Medical Teacher最新文献

Purpose: The inclusion of quality improvement (QI) and patient safety (PS) into CanMEDS reflects an expectation that graduating physicians are competent in these areas upon training completion. To ensure that Canadian postgraduate specialty training achieves this, the translation of QI/PS competencies into training standards as part of the implementation of competency-based medical education requires special attention.

Methods: We conducted a cross-specialty, multi-method analysis to examine how QI/PS was incorporated into the EPA Guides across 11 postgraduate specialties in Canada.

Results: We identify cross-specialty variability in how QI/PS is incorporated, positioned, and emphasized in EPAs and milestones. QI/PS was primarily referenced alongside clinical activities rather than as a sole competency or discrete activity. Patterns were characterized in how QI/PS became incorporated into milestones through repetition and customization. QI/PS was also decoupled, conceptualized, and emphasized differently across specialties.

Conclusions: Variability in the inclusion of QI/PS in EPAs and milestones has important implications considering the visibility and influence of EPA Guides in practice. As specialties revisit and revise EPA Guides, there is a need to balance the standardization of foundational QI/PS concepts to foster shared understanding while simultaneously ensuring context-sensitive applications across specialties. Beyond QI/PS, this study illuminates the challenges and opportunities that lie in bridging theoretical frameworks with practical implementation in medical education, prompting broader consideration of how intrinsic roles and emergent areas are effectively incorporated into competency-based medical education.

In this guide we provide instructions and recommendations about creating and running escape rooms for healthcare education. In recent years there has been a growing interest in adopting escape rooms as an educational tool to be included in healthcare curricula, and we attempt to explain why and how these tools are fit for the particularities of this type of education. We first describe the steps that a design team will have to follow to create an educational escape room from scratch, from core characteristics like target audience and learning goals to actual puzzle design and testing. We then continue by providing recommendations to operators and lecturers about how to run such escape room as part of an overall teaching session that also includes a lecture, briefing, debriefing and evaluation. We finalise this guide by listing a set of tools for validating and evaluating these types of escape rooms.

Purpose: The purpose of this scoping review is to assess the literature on allied health professions escape rooms (AHPERs), investigating their common purposes and practices, and the trends in scholarship.

Methods: This scoping review followed PRISMA-ScR guidelines to assess the size and scope of evidence in the literature, categorize common purposes and practices, and explore trends in AHPER scholarship. Two reviewers developed a review protocol, collected literature using a search strategy aligned with inclusion criteria, and charted review results.

Results: The literature search yielded 6,170 articles. After the final review, 34 unique records met inclusion criteria. Studies were conducted in the United States, Spain, Australia, France, Brazil, and Canada. Most escape rooms reported participants, team size, puzzle type, and outcomes, but few used causal research designs, primarily using pre-post with no control designs. AHPERs represent an increasingly popular pedagogical approach. AHPERs tend to be simply structured, patient themed, and convey either disciplinary or interprofessional lessons. Generally, AHPERs were self-reported as effective and satisfying, but scholarship supporting AHPERs was insufficient in design for causal claims.

Conclusion: Developers and scholars may benefit from considering frameworks and guidelines for consistent creation and increased trustworthiness in the AHPER practice and knowledge base. Where AHPER scholars can increase attention to learning outcomes, and plan scholarly works in advance of the escape room, the AHPER body of knowledge will increase.

Background: Clinical practicums are a crucial part of nursing education wherein nursing internship supervisors (NIS) play a vital role in facilitating hands-on experience. However, many NIS start their teaching roles without adequate educational training, despite the importance of this task. Therefore, the aim of this study was to develop and validate a reliable and credible core competency scale for NIS.

Methods: We used the framework from the Academy of Medical Educators for the training of NIS in healthcare. We combined a literature review, theory-based inquiry, qualitative interviews, and expert consultation to create the initial scale. The final scale underwent comprehensive evaluation by 653 NIS and 653 nursing internship students from three leading hospitals in Luzhou, Sichuan Province, resulting in a total of 1306 participants.

Results: The study produced the Core Competency Scale for NIS, a refined instrument covering six dimensions (professional socialized mentoring capacity, clinical teaching competencies, student counseling communication and coordination skills, nursing process competencies, curriculum design capacity, clinical problem-solving skills) and 39 items. The scale showed a content validity index of 0.98 and strong criterion-related validity, with a correlation coefficient of r = 0.73 (p < 0.01) against the Clinical Teaching Effectiveness Instrument scale. Cronbach's alpha ranged from 0.973 to 0.990, indicating high reliability and validity.

Conclusion: The Core Competency Scale for NIS demonstrates robust reliability and validity, serving as a valuable tool for assessing the core competencies of nursing instructors. It provides a strong foundation for the development and application of training programs tailored to enhance the skills of nursing faculty in the clinical setting.

ChatGPT has initiated a new era of inquiry into sources of information within the scientific community. Studies leveraging ChatGPT in the medical field have demonstrated notable performance in academic processes and healthcare applications. This research presents how medical students have benefited from ChatGPT during their educational journey and the challenges they encountered, as reported through their personal experiences. The methodological framework of this study adheres to the stages of qualitative research. An explanatory case study, a qualitative research method, was adopted to determine user experiences with ChatGPT. Content analysis based on student experiences with ChatGPT indicates that it may offer advantages in health education as a resource for scientific research activities. However, adverse reports were also identified, including ethical issues, lack of personal data protection, and potential misuse in scientific research. This study emphasizes the need for comprehensive steps in effectively integrating AI tools like ChatGPT into medical education as a new technology.

Medical students often engage with a range of extracurricular activities (ECAs) including academic activities such as research projects, peer teaching and curriculum development projects. Studies have reported the benefits of academic ECAs including the development of social and leadership skills; higher retention rates; heightened self-confidence; peer bonding; improved satisfaction; and greater postgraduate success. However, not all students are equally positioned to take advantage of such opportunities. This paper presents twelve tips to facilitate the development of equitable academic ECAs. By considering the advice offered, faculty should be able to implement ECA opportunities that are open to all interested students.