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https://www.readbyqxmd.com/read/28549459/-a-steep-learning-curve-junior-doctor-perspectives-on-the-transition-from-medical-student-to-the-health-care-workplace
#1
Nancy Sturman, Zachary Tan, Jane Turner
BACKGROUND: The transition from medical student to hospital-based first year junior doctor (termed "intern" in Australia) is known to be challenging, and recent changes in clinical learning environments may reduce graduate preparedness for the intern workplace. Although manageable challenges and transitions are a stimulus to learning, levels of burnout in junior medical colleagues are concerning. In order to prepare and support medical graduates, educators need to understand contemporary junior doctor perspectives on this transition...
May 26, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28549405/twelve-tips-for-the-implementation-of-epas-for-assessment-and-entrustment-decisions
#2
Harm Peters, Ylva Holzhausen, Christy Boscardin, Olle Ten Cate, H Carrie Chen
The concept of entrustable professional activities (EPAs) reframes the approach to assessment in competency-based medical education. Key to this concept is the linking of assessment to decision making about entrusting learners with clinical responsibilities. Based on recent literature and the authors' experiences with implementing EPAs, this article provides practical recommendations for how to implement EPAs for assessment and entrustment decisions in the workplace. Tips for supervising clinicians include talking to learners about trust, using EPA descriptions to guide learning and teaching, providing learners with greater ad hoc responsibilities, using EPAs to identify/create opportunities for assessment and feedback, including case-based discussions and acknowledging gut feelings about learner readiness for more autonomy...
May 26, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28521573/students-motivation-toward-feedback-seeking-in-the-clinical-workplace
#3
Lubberta H de Jong, Robert P Favier, Cees P M van der Vleuten, Harold G J Bok
In medical education, students are increasingly regarded as active seekers of feedback rather than passive recipients. Previous research showed that in the intentions of students to seek feedback, a learning and performance goal can be distinguished. In this study, we investigated the intentions (defined as level and orientation of motivation) of different performing students (low, average, and high performing students) to seek feedback in the clinical workplace using Self-Determination Theory. We conducted a quantitative study with students in their clinical clerkships and grouped them based on their performance...
May 19, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28493429/trust-and-risk-a-model-for-medical-education
#4
Arvin Damodaran, Boaz Shulruf, Philip Jones
CONTEXT: Health care delivery, and therefore medical education, is an inherently risky business. Although control mechanisms, such as external audit and accreditation, are designed to manage risk in clinical settings, another approach is 'trust'. The use of entrustable professional activities (EPAs) represents a deliberate way in which this is operationalised as a workplace-based assessment. Once engaged with the concept, clinical teachers and medical educators may have further questions about trust...
May 10, 2017: Medical Education
https://www.readbyqxmd.com/read/28485074/integrated-and-implicit-how-residents-learn-canmeds-roles-by-participating-in-practice
#5
Nienke Renting, A N Janet Raat, Tim Dornan, Etienne Wenger-Trayner, Martha A van der Wal, Jan C C Borleffs, Rijk O B Gans, A Debbie C Jaarsma
CONTEXT: Learning outcomes for residency training are defined in competency frameworks such as the CanMEDS framework, which ultimately aim to better prepare residents for their future tasks. Although residents' training relies heavily on learning through participation in the workplace under the supervision of a specialist, it remains unclear how the CanMEDS framework informs practice-based learning and daily interactions between residents and supervisors. OBJECTIVES: This study aimed to explore how the CanMEDS framework informs residents' practice-based training and interactions with supervisors...
May 9, 2017: Medical Education
https://www.readbyqxmd.com/read/28449594/admiral-nurses-delivering-workplace-clinics-for-family-carers-innovative-practice
#6
Ian Weatherhead, Linda Eades, Karen Harrison Dening, Wendy Weidner
Dementia UK and The Charity for Civil Servants teamed up to test the acceptability and feasibility of delivering a work-based Admiral Nurse clinic to support family carers during their employed working hours. This paper presents some of the learning from this innovative approach.
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28432039/simulation-training-evaluating-the-instructor-s-contribution-to-a-wizard-of-oz-simulator-in-obstetrics-and-gynecology-ultrasound-training
#7
Aric Katz, Ronnie Tepper, Avraham Shtub
BACKGROUND: Workplaces today demand graduates who are prepared with field-specific knowledge, advanced social skills, problem-solving skills, and integration capabilities. Meeting these goals with didactic learning (DL) is becoming increasingly difficult. Enhanced training methods that would better prepare tomorrow's graduates must be more engaging and game-like, such as feedback based e-learning or simulation-based training, while saving time. Empirical evidence regarding the effectiveness of advanced learning methods is lacking...
April 21, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28402414/inter-sectoral-transfer-of-the-food-for-life-settings-framework-in-england
#8
Selena Gray, Matthew Jones, Robin Means, Judy Orme, Hannah Pitt, Debra Salmon
Organisational settings such as schools, workplaces and hospitals are well recognised as key environments for health promotion. Whilst there is extensive literature on specific types of settings, little empirical research has investigated the transfer of frameworks between sectors. This study analyses Food for Life, an England-wide healthy and sustainable food programme that evolved in schools and is being adapted for children's centres, universities, care homes, and hospital settings. Following a case study design, we interviewed 85 stakeholders in nine settings...
April 11, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28401695/case-based-discussion-perceptions-of-feedback
#9
Aruchuna Mohanaruban, Lucy Flanders, Huw Rees
BACKGROUND: Over recent years there has been a trend towards developing high-quality assessments to assess a doctor's performance in the workplace. Case-based discussion (CbD) is a form of workplace-based assessment that has the potential to provide feedback to trainees on their performance or management of a specific case. The aim of this study was to explore how CbDs are perceived and implemented in practice amongst a UK cohort of medical trainees. METHODS: This study involved 78 medical trainees at a UK hospital completing a questionnaire rating their last CbD experience, including the duration spent receiving feedback, whether it was pre-planned or ad hoc and how they responded to the feedback received...
April 12, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28397160/implementation-of-a-tobacco-free-workplace-program-at-a-local-mental-health-authority
#10
Virmarie Correa-Fernández, William T Wilson, Deborah A Shedrick, Bryce Kyburz, Hannah L Samaha, Timothy Stacey, Teresa Williams, Cho Y Lam, Lorraine R Reitzel
Tobacco-free workplace policies that incorporate evidence-based practices can increase the reach and effectiveness of tobacco dependence treatment among underserved populations but may be underutilized due to limited knowledge about implementation processes. This paper describes the implementation of a comprehensive tobacco-free workplace program at a behavioral healthcare community center in Texas. The center participated in a tobacco-free workplace program implementation project that provided guidance and resources and allowed center autonomy in implementation...
April 10, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28377368/managing-depressive-symptoms-in-the-workplace-using-a-web-based-self-care-tool-a-pilot-randomized-controlled-trial
#11
Abigail Hirsch, Jason Luellen, Jared M Holder, Gregory Steinberg, Teresa Dubiel, Anna Blazejowskyj, Krista Schladweiler
BACKGROUND: Depression in the workplace creates a significant burden on employees and employers in terms of lost productivity and related costs. myStrength provides a robust, holistic Web- and mobile-based solution empowering users to learn, practice, and implement a range of evidence-based psychological interventions. OBJECTIVE: The main aim of this study was to demonstrate improvement in depressive symptoms among employees at risk of depression through myStrength use...
April 4, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28370354/how-evidence-from-observing-attending-physicians-links-to-a-competency-based-framework
#12
Maria Bacchus, David R Ward, Jill de Grood, Jane B Lemaire
CONTEXT: Competency-based medical education frameworks are often founded on a combination of existing research, educational principles and expert consensus. Our objective was to examine how components of the attending physician role, as determined by observing preceptors during their real-world work, link to the CanMEDS Physician Competency Framework. METHODS: This is a sub-study of a broader study exploring the role of the attending physician by observing these doctors during their working day...
June 2017: Medical Education
https://www.readbyqxmd.com/read/28365234/chart-stimulated-recall-as-a-learning-tool-for-improving-radiology-residents-reports
#13
Naila Nadeem, Abdul Mueed Zafar, Sonia Haider, Rukhsana W Zuberi, Muhammad Nadeem Ahmad, Vijayanadh Ojili
RATIONALE AND OBJECTIVES: Workplace-based assessments gauge the highest tier of clinical competence. Chart-stimulated recall (CSR) is a workplace-based assessment method that complements chart audit with an interview based on the residents' notes. It allows evaluation of the residents' knowledge and heuristics while providing opportunities for feedback and self-reflection. We evaluated the utility of CSR for improving the radiology residents' reporting skills. MATERIALS AND METHODS: Residents in each year of training were randomly assigned to an intervention group (n = 12) or a control group (n = 13)...
March 29, 2017: Academic Radiology
https://www.readbyqxmd.com/read/28341723/supervisor-descriptions-of-veterinary-student-performance-in-the-clinical-workplace-a-qualitative-interview-study
#14
E J Norman
This qualitative study investigated the qualities of veterinary student performance that inform a supervisor's impression of their competency. Semi-structured interviews were conducted with a purposive sample of 15 supervisors from different veterinary subdisciplines, to elicit descriptions of excellent, weak and marginal students. Thematic analysis of transcriptions revealed 12 themes, of which engagement was frequently discussed and of stated importance, and trustworthiness was a differentiator of weak and marginal students from excellent students...
March 24, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28341687/perspectives-on-procedure-based-assessments-a-thematic-analysis-of-semistructured-interviews-with-10-uk-surgical-trainees
#15
Joseph Shalhoub, Dominic C Marshall, Kate Ippolito
OBJECTIVES: The introduction of competency-based training has necessitated development and implementation of accompanying mechanisms for assessment. Procedure-based assessments (PBAs) are an example of workplace-based assessments that are used to examine focal competencies in the workplace. The primary objective was to understand surgical trainees' perspective on the value of PBA. DESIGN: Semistructured interviews with 10 surgical trainees individually interviewed to explore their views...
March 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28321132/the-outcomes-of-health-promoting-communities-being-active-eating-well-initiative-a-community-based-obesity-prevention-intervention-in-victoria-australia
#16
K A Bolton, P Kremer, L Gibbs, E Waters, B Swinburn, A de Silva
OBJECTIVE: To evaluate the impact of the Health Promoting Communities: Being Active Eating Well (HPC:BAEW, 2007-2010) initiative which comprised of community-based multi-component interventions adapted to community context in five separate communities. The intervention aimed to promote healthy eating, physical activity and stronger, healthier communities. METHODS: A mixed method and multi-level quasi-experimental evaluation of the HPC:BAEW initiative captured process, impact and outcome data...
March 21, 2017: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28319476/anesthesia-in-patients-with-infectious-disease-caused-by-multi-drug-resistant-bacteria
#17
Sharon Einav, Yonit Wiener-Well
PURPOSE OF REVIEW: Up to 50% of specific bacterial strains in healthcare admission facilities are multi-drug resistant organisms (MDROs). Involvement of anesthesiologists in management of patients carrying/at risk of carrying MDROs may decrease transmission in the Operating Room (OR). RECENT FINDINGS: Anesthesiologists, their work area and tools have all been implicated in MDRO outbreaks. Causes include contamination of external ventilation circuits and noncontribution of filters to prevention, inappropriate decontamination procedures for nondisposable equipment (e...
June 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28293900/enhancing-the-connection-between-the-classroom-and-the-clinical-workplace-a%C3%A2-systematic-review
#18
REVIEW
Sanne Peters, Geraldine Clarebout, Agnes Diemers, Nicolas Delvaux, An Verburgh, Bert Aertgeerts, Ann Roex
INTRODUCTION: Although medical students are increasingly exposed to clinical experiences as part of their training, these often occur parallel with, rather than connected to, their classroom-based learning experiences. Additionally, students seem to struggle with spontaneously making the connection between these spheres of their training themselves. Therefore, this systematic review synthesized the existing evidence about educational interventions that aim to enhance the connection between learning in the classroom and its application in the workplace...
March 14, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28288618/discrepancies-between-perceptions-of-students-and-deans-regarding-the-consequences-of-restricting-students-use-of-electronic-medical-records-on-quality-of-medical-education
#19
Ivan Solarte, Karen D Könings
BACKGROUND: Electronic medical records (EMR) are more used in university hospitals, but the use of EMR by medical students at the workplace is still a challenge, because the conflict of interest between medical accountability for hospitals and quality of medical education programs for students. Therefore, this study investigates the use of EMR from the perspective of medical school deans and students, and determines their perceptions and concerns about consequences of restricted use of EMR by students on quality of education and patient care...
March 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28287020/exploring-informal-workplace-learning-in-primary-healthcare-for-continuous-professional-development
#20
Viktoria Joynes, Micky Kerr, Tamsin Treasure-Jones
BACKGROUND AND OBJECTIVES: All health and social care professionals learn on the job through both formal and informal learning processes, which contributes to continuous professional development (CPD). This study explored workplace learning in General Practices, specifically looking at the role of informal learning and the workplace practices that appear to support or restrict that learning, as well as how technology was integrated into these learning processes. METHODS: Three focus groups with general practitioners, practice nurses, managerial and administrative staff were conducted followed by twelve individual semi-structured interviews with participants drawn from the focus groups...
March 12, 2017: Education for Primary Care
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