbook data in assessing student performance and predicting outcomes in an objective standardized clinical exam and a multiplechoice exam during surgery rotation. In addition, we examined the relationship between exam performance and the number of clinical tutors per student. Materials and methods: A retrospective review of the logbooks of first and third clinical year medical students at the Faculty of Medicine, Kuwait University, was undertaken during their surgery rotation during the academic year 2012-2013...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29704195/a-four-week-reflective-writing-program-in-the-psychiatry-clerkship-testing-effects-on-reflective-capacity
#16
Charles A Whitmore, Joseph Sakai, Susan K Mikulich-Gilbertson, Robert D Davies
OBJECTIVE: Reflective capacity is the ability to review and reconstruct the importance, emotional impact, and outcomes of an experience to give it added meaning and context. In medicine, greater reflective capacity is associated with greater empathy and diagnostic accuracy. This project implemented a four-week reflective writing curriculum for third-year medical students during their psychiatric clerkship. METHODS: A single class of medical students participated in a pilot reflective writing program during their four-week Psychiatry Care Block...
April 27, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29704194/qualitative-assessment-of-clerkship-students-perspectives-of-the-topics-of-pain-and-addiction-in-their-preclinical-curriculum
#17
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/29700626/the-use-of-smartphones-in-different-phases-of-medical-school-and-its-relationship-to-internet-addiction-and-learning-approaches
#18
Mathias Paulo Loredo E Silva, Brenda Dutra de Souza Matos, Oscarina da Silva Ezequiel, Alessandra Lamas Granero Lucchetti, Giancarlo Lucchetti
The use of smartphones is revolutionizing the way information is acquired, leading to profound modifications in teaching medicine. Nevertheless, inadvertent use can negatively affect student learning. The present study aims to evaluate smartphone use in the educational context as well as Internet addiction and its repercussions on surface and deep learning and to compare them during the different phases of medical students' education. This is a cross-sectional study involving medical students in all phases of education...
April 26, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29697428/generalizability-of-competency-assessment-scores-across-and-within-clerkships-how-students-assessors-and-clerkships-matter
#19
Nikki L Bibler Zaidi, Clarence D Kreiter, Peris R Castaneda, Jocelyn H Schiller, Jun Yang, Cyril M Grum, Maya M Hammoud, Larry D Gruppen, Sally A Santen
PURPOSE: Many factors influence the reliable assessment of medical students' competencies in the clerkships. The purpose of this study was to determine how many clerkship competency assessment scores were necessary to achieve an acceptable threshold of reliability. METHOD: Clerkship student assessment data were collected during the 2015-16 academic year as part of the medical school assessment program at the University of Michigan Medical School. Faculty and residents assigned competency assessment scores for third-year core clerkship students...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29690577/an-analysis-of-the-relationship-between-the-learning-process-and-learning-motivation-profiles-of-japanese-pharmacy-students-using-structural-equation-modeling
#20
Shigeo Yamamura, Rieko Takehira
Pharmacy students in Japan have to maintain strong motivation to learn for six years during their education. The authors explored the students’ learning structure. All pharmacy students in their 4th through to 6th year at Josai International University participated in the survey. The revised two factor study process questionnaire and science motivation questionnaire II were used to assess their learning process and learning motivation profiles, respectively. Structural equation modeling (SEM) was used to examine a causal relationship between the latent variables in the learning process and those in the learning motivation profile...
April 23, 2018: Pharmacy (Basel, Switzerland)
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