Exploring the Relationship Between the American Board of Emergency Medicine In-Training Exam Scores and Mandatory Didactic Attendance for Emergency Medicine Residents

Online tutorial service was a learning support services provided by the Universitas Terbuka (UT) for its students. In the distance education system, the learning process could be done through the internet. Research on online tutorial learning and services has been done by UT lecturers. This article aimed to map research related to UT's online tutorials, both in the form of research reports and those that have been published in journals. The purpose of mapping was to find out what research topics regarding online tutorials that have been conducted. The research method used was the meta-analysis method, combining various analyzes which then produced a global analysis of online tutorials. The results of this study were online tutorial research could be categorized into five topics, namely a) the relationship between online tutorial values and final exam scores; b) organizing online tutorials; c) the quality of online tutorials; d) online tutorial accessibility; and e) online tutorials as a research tool. Students rated the implementation of online tutorials as good and they were satisfied. The value of online tutorials could contribute to the value of final exam scores. However, the accessibility of online tutorials was still low because it depended on the network and students’ discipline and activeness. Layanan tutorial online merupakan layanan bantuan belajar yang diberikan Universitas Terbuka (UT) untuk para mahasiswanya. Dalam sistem pendidikan jarak jauh proses pembelajaran dapat dilakukan melalui jaringan internet. Penelitian tentang layanan dan pembelajaran tutorial online sudah banyak dilakukan oleh dosen UT. Artikel ini bertujuan untuk memetakan penelitian yang berhubungan dengan tutorial online UT, baik dalam bentuk laporan penelitian maupun yang sudah dipublikasikan di jurnal. Tujuan pemetaan adalah untuk mengetahui apa saja topik penelitian mengenai tutorial online yang sudah dilakukan. Metode penelitian yang digunakan adalah metode meta analisis, menggabungkan berbagai analisis yang kemudian menghasilkan analisis global mengenai tutorial online. Hasil dari penelitian ini adalah penelitian tutorial online dapat dikategorikan menjadi lima topik, yaitu: a) Hubungan nilai tutorial online dengan nilai UAS; b) Penyelenggaraan tutorial online; c) Kualitas tutorial online; d) Aksesibilitas tutorial online; dan e) Tutorial online sebagai sarana atau alat penelitian. Mahasiswa menilai penyelenggaraan tutorial online sudah baik dan mahasiswa merasa puas. Nilai tutorial online dapat berkontribusi terhadap nilai UAS. Namun aksesibilitas tutorial online masih rendah karena bergantung kepada jaringan serta kedisiplinan dan keaktifan mahasiswa.

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A Validity Study of COMLEX-USA Level 2-CE and COMAT Clinical Subjects: Concurrent and Predictive Evidence

Journal of Graduate Medical Education ◽

10.4300/jgme-d-19-00157.1 ◽

2019 ◽

Vol 11 (5) ◽

pp. 521-526 ◽

Cited By ~ 2

Author(s):

Kimberly M. Hudson ◽

Tsung-Hsun Tsai ◽

Charles Finch ◽

Joel L. Dickerman ◽

Silu Liu ◽

...

Keyword(s):

Internal Medicine ◽

Emergency Medicine ◽

Multivariate Regression ◽

Achievement Test ◽

Validity Study ◽

Assessment Practices ◽

Licensure Examination ◽

The Relationship ◽

Predictive Relationship ◽

Level 2

ABSTRACT Background The Comprehensive Osteopathic Medical Licensure Examination (COMLEX-USA) Level 2–Cognitive Examination (CE) and the Comprehensive Osteopathic Medical Achievement Test (COMAT) are administered to similar populations (third- and fourth-year osteopathic students) at similar points in time. Examining the relationship between scores on the 2 assessments that measure similar constructs ultimately supports the validity of both. Objective The purpose of this study is to provide empirical evidence of the concurrent and predictive validity of COMAT and COMLEX-USA Level 2-CE. Methods In 2018, first-attempt scores on Level 2-CE were aggregated from June 2015 to May 2018 and matched with first-attempt scores on each COMAT clinical subject. We conducted correlational analyses between performance on COMAT and Level 2-CE, and COMAT scores and Level 2-CE discipline subscores. Additionally, we used multivariate regression to analyze the predictive relationship between performance on all COMAT clinical subjects and Level 2-CE. Results The results from correlational analyses indicated statistically significant, positive associations between COMAT and Level 2-CE scores (r = 0.49–0.68, P < .0001), and statistically significant, but slightly weaker relationships between COMAT scores and Level 2-CE discipline subscores (r = 0.31–0.60, P < .0001). Furthermore, results from the multiple regression indicated that scores on COMAT explained 68% of the variance in Level 2-CE scores, and that COMAT internal medicine and emergency medicine were weighted more heavily than other specialties. Conclusions The findings from this study can inform assessment practices by supporting the use of COMAT for osteopathic medical schools that do not administer COMAT.

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MP51: The relationship between entrustment scores in the simulated and workplace environments among emergency medicine residents

CJEM ◽

10.1017/cem.2020.199 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S61-S61 ◽

Cited By ~ 1

Author(s):

N. Prudhomme ◽

M. O'Brien ◽

M. McConnell ◽

N. Dudek ◽

W. Cheung

Keyword(s):

Emergency Medicine ◽

Clinical Performance ◽

Interobserver Reliability ◽

Workplace Performance ◽

Clinical Supervisors ◽

Professional Activities ◽

Simulation Performance ◽

Within Subjects ◽

The Relationship ◽

Simulation Environments

Introduction: The Emergency Medicine Specialty Committee of the Royal College of Physicians and Surgeons of Canada (RCPSC) has specified that resuscitation Entrustable Professional Activities (EPAs) can be assessed in either the workplace or simulation environments; however, there is minimal evidence that such clinical performance correlates. We sought to determine the relationship between assessments in the workplace versus simulation environments among junior emergency medicine residents. Methods: We conducted a prospective observational study to compare workplace and simulation resuscitation performance among all first-year residents (n = 9) enrolled in the RCPSC-Emergency Medicine program at the University of Ottawa. All scores from Foundations EPA #1 (F1) were collected during the 2018-2019 academic year; this EPA focuses on initiating and assisting in the resuscitation of critically ill patients. Workplace performance was assessed by clinical supervisors by direct observation during clinical shifts. Simulation performance was assessed by trained simulation educators during regularly-scheduled sessions. We present descriptive statistics and within-subjects analyses of variance. Results: We collected a total of 104 workplace and 36 simulation assessments. Interobserver reliability of simulation assessments was high (ICC = 0.863). We observed no correlation between mean EPA scores assigned in the workplace and simulation environments (Spearman's rho=−0.092, p = 0.813). Scores in both environments improved significantly over time (F(1,8) = 18.79, p < 0.001, ηp2 = 0.70), from 2.9(SD = 1.2) in months 1-4 to 3.5(0.2) in months 9-12 (p = 0.002). Workplace scores (3.4(0.1)) were consistently higher than simulation scores (2.9(0.2)) (F(1,8) = 7.16, p = 0.028, ηp2 = 0.47). Conclusion: We observed no correlation between EPA F1 ratings of resuscitation performance between the workplace and simulation environments. Further studies should seek to clarify this relationship to inform our ongoing use of simulation to assess clinical competence.

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An Investigation of the Relationship Between Emergency Medicine Trainee Burnout and Clinical Performance in a High-fidelity Simulation Environment

AEM Education and Training ◽

10.1002/aet2.10004 ◽

2017 ◽

Vol 1 (1) ◽

pp. 55-59 ◽

Cited By ~ 7

Author(s):

Dave W. Lu ◽

Scott M. Dresden ◽

D. Mark Courtney ◽

David H. Salzman

Keyword(s):

Emergency Medicine ◽

Clinical Performance ◽

High Fidelity ◽

High Fidelity Simulation ◽

Simulation Environment ◽

The Relationship

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P126: Entrepreneurship in healthcare and health education: A scoping review

CJEM ◽

10.1017/cem.2019.317 ◽

2019 ◽

Vol 21 (S1) ◽

pp. S109-S110 ◽

Cited By ~ 1

Author(s):

T. Suryavanshi ◽

S. Lambert ◽

T. Chan

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Health Education ◽

Scoping Review ◽

Formal Education ◽

Idea Generation ◽

Education And Health ◽

The Face ◽

The Usa ◽

The Relationship

Introduction: Today's emergency department sees healthcare system pressures manifest through longer wait times, increased costs, and provider burnout. In the face of questionable sustainability, there is a greater role for training future innovators and entrepreneurs in healthcare. However, there is currently little formal education or mentorship in these areas. The aim of this scoping review was to identify the current and ideal educational practices to foster innovative and entrepreneurial mindsets, with specific interest amongst emergency medicine trainees. Methods: Using a scoping review methodology, the relationship between healthcare and entrepreneurship was explored. OVID, PubMed and Google Scholar were searched using the keywords “entrepreneurship”, “health education” and “health personnel”, on March 8th, 2018. Results were screened by title, abstract and full text by a team of three calibrated researchers, based upon pre-defined exclusion and inclusion criteria. The final list of papers was reviewed using an extraction tool to identify demographics, details of the paper, and its attitudes and perceptions towards entrepreneurship and innovation. Results: After screening, 59 papers were identified for qualitative analysis. These papers ranged from 1970-2018, mainly from the USA (n = 36). Most papers were commentaries/opinions (n = 35); 11 papers described specific innovations. Entrepreneurship was viewed positively in 45 papers, negatively in 2 papers, and mixed in 12 papers. Common specialties discussed were surgery (n = 9), internal medicine (n = 3), and not specified (n = 44). Emergency medicine was described in one paper. Major themes were: entrepreneurial environment (n = 29), funding and capital (n = 12), idea generation (n = 9), and teaching entrepreneurship (n = 6). Of the 11 innovation papers, the discussion was focused on educational (n = 6) or system (n = 5) innovations. These innovations related to surgery (n = 1), public health (n = 1) and palliative care (n = 1). None of these innovations were specific to emergency medicine. Conclusion: This review indicates a small number of programs focused on promoting innovation and entrepreneurship amongst trainees, but no programs specific to the emergency department. There may be benefit for educators in emergency medicine to consider how to foster a greater innovative spirit in our speciality, so our next generation of physicians can help tackle problems affecting patient care.

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The Swine Flu Emergency Department: The Relationship Between Media Attention for the Swine Flu and Registrations in an Emergency Medicine Unit

Prehospital and Disaster Medicine ◽

10.1017/s1049023x14000247 ◽

2014 ◽

Vol 29 (2) ◽

pp. 141-145 ◽

Cited By ~ 2

Author(s):

Sara Nelissen ◽

Kathleen Beullens ◽

Marc Sabbe ◽

Jan Van den Bulck

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Time Frame ◽

Swine Flu ◽

Publication Type ◽

Media Report ◽

Media Attention ◽

Number Of Patients ◽

Media Reports ◽

The Relationship

AbstractIntroductionWhen the world is faced with a new potential pandemic outbreak, the media report heavily about it. Media are an important disseminator of health threat information. This study examined potential media effects during the 2009 outbreak of A/H1N1 influenza.HypothesisTo examine the relationship between media reports of the swine flu and self-registrations in an emergency department (ED) of a tertiary hospital in Flanders, Belgium.MethodsAll articles concerning swine flu published in seven Flemish newspapers were selected during the biggest flu peak in Belgium. This number was compared with the number of patients who presented themselves with a self-diagnosis of swine flu symptoms during the same time frame. The Pearson's correlation coefficient was selected to determine the relationship. The cross-correlation function determined the direction of this relationship.ResultsA strong correlation was found between the number of potential patients (n = 308) and the number of articles in the Flemish press (n = 1657). The number of patients was the leading indicator; increases in the volume of written press followed increases in the number of patients.ConclusionMedia reporting is extensive when a new infectious disease breaks out and intensifies when it is feared that pandemic levels are reached. This was also the case with the swine flu outbreak in Flanders. These findings suggest that a rise in the number of media reports follows a rise in the number of cases, rather than the reverse.NelissenS, BeullensK, SabbeM, Van den BulckJ. The Swine Flu Emergency Department: the relationship between media attention for the swine flu and registrations in an emergency medicine unit. Prehosp Disaster Med. 2014;29(2):1-5.

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