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curricular change

Arnyce Pock, Michelle Daniel, Sally A Santen, Aubrie Swan-Sein, Amy Fleming, Vicky Harnik
An increasing number of medical schools have moved away from traditional 2 + 2 curricular structures toward curricula that intentionally integrate basic, clinical, and health systems science, with the goal of graduating physicians who consistently apply their foundational knowledge to clinical practice to improve the care of patients and populations. These curricular reforms often include a shortened pre-clerkship phase with earlier introduction of learners into clinical environments. This has led schools to reconsider the optimal timing of United States Medical Licensing Examination Step 1 exam...
February 12, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Sylvia R Cruess, Richard L Cruess, Yvonne Steinert
While teaching medical professionalism has been an important aspect of medical education over the past two decades, the recent emergence of professional identity formation as an important concept has led to a reexamination of how best to ensure that medical graduates come to "think, act, and feel like a physician." If the recommendation that professional identity formation as an educational objective becomes a reality, curricular change to support this objective is required and the principles that guided programs designed to teach professionalism must be reexamined...
February 11, 2019: Medical Teacher
Nervana Elkhadragy, Robin L Corelli, Alissa L Russ, Margie E Snyder, Mercedes Clabaugh, Karen Suchanek Hudmon
BACKGROUND: Between 2003 and 2005, pharmacy faculty members (n = 191) participated in a national train-the-trainer workshop designed to equip faculty with the necessary knowledge and skills to implement a shared curriculum, Rx for Change: Clinician-Assisted Tobacco Cessation, at pharmacy schools across the United States. OBJECTIVE: To conduct a long-term, qualitative follow-up study of faculty participants to describe (a) perceptions of the train-the-trainer workshop, and (b) subsequent experiences with curricular implementation...
January 9, 2019: Research in Social & Administrative Pharmacy: RSAP
Bahaa Makhoul, Katrina Sabah
The current study attempted to investigate the contribution of an intervention program to fostering Arabic academic vocabulary knowledge and reading comprehension skills among seventh grade Arabic native speaking pupils. For this purpose, 247 pupils from four schools in northern Israel have participated in the study. Arabic literacy units that targeted academic vocabulary and reading comprehension skills were administrated for a period of 5 months. To assess the efficacy of the intervention program, academic vocabulary tests (receptive and productive) as well as reading comprehension test were administrated...
February 7, 2019: Journal of Psycholinguistic Research
Cynthia C Gadbury-Amyot, Lance W Godley, John W Nelson
Learning to evaluate one's own skills through reflection and self-assessment prepares dental graduates for successfully navigating an ever-changing work environment throughout their careers, but the search continues for the most effective teaching and assessment strategies to develop students' skills in these areas. Beginning with the Class of 2017, the University of Missouri-Kansas City School of Dentistry adopted e-portfolios as a programmatic (four-year) global assessment measure in the predoctoral dental program, in large part to encourage the development of reflection...
January 28, 2019: Journal of Dental Education
Brian A Couch, Christian D Wright, Scott Freeman, Jennifer K Knight, Katharine Semsar, Michelle K Smith, Mindi M Summers, Yi Zheng, Alison J Crowe, Sara E Brownell
The Vision and Change report provides a nationally agreed upon framework of core concepts that undergraduate biology students should master by graduation. While identifying these concepts was an important first step, departments also need ways to measure the extent to which students understand these concepts. Here, we present the General Biology-Measuring Achievement and Progression in Science (GenBio-MAPS) assessment as a tool to measure student understanding of the core concepts at key time points in a biology degree program...
March 2019: CBE Life Sciences Education
Betsy A List, Robin Saxon, Devon Lehman, Catherine Frank, Kimberly P Toole
BACKGROUND: Telehealth is an emerging technology for the delivery of health care services. Providers need to be trained to maximize the potential benefits for rural and underserved populations. METHOD: A quality improvement approach to curricular redesign was used to integrate telehealth in a family nurse practitioner program. The intervention consisted of telehealth learning outcomes and a lecture-style presentation in a role transition course. A Plan-Do-Study-Act cycle informed faculty decision making in a small test of change...
January 1, 2019: Journal of Nursing Education
Andrew R Thompson, Aaron M Marshall
The role of human dissection in modern medical curricula has been a topic of intense debate. In part, this is because dissection can be time consuming and curricular hours are being monitored more carefully. This has led many to question the efficacy and importance of dissection as a teaching method. While this topic has received considerable attention in the literature, the question of how dissection impacts learning has been difficult to evaluate in a real-world, high-stakes setting since participation in dissection is often one of many variables...
January 20, 2019: Anatomical Sciences Education
Michelle R McGregor, Sharon K Lanning, Kelly S Lockeman
Purpose: Commission on Dental Accreditation standards for dental and dental hygiene programs include interprofessional education (IPE) experiences within the curriculum; an initial step in the acquisition and application of IPE is for students to perceive it as relevant. The purpose of this study is to identify dental and dental hygiene students' attitudes regarding IPE following the completion of a novel interprofessional course involving health professional students from six different degree programs. Methods: Faculty members from the Schools of Allied Health Professions, Dentistry, Nursing, and Pharmacy designed a one-hour, required course focusing on collaborative practice, roles and responsibilities, teamwork, and communication...
December 2018: Journal of Dental Hygiene: JDH
Lauren A Heidemann, Charles A Keilin, Sally A Santen, James T Fitzgerald, Nikki L Zaidi, Laurie Whitman, Elizabeth K Jones, Monica L Lypson, Helen K Morgan
PURPOSE: The fourth year of medical school (M4) should prepare students for residency yet remains generally unstructured, with ill-defined goals. The primary aim of this study was to determine whether there were performance changes in evidence-based medicine (EBM) and urgent clinical scenarios (UCS) assessments before and after the fourth year. METHOD: University of Michigan Medical School graduates who matched into internship at Michigan Medicine completed identical assessments on EBM and UCS at the beginning of the fourth year and thirteen months later during postgraduate year 1 (PGY1) orientation...
January 8, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Tarren J Shaw, Suann Yang, Troy R Nash, Rachel M Pigg, Jeffrey M Grim
Student-centered pedagogies increase learning and retention. Quantifying change in both student learning gains and student perception of their experience allows faculty to evaluate curricular transformation more fully. Student buy-in, particularly how much students value and enjoy the active learning process, has been positively associated with engagement in active learning and increased learning gains. We hypothesize that as the frequency of students who have successfully completed the course increases in the student population, current students may be more likely to buy-in to the curriculum because this common experience could create a sense of community...
2019: PloS One
Lisa Podgurski, Carol Greco, Andrea Croom, Robert Arnold, Rene Claxton
BACKGROUND: Mindfulness-based interventions for health care providers have shown benefits for provider wellbeing and for their patients, but established programs are time-intensive. OBJECTIVE: To establish the feasibility of a brief mindfulness-based curriculum focused on self-care for an interprofessional group of palliative care providers within the regular workday, and to evaluate the effectiveness of the curriculum in improving the levels of burnout, mindfulness, use of mindfulness meditation practices, and stress levels...
January 9, 2019: Journal of Palliative Medicine
Anna Chang, Nancy E Lundebjerg, Joan Abrams, Deborah E Barnes, Mindy J Fain, William J Hall, Theodore M Johnson, G Michael Harper, Brie Williams, Christine S Ritchie
BACKGROUND/OBJECTIVES: To optimize health and well-being for all older people, we must collectively develop leaders to pioneer models of care, educate the healthcare workforce, advance research, and engage the community. METHODS: The Emerging Leaders in Aging (ELIA) program was created to train a multiprofessional cadre of leaders focused on the health and well-being of older people. ELIA uses the social change curricular framework and addresses knowledge of self, community, and engagement with change...
January 3, 2019: Journal of the American Geriatrics Society
Daniel Mota-Rojas, Agustín Orihuela, Ana Strappini-Asteggiano, María Nelly Cajiao-Pachón, Estrella Agüera-Buendía, Patricia Mora-Medina, Marcelo Ghezzi, María Alonso-Spilsbury
There is a high demand for a veterinary education in animal welfare (AW) with different approaches from the academic, society and trade points of view. Latin American (LA) countries members of the World Organization for Animal Health (OIE) are under the urge and should be obligated to teach AW. The aims of this article are to analyze the current drives of change on the importance of teaching animal welfare in LA, the competences recommended from international education organizations for the region, and to provide the contents on the curriculum in AW that a future veterinarian should achieve in the LA scenario, in other words to examine why teaching AW, what should be taught and how...
December 2018: International Journal of Veterinary Science and Medicine
Abeer M Al-Ghananeem, Daniel R Malcom, Samira Shammas, Talal Aburjai
Globally, pharmacy education is evolving to reflect a more patient-centered, interprofessional approach to clinical practice. In the 22 countries of the Arab world, advancements in regulatory support for pharmacy practice and changes to the health care system have been slower than in Europe, Asia, and the Americas. Significant cultural, logistical, and legal barriers exist in many countries, and a consensus approach to accreditation, educational outcomes, and curricula design is lacking. This commentary briefly examines the current state of both pharmacy education and practice in the Arab world, and it highlights recent reports of curricular reform and innovation...
November 2018: American Journal of Pharmaceutical Education
Gregory J Hughes, Ruby Lee, Vassilia Sideras
Objective. To describe how clinical pharmacokinetics is being delivered across curricula in pharmacy programs, including the curricular position of clinical pharmacokinetic topics, topics currently taught, and instructional methods used in delivering the course content. Methods. A survey was distributed to one representative faculty member from each pharmacy college who was most able to answer questions about their institution's delivery of clinical pharmacokinetic material. Results. Responses were collected from 82 out of the 108 pharmacy colleges who participated in the study...
November 2018: American Journal of Pharmaceutical Education
Manu Gill, Elizabeth Andersen, Norma Hilsmann
OBJECTIVE: In this systematic review we describe best practices for teaching pharmacology to undergraduate baccalaureate nursing students based on the available evidence. Numerous teaching strategies employed in undergraduate pharmacology courses for nursing students have been summarized and compared for their impact on pharmacology knowledge retention, application of pharmacology theory to practice, and student satisfaction. Future directions for research are discussed. DESIGN: The review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and meta-analyses...
December 7, 2018: Nurse Education Today
Monica L Acosta, Aran Sisley, Jacqueline Ross, Ian Brailsford, Anuj Bhargava, Robert Jacobs, Nicola Anstice
Today's students have increased expectations for flexible learning options and evidence-based practice resources to be available to support curricular activities. We investigated: (i) the suitability of a static website for teaching ocular anatomy and physiology and an interactive version of the website with quiz and self-assessment activities and (ii) the usefulness of a blended online and in-lab environment to teach in Optometry. We administered a survey to compare responses of optometry students who had access to the interactive website, with those from students from a previous year who used the static version...
2018: PloS One
Carol Boston-Fleischhauer
The pace and scope of change in the US healthcare industry has been relentless. Organizational and system responses include dramatic redesign of structures, processes, and services to support cross-continuum care. The education of nursing students must keep up with rapid delivery system change. Beyond significant curricular revision, innovation in undergraduate clinical rotations to better prepare students for cross-continuum practice will be key.
January 2019: Journal of Nursing Administration
Javier Sevil, Luis García-González, Ángel Abós, Eduardo Generelo, Alberto Aibar
PURPOSE: The main aim was to examine the effects of a school-based intervention on multiple health behaviors in adolescents, such as 24-hour movement behaviors (i.e., physical activity, sedentary time, and sleep duration), diet, and substance consumption (i.e., alcohol and tobacco). Another aim was to examine intragender differences in the effectiveness of the programme. METHODS: A quasi-experimental design was carried out in two secondary schools throughout one academic year...
November 21, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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