Team interaction challenges for medical leadership

BMJ Leader ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 32-39
Author(s):  
Stephen John McGuire
Keyword(s):  
Quantitative Data ◽  
Online Course ◽  
Self Assessment ◽  
Team Interaction ◽  
Stage Of Development ◽  
Significant Difference ◽  
Medical Directors ◽  
Medical Leadership ◽  
Giving Feedback ◽  
Assessment Questionnaire

BackgroundTeam interaction in medical practice directly affects patients, organisations and individual doctors. This study aimed to gather a set of quantitative data to identify (1) the aspects of team performance where doctors are comfortable and (2) where to focus development activities.MethodsDoctors were invited to undertake a 1-hour online course exploring concepts related to team formation, performance and dysfunction. This included completing the Healthy Team Member Self-Assessment questionnaire, designed specifically to collect the desired quantitative data. Questionnaire responses were then collated as a survey and analysed in line with the study’s aims.Results202 participants completed the questionnaire including 45 consultants, 85 doctors in training, 24 locums, 3 medical directors, 6 general practitioners and 35 other doctors. Five practice or hospital managers and five other healthcare professionals also submitted results. Collective analysis of the participants’ self-assessment reveals a number of behaviours where doctors indicate improvements are required, including: 45% are not challenging or giving feedback to their colleagues, 42% not proactively seeking honest feedback, 40% not discussing progress towards goals and 39% not discussing support they require to fulfil their role. In addition, unhelpful disparities of perception within teams are suggested. A Wilcoxon-Mann-Whitney test confirmed a statistically significant difference between the 33% of consultants who state their team is in the unproductive ‘Storming’ stage of development and just 12% of all other participants stating the same (P=0.0008). Feelings of ‘I am committed but others are not’ and ‘I am willing to help others but they are not willing to help me’ are also suggested.ConclusionsThe author relates these issues to the duty of candour, proposing that both individual doctors and medical leadership have responsibilities to ensure improvements. In particular, individual doctors should ensure ongoing development in team interaction skills, and medical leadership must foster the appropriate culture for individuals to function within real teams.

scholarly journals Digital Education on Prudent Antibiotic Use—Evaluation of a Massive Open Online Course for General Practitioners in Germany

2020 ◽  
Vol 41 (S1) ◽  
pp. s192-s193
Author(s):  
Florian Salm ◽  
Tobias Kramer ◽  
Cornelius Remschmidt ◽  
Petra Gastmeier ◽  
Sandra Schneider
Keyword(s):  
Antibiotic Therapy ◽  
General Practitioners ◽  
Antibiotic Use ◽  
Background Information ◽  
Online Course ◽  
Massive Open Online ◽  
Questionnaire Response ◽  
Face To Face ◽  
Massive Open Online Course ◽  
Assessment Questionnaire

Background: Antimicrobial resistance is a growing global health problem predominantly driven by overuse of antibiotics. In humans, most antibiotics are used outside the hospital. Overprescribing for acute respiratory infections (ARIs) is common despite clear guidelines. The need for further training of general practitioners is well known. Objective: To develop and evaluate a massive open online course (MOOC) on antibiotic therapy of common infectious diseases in general practice. Methods: A 4-week MOOC was developed on the basis of previous face-to-face trainings (platform, Hasso Plattner Institute for Digital Engineering) and was conducted 3 times between July 10, 2017, and May 31, 2019. The course was promoted through various general practitioner (GP) networks, local multipliers, and conferences and in the local trade press. In addition to epidemiological background information, the focus was on guideline-based diagnostics and treatment of ARI, side effects of antibiotics, correct drug selection, dosage and duration of indicated antibiotic therapy, as well as aspects of doctor–patient communication. Content included videos, self-tests, additional written material, and an optional exam. At the end of the course, participants were asked to complete a voluntary, anonymous online assessment questionnaire (LimeSurveyPro software). Usage data from the MOOC platform and data from the questionnaire were analyzed using IBM SPSS statistical software. Results: In total, 2,177 registered persons retrieved content (= learners). The proportion of learners dropped from 99.6% in week 1 to 40.7% in week 4. However, among those attending week 4, the average proportion of content used was still high (74.5%). Furthermore, 27.5% of learners completed the course, 23.8% took the exam, and 19.7% passed the exam. Moreover, 284 learners answered the assessment questionnaire (response rate, 13.0%); 62.3% were women, and the mean age was 45.9 years. Also, 225 participants (79.2%) stated that they were physicians; 122 of these worked as general practitioners (54.2% of physicians). Among the other physicians, 23% stated were in specialist training and 15.6% had a different specialist designation. The average overall rating of the course was 1.31 (1 = very good to 6 = not sufficient). General practitioners rated it slightly better than other physicians (1.23 vs 1.41). The clinical relevance was rated at 1.27 (GPs vs other physicians, 1.18 vs 1.35). For all scores, see Table 1. Conclusions: A massive open online course appears to be an appropriate format in which to deliver clinical relevant content concerning prudent antibiotic use in the outpatient setting. It is a good complement to existing face-to-face formats and helps to cover needs related to antibiotic training.Funding: NoneDisclosures: None

scholarly journals Efficacy of Self-Directed Learning in the Supracondylar Fracture Performance Improvement Module at an Academic Pediatric Orthopedic Institution

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Eric W. Edmonds ◽  
John W. Kemppainen ◽  
Joanna H. Roocroft ◽  
John Munch ◽  
Tracey P. Bastrom
Keyword(s):  
Patient Outcomes ◽  
Supracondylar Fracture ◽  
The Self ◽  
Medical Society ◽  
Self Assessment ◽  
Life Long Learning ◽  
Junior Staff ◽  
Supracondylar Humerus Fractures ◽  
Significant Difference ◽  
Pediatric Orthopedic

Maintenance of certification (MOC) within a medical society requires continuing medical education that demonstrates life-long learning, cognitive expertise, and practice-based self-assessment. This prospective study sought to evaluate whether a self-directed Practice Improvement Module (PIM) would improve pediatric orthopedic patient outcomes, thus demonstrating evidence of life-long learning (Part II MOC credit) in treating supracondylar humerus fractures. Six surgeons and 113 patients were included. There was no significant difference in actual fracture outcome before or after PIM at any level of surgeon experience regarding radiographic appearance or need for reoperation (p>0.10). Junior staff demonstrated a statistically significant improvement in the percentage of time that marking the operative site was documented in the chart by the surgeon before (38%) and after (65%) PIM (p=0.02). The self-directed education portion of the supracondylar fracture PIM led to modest improvement in documentation habits among junior staff, without impact on overall patient outcomes. Therefore, the PIM appears to be less useful in providing evidence for life-long learning as it relates to surgical outcomes (Part II MOC/CME), yet, it may directly benefit practice-based self-assessment (Part IV MOC), and the self-assessment and Personal Improvement Plan may be the most important portion of the PIM to improve outcomes.

scholarly journals CME Infectious diseases (113044) self-assessment questionnaire

2018 ◽  
Vol 18 (2) ◽  
pp. 175-176
Author(s):  
Jon Friedland ◽  
Tahseen A Chowdhury
Keyword(s):  
Infectious Diseases ◽  
Self Assessment ◽  
Assessment Questionnaire

scholarly journals Self‐Assessment Quiz Taking Behaviour Analysis in an Online Course

2016 ◽  
Vol 19 (2) ◽  
pp. 15-31 ◽  
Author(s):  
Yasin Ozarslan ◽  
Ozlem Ozan
Keyword(s):  
Online Course ◽  
Distance Learners ◽  
Self Assessment ◽  
Chi Square ◽  
Final Exam ◽  
Undergraduate Level ◽  
Chi Square Test ◽  
Learner Profile ◽  
Exam Scores ◽  
And Gender

AbstractSelf-assessment is vital for online learning since it is one of the most essential skills of distance learners. In this respect, the purpose of this study was to understand learners’ self-assessment quiz taking behaviours in an undergraduate level online course. We tried to figure out whether there is a relation between self-assessment quiz taking behaviours and final exam scores or not. In addition, we investigated how self-assessment quiz taking behaviour differs with respect to learner profile. In line with this purpose, 677 students’ 6092 test events across Project Culture course on Sakai CLE LMS were analyzed. For the analysis of the quantitative data, one-way ANOVA, Chi-Square test of independence, independent-samples t-test and descriptive statistics were utilized. The results revealed that learners who attended self-assessment quizzes regularly had higher final exam scores than others who did not attend those quizzes. Also, they were more satisfied with the course than others study field. In addition, learners who attended selfassessment quizzes regularly had a higher degree of perceived learning. However, number of attempts to those quizzes does not have an effect on final exam scores. On the other hand, a statistically significant relationship was found between attempt number and gender in favour of female learners.

scholarly journals CME Immunology and allergy (108458): self-assessment questionnaire

2016 ◽  
Vol 16 (6) ◽  
pp. 593-594
Author(s):  
Sarah Johnston ◽  
Tahseen A Chowdhury
Keyword(s):  
Self Assessment ◽  
Assessment Questionnaire
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