scholarly journals Understanding the needs of rural preceptors from groups underrepresented in medicine

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Erica Sutton ◽  
Angelita Howard ◽  
Ashaki Goodman
Keyword(s):  
Clinical Education ◽  
Structured Interview ◽  
Recruitment Strategy ◽  
Advanced Practice ◽  
Culturally Competent ◽  
Professional Students ◽  
Curricular Development ◽  
Personal Time ◽  
Willingness To Serve ◽  
Training Opportunities

Abstract Introduction Community preceptors are essential in providing sufficient training opportunities for health professional students.  Recently, focus has been given to the recruitment of community preceptors from groups underrepresented in medicine (UiM) for their contibutions in training a diverse and culturally competent workforce.  The overall goal of this study is to review data collected from UiM preceptors and potential preceptors for unique beliefs or values that reveal their motivation for teaching. We hypothesize that community preceptors from groups underrepresented in medicine hold beliefs reflective of high levels of altruism and service. Methods This is a retrospective study of interview data collected from UiM community preceptors for developing clinical education experiences.  We sought to uniquely understand the needs of these preceptors in order to develop our recruitment strategy.  Each participant agreed to a structured interview and gave or denied permission to have the interview recorded.  In the structured interview, community physicians were asked to answer questions about their motivation to precept medical and physician assistant students.  They were further asked about their desired compensation, reservations about teaching, and interest in participating in curricular development. Results We interviewed 12 community providers- 11 physicians and one advanced practice nurse. Participants were from a broad range of specialties: Obstetrics/Gynecology (3), Surgery (3), Psychiatry (3), Family Medicine (1), Pediatrics (1), Emergency Medicine (1).  Of the providers interviewed, 10 were from groups underrepresented in medicine.  All 10 of the UiM participants were physicians.  All participants completed the structured interview.  The answers provided in the interview were able to be grouped into themes reflecting a recurring set of beliefs and motivations. Conclusions UiM preceptors hold values reflective of altruism and a willingness to serve in the creation of the future workforce.  We have found UiM preceptors possess a strong desire for training as educators.  Further, UiM preceptors are incentivized by financial compensation and willing to commit their personal time to advising the medical school.

ICT proficiency: perspectives of Tangaza University College librarians in Kenya

2020 ◽  
Vol 41 (6/7) ◽  
pp. 487-501
Author(s):  
Stanislaus L. Agava ◽  
Peter G. Underwood
Keyword(s):  
Professional Training ◽  
Census Data ◽  
Single Case ◽  
Structured Interview ◽  
Personal Interest ◽  
Ict Skills ◽  
Content Type ◽  
University College ◽  
Training Programmes ◽  
Training Opportunities

PurposeThis study aims to assess the information and communications technology (ICT) proficiency of library and information science (LIS) professionals working in Tangaza University College (TUC) Library, Kenya.Design/methodology/approachA qualitative research design using a single case study was adopted in the study, which gathered data through a census. Data were collected using a structured interview.FindingsThe study findings indicated that the majority of TUC librarians have very high ICT competence in basic ICT and some Web technologies; however, they lack technical ICT skills. Furthermore, though ICT courses are offered during LIS professional training, TUC librarians lack opportunities to implement some of their advanced ICT skills. Lack of funding, time, practical lessons, personal interest, training opportunities and ICT obsolescence were highlighted as challenges librarians encounter in their pursuit of acquiring ICT skills.Practical implicationsThe study recommends that regular ICT-related training programmes be conducted for librarians and be offered in the form of workshops, seminars and conferences. Furthermore, there is a need for an academic curriculum in LIS schools to have more practical ICT-related components. Library staff should be encouraged to develop a personal interest in pursuing ICT skills, and librarians should also make use of ICT training opportunities that are freely available online for personal development.Originality/valueThe study is beneficial to those concerned with developing training programmes for librarians to strengthen areas deemed to have shortcomings.

Oncology Nursing: Educating Advanced Practice Nurses to Provide Culturally Competent Care

2011 ◽  
Vol 27 (4) ◽  
pp. 245-254 ◽  
Author(s):  
Theresa Pluth Yeo ◽  
Janice Phillips ◽  
Anne Delengowski ◽  
Margaret Griffiths ◽  
Larry Purnell
Keyword(s):  
Advanced Practice Nurses ◽  
Oncology Nursing ◽  
Advanced Practice ◽  
Culturally Competent ◽  
Culturally Competent Care ◽  
Practice Nurses

scholarly journals Global Health Clinical Education

2014 ◽  
Vol 2 (10) ◽  
pp. 185-193
Author(s):  
Roberta Durham ◽  
Lynn A. Van Hofwegen ◽  
Megan E Levy
Keyword(s):  
Global Health ◽  
Clinical Education ◽  
Clinical Course ◽  
Interdisciplinary Collaboration ◽  
Professional Students ◽  
Community Needs ◽  
Primary Health ◽  
Health Professional Students ◽  
Improve Health

Global health is the study and practice of improving health and health equity for all people worldwide through international and interdisciplinary collaboration. Studies suggest that health professions students benefit significantly through participating in global health clinical courses. This exploratory qualitative study conducted a community needs assessment as part of a global health clinical course for health professional students. The clinical course allowed students to plan and implement a week-long clinic providing primary health care to families in remote villages in Central America. Students engaged with the researcher to conduct a community assessment.As part of the community assessment we interviewed Kuna to identify from within the community the needs of families to improve health outcomes. This assessment was designed to provide empirical evidence to support future long-term, sustainable improvements in the health of communities. Findings indicate a chasm between what providers see as problems and villagers’ identified priorities. Despite many unanticipated challenges, this research produced some modest and tentative recommendations proposed both for the community and global health clinical education.

Graduate Clinical Nurse Preceptors: Implications for Improved Intra-Professional Collaboration

2014 ◽  
Vol 19 (3) ◽  
Author(s):  
Rosemary Donley ◽  
Mary Flaherty ◽  
Eileen Sarsfield ◽  
Agnes Burkhard ◽  
Sandra O'Brien ◽  
...  
Keyword(s):  
Clinical Education ◽  
Nursing Faculty ◽  
Professional Socialization ◽  
Organizational Structures ◽  
Advanced Practice ◽  
Professional Collaboration ◽  
Practice Nurses ◽  
Healthcare Settings ◽  
Schools Of Nursing ◽  
Role Commitment

Advanced practice nurses have increased in number and public acceptance. Students preparing for these roles require quality clinical education so they are prepared to assume collaborative roles in healthcare settings. Although graduate clinical preceptors have a vitally important role in the clinical education and professional socialization of advanced practice students, there is a paucity of evidence about factors that influence their role commitment. In this article, the authors review the literature related to graduate-level, clinical-preceptor experiences; describe their study of 91 graduate clinical preceptors that identified factors influencing graduate clinical preceptors’ role commitment; report and discuss their findings; as well as the limitations of this study. They conclude that the graduate clinical preceptor role needs to be more visible and better integrated into schools of nursing and healthcare organizational structures, and identify the need for intra-professional collaboration among nursing faculty, administrators, and clinicians to facilitate the recruitment, cultivation, and retention of graduate clinical preceptors

scholarly journals Identification of professionalism behaviour blueprint assessment medical students with Eastern and Islamic culture in the profession program

2019 ◽  
Vol 7 (8) ◽  
pp. 2928
Author(s):  
N. Juni Triastuti ◽  
Erna Herawati ◽  
Nur Aida Oktasari ◽  
Ade Oktavia Rhaisya
Keyword(s):  
Medical Students ◽  
Cognitive Abilities ◽  
Structured Interview ◽  
Islamic Culture ◽  
Structured Interviews ◽  
Professional Behaviour ◽  
Professional Students ◽  
Eastern Culture ◽  
Medical Institutions ◽  
Starting Point

Background: Medical institutions have a role and responsibility in training medical students to have the knowledge and skills needed to become a reliable doctor in terms of mastering knowledge, skills in the field of medicine. One thing that is often overlooked by medical institutions is forgetting aspects of professional behaviour. Professional behaviour is indispensable in creating a new generation of doctors who have professionalism and character. For medical institutions as a starting point in professional behaviour, it is very important to be able to formulate indicators of professional behaviour for medical students. Previous research is limited to the assessment of professional behaviour that is still generally conveyed and does not relate aspects of eastern and Islamic culture. The purpose of this study is to create a blueprint assessment of professional behaviour in the profession program of medical students.Methods: This research using a qualitative approach. Data collection was conducted with semi structured interviews and conducted at the Faculty of Medicine, University of Muhammadiyah Surakarta, Pabelan, Kartasura, Central Java, Indonesia. Data analysis is done by general inductive approach.Results: This study formulated three major themes that influenced professionalism in professional students including professionalism in terms of cognitive/knowledge, skills/behavior, and attitude. Based on the results using semi structured interview, 18 items of instruments were formulated related to professionalism assessment in professional students including three cognitive assessments, seven assessment items about professionalism in terms of skills, and eight items of evaluation on professionalism in terms of attitude.Conclusions: Professionalism in Islamic and eastern culture of medical students includes cognitive abilities, skill abilities and attitudes. The instrument for evaluating the medical professionalism of Islamic and eastern culture was determined for 18 assessment items.

scholarly journals Barriers to high quality coding of hospital chart information to administrative data: A qualitative study

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Karen Tang ◽  
Kelsey Lucyk ◽  
Hude Quan
Keyword(s):  
Qualitative Study ◽  
Electronic Medical Records ◽  
Administrative Data ◽  
Medical Records ◽  
Health Service Delivery ◽  
Structured Interview ◽  
Recruitment Strategy ◽  
Physician Education ◽  
High Quality ◽  
Patient Journey

ABSTRACTObjectives Administrative data are widely used in research, health policy, and the evaluation of health service delivery. We undertook a qualitative study to explore the barriers to high quality coding of chart information to administrative data, at the level of coders in Canada. ApproachOur study design is qualitative. We recruited professional medical chart coders and data users working across Alberta, Canada, using a multimodal recruitment strategy. We conducted an in-depth, semi-structured interview with each participant. All interviews were audio-recorded and transcribed. We conducted thematic analysis (e.g., line-by-line open coding) of interview transcripts. Codes were then collated into themes and compared across our dataset to ensure accurate interpretations of the data. The study team met to discuss, modify, and interpret emergent themes in the context of the barriers to coding administrative data. ResultsWe recruited 28 coding specialists. In general, coders had high job satisfaction and sense of collegiality, as well as sufficient resources to address their coding questions. They believed themselves to be adequately trained and consistently put in the extra effort when searching charts to find additional information that accurately reflected the patient journey. Barriers to high quality coding from the coder perspective included: 1) Incomplete and inaccurate information in physician progress notes and discharge summaries; 2) Difficulty navigating a complex hybrid of paper and electronic medical records; 3) Focus on productivity rather than quality by the employer, which at times resulted in inconsistent instructions for coding secondary diagnoses and discordant expectations between the employer and the coders’ professional standards. ConclusionFuture interventions to improve the quality of administrative data should focus on physician education of necessary components in charting, evaluation of electronic medical records from the perspectives of those who play a key role in abstracting data, and evaluation of productivity guidelines for coders and their effects on data quality.

scholarly journals Exploring the challenges and ethical requirements of medical sciences education during COVID-19: a qualitative study

2022 ◽  
Author(s):  
Ghobad Ramezani ◽  
Maryam Aalaa ◽  
Farzaneh Zahedi ◽  
Seyed Kamran Soltani Arabshahi ◽  
Davood Rasouli ◽  
...  
Keyword(s):  
Clinical Education ◽  
Poor Performance ◽  
Structured Interview ◽  
Faculty Members ◽  
Ethical Challenges ◽  
Clinical Environment ◽  
Medical Sciences ◽  
Mental Health Patient ◽  
Education Environment ◽  
Large Audience

The controversial role of ethics in clinical education and its ability to draw the attention of a large audience is inevitable. The issues and challenges of the COVID-19 pandemic have transformed the clinical education environment. This study was conducted to explore the challenges and ethical requirements of medical sciences education during the COVID-19 pandemic in 2020. The study was qualitative research and the instrument was a semi-structured interview. The participants included faculty members of the basic and clinical Sciences at Iran University of Medical Sciences. After 16 rounds of interviews, theoretical saturation was achieved. Qualitative data were analysed using conventional content analysis, which resulted in 81 preliminary codes and 28 sub-categories. Finally, two themes of "ethical challenges" and "ethical requirements", and 10 categories were achieved. The sub-categories were consisted of "being patient-centred", "social accountability of curriculums", "ethical challenges of the clinical environment", "the poor performance of the clinical faculty members and students", "being justice-centred", "raising awareness", "observing clinical research ethics", "preservation and promotion of mental health", "patient confidentiality", and "respect for individuals". We hope the ethical challenges in medical education that were created due to the emergence of Covid-19 can be reduced and eliminated by defining a framework for ethical requirements. 

scholarly journals ENTRUSTABLE PROFESSIONAL ACTIVITIES (EPAS) FROM CLINICAL TO BASIC SCIENCE DISCIPLINES: A METHODOLOGICAL PROPOSAL

2020 ◽  
Vol 8 (9) ◽  
pp. 933-940
Author(s):  
M. Fernandez Morilla ◽  
◽  
Joao Costa M ◽  
Keyword(s):  
Clinical Education ◽  
Basic Science ◽  
Entrustable Professional Activities ◽  
American Medical College ◽  
Professional Activities ◽  
Medical College ◽  
Curricular Development ◽  
Development Of Competencies ◽  
Clinic Medical ◽  
Life Roles

Competence-based education has gained in popularity at many countries. Competence is regarded as the possession and development of integrated skills, knowledge, appropriate attitudes, and experience for the successful performance of ones life roles. A new concept is gaining great relevance in the clinic medical education context: Entrustable Professional Activities (EPAs) these activities allow curricular development of competencies, no longer in the classroom. EPAS have been identified for many graduate clinical education programmes, but none for basic sciences disciplines. With the idea of transfer EPA concept to the development and assessment of basic science competencies, this work offers: (1) a EPAS-competencies matrix to work the competency E2 described by the Association of American Medical College (linked with research skills) (2) the development of a complete EPA model. The proposal opens a line to discuss the implications and challenges that this concept-transfer offers.

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