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Importance of the past, future and being present: Undergraduate medical students with professionalism concerns reviewed by a competence committee.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-28 DOI: 10.1111/medu.15652
Lisa Shepherd, John Johnson
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引用次数: 0
Partnering with the community for immersive QI learning.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-28 DOI: 10.1111/medu.15643
Chenwei Wu, Jurjen C de Jong, Emily E Schildt, Byron D Joyner
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引用次数: 0
Preparing students for their first surgical patient.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-28 DOI: 10.1111/medu.15655
Faiyaz Syed Ahmed
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引用次数: 0
Gamification increases medical student confidence in surgical anatomy.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15627
Reagan Lee, Luca Kovacs, Jingjing Wang, Beatrice Lofthouse, Katie Hughes
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引用次数: 0
Commentary: Supervisory dynamics in workplace-based assessment.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15634
Anna Ryan
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引用次数: 0
Role modelling feedback: Faculty in the hot seat. 角色模拟反馈:教师的热点问题
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15642
David W Mullins, Catherine Florio Pipas
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引用次数: 0
A call for (re)connection: Embracing emotions in equity-related pedagogy.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15633
Heather Nichol, Sarah Dobrowolski
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引用次数: 0
Game-based learning: A court to promote pharmacy careers. 游戏式学习:促进药学职业发展的法庭。
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15644
Céline Slekovec, Thierry Pelaccia, Milena Abbiati
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引用次数: 0
Empowering medical students with AI literacy: A curriculum development journey.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-27 DOI: 10.1111/medu.15654
Ming-Yuan Huang
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引用次数: 0
The stressed heart: Validity evidence supporting mobile heart rate variability applications to detect psychological stress in healthcare learners.
IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-02-24 DOI: 10.1111/medu.15629
Vicki R LeBlanc, George Mastoras, Christopher Hicks, Philip MacGregor, Connor O'Rielly, Andrew Petrosoniak, Walter Tavares

Purpose: The stress experienced by healthcare learners and practitioners can impact learning, delivery of care, and mental health. Heightened awareness regarding this impact of stress has sparked the growing use of mobile health technologies for real-time tracking of stress in health professions education. The purpose of this study was to evaluate what can accurately be interpreted by the scores generated by mobile technology, regarding psychological stress levels in medical learners.

Methods: In a quasi-experimental within-subjects design, 10 Emergency Medicine residents experienced two rest periods and two stress-inducing simulation scenarios. Heart rate variability (HRV) parameters produced by a mobile HRV application were compared to a reference standard analysis software, and with traditional stress measures (salivary cortisol and self-report measures) using Pearson correlation coefficients. To determine whether HRV parameters from the mobile application differentiate between rest & psychological stress conditions, a Multivariate Analysis of Variance (MANOVA), with condition (rest, stress) as the independent variable, was calculated for the HRV, cortisol and self-report measures.

Results: The mobile application's time-domain HRV parameters correlate strongly with the reference software (r values: 0.93 to 0.99, all p < 0.01), salivary cortisol levels (r = -0.54 to -63, all p <. 0.01) and self-reported stress (r = -0.46 to -0.49, all p < 0.01). These time-domain HRV parameters also accurately differentiated between rest and stress periods (eta2 = 0.43-0.70, all p < 0.01). In contrast, the frequency-domain parameter (LF/HF) of the mobile application showed weaker associations with the reference software (r = 0.10, p = 0.58) and other measures of stress (r = 0.11 to -0.16, NS), and did not differentiate between rest and stress periods (eta2 = 0.07, p = 0.25).

Conclusion: This study provides some validity evidence for the use of a subset of time-domain HRV metrics, captured through a mobile application, for the detection of psychological stress responses in simulated clinical settings. The results also highlight the heterogeneity in HRV metrics produced by various programs. Despite the promise of mobile technologies for the detection of stress in learners and health professionals, further validity research is needed to support their use to detect stress in the health professions.

{"title":"The stressed heart: Validity evidence supporting mobile heart rate variability applications to detect psychological stress in healthcare learners.","authors":"Vicki R LeBlanc, George Mastoras, Christopher Hicks, Philip MacGregor, Connor O'Rielly, Andrew Petrosoniak, Walter Tavares","doi":"10.1111/medu.15629","DOIUrl":"https://doi.org/10.1111/medu.15629","url":null,"abstract":"<p><strong>Purpose: </strong>The stress experienced by healthcare learners and practitioners can impact learning, delivery of care, and mental health. Heightened awareness regarding this impact of stress has sparked the growing use of mobile health technologies for real-time tracking of stress in health professions education. The purpose of this study was to evaluate what can accurately be interpreted by the scores generated by mobile technology, regarding psychological stress levels in medical learners.</p><p><strong>Methods: </strong>In a quasi-experimental within-subjects design, 10 Emergency Medicine residents experienced two rest periods and two stress-inducing simulation scenarios. Heart rate variability (HRV) parameters produced by a mobile HRV application were compared to a reference standard analysis software, and with traditional stress measures (salivary cortisol and self-report measures) using Pearson correlation coefficients. To determine whether HRV parameters from the mobile application differentiate between rest & psychological stress conditions, a Multivariate Analysis of Variance (MANOVA), with condition (rest, stress) as the independent variable, was calculated for the HRV, cortisol and self-report measures.</p><p><strong>Results: </strong>The mobile application's time-domain HRV parameters correlate strongly with the reference software (r values: 0.93 to 0.99, all p < 0.01), salivary cortisol levels (r = -0.54 to -63, all p <. 0.01) and self-reported stress (r = -0.46 to -0.49, all p < 0.01). These time-domain HRV parameters also accurately differentiated between rest and stress periods (eta<sup>2</sup> = 0.43-0.70, all p < 0.01). In contrast, the frequency-domain parameter (LF/HF) of the mobile application showed weaker associations with the reference software (r = 0.10, p = 0.58) and other measures of stress (r = 0.11 to -0.16, NS), and did not differentiate between rest and stress periods (eta<sup>2</sup> = 0.07, p = 0.25).</p><p><strong>Conclusion: </strong>This study provides some validity evidence for the use of a subset of time-domain HRV metrics, captured through a mobile application, for the detection of psychological stress responses in simulated clinical settings. The results also highlight the heterogeneity in HRV metrics produced by various programs. Despite the promise of mobile technologies for the detection of stress in learners and health professionals, further validity research is needed to support their use to detect stress in the health professions.</p>","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Medical Education
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