keyword
https://read.qxmd.com/read/37948262/confidence-and-utilization-are-poorly-associated-with-point-of-care-ultrasound-competency-among-internal-medicine-trainees
#1
JOURNAL ARTICLE
Brian P Elliott, Andrew Berglund, Ronald Markert, Kathryn Burtson
INTRODUCTION: Point-of-Care Ultrasound (POCUS) is the utilization of bedside ultrasound by clinicians. Its portable and rapid diagnostic capabilities make it an excellent tool for deployment and mobile military settings. However, formal and uniform POCUS training is lacking. Furthermore, the evaluation of these curricula often relies on confidence assessment. Our objective was to assess the relationships between confidence, frequency of utilization, and image interpretation knowledge among our Internal Medicine residents before and after the implementation of a formal curriculum...
November 8, 2023: Military Medicine
https://read.qxmd.com/read/37947985/obesity-and-glomerular-filtration-rate
#2
REVIEW
Paula Schwartz, Maria M Capotondo, Miranda Quaintenne, Guido M Musso-Enz, Gustavo Aroca-Martinez, Carlos G Musso
Obesity has received considerable attention in general medicine and nephrology over the last few years. This condition increases the risk of metabolic syndrome, diabetes mellitus, hypertension, and dyslipidemia, which are the main risk factors for developing chronic kidney disease (CKD). Kidney damage caused by obesity can be explained by many mechanisms, such as sympathetic nervous and renin-angiotensin-aldosterone systems activation, mechanical stress, hormonal unbalance, as well as inflammatory cytokines production...
November 10, 2023: International Urology and Nephrology
https://read.qxmd.com/read/37840648/using-self-regulated-learning-microanalysis-to-examine-regulatory-processes-in-clerkship-students-engaged-in-practice-questions
#3
JOURNAL ARTICLE
Mary A Andrews, Catherine A Okuliar, Sean A Whelton, Allison O Windels, Stacy R Kruse, Manesh G Nachnani, Deborah A Topol, Elexis C McBee, Michael T Stein, Raj C Singaraju, Sam W Gao, David S Oliver, Jed P Mangal, Jeffrey S LaRochelle, William F Kelly, Kent J DeZee, H Carrie Chen, Anthony R Artino, Paul A Hemmer, Ting Dong, Timothy J Cleary, Steven J Durning
INTRODUCTION: Self-regulated learning is a cyclical process of forethought, performance, and self-reflection that has been used as an assessment tool in medical education. No prior studies have evaluated SRL processes for answering multiple-choice questions (MCQs) and most evaluated one or two iterations of a non-MCQ task. SRL assessment during MCQs may elucidate reasons why learners are successful or not on these questions that are encountered repeatedly during medical education. METHODS: Internal medicine clerkship students at three institutions participated in a SRL microanalytic protocol that targeted strategic planning, metacognitive monitoring, causal attributions, and adaptive inferences across seven MCQs...
2023: Perspectives on Medical Education
https://read.qxmd.com/read/37665413/an-experimental-comparison-of-multiple-choice-and-short-answer-questions-on-a-high-stakes-test-for-medical-students
#4
JOURNAL ARTICLE
Janet Mee, Ravi Pandian, Justin Wolczynski, Amy Morales, Miguel Paniagua, Polina Harik, Peter Baldwin, Brian E Clauser
Recent advances in automated scoring technology have made it practical to replace multiple-choice questions (MCQs) with short-answer questions (SAQs) in large-scale, high-stakes assessments. However, most previous research comparing these formats has used small examinee samples testing under low-stakes conditions. Additionally, previous studies have not reported on the time required to respond to the two item types. This study compares the difficulty, discrimination, and time requirements for the two formats when examinees responded as part of a large-scale, high-stakes assessment...
September 4, 2023: Advances in Health Sciences Education
https://read.qxmd.com/read/37643186/chatgpt-versus-human-in-generating-medical-graduate-exam-multiple-choice-questions-a-multinational-prospective-study-hong-kong-s-a-r-singapore-ireland-and-the-united-kingdom
#5
JOURNAL ARTICLE
Billy Ho Hung Cheung, Gary Kui Kai Lau, Gordon Tin Chun Wong, Elaine Yuen Phin Lee, Dhananjay Kulkarni, Choon Sheong Seow, Ruby Wong, Michael Tiong-Hong Co
INTRODUCTION: Large language models, in particular ChatGPT, have showcased remarkable language processing capabilities. Given the substantial workload of university medical staff, this study aims to assess the quality of multiple-choice questions (MCQs) produced by ChatGPT for use in graduate medical examinations, compared to questions written by university professoriate staffs based on standard medical textbooks. METHODS: 50 MCQs were generated by ChatGPT with reference to two standard undergraduate medical textbooks (Harrison's, and Bailey & Love's)...
2023: PloS One
https://read.qxmd.com/read/36470965/item-format-statistics-and-readability-of-extended-matching-questions-as-an-effective-tool-to-assess-medical-students
#6
JOURNAL ARTICLE
Anna Frey, Tobias Leutritz, Joy Backhaus, Alexander Hörnlein, Sarah König
Testing based on multiple choice questions (MCQ) is one of the most established forms of assessment, not only in the medical field. Extended matching questions (EMQ) represent a specific type of MCQ designed to require higher levels of cognition, such as problem-solving. The purpose of this evaluation was to assess the suitability and efficiency of EMQ as an assessment method. EMQ were incorporated into the end-of-semester examination in internal medicine, in which 154 students participated, and compared with three established MCQ types...
December 5, 2022: Scientific Reports
https://read.qxmd.com/read/35785586/validation-of-the-korean-version-of-the-metacognitions-questionnaire-insomnia-mcq-i-scale-and-development-of-shortened-versions-using-the-random-forest-approach
#7
JOURNAL ARTICLE
Joohee Lee, Seokmin Ha, Oli Ahmed, Inn-Kyu Cho, Dongin Lee, Kyumin Kim, Sangha Lee, Solbi Kang, Sooyeon Suh, Seockhoon Chung, Jae Kyoung Kim
We aimed to validate a Korean version of the Metacognitions Questionnaire-Insomnia (MCQ-I) and develop two shortened versions of the MCQ-I by applying the Random Forest (RF) algorithm. A total of 310 participants responded through an online survey, during April 3-6, 2021, which included rating scales such as the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Patient Health Questionnaire-9 (PHQ-9), and the Hospital Anxiety and Depression Scale (HADS), as well as the MCQ-I. After validating the scale, we developed two shortened versions by applying the RF...
June 17, 2022: Sleep Medicine
https://read.qxmd.com/read/35573621/multiple-choice-questions-in-assessment-perceptions-of-medical-students-from-low-resource-setting
#8
JOURNAL ARTICLE
Venkata Avinash Kumar Vegi, P V Sudhakar, Devi Madhavi Bhimarasetty, Kiran Pamarthi, Lokesh Edara, L V Simhachalam Kutikuppala, Tarun Kumar Suvvari, Shubham Anand
BACKGROUND: In curriculum reforms under Competency-Based Medical Education (CBME) introduced by the National Medical Commission, medical students are recognized as one of the stake holders. The well-designed multiple-choice questions (MCQs) help students in assessment as well as promote deep learning. The objective of this study is to assess the perceptions of the Indian medical students towards the examination patterns in their undergraduate curriculum with particular reference to MCQs...
2022: Journal of Education and Health Promotion
https://read.qxmd.com/read/35553964/successful-intervention-to-teach-antimicrobial-pharmacology-to-medical-students
#9
JOURNAL ARTICLE
Gagani Athauda, Zachary D Zippi, Rebecca L Toonkel, Sanaz B Kashan
BACKGROUND: Graduating students at the Herbert Wertheim College of Medicine (HWCOM) expressed a lack of confidence in prescribing and utilizing antimicrobial agents. A challenge for early learners is developing a framework for relating antimicrobial pharmacology to emerging clinical knowledge. We developed a longitudinal curriculum incorporating a visual tool and spaced repetition through team based CBL (TB-CBL) to foster deliberate practice of a 3-step process to help learners: 1) Recognize localizing clinical signs of infection, 2) Identify most likely infectious agents, and 3) Prescribe appropriate antimicrobial coverage...
May 2022: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://read.qxmd.com/read/35355591/multimodal-in-training-examination-in-an-emergency-medicine-residency-training-program-a-longitudinal-observational-study
#10
JOURNAL ARTICLE
Pin Liu, Shou-Yen Chen, Yu-Che Chang, Chip-Jin Ng, Chung-Hsien Chaou
Background: In-training examination (ITE) has been widely adopted as an assessment tool to measure residents' competency. We incorporated different formats of assessments into the emergency medicine (EM) residency training program to form a multimodal, multistation ITE. This study was conducted to examine the cost and effectiveness of its different testing formats. Methods: We conducted a longitudinal study in a tertiary teaching hospital in Taiwan. Nine EM residents were enrolled and followed for 4 years, and the biannual ITE scores were recorded and analyzed...
2022: Frontiers in Medicine
https://read.qxmd.com/read/35028223/a-multi-institutional-collaborative-to-assess-the-knowledge-and-skills-of-medicine-pediatrics-residents-in-health-care-transition
#11
JOURNAL ARTICLE
Colby Feeney, Emily Hotez, Lori Wan, Laura Bishop, Jason Timmerman, Madeline Haley, Alice Kuo, Priyanka Fernandes
Background Pediatric to adult health care transition (HCT) is an essential process in the care of youth with special health care needs (YSHCN). Many internal medicine-pediatrics (med-peds) residency programs have developed curricula to teach transition knowledge and skills for the care of YSHCN. Objective Using a national med-peds program director quality improvement collaborative to improve transition curriculum, we aim to identify curricular content areas of improvement by describing baseline trainee knowledge and skills taught through existing transition curricula in med-peds programs...
December 2021: Curēus
https://read.qxmd.com/read/34686161/integrating-patient-management-reflective-practice-and-ethical-decision-making-in-an-emergency-medicine-intern-boot-camp
#12
JOURNAL ARTICLE
Serpil Yaylaci, Yesim Isil Ulman, Kevser Vatansever, Gamze Senyurek, Suha Turkmen, Hasan Aldinc, Cem Gun
BACKGROUND: Integration of clinical skills, ethical decision-making, and reflection skills have emerged as cornerstones of clinical teaching in medical schools. This study aimed to detect whether a multimodal learning environment approach consisting of lectures, a drill, post-drill video debriefing, and written reflection in an emergency medicine rotation boot camp improves interns' patient management skills, ethical decision-making, and reflection skills. METHODS: A multimodal learning environment was created by the collaboration of emergency medicine, ethics, and medical education specialists...
October 22, 2021: BMC Medical Education
https://read.qxmd.com/read/34226469/need-assessment-for-updating-the-mbbs-curriculum-2012-of-bangladesh
#13
JOURNAL ARTICLE
M H Talukder, R Nazneen, M F Kabir, M Nuruzzaman, M S Talukder, T T Tapu, S A Sa-Ad, T B Faruque
Curriculum is the road map of any course and an instrument for developing the competencies of the human resources. The MBBS curriculum in our country was last updated in 2012 during the period of Millennium Development Goals (MDGs). Since then it has been under implementation in different government, non-government and Army medical colleges in association with different universities. "Health Professional for a New Century" now asks for a transformation of the education to strengthen the health systems for meeting the challenges of the 21st century...
July 2021: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/33679929/assessing-the-educational-impact-of-cognitive-level-of-mcq-and-seq-on-learning-approaches-of-dental-students
#14
JOURNAL ARTICLE
Mahwish Arooj, Khadijah Mukhtar, Rehan Ahmed Khan, Tayyaba Azhar
Objectives: MCQ's and SEQ's are the most widely used assessment tool in dental colleges across Pakistan. This study explores the impact of assessment tool: MCQ's and SEQ's on learning approach of dental students and also identifies correlation between these assessment tools and deep & surface learning approaches in integrated and discipline based curriculum. Methods: A quantitative co-relational study was conducted in 2018 on 2nd and 4th year dental students...
March 2021: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/33484534/evaluating-the-effectiveness-of-mcq-development-workshop-using-cognitive-model-framework-a-pre-post-study
#15
JOURNAL ARTICLE
Rahila Ali, Amber Shamim Sultan, Nida Zahid
A workshop on MCQ development using cognitive model framework was conducted for health educators from Aga Khan University (AKU) and other academic institutions. The aim was to develop the skill of preparing MCQs for assessing higher cognitive levels. A pre-post study was conducted, participant satisfaction was evaluated and pre-post test scores were used to assess learning capability of the workshop participants. Out of the 19 who attended the workshop, 16 participated in the pre- and post-tests and were included in the study through convenience sampling...
January 2021: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/33288231/are-script-concordance-tests-suitable-for-the-assessment-of-undergraduate-students-a-multicenter-comparative-study
#16
JOURNAL ARTICLE
F Cohen Aubart, T Papo, A Hertig, M-C Renaud, O Steichen, Z Amoura, M Braun, O Palombi, A Duguet, D Roux
INTRODUCTION: Script concordance tests (SCTs) have been developed to assess clinical reasoning in uncertain situations. Their reliability for the evaluation of undergraduate medical students has not been evaluated. METHODS: Twenty internal medicine SCT cases were implemented in undergraduate students of two programs. The results obtained on the SCTs were compared to those obtained by the same students on clinical-based classical multiple-choice questions (MCQs)...
December 4, 2020: La Revue de Médecine Interne
https://read.qxmd.com/read/33235585/subjective-quality-of-multiple-choice-questions-used-in-undergraduate-courses-in-orthopedics-and-other-specialties
#17
JOURNAL ARTICLE
Amina Husnain, Asif Khan, Muhammad Umar Khan, Faisal Nazeer Hussain
BACKGROUND AND OBJECTIVE: Multiple Choice Questions (MCQs) can sample broad domains of knowledge efficiently and reliably. The MCQs of lower order C1(Cognitive Level1=Recall of knowledge) do not fulfill this purpose and those of higher cognitive order C2 (Cognitive Level2=Interpret) &C3(Cognitive Level3=Analyze) are better at assessing the problem solving capabilities of the student. Every good educational activity must be supported by quality examination to complete the objectives of a curriculum...
November 2020: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/33234642/role-of-formative-assessment-in-predicting-academic-success-among-gp-registrars-a-retrospective-longitudinal-study
#18
JOURNAL ARTICLE
Paula Heggarty, Peta-Ann Teague, Faith Alele, Mary Adu, Bunmi S Malau-Aduli
OBJECTIVES: The James Cook University General Practice Training (JCU GPT) programme's internal formative exams were compared with the Royal Australian College of General Practitioners (RACGP) pre-entry exams to determine ability to predict final performance in the RACGP fellowship exams. DESIGN: A retrospective longitudinal study. SETTING: General Practice (GP) trainees enrolled between 2016 and 2019 at a Registered Training Organisation in regional Queensland, Australia...
November 24, 2020: BMJ Open
https://read.qxmd.com/read/32163022/multiple-choice-questions-in-small-animal-medicine-an-analysis-of-cognitive-level-and-structural-reliability-and-the-impact-of-these-characteristics-on-student-performance
#19
JOURNAL ARTICLE
Audrey K Cook, Jonathan A Lidbury, Kate E Creevy, Johanna C Heseltine, Sina Marsilio, Brian Catchpole, Kim D Whittlestone
Students entering the final year of the veterinary curriculum need to integrate information and problem solve. Assessments used to document competency prior to entry to the clinical environment should ideally provide a reliable measurement of these essential skills. In this study, five internal medicine specialists evaluated the cognitive grade (CG) and structural integrity of 100 multiple-choice questions (MCQs) used to assess learning by third-year students at a United States (US) veterinary school. Questions in CG 1 tested factual recall and simple understanding; those in CG 2 required interpretation and analysis; CG 3 MCQs tested problem solving...
March 12, 2020: Journal of Veterinary Medical Education
https://read.qxmd.com/read/28598446/construction-of-multiple-choice-questions-before-and-after-an-educational-intervention
#20
JOURNAL ARTICLE
K Tenzin, T Dorji, T Tenzin
INTRODUCTION: Khesar Gyalpo University of Medical Sciences of Bhutan, established in 2014, has ushered in a new era in medical education in Bhutan. Multiple Choice Questions are a common means of written assessment in medical education. METHODS: This was a quasi-experimental study conducted at the Faculty of Postgraduate Medicine, KGUMSB, Thimphu in December 2016. A total of 8 MCQs were prepared by four teaching faculties from different fields who had no prior training on construction of MCQs...
January 2017: JNMA; Journal of the Nepal Medical Association
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