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Competency-based medical education

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https://www.readbyqxmd.com/read/29351727/report-of-a-review-of-the-induction-and-refresher-scheme-placement-report-tools
#1
Martyn Hewett
GPs undertaking the Induction and Refresher (I&R) Scheme in England spend a period of between 4 weeks and 6 months in placements in a General Practice setting. During this time they have to complete a number of workplace-based assessments, and their Educational Supervisor is required to complete a report which confirms that they have demonstrated an adequate level of competence to enable them to be accepted by NHS England onto the National Medical Performers List without conditions. This report describes a process (using an online survey completed by Educational Supervisors) of reviewing and improving the end-of-placement report forms to make them clearer and easier to use...
January 19, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29346698/procedural-knowledge-and-skills-of-residents-entering-canadian-family-medicine-programs-in-alberta
#2
Juan Antonio Garcia-Rodriguez, James A Dickinson, Grace Perez, David Ross, Lilian Au, Shelley Ross, Oksana Babenko, Ian Johnston
BACKGROUND AND OBJECTIVES: Incoming family medicine (FM) residents start residency with different levels of procedural training. Understanding their baseline skill level is necessary to plan the educational experiences and teaching methods that will provide the desired knowledge, skills, and attitudes related to performing medical procedures. METHODS: A survey of 69 procedures based on the core list issued by the College of Family Physicians of Canada was administered to incoming residents in Alberta (Calgary and Edmonton FM programs)...
January 2018: Family Medicine
https://www.readbyqxmd.com/read/29344523/clinical-skills-temporal-degradation-assessment-in-undergraduate-medical-education
#3
Joseph Fisher, Rebecca Viscusi, Adam Ratesic, Cameron Johnstone, Ross Kelley, Angela M Tegethoff, Jessica Bates, Elaine H Situ-Lacasse, William J Adamas-Rappaport, Richard Amini
Introduction: Medical students' ability to learn clinical procedures and competently apply these skills is an essential component of medical education. Complex skills with limited opportunity for practice have been shown to degrade without continued refresher training. To our knowledge there is no evidence that objectively evaluates temporal degradation of clinical skills in undergraduate medical education. The purpose of this study was to evaluate temporal retention of clinical skills among third year medical students...
January 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29344043/assessment-of-the-midwifery-students-clinical-competency-before-internship-program-in-the-field-based-on-the-objective-structured-clinical-examination
#4
Narges Malakooti, Parvin Bahadoran, Soheyla Ehsanpoor
Background: One of the important goals of clinical education is to promote the level of students' clinical skills. About 50% of the midwifery education is focused on clinical education, which has a great importance in shaping the professional skills of the students. The aim of this study was to determine the ability of students in some practical skills, before internship program in the field, using objective structured clinical examination (OSCE). Materials and Methods: This research was a descriptive cross-sectional study with a single-stage, multivariate prospective design...
January 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29343469/entrustable-professional-activities-a-useful-concept-for-neurology-education
#5
Holli Horak, Robert Englander, Diana Barratt, Jeff Kraakevik, Madhu Soni, Ezgi Tiryaki
Medical education is currently undergoing a paradigm shift from process-based to competency-based education, focused on measuring the desired competence of a physician. In an attempt to improve the assessment framework used for medical education, the concept of entrustable professional activities (EPAs) has gained traction. EPAs are defined as professional activities that can be entrusted to an individual in a clinical context. The Association of American Medical Colleges (AAMC) defined a set of 13 such EPAs to define the core of what all students should be able to do on day 1 of residency, regardless of specialty choice...
January 17, 2018: Neurology
https://www.readbyqxmd.com/read/29338572/implementation-of-additional-prescribing-authorization-among-oncology-pharmacists-in-alberta
#6
Bianca Au, Deonne Dersch-Mills, Sunita Ghosh, Jennifer Jupp, Carole Chambers, Frances Cusano, Melanie Danilak
Purpose To describe the practice settings and prescribing practices of oncology pharmacists with additional prescribing authorization. Methods A descriptive, cross-sectional survey of all oncology pharmacists in Alberta was conducted using a web-based questionnaire over four weeks between March and April 2016. Pharmacists were identified from the Cancer Services Pharmacy Directory and leadership staff in Alberta Health Services. Descriptive statistics were used to describe the practice setting, prescribing practices, motivators to apply for additional prescribing authorization, and the facilitators and barriers of prescribing...
January 1, 2018: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/29336327/current-status-of-urological-training-in-europe
#7
Diego M Carrion, Juan Gómez Rivas, Francesco Esperto, Giulio Patruno, Juan L Vasquez
Modern urological training has changed drastically in the past years, due to the global surgical training trends, advances in technology, subspecialization of the field and, working hour regulations for doctors. The lack of a standardized curriculum across Europe, puts in evidence the great difference in the requirements in every country, from the start of the residency, to obtaining the accreditation. We sought to identify problems related to medical, scientific and surgical activity during urological training, and summarize data obtained from surveys realized during the European Urology Residents Education Programme (EUREP) in 2013, and from countries such as Germany, Italy and Spain...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29327632/defining-the-target-competency-based-medical-education-for-better-patient-care
#8
Justin N Hall, Taryn Lloyd
No abstract text is available yet for this article.
January 12, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29320788/-competence-based-training-in-the-protected-environment-from-sheltered-space-to-real-life
#9
Christina Quandt, Lars Friedrich
The idea of "learning in a protected environment" is frequently used within the framework of postgradual education in anaesthesiology. However it remains unclear and its exact meaning lies in the eye of the beholder. This paper aims to highlight the definition of the term "protected environment" and its relevance in anaesthesiology. This includes teaching and learning strategies like competence based training and simulation based training in all its variations. We conclude with an attempt to classify the wide variety of Simulators and teaching methods in use including their individual problems transferred into real life situations...
January 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29319610/the-effectiveness-of-online-pain-resources-for-health-professionals-a-systematic-review-with-subset-meta-analysis-of-educational-intervention-studies
#10
Christina Liossi DPsych, Alessandro Failo PhD, Daniel E Schoth PhD, Glyn Williams Md, Richard Howard Md
Online educational interventions are increasingly developed for health professionals and students, although graduate and undergraduate medical curricular often contain limited information about how to assess and manage pain. This study reviews the literature on the effectiveness of pain-related online educational resources. Studies were identified via a search of Medline, PsychINFO, Web of Science, CINAHL, PubMed, Scopus, Cochrane Library, Google Scholar and OpenGrey databases. Search terms included three concept blocks: (i) type of intervention - online education, computer-based, e-learning, web-based, and internet-based; (ii) population - pediatrician, physician, nurse, psychologist, medical; (iii) outcome - pain*...
January 9, 2018: Pain
https://www.readbyqxmd.com/read/29319476/canmeds-scholars-a-national-survey-on-urology-residents-attitudes-towards-research-during-training
#11
Ogi Solaja, Thomas A A Skinner, Thomas B Mcgregor, D Robert Siemens
INTRODUCTION: Participation in scholarly activity is an important tenet of residency training and is firmly entrenched in Canada since the introduction of CANMEDS roles by the Royal College of Physicians and Surgeons. As Canadian residency programs transition to competency-based training, it will remain important to understand how to best implement and encourage scholarly pursuits among resident trainees. The objective of this study was to understand the experiences, attitudes, and barriers that surgical residents face when pursuing research during their training...
December 22, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29306578/utility-of-a-standardized-fourth-year-medical-student-surgical-preparatory-curriculum-program-director-perceptions
#12
Melissa K Stewart, Rebecca C Henry, Jesse M Ehrenfeld, Kyla P Terhune
OBJECTIVE: Each July, surgical interns arrive to residency with variable skills, knowledge, and clinical experience. To standardize and improve intern preparation, the American College of Surgeons (ACS), Association of Program Directors in Surgery, and Association for Surgical Education developed a pilot Resident Prep Curriculum (RPC). To date, no studies have analyzed these efforts. We aimed to discern program director (PD) perceptions of RPC participants as an initial means of analysis...
January 3, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29303135/specialty-choices-patterns-and-determinants-among-medical-undergraduates-in-enugu-southeast-nigeria
#13
Noc Onyemaechi, A I Bisi-Onyemaechi, N I Omoke, O I Odetunde, I C Okwesili, B O Okwara
BACKGROUND: Specialty choices of medical undergraduates are important in planning educational programs and human resources for health-care delivery. The aim of this study was to investigate the specialty preferences of medical undergraduates and determine the factors that influenced their specialty choices. METHODS: This was a cross-sectional questionnaire-based survey carried out among final year medical undergraduates of University of Nigeria Enugu Campus, Enugu Nigeria...
November 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29298267/prior-generic-arthroscopic-volume-correlates-with-hip-arthroscopic-proficiency-a-simulator-study
#14
Gurhan Erturan, Abtin Alvand, Andrew Judge, Thomas C B Pollard, Sion Glyn-Jones, Jonathan L Rees
BACKGROUND: Changing trends in surgical education and patient expectation are leading to proficiency models of progression and the use of simulators. Hip arthroscopy is increasingly performed and has a steep learning curve mainly addressed during fellowship training. The aim of this study was to assess the impact of previous generic arthroscopic experience on performance at a simulated hip arthroscopy task to both estimate the minimum case numbers that correlate with expert proficiency levels and help to guide selection for hip arthroscopy fellowships...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29298154/toward-competency-based-medical-education
#15
Deborah E Powell, Carol Carraccio
No abstract text is available yet for this article.
January 4, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29283950/evaluating-resident-perspectives-on-international-humanitarian-missions
#16
Matthew D Chetta, Afaaf Shakir, Laurence S Paek, Gordon K Lee
BACKGROUND: Opportunities for international missions are highly sought after by medical students, residents, and attending plastic surgeons. The educational benefits and ethical considerations of trainees participating in these ventures have been extensively debated. At the time of this writing, many surgical training programs lack the necessary infrastructure or funds to support missions of this sort. Despite the increasing interest, the perceived benefit of international work has not yet been well studied...
December 27, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29283871/resources-for-educating-training-and-mentoring-all-physicians-providing-palliative-care
#17
James Downar
This article presents a rapid review of the published literature and available resources for educating Canadian physicians to provide palliative and end-of-life care. Several key messages emerge from the review. First, there are many palliative care educational resources already available for Canadian physicians. Second, the many palliative care education resources are often not used in physician training. Third, we know that some palliative care educational interventions are inexpensive and scalable, while others are costly and time-consuming; we know very little about which palliative care educational interventions impact physician behavior and patient care...
January 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29283674/patient-narratives-as-a-teaching-tool-a-pilot-study-of-first-year-medical-students-and-patient-educators-affected-by-intellectual-developmental-disabilities
#18
Alon Coret, Kerry Boyd, Kevin Hobbs, Joyce Zazulak, Meghan McConnell
PROBLEM: People with intellectual and developmental disabilities (IDD) face complex biopsychosocial challenges and are medically underserved. This is in part due to insufficient resources and supports but can also be attributed to a lack of adequate physician training in addressing the unique needs of this population. INTERVENTION: This study aimed to introduce 1st-year medical students to the IDD population using a blended educational experience that included video narratives of and direct interactions with people affected by IDD...
December 28, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29278620/95th-anniversary-of-pathophysiology-in-croatia
#19
Zdenko Kovač
University level of Pathophysiology research and teaching in Croatia had started with the third year of Medical School of Zagreb in academic year 1919./20. Ever since, despite historical changes of the main university stake holder, the state of Croatia, Department of Pathophysiology development progressed and has made visible academic achievements, with a broader effect in medical community. The first 95 years of academic tradition and major achievements are shortly described in this paper. Professor Miroslav Mikuličić envisioned Pathophysiology in close relations with Pharmacology and made the pioneering steps of establishing the "double" department at Šalata...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29261540/looking-back-to-move-forward-first-year-medical-students-meta-reflections-on-their-narrative-portfolio-writings
#20
Hetty Cunningham, Delphine Taylor, Urmi A Desai, Samuel C Quiah, Benjamin Kaplan, Lorraine Fei, Marina Catallozzi, Boyd Richards, Dorene F Balmer, Rita Charon
The day-to-day rigors of medical education often preclude learners from gaining a longitudinal perspective on who they are becoming. Furthermore, the current focus on competencies, coupled with concerning rates of trainee burnout and a decline in empathy, have fueled the search for pedagogic tools to foster students' reflective capacity. In response, many scholars have looked to the tradition of narrative medicine to foster "reflective spaces" wherein holistic professional identity construction can be supported...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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