From Assessing Knowledge to Assessing Performance

2020 ◽  
pp. 58-81
Author(s):  
Kelly Underman
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Professional Socialization

This chapter proposes that GTA programs are part of a larger trend in which medical education expanded its control over the professional socialization of medical students through an increasing array of knowledges and practices—or call “technologies of affect”—that seek to measure, harness, and manage the affective capacities of medical students. As the affective economies of healthcare shifted, new forms of governance via expert knowledges and technologies were necessary in order to prepare physicians-in-the-making for a changing landscape of clinical practice in which emotion figures centrally. Thus, this chapter also shows that reconfiguration of expertise and affect via research on medical education in this way is both highly evident in the GTA session and explains its durability and relevance.

scholarly journals Relevance of anatomy to medical education and clinical practice: perspectives of medical students, clinicians, and educators

2016 ◽  
Vol 5 (6) ◽  
pp. 338-346 ◽  
Author(s):  
Amgad Sbayeh ◽  
Mohammad A. Qaedi Choo ◽  
Kathleen A. Quane ◽  
Paul Finucane ◽  
Deirdre McGrath ◽  
...  
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students

Using Technology to Teach and Teaching About Technology

2020 ◽  
pp. 379-403 ◽  
Author(s):  
Shohreh V. Anand ◽  
Tejwansh S. Anand
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Undergraduate Medical Education ◽  
Clinical Setting ◽  
Digital Technology ◽  
Education Technology ◽  
Medical Settings ◽  
Current State ◽  
Educational Theories

This chapter analyzes the role played by technology in undergraduate medical education (UME) using two perspectives: how technology is used as a tool to facilitate teaching and how medical students are taught to use technology in the clinical setting. For each perspective, a survey of literature, published from 2009 to 2019, was conducted to understand the current state. Authors critically examine the current state and describe and analyze issues with it. Recommendations are made for improving the blending of medical education, technology, pedagogy, and clinical practice. The narrative in this chapter is at the intersection of digital technology, educational theories, and medical settings (educational and practice).

Technologic Advances in Neurologic Practice and Education

2018 ◽  
pp. 21-31
Author(s):  
Charles Donohoe ◽  
Sean M. Gratton ◽  
Vivek M. Vallurupalli ◽  
Steven D. Waldman
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Optic Nerve ◽  
Patient Care ◽  
Clinical Information ◽  
Fundus Photography ◽  
Retinal Vasculature ◽  
Ocular Fundus ◽  
Practicing Physicians

Although the visualization of the ocular fundus yields important clinical information regarding the optic nerve and retinal vasculature, proficiency in using the traditional handheld direct ophthalmoscope by both practicing physicians and medical students continues to deteriorate. A replacement for the direct ophthalmoscope is long overdue. The authors suggest a role for non-mydriatic fundus photography as having potential to resurrect the dying art of visualizing the fundus in both clinical practice and medical education. This chapter reviews the substantial barriers in both patient care as well as graduate and undergraduate medical education created by technical difficulties encountered using the direct ophthalmoscope to visualize the ocular fundus. The authors propose that a smartphone-compatible adaptor to view the ocular fundus will replace the direct ophthalmoscope.

scholarly journals Current situation and expectation of emergency medicine education for 8-year Doctor of Medicine degree program in China

2021 ◽  
pp. 102490792110409
Author(s):  
Zengzheng Ge ◽  
Shi Feng ◽  
Xiangning Liu ◽  
Shigong Guo ◽  
Yanxia Gao ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Medical Schools ◽  
Degree Program ◽  
Online Questionnaire ◽  
Need To Evaluate ◽  
Education Of Students ◽  
Medicine Education

Background: Appropriate lessons and formalized training concerning emergency medicine is becoming increasingly important in undergraduate medical education. There is an urgent need to evaluate undergraduate emergency medicine education of students enrolled on the 8-year Doctor of Medicine degree programs nationwide in China with the aim that the data extracted could ultimately be used to help develop a standardized emergency medicine curriculum in China. Objectives: The aim of the study is to accurately describe emergency medicine education of 8-year Doctor of Medicine program in China, including emergency medicine classes, clinical practice in emergency medicine department, and expectations toward emergency medicine education. Methods: An online questionnaire was distributed to all the medical students of 8-year Doctor of Medicine program who have attended emergency medicine education in 14 medical schools in China. Participation in the survey was voluntary and anonymized. Results: In total, 529 valid responses were collected. There was a clear difference between students with a career aspiration in emergency medicine and those without. Comparing to countries that have an established emergency medicine curriculum, shortage of classroom hours and clinical practice time is a major cause of unsatisfactory educational outcomes in China. A detailed uniform emergency medicine curriculum that outlines exact requirements for medical students is required as well. Conclusion: A consolidated syllabus and curriculum should be compiled by all the medical schools with the 8-year integrated Doctor of Medicine degree program in China. The specific diseases and skills that should be covered in emergency medical education remain up to debate.

scholarly journals Smartphone Compatible versus Conventional Ophthalmoscope: A Randomized Crossover Educational Trial

2021 ◽  
Vol 13 (02) ◽  
pp. e270-e276
Author(s):  
Rachel Curtis ◽  
Mark Xu ◽  
Daisy Liu ◽  
Jason Kwok ◽  
Wilma Hopman ◽  
...  
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Gold Standard ◽  
Learning Opportunities ◽  
Ease Of Use ◽  
Optic Disk ◽  
First Year ◽  
Chi Square ◽  
First Year Medical Students

Abstract Objective The aim of the study is to compare performance and ease-of-use (EOU) of optic disk assessment using a smartphone direct ophthalmoscope attachment (D-EYE) to the gold standard direct ophthalmoscope (DO). Design The type of study involved is prospective, randomized, crossover, and educational trial. Participants The participants involved were first year medical students inexperienced in ophthalmoscopy. Methods Optic disks of standardized and volunteer patients were examined using the D-EYE and a conventional DO. Optic disk identification, EOU ratings of the devices, self-reported confidence level in their examination with the devices, and estimation of vertical cup-to-disk ratio (VCDR) were compared. Analyses included Chi-square tests, independent samples t-tests, correlations, and multivariable linear regression. Results Forty-four medical students voluntarily participated in the study. Students using the DO required more attempts (3.57 vs. 2.69, p = 0.010) and time (197.00 vs. 168.02 seconds, p = 0.043) to match the patient's fundus to the correct photograph. Overall EOU between the devices (6.40 vs. 4.79, p < 0.001) and overall confidence in examination (5.65 vs. 4.49, p = 0.003) were greater when using the D-EYE. There were no statistically significant differences in accuracy of VCDR estimations between the two ophthalmoscopes. Conclusion Smartphone ophthalmoscopy could offer additional learning opportunities in medical education and may be considered in clinical practice by non-specialist physicians given its greater EOU and increased success in visualizing the optic disk.

scholarly journals Impact of Co-Designed Game Learning on Cultural Safety in Colombian Medical Education: Protocol for a Randomized Controlled Trial

10.2196/17297 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e17297
Author(s):  
Juan Pimentel ◽  
Anne Cockcroft ◽  
Neil Andersson
Keyword(s):  
Medical Education ◽  
Randomized Controlled Trial ◽  
Clinical Practice ◽  
Medical Students ◽  
Educational Games ◽  
Controlled Trial ◽  
Cultural Safety ◽  
Randomized Controlled ◽  
Medical Interns ◽  
The Impact

Background Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients’ worldviews. Lack of cultural safety in health care is linked to stigma and discrimination toward culturally diverse patients. Training in cultural safety poses considerable challenges. It is an unappealing subject for medical students and requires behavioral changes in their clinical practice. Game jams—collaborative workshops to create and play games—have recently shown effectiveness and engaging potential in university-level education. Objective The trial aims to determine if medical students’ participation in a game jam to design an educational game on cultural safety is more effective than a standard lesson on cultural safety in terms of change in the students’ self-reported intended patient-oriented behavior. Methods A parallel-group, 2-arm randomized controlled trial with a 1:1 allocation ratio will randomize 340 medical students and 60 medical interns (n=400) at the Faculty of Medicine at La Sabana University, Colombia (170 students and 30 medical interns to each arm). The intervention group will participate in an 8-hour game jam comprising (1) a preliminary lecture on cultural safety and game design, (2) a game building session where groups of students will create educational games about cultural safety, and (3) a play-test session in which students will play and learn from each other’s games. The control group will receive a standard lesson, including a 2-hour lecture on cultural safety, followed by a 6-hour workshop to create posters about cultural safety. Web-based self-administered 30-item Likert-type questionnaires will assess cultural safety self-reported intended behavior before, immediately after, and 6 months after the intervention. An intention-to-treat approach will use a t-test with 95% CIs to determine the significance of the effect of the intervention, including within- and between-group comparisons. The qualitative most significant change technique will explore the impact of the intervention on the clinical experience of the students. Results Study enrollment began in July 2019. A total of 531 students completed the baseline survey and were randomized. Data collection is expected to be complete by July 2020, and results are expected in October 2020. The study was approved by the institutional review board of the Faculty of Medicine at McGill University (May 31, 2017) and by the Subcommittee for Research of the Faculty of Medicine at La Sabana University (approval number 445). Conclusions The research will develop participatory methods in game-based learning co-design that might be relevant to other subjects. Ultimately, it should foster improved cultural safety skills for medical students, improve the quality of health services for diverse cultural groups, and contribute to enhanced population health. Game learning may provide an innovative solution to a long-standing and neglected problem in medical education, helping to meet the educational expectations and needs of millennial medical students. Trial Registration ISRCTN Registry ISRCTN14261595; http://www.controlled-trials.com/ISRCTN14261595

scholarly journals How can WhatsApp® facilitate the future of medical education and clinical practice?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammed Aizaz us Salam ◽  
George Chukwuemeka Oyekwe ◽  
Sami Ahmad Ghani ◽  
Regwaan Imtiaz Choudhury
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Health Service ◽  
Health Systems ◽  
Instant Messaging ◽  
Academic Environment ◽  
The Future ◽  
Practical Nature

AbstractAs part of the modern generation of medical students and prospective future doctors of the United Kingdom’s Nation Health Service (NHS), we have grown up in an age where smartphones and instant messaging applications (IMAs) are ubiquitous across all aspects of society. With IMAs being so familiar, we recognise their scope for facilitating our learning of the pre-registration syllabus and how their practical nature could potentially revolutionise healthcare worldwide. It is, therefore, rational to further investigate the benefits of incorporating such technology into these respective settings. In this article, we will further expand on some of the advantages highlighted by E. Colman & E. O’Connor that IMAs, particularly WhatsApp, have in the academic environment which resonate with us. We illustrate our views on IMAs being incorporated into health systems globally through exemplifying the NHS, using reviewed literature.

scholarly journals Impact of Co-Designed Game Learning on Cultural Safety in Colombian Medical Education: Protocol for a Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Juan Pimentel ◽  
Anne Cockcroft ◽  
Neil Andersson
Keyword(s):  
Medical Education ◽  
Randomized Controlled Trial ◽  
Clinical Practice ◽  
Medical Students ◽  
Educational Games ◽  
Controlled Trial ◽  
Cultural Safety ◽  
Randomized Controlled ◽  
Medical Interns ◽  
The Impact

BACKGROUND Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients’ worldviews. Lack of cultural safety in health care is linked to stigma and discrimination toward culturally diverse patients. Training in cultural safety poses considerable challenges. It is an unappealing subject for medical students and requires behavioral changes in their clinical practice. Game jams—collaborative workshops to create and play games—have recently shown effectiveness and engaging potential in university-level education. OBJECTIVE The trial aims to determine if medical students’ participation in a game jam to design an educational game on cultural safety is more effective than a standard lesson on cultural safety in terms of change in the students’ self-reported intended patient-oriented behavior. METHODS A parallel-group, 2-arm randomized controlled trial with a 1:1 allocation ratio will randomize 340 medical students and 60 medical interns (n=400) at the Faculty of Medicine at La Sabana University, Colombia (170 students and 30 medical interns to each arm). The intervention group will participate in an 8-hour game jam comprising (1) a preliminary lecture on cultural safety and game design, (2) a game building session where groups of students will create educational games about cultural safety, and (3) a play-test session in which students will play and learn from each other’s games. The control group will receive a standard lesson, including a 2-hour lecture on cultural safety, followed by a 6-hour workshop to create posters about cultural safety. Web-based self-administered 30-item Likert-type questionnaires will assess cultural safety self-reported intended behavior before, immediately after, and 6 months after the intervention. An intention-to-treat approach will use a <i>t</i>-test with 95% CIs to determine the significance of the effect of the intervention, including within- and between-group comparisons. The qualitative most significant change technique will explore the impact of the intervention on the clinical experience of the students. RESULTS Study enrollment began in July 2019. A total of 531 students completed the baseline survey and were randomized. Data collection is expected to be complete by July 2020, and results are expected in October 2020. The study was approved by the institutional review board of the Faculty of Medicine at McGill University (May 31, 2017) and by the Subcommittee for Research of the Faculty of Medicine at La Sabana University (approval number 445). CONCLUSIONS The research will develop participatory methods in game-based learning co-design that might be relevant to other subjects. Ultimately, it should foster improved cultural safety skills for medical students, improve the quality of health services for diverse cultural groups, and contribute to enhanced population health. Game learning may provide an innovative solution to a long-standing and neglected problem in medical education, helping to meet the educational expectations and needs of millennial medical students. CLINICALTRIAL ISRCTN Registry ISRCTN14261595; http://www.controlled-trials.com/ISRCTN14261595 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17297

scholarly journals An Electronic Medical Record in Pediatric Medical Education: Survey of Medical Students' Expectations and Experiences

2018 ◽  
Vol 09 (04) ◽  
pp. 809-816 ◽  
Author(s):  
Daryl Cheng ◽  
Thomas Scodellaro ◽  
Wonie Uahwatanasakul ◽  
Mike South
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Medical Students ◽  
Learning Outcomes ◽  
Hospital Setting ◽  
Online Resources ◽  
Health Record ◽  
Visual Contact ◽  
Technology Experience ◽  
Clinician Communication

Objective This study sought to quantitatively characterize medical students' expectations and experiences of an electronic health record (EHR) system in a hospital setting, and to examine perceived and actual impacts on learning. Methods Medical students from July to December 2016 at a tertiary pediatric institution completed pre- and postrotation surveys evaluating their expectations and experience of using an EHR during a pediatric medicine rotation. Survey data included past technology experience, EHR accessibility, use of learning resources, and effect on learning outcomes and patient–clinician communication. Results Students generally reported high computer self-efficacy (4.16 ± 0.752, mean ± standard deviation), were comfortable with learning new software (4.08 ± 0.771), and expected the EHR to enhance their overall learning (4.074 ± 0.722). Students anticipated the EHR to be easy to learn, use, and operate, which was consistent with their experience (pre 3.86 vs. post 3.90, p = 0.56). Students did not expect nor experience that the EHR reduced their interaction, visual contact, or ability to build rapport with patients. The EHR did not meet expectations to facilitate learning around medication prescribing, placing orders, and utilizing online resources. Students found that the EHR marginally improved feedback surrounding clinical contributions to patient care from clinicians, although not to the expected levels (pre 3.50 vs. post 3.17, p < 0.01). Conclusion Medical students readily engaged with the EHR, recognized several advantages in clinical practice, and did not consider their ability to interact with patients was impaired. There was widespread consensus that the EHR enhanced their learning and clinician's feedback, but not to the degree they had expected.

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