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Student clerkships

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https://www.readbyqxmd.com/read/28930762/competency-based-medical-education-in-the-internal-medicine-clerkship-a-report-from-the-alliance-for-academic-internal-medicine-undergraduate-medical-education-task-force
#1
Sara B Fazio, Cynthia H Ledford, Paul B Aronowitz, Shobhina G Chheda, John H Choe, Stephanie A Call, Scott D Gitlin, Marty Muntz, L James Nixon, Anne G Pereira, John W Ragsdale, Emily A Stewart, Karen E Hauer
As medical educators continue to redefine learning and assessment across the continuum, implementation of competency-based medical education in the undergraduate setting has become a focus of many medical schools. While standards of competency have been defined for the graduating student, there is no uniform approach for defining competency expectations for students during their core clerkship year. The authors describe the process by which an Alliance for Academic Internal Medicine task force developed a paradigm for competency-based assessment of students during their inpatient internal medicine (IM) clerkship...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28928031/effect-of-curriculum-changes-on-student-performance-during-general-surgical-clerkship
#2
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/28927667/development-and-validation-of-a-tool-to-evaluate-the-evolution-of-clinical-reasoning-in-trauma-using-virtual-patients
#3
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/28905346/-creating-enthusiasm-for-surgery-perceptions-of-the-impact-of-undergraduate-practical-education-clerkship-for-occupational-choices
#4
Katrin Werwick, Anke Spura, Marc Gottschalk, Frank Meyer, Felix Walcher, Sarah König, Rüdiger Braun-Dullaeus, Philipp Stieger
Background/Aim Surgical and other disciplines have been noticing difficulties in recruiting junior staff for several years. In response to a decrease in interest within study courses, surgical associations recommend better supervision during undergraduate practical education as "clerkships" in order to increase the attractiveness of surgery. This clerkship has an initiation function, as students for the first time - albeit marginally - can act as physicians. The aim of this study was to investigate the impact of clerkships on the disciplinary orientations and preferences of undergraduates' perceptions of specialist training...
September 13, 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/28892175/-almost-forgetting-to-care-an-unanticipated-source-of-empathy-loss-in-clerkship
#5
Cheryl L Holmes, Harry Miller, Glenn Regehr
CONTEXT: The erosion of empathy in medical students is well documented. Both the hidden curriculum associated with poor role modelling and a sense of burnout have been proposed as key factors, but the precise mechanisms by which this loss of empathy occurs have not been elaborated. OBJECTIVES: In the context of a course designed to help students manage the hidden curriculum, we collected data that raised questions about current conceptualisations of the aspects of medical training that lead to loss of empathy...
July 2017: Medical Education
https://www.readbyqxmd.com/read/28886935/examination-of-nondesignated-preliminary-surgery-residents-recruited-since-the-inception-of-supplementary-offer-and-acceptance-program-lessons-learned-from-a-large-academic-program
#6
Maria Albuja-Cruz, Claire Travis, Michael Benge, Barbara Caufield, Mark Nehler
PURPOSE: The majority of surgery programs roster non-designated preliminary (NDP) residents. We and others have reported on the success of NDP resident mentoring with regard to categorical position placement. Lacking is a focus on the candidates themselves and differences based on initial career of choice. METHODS: NDP residents' files since the institution of SOAP were reviewed for demographics, initial career choice, financial burden, region of medical school of origin, application and interview history, and pre-screen interview candidate score (high score of 22 - data includes USMLE scores, major clerkship grades, and AOA) used for categorical recruitment...
September 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28885431/geographic-comparison-of-women-in-academic-obstetrics-and-gynecology-department-based-leadership-roles
#7
Hope A Ricciotti, Laura E Dodge, Ashley Aluko, Lisa G Hofler, Michele R Hacker
OBJECTIVE: To describe and compare geographic representation of women in obstetrics and gynecology department-based leadership roles across American Congress of Obstetricians and Gynecologists (ACOG) districts and U.S. Census Bureau regions while accounting for the proportion of women practicing in each area. METHODS: We conducted a cross-sectional observational study. To more meaningfully quantify representation of women as leaders in ACOG districts and U.S. Census Bureau regions, we calculated representation ratios-the proportion of department-based leaders who were women divided by the proportion of obstetrician-gynecologists who were women...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28885415/interactive-pelvic-anatomy-model-a-tool-for-teaching-basic-pelvic-anatomy
#8
Polina Advolodkina, E Britton Chahine
BACKGROUND: A knowledge deficit of pelvic anatomy has been noted in obstetrics and gynecology residents. In this article, we introduce an innovative anatomic model that uses readily accessible and reusable materials to simulate and teach anatomic relationships in the female pelvis. INSTRUMENT: Our anatomic model is a reusable and cost-effective modification of an existing pelvic model. We used felt fabric pieces with hook-and-loop fasteners to simulate the pelvic floor, perineum, and surrounding musculature as they attach to corresponding sites on a standard bony pelvis...
September 5, 2017: Obstetrics and Gynecology
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
#9
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/28851343/teaching-the-pediatric-ear-exam-and-diagnosis-of-acute-otitis-media-a-teaching-and-assessment-model-in-three-groups
#10
Caroline R Paul, Craig L Gjerde, Gwen McIntosh, Lori S Weber
BACKGROUND: The serious consequences of inaccurate diagnosis of acute otitis media have led to a call for greater education to develop proficient pediatric otoscopy skills. Despite the clinical and educational needs, peer-reviewed standardized curricula with validated assessment instruments remain limited. This study evaluated a pediatric otoscopy curriculum incorporated into the Pediatric medical student clerkship with use of outcome measures that included assessment of skills with real patients...
August 29, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28851340/observable-phenomena-that-reveal-medical-students-clinical-reasoning-ability-during-expert-assessment-of-their-history-taking-a-qualitative-study
#11
Catharina M Haring, Bernadette M Cools, Petra J M van Gurp, Jos W M van der Meer, Cornelis T Postma
BACKGROUND: During their clerkships, medical students are meant to expand their clinical reasoning skills during their patient encounters. Observation of these encounters could reveal important information on the students' clinical reasoning abilities, especially during history taking. METHODS: A grounded theory approach was used to analyze what expert physicians apply as indicators in their assessment of medical students' diagnostic reasoning abilities during history taking...
August 29, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28845738/numerical-versus-narrative-a-comparison-between-methods-to-measure-medical-student-performance-during-clinical-clerkships
#12
Josef Bartels, Christopher John Mooney, Robert Thompson Stone
BACKGROUND: Medical school evaluations typically rely on both language-based narrative descriptions and psychometrically converted numeric scores to convey performance to the grading committee. We evaluated inter-rater reliability and correlation of numeric versus narrative evaluations for students on their Neurology Clerkship. DESIGN/METHODS: 50 Neurology Clerkship in-training evaluation reports completed by their residents and faculty members at the University of Rochester School of Medicine were dissected into narrative and numeric components...
August 28, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28840454/clinical-reasoning-education-at-us-medical-schools-results-from-a-national-survey-of-internal-medicine-clerkship-directors
#13
Joseph Rencic, Robert L Trowbridge, Mark Fagan, Karen Szauter, Steven Durning
BACKGROUND: Recent reports, including the Institute of Medicine's Improving Diagnosis in Health Care, highlight the pervasiveness and underappreciated harm of diagnostic error, and recommend enhancing health care professional education in diagnostic reasoning. However, little is known about clinical reasoning curricula at US medical schools. OBJECTIVE: To describe clinical reasoning curricula at US medical schools and to determine the attitudes of internal medicine clerkship directors toward teaching of clinical reasoning...
August 24, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28830418/medical-students-preparedness-for-professional-activities-in-early-clerkships
#14
Josefin Bosch, Asja Maaz, Tanja Hitzblech, Ylva Holzhausen, Harm Peters
BACKGROUND: Sufficient preparedness is important for transitions to workplace participation and learning in clinical settings. This study aims to analyse medical students' preparedness for early clerkships using a three-dimensional, socio-cognitive, theory-based model of preparedness anchored in specific professional activities and their supervision level. METHODS: Medical students from a competency-based undergraduate curriculum were surveyed about preparedness for 21 professional activities and level of perceived supervision during their early clerkships via an online questionnaire...
August 22, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28817239/novel-dissection-of-the-central-nervous-system-to-bridge-gross-anatomy-and-neuroscience-for-an-integrated-medical-curriculum
#15
Rebecca J Hlavac, Rachel Klaus, Kourtney Betts, Shilo M Smith, Maureen E Stabio
Medical schools in the United States continue to undergo curricular change, reorganization, and reformation as more schools transition to an integrated curriculum. Anatomy educators must find novel approaches to teach in a way that will bridge multiple disciplines. The cadaveric extraction of the central nervous system (CNS) provides an opportunity to bridge gross anatomy, neuroanatomy, and clinical neurology. In this dissection, the brain, brainstem, spinal cord, cauda equina, optic nerve/tract, and eyes are removed in one piece so that the entire CNS and its gateway to the periphery through the spinal roots can be appreciated...
August 17, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28802569/gender-and-subspecialty-of-urology-faculty-in-department-based-leadership-roles
#16
Julia Han, Stephanie Stillings, Harold Hamann, Russell Terry, Louis Moy
OBJECTIVE: To characterize the current gender and subspecialty of those holding academic departmental administrative and educational leadership roles in urology. METHODS: We conducted a cross-sectional observational study of U.S. Urology Residency Programs in 2016-2017. Inclusion criteria were participation in the Urology Residency Match Program and having a department of urology website. From June 1, 2016 to August 20, 2016, each department's website was queried...
August 9, 2017: Urology
https://www.readbyqxmd.com/read/28782081/student-perspectives-on-oncology-curricula-at-united-states-medical-schools
#17
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/28776146/a-focused-addiction-curriculum-and-its-impact-on-student-knowledge-attitudes-and-confidence-in-the-treatment-of-patients-with-substance-use
#18
Robert J Feeley, David T Moore, Kirsten Wilkins, Brian Fuehrlein
BACKGROUND: Assessment of attitudes towards addiction in medical students has largely gone unexplored. This study examines the impact of a supplemental substance use disorder curriculum in the psychiatry clerkship on medical student attitudes towards addiction. METHODS: The curriculum was only administered to students at one clerkship site. Subsequently, medical students were surveyed across all sites regarding their attitudes towards addiction. RESULTS: The survey response rate was 37...
August 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28776145/factors-associated-with-grade-appeals-a-survey-of-psychiatry-clerkship-directors
#19
Lia A Thomas, Nathaniel Milburn, Abigail Kay, Erica Hatch
PURPOSE: In an effort to provide medical students with opportunities for accurate grading, some psychiatry clerkship directors allow for grade appeals. The authors examined the appeals process from the clerkship directors' perspective. METHODS: A 23-item survey, consisting of multiple choice and narrative questions, was sent to allopathic and osteopathic accredited schools in North America. Questions included information about the medical school, the clerkship director, and the grade appeal processes...
August 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28774522/integrating-retinal-simulation-with-a-peer-assessed-group-osce-format-to-teach-direct-ophthalmoscopy
#20
Imran H Yusuf, Edward Ridyard, Timothy H M Fung, Zuzana Sipkova, Chetan K Patel
OBJECTIVE: To describe the conception and evaluation of a novel educational intervention to teach direct ophthalmoscopy with retinal simulators using a peer-assessed group objective structured clinical examination (OSCE) format. DESIGN: Prospective, single-centre educational trial at Oxford University Medical School, Oxford, U.K. PARTICIPANTS: A total of 160 consecutive undergraduate fifth-year medical students participated in the study. METHODS: Students identified prior experience, teaching, examination, and feedback relevant to direct ophthalmoscopy...
August 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
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