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Medical student accountability

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https://www.readbyqxmd.com/read/29146646/cross-sectional-study-of-the-financial-cost-of-training-to-the-surgical-trainee-in-the-uk-and-ireland
#1
John O'Callaghan, Helen M Mohan, Anna Sharrock, Vimal Gokani, J Edward Fitzgerald, Adam P Williams, Rhiannon L Harries
OBJECTIVES: Applications for surgical training have declined over the last decade, and anecdotally the costs of training at the expense of the surgical trainee are rising. We aimed to quantify the costs surgical trainees are expected to cover for postgraduate training. DESIGN: Prospective, cross-sectional, questionnaire-based study. SETTING/PARTICIPANTS: A non-mandatory online questionnaire for UK-based trainees was distributed nationally...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29123835/ambulance-dispatches-to-schools-during-a-5-year-period-in-fukui-prefecture
#2
Yoshikazu Takinami, Shinji Maeda
Aim: To determine the characteristics and trends of medical emergencies during school activities by analyzing information provided by fire departments. Methods: During a 5-year period from January 2009 to December 2013, all nine fire departments in Fukui Prefecture handled 850 emergencies at schools. We investigated the 850 cases with the age range of 0-63 years. Results: It was found that 21.5% of ambulance dispatches to schools were on weekends and there were more dispatches for non-faculty members of all age groups on weekends than on weekdays...
January 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29121888/comparison-of-formula-and-number-right-scoring-in-undergraduate-medical-training-a-rasch-model-analysis
#3
Dario Cecilio-Fernandes, Harro Medema, Carlos Fernando Collares, Lambert Schuwirth, Janke Cohen-Schotanus, René A Tio
BACKGROUND: Progress testing is an assessment tool used to periodically assess all students at the end-of-curriculum level. Because students cannot know everything, it is important that they recognize their lack of knowledge. For that reason, the formula-scoring method has usually been used. However, where partial knowledge needs to be taken into account, the number-right scoring method is used. Research comparing both methods has yielded conflicting results. As far as we know, in all these studies, Classical Test Theory or Generalizability Theory was used to analyze the data...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29119591/widening-participation-in-medicine-new-insights-from-school-students-aspirations
#4
Jennifer Gore, Sally Patfield, Kathryn Holmes, Maxwell Smith
OBJECTIVES: Students from lower socio-economic status backgrounds continue to be under-represented in medical education. Although various initiatives have been implemented by universities to widen participation, their effectiveness and their timing remain contentious. Prior studies have primarily focused on students already on a medical pathway, with little analytical attention given to the aspirations of primary and secondary school-aged students. The aim of this study was to identify the characteristics of students who express early interest in medicine and ascertain the degree to which diversification of the future medical student cohort is indicated...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29104814/detection-of-biased-rating-of-medical-students-by-standardized-patients-opportunity-for-improvement
#5
Marian Manciu, Roszella Trevino, Zuber D Mulla, Claudia Cortez, Sanja Kupesic Plavsic
Objectives: To assess the inter-rater reliability of standardized patients (SPs) as they assess the clinical skills of medical students and to detect possible rating bias in SPs. Methods: The ratings received by 6 students examined in 4 clinical stations by 13 SPs were examined. Each SP contributed at least 3 and at most 10 pairwise ratings, with an average of approximately 5 ratings per SP. The standard Cohen' kappa statistic was calculated and the distribution of scores among SPs was compared via both ANOVA the Kruskal-Wallis H test (one-way ANOVA by ranks)...
September 2017: Medical Science Educator
https://www.readbyqxmd.com/read/29098045/something-s-missing-from-my-education-using-a-cross-sectional-survey-to-examine-the-needs-and-interest-of-canadian-medical-students-relating-to-their-roles-as-teachers-and-educators
#6
Alim Nagji, Karen Leslie, Eric Wong, Doug Myhre, Meredith Young, Ming-Ka Chan
Background: Current theory in medical education emphasizes engaging learners as educators while tailoring teaching to their learning needs. However, little is known about learners' perceptions of their proposed roles as teachers and educators. Methods: Canadian medical students were invited to complete an English language online questionnaire structured to include: teaching experience, participation and/or awareness of teacher development at their school and awareness and/or interest in further training in medical education...
June 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29083262/-more-effort-and-more-time-considerations-in-the-establishment-of-interprofessional-education-programs-in-the-workplace
#7
Fiona Kent, Katrina Nankervis, Christina Johnson, Marisa Hodgkinson, Julie Baulch, Terry Haines
The argument for integrating interprofessional education (IPE) activities into the workplace has been made concurrently with the call for collaborative clinical practice. An exploratory case study investigation of existing activities in a large metropolitan health care network was undertaken to inform the development of future IPE initiatives. Purposive sampling invited clinicians involved in the design or delivery of workplace IPE activities to participate in a semi-structured interview to discuss their existing programs and the opportunities and challenges facing future work...
October 30, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29065019/formative-assessment-in-an-integrated-curriculum-identifying-at-risk-students-for-poor-performance-on-usmle-step-1-using-nbme-custom-exam-questions
#8
Judith M Brenner, Jeffrey B Bird, Joanne M Willey
PURPOSE: The Hofstra Northwell School of Medicine (HNSOM) uses an essay-based assessment system. Recognizing the emphasis graduate medical education places on the United States Medical Licensing Examination (USMLE) Step exams, the authors developed a method to predict students at risk for lower performance on USMLE Step 1. METHOD: Beginning with the inaugural class (2015), HNSOM administered National Board of Medical Examiners (NBME) Customized Assessment Service (CAS) examinations as formative assessment at the end of each integrated course in the first two years of medical school...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29065018/validity-evidence-and-scoring-guidelines-for-standardized-patient-encounters-and-patient-notes-from-a-multisite-study-of-clinical-performance-examinations-in-seven-medical-schools
#9
Yoon Soo Park, Abbas Hyderi, Nancy Heine, Win May, Andrew Nevins, Ming Lee, Georges Bordage, Rachel Yudkowsky
PURPOSE: To examine validity evidence of local graduation competency examination scores from seven medical schools using shared cases and to provide rater training protocols and guidelines for scoring patient notes (PNs). METHOD: Between May and August 2016, clinical cases were developed, shared, and administered across seven medical schools (990 students participated). Raters were calibrated using training protocols, and guidelines were developed collaboratively across sites to standardize scoring...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29052274/health-education-and-competency-scale-development-and-testing
#10
Huei-Lih Hwang, Mei-Ling Kuo, Chin-Tang Tu
AIMS AND OBJECTIVE: To develop a tool for measuring competency in conducting health education and to evaluate its psychometric properties in a population of entry-level nurses. BACKGROUND: Until now, no generic instrument has been developed specifically for measuring competency in health education, which is an essential competency for nurses. Existing scales are either insufficient for psychometric evaluation or are designed specifically for senior nurses. To evaluate curricula and courses designed for entry-level nurses, educators require an instrument for measuring improvement in core competency from baseline to determine whether the minimum level of ability has been achieved...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29045275/medical-education-in-decentralized-settings-how-medical-students-contribute-to-health-care-in-10-sub-saharan-african-countries
#11
Zohray Talib, Susan van Schalkwyk, Ian Couper, Swaha Pattanaik, Khadija Turay, Atiene S Sagay, Rhona Baingana, Sarah Baird, Bernhard Gaede, Jehu Iputo, Minnie Kibore, Rachel Manongi, Antony Matsika, Mpho Mogodi, Jeremais Ramucesse, Heather Ross, Moses Simuyeba, Damen Haile-Mariam
PURPOSE: African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. METHOD: Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29044652/the-impact-of-accreditation-on-medical-schools-processes
#12
Danielle Blouin, Ara Tekian, Carol Kamin, Ilene B Harris
OBJECTIVES: Increased emphasis is being placed worldwide on accreditation of undergraduate medical education programmes, and costs of participation in accreditation continue to rise. The primary purposes of accreditation are to ensure the quality of medical education and to promote quality improvement. Student performance data as indicators of the impact of accreditation have important limitations. The purpose of this study was to evaluate the impact of accreditation using an innovative marker: the processes implemented at medical schools as a result of accreditation...
October 18, 2017: Medical Education
https://www.readbyqxmd.com/read/29037824/resource-usage-implementing-the-surgical-resident-prep-curriculum-at-a-single-institution
#13
Lily Owei, Chris Neylan, Rachel Kelz, Kristoffel R Dumon, Steve R Allen, Noel Williams, Daniel T Dempsey, Carla Fisher
OBJECTIVE: The Resident Prep Curriculum (RPC), published in 2014 and developed as a collaboration of the American College of Surgeons, Association of Program Directors in Surgery, and the Association for Surgical Education, was designed to improve the quality and consistency of medical student preparation for surgical residency. We aim to assess the feasibility of and resource usage for implementation of this curriculum at our institution. DESIGN: Our institution expanded upon a pre-existing 2-week surgical preparatory course, adding modules designed to meet the goals and objectives of the RPC...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28988710/do-interventions-intended-to-increase-female-medical-student-interest-in-radiology-work-preliminary-findings
#14
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/28983126/beyond-generalized-sexual-prejudice-need-for-closure-predicts-negative-attitudes-toward-bisexual-people-relative-to-gay-lesbian-people
#15
Sara E Burke, John F Dovidio, Marianne LaFrance, Julia M Przedworski, Sylvia P Perry, Sean M Phelan, Diana J Burgess, Rachel R Hardeman, Mark W Yeazel, Michelle van Ryn
Increasing evidence suggests that bisexual people are sometimes evaluated more negatively than heterosexual and gay/lesbian people. A common theoretical account for this discrepancy argues that bisexuality is perceived by some as introducing ambiguity into a binary model of sexuality. The present brief report tests a single key prediction of this theory, that evaluations of bisexual people have a unique relationship with Need for Closure (NFC), a dispositional preference for simple ways of structuring information...
July 2017: Journal of Experimental Social Psychology
https://www.readbyqxmd.com/read/28982353/indigenous-health-designing-a-clinical-orientation-program-valued-by-learners
#16
Tania Huria, Suetonia Palmer, Lutz Beckert, Cameron Lacey, Suzanne Pitama
BACKGROUND: Indigenous health programs are seen as a curriculum response to addressing health disparities and social accountability. Several interrelated teaching approaches to cultural competency curricula have been recommended, however evidence of the impact of these on learner outcomes including engagement and self-reported competencies is limited. We aimed to explore undergraduate medical student perspectives of an indigenous health orientation program to inform curriculum strategies that promote learning and development of clinical skills...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28970187/selection-and-use-of-online-learning-resources-by-first-year-medical-students-cross-sectional-study
#17
Terry Judd, Kristine Elliott
BACKGROUND: Medical students have access to a wide range of learning resources, many of which have been specifically developed for or identified and recommended to them by curriculum developers or teaching staff. There is an expectation that students will access and use these resources to support their self-directed learning. However, medical educators lack detailed and reliable data about which of these resources students use to support their learning and how this use relates to key learning events or activities...
October 2, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28969150/patient-demographic-and-clinician-factors-in-antibiotic-prescribing-for-upper-respiratory-tract-infections-in-the-australian-capital-territory-from-2006-2015
#18
Hannah Glenn, Justin Friedman, Alexander A Borecki, Camilla Bradshaw, Nicolas Grandjean-Thomsen, Harrison Pickup, Michelle Yue Yin, Catherine Jun, Mohamed E Abdel-Latif
INTRODUCTION: National antibiotic stewardship programs aim to mitigate rising antimicrobial resistance and associated healthcare costs by promoting safe and appropriate antibiotic prescribing. AIM: This study aimed to analyse patient and clinician demographic factors that may influence antibiotic prescribing for Upper Respiratory Tract Infections (URTIs). Trends in antibiotic prescribing patterns were also analysed over the study period. MATERIALS AND METHODS: This retrospective cross-sectional study analysed data from the Australian National University Medical School Clinical Audit Project database, comprising data collected by students during patient encounters over a two week period each April-May between 2006 and 2015 (excluding 2013)...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28949033/translating-medical-school-social-missions-to-student-experiences
#19
Rachel H Ellaway, Kaatje Van Roy, Robyn Preston, Jennene Greenhill, Amy Clithero, Salwa Elsanousi, Janet Richards, Charlie Labarda, Lisa Graves, Marykutty Mammen, Abbas A Assayed, Sara Willems
CONTEXT: There is a growing focus on the social missions of medical schools as a way of expressing an institutional commitment to service, responsibility and accountability. However, there has been little exploration of how a social mission translates to student experiences. METHODS: This multicentre study explored how the social missions of eight medical schools (from Australia, Belgium, Canada, the Philippines, South Africa, Sudan and the USA) translated to their medical education programmes, and how their students perceived the mission...
September 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28934799/factors-influencing-the-application-of-a-biopsychosocial-perspective-in-clinical-judgement-of-chronic-pain-interactive-management-with-medical-students
#20
Christopher P Dwyer, Phoebe E McKenna-Plumley, Hannah Durand, Emer M Gormley, Brian W Slattery, Owen M Harney, Padraig MacNeela, Brian E McGuire
BACKGROUND: Though there is wide support for the application of biopsychosocial perspectives in clinical judgement of chronic pain cases, such perspectives are often overlooked due to either inadequate training or attitudes favoring a biomedical approach. Recent research has indicated that despite such explanations, both established general practitioners (GP) and medical students account for some psychosocial factors when making clinical judgements regarding chronic pain cases, but report not being likely to apply these in real-world, clinical settings due to numerous factors, including available time with patients...
September 2017: Pain Physician
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