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Using Artificial Intelligence for Identifying Quality Improvement Interventions in Clinical Medical Clerkships: AI for QI. 应用人工智能识别临床医务人员的质量改进干预措施:AI for QI。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-26 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02398-5
Magdalena Pasarica, Jeffrey H Plochocki, Robert D Dvorak, Nadia E Rodriguez

We developed a process for using Artificial Intelligence to identify quality improvement interventions using medical students' feedback on clinical rotations. Artificial Intelligence matched human accuracy in categorizing comments and proposing actionable quality enhancements. This process significantly reduced analysis time, offering a scalable approach to improving educational experiences at clinical sites.

我们开发了一个使用人工智能的流程,利用医学生对临床轮转的反馈来确定质量改进干预措施。人工智能在分类评论和提出可操作的质量改进方面的准确性与人类相当。这个过程大大减少了分析时间,提供了一种可扩展的方法来改善临床站点的教育经验。
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引用次数: 0
Tailored Education: Helping Every Student Across the Finish Line. 量身定制的教育:帮助每一个学生越过终点线。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-26 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02397-6
Erica L Ausel, Anthony Brenneman, Susan Ely, Steve Garwood, Catherine Gathu, Mark Hernandez, Uzoma Ikonne, Kin Ly, Douglas McKell, Akshata Naik, Rebecca Rowe, Tracey A H Taylor, Thomas Thesen
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引用次数: 0
Student Perspective Matters for GenAI in Question Setting in Medical Education. 在医学教育的问题设置中,学生视角对基因ai的重要性。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-26 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02396-7
Olivia Ng, Siew Ping Han, Lin Anne Chui, Timothy Peng Lim Quek, Ray Tian Rui Lai, Zheng-Wei Lee

We explored medical students' perceptions of the use of GenAI-generated multiple-choice questions (MCQs) for their assessments. A survey was conducted with MBBS students to (i) investigate whether they could differentiate between questions created by ChatGPT and clinical educators, and (ii) explore students' perceptions of faculty use of GenAI-generated questions in assessments. Participants (n = 86) performed no better than chance in differentiating three ChatGPT-set from three clinician-set questions (p = 0.46, chi-square test). Participants strongly opposed GenAI-generated questions without expert vetting, citing concerns about accuracy, relevance, and value. The adoption of GenAI in assessments should consider student perspectives and educational value.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02396-7.

我们探讨了医学生对使用genai生成的多项选择题(mcq)进行评估的看法。对MBBS学生进行了一项调查,以(i)调查他们是否能够区分ChatGPT和临床教育者创建的问题,以及(ii)探索学生对教师在评估中使用genai生成的问题的看法。参与者(n = 86)在区分三个chatgpt集和三个临床医生集问题方面的表现并不比机会好(p = 0.46,卡方检验)。与会者强烈反对未经专家审查的基因生成问题,理由是担心准确性、相关性和价值。在评估中采用GenAI应考虑学生的观点和教育价值。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02396-7。
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引用次数: 0
Who's Ready? The Effect of Prior Clinical Experience on Perceived Readiness for Clerkship. 谁准备好了吗?先前临床经验对见习准备的影响。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-23 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02393-w
David M Mahan, Shay S Bidani, Vincent Archibald, Deja J Blunt, Colleen J Kalynych, Janice A Taylor, Phuong Huynh

Purpose: The purpose of this study was to explore how prior clinical experience (PCE) influences medical students' perceived readiness for clerkship. This relationship can help address gaps in preclinical curricula that may affect students' preparedness for real-world clinical tasks.

Methods: A validated readiness for clerkship survey (RfC) was used to assess self-reported readiness among students with and without PCE. Furthermore, students' level of confidence was examined in relation to their performance on the summative clinical skills exam (CSE) administered at the end of the second year to gain insights into the relationship between RfC and objective measures of clinical skills.

Results: The results showed students who reported having PCE had higher levels of confidence in tasks that require refined social skills, such as preventing conflicts between health team members and describing the psychosocial aspects of a patient's problem. Students who reported no PCE had higher levels of confidence in areas practiced during preclinical curricula, such as taking a history and retrieving relevant information from credible sources. Student performances on the CSE were modestly associated with the overall confidence level.

Conclusions: Prior clinical experience affects students' confidence surrounding social skills that are not directly taught in preclinical curricula. This may imply that PCE plays a role in developing social skills in real-world interactions.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02393-w.

摘要目的:本研究旨在探讨临床经验对医学生见习准备的影响。这种关系可以帮助解决临床前课程的差距,这可能会影响学生为现实世界的临床任务做好准备。方法:采用经过验证的实习准备调查(RfC)来评估有PCE和没有PCE的学生的自我报告准备情况。此外,在第二年末进行的总结性临床技能考试(CSE)中,学生的信心水平与他们的表现有关,以深入了解RfC与临床技能客观测量之间的关系。结果:结果显示,报告有PCE的学生在需要精细社交技巧的任务中有更高的信心,比如防止医疗团队成员之间的冲突,描述病人问题的心理社会方面。报告没有PCE的学生在临床前课程中练习的领域有更高的信心水平,比如学习历史和从可靠来源检索相关信息。学生在CSE上的表现与整体信心水平有适度的关联。结论:先前的临床经验影响学生对社会技能的信心,而这些技能在临床前课程中没有直接教授。这可能意味着PCE在发展现实世界互动中的社交技能方面发挥着作用。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02393-w。
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引用次数: 0
Development of Leadership Skills During Anatomy Small-Group Sessions in a Pre-clerkship Medical Curriculum. 在见习前医学课程解剖小组会议中领导技能的发展。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-14 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02391-y
Phoebe L Li, Rijul Asri, George Holan, Christin Traba, Sophia Chen, Jeremy J Grachan

There is a demand for leadership development within undergraduate medical education. This study explored a student peer facilitator role within a pre-clerkship anatomy small-group curriculum to evaluate its impact on leadership skill development. Facilitators led their group during discussions, and the role rotated between group members after each quiz. Data were collected through paired pre- and post-course surveys, post-session summary forms, and individual reflection surveys. Facilitators reported significantly gaining confidence in various leadership skills (p = 0.007). This suggests that a peer facilitator role could provide students with valuable leadership experience, and future studies could include more structured training and explicit feedback.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-025-02391-y.

在本科医学教育中有领导力发展的需求。本研究探讨了学生在实习前解剖小组课程中的同伴促进者角色,以评估其对领导技能发展的影响。主持人在讨论期间领导他们的小组,每次测验后在小组成员之间轮换角色。通过配对的课前和课后调查、课后总结表格和个人反思调查收集数据。引导者报告说,他们对各种领导技能的信心显著增强(p = 0.007)。这表明同伴促进者的角色可以为学生提供宝贵的领导经验,未来的研究可以包括更结构化的培训和明确的反馈。补充资料:在线版本提供补充资料,网址为10.1007/s40670-025-02391-y。
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引用次数: 0
Student Engagement in Curriculum Development for Undergraduate Medical Education: A Scoping Review. 本科医学教育课程开发中的学生参与:范围审查。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-14 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02383-y
Bayu Prasetya Alfandy, Diantha Soemantri, Nadia Greviana

Students should play more prominent roles as partners rather than merely as receivers in medical education. Therefore, engaging students in collaborative work in curriculum development (CD) is fundamental. This scoping review aimed to explore the extent of research on student engagement in CD. The data was extracted from 50 included articles based on the important components of student engagement (i.e., role, format, recruitment methods, impacts and recommendations). We found that the scope of student engagement in CD-related studies was confined into specific geographical areas. Expanding further studies to establish a more culturally sensitive student engagement in CD is strongly recommended.

在医学教育中,学生应更多地扮演合作伙伴的角色,而不仅仅是接受者的角色。因此,让学生参与课程开发(CD)的协作工作是基本的。本综述旨在探讨CD中学生参与的研究程度。数据是从50篇纳入的文章中提取的,这些文章基于学生参与的重要组成部分(即角色、形式、招聘方法、影响和建议)。我们发现,学生参与cd相关研究的范围仅限于特定的地理区域。强烈建议扩大进一步的研究,以建立一个更具文化敏感性的学生参与。
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引用次数: 0
How Well Can an LLM Chatbot Clarify Queries by Medical Students in Biomedical TBL? LLM聊天机器人如何很好地澄清医学生在生物医学TBL中的问题?
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-14 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02390-z
Zheng-Wei Lee, Lishan Yang, Jessica Yang Huey Ang

This report analyzes an LLM chatbot's responses in a biomedical team-based learning (TBL) classroom for first-year medical students. The chatbot clarified low-complexity queries but provided incorrect conclusions at higher levels. Mitigating its tone of undue confidence and tuning it to the correct knowledge level are critical for its effective use.

本报告分析了LLM聊天机器人在一年级医学学生的生物医学团队学习(TBL)课堂中的反应。聊天机器人澄清了低复杂性的查询,但在更高级别上提供了错误的结论。减轻其过度自信的基调并将其调整到正确的知识级别对于有效使用它至关重要。
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引用次数: 0
The Paradox of Knowledge: Why Medical Students Know More But Understand Less. 知识的悖论:为什么医学生知道的多却理解的少。
IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-14 eCollection Date: 2025-06-01 DOI: 10.1007/s40670-025-02379-8
Heidi L Lujan, Stephen E DiCarlo

Medical education faces a paradox: despite unprecedented access to information, many students struggle to apply their knowledge to complex clinical scenarios. This paradox stems from an educational system that prioritizes rote memorization and exam performance over critical thinking and conceptual understanding. Information overload, protocol-driven learning, and exam-focused curricula contribute to superficial learning, leaving students underprepared for real-world practice. Additionally, diminishing emphasis on foundational sciences and inadequate time for reflection exacerbate this issue. To address these concerns, medical education must shift toward fostering deep learning, integrating basic and clinical sciences, and prioritizing active, inquiry-driven teaching methods to prepare adaptable, thoughtful clinicians.

医学教育面临着一个悖论:尽管获得了前所未有的信息,但许多学生很难将他们的知识应用到复杂的临床场景中。这种矛盾源于一个教育系统,它优先考虑死记硬背和考试成绩,而不是批判性思维和概念理解。信息超载、协议驱动的学习和以考试为中心的课程导致肤浅的学习,使学生对现实世界的实践准备不足。此外,对基础科学的重视程度降低和反思时间不足加剧了这一问题。为了解决这些问题,医学教育必须转向培养深度学习,整合基础科学和临床科学,并优先考虑积极的、探究驱动的教学方法,以培养适应性强、有思想的临床医生。
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引用次数: 0
Outcomes of a Medical Student Elective in Child and Adolescent Psychiatry: A Pilot Study. 一名医科学生选修儿童和青少年精神病学的结果:一项初步研究。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-12 eCollection Date: 2025-08-01 DOI: 10.1007/s40670-025-02381-0
Larrilyn Grant, Lexi Singh, Mary A Fristad, Jeff Barbee, Anna Kerlek

A majority of youth with mental health concerns lack access to psychiatric care, often relying on general practitioners who may feel unprepared. Enhancing medical education in child psychiatry is crucial. This study evaluated changes in medical students' perspectives after participating in an interactive Child and Adolescent Psychiatry (CAP) elective. Significant improvements were found in students' comfort assessing suicidal thoughts, evaluating mental health diagnoses, and understanding biopsychosocial factors. The findings suggest that participation in CAP electives may boost student confidence in handling youth mental health issues, highlighting the need for further studies on knowledge retention and career impact.

大多数有心理健康问题的年轻人缺乏获得精神科护理的机会,往往依赖于可能感到措手不及的全科医生。加强儿童精神病学的医学教育至关重要。本研究评估医学生参加儿童与青少年精神病学(CAP)互动式选修课后观点的改变。学生在评估自杀念头、评估心理健康诊断和理解生物心理社会因素方面的舒适度均有显著改善。研究结果显示,参与青少年心理健康计划的选修课程可提高学生处理青少年心理健康问题的信心,并强调需要进一步研究知识保留和职业影响。
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引用次数: 0
Clinical Ethics and Law Teaching: An Important Challenge for International Medical Education Partnerships. 临床伦理学和法学教学:国际医学教育伙伴关系的重要挑战。
IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-04-12 eCollection Date: 2025-06-01 DOI: 10.1007/s40670-025-02372-1
Anjali Rajendra Gondhalekar, Mohammed Ahmed Rashid

There is an increasing commitment to building educational partnerships with institutions delivering healthcare professionals education globally. Projects with higher educational institutions in the Global South have become well established and whilst much of the educational content developed is easily translatable to partners across continents, one challenge is navigating contrasts that exist in ethics and law within international medical education. In this commentary, we reflect on the challenges faced when developing such medical educational resources and how we must avoid a 'one size fits all' approach through our collaborative efforts.

越来越多的人致力于与全球提供医疗保健专业人员教育的机构建立教育伙伴关系。与南半球高等教育机构合作的项目已经建立起来,虽然开发的许多教育内容很容易翻译给各大洲的合作伙伴,但一个挑战是在国际医学教育中处理道德和法律方面存在的差异。在这篇评论中,我们反思了在开发此类医学教育资源时所面临的挑战,以及我们必须如何通过我们的合作努力避免“一刀切”的做法。
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引用次数: 0
期刊
Medical Science Educator
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