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2021 ◽  
Vol 20 ◽  
pp. 87-92
Author(s):  
Roopesh Sitharan ◽  

This artwork was produced as part of the residency programme organised by the Centre of Contemporary Art, Nanyang Technological University, Singapore, and the Museum of Contemporary Art and Design, Philippines called Acts of Life, with support from the Goethe-Institut. During the residency, the artist observed that media technology is utilised to abate the narratives by the nation state to define how a subject should operate and experience the world. Reflecting this, the artist created a work to discern the truthfulness and relevancy of a national narrative in individual lives. For this, a survey is devised as an artistic strategy to juxtapose the desires of a subject with the expectations of a nation state. An opinion booth was set up as part of the 2019 Singapore Art Week. With the header “What is wrong with Singapore”—the booth invites the audience to contribute their opinion towards the statement by writing it down on a postcard and pasting it on a designated wall. The accessibility, dissemination, and restriction of these opinions are left completely to the judgement of the audience visiting the booth.


2021 ◽  
Vol 60 (4) ◽  
pp. 237-243
Author(s):  
Klemen Pašić ◽  
Vojislav Ivetić

Abstract Introduction In order to achieve a high standard in training programmes for future family medicine specialists, it is essential to have good tutors with well-organised family medicine practices. Proper working conditions for young doctors are essential for their satisfaction and future professional development. The aim of our study was to check the current working conditions of family medicine trainees in the practical modular part of the training programme in Slovenia, and to determine their satisfaction with working conditions. Methods A cross-sectional study was conducted. The data was collected through a questionnaire distributed to 105 family medicine trainees undergoing the practical modular part of their training programme. Results The study showed that the following 7 out of 25 organisational and labour law factors are significantly associated with a trainee’s general satisfaction with working conditions: the location where work with patients takes place, the privacy of the premises, the accessibility of the main tutor, a constant patient population, suitable places for rest, paid out-of-hours substitutions, and appropriate pay grade. Conclusion The results we obtained can be used to address certain aspects of trainees’ working conditions in Slovenia that need improvement. By determining which working conditions significantly affect a trainee’s satisfaction, we have the opportunity to modify these conditions and thereby improve the training programme. This could result in a less stressful and more efficient residency programme.


2021 ◽  
Vol 6 (4) ◽  
pp. 65-79
Author(s):  
Yee Cheun Chan ◽  
Chi Hsien Tan ◽  
Jeroen Donkers

Introduction: Reflection is a critical component of learning and improvement. It remains unclear as to how it can be effectively developed. We studied the impact of reflective writing in promoting deep reflection in the context of learning Accreditation Council for Graduate Medical Education (ACGME) competencies among residents in an Internal Medicine Residency programme. Methods: We used a convergent parallel mixed-methods design for this study in 2018. We analysed reflective writings for categories and frequencies of ACGME competencies covered and graded them for levels of reflection. We collected recently graduated residents’ perceptions of the value of reflective writings via individual semi-structured interviews. Results: We interviewed nine (out of 27) (33%) participants and analysed 35 reflective writings. 30 (86%) of the writings showed a deep level (grade A or B) of reflection. Participants reflected on all six ACGME competencies, especially ‘patient care’. Participants were reluctant to write but found benefits of increased understanding, self-awareness and ability to deal with similar future situations, facilitation of self-evaluation and emotional regulation. Supervisors’ guidance and feedback were lacking. Conclusion: We found that a reflective writing programme within an Internal Medicine Residency programme promoted deep reflection. Participants especially used self-reflection to enhance their skills in patient care. We recognised the important role of mentor guidance and feedback in enhancing reflective learning.


2021 ◽  
pp. postgradmedj-2021-140897
Author(s):  
Isabel Beshar ◽  
William J Tate ◽  
Dan Bernstein

In the midst of the SARS-CoV-2 pandemic, the US Association of American Medical Colleges (AAMC) required residency programme transition from in-person to virtual interviews for all applicants. The new virtual format upended a system that has relied on programmes and applicants balancing the likelihood of acceptance with the financial and time demands of cross-country travel.In this commentary, we address the history of residency interviewing in the USA and the emerging changes that are taking place in light of virtual interviews. We discuss the advantages of the new online format, including the reduced cost for applicants and programmes, as well as the decreased carbon footprint.We also discuss the inequities of virtual interviewing, involving a national maldistribution of interviews to only the top-tier candidates. We share previously unpublished data on the number of virtual interviews accepted by Stanford’s 2020 residency applicants, compared with those conducted in person in 2019. We find Stanford applicants in all fields accepted more interviews: from a mean of 8 in 2019 to 14 in 2020, a change of 160% on average. Despite this, only half of Stanford 2020 applicants interviewing in the virtual format thought they had accepted more interviews than they would have in person.We comment on how transitions to online interviewing may be affecting medical schools and applicants disproportionately. Ultimately, we highlight the need and offer ideas for additional regulation on behalf of the AAMC to ensure a more equitable distribution of interview opportunities.


2021 ◽  
Vol 10 (2) ◽  
pp. 276-280
Author(s):  
Inês Jorge

Curated by Cláudia Melo, Guimarães, Portugal, 5 September‐25 October 2020


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Magdalene Hui Min Lee ◽  
Dong Haur Phua ◽  
Kenneth Wei Jian Heng

Abstract Background The objective structured clinical examination (OSCE) is a part of emergency medicine (EM) examinations such as the Masters of Medicine in Emergency Medicine (MMed) examination and the equivalent Member of the Royal College of Emergency Medicine (MRCEM) examination. The use of formative OSCEs to prepare EM residents for summative OSCEs has not been investigated. This study aimed to evaluate the role of formative OSCEs in preparing EM residents for the MMed and MRCEM OSCE. Methods This was an observational, retrospective, mixed-methods cohort study. We analysed data from formative OSCEs conducted by the National Healthcare Group EM residency programme from 2013 to 2019, and from a questionnaire distributed to all residents during the study period. Residents’ formative OSCE participation and scores were compared with first-attempt summative OSCE success. Qualitative analysis of residents’ opinions on the usefulness of the formative OSCE was performed. Results Forty-three of the 50 (86.0%) residents attended at least one formative OSCE. Of the 46 who responded to the questionnaire, 40 (87.0%) had attempted and succeeded in the MMed or MRCEM OSCE, of whom 35 (87.5%) had succeeded on the first attempt. Residents who succeeded in the summative OSCE on the first attempt tended to have higher proximate (mean = 70.6, SD = 8.9 vs mean = 64.3, SD = 10.8) and mean (mean = 67.4, SD = 7.1 vs mean = 62.8, SD = 7.3) formative OSCE scores. All 8/40 (20.0%) residents who attended more than three formative OSCEs succeeded in the summative OSCE on their first attempt. Residents’ formative OSCE scores tended to improve with successive formative OSCEs, demonstrating a positive training effect. All residents felt that the formative OSCE was useful in preparing them for the summative OSCE. Conclusions Participation in multiple formative OSCEs was beneficial in preparing residents for the summative OSCE. The formative OSCE was useful in familiarising residents with the examination, giving them an opportunity to perform in near-examination conditions, and providing feedback to residents and faculty about their progress. Our findings may support the implementation of formative OSCEs in other training programmes to prepare learners for high-stake summative OSCEs.


2021 ◽  
Vol 1 (3) ◽  
pp. 59-63
Author(s):  
Aisha Alqahtani

ABSTRACT Background: Challenges related to the residency programme differ according to residents’ roles, interactions, culture, responsibilities and expectations. Aim: This study aims to explore the challenges faced by emergency medicine physicians during their residency programme. We also aim to investigate the influence of several demographic variables on their training experience. Method: This is a cross-sectional study, conducted in Saudi Arabia from June, 2021 to July 2021, using a survey designed by the author.  Results: The total number of participants was 37. Of these, 24.3% (n=9) were R1 residents, 10.8% (n=4) were R2, 35.1% (n=13) were R3, and 29.7% (n=11) were R4. While most of the participants (89%) clearly understood which reference to use for studying, only 56.7% had a clear understanding of how to study for the exams. Reading club was advocated by 72% of participants, and only half the participants had a positive perception of leading, preparing, and discussing topics during academic activity. Of all the residency levels, R3 residents were the most supportive of having expert physician guidance during ED procedures, p=0.04. Other factors given more importance by R3 residents than by other levels were mentorship, p=0.051, and having a course review for the exam, p=0.001. Conclusion: This study uncovers several challenges reported by participants from different residency levels. We noted that the R3 training level, being a period of transition from junior to senior level, is a significant period requiring more attention; more emphasis on mentorship and reading club is advocated.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kate Noble ◽  
Nicola Wallis

PurposeThe authors draw on Howard and Thomas-Hughes' (2020) framework for quality assessment of co-produced research, to interrogate our assumptions and processes and to reflect on our project. They consider if they achieved our planned outcomes around developing practice, enabling a range of voices and perspectives within their research, and enacting change within the university museum.Design/methodology/approachThe authors’ early years residency programme explores the potential of collaborations with community groups to transform knowledge and practice through action research. As museum educators, the authors find synergy between the participatory pedagogies underpinning their practice and the co-construction of knowledge within action research. Both are committed to enabling diverse interpretations within a collective and supportive framework. Within their project, practitioners from the museum and playgroup worked collaboratively to collect video footage, photos, children's artwork and reflective journals and memos.FindingsThe process of action, observation and reflection revealed much about the authors’ different perspectives and they found variations in both pedagogy and practice. Although the authors had a shared commitment to providing high quality, memorable, exciting opportunities for the children, the exploratory nature of the project meant that they did not agree what these experiences might look like in advance, and so they had different understandings of what they saw.Research limitations/implicationsAlthough the authors’ methodological framework was designed to make their research collaborative, structural challenges and the contexts of the art museum and university reinforced long established hierarchies. While some felt supported by the research process and the prestige of working with a university museum to gain legitimacy for their practice, others were disempowered by these same structures. The authors consider their obligations as practitioner-researchers to become aware of the role they play in maintaining, as well as challenging, hierarchies and assumptions.Originality/valueYoung children in museums is a growing area of study and this practitioner-led action research project develop a new strand of enquiry within this field. Through this research the authors can collaborate with community partners to record, analyse and make visible the many different ways in which young children experience the museum. As research led institutions, university museums are ideally placed to develop research in partnership with local public bodies and community groups. However, future work in this area would benefit from a more explicit consideration of the constraints implicit within the institutions within which they all operate.


Author(s):  
Sarah MacKinnon ◽  
Matt Hill

Over the last four decades a number of recording studios have been developed on small islands. The first group of these were in warm water locales, exploiting the standard appeal of the tropics as places of rest and tranquillity. More recently a number of studios have developed in cold water islands, promoting the natural environment (and sometimes less than temperate weather) as encouraging reflection and creativity. This article analyses one aspect of the latter, in the form of the Visitations artist- in-residency programme run by Lost Map Records on the Scottish Isle of Eigg. Several of the musicians who have participated in residencies collected sounds from around Eigg that were embedded in original compositions. This has involved the extension of the studio space into the landscape in a process that stands in contrast to the traditional role of studios to insulate recordings from the external world. This article identifies that the first series of Visitations residences produced musical engagements with Eigg that represent the emotional geographies experienced by the musicians in relation to the landscape, providing more locally grounded projects than those produced in more traditional studios on warm water islands.


2021 ◽  
Author(s):  
Magdalene Hui Min Lee ◽  
Dong Haur Phua ◽  
Kenneth Wei Jian Heng

Abstract BackgroundThe objective structured clinical examination (OSCE) is a part of Emergency Medicine (EM) examinations such as the Masters of Medicine in Emergency Medicine (MMed) examination and the equivalent Member of the Royal College of Emergency Medicine (MRCEM) examination. The use of formative OSCEs to prepare EM residents for summative OSCEs has not been investigated. This study aimed to evaluate the role of formative OSCEs in preparing EM residents for the MMed and MRCEM OSCE.MethodsThis was an observational, retrospective, mixed-methods cohort study. We analysed data from formative OSCEs conducted by the National Healthcare Group EM residency programme from 2013 to 2019, and from a questionnaire distributed to all residents during the study period. Residents’ formative OSCE participation and scores were compared with first-attempt summative OSCE success. Qualitative analysis of residents’ opinions on the usefulness of the formative OSCE was performed.Results43/50 (86.0%) residents attended at least one formative OSCE. Of the 46 who responded to the questionnaire, 40 (87.0%) had attempted and succeeded in the MMed or MRCEM OSCE, of whom 35 (87.5%) had succeeded on the first attempt. Residents who succeeded in the summative OSCE on the first attempt tended to have higher proximate (mean = 70.6, SD = 8.9 vs mean = 64.3, SD = 10.8) and mean (mean = 67.4, SD = 7.1 vs mean = 62.8, SD = 7.3) formative OSCE scores. All 8/40 (20.0%) residents who attended more than three formative OSCEs succeeded in the summative OSCE on their first attempt. Residents’ formative OSCE scores tended to improve with successive formative OSCEs, demonstrating a positive training effect. All residents felt that the formative OSCE was useful in preparing them for the summative OSCE.ConclusionsParticipation in multiple formative OSCEs was beneficial in preparing residents for the summative OSCE. The formative OSCE was useful in familiarising residents with the examination, giving them an opportunity to perform in near-examination conditions, and providing feedback to residents and faculty about their progress. Our findings may support the implementation of formative OSCEs in other training programmes to prepare learners for high-stake summative OSCEs.


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