keyword
MENU ▼
Read by QxMD icon Read
search

Difficult learner

keyword
https://www.readbyqxmd.com/read/28927667/development-and-validation-of-a-tool-to-evaluate-the-evolution-of-clinical-reasoning-in-trauma-using-virtual-patients
#1
David Fleiszer, Michael L Hoover, Nancy Posel, Tarek Razek, Simon Bergman
CONTEXT: Undergraduate medical students at a large academic trauma center are required to manage a series of online virtual trauma patients as a mandatory exercise during their surgical rotation. PURPOSE: Clinical reasoning during undergraduate medical education can be difficult to assess. The purpose of the study was to determine whether we could use components of the students' virtual patient management to measure changes in their clinical reasoning over the course of the clerkship year...
September 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28915871/virtual-patients-in-the-acquisition-of-clinical-reasoning-skills-does-presentation-mode-matter-a-quasi-randomized-controlled-trial
#2
Fabian Schubach, Matthias Goos, Götz Fabry, Werner Vach, Martin Boeker
BACKGROUND: The objective of this study is to compare two different instructional methods in the curricular use of computerized virtual patients in undergraduate medical education. We aim to investigate whether using many short and focused cases - the key feature principle - is more effective for the learning of clinical reasoning skills than using few long and systematic cases. METHODS: We conducted a quasi-randomized, non-blinded, controlled parallel-group intervention trial in a large medical school in Southwestern Germany...
September 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28769842/processing-connectives-with-a-complex-form-function-mapping-in-l2-the-case-of-french-en-effet
#3
Sandrine Zufferey, Pascal M Gygax
Discourse connectives are often reported to be difficult for second language learners, yet the causes of these difficulties are still not fully understood. In this paper, we test the ability of German-speaking learners to process and understand a connective with a complex form-function mapping in their L2-French, namely "en effet," a connective that does not have an exact translation equivalent in their L1-German. We assess learners' competence both in an on-line processing experiment and an off-line judgment task...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28746073/medicine-as-a-community-of-practice-implications-for-medical-education
#4
Richard L Cruess, Sylvia R Cruess, Yvonne Steinert
The presence of a variety of independent learning theories makes it difficult for medical educators to construct a comprehensive theoretical framework for medical education, resulting in numerous and often unrelated curricular, instructional, and assessment practices. Linked with an understanding of identity formation, the concept of communities of practice could provide such a framework, emphasizing the social nature of learning. Individuals wish to join the community, moving from legitimate peripheral to full participation, acquiring the identity of community members and accepting the community's norms...
July 25, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28707639/life-in-unexpected-places-employing-visual-thinking-strategies-in-global-health-training
#5
Jill Allison, Shree Mulay, Monica Kidd
BACKGROUND: The desire to make meaning out of images, metaphor, and other representations indicates higher-order cognitive skills that can be difficult to teach, especially in the complex and unfamiliar environments like those encountered in many global health experiences. Because reflecting on art can help develop medical students' imaginative and interpretive skills, we used visual thinking strategies (VTS) during an immersive 4-week global health elective for medical students to help them construct new understanding of the social determinants of health in a low-resource setting...
January 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28687065/second-language-perception-of-mandarin-vowels-and-tones
#6
Yen-Chen Hao
This study examines the discrimination of Mandarin vowels and tones by native English speakers with varying amounts of Mandarin experience, aiming to investigate the relative difficulty of these two types of sounds for English speakers at different learning stages, and the source of their difficulty. Seventeen advanced learners of Mandarin (Ex group), eighteen beginning learners (InEx group), and eighteen English speakers naïve to Mandarin (Naïve group) participated in an AXB discrimination task. The stimuli were two Mandarin vowel contrasts, /li-ly/ and /lu-ly/, and two tonal contrasts, T1-T4 and T2-T3...
July 1, 2017: Language and Speech
https://www.readbyqxmd.com/read/28654815/flipping-around-the-classroom-accelerated-bachelor-of-science-in-nursing-students-satisfaction-and-achievement
#7
Majeda M El-Banna, Malinda Whitlow, Angela M McNelis
BACKGROUND: The flipped classroom approach is based on shared responsibility for learning by students and teachers, and empowers students to take an active role in the learning process. While utilization of this approach has resulted in higher exam scores compared to traditional approaches in prior studies, the flipped classroom has not included learners in Accelerated Bachelor of Science in Nursing (ABSN) programs. OBJECTIVE: To examine differences on exam scores and satisfaction of teaching between a 3-week flipped and traditional classroom approach...
September 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28644788/initiatives-for-responding-to-medical-trainees-moral-distress-about-end-of-life-cases
#8
M Sara Rosenthal, Maria Clay
Moral distress frequently arises for medical trainees exposed to end-of-life cases. We review the small literature on best practices for reducing moral distress in such cases and propose two areas to target for moral distress reduction: medical education and organizational ethics programs. Students require training in end-of-life dialogues and truthful prognostication, which are not generally available without skilled mentors. But physician-mentors and teachers can suffer from lingering moral residue themselves, which can affect the teaching culture and student expectations...
June 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28644782/how-should-resident-physicians-respond-to-patients-discomfort-and-students-moral-distress-when-learning-procedures-in-academic-medical-settings
#9
Bonnie M Miller
In this scenario, a medical student, Lauren, experiences moral distress because she feels that learning to perform a procedure on a patient who requested not to be used for "practice" puts her own interests above the patient's. Lauren might also worry that the resident physician is misrepresenting her abilities. The resident physician could help alleviate Lauren's distress and align her interests with the patient's by more clearly explaining the training situation to the patient and seeking the patient's approval...
June 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28641208/an-associative-account-of-the-development-of-word-learning
#10
Vladimir M Sloutsky, Hyungwook Yim, Xin Yao, Simon Dennis
Word learning is a notoriously difficult induction problem because meaning is underdetermined by positive examples. How do children solve this problem? Some have argued that word learning is achieved by means of inference: young word learners rely on a number of assumptions that reduce the overall hypothesis space by favoring some meanings over others. However, these approaches have difficulty explaining how words are learned from conversations or text, without pointing or explicit instruction. In this research, we propose an associative mechanism that can account for such learning...
June 20, 2017: Cognitive Psychology
https://www.readbyqxmd.com/read/28640752/argumentation-a-methodology-to-facilitate-critical-thinking
#11
Agnes Makhene
Caring is a difficult nursing activity that involves a complex nature of a human being in need of complex decision-making and problem solving through the critical thinking process. It is mandatory that critical thinking is facilitated in general and in nursing education particularly in order to render care in diverse multicultural patient care settings. This paper aims to describe how argumentation can be used to facilitate critical thinking in learners. A qualitative, exploratory and descriptive design that is contextual was used...
June 20, 2017: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/28622614/desirable-difficulties-during-the-development-of-active-inquiry-skills
#12
George Kachergis, Marjorie Rhodes, Todd Gureckis
This study explores developmental changes in the ability to ask informative questions, hypothesizing a link between the ability to update beliefs in light of evidence and the ability to ask informative questions. Five- to ten-year-old children played an iPad game asking them to identify a hidden insect. Learners could either ask about individual insects, or make a series of feature queries (e.g., "Does the hidden insect have antenna?") that could more efficiently narrow the hypothesis space. Critically, the task display either helped children integrate evidence with the hypothesis space or required them to perform this operation themselves...
September 2017: Cognition
https://www.readbyqxmd.com/read/28612480/adolescent-narrative-comments-in-assessing-medical-students
#13
April Tan, Alexandra Hudson, Kim Blake
BACKGROUND: Adolescent medical interviewing is a difficult topic to teach and assess. Programmatic assessment has been gaining interest in medical teaching, and shifts the mode of assessment from the traditional assessment of learning (e.g. written exams) to the assessment for learning (e.g. feedback). The Structured Communication Adolescent Guide (SCAG) is a programmatic assessment tool that allows an adolescent patient to provide three types of feedback (written, numeric, grade) to a medical student in an authentic clinical workplace...
June 14, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28603770/embodied-science-and-mixed-reality-how-gesture-and-motion-capture-affect-physics-education
#14
Mina C Johnson-Glenberg, Colleen Megowan-Romanowicz
A mixed design was created using text and game-like multimedia to instruct in the content of physics. The study assessed which variables predicted learning gains after a 1-h lesson on the electric field. The three manipulated variables were: (1) level of embodiment; (2) level of active generativity; and (3) presence of story narrative. Two types of tests were administered: (1) a traditional text-based physics test answered with a keyboard; and (2) a more embodied, transfer test using the Wacom large tablet where learners could use gestures (long swipes) to create vectors and answers...
2017: Cognitive Research: Principles and Implications
https://www.readbyqxmd.com/read/28600248/unsupervised-sequential-outlier-detection-with-deep-architectures
#15
Weining Lu, Yu Cheng, Cao Xiao, Shiyu Chang, Shuai Huang, Bin Liang, Thomas Huang
Unsupervised outlier detection is a vital task and has high impact on a wide variety of applications domains, such as image analysis and video surveillance. It also gains long-standing attentions and has been extensively studied in multiple research areas. Detecting and taking action on outliers as quickly as possible are imperative in order to protect network and related stakeholders or to maintain the reliability of critical systems. However, outlier detection is difficult due to the one class nature and challenges in feature construction...
September 2017: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
https://www.readbyqxmd.com/read/28598711/twelve-tips-for-just-in-time-teaching-of-communication-skills-for-difficult-conversations-in-the-clinical-setting
#16
Laura Jean Hinkle, Lyle Patrick Fettig, William Graham Carlos, Gabriel Bosslet
The ability to communicate well with patients and other members of the healthcare team is a vital skill for physicians to have, but one that is often not emphasized in medical education. Learners of all levels can obtain and develop good communication skills regardless of their natural ability in this area, and the clinical setting represents an underutilized resource to accomplish this task. With this in mind, we have reviewed the growing body of literature on the subject and organized our findings into twelve tips to help educators capitalize on these missed opportunities...
September 2017: Medical Teacher
https://www.readbyqxmd.com/read/28538446/coaching-the-debriefer-peer-coaching-to-improve-debriefing-quality-in-simulation-programs
#17
Adam Cheng, Vincent Grant, James Huffman, Gavin Burgess, Demian Szyld, Traci Robinson, Walter Eppich
Formal faculty development programs for simulation educators are costly and time-consuming. Peer coaching integrated into the teaching flow can enhance an educator's debriefing skills. We provide a practical guide for the who, what, when, where, why, and how of peer coaching for debriefing in simulation-based education. Peer coaching offers advantages such as psychological safety and team building, and it can benefit both the educator who is receiving feedback and the coach who is providing it. A feedback form for effective peer coaching includes the following: (1) psychological safety, (2) framework, (3) method/strategy, (4) content, (5) learner centeredness, (6) co-facilitation, (7) time management, (8) difficult situations, (9) debriefing adjuncts, and (10) individual style and experience...
May 20, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28437212/the-impact-of-communication-skills-training-on-cardiology-fellows-and-attending-physicians-perceived-comfort-with-difficult-conversations
#18
Kathryn Berlacher, Robert M Arnold, Eva Reitschuler-Cross, Jeffrey Teuteberg, Winifred Teuteberg
BACKGROUND: Cardiologists need to decide which treatments are appropriate for seriously ill patients and whether they align with patient goals. Reconciling medical options with patients' wishes requires skilled communication. Although there is evidence that communication is teachable, few cardiologists receive formal training. OBJECTIVE: To demonstrate that providing communication skills training to cardiologists is feasible and improves their perceived preparedness (PP) for leading difficult conversations...
July 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28374635/listeners-processing-of-a-given-reduced-word-pronunciation-variant-directly-reflects-their-exposure-to-this-variant-evidence-from-native-listeners-and-learners-of-french
#19
Sophie Brand, Mirjam Ernestus
In casual conversations, words often lack segments. This study investigates whether listeners rely on their experience with reduced word pronunciation variants during the processing of single segment reduction. We tested three groups of listeners in a lexical decision experiment with French words produced either with or without word-medial schwa (e.g., /ʀəvy/ and /ʀvy/ for revue). Participants also rated the relative frequencies of the two pronunciation variants of the words. If the recognition accuracy and reaction times (RTs) for a given listener group correlate best with the frequencies of occurrence holding for that given listener group, recognition is influenced by listeners' exposure to these variants...
April 24, 2017: Quarterly Journal of Experimental Psychology: QJEP
https://www.readbyqxmd.com/read/28363837/when-math-operations-have-visuospatial-meanings-versus-purely-symbolic-definitions-which-solving-stages-and-brain-regions-are-affected
#20
Aryn A Pyke, Jon M Fincham, John R Anderson
How does processing differ during purely symbolic problem solving versus when mathematical operations can be mentally associated with meaningful (here, visuospatial) referents? Learners were trained on novel math operations (↓, ↑), that were defined strictly symbolically or in terms of a visuospatial interpretation (operands mapped to dimensions of shaded areas, answer = total area). During testing (scanner session), no visuospatial representations were displayed. However, we expected visuospatially-trained learners to form mental visuospatial representations for problems, and exhibit distinct activations...
June 2017: NeuroImage
keyword
keyword
53746
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"