scholarly journals What Regulatory Requirements and Existing Structures Must Change If Competency-Based, Time-Variable Training Is Introduced Into the Continuum of Medical Education in the United States?

2018 ◽  
Vol 93 (3S) ◽  
pp. S27-S31 ◽  
Author(s):  
Jennifer R. Kogan ◽  
Alison J. Whelan ◽  
Larry D. Gruppen ◽  
Lorelei A. Lingard ◽  
Pim W. Teunissen ◽  
...  
2021 ◽  
Author(s):  
Julie Schiavo

In 1910, a document produced by an American educator changed the course of medical education ushering in a new philosophy based on the scientific method, active learning, and competency-based education. Abraham Flexner’s report, Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching, was a groundbreaking study undertaken to improve the quality of medical education and ensure capable, competent physicians and surgeons in the United States and Canada. However, the Flexner Report was not without consequences, both intended and unintended. A large majority of schools examined by Flexner did not meet the standards by which he judged them. Nearly half of the schools in the report closed; most of those were programs dedicated to medical education for African Americans, women, and working-class students changing the demographics of the medical profession in ways that it has only recently begun to remedy.


2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Susan A. Kirch ◽  
Moshe J. Sadofsky

Medical schooling, at least as structured in the United States and Canada, is commonly assembled intuitively or empirically to meet concrete goals. Despite a long history of scholarship in educational theory to address how people learn, this is rarely examined during medical curriculum design. We provide a historical perspective on educational theory–practice–philosophy and a tool to aid faculty in learning how to identify and use theory–practice–philosophy for the design of curriculum and instruction.


Sensors ◽  
2021 ◽  
Vol 21 (13) ◽  
pp. 4336
Author(s):  
Piervincenzo Rizzo ◽  
Alireza Enshaeian

Bridge health monitoring is increasingly relevant for the maintenance of existing structures or new structures with innovative concepts that require validation of design predictions. In the United States there are more than 600,000 highway bridges. Nearly half of them (46.4%) are rated as fair while about 1 out of 13 (7.6%) is rated in poor condition. As such, the United States is one of those countries in which bridge health monitoring systems are installed in order to complement conventional periodic nondestructive inspections. This paper reviews the challenges associated with bridge health monitoring related to the detection of specific bridge characteristics that may be indicators of anomalous behavior. The methods used to detect loss of stiffness, time-dependent and temperature-dependent deformations, fatigue, corrosion, and scour are discussed. Owing to the extent of the existing scientific literature, this review focuses on systems installed in U.S. bridges over the last 20 years. These are all major factors that contribute to long-term degradation of bridges. Issues related to wireless sensor drifts are discussed as well. The scope of the paper is to help newcomers, practitioners, and researchers at navigating the many methodologies that have been proposed and developed in order to identify damage using data collected from sensors installed in real structures.


1999 ◽  
Vol 33 (7) ◽  
pp. 493-498 ◽  
Author(s):  
Josephine M Cassie ◽  
Judith S Armbruster ◽  
M Ian Bowmer ◽  
David C Leach

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