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curricular change

Ryan L Crass, Frank Romanelli
Abraham Flexner's 1910 report on medical education in the United States (US) and Canada propelled medical training forward into a contemporary renaissance. The report heralded many seismic changes that still resonate within medical and health professions education throughout the US. Today several factors are accelerating curricular reform within pharmacy education, including but not limited to accreditation standards, technologic advances, and student diversity. Despite the fact that Flexner's report is now over a century old, many of his observations and recommendations regarding education are as pertinent and timely today as they were in 1910...
September 2018: American Journal of Pharmaceutical Education
Sana Saeed, Khadija Nuzhat Humayun, Farah Naz Qamar, Arshalooz Jamila Rahman, Kashif Karim
In order to make and sustain changes in the curriculum, needs assessment is the key. We conducted a need assessment survey using a questionnaire based on a 7 point Likert Scale by residents and alumni. Over all response rate in the study was 77.5%. Fifty eight percent participants were females. Highest level of agreement (mean score 5.7) was found between the alumni and residents regarding the need to revise the content, teaching and assessment strategies in the programme. Twenty seven alumni (n= 38, 71%) had cleared their FCPS exams...
September 2018: JPMA. the Journal of the Pakistan Medical Association
Rhys Jones, Lynden Crowshoe, Papaarangi Reid, Betty Calam, Elana Curtis, Michael Green, Tania Huria, Kristen Jacklin, Martina Kamaka, Cameron Lacey, Jill Milroy, David Paul, Suzanne Pitama, Leah Walker, Gillian Webb, Shaun Ewen
The determinants of health inequities between Indigenous and non-Indigenous populations include factors amenable to medical education's influence, for example, the competence of the medical workforce to provide effective and equitable care to Indigenous populations. Medical education institutions have an important role to play in eliminating these inequities. However, there is evidence that medical education is not adequately fulfilling this role, and in fact may be complicit in perpetuating inequities.This article seeks to examine the factors underpinning medical education's role in Indigenous health inequity, in order to inform interventions to address these factors...
October 1, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Alexandra Fletcher, Bing Yu Chen, David Benrimoh, Sam Shemie, Stuart Lubarsky
The competencies required of the well-trained physician are constantly evolving, and medical education must adapt accordingly. In response, a growing number of influential medical education licensing and accreditation bodies have proposed frameworks that outline society's expectations of physician competencies. In Canada, undergraduate and graduate curricula have undergone major changes to meet the specifications of the CanMEDS framework, and similar efforts are underway internationally. Nonetheless, ensuring the values enshrined within such frameworks become integral to a physician's identity remains challenging...
October 2018: Perspectives on Medical Education
Katherine A Schofield, Deborah A Schwartz
STUDY DESIGN: Cross-sectional survey study. INTRODUCTION: Occupational therapy (OT) programs must provide students with the skills necessary to fabricate orthoses. Input from OT educators can provide valuable insight into how these skills are taught and the resources used. PURPOSE OF THE STUDY: Explore how instruction in orthotic fabrication is addressed in OT education programs. METHODS: Surveys were distributed to all accredited OT programs in the United States...
September 26, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Lalitha Raman-Wilms, Barbara Farrell, Cheryl Sadowski, Zubin Austin
The Bruyère Evidence-Based Deprescribing Guideline Symposium included a forum on health professional education that brought together health professionals, researchers, professional organization representatives and public members. The goal was to facilitate partnerships among educators and to build knowledge, skills and support for behaviour change to integrate the use of evidence-based deprescribing guidelines into health care professional education. Participant discussions were analyzed under the thematic headings of teaching, learning, and assessment, impact of heuristics in learning, the importance of patient/public understanding and the role of leadership in enabling curricular change to include deprescribing...
August 28, 2018: Research in Social & Administrative Pharmacy: RSAP
Catherine E O'Brien, Rachel Stafford, Amy M Franks
BACKGROUND AND PURPOSE: Patient-centered communication (PCC) skills are critical to the practice of pharmacy. A gap analysis of the communication content of our curriculum revealed inadequate coverage of several competencies recommended by a National Association of Chain Drug Stores Foundation - National Community Pharmacy Association - Accreditation Council for Pharmacy Education joint task force report: "support patient behavior change through skills such as motivational interviewing", "demonstrate compassion and empathy for patients", and "solve adherence challenges created by low health literacy"...
July 2018: Currents in Pharmacy Teaching & Learning
Alaina Geary, Donald T Hess, Luise I M Pernar
INTRODUCTION: The Liaison Committee on Medical Education (LCME) requires that residents are trained to fulfill their educational duties toward medical students. This study reviews the literature on resident-as-teacher programs (RATPs) aimed at surgical residents. METHODS: Literature search with MeSH terms internship, residency, general surgery, teaching, education, and curriculum was performed using PubMed, Embase, Web of Science, and ERIC. Curriculum components and how curricula's success was measured were extracted for each study...
September 7, 2018: American Journal of Surgery
Angela R Schneider, Laurel A M Stephens, Sandra Catalina Ochoa Marín, Sonia Semenic
Service-learning partnerships between nursing programs and health care settings in vulnerable communities may be challenging to initiate, but can offer multiple benefits for students, faculty, and the community served. The aim of this qualitative descriptive study was to explore the benefits and challenges of establishing a service-learning partnership between a university nursing program and an isolated community of internally-displaced persons in Medellin, Colombia. Semi-structured, in-depth interviews were conducted with 10 nursing professors and nine students who participated in the service-learning partnership...
September 5, 2018: Nurse Education in Practice
Daniel Jurich, Michelle Daniel, Miguel Paniagua, Amy Fleming, Victoria Harnik, Arnyce Pock, Aubrie Swan-Sein, Michael A Barone, Sally A Santen
PURPOSE: Schools undergoing curricular reform are reconsidering the optimal timing of Step 1. This study provides a psychometric investigation of the impact on United States Medical Licensing Examination Step 1 scores of changing the timing of Step 1 from after completion of the basic science curricula to after core clerkships. METHOD: Data from four schools that recently moved the examination were analyzed in a pre-post format using examinee scores from three years before and after the change...
September 11, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Sarah B Cairo, Wendy Craig, Caitlin Gutheil, Paul K J Han, Kristiina Hyrkas, Lynda Macken, James F Whiting
BACKGROUND: Curricular changes at a mid-sized surgical training program were developed to rebalance clinical rotations, optimize education over service, decrease the size of service teams, and integrate apprenticeship-type experiences. This study quantifies the operative experience before and after implementation as part of a mixed-methods program evaluation. STUDY DESIGN: Retrospective review of case-log data and data from the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Surgeons National Surgical Quality Improvement Program: quality in-training initiative to evaluate case volume pre- and postintervention...
September 5, 2018: Journal of Surgical Education
Sara North, Barbra Beck, Marissa Liveris, Amy Vega, Nicole Boyington, Lani Stockwell, Thomas E St George, Jane Hopp
Integrative medicine and health (IMH) content and pedagogy for health professional education best practices are not established. Physician assistant (PA), physical therapy (PT), and occupational therapy (OT) students' knowledge and self-perception of integrative health, lifestyle behavior change, and professional well-being were assessed pre- and post- participation in IMH online modules. Students demonstrated significant increases in knowledge and self-perception scores from pre- to post-test. Pre- and post-test knowledge score means varied by discipline...
2018: Journal of Allied Health
Joseph E Safdieh, Adam D Quick, Pearce J Korb, Diego Torres-Russotto, Karissa L Gable, Maggie Rock, Carolyn Cahill, Madhu Soni
OBJECTIVE: To report a 2017 survey of all US medical school neurology clerkship directors (CDs) and to compare the results to similar surveys conducted in 2005 and 2012. METHODS: An American Academy of Neurology (AAN) Consortium of Neurology Clerkship Directors (CNCD) workgroup developed the survey that was sent to all neurology CDs listed in the AAN CNCD database. Comparisons were made to similar 2005 and 2012 surveys. RESULTS: The response rate was 92 of 146 programs (63%)...
September 7, 2018: Neurology
Michael J Gonyeau, Margarita DiVall, Michael P Conley, Jason Lancaster
Objective. To implement and assess the curricular integration of the Pharmacists' Patient Care Process (PPCP) in a course series for second- and third-year pharmacy students. Methods. The five-step PPCP was integrated within a four-semester pharmacotherapy course starting with the introductory course lectures. Beginning in the spring of 2015, the five steps of the PPCP were delivered to 129 P2 students, along with rollout of curricular integration within corresponding classroom and seminar activities and assessments...
August 2018: American Journal of Pharmaceutical Education
Sylvane Filice, Sally Dampier
BACKGROUND: Nursing education is a robust vehicle for change for community health nursing (CHN) in undergraduate programs. Nurses with a broad range of CHN competencies will be needed to meet the demands of community-based care in the coming years. METHOD: To meet the changing curricular demands around CHN, an experiential learning opportunity presented itself with the use of PechaKucha to support students. This experiential approach to learning the Canadian Community Health Nursing Professional Practice Model & Standards of Practice using a windshield and walkabout survey resulted in the students presenting the findings through the PechaKucha method...
September 1, 2018: Journal of Nursing Education
Briana M Lindberg, Stephanie T Fulleborn, Kevin M Semelrath, Rachael C Lee, Dana R Nguyen
Introduction: Changes in DoD policy now allow further discussion of well-documented health care needs and disparities of lesbian, gay, bisexual, and transgender (LGBT) patients among military medical students. Previous studies of military health care providers indicate knowledge and comfort gaps in LGBT care exist. We performed a focused needs assessment of sexual and gender diversity education in the undergraduate medical curriculum. Methods: Twenty-four Uniformed Service University (USU) School of Medicine (SoM) faculty involved in curriculum leadership, development or oversight voluntarily responded to a six-item, electronic mail questionnaire and semi-structured interview by a randomly assigned investigator to assess the faculty perception of how well USU teaches LGBT medical care concepts within its curriculum...
August 20, 2018: Military Medicine
Jenni L Hoffman, Linda Myler, Sandra Hines
Students in health care today are very different than those of past generations. Health care education requires both innovation and creativity to meet the changing needs of students. Soft skills such as leadership, communication, nursing informatics, technology, and professionalism can sometimes be lost in pursuit of scientific knowledge. The purpose of this descriptive pilot study was to evaluate the effectiveness of a product designed to assist in the development of soft skills in a bachelor of science in nursing curriculum...
August 7, 2018: Nursing Education Perspectives
Elena Stark, John D Christensen, Naomi A Schmalz, Sebastian Uijtdehaage
Early hands-on experience with surgical procedures may help medical students make better-informed choices if considering a surgical specialty. Here, we evaluate a curricular addition in surgical anatomy, formally exposing second-year students to different surgical subspecialties. Students met with surgeons for 7 weeks (one afternoon per week) and practiced surgical procedures on human cadavers with supervision. About a quarter of the participants reported a change in their top choice of specialty upon completing the course, and about half of the students reported changes in their second and third choices...
January 2018: Journal of Medical Education and Curricular Development
Hazem Shoirah, Achilles Ntranos, Rachel Brandstadter, Yangbo Liu, Elisha Medina, Jamie Kwan, Stephen Krieger
OBJECTIVE: To enhance residency education by implementing the 6 principles of adult learning theory (ALT) in a large academic neurology residency program. METHODS: We implemented a set of curricular interventions aimed at Resident Education through Adult Learning in Neurology (REAL Neurology), in a large, academic neurology residency program. Interventions included didactic reform, increasing resident-as-teacher activities, and enhancing residents' interaction. The primary outcome was the change in mean Residency In-service Training Examination (RITE) percentile between the preintervention and postintervention cohorts, adjusting for US Medical Licensing Examination step 1 and 2 score...
July 31, 2018: Neurology
Anna García-Altés, Manel Peiró, Joan Josep Artells
OBJECTIVE: Identify and prioritize according to their relevance, measures, interventions and indispensable instruments to support the establishment of a strategic framework in the Spanish National Health System to enable the responsible and informed exercise of the autonomy of its users and patients for shared decision-making. METHOD: Group consultation, structured according to procedures adapted from brainstorming techniques, nominal group and Rand consensus method...
July 19, 2018: Gaceta Sanitaria
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