Perspectives on Medical Education

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

List of Papers (Total 472)

Visualizing faculty development impact: A social network analysis

Faculty development programs have tended to focus on low levels of evaluation such as participant satisfaction rather than assess the actual changes that training has brought about in the workplace. This has prompted scholars to suggest using social network analysis as a means to provide a more rigorous method of evaluating the impact of faculty development. To test the...

Eye-tracking for assessing medical image interpretation: A pilot feasibility study comparing novice vs expert cardiologists

IntroductionAs specialized medical professionals such as radiologists, pathologists, and cardiologists gain education and experience, their diagnostic efficiency and accuracy change, and they show altered eye movement patterns during medical image interpretation. Existing research in this area is limited to interpretation of static medical images, such as digitized whole slide...

Emergency medicine residency fact board: Why our attempt to encourage on-shift learning failed

Residents commonly feel that a lack of time is a significant barrier in keeping up-to-date with both medical knowledge and literature. In this study, we addressed that barrier by placing an iPad-based live fact feed in the resident workroom of our emergency department, therefore allowing for passive learning while on shift. We hypothesized that residents with access to the live...

How phenomenology can help us learn from the experiences of others

IntroductionAs a research methodology, phenomenology is uniquely positioned to help health professions education (HPE) scholars learn from the experiences of others. Phenomenology is a form of qualitative research that focuses on the study of an individual’s lived experiences within the world. Although it is a powerful approach for inquiry, the nature of this methodology is often...

Factors associated with scientific misconduct and questionable research practices in health professions education

IntroductionEngaging in scientific misconduct and questionable research practices (QRPs) is a noted problem across fields, including health professions education (HPE). To mitigate these practices, other disciplines have enacted strategies based on researcher characteristics and practice factors. Thus, to inform HPE, this study seeks to determine which researcher characteristics...

Every doctor needs a wife: An old adage worth reexamining

Half of medical school graduates are women, but female doctors experience significant professional tensions. Low numbers of women in leadership roles, high burnout and attrition, and continued harassment suggest a culture that undermines the contributions of women. This manuscript explores research from sociology, business and medicine through a personal lens. Understanding the...

Identifying the narrative used by educators in articulating judgement of performance

IntroductionModern assessment in medical education is increasingly reliant on human judgement, as it is clear that quantitative scales have limitations in fully assessing registrars’ development of competence and providing them with meaningful feedback to assist learning. For this, possession of an expert vocabulary is essential.AimThis study aims to explore how medical education...

Parent-provider paediatric literacy communication: A curriculum for future primary care providers

BackgroundReach Out and Read promotes early literacy and school readiness by incorporating book delivery and anticipatory guidance into well-child visits. There is a need to train future healthcare providers in the knowledge and skills to communicate with parents/caregivers about early childhood literacy. We developed and evaluated a curriculum to improve learners’ knowledge...

Using mobile virtual reality to enhance medical comprehension and satisfaction in patients and their families

Patients are typically debriefed by their healthcare provider after any medical procedure or surgery to discuss their findings and any next steps involving medication or treatment instructions. However, without any medical or scientific background knowledge, it can feel overwhelming and esoteric for a patient to listen to a physician describe a complex operation. Instead...

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study

BackgroundStorytelling is a powerful form of communication which can improve attention and lead to lasting behavioural changes. Addressing the need to incorporate patient safety teaching into undergraduate medical curricula, it was hypothesized that medical students could benefit from hearing clinician stories of medical error. The medium of animation was considered to be a...

Why institutional ethnography? Why now? Institutional ethnography in health professions education

This ‘A Qualitative Space’ article takes a critical look at Dorothy Smith’s approach to inquiry known as institutional ethnography and its potentiality in contemporary health professions education research. We delve into institutional ethnography’s philosophical underpinnings, setting out the ontological shift that the researcher needs to make within this critical feminist...

Putting post-decision wagering to the test: a measure of self-perceived knowledge in basic sciences?

IntroductionStudents learn more effectively when they know what they do not know. Gaining insight into students’ metacognitive awareness is needed as misalignment between actual and self-perceived knowledge impedes their learning process. The optimal method of measuring self-perceived knowledge is still under debate. In this study, we evaluate the use of psychology-derived post...

Implementing an interprofessional narrative medicine program in academic clinics: Feasibility and program evaluation

Interprofessional education (IPE) is a critical component of medical education and is affected by the characteristics of the clinical teams in which students and residents train. However, clinical teams are often shaped by professional silos and hierarchies which may hinder interprofessional collaborative practice (IPCP). Narrative medicine, a branch of health humanities that...

Progressive research collaborations and the limits of soft power

Collaboration in diverse teams is a central topic area in medical education, health research, and healthcare. As medical education researchers we implemented an internal grant policy to develop a progressive research partnership based on widely accepted guidelines for responsible conduct of research. Our intention was to proactively manage and guide group expectations around...

The Clinical Reasoning Mapping Exercise (CResME): a new tool for exploring clinical reasoning

IntroductionNational organizations have identified a need for the creation of novel approaches to teach clinical reasoning throughout medical education. The aim of this project was to develop, implement and evaluate a novel clinical reasoning mapping exercise (CResME).MethodsParticipants included a convenience sample of first and second year medical students at two US medical...

Design and evaluation of a clinical competency committee

IntroductionIn postgraduate medical education, group decision-making has emerged as an essential tool to evaluate the clinical progress of residents. Clinical competency committees (CCCs) have been set up to ensure informed decision-making and provide feedback regarding performance of residents. Despite this important task, it remains unclear how CCCs actually function in...

Development and validation of a health profession education-focused scholarly mentorship assessment tool

ProblemPhD-trained researchers working in health professions education (HPE) regularly engage in one-on-one, or one-on-few, scholarly mentorship activities. While this work is often a formal expectation of these scientists’ roles, rarely is there formal institutional acknowledgement of this mentorship. In fact, there are few official means through which a research scientist can...

Problems of problem-based learning: Towards transformative critical pedagogy in medical education

Problem-based medical education is based in a biomedical worldview that works to entrench deterministic ways of thinking about socioculturally-influenced health disparities in the minds of medical trainees. This perspective paper considers the utility of Paolo Freire’s critical pedagogy as a means of redressing this issue, as it may enable medical learners to perceive and address...

East meets West: Shadow coaching to support online reflective practice

ObjectivesA structured, reflection-based electronic portfolio program (ePortfolio), with novel faculty development initiative, involving ‘shadow coaches’, was shared with the newly formed Ottawa-Shanghai Joint School of Medicine (OSJSM). OSJSM is a partnership between Shanghai Jiao Tong University and the University of Ottawa. As the world’s first Sino-Canadian Joint Medical...

A critical perspective on the modified personal interview

Medical school interviews are critical for screening candidates for admission. Traditionally, the panel format is used for this process, although its drastically low reliabilities sparked the creation of the highly reliable multiple mini-interview (MMI). However, the multiple mini-interview’s feasibility issues made it unappealing to some institutions, like the University of...

Analysis of question text properties for equality monitoring

IntroductionOngoing monitoring of cohort demographic variation is an essential part of quality assurance in medical education assessments, yet the methods employed to explore possible underlying causes of demographic variation in performance are limited. Focussing on properties of the vignette text in single-best-answer multiple-choice questions (MCQs), we explore here the...

The reflective zombie: Problematizing the conceptual framework of reflection in medical education

Reflection is an ambiguous and profoundly complex human activity. We celebrate the developments in teaching and researching reflection in education, yet have identified flaws in the way reflection has been operationalized: medical education has translated the age-old concept into a teachable and measureable construct. We fear that in this process of operationalization, the...

How clinicians integrate humanism in their clinical workplace—‘Just trying to put myself in their human being shoes’

IntroductionHumanism has been identified as an important contributor to patient care and physician wellness; however, what humanism means in the context of medicine has been limited by opinion and a focus on personal characteristics. Our aim was to describe attitudes and behaviours that enable clinicians to integrate humanism within the clinical setting.MethodsWe conducted semi...