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Psychiatric Education

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413 papers 100 to 500 followers
https://www.readbyqxmd.com/read/28093833/cracking-the-code-residents-interpretations-of-written-assessment-comments
#1
Shiphra Ginsburg, Cees Pm van der Vleuten, Kevin W Eva, Lorelei Lingard
CONTEXT: Interest is growing in the use of qualitative data for assessment. Written comments on residents' in-training evaluation reports (ITERs) can be reliably rank-ordered by faculty attendings, who are adept at interpreting these narratives. However, if residents do not interpret assessment comments in the same way, a valuable educational opportunity may be lost. OBJECTIVES: Our purpose was to explore residents' interpretations of written assessment comments using mixed methods...
January 16, 2017: Medical Education
https://www.readbyqxmd.com/read/28097303/clinicians-expectations-of-the-benefits-and-harms-of-treatments-screening-and-tests-a-systematic-review
#2
Tammy C Hoffmann, Chris Del Mar
Importance: Inaccurate clinician expectations of the benefits and harms of interventions can profoundly influence decision making and may be contributing to increasing intervention overuse. Objective: To systematically review all studies that have quantitatively assessed clinicians' expectations of the benefits and/or harms of any treatment, test, or screening test. Evidence Review: A comprehensive search strategy of 4 databases (MEDLINE, EMBASE, Cumulative Index of Nursing and Allied Health Literature, and PsycINFO) from the start years to March 17-20, 2015, with no language or study type restriction, was performed...
January 9, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27873410/where-do-physicians-start-and-end
#3
Rachel H Ellaway, David Topps, Maureen Topps
Medical education is primarily about training physicians and maintaining their capabilities over time. Given that physicians are the primary focus of the field, there is a need for a clear idea of what physicians are or could be. This paper seeks to explore this issue by posing the simple question: ?Where do physicians start and end?' In doing so, the authors explore a series of different conceptual frames, including those of a physician's physical dimensions, their cellular boundaries, personal intentions and beliefs, professional identity, regulation, entrustability, professional performance, extended cognition, and disability...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27943366/putting-the-puzzle-together-the-role-of-problem-definition-in-complex-clinical-judgement
#4
Sayra Cristancho, Lorelei Lingard, Thomas Forbes, Michael Ott, Richard Novick
CONTEXT: We teach judgement in pieces; that is, we talk about each aspect separately (patient, plan, resources, technique, etc.). We also let trainees figure out how to put the pieces together. In complex situations, this might be problematic. Using data from a drawing-based study on surgeons' experiences with complex situations, we explore the notion of 'problem definition' in real-world clinical judgement using the theoretical lens of systems engineering. METHODS: 'Emergence', the sensitising concept for analysis, is rooted in two key systems premises: that person and context are inseparable and that what emerges is an act of choice...
February 2017: Medical Education
https://www.readbyqxmd.com/read/27981658/shedding-the-cobra-effect-problematising-thematic-emergence-triangulation-saturation-and-member-checking
#5
Lara Varpio, Rola Ajjawi, Lynn V Monrouxe, Bridget C O'Brien, Charlotte E Rees
CONTEXT: Qualitative research is widely accepted as a legitimate approach to inquiry in health professions education (HPE). To secure this status, qualitative researchers have developed a variety of strategies (e.g. reliance on post-positivist qualitative methodologies, use of different rhetorical techniques, etc.) to facilitate the acceptance of their research methodologies and methods by the HPE community. Although these strategies have supported the acceptance of qualitative research in HPE, they have also brought about some unintended consequences...
January 2017: Medical Education
https://www.readbyqxmd.com/read/28084033/low-performing-students-have-insightfulness-when-they-reflect-in-action
#6
Mike Tweed, Gordon Purdie, Tim Wilkinson
CONTEXT: Measuring appropriateness of certainty of responses in a progress test using descriptors authentic to practice as reflection-in-action builds on existing theories of self-monitoring. Clinicians making decisions require the ability to accurately self-monitor, including certainty of being correct. Inappropriate certainty could lead to medical error. Self-assessment and certainty of assessment performance have been measured in a variety of ways. Previous work has shown that those with less experience are less accurate in self-assessment, but such studies looked at self-assessment using methods less authentic to clinical practice...
January 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28058669/a-simulation-to-teach-integrated-care-in-undergraduate-medical-education-the-getting-to-know-patients-system-of-care-gps-care-experience
#7
Aatif Qureshi, Yvonne Kwok, Zarah Chaudhary, Fok-Han Leung, Maria Mylopoulos, Sanjeev Sockalingam
No abstract text is available yet for this article.
January 5, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28030418/the-impact-of-a-junior-faculty-fellowship-award-on-academic-advancement-and-retention
#8
Maureen T Connelly, Amy M Sullivan, Manuel Chinchilla, Margaret L Dale, S Jean Emans, Carol Cooperman Nadelson, Malkah Tolpin Notman, Nancy J Tarbell, Corwin M Zigler, Eleanor G Shore
PURPOSE: Academic faculty experience barriers to career development and promotion. In 1996, Harvard Medical School (HMS) initiated an intramural junior faculty fellowship to address these obstacles. The authors sought to understand whether receiving a fellowship was associated with more rapid academic promotion and retention. METHOD: Junior faculty fellowship recipients and all other instructor and assistant professors at HMS between 1996 and 2011 were identified...
December 27, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28030423/unique-educational-opportunities-for-pcps-and-specialists-arising-from-electronic-consultation-services
#9
Erin J Keely, Douglas Archibald, Delphine S Tuot, Heather Lochnan, Clare Liddy
Health care reform should be driven by the goals of better patient experience, improved population health, lower per capita costs, and improved provider satisfaction. Electronic consultation (eConsult) services have been adopted by several jurisdictions in the United States, Canada, and Europe to improve access to specialists by primary care providers (PCPs) and are being heralded as a key component for delivery of coordinated care. The primary intent of an eConsult service is to provide PCPs with efficient, timely, direct access to specialist expertise to help guide the management of their patients, reduce the need for unnecessary face-to-face specialty consultations, and improve the quality of the initial face-to-face consultation when needed, through the preconsultative communication...
January 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28051841/a-review-of-a-national-training-initiative-to-increase-provider-use-of-mat-to-address-the-opioid-epidemic
#10
REVIEW
Frances R Levin, Adam Bisaga, Maria A Sullivan, Arthur Robin Williams, Kathryn Cates-Wessel
BACKGROUND AND OBJECTIVES: The Providers' Clinical Support System for Medication Assisted Treatment (PCSS-MAT) initiative focuses on training and mentoring health professionals in the treatment of opioid use disorders (OUD) using pharmacological strategies. Led by the American Academy of Addiction Psychiatry (AAAP), PCSS-MAT is a consortium representing four of the five national professional organizations authorized by DATA 2,000-AAAP, American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, and American Society of Addiction Medicine...
December 2016: American Journal on Addictions
https://www.readbyqxmd.com/read/28050654/misalignments-of-purpose-and-power-in-an-early-canadian-interprofessional-education-initiative
#11
Sarah Whyte, Elise Paradis, Carrie Cartmill, Ayelet Kuper, Heather Boon, Corinne Hart, Saleem Razack, Mandy Pipher, Cynthia R Whitehead
Interprofessional education (IPE) has been widely incorporated into health professional curricula and accreditation standards despite an arguably thin base of evidence regarding its clinical effects, theoretical underpinnings, and social implications. To better understand how and why IPE first took root, but failed to grow, this study examines one of the earliest documented IPE initiatives, which took place at the University of British Columbia between 1960 and 1975. We examined a subset of 110 texts (academic literature, grey literature, and unpublished records) from a larger study that uses Critical Discourse Analysis to trace the emergence of IPE in Canada...
January 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28011009/early-crisis-nontechnical-skill-teaching-in-residency-leads-to-long-term-skill-retention-and-improved-performance-during-crises-a-prospective-nonrandomized-controlled-study
#12
Aristithes G Doumouras, Paul T Engels
BACKGROUND: Medical error is common in crises, and the majority of observed errors are nontechnical in nature. The long-term impact of teaching crisis nontechnical skills to residents has not been evaluated. The objective of this study was to determine the effect of simulation-based teaching of crisis nontechnical skills compared to controls one year after initial teaching. METHODS: This was a prospective study using both historical controls and a before-and-after methodology to evaluate the effect of a high-fidelity simulation curriculum that used crisis resource management principles to teach nontechnical skills...
December 20, 2016: Surgery
https://www.readbyqxmd.com/read/27932319/teaching-medical-ethics-useful-or-useless
#13
Daniel Sokol
No abstract text is available yet for this article.
December 8, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27927671/what-it-feels-like-to-be-an-interesting-teaching-opportunity
#14
Ruth Tapp
No abstract text is available yet for this article.
December 7, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27918768/physician-work-environment-and-well-being-a-call-for-papers
#15
Lara Goitein, Patrick G O'Malley, Rita F Redberg
No abstract text is available yet for this article.
February 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27918798/controlled-interventions-to-reduce-burnout-in-physicians-a-systematic-review-and-meta-analysis
#16
Maria Panagioti, Efharis Panagopoulou, Peter Bower, George Lewith, Evangelos Kontopantelis, Carolyn Chew-Graham, Shoba Dawson, Harm van Marwijk, Keith Geraghty, Aneez Esmail
Importance: Burnout is prevalent in physicians and can have a negative influence on performance, career continuation, and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians. Objective: To evaluate the effectiveness of interventions to reduce burnout in physicians and whether different types of interventions (physician-directed or organization-directed interventions), physician characteristics (length of experience), and health care setting characteristics (primary or secondary care) were associated with improved effects...
February 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27623470/microaggressions-during-medical-training
#17
COMMENT
Jesus G Ulloa, Efrain Talamantes, Gerardo Moreno
No abstract text is available yet for this article.
September 13, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27923078/shifting-approaches-for-evaluation-of-resident-performance-from-competencies-to-milestones
#18
EDITORIAL
Lia S Logio
No abstract text is available yet for this article.
December 6, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27923079/looking-inward-and-reflecting-back-medical-education-and-jama
#19
EDITORIAL
Robert M Golub
No abstract text is available yet for this article.
December 6, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27923091/association-between-learning-environment-interventions-and-medical-student-well-being-a-systematic-review
#20
REVIEW
Lauren T Wasson, Amberle Cusmano, Laura Meli, Irene Louh, Louise Falzon, Meghan Hampsey, Geoffrey Young, Jonathan Shaffer, Karina W Davidson
Importance: Concerns exist about the current quality of undergraduate medical education and its effect on students' well-being. Objective: To identify best practices for undergraduate medical education learning environment interventions that are associated with improved emotional well-being of students. Data Sources: Learning environment interventions were identified by searching the biomedical electronic databases Ovid MEDLINE, EMBASE, the Cochrane Library, and ERIC from database inception dates to October 2016...
December 6, 2016: JAMA: the Journal of the American Medical Association
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