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Psychiatric Education

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https://www.readbyqxmd.com/read/29901662/how-theory-can-inform-our-understanding-of-experiential-learning-in-quality-improvement-education
#1
Joanne Goldman, Ayelet Kuper, Brian M Wong
It is widely accepted that quality improvement (QI) education should be experiential. Many training programs believe that making QI learning "hands-on" through project-based learning will translate into successful learning about QI. However, this pervasive and overly simplistic interpretation of experiential QI learning, and the general lack of empirical exploration of the factors that influence experiential learning processes, may limit the overall impact of project-based learning on educational outcomes...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29871682/the-significance-of-ethics-reflection-groups-in-mental-health-care-a-focus-group-study-among-health-care-professionals
#2
Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen, Reidar Pedersen
BACKGROUND: Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion. METHODS: In 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of 'bricolage' which means our approach was inductive...
June 5, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29866707/does-the-uk-medical-education-provide-doctors-with-sufficient-skills-and-knowledge-to-manage-patients-with-eating-disorders-safely
#3
Agnes Ayton, Ali Ibrahim
BACKGROUND: Eating disorders affect 1%-4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety. OBJECTIVE: To review the teaching and assessment relating to eating disorders at all levels of medical training in the UK. METHOD: We surveyed all the UK medical schools about their curricula, teaching and examinations related to eating disorders in 2017...
June 4, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29777463/considerations-that-will-determine-if-competency-based-assessment-is-a-sustainable-innovation
#4
W Dale Dauphinee, John R Boulet, John J Norcini
Educational assessment for the health professions has seen a major attempt to introduce competency based frameworks. As high level policy developments, the changes were intended to improve outcomes by supporting learning and skills development. However, we argue that previous experiences with major innovations in assessment offer an important road map for developing and refining assessment innovations, including careful piloting and analyses of their measurement qualities and impacts. Based on the literature, numerous assessment workshops, personal interactions with potential users, and our 40 years of experience in implementing assessment change, we lament the lack of a coordinated approach to clarify and improve measurement qualities and functionality of competency based assessment (CBA)...
May 18, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29760032/white-privilege-in-a-white-coat-how-racism-shaped-my-medical-education
#5
Max J Romano
In this essay, I reflect on some of the ways racial privilege influenced my experience as a white physician in training. While white Americans often think of "racism" as a social construct primarily affecting people of color, "racism" is a system of both racial disadvantage as well as reciprocal racial advantage. Medical professionals are increasingly aware of how social determinants of health lead to important health disparities, however white physicians seldom ask how their own racial privilege reinforces a white supremacist culture and what effects this may have on our patients' health...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29661008/psychiatry-in-american-medical-education-the-case-of-harvard-s-medical-school-1900-1945
#6
Tara H Abraham
As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school curricula. This shift in disciplinary status took place at a time when medical education itself was experiencing a period of reform. By examining medical school registers at Harvard University, records from the Dean's office of Harvard's medical school, and oral histories, this paper examines the rise in prominence of psychiatry in medical education...
2018: Canadian Bulletin of Medical History, Bulletin Canadien D'histoire de la Médecine
https://www.readbyqxmd.com/read/29556923/can-physician-examiners-overcome-their-first-impression-when-examinee-performance-changes
#7
Timothy J Wood, Debra Pugh, Claire Touchie, James Chan, Susan Humphrey-Murto
There is an increasing focus on factors that influence the variability of rater-based judgments. First impressions are one such factor. First impressions are judgments about people that are made quickly and are based on little information. Under some circumstances, these judgments can be predictive of subsequent decisions. A concern for both examinees and test administrators is whether the relationship remains stable when the performance of the examinee changes. That is, once a first impression is formed, to what degree will an examiner be willing to modify it? The purpose of this study is to determine the degree that first impressions influence final ratings when the performance of examinees changes within the context of an objective structured clinical examination (OSCE)...
March 20, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29528031/how-do-doctors-deliver-a-diagnosis-of-dementia-in-memory-clinics
#8
Jemima Dooley, Nick Bass, Rose McCabe
BACKGROUND: Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning. Aims To analyse how doctors deliver a dementia diagnosis in practice. METHOD: Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics. RESULTS: All doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately ('this is dementia') and 41% (n = 33) approached this directly but bluntly ('you have Alzheimer's disease')...
April 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29508427/when-i-say%C3%A2-threshold-concepts
#9
Trevor Gaunt, Claire Loffman
No abstract text is available yet for this article.
March 6, 2018: Medical Education
https://www.readbyqxmd.com/read/29532947/teaching-to-undo-structural-racism
#10
Juliana E Morris, Camila Cribb Fabersunne, Nathan Scott, Fidencio Saldaña
No abstract text is available yet for this article.
May 2018: Medical Education
https://www.readbyqxmd.com/read/29517611/integrating-continuing-education-quality-improvement-faculty-development-knowledge-translation-and-patient-safety-in-jcehp
#11
Simon Kitto
No abstract text is available yet for this article.
January 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29446388/train-phd-students-to-be-thinkers-not-just-specialists
#12
Gundula Bosch
No abstract text is available yet for this article.
February 15, 2018: Nature
https://www.readbyqxmd.com/read/29540118/projected-workforce-of-psychiatrists-in-the-united-states-a-population-analysis
#13
Anand Satiani, Julie Niedermier, Bhagwan Satiani, Dale P Svendsen
OBJECTIVE: This analysis quantified and assessed the projected workforce of psychiatrists in the United States through 2050 on the basis of population data. METHODS: With use of data from the Association of American Medical Colleges (2000-2015), American Board of Psychiatry and Neurology (2000-2015), and U.S. Census Bureau (2000-2050), the psychiatrist workforce was projected through 2050. Two established psychiatrist-to-population ratios were used to determine the estimated demand for psychiatrists and potential shortages...
March 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29500639/raise-concerns-without-fear-and-protect-confidentiality-why-the-two-orders
#14
Michael Shapiro
No abstract text is available yet for this article.
March 2, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29520583/integrated-care-training-for-psychiatrists-lessons-from-a-changing-healthcare-landscape
#15
LETTER
Elizabeth Chapman
No abstract text is available yet for this article.
March 8, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29498433/the-influence-of-clerkship-on-students-stigma-towards-mental-illness-a-meta-analysis
#16
REVIEW
Eleni Petkari, Ana I Masedo Gutiérrez, Miguel Xavier, Berta Moreno Küstner
CONTEXT: In university programmes preparing students to work with patients with mental illness, clerkship is proposed as a component that may contribute to the battle against stigma, through bringing students into contact with the patients' reality. Yet, the precise contribution of clerkship remains unclear, perhaps because of the variety of university programmes, clerkship characteristics or types of stigma explored. This is the first systematic meta-analysis of available evidence determining the precise effect size of the influence of clerkship on stigma and the potential moderators...
July 2018: Medical Education
https://www.readbyqxmd.com/read/29496666/optimising-sleep-for-night-shifts
#17
REVIEW
Helen McKenna, Matt Wilkes
No abstract text is available yet for this article.
March 1, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29493411/implicit-bias-and-mental-health-professionals-priorities-and-directions-for-research
#18
Yesenia Merino, Leslie Adams, William J Hall
This Open Forum explores the role of implicit bias along the mental health care continuum, which may contribute to mental health disparities among vulnerable populations. Emerging research shows that implicit bias is prevalent among service providers. These negative or stigmatizing attitudes toward population groups are held at a subconscious level and are automatically activated during practitioner-client encounters. The authors provide examples of how implicit bias may impede access to care, clinical screening and diagnosis, treatment processes, and crisis response...
March 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29483330/-is-there-a-doctor-on-board-practical-recommendations-for-managing-in-flight-medical-emergencies
#19
David Kodama, Bobby Yanagawa, Jim Chung, Ken Fryatt, Alun D Ackery
No abstract text is available yet for this article.
February 26, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29485480/time-variable-training-in-medicine-theoretical-considerations
#20
Olle Ten Cate, Larry D Gruppen, Jennifer R Kogan, Lorelei A Lingard, Pim W Teunissen
The introduction of competency-based medical education has shifted thinking from a fixed-time model to one stressing attained competencies, independent of the time needed to arrive at those competencies. In this article, the authors explore theoretical and conceptual issues related to time variability in medical training, starting with the Carroll model from the 1960s that put time in the equation of learning. They discuss mastery learning, deliberate practice, and learning curves.While such behaviorist theories apply well to structured courses and highly structured training settings, learning in the clinical workplace is not well captured in such theories or in the model that Carroll proposed...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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