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Third year clerkships

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https://www.readbyqxmd.com/read/29204755/teaching-empathy-the-implementation-of-a-video-game-into-a-psychiatry-clerkship-curriculum
#1
Andrew Chen, Jessie J Hanna, Adithya Manohar, Anthony Tobia
OBJECTIVE: Empathy plays an important role for physicians, but the literature demonstrates that it often deteriorates during medical school. The purpose of this study is to investigate the use of the interactive video game "That Dragon, Cancer" as a tool to teach empathy to third-year medical students. METHODS: The authors gave a modified, Jefferson Scales of Physician Empathy (JSPE) to 84 third-year medical students in their psychiatry clerkship before and after they played and completed "That Dragon, Cancer" during the 2016-2017 academic calendar year...
December 4, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29175430/medical-students-acquisition-of-adolescent-interview-skills-after-coached-role-play
#2
Paritosh Kaul, Jennifer Fisher, Janice L Hanson
PURPOSE: To develop and evaluate an educational activity designed to teach the adolescent HEADS examination METHODS: Participants were third-year medical students in their pediatric clerkships. Students received an article on the HEADS interview and attended an adolescent medicine educational session. The session included individualized goal setting and coached role play. Students' skills in doing a HEADS interview were evaluated through a standardized patient encounter (SPE) with a checklist and a retrospective pre- and post-test survey...
November 23, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29169824/implementation-of-a-flipped-classroom-approach-to-promote-active-learning-in-the-third-year-surgery-clerkship
#3
Catherine E Lewis, David C Chen, Anju Relan
BACKGROUND: Constructivist student-centered instructional models such as the flipped classroom (FC) have been shown to improve learning. METHODS: A FC approach was implemented for the surgery clerkship. Data was collected in phase 1 to evaluate student learning and attitudes. Based on these results, questions for the phase 2 open-ended survey were developed to improve understanding of learner attitudes, and ascertain how well the FC aligns with constructivist principles...
November 6, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29128651/design-and-rationale-of-the-medical-students-learning-weight-management-counseling-skills-msweight-group-randomized-controlled-trial
#4
Judith K Ockene, Karen M Ashe, Rashelle B Hayes, Linda C Churchill, Sybil L Crawford, Alan C Geller, Denise Jolicoeur, Barbara C Olendzki, Maria Theresa Basco, Jyothi A Pendharkar, Kristi J Ferguson, Thomas P Guck, Katherine L Margo, Catherine A Okuliar, Monica A Shaw, Taraneh Soleymani, Diane D Stadler, Sarita S Warrier, Lori Pbert
Physicians have an important role addressing the obesity epidemic. Lack of adequate teaching to provide weight management counseling (WMC) is cited as a reason for limited treatment. National guidelines have not been translated into an evidence-supported, competency-based curriculum in medical schools. Weight Management Counseling in Medical Schools: A Randomized Controlled Trial (MSWeight) is designed to determine if a multi-modal theoretically-guided WMC educational intervention improves observed counseling skills and secondarily improve perceived skills and self-efficacy among medical students compared to traditional education (TE)...
November 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29116984/speaking-up-an-ethical-action-exercise
#5
James Dwyer, Kathy Faber-Langendoen
PROBLEM: Health care professionals encounter situations in which they need to speak up to prevent harm, ensure better care, and/or address unprofessional behavior. Speaking up is often difficult, especially for medical students; nonetheless, it is a skill students must practice, so they can better advocate for patients. APPROACH: The authors have designed an ethical action exercise and incorporated it into a required bioethics course that meets concurrently with third-year clerkships...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29103366/incorporating-the-human-touch-piloting-a-curriculum-for-patient-centered-electronic-health-record-use
#6
Wei Wei Lee, Maria L Alkureishi, Kristen E Wroblewski, Jeanne M Farnan, Vineet M Arora
BACKGROUND: Integrating electronic health records (EHRs) into clinical care can prevent physicians from focusing on patients. Despite rapid EHR adoption, few curricula teach communication skills and best practices for patient-centered EHR use. OBJECTIVE: We piloted a 'Patient-centered EHR use' curriculum, consisting of a lecture and group-observed structured clinical examination (GOSCE) for second-year students (MS2s). DESIGN: During the lecture, students watched a trigger tape video, engaged in a reflective observation exercise, and learned best practices...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29079109/results-of-a-surgical-simulation-course-designed-to-improve-surgery-clerkship-performance
#7
Joseph LaPorta, Tanner McClure, Michael E Tieman
BACKGROUND AND OBJECTIVES: During the 2015-2016 academic year, Rocky Vista University College of Osteopathic Medicine (RVUCOM) conducted a required 1-week surgical simulation course as the first week of students' 8-week surgical clerkship. This course was adapted from a pilot RVUCOM surgical simulation course and other surgical simulation courses identified in the literature. The objectives of this course were to teach surgical skills and clinical knowledge, aid students in adjusting to the stress of a surgical clerkship, and improve students' confidence and abilities during the clerkship...
October 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29045990/electronic-health-record-impacts-on-family-medicine-teachers-survey-of-third-year-medical-student-clerkship-preceptors-at-an-academic-medical-center
#8
Elizabeth Curry, Tamara K Oser, Sean M Oser
BACKGROUND AND OBJECTIVES: Electronic Health Record (EHR) use in clinical practice has accelerated in recent years. While several aspects of EHR use have been extensively studied, there is little data on EHR impacts on medical student educators, especially those involved in outpatient family medicine. This study evaluated perceived impacts of EHR use on clinician teachers of outpatient family medicine. METHODS: The study used a mixed methods survey of clinicians who teach third-year medical students during the required family and community medicine outpatient clerkship at a Mid-Atlantic medical school...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/28988710/do-interventions-intended-to-increase-female-medical-student-interest-in-radiology-work-preliminary-findings
#9
Elizabeth D Yuan, Joseph Makris, Carolynn M DeBenedectis
PURPOSE: The purpose of this study is to share the preliminary findings after initiation of interventions at the medical school level, which have been suggested by the literature to increase female medical student interest in radiology at one institution. Additionally, the paper provides discussion of how to better future interventions for increasing female medical student interest. METHODS: Interventions to increase medical student exposure to radiology were implemented at the University of Massachusetts Medical School in 2012...
September 12, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28953296/effective-learning-in-an-ambulatory-family-medicine-clerkship-a-qualitative-study-of-medical-student-midpoint-feedback
#10
Melissa K Bradner, Sharon Kaufer Flores, Judy S Gary, Sharon Zumbrunn
BACKGROUND AND OBJECTIVES: There is substantial research on the effectiveness of ambulatory medical preceptors' teaching skills, but less is known about the student perspective on what contributes most to effective learning in a busy clinical practice. METHODS: As part of a formative midpoint assessment during the third-year clerkship in family medicine, students were asked to respond to the following open-ended reflective prompt: "My preceptor contributed to my learning by...
September 2017: Family Medicine
https://www.readbyqxmd.com/read/28928031/effect-of-curriculum-changes-on-student-performance-during-general-surgical-clerkship
#11
Elizabeth A Hagan, Bernard M Jaffe
INTRODUCTION: Good clinical knowledge of anatomy, taught in medical school, is necessary for practicing physicians. It is a key feature of performance on the United States Medical Licensing Examination Step 1 score. Student performance on anatomy is also an early indicator of overall medical student performance. Unfortunately, curricular time provided for the teaching of anatomy has declined significantly over the last 30 years, leading to growing concerns that the anatomical knowledge of new medical graduates may not be adequate...
September 15, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28864488/how-does-preclinical-laboratory-training-impact-physical-examination-skills-during-the-first-clinical-year-a-retrospective-analysis-of-routinely-collected-objective-structured-clinical-examination-scores-among-the-first-two-matriculating-classes-of-a-reformed
#12
Jolanta Świerszcz, Agata Stalmach-Przygoda, Marcin Kuźma, Konrad Jabłoński, Tomasz Cegielny, Agnieszka Skrzypek, Ewa Wieczorek-Surdacka, Olga Kruszelnicka, Kaja Chmura, Bernadeta Chyrchel, Andrzej Surdacki, Michał Nowakowski
OBJECTIVE: As a result of a curriculum reform launched in 2012 at our institution, preclinical training was shortened to 2 years instead of the traditional 3 years, creating additional incentives to optimise teaching methods. In accordance with the new curriculum, a semester-long preclinical module of clinical skills (CS) laboratory training takes place in the second year of study, while an introductory clinical course (ie, brief introductory clerkships) is scheduled for the Fall semester of the third year...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28782081/student-perspectives-on-oncology-curricula-at-united-states-medical-schools
#13
Brandon C Neeley, Daniel W Golden, Jeffrey V Brower, Steve E Braunstein, Ariel E Hirsch, Malcolm D Mattes
Delivering a cohesive oncology curriculum to medical students is challenging due to oncology's multidisciplinary nature, predominantly outpatient clinical setting, and lack of data describing effective approaches to teaching it. We sought to better characterize approaches to oncology education at US medical schools by surveying third and fourth year medical students who serve on their institution's curriculum committee. We received responses from students at 19 schools (15.2% response rate). Key findings included the following: (1) an under-emphasis of cancer in the curriculum relative to other common diseases; (2) imbalanced involvement of different clinical subspecialists as educators; (3) infrequent requirements for students to rotate through non-surgical oncologic clerkships; and (4) students are less confident in their knowledge of cancer treatment compared to basic science/natural history or workup/diagnosis...
August 7, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28769832/supporting-third-year-medical-students-skill-acquisition-and-self-efficacy-with-coping-models-and-process-feedback-during-laparoscopic-knot-tying-simulation
#14
Michael S Dempsey, Douglas F Kauffman
Background: During the third year general surgery clerkship, medical students are required to develop laparoscopic knot-tying skills. Knot-tying skills studies often rely on objective variables (e.g., time, materials used, number of iterations) that lend themselves to correlational analysis of pre- and post-intervention skill level. This study differs by examining how instructional interventions-role modeling and feedback-affect medical students' skill acquisition and self-efficacy during a laparoscopic surgical simulation training session...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28763733/finding-the-sweet-spot-developing-implementing-and-evaluating-a-burn-out-and-compassion-fatigue-intervention-for-third-year-medical-trainees
#15
Tara Tucker, Maryse Bouvette, Shauna Daly, Pamela Grassau
Medical trainees are at high risk for developing burnout. Introducing trainees to the risks of burnout and supporting identification and proactive responses to their 'warning' signs of compassion fatigue (CF) is critical in building resiliency. The authors developed and evaluated a burnout and CF program for third year trainees at a Canadian Medical School. Of 165 medical trainees who participated in the burnout and CF program, 59 (36%) provided evaluation and feedback of the program and its impact throughout their year...
December 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28712688/the-role-of-the-operating-room-in-medical-student-education-differing-perspectives-of-learners-and-educators
#16
Rebecca O'Neill, Michael Shapiro, Aziz Merchant
OBJECTIVE: The surgical clerkship is an integral part of third-year medical student education. The operating room (OR) is a heavily used setting, but it is unclear whether this setting is as effective as possible. To determine the role of the OR and potential improvements, it is necessary to analyze the perspectives of those involved, including surgeons, residents, and medical students. DESIGN: An electronic survey was distributed to the surgeons, surgical residents, and third-year medical students associated with Rutgers New Jersey Medical School...
July 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28693609/otolaryngology-exposure-in-a-longitudinal-integrated-clerkship-setting
#17
Grace Margaret Scott, Corliss Ann Elizabeth Best, Damian Christopher Micomonaco
BACKGROUND: Although 20-40% of primary care complaints are Otolaryngology-Head and Neck Surgery (OtoHNS) related, little emphasis is placed on OtoHNS instruction at the undergraduate medical education level. An OtoHNS clerkship rotation is not required at most Canadian medical schools. Furthermore, at institutions offering an OtoHNS rotation, less than 20% of students are able to complete a placement. Given that a large percentage of medical students in Canada will pursue primary care as a career, there remains a gap in providing OtoHNS clinical training...
July 10, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28657557/enhancing-student-empathetic-engagement-history-taking-and-communication-skills-during-electronic-medical-record-use-in-patient-care
#18
Alisa Alfonsi LoSasso, Courtney E Lamberton, Mary Sammon, Katherine T Berg, John W Caruso, Jonathan Cass, Mohammadreza Hojat
PURPOSE: To examine whether an intervention on proper use of electronic medical records (EMRs) in patient care could help improve medical students' empathic engagement, and to test the hypothesis that the training would reduce communication hurdles in clinical encounters. METHOD: Seventy third-year medical students from the Sidney Kimmel Medical College at Thomas Jefferson University were randomly divided into intervention and control groups during their six-week pediatric clerkship in 2012-2013...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28607143/education-research-positive-effect-of-scheduled-faculty-modeling-on-clerkship-student-bedside-skills-exposure-and-learning
#19
Robert Thompson Stone, Trenton Tollefson, Ronald Epstein, Ralph F Jozefowicz, Jonathan W Mink
OBJECTIVE: To evaluate the effect of scheduled bedside skills modeling for third-year medical students on their neurology clerkship. METHODS: During the 2012-2014 academic years, 56 third-year medical students participated in a curricular pilot program involving a scheduled bedside skills modeling experience during the first week of their neurology clerkship, whereas 131 students underwent the typical rotation. The experience consisted of observing a faculty member conduct a comprehensive encounter on a new outpatient...
June 13, 2017: Neurology
https://www.readbyqxmd.com/read/28578980/clinical-skills-passport-a-method-to-increase-participation-in-clinical-skills-by-medical-students-during-a-surgery-clerkship
#20
Thomas E Read
OBJECTIVE: To prospectively evaluate the effect of introducing a clinical skills "passport" on medical students' reporting of their experience with basic clinical skills. DESIGN: A prospective longitudinal intervention study was conducted. Medical students were administered a questionnaire at the conclusion of their 12-week surgery clerkship regarding their experience with 15 clinical skills, inquiring whether they had "learned on surgery clerkship", "learned before surgery clerkship", or "not learned"...
June 1, 2017: Journal of Surgical Education
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