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Advances in Health Sciences Education: Theory and Practice

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https://read.qxmd.com/read/30725334/effects-of-graded-versus-ungraded-individual-readiness-assurance-scores-in-team-based-learning-a-quasi-experimental-study
#1
Ying Yun Juliana Koh, Jerome I Rotgans, Preman Rajalingam, Paul Gagnon, Naomi Low-Beer, Henk G Schmidt
Pre-class preparation is a crucial component of team-based learning (TBL). Lack of preparation hinders both individual learning and team performance during TBL. The purpose of the present study was to explore how the grading of the individual readiness assurance test (iRAT) can affect pre-class preparation, iRAT performance and performance in the end-of-year examination. Using a quasi-experimental design, Year 1 and 2 students' download frequency for their pre-class materials, performance on iRAT and examination were examined under two conditions; (1) under which the iRAT was graded and (2) under which the iRAT was ungraded...
February 6, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30715620/the-medical-consultation-through-the-lenses-of-language-and-social-interaction-theory
#2
Antoon Cox, Shuangyu Li
The well-structured medical communication models that are typically described in textbooks are relevant to practice, but the actual messy interactional realities of consultations are often a far cry away from them. As a result, medical trainees frequently encounter difficulties when applying communication skills acquired during training to medical practice. This paper reflects on how clinical communication research and courses can incorporate the growing need for context-bound communication skills training...
February 4, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30694452/debiasing-versus-knowledge-retrieval-checklists-to-reduce-diagnostic-error-in-ecg-interpretation
#3
Matt Sibbald, Jonathan Sherbino, Jonathan S Ilgen, Laura Zwaan, Sarah Blissett, Sandra Monteiro, Geoffrey Norman
There is an ongoing debate regarding the cause of diagnostic errors. One view is that errors result from unconscious application of cognitive heuristics; the alternative is that errors are a consequence of knowledge deficits. The objective of this study was to compare the effectiveness of checklists that (a) identify and address cognitive biases or (b) promote knowledge retrieval, as a means to reduce errors in ECG interpretation. Novice postgraduate year (PGY) 1 emergency medicine and internal medicine residents (n = 40) and experienced cardiology fellows (PGY 4-6) (n = 21) were randomly allocated to three conditions: a debiasing checklist, a content (knowledge) checklist, or control (no checklist) to be used while interpreting 20 ECGs...
January 29, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30671703/theories-of-truth-and-teaching-clinical-reasoning-and-problem-solving
#4
Eugène J F M Custers
In this paper, we will first discuss two current meta-theories dealing with different, aspects of "truth". The first metatheory conceives of truth in terms of coherence (rationality, consistency): a body of knowledge is true when it contains no inconsistencies and has at least some credibility. The second metatheory conceives of truth as correspondence, i.e., empirical accuracy. The two metatheories supplement each other, but are also incommensurable, i.e., they cannot be expressed in each other's terms, for they employ completely different criteria to establish truth (Englebretsen in Bare facts and naked truths: a new correspondence theory of truth, Routledge, London, 2005)...
January 22, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30659426/disentangling-residents-engagement-with-communities-of-clinical-practice-in-the-workplace
#5
Francisco M Olmos-Vega, Diana H J M Dolmans, Carlos Guzmán-Quintero, Camila Echeverri-Rodriguez, Pim W Teunnissen, Renée E Stalmeijer
Maximising the potential of the workplace as a learning environment entails understanding the complexity of its members' interactions. Although some articles have explored how residents engage with supervisors, nurses and pharmacists individually, there is little research on how residents enter into and engage with the broader community of clinical practice (CoCP). To this end, we designed a constructivist grounded theory study that took place at Universidad Javeriana in Bogotá, Colombia. We conducted semi-structured interviews with 13 residents from different training levels and disciplines during the first weeks of their new rotations...
January 18, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30656525/sociological-analysis-of-the-medical-field-using-bourdieu-to-understand-the-processes-preceding-medical-doctors-specialty-choice-and-the-influence-of-perceived-status-and-other-forms-of-symbolic-capital-on-their-choices
#6
Caroline Olsson, S Kalén, S Ponzer
Several studies have demonstrated that medical students and doctors rank specialties differently in terms of perceived status and prestige. At the same time some of the specialties have problems with recruiting and retaining staff. This study aimed to understand what constitutes status and prestige in the medical field and how it influences medical doctors' choice of specialty. By using a sociological perspective and applying Bourdieu's theoretical concepts of field, symbolic capital and perceived status, we analysed young doctors' journeys towards their chosen specialty...
January 17, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30632026/factors-that-may-promote-the-learning-of-person-centred-care-an-ethnographic-study-of-an-implementation-programme-for-healthcare-professionals-in-a-medical-emergency-ward-in-sweden
#7
L Dellenborg, E Wikström, A Andersson Erichsen
While person-centred care has gained increasing prominence in recent decades as a goal for healthcare systems, mainstream implementation remains tentative and there is a lack of knowledge about how to develop person-centred care in practice. This study therefore aimed to explore what may be required in order for person-centred care programmes to be successful. The study used an ethnographic method of data collection. This consisted of closely following an implementation programme on a medical emergency ward in a Swedish hospital...
January 10, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30627833/fostering-medical-students-clinical-reasoning-by-learning-from-errors-in-clinical-case-vignettes-effects-and-conditions-of-additional-prompting-procedures-to-foster-self-explanations
#8
Martin Klein, Bärbel Otto, Martin R Fischer, Robin Stark
The present study aims at fostering undergraduate medical students' clinical reasoning by learning from errors. By fostering the acquisition of "negative knowledge" about typical cognitive errors in the medical reasoning process, we support learners in avoiding future erroneous decisions and actions in similar situations. Since learning from errors is based on self-explanation activities, we provided additional prompting procedures to foster the effectiveness of the error-based instructional approach...
January 9, 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30539343/-all-the-ward-s-a-stage-a-qualitative-study-of-the-experience-of-direct-observation-of-handoffs
#9
Kathleen Huth, Sarah Schwartz, Shelly-Anne Li, Natalie Weiser, Sanjay Mahant, Christopher P Landrigan, Nancy D Spector, Amy J Starmer, Daniel C West, Maitreya Coffey, Zia Bismilla
Direct observation of clinical skills is central to assessment in a competency-based medical education model, yet little is known about how direct observation is experienced by trainees and observers. The objective of the study is to explore how direct observation was experienced by residents and faculty in the context of the I-PASS Handoff Study. In this multi-center qualitative study, we conducted focus groups and semi-structured interviews of residents and faculty members at eight tertiary pediatric centers in North America that implemented the I-PASS Handoff Bundle...
December 11, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30519786/learning-climate-positively-influences-residents-work-related-well-being
#10
Lenny S S Lases, Onyebuchi A Arah, Olivier R C Busch, Maas Jan Heineman, Kiki M J M H Lombarts
An optimal learning climate is crucial for the quality of residency training and may also improve residents' well-being and empathy. We investigated the associations of learning climate with residents' work-related well-being. A multicenter questionnaire study was performed among 271 surgery and gynaecology residents in 21 training programs from September 2012 to February 2013. Residents were asked to complete work-related well-being measurements: work engagement (Utrecht Work Engagement Scale), job and specialty satisfaction (measures from Physician Worklife Study), and physician empathy (Jefferson Scale of Physician Empathy)...
December 5, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30756257/salami-slicing-and-plagiarism-how-should-we-respond
#11
EDITORIAL
Martin G Tolsgaard, Rachel Ellaway, Nikki Woods, Geoff Norman
No abstract text is available yet for this article.
March 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30756256/editorial
#12
EDITORIAL
Geoff Norman
No abstract text is available yet for this article.
March 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30302670/from-opening-the-black-box-to-looking-behind-the-curtain-cognition-and-context-in-assessor-based-judgements
#13
Victor Lee, Keira Brain, Jenepher Martin
The increasing use of direct observation tools to assess routine performance has resulted in the growing reliance on assessor-based judgements in the workplace. However, we have a limited understanding of how assessors make judgements and formulate ratings in real world contexts. The current research on assessor cognition has largely focused on the cognitive domain but the contextual factors are equally important, and both are closely interconnected. This study aimed to explore the perceived cognitive and contextual factors influencing Mini-CEX assessor judgements in the Emergency Department setting...
March 2019: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30421094/clinical-practice-deliberate-practice-and-big-data
#14
EDITORIAL
Geoff Norman
No abstract text is available yet for this article.
December 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30456474/engagement-what-is-it-good-for-the-role-of-learner-engagement-in-healthcare-simulation-contexts
#15
REVIEW
Jessica Padgett, Sayra Cristancho, Lorelei Lingard, Richard Cherry, Faizal Haji
Learner engagement matters, particularly in simulation-based education. Indeed, it has been argued that instructional design only matters in the service of engaging learners in a simulation encounter. Yet despite its purported importance, our understanding of what engagement is, how to define it, how to measure it, and how to assess it is limited. The current study presents the results of a critical narrative review of literature outside of health sciences education, with the aim of summarizing existing knowledge in these areas and providing a research agenda to guide future scholarship on learner engagement in healthcare simulation...
November 19, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30446851/associations-between-motivational-factors-for-studying-medicine-learning-approaches-and-empathy-among-medical-school-candidates
#16
Giovanni Piumatti, Milena Abbiati, Anne Baroffio, Margaret W Gerbase
Previous research highlighted associations between students' motivation for medical studies and their learning approaches on the one hand and empathy on the other. Internal motivational factors for studying medicine (e.g., care for patients, save lives) coupled with a deep approach to learning have been positively related to empathy in contrast to external motivational factors (e.g., future earning potential, prestige) and surface learning. However, assessments of these assumptions among medical school candidates are scarce...
November 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30443693/challenging-encounters-as-experienced-by-registered-nurses-new-to-the-emergency-medical-service-explored-by-using-the-theory-of-communities-of-practice
#17
Anna Hörberg, Veronica Lindström, Max Scheja, Helen Conte, Susanne Kalén
The aim of this study was to explore challenging encounters experienced by registered nurses (RN) during their first year in the emergency medical service by using the social learning theory of communities of practice. During the first year in a new professional practice, a new RN experiences a transition during which the new professional identity is being formed. This is a challenging and demanding period of time. According to the learning theory of communities of practice by Lave and Wenger, individuals' learning and development in a new professional practice occurs through participation in social activity and is influenced by context...
November 15, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30426324/impact-of-funding-allocation-on-physical-therapist-research-productivity-and-dpt-student-graduates-an-analysis-using-panel-data
#18
Tara Dickson, P Daniel Chen, Barrett Taylor
Financial support for institutional research is relatively stagnant, and thus institutions are likely to seek tuition revenue to offset the costs of research and teaching. It is likely that this has led to increases in tuition driven activities, and thus has limited research activities of academic physical therapy (PT) programs in particular. However, the relationships between sources of program revenue, the number of graduates from PT programs, and the scholarly production of PT faculty have not been studied...
November 13, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30421251/early-identification-of-first-year-students-at-risk-of-dropping-out-of-high-school-entry-medical-school-the-usefulness-of-teachers-ratings-of-class-participation
#19
Alexandra M Araújo, Carlos Leite, Patrício Costa, Manuel João Costa
Dropping out from undergraduate medical education is costly for students, medical schools, and society in general. Therefore, the early identification of potential dropout students is important. The contribution of personal features to dropout rates has merited exploration. However, there is a paucity of research on aspects of student experience that may lead to dropping out. In this study, underpinned by theoretical models of student commitment, involvement, and engagement, we explored the hypothesis of using inferior participation as an indicator of a higher probability of dropping out in year 1...
November 12, 2018: Advances in Health Sciences Education: Theory and Practice
https://read.qxmd.com/read/30390181/comfort-with-uncertainty-reframing-our-conceptions-of-how-clinicians-navigate-complex-clinical-situations
#20
REVIEW
Jonathan S Ilgen, Kevin W Eva, Anique de Bruin, David A Cook, Glenn Regehr
Learning to take safe and effective action in complex settings rife with uncertainty is essential for patient safety and quality care. Doing so is not easy for trainees, as they often consider certainty to be a necessary precursor for action and subsequently struggle in these settings. Understanding how skillful clinicians work comfortably when uncertain, therefore, offers an important opportunity to facilitate trainees' clinical reasoning development. This critical review aims to define and elaborate the concept of 'comfort with uncertainty' in clinical settings by juxtaposing a variety of frameworks and theories in ways that generate more deliberate ways of thinking about, and researching, this phenomenon...
November 2, 2018: Advances in Health Sciences Education: Theory and Practice
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