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Third year clerkships

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https://www.readbyqxmd.com/read/29669146/impact-of-scribes-on-medical-student-education-a-mixed-methods-pilot-study
#1
Julia Hafer, Xibin Wu, Steven Lin
BACKGROUND AND OBJECTIVES: Medical scribes are an increasingly popular strategy for reducing clerical burden, but little is known about their effect on medical student education. We aimed to evaluate the impact of scribes on medical students' self-reported learning experience. METHODS: We conducted a mixed-methods pilot study. Participants were medical students (third and fourth years) on a family medicine clerkship who worked with an attending physician who practiced with a scribe...
April 2018: Family Medicine
https://www.readbyqxmd.com/read/29668522/the-art-and-artifice-of-seeking-feedback-clerkship-students-approaches-in-asking-for-feedback
#2
Robert Bing-You, Victoria Hayes, Tamara Palka, Marybeth Ford, Robert Trowbridge
PURPOSE: As attention has shifted to learners as significant partners in feedback interactions, it is important to explore what feedback-seeking behaviors medical students use and how the faculty-student relationship affects feedback-seeking behaviors. METHOD: This qualitative study was inspired by the organizational psychology literature. Third-year medical students were interviewed at Maine Medical Center in April-May 2017 after completing a traditional block-rotation clerkship or a nine-month longitudinal integrated clerkship (LIC)...
April 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29651359/preclinical-labor-and-delivery-shadowing-the-impact-on-medical-students-perceptions-of-obstetrics-and-gynecology
#3
Sarah Dotters-Katz, Alexis Panzer, Matthew Givens, Marcela Smid, Alice Chuang
Objective  We sought to determine the impact of preclinical exposure (shadowing) to labor and delivery (L&D) on medical students' perceptions of obstetrics and gynecology (OB/GYN). Study Design  We administered a written survey to rising third-year medical students at a single center prior to any clerkship. We described motivation/deterrents for shadowing among students, and experiences/perceptions of those students who shadowed. Results  In total, 119/136 (86%) students completed the survey. Of those, 29% participated in shadowing on L&D...
April 2018: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/29650503/instructional-video-and-medical-student-surgical-knot-tying-proficiency-randomized-controlled-trial
#4
Katarzyna Bochenska, Magdy P Milad, John Ol DeLancey, Christina Lewicky-Gaupp
BACKGROUND: Many senior medical students lack simple surgical and procedural skills such as knot tying. OBJECTIVE: The aim of this study was to determine whether viewing a Web-based expert knot-tying training video, in addition to the standard third-year medical student curriculum, will result in more proficient surgical knot tying. METHODS: At the start of their obstetrics and gynecology clerkship, 45 students were videotaped tying surgical knots for 2 minutes using a board model...
April 12, 2018: JMIR Medical Education
https://www.readbyqxmd.com/read/29618347/undergraduate-medical-students-perceptions-and-intentions-regarding-patient-safety-during-clinical-clerkship
#5
Hoo-Yeon Lee, Myung-Il Hahm, Sang Gyu Lee
BACKGROUND: The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships. METHODS: Cross-sectional study administered in face-to-face interviews using modified the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS) from three colleges of medicine in Korea. We assessed medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'...
April 4, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29609893/evaluation-of-the-characteristics-of-a-workplace-assessment-form-to-assess-entrustable-professional-activities-epas-in-an-undergraduate-surgery-core-clerkship
#6
Vernon R Curran, Diana Deacon, Henry Schulz, Katherine Stringer, Craig N Stone, Norah Duggan, Heidi Coombs-Thorne
OBJECTIVE: Entrustable Professional Activities (EPAs) are explicit, directly observable tasks requiring the demonstration of specific knowledge, skills, and behaviors that learners are expected to perform without direct supervision once they have gained sufficient competence. Undergraduate level implementation of EPAs is relatively new. We examined the characteristics of a workplace assessment form (clinic card) as part of a formative programmatic assessment process of EPAs for a core undergraduate surgery rotation...
March 30, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29603672/early-and-prolonged-opportunities-to-practice-suturing-increases-medical-student-comfort-with-suturing-during-clerkships-suturing-during-cadaver-dissection
#7
Edward P Manning, Priti L Mishall, Maxwell D Weidmann, Herschel Flax, Sam Lan, Mark Erlich, William B Burton, Todd R Olson, Sherry A Downie
Medical students are expected to perform common procedures such as suturing on patients during their third-year clerkships. However, these experiences are often viewed by medical students as stressors rather than opportunities for learning. The source of this stress is the lack of instruction on common procedures prior to being asked to observe or perform the procedure on a patient. First-time exposures to procedures in stressful environments may result in decreased confidence in medical students and decrease the frequency with which they perform these procedures in the future...
March 30, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29576247/-tweet-format-writing-is-an-effective-tool-for-medical-student-reflection
#8
Jeremy A Dressler, Beth A Ryder, Michael Connolly, Megan Dias Blais, Thomas J Miner, David T Harrington
OBJECTIVE: Reflective writing during medical education allows for professional growth through retrospective analysis of experiential knowledge. However, these writing assignments can pose a challenge to millennial medical students who are more likely to assimilate knowledge through the use of innovative technology and who prefer their data in a concise format. Here, we present a novel, tweet-style reflective writing assignment to better engage the unique skill set of today's medical students...
March 22, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29559045/third-year-medical-student-impressions-of-resident-teaching-in-simulated-and-clinical-settings
#9
Jennifer R George, Alan H Tyroch, Stacey A Milan
We sought to determine whether simulation-based medical education using Trauma Evaluation and Management® (TEAM®) training module contributes to a positive impression of resident and faculty teaching. Qualitative and quantitative data regarding medical students' experience of TEAM® training and their interaction with instructors were collected using anonymous surveys after the completion of the training module. A combination of yes or no responses, as well as classification of student confidence and perceptions on the utility of TEAM® training obtained using Likert-type scales, was evaluated...
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29545129/curricular-innovation-in-the-surgery-clerkship-can-assessment-methods-influence-development-of-critical-thinking-and-clinical-skills
#10
James A McClintic, Clifford L Snyder, Kimberly M Brown
OBJECTIVE: Although key clinical skills have been defined in the Core Entrustable Professional Activities, there is a need to improve medical school curricula with standardized training opportunities and assessments of these skills. Thus, we aimed to develop an innovative curriculum that emphasized critical thinking and clinical skills. We hypothesized that we would be able to observe measurable improvement on assessments of students' critical thinking and clinical skills after the implementation of the new curriculum...
March 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29540400/pathways-to-rural-family-practice-at-memorial-university-of-newfoundland
#11
James Rourke, Danielle O'Keefe, Mohamed Ravalia, Scott Moffatt, Wanda Parsons, Norah Duggan, Katherine Stringer, Michael Jong, Kristin Harris Walsh, Janelle Hippe
OBJECTIVE: To assess Memorial University of Newfoundland's (MUN's) commitment to a comprehensive pathways approach to rural family practice, and to determine the national and provincial effects of applying this approach. DESIGN: Analysis of anonymized secondary data. SETTING: Canada. PARTICIPANTS: Memorial's medical degree (MD) graduates practising family medicine in Newfoundland and Labrador as of January 2015 (N = 305), MUN's 2011 and 2012 MD graduates (N = 120), and physicians who completed family medicine training programs in Canada between 2004 and 2013 and who were practising in Canada 2 years after completion of their postgraduate training (N = 8091)...
March 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29536395/the-effect-of-administering-a-boundary-course-to-third-year-medical-students-during-their-psychiatry-clerkship
#12
Sindhura Kunaparaju, Michael Sposito Hidalgo, David S Bennett, Karim Sedky
OBJECTIVES: Due to lack of experience, third-year medical students (MS3) may be vulnerable to boundary violations. Investigators aimed to increase awareness regarding boundary issues among MS3s and assess the effect of using videotaped scenarios and case-based discussion on medical students' comfort in managing boundary issues. METHODS: A nine-question pre-course survey was administered to MS3s enrolled at Cooper Medical School of Rowan University that asked students to rate their comfort in managing various boundary challenges...
March 13, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29532346/it-s-all-about-relationships-a-qualitative-study-of-family-physicians-teaching-experiences-in-rural-longitudinal-clerkships
#13
Cary Cuncic, Glenn Regehr, Heather Frost, Joanna Bates
INTRODUCTION: The relationship between preceptor and trainee is becoming recognized as a critical component of teaching, in particular in the negotiation of feedback and in the formation of professional identity. This paper elaborates on the nature of the relationships between preceptor and student that evolve in the context of rural longitudinal integrated clerkships (LICs). METHODS: We drew on constructivist grounded theory for the research approach. We interviewed nine LIC family practice preceptors from three sites at one educational institution...
March 12, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29510601/medical-students-experience-receiving-formative-feedback-from-the-first-person-perspective-using-google-glass-in-an-objective-structured-clinical-examination-station-during-the-family-medicine-clerkship-in-the-united-states
#14
Julie Youm, Warren Wiechmann
Purpose: This case study explored the use of Google Glass in a clinical examination scenario to capture the firstperson perspective of a standardized patient to provide formative feedback of students' communication and empathy skills "through the patient's eyes". Methods: During a three-year period between 2014-2017, third-year students enrolled in the Family Medicine clerkship participated in a Google Glass station during the summative clinical examination where standardized patients wore Google Glass to record an encounter focused on communication and empathy skills "through the patient's eyes"...
March 7, 2018: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/29503302/medical-school-performance-of-socioeconomically-disadvantaged-and-underrepresented-minority-students-matriculating-after-a-multiple-mini-interview
#15
Anthony Jerant, Mark C Henderson, Erin Griffin, Efrain Talamantes, Tonya Fancher, Francis Sousa, Peter Franks
Multiple Mini-Interviews (MMIs) are increasingly used in medical school admissions. We previously reported that while under-represented minority (URM) status was not associated with MMI scores, self-designated disadvantaged applicants had lower MMI scores, possibly affecting their matriculation prospects. No studies have examined how URM status or socioeconomic disadvantage (SED) are associated with academic performance following admission through an MMI. We examined the adjusted associations of MMI scores, SED, and URM status with U...
2018: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29471965/early-experience-with-a-combined-surgical-and-obstetrics-gynecology-clerkship-we-do-get-along
#16
Sherif Abdel-Misih, Nicole Verbeck, Curtis Walker, Wanjiku Musindi, Katherine Strafford, Lori Meyers, Kimberly Tartaglia, Alan Harzman
BACKGROUND: In 2012, the Ohio State University College of Medicine (OSUCOM) implemented a new undergraduate medical curriculum. We compare outcomes of a third year traditional clerkship format to a combined Surgery and Obstetrics/Gynecology 'ring'. METHODS: Performance outcomes of 4 consecutive classes were compared between pre- (2014, 2015) and post-curricular revision (2016, 2017). RESULTS: Three hundred ninety-one students consented use of their educational data for research...
February 16, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29346691/the-impact-of-near-peer-teaching-on-medical-students-transition-to-clerkships
#17
Alexander C Knobloch, Christy J W Ledford, Sean Wilkes, Adam K Saperstein
BACKGROUND AND OBJECTIVES: The transition to clerkships is one of the most challenging times during medical school. To help students better cope, many schools have established transition-to-clerkship curricula. Such curricula may optimally prepare students through increasing their self-efficacy and response efficacy. We hypothesized that a small-group, near-peer-led format would be ideally suited to help students achieve these outcomes. METHODS: During process improvement for a transition-to-clerkship curriculum, we conducted an informal focus group and subsequent survey of postclerkship students to guide curricular innovation, including incorporation of third- and fourth-year students as near-peer instructors in a seminar format...
January 2018: Family Medicine
https://www.readbyqxmd.com/read/29346690/using-standardized-patient-assessments-to-evaluate-a-health-literacy-curriculum
#18
Gail S Marion, Jade M Hairston, Stephen W Davis, Julienne K Kirk
BACKGROUND AND OBJECTIVES: Patients' health literacy is a growing concern as patients are expected to perform more self-care. While many US schools implement health literacy in their curricula, time spent on the topic ranges from 0 to 8 hours and is largely didactic. Evaluation of health literacy skills is not well defined. The effectiveness of a health literacy curriculum for third-year medical students was evaluated by two standardized patients assessments (SPAs). METHODS: All third-year medical students complete a required 4-week clerkship in family medicine...
January 2018: Family Medicine
https://www.readbyqxmd.com/read/29344523/clinical-skills-temporal-degradation-assessment-in-undergraduate-medical-education
#19
Joseph Fisher, Rebecca Viscusi, Adam Ratesic, Cameron Johnstone, Ross Kelley, Angela M Tegethoff, Jessica Bates, Elaine H Situ-Lacasse, William J Adamas-Rappaport, Richard Amini
Introduction: Medical students' ability to learn clinical procedures and competently apply these skills is an essential component of medical education. Complex skills with limited opportunity for practice have been shown to degrade without continued refresher training. To our knowledge there is no evidence that objectively evaluates temporal degradation of clinical skills in undergraduate medical education. The purpose of this study was to evaluate temporal retention of clinical skills among third year medical students...
January 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29343469/entrustable-professional-activities-a-useful-concept-for-neurology-education
#20
Holli Horak, Robert Englander, Diana Barratt, Jeff Kraakevik, Madhu Soni, Ezgi Tiryaki
Medical education is currently undergoing a paradigm shift from process-based to competency-based education, focused on measuring the desired competence of a physician. In an attempt to improve the assessment framework used for medical education, the concept of entrustable professional activities (EPAs) has gained traction. EPAs are defined as professional activities that can be entrusted to an individual in a clinical context. The Association of American Medical Colleges (AAMC) defined a set of 13 such EPAs to define the core of what all students should be able to do on day 1 of residency, regardless of specialty choice...
February 13, 2018: Neurology
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