Perspectives on Medical Education

http://link.springer.com/journal/40037

List of Papers (Total 385)

Cognitive load predicts point-of-care ultrasound simulator performance

Introduction The ability to maintain good performance with low cognitive load is an important marker of expertise. Incorporating cognitive load measurements in the context of simulation training may help to inform judgements of competence. This exploratory study investigated relationships between demographic markers of expertise, cognitive load measures, and simulator performance ...

Detecting rater bias using a person-fit statistic: a Monte Carlo simulation study

Introduction With the Standards voicing concern for the appropriateness of response processes, we need to explore strategies that would allow us to identify inappropriate rater response processes. Although certain statistics can be used to help detect rater bias, their use is complicated by either a lack of data about their actual power to detect rater bias or the difficulty ...

CONTeMPLATE—a mnemonic to help medical educators infuse reflection into their residency curriculum

Reflection, where clinical experiences are analyzed to gain greater understanding and meaning, is an important step in workplace learning. Residency programs must teach their residents the skills needed for deep reflection. Medical educators may find it difficult to construct a curriculum which includes the key elements needed to enable learners to attain these skills. When we ...

Effects of medical school selection on student motivation: a PhD thesis report

Introduction High stakes are involved in student selection, for both medical schools and applicants. This thesis investigated the effects of selection on the medical student population and applicant pool in the Dutch setting. Methods This thesis consists of six papers: two quantitative studies, one qualitative study, two mixed methods studies and one perspective paper based on a ...

Hospital-wide education committees and high-quality residency training

Introduction High-quality residency training is of utmost importance for residents to become competent medical specialists. Hospital-wide education committees have been adopted by several healthcare systems to govern postgraduate medical education and to support continuous quality improvement of residency training. To understand the functioning and potential of such committees, ...

Pre-residency publication and its association with paediatric residency match outcome—a retrospective analysis of a national database

Introduction Scholarly activity is considered valuable in the resident selection process by candidates and program directors alike, despite existing literature suggesting applicants with scholarly work do not perform better in the match. These studies, however, are limited in that they have only measured whether candidates have successfully matched or not. To try and reconcile the ...

Failure to flow: An exploration of learning and teaching in busy, multi-patient environments using an interpretive description method

Introduction As patient volumes continue to increase, more attention must be paid to skills that foster efficiency without sacrificing patient safety. The emergency department is a fertile ground for examining leadership and management skills, especially those that concern prioritization in multi-patient environments. We sought to understand the needs of emergency physicians (EPs) ...

Learning to prescribe intravenous fluids: A scoping review

Introduction Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the current state of published evidence about how junior doctors prescribe IV fluid ...

Symposia in undergraduate medical education: tailoring training in competencies to students’ needs

Introduction In mastering competencies, it is a challenge to create training sessions which acknowledge individual students’ needs and are logistically feasible in the medical master’s program. Methods Symposia were implemented in the medical master’s program to provide knowledge and training of skills in a number of topics, providing a positive contribution to students’ ...

Guidelines: The do’s, don’ts and don’t knows of direct observation of clinical skills in medical education

Introduction Direct observation of clinical skills is a key assessment strategy in competency-based medical education. The guidelines presented in this paper synthesize the literature on direct observation of clinical skills. The goal is to provide a practical list of Do’s, Don’ts and Don’t Knows about direct observation for supervisors who teach learners in the clinical setting ...

Is feedback to medical learners associated with characteristics of improved patient care?

Purpose To investigate the association of medical learner feedback with patient management and outcomes. Methods The authors investigated 27 articles that utilized patient data or chart reviews as a subset of a prior feedback scoping review. Data extraction was completed by two authors and all authors reviewed the descriptive data analysis. Results The studies were predominantly ...

If at first you don’t succeed … adoption of iPad marking for high-stakes assessments

Large-scale interview and simulation-based assessments such as objective structured clinical examinations (OSCEs) and multiple mini interviews (MMIs) are logistically complex to administer, generate large volumes of assessment data, and are strong candidates for the adoption of computer-based marking systems. Adoption of new technologies can be challenging, and technical failures, ...

Peer-led small groups: Are we on the right track?

Introduction Peer tutor-led small group sessions are a valuable learning strategy but students may lack confidence in the absence of a content expert. This study examined whether faculty reinforcement of peer tutor-led small group content was beneficial. Methods Two peer tutor-led small group sessions were compared with one faculty-led small group session using questionnaires sent ...

Medical students’ perceptions of a novel institutional incident reporting system

Background Errors in healthcare are a major patient safety issue, with incident reporting a key solution. The incident reporting system has been integrated within a new medical curriculum, encouraging medical students to take part in this key safety process. The aim of this study was to describe the system and assess how students perceived the reporting system with regards to its ...

Evaluating the effect of instruction and practice schedule on the acquisition of ECG interpretation skills

Introduction Evidence of the benefit of distributed instruction and interleaved practice comes from studies using simple materials (e. g. word pairs). Furthermore, there is currently no evidence of the combined impact of these strategies in undergraduate medical education. The present study evaluated the impact of varying both instruction and practice schedules for the acquisition ...