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JMIR Medical Education

Audra Rankin, Maria Truskey, Margaret S Chisolm
BACKGROUND: The implementation of interprofessional education (IPE) activities into health care education is a challenge for many training programs owing to time and location constraints of both faculty and learners. The integration of social media into these IPE activities may provide a solution to these problems. OBJECTIVE: This review of the published literature aims to identify health care IPE activities using social media. METHODS: The authors searched 5 databases (from the beginning coverage date to May 27, 2017) using keywords related to IPE and social media...
January 11, 2019: JMIR Medical Education
Leming Zhou, Bambang Parmanto, James Joshi
BACKGROUND: The widespread application of technologies such as electronic health record systems, mobile health apps, and telemedicine platforms, has made it easy for health care providers to collect relevant data and deliver health care regimens. While efficacious, these new technologies also pose serious security and privacy challenges. OBJECTIVE: The training program described here aims at preparing well-informed health information security and privacy professionals with enhanced course materials and various approaches...
December 21, 2018: JMIR Medical Education
Jennie C De Gagne, Kim Manturuk, Hyeyoung K Park, Jamie L Conklin, Noelle Wyman Roth, Benjamin E Hook, Joanne M Kulka
BACKGROUND: Cyberincivility is a pervasive issue that demands upfront thinking and can negatively impact one's personal, professional, social, and educational well-being. Although massive open online courses (MOOCs) environments could be vulnerable to undesirable acts of incivility among students, no study has explored the phenomena of cyberincivility in this learning environment, particularly in a health-related course in which mostly current or eventual health professions students enroll...
December 21, 2018: JMIR Medical Education
Sandra Barteit, Albrecht Jahn, Annel Bowa, Sigrid Lüders, Gregory Malunga, Clemence Marimo, Sigrid Wolter, Florian Neuhann
BACKGROUND: Zambia faces a severe shortage of health workers, particularly in rural areas. To tackle this shortage, the Medical Licentiate program was initiated at Chainama College of Health Sciences in the capital, Lusaka, in 2002. The objective of the program was to alleviate the shortage of human resources in curative care. On-the-job training is conducted in decentralized teaching hospitals throughout Zambia. However, the program faces significant challenges such as shortages of senior medical instructors and learning materials...
November 27, 2018: JMIR Medical Education
Jennie C De Gagne, Sang S Kim, Ellen R Schoen, Hyeyoung K Park
BACKGROUND: Web-based education is one of the leading learning pedagogies in health professions education. Students have access to a multitude of opinions, knowledge, and resources on Web, but communication among students in Web-based courses is complicated. Technology adds a filter that makes it difficult to decipher the emotions behind words or read nonverbal cues. This is a concern because students benefit more from Web-based classes when they have a high perception of social presence...
November 26, 2018: JMIR Medical Education
Yacob Habboush, Robert Hoyt, Sary Beidas
BACKGROUND: Electronic health records (EHRs) have been adopted by most hospitals and medical offices in the United States. Because of the rapidity of implementation, health care providers have not been able to leverage the full potential of the EHR for enhancing clinical care, learning, and teaching. Physicians are spending an average of 49% of their working hours on EHR documentation, chart review, and other indirect tasks related to patient care, which translates into less face time with patients...
November 12, 2018: JMIR Medical Education
Sidra Zafar, Yacob Habboush, Sary Beidas
BACKGROUND: The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework is a validated evaluation tool used to assess the quality of scientific publications. It helps in enhancing clinicians' decision-making process and supports production of informed healthy policy. OBJECTIVE: The purpose of this report was two-fold. First, we reviewed the interpretation of observational studies. The second purpose was to share or provide an example using the GRADE criteria...
November 7, 2018: JMIR Medical Education
Simon Jacklin, Neal Maskrey, Stephen Chapman
BACKGROUND: Shared decision making (SDM) involves the formation of a collaborative partnership between the patient and clinician combining both of their expertise in order to benefit decision making. In order for clinicians to be able to carry out this skilled task, they require practice. Virtual reality, in the form of a virtual patient, could offer a potential method of facilitating this. OBJECTIVE: The objective of this study was to create a virtual patient that simulated a primary care consultation, affording the opportunity to practice SDM...
November 6, 2018: JMIR Medical Education
Richa Tambi, Riad Bayoumi, Peter Lansberg, Yajnavalka Banerjee
BACKGROUND: With the rapid integration of genetics into medicine, it has become evident that practicing physicians as well as medical students and clinical researchers need to be updated on the fundamentals of bioinformatics. To achieve this, the following gaps need to be addressed: a lack of defined learning objectives for "Bioinformatics for Medical Practitioner" courses, an absence of a structured lesson plan to disseminate the learning objectives, and no defined step-by-step strategy to teach the essentials of bioinformatics in the medical curriculum...
October 25, 2018: JMIR Medical Education
Alexander Y Sheng, Andrew Chu, Dea Biancarelli, Mari-Lynn Drainoni, Ryan Sullivan, Jeffrey I Schneider
BACKGROUND: Experiential learning plays a critical role in learner development. Kolb's 4-part experiential learning model consists of concrete experience, reflective observation, abstract conceptualization, and active experimentation in a recurring cycle. Most clinical environments provide opportunities for experiences and active experimentation but rarely offer structured means for reflection and abstract conceptualization that are crucial for learners to learn through experience. We created Learning Moment, a novel Web-based educational tool that integrates principles of asynchronous learning and learning portfolios to fulfill the reflection and abstract conceptualization aspects of Kolb's learning cycle in the modern clinical learning environment...
October 17, 2018: JMIR Medical Education
Kathleen M Mazor, Ann M King, Ruth B Hoppe, Annie O Kochersberger, Jie Yan, Jesse D Reim
BACKGROUND: Good clinician-patient communication is essential to provide quality health care and key to patient-centered care. However, individuals and organizations seeking to improve in this area face significant challenges. A major barrier is the absence of an efficient system for assessing clinicians' communication skills and providing meaningful, individual-level feedback. OBJECTIVE: The purpose of this paper is to describe the design and creation of the Video-Based Communication Assessment (VCA), an innovative, flexible system for assessing and ultimately enhancing clinicians' communication skills...
October 14, 2018: JMIR Medical Education
Irsk Anderson, Oliver Hulland, Jeanne M Farnan, Wei Wei Lee, Debra Milton, Vineet M Arora
BACKGROUND: Although the Clerkship Directors in Internal Medicine (CDIM) has created a core subinternship curriculum, the traditional experiential subinternship may not expose students to all topics. Furthermore, academic institutions often use multiple clinical training sites for the student clerkship experience. OBJECTIVE: The objective of this study was to sustain a Web-based learning community across geographically disparate sites via enterprise microblogging to increase subintern exposure to the CDIM curriculum...
August 21, 2018: JMIR Medical Education
Jaime D Lewis, Kathleen E Fane, Angela M Ingraham, Ayesha Khan, Anne M Mills, Susan C Pitt, Danielle Ramo, Roseann I Wu, Susan M Pollart
The number of women entering medical school and careers in science is increasing; however, women remain the minority of those in senior faculty and leadership positions. Barriers contributing to the shortage of women in academics and academic leadership are numerous, including a shortage of role models and mentors. Thus, achieving equity in a timelier manner will require more than encouraging women to pursue these fields of study or waiting long enough for those in the pipelines to be promoted. Social media provides new ways to connect and augments traditional forms of communication...
July 23, 2018: JMIR Medical Education
Anne-Christine Rat, Laetitia Ricci, Francis Guillemin, Camille Ricatte, Manon Pongy, Rachel Vieux, Elisabeth Spitz, Laurent Muller
BACKGROUND: Although most physicians in medical settings have to deliver bad news, the skills of delivering bad news to patients have been given insufficient attention. Delivering bad news is a complex communication task that includes verbal and nonverbal skills, the ability to recognize and respond to patients' emotions and the importance of considering the patient's environment such as culture and social status. How bad news is delivered can have consequences that may affect patients, sometimes over the long term...
July 19, 2018: JMIR Medical Education
Becky Hartnup, Lin Dong, Andreas Benedikt Eisingerich
BACKGROUND: Social media has been increasingly used as a learning tool in medical education. Specifically, when joining university, students often go through a phase of adjustment, and they need to cope with various challenges such as leaving their families and friends and trying to fit into a new environment. Research has shown that social media helps students to connect with old friends and to establish new relationships. However, managing friendships on social media might intertwine with the new learning environment that shapes students' online behaviors...
July 13, 2018: JMIR Medical Education
Deepa Rani Nandiwada, Gary S Fischer, Glenn Updike, Margaret B Conroy
BACKGROUND: As electronic health records have become a more integral part of a physician's daily life, new electronic health record tools will continue to be rolled out to trainees. Patient access to provider notes is becoming a more widespread practice because this has been shown to increase patient empowerment. OBJECTIVE: In this analysis, we compared differences between resident and attending physicians' perceptions prior to implementation of patient access to provider notes to facilitate optimal use of electronic health record features and as a potential for patient empowerment...
June 15, 2018: JMIR Medical Education
Michael Pascoe, Forrest Monroe, Helen Macfarlane
BACKGROUND: Wiki platform use has potential to improve student learning by improving engagement with course material. A student-created wiki was established to serve as a repository of study tools for students in a medical school curriculum. There is a scarcity of information describing student-led creation of wikis in medical education. OBJECTIVE: The aim is to characterize website traffic of a student-created wiki and evaluate student perceptions of usage via a short anonymous online survey...
June 14, 2018: JMIR Medical Education
Andrew George Alexander, Deborah Deas, Paul Eric Lyons
BACKGROUND: Imaging and its optimal use are imperative to the practice of medicine, yet many students don't receive a formal education in radiology. Concurrently, students look for ways to take time away from medical school for residency interviewing. Web-based instruction provides an opportunity to combine these imperatives using online modalities. OBJECTIVE: A largely Web-based course in radiology during the 4th year of medical school was evaluated both for its acceptance to students who needed to be away from campus for interviews, and its effectiveness on a nationally administered standardized test...
May 18, 2018: JMIR Medical Education
Robert Adrianus de Leeuw, Kieran Walsh, Michiel Westerman, Fedde Scheele
BACKGROUND: The progressive use of e-learning in postgraduate medical education calls for useful quality indicators. Many evaluation tools exist. However, these are diversely used and their empirical foundation is often lacking. OBJECTIVE: We aimed to identify an empirically founded set of quality indicators to set the bar for “good enough” e-learning. METHODS: We performed a Delphi procedure with a group of 13 international education experts and 10 experienced users of e-learning...
April 26, 2018: JMIR Medical Education
Katarzyna Bochenska, Magdy P Milad, John Ol DeLancey, Christina Lewicky-Gaupp
BACKGROUND: Many senior medical students lack simple surgical and procedural skills such as knot tying. OBJECTIVE: The aim of this study was to determine whether viewing a Web-based expert knot-tying training video, in addition to the standard third-year medical student curriculum, will result in more proficient surgical knot tying. METHODS: At the start of their obstetrics and gynecology clerkship, 45 students were videotaped tying surgical knots for 2 minutes using a board model...
April 12, 2018: JMIR Medical Education
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