Redirecting the Clinical Gaze

2018 ◽  
Author(s):  
Elysse Leonard ◽  
Michael Tau
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Curriculum Development ◽  
Postgraduate Training ◽  
Clinical Work ◽  
Community Partnerships ◽  
Lesson Plans ◽  
Close Reading ◽  
Unique Model ◽  
Clinical Gaze

Film has been used in medical education for many years to teach both medical students and residents. This has taken many forms, from informal “movie clubs” to organized seminars embedded into curricula. This chapter reviews the literature on the use of film in medical education. It then presents a unique model for how films can augment postgraduate training. Using an example of a close reading of the film Son frère (2003), the chapter suggests that film can be used to provoke reflection on certain characteristics of clinical work, including the unpredictability and irrationality of illness and the experience of not-knowing. Experimental and nonlinear narratives can amplify these themes by challenging viewers’ expectations. The chapter then discusses various practical considerations for teaching using cinema, including film and venue selection, screening rights, and community partnerships. Lastly, sample lesson plans and suggested resources are provided as examples to aid curriculum development.

Student engagement in medical education: A mixed-method study on medical students as module co-directors in curriculum development

2019 ◽  
Vol 41 (10) ◽  
pp. 1143-1150 ◽  
Author(s):  
Lennart Steffen Milles ◽  
Tanja Hitzblech ◽  
Simon Drees ◽  
Wiebke Wurl ◽  
Peter Arends ◽  
...  
Keyword(s):  
Medical Education ◽  
Student Engagement ◽  
Medical Students ◽  
Curriculum Development ◽  
Mixed Method ◽  
Mixed Method Study

scholarly journals Challenges of implementing competency-based medical education postgraduate training programs: the issue of context

2021 ◽  
Vol 46 (4) ◽  
Author(s):  
Marcio Gomes ◽  
Linda Snell
Keyword(s):  
Medical Education ◽  
Curriculum Development ◽  
Professional Training ◽  
Postgraduate Training ◽  
Local Context ◽  
Dynamic Nature ◽  
Competency Based Medical Education ◽  
Research Curriculum ◽  
Core Components ◽  
Competency Based

Introduction: Competency-based medical education (CBME) is being adopted worldwide. The aim of this paper is to discuss the evolution of CBME and address some perceived challenges in CBME curriculum development and implementation in postgraduate (residency) medical education. Methods: This is an opinion paper based on lived experiences and personal beliefs. The authors have professional training in medical education and are actively involved in CBME research, curriculum development and implementation around the world. Results: The issue of local and system-wide context seems to be of particular importance to individuals, programs, institutions, governing bodies and other stakeholders involved in the development and implementation of CBME programs. CBME has evolved differently at different places, and there are concerns regarding the fidelity of implementation. Stakeholders have been dealing with challenging questions in their CBME journeys, which reflect the varied, complex and dynamic nature of health and education systems. Recently, scholars have established core components of any CBME program. Discussion and conclusions: CBME design should benefit from ground-up strategies that consider the local context. It is essential to approach implementation with a quality improvement lens and pay special attention to the fidelity and integrity of the core CBME components.

scholarly journals Predictive validity of A-level grades and teacher-predicted grades in UK medical school applicants: a retrospective analysis of administrative data in a time of COVID-19

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e047354
Author(s):  
I C McManus ◽  
Katherine Woolf ◽  
David Harrison ◽  
Paul A Tiffin ◽  
Lewis W Paton ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Medical School ◽  
Predictive Validity ◽  
Postgraduate Training ◽  
Medical Schools ◽  
Longitudinal Observational Study ◽  
Medical Education And Training ◽  
Future Consequences ◽  
And Training

ObjectivesTo compare in UK medical students the predictive validity of attained A-level grades and teacher-predicted A levels for undergraduate and postgraduate outcomes. Teacher-predicted A-level grades are a plausible proxy for the teacher-estimated grades that replaced UK examinations in 2020 as a result of the COVID-19 pandemic. The study also models the likely future consequences for UK medical schools of replacing public A-level examination grades with teacher-predicted grades.DesignLongitudinal observational study using UK Medical Education Database data.SettingUK medical education and training.ParticipantsDataset 1: 81 202 medical school applicants in 2010–2018 with predicted and attained A-level grades. Dataset 2: 22 150 18-year-old medical school applicants in 2010–2014 with predicted and attained A-level grades, of whom 12 600 had medical school assessment outcomes and 1340 had postgraduate outcomes available.Outcome measuresUndergraduate and postgraduate medical examination results in relation to attained and teacher-predicted A-level results.ResultsDataset 1: teacher-predicted grades were accurate for 48.8% of A levels, overpredicted in 44.7% of cases and underpredicted in 6.5% of cases. Dataset 2: undergraduate and postgraduate outcomes correlated significantly better with attained than with teacher-predicted A-level grades. Modelling suggests that using teacher-estimated grades instead of attained grades will mean that 2020 entrants are more likely to underattain compared with previous years, 13% more gaining the equivalent of the lowest performance decile and 16% fewer reaching the equivalent of the current top decile, with knock-on effects for postgraduate training.ConclusionsThe replacement of attained A-level examination grades with teacher-estimated grades as a result of the COVID-19 pandemic may result in 2020 medical school entrants having somewhat lower academic performance compared with previous years. Medical schools may need to consider additional teaching for entrants who are struggling or who might need extra support for missed aspects of A-level teaching.

scholarly journals ARTIFICIAL INTELLIGENCE: MEDICAL STUDENT S ATTITUDE IN DISTRICT PESHAWAR PAKISTAN

2019 ◽  
Vol 9 (1) ◽  
pp. 19-21
Author(s):  
Saima Abid ◽  
Baber Awan ◽  
Tauseef Ismail ◽  
Naveeda Sarwar ◽  
Ghulam Sarwar ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Education ◽  
Medical Students ◽  
Undergraduate Medical Education ◽  
Sampling Technique ◽  
Clinical Work ◽  
Perceived Usefulness ◽  
Cross Sectional ◽  
Self Administered Questionnaire ◽  
Modern Technologies

Background: Artificial intelligence (AI) is an advanced computer technology used in the medical field to elude the errors and enhance effectiveness and efficiency, especially in clinical work. Developing countries can utilize the same models to improve their health care system as the industrialized world. Globally medicine is evolving to the era of "Artificial intelligence", medical education must include these modern technologies and competencies to reform. We intended to determine the attitude of the medical students towards the introduction of AI in Undergraduate Medical Education in District Peshawar. Methods: This cross-sectional descriptive study was carried out among 384 students of two medical colleges in Peshawar, utilizing a convenient sampling technique for data collection. A self-administered questionnaire, with 5 points Likert scale was used to collect data. Data was analyzed through SPSS version (22.2). Results: Majority of the students 61.7% had no previous knowledge of AI. Mean scores for AIs perceived usefulness in Radiology, replacement with human Radiologist, anticipated dominance in clinical practice, willingness for introduction in medical education, excitement to adopt, perceived as a burden, practicability were 1.89, 2.83, 2.76, 2.35, 2.13, 3.18, 2.39 respectively. Conclusion: The positive attitude was seen among medical students regarding the inclusion of Artificial intelligence in undergraduate medical education.

scholarly journals Dissections or Prosections; Which Method has a Better Impact on Sustainable Gross Anatomy Knowledge?

2021 ◽  
Author(s):  
Manujasri Wimalachandra ◽  
Balasingam Balagobi ◽  
Malith Hashintha ◽  
Narada Ranasinghe ◽  
Lamindu Niroshana ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Teaching And Learning ◽  
Postgraduate Training ◽  
Gross Anatomy ◽  
Learning Activities ◽  
Significant Difference ◽  
Key Concepts ◽  
Anatomy Knowledge ◽  
True False

Abstract Background: Two groups of medical students in their final year were tested on the key concepts of gross anatomy using a question paper that included true false type questions and identification of anatomical line diagrams. These two batches of students followed a dissection based curriculum and a newly introduced prosections based curriculum at the beginning of their medical education respectively. The prosections based curriculum brought with it a significant cut down on the in-class teaching and learning activities when compared to the old curriculum. The objective of the study was to establish which method was more effective at establishing a core of anatomy knowledge that could be recalled after a considerable amount of time. This would in turn reflect how much of anatomy knowledge one would possess when they start to practice medicine as a newly qualified doctor and also embark on a postgraduate training programme.Methods: The two groups were subjected without prior warning to a question paper that comprised six questions, each with five True/False statements and four questions on identification and labelling of anatomical line diagrams.Results: There was no statistically significant difference in the marks obtained for the true false type questions between the two groups (p=0.076), but the prosections group obtained higher marks for the diagram identification questions (p = 0.022).Conclusions: Therefore, it was concluded that a prosection based curriculum when compared to a dissection based curriculum was equally effective at establishing a core of gross anatomy knowledge in a considerably lesser amount of time.

Patient consent to medical students in general practice

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697229
Author(s):  
Matthew Webb ◽  
Sarah Thirlwall ◽  
Bob McKinley
Keyword(s):  
Medical Education ◽  
General Practice ◽  
Medical Students ◽  
Medical School ◽  
Undergraduate Students ◽  
Teaching Quality ◽  
School Students ◽  
Patient Journey ◽  
Patient Consent ◽  
High Level

BackgroundInformed consent is required for active participation of patients in medical education. At Keele Medical School, we require practices to advertise that they teach undergraduate students and to obtain appropriate patient consent at various stages of the patient journey.AimThe study aimed to explore patients’ experience of consent to involvement in undergraduate medical education in general practice.MethodDuring the final year at Keele University Medical School, students undertake a patient satisfaction survey. A questionnaire was attached to the reverse of this survey during the academic year 2016–2017. The questionnaire explored the stage of the patient journey consent was obtained, whether they were offered an alternative appointment and how comfortable they were with medical students being involved in their care.ResultsA total of 489 questionnaires were completed covering 62 GP practices. 97% of patients reported that consent was obtained at least once during their encounter and the majority reported that this occurred at booking. 98% of patients were comfortable or very comfortable with a medical student leading their consultation. However, 28% of those surveyed stated that they were either not given the option of not seeing the student or there was no other alternative appointment available.ConclusionThe results indicate that in the vast majority of cases patient consent is obtained at least once during their attendance. Patients expressed a high level of satisfaction with medical students’ involvement in their care. Further work is required to evaluate the role of the data as a marker of individual practice teaching quality.

The Duties of Doctors In Medical Education: A Letter To The Editor (Preprint)

2019 ◽  
Author(s):  
Sneha Barai
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Role Models ◽  
Role Model ◽  
General Medical Council ◽  
Future Generations ◽  
Medical Council ◽  
Positive Role ◽  
The Uk ◽  
And Training

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

scholarly journals Required Longitudinal Service-Learning and Its Effects on Medical Students’ Attitudes Toward the Underserved

2021 ◽  
Author(s):  
Monica Rose Arebalos ◽  
Faun Lee Botor ◽  
Edward Simanton ◽  
Jennifer Young
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Service Learning ◽  
Student Attitudes ◽  
Underserved Populations ◽  
Preclinical Phase ◽  
School Of Medicine ◽  
Students Attitudes ◽  
Medical Student Attitudes ◽  
The University

AbstractAlthough medical students enter medicine with altruistic motives and seek to serve indigent populations, studies show that medical students’ attitudes towards the undeserved tend to worsen significantly as they go through their medical education. This finding emphasizes the need for medical educators to implement activities such as service-learning that may help mitigate this negative trend.All students at the University of Nevada Las Vegas (UNLV) School of Medicine are required to participate in longitudinal service-learning throughout medical school, and a majority of students interact with the underserved at their service-learning sites. Using the previously validated Medical Student Attitudes Towards the Underserved (MSATU), independent sample T-tests showed that students who interact with underserved populations at their sites scored with significantly better attitudes towards the underserved at the end of their preclinical phase. Subjects included 58 medical students with 100% taking the MSATU. This result indicates that longitudinal service-learning, particularly when it includes interaction with the underserved, can be one method to combat the worsening of medical students’ attitudes as they complete their medical education.

scholarly journals Artificial intelligence-based education assists medical students’ interpretation of hip fracture

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Chi-Tung Cheng ◽  
Chih-Chi Chen ◽  
Chih-Yuan Fu ◽  
Chung-Hsien Chaou ◽  
Yu-Tung Wu ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Education ◽  
Hip Fracture ◽  
Medical Students ◽  
Medical Image ◽  
Learning System ◽  
Significant Difference ◽  
Dynamic Collaboration ◽  
Increase In Accuracy ◽  
Image Learning

Abstract Background With recent transformations in medical education, the integration of technology to improve medical students’ abilities has become feasible. Artificial intelligence (AI) has impacted several aspects of healthcare. However, few studies have focused on medical education. We performed an AI-assisted education study and confirmed that AI can accelerate trainees’ medical image learning. Materials We developed an AI-based medical image learning system to highlight hip fracture on a plain pelvic film. Thirty medical students were divided into a conventional (CL) group and an AI-assisted learning (AIL) group. In the CL group, the participants received a prelearning test and a postlearning test. In the AIL group, the participants received another test with AI-assisted education before the postlearning test. Then, we analyzed changes in diagnostic accuracy. Results The prelearning performance was comparable in both groups. In the CL group, postlearning accuracy (78.66 ± 14.53) was higher than prelearning accuracy (75.86 ± 11.36) with no significant difference (p = .264). The AIL group showed remarkable improvement. The WithAI score (88.87 ± 5.51) was significantly higher than the prelearning score (75.73 ± 10.58, p < 0.01). Moreover, the postlearning score (84.93 ± 14.53) was better than the prelearning score (p < 0.01). The increase in accuracy was significantly higher in the AIL group than in the CL group. Conclusion The study demonstrated the viability of AI for augmenting medical education. Integrating AI into medical education requires dynamic collaboration from research, clinical, and educational perspectives.

scholarly journals The impact of integrating environmental health into medical school curricula: a survey-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Benjamin Kligler ◽  
Genevieve Pinto Zipp ◽  
Carmela Rocchetti ◽  
Michelle Secic ◽  
Erin Speiser Ihde
Keyword(s):  
Climate Change ◽  
Medical Education ◽  
Medical Students ◽  
Medical School ◽  
Environmental Health ◽  
School Curriculum ◽  
Learning Objectives ◽  
Lead Contamination ◽  
Institute Of Medicine ◽  
The Impact

Abstract Background Inclusion of environmental health (EH) in medical education serves as a catalyst for preparing future physicians to address issues as complex as climate change and health, water pollution and lead contamination. However, previous research has found EH education to be largely lacking in U.S. medical education, putting future physicians at risk of not having the expertise to address patients’ environmental illnesses, nor speak to prevention. Methods Environmental health (EH) knowledge and skills were incorporated into the first-year medical school curriculum at Hackensack Meridian School of Medicine (Nutley, New Jersey), via a two-hour interactive large group learning module with follow up activities. Students completed the Environmental Health in Med School (EHMS) survey before and after the year 1 EH module. This survey evaluates medical students’ attitudes, awareness and professionalism regarding environmental health. In year 2, students completed the Environmental Health Survey II, which measured students’ perceptions of preparedness to discuss EH with future patients. The research team created both surveys based upon learning objectives that broadly aligned with the Institute of Medicine six competency-based environmental health learning objectives. Results 36 year 1 students completed both the pre and post EHMS surveys. McNemar’s test was used for paired comparisons. Results identified no statistically significant changes from pre to post surveys, identifying a dramatic ceiling. When comparing year 2, EHS II pre-survey (n = 84) and post-survey (n = 79) responses, a statistically significant positive change in students’ self-reported sense of preparedness to discuss environmental health with their patients following the curriculum intervention was noted. Conclusions Our conclusion for the EHMS in Year 1 was that the current generation of medical students at this school is already extremely aware of and concerned about the impact of environmental issues on health. Through the EHS II in Year 2, we found that the six-week environmental health module combining didactic and experiential elements significantly increased medical students’ self-reported sense of preparedness to discuss environmental health issues, including climate change, with their patients.

Sign in / Sign up

Export Citation Format

Share Document