scholarly journals Successful implementation of ChicaEducation system for Oncology Residency Standardized Training

2019 ◽  
Author(s):  
Quan Yao ◽  
Hong Wu ◽  
Lian Zou ◽  
Haitao Lan ◽  
Shuchun Luo ◽  
...  
Keyword(s):  
Medical Students ◽  
Radiation Oncology ◽  
Rural Areas ◽  
Successful Implementation ◽  
Training Methods ◽  
Clinical Environment ◽  
Training Module ◽  
Conceptual Information ◽  
Traditional Training ◽  
Autonomic Learning

Abstract The ability to access knowledge and skills of radiation oncology is fundamental for oncology residency standardized training. This study evaluates whether or not the ChicaEducation system for oncology residency standardized training contributes to training radiation oncology medical students. As a virtual reality system for radiotherapy training, ChicaEducation system was successfully implemented. We compared the ChicaEducation system training module with a traditional training module. Whether the integration of ChicaEducation into medical teaching was intended to enhance students’ autonomic learning and comprehensive analysis were also evaluated. The integration of ChicaEducation system into oncology residency standardized training was valuable compared to traditional training methods and could improve radiation oncology medical students’ perceptions and understanding. ChicaEducation system training module was positive and could enhance radiation oncology medical students’ level of confidence in radiation oncology. The role of ChicaEducation system training module in delivering an efficient quantity of oncology medical education was ascertained because of its ability to visualize conceptual information within a simulated clinical environment. ChicaEducation system may alleviate economic burdens in some hospitals and be used for training for doctors in rural areas.

scholarly journals Successful implementation of ChicaEducation system for Oncology Residency Standardized Training

2020 ◽  
Author(s):  
Quan Yao ◽  
Hong Wu ◽  
Lian Zou ◽  
Haitao Lan ◽  
Shuchun Luo ◽  
...  
Keyword(s):  
Medical Students ◽  
Radiation Oncology ◽  
Rural Areas ◽  
Successful Implementation ◽  
Training Methods ◽  
Clinical Environment ◽  
Training Module ◽  
Conceptual Information ◽  
Traditional Training ◽  
Autonomic Learning

Abstract Background The ability to access knowledge and skills of radiation oncology is fundamental for oncology residency standardized training.Methods This study evaluates whether or not the ChicaEducation system for oncology residency standardized training contributes to training radiation oncology medical students. As a virtual reality system for radiotherapy training, ChicaEducation system was successfully implemented. We compared the ChicaEducation system training module with a traditional training module. Whether the integration of ChicaEducation into medical teaching was intended to enhance students’ autonomic learning and comprehensive analysis was also evaluated.Results The integration of ChicaEducation system into oncology residency standardized training was valuable compared to traditional training methods and could improve radiation oncology medical students’ perceptions and understanding. ChicaEducation system training module was positive and could enhance radiation oncology medical students’ level of confidence in radiation oncology.Conclusions The role of ChicaEducation system training module in delivering an efficient quantity of oncology medical education was ascertained because of its ability to visualize conceptual information within a simulated clinical environment. The ChicaEducation system may alleviate economic burdens in some hospitals and be used for training for doctors in rural areas.

scholarly journals A Curriculum for Enhancing Physician Teaching Skills: The Value of Physician-Educator Partnerships

2021 ◽  
Vol 8 ◽  
pp. 238212052110320
Author(s):  
Mara M Hoffert ◽  
Karla D Passalacqua ◽  
Alexis Haftka-George ◽  
Odaliz Abreu Lanfranco ◽  
Robert A Martin
Keyword(s):  
Clinical Teaching ◽  
Cultural Humility ◽  
Teaching Skills ◽  
Instructional Designers ◽  
Successful Implementation ◽  
Central Feature ◽  
Learning Approaches ◽  
Clinical Environment ◽  
Teaching Behaviors ◽  
Training Outcomes

Developing as a physician requires an enormous amount of complex training, and quality of instruction greatly affects training outcomes. But while physicians are expected to teach trainees within the clinic, they often do not receive formal training in effective instructional practices. Providing faculty development programs is one way that institutions can help physicians develop teaching skills, but these programs often are developed without the input of educational specialists and not based in educational theory. In this methodology paper, we describe a 5-module curriculum that was developed in a cross-disciplinary collaboration between instructional designers and physician faculty. By merging educational and medical expertise and using adult learning theory with the Charlotte-Danielson educational framework, an essentials for clinical teaching educational endorsement program (ECTEEP) was created as a feature of the institutional curriculum within a large, urban teaching hospital. Here we describe how the program was developed through a physician-educator partnership, outline the program’s key content, and highlight essential aspects of successful implementation. The ECTEEP incorporates active learning approaches within an abbreviated format, distilling 5 critical aspects of effective teaching that are relevant to the clinical environment: cultural humility and safe learning environments, instruction practices for engaging learners, instruction and assessment strategies, receiving and giving feedback, and mentorship and coaching. A central feature of the program is that facilitators actively model the teaching behaviors they are conveying, which underscores the critical importance of facilitator preparation and skill. Our curriculum is offered here as a basic template for institutions that may want to establish a program for enhancing physician teaching skill.

scholarly journals Coping with COVID-19: medical students as strong and responsible stewards of their education

2021 ◽  
Author(s):  
Jacquelyn B. Kercheval ◽  
Deena Khamees ◽  
Charles A. Keilin ◽  
Netana H. Markovitz ◽  
Eve D. Losman
Keyword(s):  
Medical Students ◽  
Curriculum Development ◽  
De Novo ◽  
Traditional Approach ◽  
Clinical Care ◽  
Successful Implementation ◽  
Discussion Boards ◽  
Multiple Choice Questions ◽  
Continued Learning ◽  
Comprehensive Curriculum

Abstract Background Due to the COVID-19 pandemic, clinical rotations at the University of Michigan Medical School (UMMS) were suspended on March 17, 2020, per the Association of American Medical Colleges’ recommendations. No alternative curriculum existed to fill the educational void for clinical students. The traditional approach to curriculum development was not feasible during the pandemic as faculty were redeployed to clinical care, and the immediate need for continued learning necessitated a new model. Approach One student developed an outline for an online course on pandemics based on peer-to-peer conversations regarding learners’ interests and needs, and she proposed that students author the content given the immediate need for a curriculum. Fifteen student volunteers developed content to fill knowledge gaps, and expert faculty reviewers confirmed that the student authors had successfully curated a comprehensive curriculum. Evaluation The crowdsourced student content coalesced into a 40-hour curriculum required for all 371 clinical-level students at UMMS. This student-driven effort took just 17 days from outline to implementation, and the final product is a full course comprising five modules, multiple choice questions, discussion boards, and assignments. Learners were surveyed to gauge success, and 93% rated this content as relevant to all medical students. Reflection The successful implementation of this model for curriculum development, grounded in the Master Adaptive Learner framework, suggests that medical students can be entrusted as stewards of their own education. As we return to a post-pandemic “normal,” this approach could be applied to the maintenance and de novo development of future curricula.

Attitudes of final year medical students towards work in rural areas could be a problem for Croatian tourism

2019 ◽  
Vol 95 (1127) ◽  
pp. 517-517
Author(s):  
Karla Margetic ◽  
Teo Miric ◽  
Eric Nham ◽  
Robert Likic
Keyword(s):  
Medical Students ◽  
Rural Areas

scholarly journals Career Intentions and Dropout Causes Among Medical Students in Kazakhstan

Medicina ◽  
2013 ◽  
Vol 49 (6) ◽  
pp. 45
Author(s):  
Kamila Faizullina ◽  
Galina Kausova ◽  
Zhanna Kalmataeva ◽  
Ardak Nurbakyt ◽  
Saule Buzdaeva
Keyword(s):  
Medical Students ◽  
Human Resources ◽  
Rural Areas ◽  
Urban Areas ◽  
Human Resources For Health ◽  
Medical Schools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unequal Distribution ◽  
Survey Tool

Background and Objective. The number of new entrants to higher medical schools of Kazakhstan increased by 1.6 times from 2007 to 2012. However, it is not known how it will affect the shortage of human resources for health. Additionally, human resources for health in rural areas of Kazakhstan are 4 times scarcer than in urban areas. The aim of the present study was to investigate the intentions of students toward their professional future and readiness to work in rural areas, as well as to determine the causes for dropping out from medical schools. Material and Methods. A cross-sectional survey was conducted in 2 medical universities in Almaty during the academic year 2011–2012. The study sample included medical students and interns. In total, 2388 students participated in the survey. The survey tool was an anonymous questionnaire. Results. The students of the first years of studies compared with those of later years of studies were more optimistic about the profession and had more intentions to work in the medical field. Only 8% of the students reported a wish to work in rural localities. On the other hand, 4% of the students did not plan to pursue the profession. On the average, every third medical student dropped out on his/her own request. Conclusions. Associations between intentions to work according to the profession and the year of studies, faculty, and residence area before enrolling in a medical school were documented. The majority of the students who came from rural areas preferred to stay and look for work in a city, which might contribute to an unequal distribution of physicians across the country.

Corresponding about death: Analyzing letters from patients with cancer to medical students.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 11021-11021
Author(s):  
Tianyi Zhang ◽  
Mekaleya Tilahun ◽  
Cynthia Perlis ◽  
Sam Brondfield
Keyword(s):  
Medical Students ◽  
End Of Life ◽  
Death And Dying ◽  
Severe Illness ◽  
Clinical Environment ◽  
Patients With Cancer ◽  
Coping Process ◽  
Award Winning ◽  
Multiple Paths ◽  
One Year

11021 Background: Clinicians frequently discuss death and dying with patients who have cancer. However, the doctor-patient hierarchy and the unfamiliar clinical environment may prevent these patients from discussing death and dying authentically. Patients may feel more comfortable expressing themselves when given the time and space to write at home. Firefly, an award-winning program at UCSF, facilitates written correspondence between patients with cancer and medical students over the course of one year. Firefly’s archive contains thousands of patient letters and constitutes a unique resource for analyzing authentic patient expression outside of the clinical context. The aim of the current study is to improve curricula pertaining to severe illness and end-of-life by providing educators with an analysis of authentic patient perspectives about death and dying expressed in these letters. Methods: We (two medical students, an expressive artist, and an oncologist) read all Firefly letters written by patients between 2014 and 2019 and identified 12 patients whose letters meaningfully discussed death or dying. We performed a thematic analysis of these letters using the Buckman three-stage model of dying as a reference. Results: Four themes emerged: turmoil; grief; making peace; and past, present and future. The first three themes aligned with the Buckman stages. The fourth theme—past, present and future—spanned the three stages and also elaborated the Buckman model by describing multiple paths that patients may take after passing through these stages. Conclusions: The authentic ways in which patients with cancer discussed death and dying in their letters provided deep insight into their coping process. The Buckman model appears useful for framing death and dying from the patient perspective but may not fully reflect modern oncologic care in which many patients live for years beyond a severe or terminal diagnosis. Educators can use the identified themes to shape medical school curricula pertaining to severe illness and end-of-life care.

Issues in the Provision of Health Care in India: An Overview

2020 ◽  
pp. 097674792094518
Author(s):  
Vani Kant Borooah
Keyword(s):  
Health Outcomes ◽  
Rural Areas ◽  
Health Workers ◽  
Tertiary Care ◽  
Health Resources ◽  
Successful Implementation ◽  
Trade Offs ◽  
Vested Interests ◽  
Explicit Recognition ◽  
Optimal Mix

After reviewing health outcomes and policy in India, this paper concludes that there are at least six sets of issues to be addressed about improving the quantity and quality of health services, and ipso facto improving health outcomes, in India. First, the amount of resources earmarked for health needs to increase. Second, health resources need to be used in a fair and just manner and, in particular, complaints relating to egregious health outcomes need to be addressed. Predominant in this set of issues is oversight and regulation of private-sector health provision. The third set of issues relates to the allocation of health resources and, in particular, to the imbalance in the allocation of health resources between towns and villages. A fourth issue is the accessibility of rural areas since it is the most remote areas that have the lowest density of health workers. Another issue is the more efficient use of health workers in order to make them more productive. Finally, Indian health policy is stronger on rhetoric and aspiration than it is on action and implementation. The successful implementation of the policy requires the explicit recognition that objectives are often competing (primary versus tertiary care) and the acknowledgement that, with budgetary constraints, one cannot have more of one without having less of the other. The first role of policy is to then choose the optimal mix of objectives with respect to these trade-offs. Secondly, policies come up against vested interests which agitate (often with the support of opposition politicians) and litigate against proposed changes. Lastly, policies in India are made against a background of poor governance with the predatory presence of corruption looming over every policy initiative. In implementing, rather than simply articulating, a policy it is important to address these governance issues.

scholarly journals The use of training technology tools as the basis for its successful implementation in intra-organization training

2021 ◽  
Vol 11 (3) ◽  
pp. 206-215 ◽  
Author(s):  
A. V. Cherepanov ◽  
G. A. Rekhtina
Keyword(s):  
Work Group ◽  
Successful Implementation ◽  
Training Methods ◽  
Simulation Games ◽  
Self Presentation ◽  
Training Support ◽  
Iterative Model ◽  
Technology Tools ◽  
External Conditions ◽  
High Level

The problem fields of research in the framework of the topic are the lack of classification of training methods in intra-organization training, the insufficient quality of the use of tools in the practice of intra-organization training, as well as the use of tools for evaluating and analyzing training activities. The highlighted aspects allowed us to determine the relevant vectors of the research: the competence of the coach, the systematization of training methods and techniques, the features of the use of the tools, the methodology of the tools for evaluation of training sessions. The most important characteristic of the competence of a corporate coach is the possession of the training technology tools at a high level. The article stands out the main competences of a corporate coach, such as focus on results, effective communication, effective self-presentation, persuasion and influence, confidence and stress resistance, creating a motivating educational environment. The authors pay particular attention to the phenomenon of pedagogical artistry, internal and external conditions of its development. The article introduces the basic training techniques (informational, stimulation, exercises for practical performance of work, group-dynamic exercises) and related training methods into the system. The authors consider the criteria and limitations that a trainer should to take into account when choosing training technology tools. The article introduces distinctions of tools when considering their arsenal (planning tools; direct implementation of the process; control (monitoring), evaluation and analysis of the results; post-training support). The authors indicate the following features of the use of training technology tools in intra-organization training: the formation of target guidelines for each stage of training implementation; determining tasks and the algorithm for training implementation; drawing up a training program; chronological planning of training units; planning of the necessary methodical support of training units; compliance with the principle of training planning based on an iterative model with one or more contours; the use of business and simulation games, exercises and tasks; using multiple studies scenarios for conducting classes; presenting information depending on the features of its perception; taking into account the target audience; taking into account the age characteristics of the audience, etc.

scholarly journals Preditores de idealização suicida entre estudantes de medicina: uma revisão sistemática

2019 ◽  
Vol 3 (1) ◽  
pp. 78
Author(s):  
Victor Meireles Campos ◽  
Ieda Aleluia
Keyword(s):  
Systematic Review ◽  
Medical Students ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Training Methods ◽  
Increased Risk ◽  
The World ◽  
The Subject ◽  
Health Objective ◽  
De Medicina

BACKGROUND: Suicidal ideation is one of the main symptoms indicative of suicide attempts and suicide. According to the WHO, about 800,000 cases of suicide were reported around the world in 2014, which translates to an index of 1 suicide every 40 seconds. Medical students constitute a population at risk for the development of suicidal ideation. Several life factors may influence the risk of suicidal ideation, those being personality traits, social factors and mental health. OBJECTIVE: Identify the indicators of suicidal ideation among medical students during their academic training. METHODS: This is a systematic review carried out in the electronic databases Pubmed and BVS. Articles that addressed the subject of suicidal ideation among medical students in Portuguese, English and Spanish from 2008 to 2018 were included. RESULTS: We found 263 articles, of which 12 articles met the inclusion and exclusion criteria. After the application of the STROBE statement, 6 articles were selected for the creation of this systematic review. The prevalence of suicidal ideation varied from 3.7% to 35.6% around the world and several factors were linked to the increase of suicidal ideation risk. CONCLUSION: A suicidal ideation is a frequent and multifactorial phenomenon that involves several realms of a medical student's life. The risk factors identified in this review were linked to the increased risk of suicidal ideation development.

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