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From the lecture hall to the cloud: Theoretical foundations for engaging virtual and hybrid didactics in emergency medicine 从讲堂到云端:急诊医学中参与虚拟和混合教学的理论基础
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-05-08 DOI: 10.1002/aet2.70038
Donna Okoli MD, Nicole Schnabel MD, Mary R. C. Haas MD, MHPE, Sally Santen MD, PhD, Margaret Wolff MD, MHPE

Engaging learners in the virtual or hybrid learning environment requires a combination of interactive content, effective communication, and mastery of function in the virtual space. Teaching in the virtual and hybrid environment presents many challenges but it remains a part of emergency medicine resident didactics, making it imperative that theory underpins our approach to virtual and hybrid learning. Connecting didactic techniques to theory can ensure that innovation promotes the intended learning outcome. This paper will demonstrate how to connect education theory to common didactic techniques implemented in the virtual and hybrid environment.

在虚拟或混合学习环境中吸引学习者需要将互动内容、有效沟通和对虚拟空间功能的掌握结合起来。在虚拟和混合环境中的教学提出了许多挑战,但它仍然是急诊医学住院医师教学的一部分,这使得理论支持我们的虚拟和混合学习方法势在必行。将教学技术与理论相结合可以确保创新促进预期的学习成果。本文将演示如何将教育理论与在虚拟和混合环境中实施的常见教学技术联系起来。
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引用次数: 0
A practical primer on clinical supervision of learners in the emergency department 一个实用的初级临床监督学习者在急诊科
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70015
Sara M. Krzyzaniak MD, Julie Tondt MD, Natalie Strokes DO, Nicholas Hartman MD, MPH, Josh Davis MD, Benjamin H. Schnapp MD, MEd

Introduction

Effective supervision of learners in the clinical environment is essential for learner professional development and patient safety. Despite this importance, many supervising attendings receive little to no training around supervising learners. As faculty join emergency departments (EDs) at primary and affiliate training sites, it is essential to provide them with a framework to utilize when approaching learner supervision.

Methods

A workgroup of members from the Society for Academic Emergency Medicine (SAEM) Education Committee was formed to respond to a directive from the SAEM board to identify best practices for new clinician educators when supervising learners. Drawing on their experience and expertise in learner supervision, medical education, and faculty development, the members completed a literature search to identify best practices in supervision, with a special focus on the ED environment.

Analysis

The workgroup identified three domains that must be considered to provide effective supervision to learners: learner characteristics, supervisor characteristics, and clinical environment.

Recommendations

Implementing effective supervision in the clinical environment requires a multifaceted approach and consideration of factors for both the learner and the supervisor. Direct observation, supplemented by standardized assessment tools, is the preferred supervision method; however, the demands of our clinical environment may require supervisors to assess the learner's proficiency using other methods including informal knowledge assessments, inference from oral presentations, review of clinical documentation, feedback from patients themselves, procedural walkthroughs, and secondhand information from the health care or training team.

在临床环境中对学习者进行有效的监督对学习者的专业发展和患者安全至关重要。尽管这一点很重要,但许多指导医师在指导学习者方面几乎没有接受过培训。当教师加入初级和附属培训场所的急诊科(ed)时,为他们提供一个在接近学习者监督时使用的框架是必不可少的。方法由学术急诊医学学会(SAEM)教育委员会的成员组成一个工作组,以响应SAEM董事会的指示,确定新临床医生教育者在指导学习者时的最佳实践。根据他们在学生监督、医学教育和教师发展方面的经验和专业知识,成员们完成了文献检索,以确定监督的最佳实践,特别关注ED环境。工作组确定了为学习者提供有效监督必须考虑的三个领域:学习者特征、主管特征和临床环境。在临床环境中实施有效的监督需要多方面的方法和对学习者和督导者双方因素的考虑。直接观察,辅以标准化的评估工具,是首选的监督方法;然而,我们临床环境的要求可能要求主管使用其他方法来评估学习者的熟练程度,包括非正式知识评估、口头陈述推断、临床文献回顾、患者自身反馈、程序演练以及来自医疗保健或培训团队的二手信息。
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引用次数: 0
Faculty development committee: Evolution through engagement and empowerment 教师发展委员会:通过参与和授权进行进化
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70017
Alexa Sabedra MD, Caroline Freiermuth MD, MS, FACEP, Sally Santen MD, PhD, Elizabeth Leenellett MD, FACEP

Introduction

Burnout and faculty disengagement are critical challenges in academic emergency medicine (EM), with burnout rates as high as 70% among emergency physicians. These issues, worsened by the COVID-19 pandemic and workforce shifts, lead to decreased professional satisfaction and increased attrition. Addressing these concerns is vital to fostering a supportive, equitable, and growth-oriented environment for faculty.

Objective

The faculty development committee (FDC) was established to empower faculty to address professional development, inclusivity, transparency, and wellness through innovative and collaborative initiatives.

Methods

Faculty needs were identified based on data from a biannual department culture survey. Findings revealed key areas for improvement, including career advancement, wellness, and equity, among others. A faculty-driven approach was used to design and implement initiatives, including a mentorship program, educational curriculum, equity assessments, and flexible scheduling policies. The biannual survey and informal feedback solicitation were used to evaluate outcomes and refine interventions.

Results

The mandatory mentorship program accelerated promotions, including the historic advancement of female faculty to full professor roles. The faculty education curriculum enhanced breadth of knowledge and clinical skills, leading to increased satisfaction with educational opportunities (45% in 2022 vs. 35% in 2020). Transparent policies on leadership roles and salary equity improved inclusivity and fairness. Flexible scheduling accommodations, including age and pregnancy/lactation status–based shift exemptions, expanded vacation and holiday options, and extended parental leave, improve work–life balance and faculty engagement. Surveys demonstrated improvements in departmental culture and satisfaction.

Conclusion

The FDC effectively addressed wellness, equity, and professional growth in an academic EM group by implementing faculty-centered and faculty-driven solutions. The committee's work has fostered a supportive, inclusive, and development-focused environment, serving as a model for addressing similar challenges in academic institutions.

职业倦怠和教师脱离是学术急诊医学(EM)面临的关键挑战,急诊医生的职业倦怠率高达70%。这些问题因COVID-19大流行和劳动力转移而恶化,导致职业满意度下降和人员流失增加。解决这些问题对于为教师营造一个支持性、公平和以成长为导向的环境至关重要。教员发展委员会(FDC)的成立是为了授权教员通过创新和合作举措来解决专业发展、包容性、透明度和健康问题。方法根据一年两次的院系文化调查的数据确定教员需求。调查结果揭示了需要改进的关键领域,包括职业发展、健康和公平等。教师驱动的方法被用来设计和实施倡议,包括指导计划、教育课程、公平评估和灵活的调度政策。一年两次的调查和非正式的反馈征求被用来评估结果和改进干预措施。结果:强制性师徒计划加速了晋升,包括女教师历史性地晋升为正教授。教师教育课程提高了知识广度和临床技能,从而提高了对教育机会的满意度(2022年为45%,2020年为35%)。透明的领导角色和薪酬公平政策提高了包容性和公平性。灵活的安排住宿,包括基于年龄和怀孕/哺乳状态的轮班豁免,扩大假期和假期选择,延长育儿假,改善工作与生活的平衡和教师的参与度。调查显示部门文化和满意度有所改善。FDC通过实施以教师为中心和教师驱动的解决方案,有效地解决了学术新兴市场群体的健康、公平和专业成长问题。该委员会的工作营造了一个支持性、包容性和以发展为重点的环境,成为学术机构应对类似挑战的典范。
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引用次数: 0
Words matter: Destigmatizing the language of medicine through research, training, and future directions for emergency medicine 词语很重要:通过研究、培训和急诊医学的未来方向,消除医学语言的污名化
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70022
Natalie Strokes DO, MPH, MS, Richard Sapp MD, MS, Meta Carroll MD, Elizabeth Maxwell Hovis MD, Mary McLean MD, Shannon Markus MD, MPH, Aaryn Hammond MD, Rosemarie Diaz MD, MPH, Ryan E. Tsuchida MD, Marcia Perry MD, Edgardo Ordonez MD, MPH

Background

In emergency medicine (EM), language choice significantly impacts patient care and can potentially cause harm, dehumanize patients, and introduce bias. Stigmatizing language in medical settings can affect patient dignity, trust, and outcomes. Despite its importance, there is limited education on avoiding stigmatizing language in EM. This concept paper addresses the need to raise awareness and develop strategies for use of inclusive language in the emergency department (ED).

Methods

A didactic session titled “Words Matter: Destigmatizing the Language of Medicine” was developed and presented at the 2024 Society for Academic Emergency Medicine (SAEM) Annual Meeting. The session involved a collaborative team of 12 individuals, including an EM resident, health equity fellow, and EM faculty. Content creation involved a comprehensive literature review and consensus-based decision making. The session featured current research related to stigmatizing language and interactive components, including case-based discussions and equity-focused alternative language choices.

Results

The didactic session, attended by approximately 70 participants, successfully highlighted the impact of stigmatizing language on health care disparities and patient trust. Interactive case studies allowed participants to identify and propose alternatives to stigmatizing language. The session provided actionable strategies for integrating inclusive language into practice and education. Postdidactic discussions emphasized the need for ongoing research and specific educational interventions to address stigmatizing language in EM.

Conclusions

Addressing stigmatizing language in EM is crucial for providing equitable and respectful patient care. The didactic session demonstrated effective methods for raising awareness and training health care professionals in using inclusive language. Future efforts should focus on developing standardized approaches for identifying and mitigating stigmatizing language, integrating these practices into training programs, and conducting longitudinal research to assess the impact on patient outcomes. Creating a culture of inclusive language in the ED will contribute to improved patient trust and care quality.

在急诊医学(EM)中,语言选择显著影响患者护理,并可能造成伤害,使患者失去人性,并引入偏见。医疗环境中的污名化语言会影响患者的尊严、信任和结果。尽管它很重要,但在急诊中避免污名化语言的教育有限。本概念文件解决了在急诊科(ED)中提高认识和制定使用包容性语言策略的必要性。方法在2024年急诊医学学术学会(SAEM)年会上进行了题为“词语很重要:医学语言的去污名化”的教学会议。会议涉及一个由12人组成的协作团队,包括一名EM住院医师、健康公平研究员和EM教员。内容创作包括全面的文献回顾和基于共识的决策。会议重点介绍了与污名化语言和互动组件相关的当前研究,包括基于案例的讨论和以公平为重点的替代语言选择。结果:大约70名参与者参加了这次教学会议,成功地强调了污名化语言对医疗保健差异和患者信任的影响。互动案例研究允许参与者识别并提出替代污名化语言的方法。会议提供了将包容性语言纳入实践和教育的可行战略。教学后的讨论强调需要持续的研究和具体的教育干预来解决EM中的污名化语言。结论解决EM中的污名化语言对于提供公平和尊重的患者护理至关重要。教学会议展示了提高认识和培训保健专业人员使用包容性语言的有效方法。未来的努力应该集中在开发标准化的方法来识别和减轻污名化语言,将这些实践纳入培训计划,并进行纵向研究以评估对患者结果的影响。在急诊科创造一种包容的语言文化将有助于提高病人的信任和护理质量。
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引用次数: 0
The coaching approach in graduate medical education: Practical considerations for program creation and implementation 研究生医学教育中的辅导方法:项目创建和实施的实际考虑
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70019
Simanjit K. Mand MD, Holly Caretta-Weyer MD, MHPE, Corlin Jewell MD, Matthew Pirotte MD, Kevin R. Scott MD, MEd, Lalena M. Yarris MD, MCR, Benjamin H. Schnapp MD, MEd

Coaching supports many aspects of competency-based medical education, particularly by providing individualized instruction throughout the duration of the training experience. Many of the current recommendations regarding coaching have been established at the undergraduate medical education (UME) level. Although medical training is ideally envisioned as a continuum, trainees in graduate medical education (GME) are exposed to different learning environments, assessment processes, and sometimes more limited resources (institutional vs. departmental funding, personnel, and space) and time than their UME counterparts. These differences have important implications for the coaching approach needed for GME trainees. There are few papers that describe the specific trainee, residency program, and faculty coach characteristics to consider when designing a residency coaching program as well as the difference between a traditional coaching model and a coaching approach in medical education. The authors aim to specifically address coaching in GME and provide practical considerations for creating and implementing a coaching program for residents. Readers can use this as a framework to determine trainee-, program- and institution-specific needs when considering a coaching program for GME trainees.

辅导支持以能力为基础的医学教育的许多方面,特别是在整个培训过程中提供个性化指导。目前关于指导的许多建议都是在本科医学教育(UME)层面建立的。虽然医学培训被理想地设想为一个连续体,但研究生医学教育(GME)的受训者面临不同的学习环境、评估过程,有时比普通医学教育(UME)的同行面临更有限的资源(机构与部门的资金、人员和空间)和时间。这些差异对GME学员所需的指导方法具有重要意义。很少有论文描述在设计住院医师培训计划时需要考虑的具体实习生、住院医师计划和教员教练特征,以及医学教育中传统教练模式和教练方法的区别。作者的目的是专门解决指导在GME和提供实际考虑创建和实施指导计划的居民。在考虑GME学员的培训计划时,读者可以将此作为一个框架来确定学员、项目和机构的具体需求。
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引用次数: 0
From submission to publication: A practical guide to peer review publication for medical educators 从提交到出版:医学教育工作者同行评审出版物的实用指南
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70023
Guy Carmelli MD, MSEd, Michael Cassara DO, MSEd, Danielle T. Miller MD, MEd, Rebekah Cole PhD, MEd, Demian Szyld MD, EdM, Michael Gottlieb MD, Wendy C. Coates MD

While medical educators are publishing more than ever, many barriers still exist, causing some to feel disheartened. Ongoing strategies are desirable to support educators who are facing challenges when submitting and revising their scholarly manuscripts to journals. Increasing publication rates can enhance an educator's promotion and tenure progress and career satisfaction and aid in the establishment of a community of practice. On a broader scale, increased publication encourages a diversity of voices contributing to and advancing the field of medical knowledge. In this article, we present a guide for those looking to engage more deeply in medical education (MedEd) research and scholarship. First, we describe the difference between MedEd research (which seeks to develop and/or answer a research question and expand general knowledge) and other forms of scholarship (which may include, but are not limited to, curricular innovations, infographics, educational downloads, commentaries, editorials, reviews, last pages, instruments, case scenarios, and instructional toolboxes). Next, we discuss an eight-step process to prepare for publication: (1) formulate the idea, (2) implement the project, (3) select the appropriate journal, (4) write the paper, (5) submit the manuscript, (6) receive journal feedback, (7) revise the manuscript, and (8) resubmit the manuscript. It is the hope that with practice and mentorship, and the help of this guide, medical educators can more successfully publish their work moving forward.

虽然医学教育工作者发表的文章比以往任何时候都多,但许多障碍仍然存在,使一些人感到沮丧。持续的策略是可取的,以支持教育工作者面临的挑战,当提交和修改他们的学术手稿期刊。提高出版率可以提高教育工作者的晋升和终身教职的进展和职业满意度,并有助于建立一个实践社区。在更广泛的范围内,出版物的增加鼓励了对医学知识领域做出贡献和推进的各种声音。在这篇文章中,我们为那些希望更深入地从事医学教育(MedEd)研究和奖学金的人提供了一个指南。首先,我们描述MedEd研究(旨在发展和/或回答研究问题并扩展一般知识)与其他形式的学术研究(可能包括但不限于课程创新、信息图表、教育下载、评论、社论、评论、最后一页、工具、案例场景和教学工具箱)之间的区别。接下来,我们讨论了准备发表的八步过程:(1)制定想法,(2)实施项目,(3)选择合适的期刊,(4)撰写论文,(5)提交手稿,(6)接收期刊反馈,(7)修改手稿,(8)重新提交手稿。希望通过实践和指导,以及本指南的帮助,医学教育者能够更成功地发表他们的工作。
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引用次数: 0
Enhancing emergency medicine faculty development: A strategic approach to bridging clinical skill gaps 加强急诊医学师资发展:弥合临床技能差距的战略途径
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70011
Jessica Baez MD, AEMUS-FPD, Andrew Adan MD, Sally Santen MD, PhD, Erin McDonough MD, Gregory Fermann MD, Elizabeth Leenellett MD

Background

Emergency medicine (EM) is a dynamic field requiring continual procedural proficiency, particularly in high-acuity, low-occurrence (HALO) procedures such as cricothyrotomy and transvenous pacemaker placement. Despite the importance of these skills, many EM faculty members face challenges maintaining proficiency due to limited time and exposure.

Objective of the Innovation

This faculty development initiative aimed to address skill degradation in HALO procedures and other critical clinical pathways among mid- and senior-career EM faculty.

Development Process and Implementation

Targeting 56 faculty members across a four-year EM training program, the initiative incorporated anonymous needs assessments and feedback from residents and consulting services. Over four years (2019–2023), eleven interactive sessions were delivered during faculty meetings and retreats, blending didactic presentations with hands-on practice.

Outcomes

Participation rates were high, with five topics achieving attendance over 100% through voluntary session repeats and spaced repetition. One-on-one workshops provided advanced training in airway management and ultrasound-guided procedures, with 49 faculty members attending. Feedback was overwhelmingly positive, with faculty endorsing continued participation in future sessions. As a result, participation in at least one session per year is now tied to value-based incentive compensation.

Conclusions

While challenges remain, such as expanding access and incentivizing attendance, the initiative underscores the critical importance of targeted faculty development to ensure ongoing competency in evolving clinical skills and procedures.

背景急诊医学(EM)是一个动态的领域,需要持续的操作熟练,特别是在高灵敏度,低发生率(HALO)手术,如环甲环切开术和经静脉起搏器放置。尽管这些技能很重要,但由于时间和接触时间有限,许多EM教师面临保持熟练程度的挑战。这项教师发展计划旨在解决中高级职业EM教师在HALO程序和其他关键临床途径中的技能退化问题。在为期四年的EM培训计划中,该计划针对56名教职员工,纳入了匿名需求评估和来自居民和咨询服务的反馈。在四年(2019-2023)的时间里,在教师会议和务虚会期间举办了11次互动会议,将教学演讲与实践实践相结合。结果:参与率高,通过自愿重复和间隔重复,有5个主题的出勤率超过100%。一对一的研讨会提供了气道管理和超声引导手术的高级培训,有49名教师参加。反馈非常积极,教师们支持在未来的课程中继续参与。因此,现在每年至少参加一次会议是与基于价值的奖励报酬挂钩的。尽管挑战依然存在,例如扩大准入和激励出勤,但该倡议强调了有针对性的教师发展的重要性,以确保在不断发展的临床技能和程序中持续的能力。
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引用次数: 0
A blended approach: How to integrate coaching, mentoring, and advising as a medical educator 混合方法:作为医学教育者如何整合指导、指导和建议
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70014
Simanjit K. Mand MD, Sally A. Santen MD, PhD, Robin R. Hemphill MD, MPH, Benjamin H. Schnapp MD, MEd, Susan B. Promes MD, MBA, Jazmyn Shaw MD, Al’ai Alvarez MD, Stephen J. Cico MD, MEd, Sarah R. Williams MD, MHPE, PCC

Medical education faculty often take on the responsibility of helping their learners through professional or personal obstacles to achieve individual success. This can be challenging to navigate given the multiple “hats” that an individual faculty educator may wear, including coach, mentor, and advisor. Medical educators may feel uncertain as to which role may be most effective in any given interaction with a learner. Considering each as a communication strategy with unique skill sets and relational principles, rather than as a rigid role, can allow an educator more flexibility to use each approach in learner interactions. The authors discuss the separate modes of the coaching, mentoring, and advising approaches; the critical differences in relational and behavioral skills used; the potential pitfalls with each approach; and how feedback may fit into this framework. Once each approach is mastered, a medical educator may find it most effective to use a blended approach, weaving all three together intentionally, calling on each skill set as the need arises to support the learner.

医学教育教师经常承担帮助他们的学习者克服专业或个人障碍以实现个人成功的责任。考虑到每个教师教育者可能身披多重“帽子”,包括教练、导师和顾问,这可能是一项挑战。医学教育者可能不确定在任何给定的与学习者的互动中哪种角色可能最有效。将每种方法视为具有独特技能集和关系原则的沟通策略,而不是作为一个僵化的角色,可以让教育者在学习者互动中更灵活地使用每种方法。作者讨论了辅导、指导和建议方法的不同模式;关系技能和行为技能的关键差异;每种方法的潜在缺陷;以及反馈如何适应这个框架。一旦掌握了每一种方法,医学教育者可能会发现使用混合方法是最有效的,有意地将这三种方法编织在一起,在需要时调用每种技能集来支持学习者。
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引用次数: 0
Resident clinical dashboards to support precision education in emergency medicine 支持急诊医学精准教育的住院医师临床仪表板
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70020
Joe-Ann S. Moser MD, MS, Nicholas Genes MD, PhD, FACEP, Daniel J. Hekman MS, Sara M. Krzyzaniak MD, Timothy A. Layng DO, Danielle Miller MD, MEd, Ashley C. Rider MD, MEHP, Selin T. Sagalowsky MD, MPH, Moira E. Smith MD, MPH, Benjamin H. Schnapp MD, MEd
<div> <section> <h3> Introduction</h3> <p>With the move toward competency-based medical education (CBME), data from the electronic health record (EHR) for informed self-improvement may be valuable as a part of programmatic assessment. Personalized dashboards are one way to view these clinical data. The purpose of this concept paper is to summarize the current state of clinical dashboards as they can be utilized by emergency medicine (EM) residency programs.</p> </section> <section> <h3> Methods</h3> <p>The author group consisted of EM physicians from multiple institutions with medical education and informatics backgrounds and was identified by querying faculty presenting on resident clinical dashboards at the 2024 Society for Academic Emergency Medicine conference. Additional authors were identified by members of the initial group. Best practice literature was referenced; if none was available, group consensus was used.</p> </section> <section> <h3> Categories of Metrics</h3> <p>Clinical exposures as well as efficiency, quality, documentation, and diversity metrics may be included in a resident dashboard. Resident dashboard metrics should focus on resident-sensitive measures rather than those primarily affected by attendings or systems-based factors.</p> </section> <section> <h3> Considerations for Implementation</h3> <p>Implementation of these dashboards requires the technical expertise to turn EHR data into actionable data, a process called EHR phenotyping. The dashboard can be housed directly in the EHR or on a separate platform. Dashboard developers should consider how their implementation plan will affect how often dashboard data will be refreshed and how to best display the data for ease of understanding.</p> </section> <section> <h3> Implications for Education & Training</h3> <p>Dashboards can provide objective data to residents, residency leadership and clinical competency committees as they identify areas of strength, growth areas, and set specific and actionable goals. The success of resident dashboards is reliant on resident buy-in and creating a culture of psychological safety through thoughtful implementation, coaching, and regular feedback. </p> </section> <section> <h3> Conclusion</h3> <p>Personalized clinical dashboards can play a crucial role in programmatic assessment within CBME, helping EM residents focus their efforts as th
随着以能力为基础的医学教育(CBME)的发展,来自电子健康记录(EHR)的数据作为项目评估的一部分可能很有价值。个性化仪表板是查看这些临床数据的一种方式。这篇概念论文的目的是总结临床仪表板的现状,因为它们可以被急诊医学(EM)住院医师计划所利用。方法作者组由来自多个机构的具有医学教育和信息学背景的急诊医师组成,通过查询2024年学术急诊医学学会(Society for Academic Emergency Medicine)会议住院医师临床仪表板上的教员来确定。其他作者由最初小组的成员确定。参考了最佳实践文献;如果没有可用的,则使用群体共识。临床暴露以及效率、质量、文档和多样性指标可以包括在常驻仪表板中。居民仪表板指标应侧重于对居民敏感的措施,而不是那些主要受主治医生或基于系统的因素影响的措施。这些仪表板的实现需要专业技术人员将EHR数据转化为可操作的数据,这一过程称为EHR表型。仪表板可以直接安装在电子病历中或单独的平台上。仪表板开发人员应该考虑他们的实现计划将如何影响仪表板数据刷新的频率,以及如何最好地显示数据以方便理解。对教育的启示&;培训仪表板可以为住院医师、住院医师领导和临床能力委员会提供客观的数据,因为他们可以确定优势领域、成长领域,并设定具体的、可操作的目标。居民仪表板的成功依赖于居民的认同,并通过深思熟虑的实施、指导和定期反馈来创造一种心理安全的文化。个性化临床仪表板可以在CBME的程序性评估中发挥关键作用,帮助EM住院医师在培训期间提高和完善技能。
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引用次数: 0
Bridging the gap: Leveraging simulation expertise to improve active learning environments 弥合差距:利用模拟专业知识来改善主动学习环境
IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-29 DOI: 10.1002/aet2.70021
Michelle D. Hughes MD, Tina H. Chen MD, Jessica C. Schoen MD, MS, Michael A. Lamberta MD, Michael Cassara DO, MSEd, Sara M. Hock MD, Lars K. Beattie MS, MD, Stephanie Stapleton MD, Hillary C. Moss MD, Jeffrey R. Heiferman MD, Julie C. Rice MD, MS

Introduction

Active learning engages learners in constructing knowledge through interactive strategies such as simulation, small-group discussion, and peer instruction. Although recognized as a superior approach to traditional passive learning, its adoption has been inconsistent. Barriers include reliance on traditional lectures, lack of training, and limited time to develop materials. Simulation educators have a unique skill set that may inform and support active learning initiatives.

Methods

Fifteen emergency medicine simulation experts convened to define the unique skill set of simulation educators and identify transferable simulation-based medical education (SBME) skills and concepts to promote effective active learning beyond the simulation lab. Workgroup members are simulation education directors who have undergone specialized training in SBME. During biweekly meetings over 6 months, workgroup members reviewed primary literature in SBME and active learning, along with relevant simulation educator training materials. Objectives were achieved through iterative review, group conceptualization, and expert consensus.

Unique treatment

The increasing prevalence of SBME in medical education, along with the growth of simulation fellowships, has produced a group of education experts with shared competencies. Simulation educators acquire expertise in psychological safety, facilitation, communication, and debriefing, through specialized training and extensive experience. These skills are critical for active learning environments where learners benefit from structured, engaging, and psychologically safe experiences.

Implications for educators

Key transferable SBME topics were identified for use in active learning environments outside of the simulation lab: (1) psychological safety, (2) facilitation strategies, and (3) communication techniques. Transferable tools and concepts were identified to promote efficacy and learner engagement during active learning in diverse environments. Simulation educators’ expertise is an underutilized resource for faculty development initiatives aimed at advancing active learning. This work advocates for leveraging simulation educators’ skills to close the active learning implementation gap, enhance learner outcomes, and meet the evolving needs of contemporary medical education.

主动学习通过模拟、小组讨论和同伴指导等互动策略使学习者参与知识的建构。虽然被认为是传统被动学习的一种优越方法,但它的采用一直不一致。障碍包括对传统讲座的依赖、缺乏培训以及开发材料的时间有限。模拟教育工作者拥有一套独特的技能,可以为主动学习提供信息和支持。方法召集15名急诊医学模拟专家,定义模拟教育者的独特技能,并确定基于模拟的可转移医学教育(SBME)技能和概念,以促进模拟实验室之外的有效主动学习。工作组成员是在中小企业中接受过专门培训的模拟教育主管。在为期6个月的两周会议期间,工作组成员回顾了SBME和主动学习方面的主要文献,以及相关的模拟教育者培训材料。目标是通过反复审查,小组概念化和专家共识来实现的。独特的治疗方法在医学教育中越来越普遍的中小企业,以及模拟研究金的增长,产生了一批具有共同能力的教育专家。模拟教育工作者通过专门的培训和丰富的经验,获得心理安全、促进、沟通和汇报方面的专业知识。这些技能对于积极的学习环境至关重要,在这种环境中,学习者可以从结构化、引人入胜和心理安全的体验中受益。在模拟实验室之外的主动学习环境中,确定了可转移的SBME主题:(1)心理安全;(2)促进策略;(3)沟通技巧。确定了可转移的工具和概念,以促进在不同环境中主动学习的有效性和学习者的参与。模拟教育工作者的专业知识是一种未充分利用的资源,旨在促进主动学习的教师发展倡议。这项工作提倡利用模拟教育者的技能来缩小主动学习实施的差距,提高学习者的成果,并满足当代医学教育不断变化的需求。
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引用次数: 0
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AEM Education and Training
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