Innovation in Indigenous Health and Medical Education: The Leaders in Indigenous Medical Education (LIME) Network as a Community of Practice

2015 ◽  
Vol 27 (3) ◽  
pp. 314-328 ◽  
Author(s):  
Odette Mazel ◽  
Shaun Ewen
Keyword(s):  
Medical Education ◽  
Community Of Practice ◽  
Indigenous Health

scholarly journals P150: Emergency medicine resident perspectives on journal club as a community of practice and its impact on clinical medicine

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S110-S110
Author(s):  
D. K. Ting ◽  
B. Bailey ◽  
F. Scheuermeyer ◽  
T. M. Chan ◽  
D. R. Harris
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Community Of Practice ◽  
Journal Club ◽  
Clinical Care ◽  
Pilot Testing ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Select Group

Introduction: Despite revolutionary changes in the medical education landscape, journal club (JC) continues to be a ubiquitous pedagogical tool and is a primary way that residency programs review new evidence and teach evidence-based medicine. JC is a community of practice among physicians, which may help translate research findings into practice. Program representatives state that JC should have a goal of translating novel research into changes in clinical care, but there has been minimal evaluation of the success of JC in achieving this goal. Specifically, emergency medicine resident perspectives on the utility of JC remain unknown. Methods: We designed a multi-centre qualitative study for three distinct academic environments at the University of British Columbia (Vancouver, Victoria and Kelowna). Pilot testing was performed to generate preliminary themes and to finalize the interview script. An exploratory, semi-structured focus group was performed, followed by multiple one-on-one interviews using snowball sampling. Iterative thematic analysis directed data collection until thematic sufficiency was achieved. Analysis was conducted using a constructivist Grounded Theory method with communities of practice as a theoretical lens. Themes were compared to the existing literature to corroborate or challenge existing educational theory. Results: Pilot testing has revealed the following primary themes: (1) Only select residents are able to increase their participation in JC over the course of residency and navigate the transition from peripheral participant to core member; (2) These residents use their increased clinical experience to perceive relevance in JC topics, and; (3) Residents who remain peripheral participants identify a lack time to prepare for journal club and a lack of staff physician attendance as barriers to resident engagement. We will further develop these themes during the focus group and interview phases of our study. Conclusion: JC is a potentially valuable educational resource for residents. JC works as a community of practice only for a select group of residents, and many remain peripheral participants for the duration of their residency. Incorporation of Free Open-Access Medical Education resources may also decrease preparation time for residents and staff physicians and increase buy-in. To augment clinical impact, the JC community of practice may need to expand beyond emergency medicine and include other specialties.

scholarly journals History of the LIME Network and the development of Indigenous health in medical education

2013 ◽  
Vol 199 (1) ◽  
pp. 65-68 ◽  
Author(s):  
Timothy M Haynes ◽  
Margo E Collins ◽  
Odette Mazel ◽  
Louise M A Lawler ◽  
Caitlin Ryan ◽  
...  
Keyword(s):  
Medical Education ◽  
Indigenous Health ◽  
History Of

scholarly journals P018: Journal club functions as a community of practice that safeguards quality assurance in the era of free open access medical education: a qualitative study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S70-S71
Author(s):  
D. Ting ◽  
B. Bailey ◽  
F. Scheuermeyer ◽  
T. Chan ◽  
D. Harris
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Open Access ◽  
Community Of Practice ◽  
Medical Literature ◽  
Practical Wisdom ◽  
Journal Club ◽  
Research Question ◽  
Structured Interview ◽  
New Literature

Introduction: The ways in which Emergency Medicine (EM) physicians interact with the medical literature has been transformed with the rise of Free Open Access Medical Education (FOAM). Although nearly all residents use FOAM resources, some criticize the lack of universal quality assurance. This problem is a particular risk for trainees who have many time constraints and incompletely developed critical appraisal skills. One potential safeguard is journal club, which is used by virtually all EM residency programs in North America to review new literature. However, EM resident perspectives have not been studied. Our research objective was to describe how residents perceive journal club to influence how they translate the medical literature into their clinical practice. Our research question was whether FOAM has influenced residents’ goals and perceived value of journal club. Methods: We developed a semi-structured interview script in conjunction with a methods expert and refined it via pilot testing. Following constructivist grounded theory, and using both purposive and theoretical sampling, we conducted a focus group (n = 7) and 18 individual interviews with EM residents at the 4 training sites of the University of British Columbia. In total, we analyzed 920 minutes of recorded audio. Two authors independently coded each transcript, with discrepancies reconciled by discussion and consensus. Constant comparative analysis was performed. We conducted return of findings through public presentations. Results: We found evidence that journal club works as a community of practice with a progression of roles from junior to senior residents. Participants described journal club as a safe venue to compare practice patterns and to gain insight into the practical wisdom of their peers and mentors. The social and academic activities present at journal club interacted positively to foster this environment. In asking residents about ways that journal club accelerates knowledge translation, we actually found that residents cite journal club as a quality check to prevent premature adoption of new research findings. Residents are hesitant to adopt new literature into their practice without positive validation, which can occur during journal club. Conclusion: Journal club functions as a community of practice that is valued by residents. Journal club is a primary way that new evidence can be validated before being put into practice, and may act as quality assurance in the era of FOAM.

‘Working Together’: An Intercultural Academic Leadership Programme to Build Health Science Educators’ Capacity to Teach Indigenous Health and Culture

2016 ◽  
Vol 46 (1) ◽  
pp. 12-22 ◽  
Author(s):  
Angela Durey ◽  
Kate Taylor ◽  
Dawn Bessarab ◽  
Marion Kickett ◽  
Sue Jones ◽  
...  
Keyword(s):  
Community Of Practice ◽  
Indigenous Peoples ◽  
Indigenous Health ◽  
Academic Leadership ◽  
Health Science ◽  
Indigenous Australians ◽  
Learning Spaces ◽  
Working Together ◽  
Science Educators ◽  
The Impact

Progress has been slow in improving health disparities between Aboriginal and Torres Strait Islander (Indigenous) Australians and other Australians. While reasons for this are complex, delivering healthcare respectful of cultural differences is one approach to improving Indigenous health outcomes. This paper presents and evaluates an intercultural academic leadership programme developed to support tertiary educators teaching Indigenous health and culture prepare interdisciplinary students to work respectfully and appropriately as health professionals with Indigenous peoples. The programme acknowledges the impact of colonisation on Indigenous Australians and draws on theories of the intercultural space to inform reflection and discussion on Indigenous/non-Indigenous relations and their impact on healthcare. Furthermore, the programme encourages establishing a community of practice as a resource for educators. Evaluation indicated participants’ confidence to teach Indigenous content increased following the programme. Participants felt more able to create intercultural, interdisciplinary and interactive learning spaces that were inclusive and safe for students from all cultures. Participants learned skills to effectively facilitate and encourage students to grapple with the complexity of the intercultural space, often tense, uncertain and risky, to enable new understandings and positions to emerge that could better prepare graduates to work in Indigenous health contexts.

scholarly journals Why We Need a Community of Practice for Dietitians Working in Indigenous Health

2015 ◽  
Vol 73 (1) ◽  
pp. 115-116 ◽  
Author(s):  
Annabelle Wilson ◽  
Robyn Delbridge ◽  
Claire Palermo
Keyword(s):  
Community Of Practice ◽  
Indigenous Health

scholarly journals LO54: The CanadiEM Junior Editor program: a quantitative study and program evaluation

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S27
Author(s):  
S. Wakeling ◽  
T. Chan ◽  
B. Thoma
Keyword(s):  
Medical Education ◽  
Community Of Practice ◽  
Online Community ◽  
Multiple Choice Questions ◽  
Allied Health Professionals ◽  
Team Members ◽  
Research Engagement ◽  
Logo Design ◽  
Positive Experiences ◽  
The Impact

Introduction: CanadiEM.org is a multi-author open access medical education website which aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. It is used by physicians, allied health professionals, and trainees globally. Junior (medical student and/or resident) Editors are key members of the community who are mentored to advance their academic skills and knowledge for their careers and the healthcare field. The program also aims to increase the sustainability of the CanadiEM project by supporting the creation and publishing of online content. We aimed to assess the impact and efficacy of this program while discovering ways to improve it. Methods: The experience of all current and previous Junior Editors were assessed through a survey developed by the authorship team for this purpose. The survey consisted of 48 questions, including 15 multiple choice questions rated using a Likert Scale, 10 open-ended questions, and 23 demographic or binary yes/no questions. The participants' perceptions of their experience, desire for future involvement, and opinions regarding implementation of the program at other medical education websites were assessed using open-ended qualitative questions. These responses were thematically analyzed. Results: A total of 28 Junior Editors responded (71.7% of those surveyed). They listed their responsibilities as uploading/copyediting posts, authorship of posts, infographic creation, social media promotion, authorship of podcast summaries, editing of podcasts, and logo design. Results revealed a positive experience across all domains, with participants citing a better experience when compared to previous similar roles. 85.7% (24/28) stated they achieved their expectations from the program, and 82.1% (23/28) would incorporate this program into another medical education website if given the opportunity. Conclusion: Junior Editors reported positive experiences across all responsibilities, with particular value placed on digital and authorship skills development, inspiration for future FOAMed, research engagement, and mentorship/networking. Through collaboration with current team members, we will implement improvement initiatives. Based upon these results, we believe that the Junior Editor model may also be viable within other medical education communities.

scholarly journals 'I don't feel like I'm learning how to be a doctor': early insights regarding the impact of Covid-19 on UK medical student professional identity

2021 ◽  
Author(s):  
Anna Harvey ◽  
Megan EL Brown ◽  
Matthew H V Byrne ◽  
Laith Alexander ◽  
Jonathan CM Wan ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Identity Development ◽  
Professional Identity ◽  
Community Of Practice ◽  
Medical Community ◽  
Clinical Environment ◽  
Professional Identity Development ◽  
The Uk ◽  
The Impact

Phenomenon Professional identity development is recognised as a core goal of medical education alongside knowledge and skill acquisition. Identity is a complex entity that can be conceptualised as externally influenced, but individually constructed. Integration from legitimate bystander to "old timer" of the medical community of practice provides a backdrop for individual negotiation of professional identity. During Covid-19, the medical community of practice and education experienced significant disruption. We sought to investigate how these disruptions impacted professional identity development by examining conflicts between students' identities highlighted by the pressures of the pandemic. Approach A mixed-methods survey was distributed to medical students in the UK. The survey was active from 2nd May to 15th June 2020, during the height of the first wave of the Covid-19 pandemic in the UK. Operating within the paradigm of constructivism, we conducted a reflexive thematic analysis of qualitative responses. Analysis was focused around the disruption to medical education, actions taken by medical students during this disruption, and the tension between student actions where they existed in conflict. Findings Three themes were constructed to describe the identities that participants felt were in conflict during the first wave of the Covid-19 pandemic: Status and role as a future doctor; status and role as a student; and status and role as a member of the wider community. Students noted that lack of clinical exposure was detrimental to their education, implicitly recognising that many aspects of professional identity formation are forged in the clinical environment. Participants were keen to volunteer clinically but struggled to balance this with academic work. Participants worried about the risk to their families and the wider community, and wanted to ensure that their skills would add value to the clinical environment. Volunteers felt frustrated when they were unable to perform tasks which aligned with their identities future doctors, with the exception of participants who worked as interim FY1s (FiY1s), which aligned well with the roles of FY1s. Insights As hypothesised, the participants in this study experienced disruptions to their professional identity development during the first wave of the Covid-19 pandemic in 2020. This work provides early evidence, collected at the beginning of the pandemic, that the effects of disruptions to professional identity development were wide-reaching, often negative, and represent an important topic for future exploration. Given that the pandemic has highlighted areas of identity tension, these findings have the potential to provide insight into how medical training can better nurture professional identity development during and beyond international crises.

scholarly journals CanadiEM: Accessing a Virtual Community of Practice to Create a Canadian National Medical Education Institution

2018 ◽  
Vol 3 (1) ◽  
pp. 86-91 ◽  
Author(s):  
Daniel K. Ting ◽  
Brent Thoma ◽  
S. Luckett-Gatopoulos ◽  
Adam Thomas ◽  
Shahbaz Syed ◽  
...  
Keyword(s):  
Medical Education ◽  
Community Of Practice ◽  
Virtual Community ◽  
Education Institution ◽  
Virtual Community Of Practice ◽  
National Medical

Reflections on the Roles of Community of Practice (CoP) in Engineering Education

2016 ◽  
pp. 176-197
Author(s):  
Eyitayo Olatunde Olakanmi ◽  
Moses J. Strydom
Keyword(s):  
Medical Education ◽  
Engineering Education ◽  
Community Of Practice ◽  
Conceptual Understanding ◽  
Education Sector ◽  
Education Literature ◽  
Limited Knowledge ◽  
The Past ◽  
Work Integrated Learning ◽  
Professional Disciplines

Community of practice (CoP) encompasses shared approaches for carrying out tasks with a view to facilitating intellectual neighborliness among learners, educators and practicing professionals. Despite the popularity of the CoP approach within industries and the medical education, the practice of using it in engineering education is not widespread as most educators have limited knowledge of how to implement CoP into their classrooms. Moreover, it is not clear from the engineering education literature how the implementation of CoP has enhanced conceptual understanding and imparted employable skills to learners. To address these concerns, available literature detailing the implementation of CoP across professional disciplines and education sector over the past one and half decades were evaluated with a view to identifying and documenting evidences of current practices of CoP, and subsequently developed into a framework for re-designing an important aspect of engineering curricula: work integrated learning (WIL). This will have an objective to successfully enhance conceptual understanding and impart employable skills to learners.

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