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Medical student accountability

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https://www.readbyqxmd.com/read/29760862/free-open-access-medical-education-foam-in-emergency-medicine-the-global-distribution-of-users-in-2016
#1
Taylor W Burkholder, Jennifer W Bellows, Renee A King
Introduction: Free open-access medical education (FOAM) is a collection of interactive online medical education resources-free and accessible to students, physicians and other learners. This novel approach to medical education has the potential to reach learners across the globe; however, the extent of its global uptake is unknown. Methods: This descriptive report evaluates the 2016 web analytics data from a convenience sample of FOAM blogs and websites with a focus on emergency medicine (EM) and critical care...
May 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29752645/a-tale-of-two-countries-innovation-and-collaboration-aimed-at-changing-the-culture-of-medicine-in-uruguay
#2
Juan J Dapueto, Mercedes Viera, Charles Samenow, William H Swiggart, Jeffrey Steiger
This is a case study of a program to address professionalism at the Universidad de la República in Uruguay. We describe a five-year ongoing international collaboration. Relevant characteristics of the context, the program components, activities, and results were analyzed. The expected outcomes were to introduce standards of professional practices in the curricula of medical students and residents and the implementation of a program that might lead to a significant change in the culture of medicine in the University...
May 11, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29743057/specialty-preferences-and-influencing-factors-a-repeated-cross-sectional-survey-of-first-to-sixth-year-medical-students-in-jena-germany
#3
Diana Grasreiner, Uta Dahmen, Utz Settmacher
BACKGROUND: Given the expected increase in those entering retirement, the number of practising physicians is predicted to decrease. Conversely, the number of physicians needed is set to increase, due to higher demands resulting from the increasing average age of the German population. This may cause a deficit in the availability and accessibility of medical care for the population in Germany, as well as in other countries. As such, there needs to be a specific focus on the next generation of physicians...
May 9, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29739387/variability-and-dimensionality-of-students-and-supervisors-mini-cex-scores-in-undergraduate-medical-clerkships-a-multilevel-factor-analysis
#4
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/29727598/moving-beyond-the-theoretical-medical-students-desire-for-practical-role-specific-ethics-training
#5
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/29727431/quality-and-importance-of-health-policy-reform-and-public-health-topics-a-study-in-physician-assistant-education
#6
Frances M Angerer-Fuenzalida
PURPOSE: As key players in a changing US health care system, physician assistants (PAs) must be prepared to act with a clear understanding of health policy as reform changes are enacted. The purpose of this study was to assess the perceptions of graduating PA students about the importance of health policy, reform, and public health and their perception of their preparedness in these areas. The research question was: Do PA students identify these topic areas as important, and, for each topic area, do they feel adequately prepared with sufficient knowledge for clinical practice? METHODS: Participants in the study included 352 PA students from 14 PA programs randomly selected from 4 geographic regions of the continental United States...
April 26, 2018: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29697428/generalizability-of-competency-assessment-scores-across-and-within-clerkships-how-students-assessors-and-clerkships-matter
#7
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/29693496/opqrst-u-integrating-substance-use-disorders-or-use-into-the-medical-history
#8
Joshua Eloge, T Celeste Napier, Bezalel Dantz
Substance Use Disorders (SUDs) are pervasive in the United States, with 20.1 million cases in 2016, of which only 19% receive treatment. SUDs permeate all medical specialties and should be considered in the differential diagnosis of every chief complaint. Acknowledging the salience of SUDs provides a unique opportunity for early identification and intervention. Thus, SUDs should be reflected prominently in the History of the Present Illness rather than in the Social History. To this effect, we propose the inclusion of Use (U) in the History of Present Illness, and incorporating "U" into the pedagogical mnemonic of OPQRST that is commonly used in medical training...
April 25, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29609609/free-text-adversity-statements-as-part-of-a-contextualised-admissions-process-a-qualitative-analysis
#9
Lysa E Owen, Stephanie Ann Anderson, Johnathan S Dowell
BACKGROUND: Medical schools globally are encouraged to widen access and participation for students from less privileged backgrounds. Many strategies have been implemented to address this inequality, but much still needs to be done to ensure fair access for all. In the literature, adverse circumstances include financial issues, poor educational experience and lack of professional-status parents. In order to take account of adverse circumstances faced by applicants, The University of Dundee School of Medicine offers applicants the opportunity to report circumstances which may have resulted in disadvantage...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29605398/-a-cross-sectional-study-of-the-impact-of-educational-information-on-topical-photoprotection-habits-in-medical-students
#10
P Rodríguez-Zamorano, L Puebla-Tornero, L M Martín-Santos, M L Román-Villaizán, A Guerra-Tapia
OBJECTIVES: Skin cancer (melanoma and non-melanoma) is the most common cancer in humans, with melanoma being the most aggressive. Due to the fact that ultraviolet (UV) radiation exposure is the only adjustable aetiological factor, UV protection is the essential preventive measure. Based on these grounds, a study was conducted in order to compare three population groups with different levels of knowledge about UV protection, as well as to determine any differences in sun exposure habits, and the level of awareness of the damaging effects of the sun on the skin...
March 28, 2018: Semergen
https://www.readbyqxmd.com/read/29587725/associations-between-emotional-intelligence-empathy-and-personality-in-japanese-medical-students
#11
Keiko Abe, Masayuki Niwa, Kazuhiko Fujisaki, Yasuyuki Suzuki
BACKGROUND: It is known that empathic communication is important for physicians to achieve higher patient satisfaction and health outcomes. Emotional intelligence (EI), empathy and personality in medical students predict students' individual disposition and their emotional and empathic perceptions. This study aimed to investigate: 1) The association between empathy, EI and personality, and 2) Gender differences in the association between empathy, EI and personality. METHOD: Participants were 357 1st year medical students from 2008 to 2011 at one medical school in Japan...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29576195/-the-script-concordance-test-a-multimodal-teaching-tool
#12
L Karila, H François, X Monnet, N Noel, M Roupret, V Gajdos, O Lambotte, D Benhamou, A Benyamina
In recent years, there has been a major interest in assessing learners during their medical education. The core of medical competence is the clinical reasoning that should be acquired by all medical actors. Its assessment includes the ability to integrate and apply different types of knowledge, weigh critical evidence and think about the process used to have a diagnosis. French faculties of medicine will have to include it in the training and evaluation of students during 2017. It should therefore be part of the new docimological modalities of the computerized "Épreuves Classantes Nationales" from 2020 onwards...
March 22, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29569969/implementation-of-team-based-learning-on-a-large-scale-three-factors-to-keep-in-mind
#13
Preman Rajalingam, Jerome I Rotgans, Nabil Zary, Michael Alan Ferenczi, Paul Gagnon, Naomi Low-Beer
Team-based learning (TBL) is a structured form of small group learning that can be scaled up for delivery in large classes. The principles of successful TBL implementation are well established. TBL has become widely practiced in medical schools, but its use is typically limited to certain courses or parts of courses. Implementing TBL on a large scale, across different courses and disciplines, is the next logical step. The Lee Kong Chian School of Medicine (LKCMedicine), a partnership between Nanyang Technological University, Singapore and Imperial College London, admitted its first students in 2013...
March 23, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29549071/exploring-digital-health-use-and-opinions-of-university-students-field-survey-study
#14
Ilaria Montagni, Tanguy Cariou, Tiphaine Feuillet, Emmanuel Langlois, Christophe Tzourio
BACKGROUND: During university, students face some potentially serious health risks, and their lifestyle can have a direct effect on health and health behaviors later in life. Concurrently, university students are digital natives having easy access to the internet and new technologies. Digital health interventions offer promising new opportunities for health promotion, disease prevention, and care in this specific population. The description of the current use of and opinions on digital health among university students can inform future digital health strategies and interventions within university settings...
March 15, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29548258/from-pipelines-to-pathways-the-memorial-experience-in-educating-doctors-for-rural-generalist-practice
#15
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/29545128/factors-associated-with-surgery-clerkship-performance-and-subsequent-usmle-step-scores
#16
Ting Dong, Annesley Copeland, Matthew Gangidine, Deanna Schreiber-Gregory, E Matthew Ritter, Steven J Durning
PURPOSE: We conducted an in-depth empirical investigation to achieve a better understanding of the surgery clerkship from multiple perspectives, including the influence of clerkship sequence on performance, the relationship between self-logged work hours and performance, as well as the association between surgery clerkship performance with subsequent USMLE Step exams' scores. METHOD: The study cohort consisted of medical students graduating between 2015 and 2018 (n = 687)...
March 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29533837/interprofessional-education-and-collaborative-practice-psychometric-analysis-of-the-readiness-for-interprofessional-learning-scale-in-undergraduate-serbian-healthcare-student-context
#17
Dragana Milutinović, Robert Lovrić, Dragana Simin
BACKGROUND: There is an implicit expectation for medical sciences students to work together effectively as members of health-care team, and interprofessional education is therefore widely accepted. Students' attitudes, which are affected by various factors, have been recognized as the most important predictors of successful implementation of interprofessional education with the aim of developing collaborative practice. The Readiness for Interprofessional Learning Scale has often been used in studies to measure these perspectives...
June 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29530773/bronchoscopy-simulation-training-as-a-tool-in-medical-school-education
#18
Mallika Gopal, Alexus A Skobodzinski, Helene M Sterbling, Sowmya R Rao, Christopher LaChapelle, Kei Suzuki, Virginia R Litle
BACKGROUND: Procedural simulation training is rare at the medical school level and little is known about its usefulness in improving anatomical understanding and procedural confidence in students. Our aim is to assess the impact of bronchoscopy simulation training on bronchial anatomy knowledge and technical skills in medical students. METHODS: Medical students were recruited by email, consented, and asked to fill out a survey regarding their baseline experience...
March 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29516981/medical-expenditure-for-liver-cancer-in-urban-china-a-10-year-multicenter-retrospective-survey-2002-2011
#19
Wu-Qi Qiu, Ju-Fang Shi, Lan-Wei Guo, A-Yan Mao, Hui-Yao Huang, Guang-Yu Hu, Pei Dong, Fang-Zhou Bai, Xiao-Ling Yan, Xian-Zhen Liao, Guo-Xiang Liu, Ya-Na Bai, Jian-Song Ren, Xiao-Jie Sun, Xin-Yu Zhu, Jin-Yi Zhou, Ji-Yong Gong, Lin Zhu, Ling Mai, Ling-Bing Du, Qi Zhou, Xiao-Jing Xing, Bing-Bing Song, Yu-Qin Liu, Pei-An Lou, Xiao-Hua Sun, Shou-Ling Wu, Rong Cao, Xiao Qi, Li Lan, Ying Ren, Kai Zhang, Jie He, Chunfeng Qu, Min Dai
Objective: This study aims to understand the medical expenditure for liver cancer during 2002-2011 in urban areas of China. Materials and Methods: This is a retrospective study. Based on a stratified cluster sampling method, a medical expenditure survey collected basic personal information from related medical records. Two-tailed independent sample t-test, variance analysis, and Student-Newman-Keuls Tests were used in cost analysis for the corresponding data types...
January 2018: Journal of Cancer Research and Therapeutics
https://www.readbyqxmd.com/read/29516651/developing-the-experts-we-need-fostering-adaptive-expertise-through-education
#20
Maria Mylopoulos, Kulamakan Kulasegaram, Nicole N Woods
In this era of increasing complexity, there is a growing gap between what we need our medical experts to do and the training we provide them. While medical education has a long history of being guided by theories of expertise to inform curriculum design and implementation, the theories that currently underpin our educational programs do not account for the expertise necessary for excellence in the changing health care context. The more comprehensive view of expertise gained by research on both clinical reasoning and adaptive expertise provides a useful framing for re-shaping physician education, placing emphasis on the training of clinicians who will be adaptive experts...
March 8, 2018: Journal of Evaluation in Clinical Practice
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