journal
https://read.qxmd.com/read/37886902/using-group-concept-mapping-to-explore-medical-education-s-blind-spots
#21
JOURNAL ARTICLE
Sean Tackett, Yvonne Steinert, Susan Mirabal, Darcy A Reed, Scott M Wright
PHENOMENON: All individuals and groups have blind spots that can lead to mistakes, perpetuate biases, and limit innovations. The goal of this study was to better understand how blind spots manifest in medical education by seeking them out in the U.S. APPROACH: We conducted group concept mapping (GCM), a research method that involves brainstorming ideas, sorting them according to conceptual similarity, generating a point map that represents consensus among sorters, and interpreting the cluster maps to arrive at a final concept map...
October 27, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37886897/academic-leadership-academy-summer-program-clerkship-transition-preparation-for-underrepresented-in-medicine-medical-students
#22
JOURNAL ARTICLE
Denise M Connor, Alicia Fernandez, Sarah Alba-Nguyen, Sally Collins, Arianne Teherani
PROBLEM: Enhancing workforce diversity by increasing the recruitment of students who have been historically excluded/underrepresented in medicine (UIM) is critical to addressing healthcare inequities. However, these efforts are inadequate when undertaken without also supporting students' success. The transition to clerkships is an important and often difficult to navigate inflection point in medical training where attention to the specific needs of UIM students is critical. INTERVENTION: We describe the design, delivery, and three-year evaluation outcomes of a strengths-based program for UIM second year medical students...
October 27, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37724805/reconsidering-a-global-agency-for-medical-education-back-to-the-drawing-board
#23
JOURNAL ARTICLE
Mohammed Ahmed Rashid, Thirusha Naidu, Dawit Wondimagegn, Cynthia Whitehead
Issue : The World Federation for Medical Education (WFME) was established in 1972 and in the five decades that followed, has been the de facto global agency for medical education. Despite this apparently formidable remit, it has received little analysis in the academic literature. Evidence : In this article, we examine the historical context at the time WFME was established and summarize the key decisions it has taken in its history to date, highlighting particularly how it has adopted positions and programmes that have seemingly given precedence to the values and priorities of countries in the Global North...
September 19, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37615428/teaching-at-the-convergence-of-pandemics-and-historically-excluded-patient-populations-the-challenges-and-importance-of-culturally-responsive-communication
#24
JOURNAL ARTICLE
Abigail Konopasky, Annette B Gadegbeku, Leon McCrea, Paige McDonald, Patrick G Corr, Maranda C Ward
Issue : Historically excluded patient populations-particularly racial, ethnic, and sexually and gender minoritized people-experience gross inequities in health, worsened by the HIV and COVID-19 pandemics. Culturally responsive communication (CRC) is a vital tool health professionals can use to address these inequities. Yet, CRC can be challenging to teach , particularly during pandemics. The authors argue that pandemics magnify the powerful intersecting oppressions of heterosexism, racism, transphobia, nationalism, and sexism, essentially targeting Othered bodies for dying, a phenomenon known as necropolitics...
August 24, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37592855/covid-as-a-catalyst-a-qualitative-study-of-professional-identity-formation-among-u-s-medical-students-during-covid-19
#25
JOURNAL ARTICLE
Rebecca R Henderson, Christine A Adams, Lillianna Thomas, Elizabeth Gundersen, Zareen Zaidi, Melanie Hagen
PHENOMENON: Students become physicians not only by mastering medical knowledge, but also through a process of Professional Identity Formation (PIF). In this study, we used the conceptual framework of Jarvis-Selinger et al. to explore the impact of COVID, as a major public health crisis, on the PIF of preclinical medical students in our country. APPROACH: At two U.S. medical schools, we interviewed 28 medical students twice as they moved from first to second year during the 2020-2021 COVID pandemic and explored the impact of COVID-19 on PIF...
August 17, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37571960/how-are-we-doing-a-scoping-review-of-published-patient-centered-outcomes-research-in-united-states-student-run-free-clinics
#26
JOURNAL ARTICLE
Francesca Silvestri, George Mellgard, Jonathan Goldstein, Susmita Chennareddy, Justin Tang, Michelle Tran, Isabelle Band, Daniel Qian, Sean Fischer, Abigail Castillo, Joy Jiang, David Skovran, David Thomas, Yasmin S Meah
Phenomenon : Student-run free clinics (SRFCs) serve an integral role in most United States (US) medical schools and contribute substantially to literature on the quality of care to uninsured persons. There has been substantial growth over the past decade of scholarly work produced by SRFCs as they have increased in size and number. Research on patient care outcomes informs better care structures for patients, however there is no current synthesis of patient care outcomes research among SRFCs. This article provides an overview of SRFC research on patient outcomes to understand current research domains and to identify gaps in the literature...
August 12, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37553852/diversity-audit-of-medical-school-examination-questions
#27
JOURNAL ARTICLE
Brahmaputra Marjadi, Neville Chiavaroli, Olanrewaju Sorinola, Veronica Milos Nymberg, Caroline Joyce, Carl Parsons, Anna Ryan
Phenomenon: This article reports the under-researched presentation of demographic, social, and economic diversity in medical school examination questions. Approach:  The present study audited 3,566 pre-clinical and clinical multiple-choice and short answer examination questions in the same year (2018) from three medical schools in two continents to review the diversity of patients portrayed. The audit was based on an extension of Critical Race Theory beyond race and ethnicity to include pertinent social determinants of health...
August 8, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37553839/praxis-informed-pointers-a-student-guide-for-optimizing-clinical-learning-in-a-resource-constrained-setting
#28
JOURNAL ARTICLE
E Archer, L Govender, R Meyer, A A Nadkar, L Smit
Issue : Health professions education (HPE) is intimately linked with teaching and learning in the clinical environment. While the value of authentic clinical experiences is acknowledged, whether learning actually occurs is to a large extent dependent on students' behaviors and attitudes. The kinds of student behaviors and attitudes that are necessary to optimize learning in the clinical environment thus becomes relevant. Evidence : Tips and recommendations to maximize clinical learning in a variety of settings have been well documented...
August 8, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37547996/do-all-roads-lead-to-full-participation-examining-trajectories-of-clinical-educators-in-graduate-medical-education-through-situated-learning-theory
#29
JOURNAL ARTICLE
Kevin C McMains, Abigail Konopasky, Steven J Durning, Holly S Meyer
Phenomenon : As new faculty members begin their careers in Graduate Medical Education, each begins a journey of Professional Identity Formation from the periphery of their educational communities. The trajectories traveled vary widely, and full participation in a given educational community is not assured. While some medical school and post-graduate training programs may nurture Professional Identity Formation, there is scant support for faculty. To date, the trajectories that Graduate Medical Education faculty travel, what may derail inbound trajectories, and what tools Graduate Medical Education faculty use to navigate these trajectories have not been explicitly described...
August 7, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37530502/push-and-pull-factors-of-why-medical-students-want-to-leave-t%C3%A3-rkiye-a%C3%A2-countrywide-multicenter-study
#30
JOURNAL ARTICLE
Erhan Eser, Elif Cil, Nesibe Efruz Sen Gundogan, Meltem Col, Elif Nur Yildirim Ozturk, David Terence Thomas, Ahmet Tevfik Sunter, Hatice Nilden Arslan, Riza Citil, Yalcin Onder, Metin Picakciefe, Bahadir Dede, Can Demirel, Neriman Aydin, Cigdem Caglayan, Ahmet Alp Aker, Arda Borlu, Hasan Durmus, Gunay Can, Esin Siddikoglu, Ergun Haldun Sumer, Tunahan Uygun, Seval Alkoy, Kubra Aktas Aycan, İbrahim Koruk, Rustem Kuzan, Lutfi Saltuk Demir, Esra Hacilar, Hidir Sari, Zehra Kilinc, Ozgur Onal, Edanur Dogan, Mestan Emek, Rıdvan Terzioglu, Gulcin Yapici, Deniz Erdal, Sultan Eser, Emine Ayhan Akman, Zahide Kosan, Sinan Yilmaz, Ferruh Niyazi Ayoglu, Bilgehan Acikgoz, Berna Musal, Ahmet Furkan Suner, Aysegul Erdogan, İdris Cilburunoglu, Meral Saygun, Didem Daymaz, Didem Arslantas, Muhammed Fatih Onsuz, Nazim Ercument Beyhun, Medine Gozde Ustundag, Galip Ekuklu, Fulya Ozder Tas, Filiz Abacigil, Selcen Oncu, Seyhan Hıdıroğlu, Ayse Nilufer Ozaydin, Edibe Pirincci, Irem Bulut, Mustafa Tozun, Muzaffer Eskiocak, Pinar Gunel, Sebahat Dilek Torun, Melike Yavuz, Metin Hasde, Derya Camur, Gulsen Gunes, Burak Kurt, Nuket Guler Baysoy, Nadi Bakirci, Figen Demir, Binali Catak, Ferda Ozyurda, Mustafa Turan
Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians' migration decisions are still unclear. Despite its wide coverage in the media and among physicians in Türkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in Türkiye to pursue their professional careers abroad and its related factors...
August 2, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37450615/a-sense-of-belonging-perceptions-of-the-medical-school-learning-environment-among-urm-and-non-urm-students
#31
JOURNAL ARTICLE
Alison Karasz, Samuel Nemiroff, Pablo Joo, Irene Blanco, Ariel Y Fishman, Mary S Kelly, Steven M Henick, Maryl Lambros, William B Burton
Phenomenon : Improving the learning environment (LE), particularly for students underrepresented in medicine (URM), has become an important goal for institutions that provide undergraduate and graduate medical education. Until recently, research and intervention development have been limited by the lack of comprehensive theoretical frameworks. A multi-dimensional conceptual model of the medical school environment, developed by Gruppen and colleagues in 2019, provides a useful framework for guiding research and interventions in this area...
July 14, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37450608/moving-the-field-forward-using-self-determination-theory-to-transform-the-learning-environment-in-medical-education
#32
JOURNAL ARTICLE
Adam Neufeld
Issue : The learning environment (LE) is known to be the main determinant of physician distress, yet most wellness interventions continue to focus on the learner. Additionally, few wellness interventions that focus on the LE have derived from well-established theory. These limitations represent major barriers in our progress toward improving the LE and supporting medical learner wellness in an evidence-based, humanistic, and scalable way. Evidence : To remedy the situation, I highlight a cross-section of promising experimental research in self-determination theory (SDT) and its potential applications in medical education...
July 14, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37435723/finding-themselves-their-place-their-way-uncertainties-identified-by-medical-students
#33
JOURNAL ARTICLE
Ciara Lee, Katherine Helen Hall, Megan Anakin
Phenomenon : Navigating uncertainty is a core skill when practicing medicine. Increasingly, the need to better prepare medical students for uncertainty has been recognized. Our current understanding of medical students' perspectives on uncertainty is primarily based on quantitative studies with limited qualitative research having been performed to date. We need to know from where and how sources of uncertainty can arise so that educators can better support medical students learning to respond to uncertainty...
July 12, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37431929/attending-to-variable-interpretations-of-assessment-science-and-practice
#34
JOURNAL ARTICLE
Walter Tavares, Jacob Pearce
Issue : The way educators think about the nature of competence, the approaches one selects for the assessment of competence, what generated data implies, and what counts as good assessment now involve broader and more diverse interpretive processes . Broadening philosophical positions in assessment has educators applying different interpretations to similar assessment concepts. As a result, what is claimed through assessment, including what counts as quality, can be different for each of us despite using similar activities and language...
July 11, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37431925/indigenous-mentorship-for-the-health-sciences-an-appraisal-of-a-contemporary-model-by-indigenous-stakeholders
#35
JOURNAL ARTICLE
Elaine J Atay, Adam T Murry, Cheryl Barnabe, Olivia Sawyer, Michael Alex Bednar
Construct : In 2021, Murry et al. put forward a model of Indigenous mentorship within the health sciences based on the behaviors of Indigenous mentors toward their Indigenous mentees. This study explored mentees' endorsements and/or criticisms of the IM model and how IM constructs and behaviors described in the model benefited them. Background : Models of Indigenous mentorship have been developed previously yet have not yet been empirically examined, restricting our ability to measure or make claims as to their consequences, correlates, and antecedents...
July 11, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37424257/disability-specific-education-in-us-internal-medicine-primary-care-residency-programs-a-survey-of-program-directors
#36
JOURNAL ARTICLE
Michael Stillman, Michael Mallow, Maclain Capron, Aretina Leung, Megan Pogue, Nethra Ankam
Phenomenon: The dearth of disability-specific education in United States medical schools and residency programs has perpetuated health care inequities experienced by people with disabilities. In this study, we surveyed internal medicine primary care residency program directors about the disability-specific education they offer their learners, their attitudes toward physicians' preparedness to care for people with disabilities, and their perceived challenges to offering more robust disability-specific education...
July 9, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37424255/unpacking-the-social-constructs-of-discrimination-othering-and-belonging-in-medical-schools
#37
JOURNAL ARTICLE
Omolayo Anjorin, Jamiu O Busari
ISSUE: Triggered by the lived experiences of the authors-one junior career, female, and black; the other senior career, male, and black-we provide a critical, sociological overview of the plight of racial/ethnic minority students in medical education. We analyze the concepts of categorization, othering, and belonging in medical education, which we use to shed light on the psychological and academic consequences of overgeneralizing social categories. EVIDENCE: The ability to categorize people into different social groups is a natural, subconscious phenomenon...
July 9, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37409881/knowledge-construction-in-problem-based-learning-a-lag-sequential-analysis-of-teachers-and-students-discourse-moves
#38
JOURNAL ARTICLE
Binbin Zheng, Qing He, Junru Lei
Phenomenon : Problem-based learning (PBL) has been widely adopted in medical schools across the globe. However, the dynamics of discourse moves in time sequences during such learning remain underexplored. This study investigated discourse moves used by PBL tutors and tutees to facilitate collaborative knowledge construction, and adopted sequential analysis to unpack the temporal dynamics of such moves during PBL knowledge construction in an Asian context. Approach : This study's sample comprised 22 first-year medical students and two PBL tutors at an Asian medical school...
July 6, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37403289/medical-student-perceptions-of-sociocultural-issues-in-healthcare-a-multisite-study-of-medical-spanish-education
#39
JOURNAL ARTICLE
Karol Hardin, Roberto S Hernandez, Tiffany M Shin, Pilar Ortega
THEORY: Cultural competence and humility are core elements of medical education in a diverse society. Language is inseparable from culture, as language informs, indexes, frames, and encodes both culture and worldview. Spanish is the most common non-English language taught in U.S. medical schools, yet medical Spanish courses tend to artificially separate language from culture. It is unknown to what extent medical Spanish courses advance students' sociocultural knowledge or patient care skills...
July 4, 2023: Teaching and Learning in Medicine
https://read.qxmd.com/read/37401838/is-west-really-best-the-discourse-of-modernisation-in-global-medical-school-regulation-policy
#40
JOURNAL ARTICLE
Mohammed Ahmed Rashid, Ann Griffin
Phenomenon: In 2012, the World Federation for Medical Education (WFME) established a recognition programme to evaluate medical school regulatory agencies across the world, in response to a new U.S. accreditation policy. Given the predominantly Western origins and Eastern impacts of the WFME programme, this article deconstructs tensions in the programme using postcolonial theory. Approach: Critical discourse analysis examines the intersections of language, knowledge, and power relations to highlight what can or cannot be said about a topic...
July 4, 2023: Teaching and Learning in Medicine
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