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The Positive Influence of the Hidden Curriculum in Medical Education: A Scoping Review. 隐性课程在医学教育中的积极作用:一个范围综述。
IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-11 eCollection Date: 2025-06-01 DOI: 10.1007/s40670-025-02380-1
Rhoda Meyer, Elize Archer, Liezl Smit

The negative influence of the hidden curriculum in medical education is often foregrounded in the literature. This scoping review explores the positive influence of the hidden curriculum on medical student's learning, offering recommendations to harness its potential for teaching and learning. Following Arksey and O'Malley's six-stage review process, four themes were developed: positive role-modelling, supportive team environments, positive institutional culture, and navigating ambiguity. These factors shape the positive influences of the hidden curriculum, influencing students' implicit learning. By acknowledging the diverse aspects of the hidden curriculum, faculty and clinical teachers can prepare students to critically reflect on their learning experiences, recognizing the positive influences that enable learning and shape their identities as professionals.

隐性课程在医学教育中的负面影响在文献中经常被强调。本文探讨了隐性课程对医学生学习的积极影响,并提出了利用隐性课程在教学和学习中的潜力的建议。根据Arksey和O'Malley的六阶段回顾过程,他们开发了四个主题:积极的角色塑造、支持性的团队环境、积极的制度文化和模糊导航。这些因素形成了隐性课程的积极影响,影响着学生的内隐学习。通过承认隐藏课程的不同方面,教师和临床教师可以帮助学生批判性地反思他们的学习经历,认识到使学习成为可能的积极影响,并塑造他们作为专业人士的身份。
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引用次数: 0
Blurred Boundaries: (Re)defining the Role of Advisor in Academic Medicine. 模糊的界限:(重新)定义学术医学顾问的角色。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-10 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02387-8
Alden Landry, Natasha Johnson, Nhi-Ha Trinh, Junne Kamihara, Adaira Landry, Daniel Kamin, Anitva Vanka, Holly Khachadoorian-Elia

Academic advising in medical schools is crucial for student success, offering support in academic, professional, and personal development. This paper examines the advisor's role, highlighting challenges such as blurred boundaries, increased expectations, and the impact of digital communication. Despite high student satisfaction, advisors face time constraints and insufficient compensation. The paper calls for a better understanding of the advisor role and strategies to support them effectively.

医学院的学术咨询对学生的成功至关重要,它在学术、专业和个人发展方面提供支持。本文考察了顾问的角色,强调了界限模糊、期望增加和数字通信影响等挑战。尽管学生满意度很高,但辅导员面临时间限制和薪酬不足的问题。本文呼吁更好地理解顾问的角色和策略,以有效地支持他们。
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引用次数: 0
Building Bridges: The Homemade Laparoscope Project for Medical Education. 搭建桥梁:医学教育自制腹腔镜项目。
IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-09 eCollection Date: 2025-06-01 DOI: 10.1007/s40670-025-02388-7
Manuel Cevallos, Samantha Dinh, Alicia C Nguyen, Danielle Vildorf

We describe the construction of a homemade laparoscope that undergraduate and medical students can use to learn abdominal gross anatomy from a different perspective. Students can also explore basic concepts in the laparoscopic procedure. This reliable and low-cost instrument can reduce the learning gap in low-resource universities.

我们描述了一个自制腹腔镜的建设,本科生和医学生可以使用从不同的角度学习腹部大体解剖。学生还可以探索腹腔镜手术的基本概念。这种可靠、低成本的仪器可以减少资源匮乏大学的学习差距。
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引用次数: 0
Comment on "Learning Outputs for Peer Teachers in Undergraduate Medical Education". 对“本科医学教育同伴教师学习产出”的评析。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-07 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02389-6
Hinpetch Daungsupawong, Viroj Wiwanitkit
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引用次数: 0
Drawing It Out: A Descriptive Study on How Medical Students Use Graphic Medicine to Depict Their Transition to Third Year. 画出来:医学生如何使用图形医学描述他们过渡到三年级的描述性研究。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-07 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02377-w
Casey Fishman, Justin Do, Fred Markham

Purpose: Graphic medicine provides a unique method for medical students transitioning to clinical rotations to express their sentiments.

Materials and methods: In total, 36 cartoons created by 248 third-year medical students to represent their transition to clinical rotations in 2018-2019 were qualitatively analyzed for tone and common thematic elements.

Results: Twenty-four (67%) of these cartoons were coded as negative, eight (22%) were mixed, and four (11%) were positive. Common themes present were the use of horror imagery, feelings of inadequacy, and time pressure.

Discussion: Analysis of graphic medicine provides educators an opportunity to reflect and incorporate ways to address the problems highlighted.

目的:图形医学提供了一个独特的方法,医学生过渡到临床轮转表达自己的情绪。材料与方法:对248名医大三学生创作的36幅代表2018-2019年医大三学生向临床轮转过渡的漫画进行定性分析,分析其基调和共同的主题元素。结果:24幅(67%)为阴性,8幅(22%)为混合,4幅(11%)为阳性。常见的主题是使用恐怖意象、不满足感和时间压力。讨论:图形医学的分析为教育者提供了一个反思和整合解决突出问题的方法的机会。
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引用次数: 0
Infographics with Clinical Summaries Improve Medical Student Performance: A Within-Subject Intervention Study with Gender-Based Analysis. 带有临床摘要的信息图表提高医学生的表现:一项基于性别分析的主题内干预研究。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-07 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02384-x
Luis Corral-Gudino, Clarisa Simón-Pérez, Jose Luis Pérez-Castrillón, Juan Carlos Martín-Escudero, Antonio Dueñas-Ruiz, Laisa Socorro Briongos-Figuero, Pablo Miramontes-González

Introduction: This study aimed to evaluate the impact of infographics and social media threads (SMT) on academic performance in the Musculoskeletal Medical and Surgical Pathology (MMSP) course. Additionally, gender differences in the effectiveness of these tools were examined.

Methods: A within-subject educational intervention study was conducted over three academic years, involving 459 fifth-year medical students. Infographics and SMT were exclusively provided for the rheumatology section of the MMSP course, while no additional tools were offered for the traumatology section, serving as a control. Students completed a final exam comprising multiple-choice questions (MCQs) for both sections. Survey data were collected to assess tool usage and perceptions (completed by 84.1%). Statistical analysis included Mann-Whitney U, Kruskal-Wallis, and Jonckheere-Terpstra tests with Z-score standardization.

Results: The use of infographics significantly improved standardized scores in rheumatology MCQs (p = 0.035), particularly among male students (p = 0.046), while no impact was observed for traumatology section. SMT showed limited association with improved performance. Surveys indicated that 86% of students found infographics helpful for studying, and 85% would recommend them. In contrast, SMT received lower ratings, with 44% of students finding them useful for studying.

Conclusions: Infographics effectively enhanced academic performance, with gender-specific variations in impact. In contrast, SMT had limited influence. These findings suggest that infographics are effective supplementary tools in medical education, especially when designed to align with diverse learning preferences. Further exploration of SMT's potential and development of gender-inclusive teaching strategies is warranted.

Graphical abstract:

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02384-x.

简介:本研究旨在评估信息图表和社交媒体线索(SMT)对肌肉骨骼医学和外科病理学(MMSP)课程学习成绩的影响。此外,还研究了这些工具有效性的性别差异。方法:对459名五年级医学生进行为期3年的学科内教育干预研究。信息图表和SMT专门用于MMSP课程的风湿病学部分,而没有为创伤学部分提供额外的工具,作为对照。学生完成的期末考试包括两个部分的多项选择题(mcq)。收集调查数据以评估工具的使用和感知(完成率为84.1%)。统计分析采用Mann-Whitney U检验、Kruskal-Wallis检验和Jonckheere-Terpstra检验,采用Z-score标准化。结果:信息图表的使用显著提高了风湿病学mcq的标准化得分(p = 0.035),特别是在男生中(p = 0.046),而对创伤学部分没有影响。SMT与改善表现的关联有限。调查显示,86%的学生认为信息图表对学习有帮助,85%的学生会推荐信息图表。相比之下,SMT的评分较低,只有44%的学生认为它们对学习有用。结论:信息图表有效地提高了学习成绩,其影响因性别而异。相比之下,SMT的影响有限。这些发现表明,信息图表是医学教育中有效的辅助工具,特别是当设计与不同的学习偏好相一致时。有必要进一步探索SMT的潜力并制定性别包容的教学策略。图片摘要:补充资料:在线版本包含补充资料,下载地址为10.1007/s40670-025-02384-x。
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引用次数: 0
Quantitative Analysis Identifies Self-Compassion as a Tool to Mitigate Impostor Phenomenon in Student Physical Therapists. 定量分析确定自我同情作为减轻学生物理治疗师冒充现象的工具。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-04 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02386-9
Jade J Bender-Burnett

Graduate health professions students have experienced increased stress, anxiety, depression, and impostor phenomenon with higher rates of burnout and poorer career satisfaction. Evidence suggests an increasing prevalence of impostor phenomenon in medical students, dental students, and nursing students, but there is little to no research on the prevalence of impostor phenomenon in student physical therapists. The purpose of this quantitative study was to identify prevalence and severity of impostor phenomenon in student physical therapists and assess whether a relationship exists between impostor phenomenon and self-compassion in student physical therapists. Thirty-nine student physical therapists completed an online survey assessing impostor phenomenon and self-compassion scores using the Clance Impostor Phenomenon Scale and the Self-Compassion Scale. Descriptive and non-parametric inferential statistics were used for data analysis. Results indicated 100% of student physical therapists experienced moderate to intense levels of impostor phenomenon. A scatter plot and Spearman rank test indicated a strong negative correlation between impostor phenomenon severity and self-compassion. Results of this study are the first indicating student physical therapists experience higher prevalence and severity of impostor phenomenon than peer graduate health profession students. Additionally, results of this study indicate an inverse relationship exists between impostor phenomenon severity scores and self-compassion scores. Future studies should expand on this work to assess the impact of self-compassion training to reduce the prevalence and severity of impostor phenomenon in student physical therapists.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02386-9.

健康专业的研究生经历了更多的压力、焦虑、抑郁和骗子现象,倦怠率更高,职业满意度更低。有证据表明,冒名顶替现象在医学生、牙科学生和护理学生中越来越普遍,但在学生物理治疗师中,几乎没有关于冒名顶替现象的研究。本研究旨在了解学生物理治疗师中冒名顶替现象的发生率和严重程度,并评估学生物理治疗师中冒名顶替现象与自我同情之间是否存在关系。39名学生物理治疗师完成了一项在线调查,使用Clance冒名顶替现象量表和自我同情量表评估冒名顶替现象和自我同情得分。采用描述性统计和非参数推理统计进行数据分析。结果表明,100%的学生物理治疗师都经历过中度到重度的冒充现象。散点图和Spearman秩检验显示,冒名顶替现象严重程度与自我同情呈显著负相关。本研究的结果首次表明,学生物理治疗师的冒名顶替现象的发生率和严重程度高于同行研究生健康专业的学生。此外,本研究结果显示,冒名顶替现象严重程度得分与自我同情得分呈反比关系。未来的研究应在此基础上进一步评估自我同情训练对降低学生物理治疗师中冒名顶替现象的发生率和严重程度的影响。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02386-9。
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引用次数: 0
Cannulation Training: Immediately Available, Low-Cost Simulation in the Clinical Environment. 插管训练:即时可用,低成本模拟临床环境。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-04 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02378-9
Stephanie Harper, Simon Hatton, Adam Dobson

Background: Despite intravenous cannulation being an essential skill for many health care professionals, the training received prior to cannulating a patient is variable. Simulation is one way to refine cannulation skills, whilst minimising potentially harmful novice attempts on patients and the associated emotional burden on the learner. Unfortunately, simulation models are not always available in the clinical environment, leading to loss of skill prior to performance.

Approach: We created a training package with a novel simulation model that is quickly constructed from inexpensive equipment that is readily available in the clinical environment. To complement the model, we produced six-step instructions and video demonstrations. Pre- and post-intervention questionnaires were used to evaluate the impact.

Evaluation: In total, 67% (26/39) reported increased cannulation confidence after using the package. Comparison of cannulation success rates on real patients before and after demonstrated an increase in first-pass success from 50% (4/8) to 91% (10/11). All learners found each component of the training package to be useful and 95% (41/43) intend on using it again.

Implications: Together, the six-step instructions, hand model, videos, and trainer feedback provide a complementary training package that can be used to increase cannulation experience, confidence, and success immediately prior to cannulating a patient. The equipment for assembling the model is inexpensive and readily available in clinical environments, offering increased simulation opportunities, even in resource-poor environments.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02378-9.

背景:尽管静脉插管是许多卫生保健专业人员的基本技能,但在给病人插管之前接受的培训是可变的。模拟是改进插管技能的一种方法,同时最大限度地减少对患者的潜在有害新手尝试以及学习者的相关情感负担。不幸的是,在临床环境中,模拟模型并不总是可用的,这导致了在表现之前技能的丧失。方法:我们创建了一个具有新型模拟模型的培训包,该模型可以从临床环境中随时可用的廉价设备快速构建。为了补充模型,我们制作了六步说明和视频演示。使用干预前和干预后问卷来评估影响。评估:67%(26/39)报告使用该包装后插管信心增加。对真实患者插管前后成功率的比较表明,首次通过成功率从50%(4/8)增加到91%(10/11)。所有学习者都认为培训包的每个组成部分都很有用,95%(41/43)的学习者打算再次使用它。结论:六步指导、手模型、视频和教练反馈提供了一个补充的培训包,可以用来增加插管经验、信心和成功,立即插管之前的病人。用于组装模型的设备价格低廉,并且在临床环境中易于获得,即使在资源贫乏的环境中也可以提供更多的模拟机会。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02378-9。
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引用次数: 0
Mastering the Masters: The Impact of Yale School of Medicine's Master of Health Science Medical Education Program on Alumni's Career Advancement and Academic Productivity. 掌握硕士:耶鲁医学院健康科学医学教育硕士项目对校友职业发展和学术生产力的影响。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-04 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02375-y
Frankie Carr, Janet P Hafler

Master of Health Professions Education Programs (MPHEs) have been increasing in number since the founding of the first in 1967. In that time, relatively little work has been done to show the impact of these programs on participants' careers. All alumni (n = 38) of the Yale School of Medicine (YSM) Master of Health Science Medical Education Track (MHS Med Ed) were invited to participate in the study, which consisted of interviews and CV analysis to explore the impact of the program. Thirteen participants enrolled in the interview portion, representing each of the program's cohorts. Ten alumni from the classes of 2018, 2019, and 2020 participated in the CV analysis. For the CV sample, we only included alumni with CVs that featured at least 2 years post-graduation to ensure there was sufficient data for post-program CV analysis. We found that participants' promotions, academic productivity, educational leadership roles, and other measures of career advancement such as honors, journal service, and invited speaker engagements increased after program completion. In addition, enhancement of research skills, networking, mentorship opportunities, feelings of legitimacy, and educational skill development emerged as significant mediators identified by alumni. These outcomes all benefited from the protected time allotted to participants. Despite a small sample size, this study builds upon results from the few other studies in the field and demonstrates that this program is an effective way for medical educators to enhance their careers, and develop skills, knowledge, and research in education. Furthermore, these results may demonstrate that other MPHEs may be an effective way for clinician educators to hone their skills and advance in their fields.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02375-y.

自1967年成立以来,卫生专业教育硕士课程(mphe)的数量一直在增加。在此期间,有关这些项目对参与者职业生涯影响的研究相对较少。本研究邀请耶鲁大学医学院(YSM)健康科学医学教育硕士项目(MHS Med Ed)的所有校友(n = 38)参与研究,通过访谈和CV分析来探讨该项目的影响。13名参与者参加了面试部分,代表了项目的每个群体。来自2018届、2019届和2020届的10名校友参与了简历分析。对于简历样本,我们只纳入了毕业后至少两年简历的校友,以确保有足够的数据进行毕业后的简历分析。我们发现,参与者的晋升、学术生产力、教育领导角色以及其他职业发展指标,如荣誉、期刊服务和受邀演讲等,在项目完成后都有所增加。此外,研究技能、网络、指导机会、合法性感觉和教育技能发展的提高成为校友认为重要的中介因素。这些结果都得益于分配给参与者的受保护时间。尽管样本量小,但本研究建立在该领域少数其他研究的基础上,并表明该计划是医学教育工作者提高职业生涯,发展技能,知识和教育研究的有效途径。此外,这些结果可能表明,其他mphe可能是临床医生教育工作者磨练技能和在各自领域取得进步的有效途径。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02375-y。
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引用次数: 0
Exploring Students' Use of Medical Education Resources for the USMLE Step 2 CK Exam Preparation. 探索学生利用医学教育资源为USMLE第二步CK考试做准备。
IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-03 eCollection Date: 2025-06-01 DOI: 10.1007/s40670-025-02362-3
Brook A Hubner, Zebulon Tolman, Omar Cherkaoui, Eileen Lee, Avery Stokes, Carolyn Klatt, Edward C Klatt

Introduction: The transition of the United States Medical Licensing Examination (USMLE®) Step 1 to pass/fail has increased the perceived importance of Step 2 Clinical Knowledge (CK) scores, making effective exam preparation increasingly important. Our study characterizes Step 2 CK resource usage patterns and analyzes their relationship with scores.

Methods: Data from an anonymous, retrospective survey of fourth-year medical students from the Mercer University School of Medicine (MUSM) and the University of Alabama at Birmingham Marnix E. Heersink School of Medicine (HSOM) were analyzed to assess their study resource utilization patterns and self-reported Step 2 CK scores.

Results: A total of 275 students reported average usage of 4.4 resources, including 1.6 question banks (Qbanks), 1.2 video, 0.6 podcast, 0.5 flashcard, and 0.6 print resources. All but one used Qbanks; all used digital resources, while 42.1% also used print resources. The mean Step 2 CK score of 247.3 (SD = 12.8) mirrored national averages. Total resources used did not impact scores significantly. Using 3 + Qbanks was significantly associated with lower scores. Video usage corresponded to lower scores. Students using no print resources scored significantly higher. Podcast and flashcard usage had no significant associations. The most popular resources were UWorld (97.7%), Anki (50.3%), Divine Intervention (50.3%), and AMBOSS (49.7%).

Conclusion: Medical students accessed diverse resources for Step 2 CK preparation but focused on commercial question banks most frequently and print materials minimally. Students should avoid resource overload and emphasize active learning with 1-2 Qbanks and use other materials judiciously, building upon past course work to enhance Step 2 CK scores. Ongoing monitoring of study resource usage can guide a school's academic coaching, curricular decisions, and resource acquisition.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02362-3.

简介:美国医师执照考试(USMLE®)第1步过渡到通过/不通过,增加了第二步临床知识(CK)分数的重要性,使有效的考试准备变得越来越重要。我们的研究描述了第二步CK资源使用模式,并分析了它们与得分的关系。方法:对来自美世大学医学院(MUSM)和阿拉巴马大学伯明翰分校Marnix E. Heersink医学院(HSOM)的四年级医学生进行匿名回顾性调查,评估他们的学习资源利用模式和自我报告的step2 CK评分。结果:275名学生平均使用4.4个资源,包括1.6个题库,1.2个视频,0.6个播客,0.5个抽抽卡,0.6个印刷资源。除了一个人以外,所有人都使用Qbanks;全部使用数字资源,42.1%也使用印刷资源。Step 2 CK平均评分为247.3 (SD = 12.8),反映了全国平均水平。使用的总资源对得分没有显著影响。使用3 + qbank与较低的分数显著相关。视频使用与较低的分数相对应。没有使用纸质资源的学生得分明显更高。播客和抽认卡的使用没有显著的关联。最受欢迎的资源是UWorld(97.7%)、Anki(50.3%)、Divine Intervention(50.3%)和AMBOSS(49.7%)。结论:医学生在第二步CK准备中获取了多种资源,但最频繁地关注商业题库,印刷材料最少。学生应避免资源过载,强调积极学习1-2个qbank,并在过去课程的基础上明智地使用其他材料,以提高第二步CK分数。对学习资源使用情况的持续监测可以指导学校的学术指导、课程决策和资源获取。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02362-3。
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引用次数: 0
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Medical Science Educator
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