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https://www.readbyqxmd.com/read/29324048/peer-observation-of-rounds-leads-to-collegial-discussion-of-teaching
#1
J Rush Pierce, Patrick Rendón, Deepti Rao
PROBLEM: Faculty in the Division of Hospital Medicine provide most of the clinical teaching for learners at our institution. The majority of these faculty are Assistant Professors with limited formal instruction in clinical teaching. Previous Divisional strategies to improve clinical teaching ability included discussion of effective teaching behaviors, developing written expectations for teaching faculty, and instituting seminars on effective clinical teaching. Heretofore, the Division had not utilized a direct observation exercise...
January 11, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29318736/junior-doctor-teaching-delivered-by-near-peers
#2
Oluwaseun Anyiam, Victoria Ware, Maria McKenna, John Hanley
BACKGROUND: Near-peer teaching - trainees teaching more junior trainee colleagues - has been widely described in undergraduate medical education. Several benefits have been reported, including a more comfortable learning environment for learners and the development of tutors' teaching skills. Near-peer teaching programmes in postgraduate training are less commonly described in the existing literature, however. This article outlines a pilot study of a postgraduate near-peer teaching programme implemented at the Royal Victoria Infirmary, Newcastle, UK...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29302091/engaging-pharmacy-students-in-research-through-near-peer-training
#3
Benjamin J Lee, Nathaniel J Rhodes, Marc H Scheetz, Milena M McLaughlin
Objective. To describe the implementation of a near-peer training model within a student research program. Methods. A near-peer training model was implemented in a pharmacy student research program to promote development of effective teaching skills and research competencies. Under the supervision of a research mentor, senior learners precepted junior learners in various aspects of translational research. A three-step teaching process was employed throughout the experience in which junior learners performed an assigned task, senior learners provided guidance and mentorship, and research mentors provided feedback for improvement...
November 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29291178/a-competency-based-simulation-curriculum-for-surgical-resident-trauma-resuscitation-skills
#4
Matthew L Moorman, Tony R Capizzani, Michelle A Feliciano, Judith C French
Background: Evidence-based curricula for nonprocedural simulation training in general surgery are lacking. Residency programs are required to implement simulation training despite this shortcoming. The goal of this project was the development of a simulation curriculum that measurably improves milestone performance and replaces traditional experienced-based training with a competency-based model. Materials and Methods: SimMan 3G® (Laerdal Medical, Wappingers Falls, NY, USA) was utilized for simulation...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29282128/improving-learning-and-confidence-through-small-group-structured-otoscopy-teaching-a-prospective-interventional-study
#5
Peng You, Saad Chahine, Murad Husein
BACKGROUND: Otologic diseases are common and associated with significant health care costs. While accurate diagnosis relies on physical exam, existing studies have highlighted a lack of comfort among trainees with regards to otoscopy. As such, dedicated otoscopy teaching time was incorporated into the undergraduate medical curriculum in the form of a small group teaching session. In this study, we aimed to examine the effect of a small-group, structured teaching session on medical students' confidence with and learning of otoscopic examination...
December 28, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29246366/quality-of-operative-performance-feedback-given-to-thoracic-surgery-residents-using-an-app-based-system
#6
Azad S Karim, Joel M Sternbach, Edward M Bender, Joseph B Zwischenberger, Shari L Meyerson
OBJECTIVE: Residents frequently report inadequate feedback both in quantity and quality. The study evaluates the quality of faculty feedback about operative performance given using an app-based system. DESIGN: Residents requested operative performance evaluation from faculty on a real-time basis using the "Zwisch Me!!" mobile application which allows faculty to provide brief written feedback. Qualitative analysis of feedback was performed using grounded theory. SETTING: The 7 academic medical centers with thoracic surgery training programs...
November 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29240456/trainees-perceptions-of-feedback-validity-evidence-for-two-feedme-feedback-in-medical-education-instruments
#7
Robert Bing-You, Saradha Ramesh, Victoria Hayes, Kalli Varaklis, Denham Ward, Maria Blanco
Construct: Medical educators consider feedback a core component of the educational process. Effective feedback allows learners to acquire new skills, knowledge, and attitudes. Learners' perceptions of feedback are an important aspect to assess with valid methods in order to improve the feedback skills of educators and the feedback culture. BACKGROUND: Although guidelines for delivering effective feedback have existed for several decades, medical students and residents often indicate that they receive little feedback...
December 14, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29228830/twelve-tips-on-how-to-provide-self-regulated-learning-srl-enhanced-feedback-on-clinical-performance
#8
Heather Leggett, John Sandars, Trudie Roberts
The provision of self-regulated learning (SRL) enhanced feedback on performing clinical skills and making a clinical diagnosis recognizes the importance of feedback on the use of key SRL processes. In contrast to the broader concept of self-directed learning, SRL has a specific focus on the individual learner's approach to achieve a task, including their planning, self-monitoring, and future adaptations. The key SRL processes can be identified using structured microanalysis during the clinical task and feedback to the learner using the tips outlined in this article...
December 11, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29226226/work-based-assessment-and-co-production-in-postgraduate-medical-training
#9
Eric S Holmboe
Assessment has always been an essential component of postgraduate medical education and for many years focused predominantly on various types of examinations. While examinations of medical knowledge and more recently of clinical skills with standardized patients can assess learner capability in controlled settings and provide a level of assurance for the public, persistent and growing concerns regarding quality of care and patient safety worldwide has raised the importance and need for better work-based assessments...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29226225/the-use-of-a-portfolio-in-postgraduate-medical-education-reflect-assess-and-account-one-for-each-or-all-in-one
#10
Sylvia Heeneman, Erik W Driessen
Competency-based education has become central to the training and assessment of post-graduate medical trainees or residents [1]. In competency-based education, there is a strong focus on outcomes and professional performance. Typically, holistic tasks are used to train, practice and assess the defined outcomes or competencies. In residency training, these tasks are part of the day-to-day clinical practice. The performance of residents in the workplace needs to be captured and stored. A portfolio has been used as an instrument for storage and collection of workplace-based assessment and feedback in various countries, like the Netherlands and the United States...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29209251/social-cognition-and-executive-functions-as-key-factors-for-effective-pedagogy-in-higher-education
#11
Rut Correia, Gorka Navarrete
Higher education (HE) faces the challenge of responding to an increasing diversity. In this context, more attention is being paid to teachers and teaching skills positively related to students learning. Beyond the knowledges identified as key components of an effective teacher, teachers also need to be capable of unraveling what their students think and believe, and how they accommodate the new information. More importantly, teachers need to be able to adapt their own teaching to their audience's needs. In learners, social cognition (SC) has been related to a better receptivity to the different teacher-student interactions...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29208032/junior-rounds-an-educational-initiative-to-improve-role-transitions-for-junior-residents
#12
Richard Dunbar-Yaffe, Wayne L Gold, Peter E Wu
OBJECTIVE: At our institution, Morning Report focuses mostly on diagnostic reasoning. This makes it a challenge for first-year residents to learn to manage common on-call emergencies, such as hyperkalemia. We sought to improve their preparedness for the transitions they would encounter: from medical student to physician at the beginning of the academic year, and from junior resident to senior resident toward the end. In response to feedback, we developed the Junior Rounds curriculum: a weekly session focused on the approach to commonly encountered on-call emergencies and internal medicine referrals...
December 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29174856/the-child-neurology-trainee-as-teacher-a-clinical-teaching-curriculum-tailored-to-learners-needs-and-developmental-roles
#13
Miya E Bernson-Leung, David K Urion
BACKGROUND: Clinical teaching skills programs for resident physicians are increasingly offered. Less attention has been devoted to the unique educational roles of specialty residents and subspecialty fellows, many of whom will become academic faculty physicians. These teaching roles, and therefore a trainee's learning needs and motivation, also change over the course of training. METHODS: We designed and implemented a two-year longitudinal teaching curriculum for child neurology and neurodevelopmental disabilities residents using adult learning theory principles: experiential learning and immediate applicability to specific roles...
September 21, 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/29174008/-the-use-of-the-debriefing-assessment-for-simulation-in-healthcare-dash-in-a-simulation-based-team-learning-program-for-newborn-resuscitation-in-the-delivery-room
#14
C Durand, T Secheresse, M Leconte
OBJECTIVE: To evaluate the contribution of the Debriefing Assessment for Simulation in Healthcare (DASH, Centre for Medical Simulation, Harvard) in a high-fidelity simulation in situ program used for newborn resuscitation training. METHODS: The DASH was scored by trainees and instructors at the end of the session. The instructors' feedback and opinions were collected. RESULTS: The study included 16 training sessions (ten maternity units) with 156 trainees and ten instructors (45 DASH)...
November 21, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29163113/changes-of-attention-during-value-based-reversal-learning-are-tracked-by-n2pc-and-feedback-related-negativity
#15
Mariann Oemisch, Marcus R Watson, Thilo Womelsdorf, Anna Schubö
Previously learned reward values can have a pronounced impact, behaviorally and neurophysiologically, on the allocation of selective attention. All else constant, stimuli previously associated with a high value gain stronger attentional prioritization than stimuli previously associated with a low value. The N2pc, an ERP component indicative of attentional target selection, has been shown to reflect aspects of this prioritization, by changes of mean amplitudes closely corresponding to selective enhancement of high value target processing and suppression of high value distractor processing...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29163004/cardiac-concomitants-of-feedback-and-prediction-error-processing-in-reinforcement-learning
#16
Lucas Kastner, Jana Kube, Arno Villringer, Jane Neumann
Successful learning hinges on the evaluation of positive and negative feedback. We assessed differential learning from reward and punishment in a monetary reinforcement learning paradigm, together with cardiac concomitants of positive and negative feedback processing. On the behavioral level, learning from reward resulted in more advantageous behavior than learning from punishment, suggesting a differential impact of reward and punishment on successful feedback-based learning. On the autonomic level, learning and feedback processing were closely mirrored by phasic cardiac responses on a trial-by-trial basis: (1) Negative feedback was accompanied by faster and prolonged heart rate deceleration compared to positive feedback...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29159000/umbilical-cord-prolapse-in-a-labouring-patient-a-multidisciplinary-and-interprofessional-simulation-scenario
#17
Chandrew Rajakumar, Adam Garber, Purnima M Rao, Genevieve Rousseau, George A Dumitrascu, Glenn D Posner
This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation from a nurse educator maintained quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN and anesthesiology residents and nurses to hone crisis resource management skills and to recognize and manage rare/critical medical events in an obstetrical setting...
September 16, 2017: Curēus
https://www.readbyqxmd.com/read/29128736/optimal-practice-conditions-enhance-the-benefits-of-gradually-increasing-error-opportunities-on-retention-of-a-stepping-sequence-task
#18
Danielle Levac, Kate Driscoll, Jessica Galvez, Kathleen Mercado, Lindsey O'Neil
INTRODUCTION: Physical therapists should implement practice conditions that promote motor skill learning after neurological injury. Errorful and errorless practice conditions are effective for different populations and tasks. Errorful learning provides opportunities for learners to make task-relevant choices. Enhancing learner autonomy through choice opportunities is a key component of the Optimizing Performance through Intrinsic Motivation and Attention for Learning (OPTIMAL) theory of motor learning...
November 9, 2017: Human Movement Science
https://www.readbyqxmd.com/read/29122190/the-effect-of-metacognitive-monitoring-feedback-on-performance-in-a-computer-based-training-simulation
#19
Jung Hyup Kim
This laboratory experiment was designed to study the effect of metacognitive monitoring feedback on performance in a computer-based training simulation. According to prior research on metacognition, the accurate checking of learning is a critical part of improving the quality of human performance. However, only rarely have researchers studied the learning effects of the accurate checking of retrospective confidence judgments (RCJs) during a computer-based military training simulation. In this study, we provided participants feedback screens after they had completed a warning task and identification task in a radar monitoring simulation...
February 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29117748/ward-round-simulation-in-final-year-medical-students-does-it-promote-students-learning
#20
Claudia Behrens, Diana H J M Dolmans, Jimmie Leppink, Gerard J Gormley, Erik W Driessen
INTRODUCTION: Ward round skills are essential for doctors in hospital settings. Literature shows medical students' deficiencies in these skills. Simulation has been used to train these skills. However, exposing learners to simulation at an early stage may be associated with a high cognitive load and limited learning. This study aims to determine how students experience this load and its interplay with performance and which factors promote and impair learning. METHODS: Fifty-six final year medical students participated in a simulated ward round training exercise...
November 9, 2017: Medical Teacher
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