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Preparedness for Mentorship in Clinical Practice: A Resident Doctor's Perspective 准备指导在临床实践:一个住院医生的观点。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-25 DOI: 10.1111/tct.70336
Jennifer Allan, Scott Slater
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引用次数: 0
Integrating Artificial Intelligence Into Medical Student Coaching 将人工智能整合到医学生辅导中。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-22 DOI: 10.1111/tct.70333
Lawrence A. Haber, Andrea Marmor, Taimur Dad
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引用次数: 0
Exploring Approaches to Sample Selection in Qualitative Studies: Implications and Possibilities 探索定性研究中样本选择的方法:含义和可能性。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-21 DOI: 10.1111/tct.70329
Jerusalem Merkebu, Ardi Findyartini, Estivana Felaza, Anita Samuel
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引用次数: 0
Mind the Gap: Multiple Choice Question Assessments and Clinical Practice 注意差距:选择题评估和临床实践。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-20 DOI: 10.1111/tct.70337
Scott Slater, Jennifer Allan
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引用次数: 0
The Trusted Senior: How Attendings and Residents Can Co-Create Success 值得信赖的老人:主治医生和住院医生如何共同创造成功。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-19 DOI: 10.1111/tct.70335
Molly M. Crenshaw, Joanne Alfred, Cheryl Yang, Lauren R. Anderson

Growth mindset, the belief that one's abilities are changeable, is a valued attribute in medical education. Developing a growth mindset is also in direct tension with systems that evaluate performance, such as in medical training. The senior resident role is a microcosm of this tension because it is a pivotal transition time from training to attending. A recently updated framework for clinical competency places trusted as the highest goal for trainees, defined as self-awareness that is bolstered by humility, integrity, and reliability. We provide strategies for both the senior and attending to foster a senior's goal of trusted status. This requires intentional work by both the senior and attending, but we posit that the attending role is paramount in first creating a learning environment that celebrates a growth mindset. The strategies work to promote self-reflection, active problem solving, and exploration of the gray areas of medical decision making to maximize the learning experience.

成长型思维,即相信人的能力是可以改变的,是医学教育的重要属性。培养成长型思维模式也与评估绩效的系统直接冲突,比如在医疗培训中。高级住院医师的角色是这种紧张关系的一个缩影,因为它是从培训到住院的关键过渡时期。最近更新的临床能力框架将信任作为受训者的最高目标,定义为以谦逊、正直和可靠为基础的自我意识。我们为老年人和护理人员提供策略,以培养老年人获得信任地位的目标。这需要高年级学生和学生双方的共同努力,但我们认为,在创造一个庆祝成长心态的学习环境方面,学生的角色是至关重要的。这些策略的作用是促进自我反思,积极解决问题,探索医疗决策的灰色地带,以最大限度地提高学习经验。
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引用次数: 0
Enhancing Early Medical Education Through Patient Engagement: Creation of a Toolkit Informed by Experts by Experience 通过患者参与加强早期医学教育:创建由专家根据经验提供信息的工具包。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-18 DOI: 10.1111/tct.70328
Jaimy Saif, David Rogers, Claire Stocker

Incorporating the patient voice into health professional education enhances empathy, promotes person-centred care and enriches learning. This cocreation article describes the development of a practical, feedback-informed toolkit to support early medical education through expert by experience (EBE) engagement. EBEs from The Silverlining Brain Injury Charity contributed to the design via a qualitative study using open-ended questionnaires. Thematic analysis identified six key themes: the importance of respectful engagement, logistical challenges, clarity of session expectations, recognition of EBE expertise, personal benefits of participation and ethical concerns. EBEs emphasised the need for dignity, structured facilitation, emotional safeguards and flexible delivery methods. The resulting toolkit is mapped directly to these themes. It includes guidance on planning, facilitation, ethical considerations, orientation and evaluation. Designed for Level 3 of the patient engagement spectrum, where EBEs share lived experiences in faculty-facilitated teaching, the toolkit promotes meaningful, sustainable involvement. It responds to growing calls for coproduction in health education and serves as a replicable model for integrating patient insights into curriculum design and delivery. While based on a small, specialised sample, the depth and clarity of EBE feedback offer strong foundations for this resource. Future work should explore its adaptability across different healthcare disciplines and settings. To increase accessibility, the toolkit is available in two formats: as a shareable webpage and a navigable PDF document. This approach enables wider reach and sustained use by educators, ensuring that patient voices remain central to shaping future health professionals.

将病人的声音纳入卫生专业教育可以增强同理心,促进以人为本的护理,并丰富学习。这篇共同创造的文章描述了一种实用的、有反馈信息的工具包的开发,通过经验专家(EBE)参与来支持早期医学教育。来自Silverlining脑损伤慈善机构的EBEs通过使用开放式问卷的定性研究为设计做出了贡献。专题分析确定了六个关键主题:尊重参与的重要性、后勤方面的挑战、会议期望的清晰度、承认预算外预算专门知识、参与的个人利益和道德问题。EBEs强调需要尊严、结构化的便利、情感保障和灵活的交付方法。生成的工具包直接映射到这些主题。它包括规划、促进、道德考虑、定向和评价方面的指导。该工具包专为患者参与谱的第3级设计,其中ebe分享教师促进教学的生活经验,促进有意义的,可持续的参与。它响应了日益增长的卫生教育合作的呼声,并作为一种可复制的模式,将患者的见解纳入课程设计和实施。虽然基于一个小的,专门的样本,深度和清晰的EBE反馈为这一资源提供了坚实的基础。未来的工作应探索其在不同医疗学科和环境中的适应性。为了增加可访问性,该工具包以两种格式提供:可共享的网页和可导航的PDF文档。这种方法使教育工作者能够更广泛地接触和持续使用,确保患者的声音仍然是塑造未来卫生专业人员的核心。
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引用次数: 0
Patient Safety ‘Through Undergraduate Medical Students' Eyes’: A Mixed-Methods Survey 患者安全“通过本科医学生的眼睛”:一项混合方法的调查。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-18 DOI: 10.1111/tct.70332
Anna Pappa, Athanasios Xymitidis, Thomas Strymponis, Paraskevi Panagopoulou, Válter R. Fonseca, Henrique Martins, João Breda, Zoi Tsimtsiou

Background

Evidence is limited internationally regarding medical students' perceptions and training needs in patient safety, following the WHO Global Patient Safety Action Plan 2021–2030, the COVID-19 pandemic, and the subsequent acceleration in digitalization. To address this gap, this study explores undergraduate medical students' knowledge of patient safety, attitudes regarding safety culture, experiences with errors, and their perspectives on improving patient safety through training and digitalization.

Methods

A mixed-method design was employed, consisting of an online survey with open-ended questions administered at a medical school in Greece. All registered undergraduate students were invited to complete a pretested 46-item study tool, including demographics, the Greek version of the scale ‘What is patient safety?’ and their personal experiences, views on digitalization and educational needs.

Results

A total of 638 students from all 6 years of study participated (58% female; 54.2% preclinical students). Findings revealed poor knowledge regarding error management (mean 2.4/5) and the reporting process (mean 1.8/5). Fear of blame culture was reported by 51.2%. Digitalization was expected to advance patient safety in multiple ways. Students advocated strengthening patient safety training (92.8%), emphasizing case-based learning, integrating patient safety principles into the teaching of all clinical courses and watching their professors acting as role models.

Conclusions

Medical students feel underprepared to manage patient safety issues and request more relevant knowledge and skills. These findings highlight the urgency for appropriate training reforms, tailored to the students' needs, aiming to optimally prepare them to become key players in improving patient safety in a digitally evolving healthcare system.

背景:在世卫组织2021-2030年全球患者安全行动计划、2019冠状病毒病大流行以及随后的数字化加速之后,国际上关于医学生对患者安全的看法和培训需求的证据有限。为了解决这一差距,本研究探讨了本科医学生对患者安全的知识、对安全文化的态度、错误的经历,以及他们通过培训和数字化提高患者安全的观点。方法:采用混合方法设计,包括在希腊一所医学院进行的开放式在线调查。所有注册的本科生都被邀请完成一项预先测试的46项研究工具,包括人口统计学,希腊版本的量表“什么是患者安全?”,以及他们的个人经历、对数字化的看法和教育需求。结果:共有638名学生参与了6年的研究,其中58%为女性,54.2%为临床前学生。调查结果显示,对错误管理(平均2.4/5)和报告过程(平均1.8/5)的了解不足。51.2%的人报告了害怕指责文化。数字化有望以多种方式提高患者的安全性。学生主张加强患者安全培训(92.8%),强调案例学习,将患者安全原则纳入所有临床课程的教学,并以教授为榜样。结论:医学生对管理患者安全问题的准备不足,需要更多相关的知识和技能。这些发现强调了针对学生需求进行适当培训改革的紧迫性,旨在使他们在数字化发展的医疗保健系统中成为提高患者安全的关键参与者。
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引用次数: 0
Experiences of Transitioning to Senior Roles in Intensive Care Medicine 向重症监护医学高级角色过渡的经验。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-18 DOI: 10.1111/tct.70327
Amod Karnik, Sarah Barradell, Brett Vaughan

Introduction

Role transition can be a challenging time for specialist medical trainees. Insight into the move from junior to senior registrar in Intensive Care is needed to help trainees prepare for this transition, and educators to support them. This study investigated the role transition experiences of Intensive Care senior registrars to identify the knowledge, skills and capabilities required of trainees to ensure a successful transition.

Methods

Australasian College of Intensive Care Medicine trainees who had completed at least a year as a senior registrar were invited via email from the College to participate in a one-on-one interview. Seven trainees responded and all agreed to an interview. Interviews were transcribed, deidentified and analysed thematically.

Results

Three themes represented the seven male participants' experiences: Apprehension, Weight of responsibility and Decision-making. These themes illustrate that the experience of moving from junior to senior ICU registrar is complex, requires a shift in decision-making focus and is characterised by uncertainty.

Conclusion

Communication skill development appeared to be key to the perspectives shared by our participants. Leadership development warrants more attention in Intensive Care Medicine. This study provides junior doctors at the cusp of transitioning to the role of Intensive Care senior registrars with helpful insights for their own transition. The findings are also helpful to Intensive Care Medicine more broadly and re-imagining what may be required for contemporary and sustainable trainee development.

角色转换对专科医学实习生来说是一个具有挑战性的时期。需要深入了解重症监护从初级到高级注册医师的转变,以帮助受训者为这一转变做好准备,并需要教育工作者为他们提供支持。本研究调查了重症监护高级注册员的角色转换经验,以确定受训人员确保成功转换所需的知识、技能和能力。方法:澳大拉西亚重症医学学院通过电子邮件邀请已完成至少一年高级注册的学员参加一对一的面试。7名受训者做出了回应,并都同意接受采访。采访记录、去识别和分析的主题。结果:七个男性被试的经历有三个主题:忧虑、责任权重和决策。这些主题表明,从初级到高级ICU注册主任的经历是复杂的,需要在决策重点上的转变,并且具有不确定性。结论:沟通技巧的发展似乎是参与者分享观点的关键。在重症监护医学中,领导力发展需要更多的关注。这项研究为处于过渡到重症监护高级注册医师角色的初级医生提供了有益的见解,有助于他们自己的过渡。这些发现也有助于重症监护医学更广泛地重新设想当代和可持续发展的培训生的需求。
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引用次数: 0
Converting an Entire Course Into a Game by Implementing Gated Pathways 通过执行门控路径将整个过程转化为游戏。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-17 DOI: 10.1111/tct.70334
Nazlee Sharmin, Ava K. Chow

Background

Games are well recognized for enhancing student engagement, yet most reported game-based interventions in higher education remain limited to single, one-time activities. Comprehensive integration of gaming concepts across an entire course is still uncommon, particularly in health professional education.

Approach

In this context, a game-based strategy was embedded into an entire dental hygiene (DH) course using a gated pathway and rewards. In a real game, a gated pathway requires players to complete specific tasks before unlocking the next level. In the learning management system (LMS), the same game-based concept was applied by restricting students' access to weekly content until they completed reviewing lecture materials and passed a quiz. Successful completion of the quiz unlocked the next week's materials. Quiz games designed in Gimkit were integrated as rewards for students.

Evaluation

Student engagement data were collected from the LMS, and exam performance was compared with the previous cohort, where no gated pathway was used. Voluntary, anonymous surveys captured students' perceptions. Eighty-eight percent of the survey respondents agreed that the gated pathway helped them complete their tasks on time, and 87% found this intervention helpful for their studies.

Implications

This study demonstrates the successful integration of game-based concepts across a full DH course, with positive effects on engagement and performance. Clinical educators can adapt this approach to offer students a better learning experience in a game-like course.

背景:众所周知,游戏可以提高学生的参与度,但大多数高等教育中基于游戏的干预仍然局限于单一的、一次性的活动。在整个课程中全面整合游戏概念仍然不常见,特别是在卫生专业教育中。方法:在这种情况下,基于游戏的策略被嵌入到整个牙齿卫生(DH)课程中,使用门状通路和奖励。在真正的游戏中,门控通道要求玩家在解锁下一个关卡之前完成特定的任务。在学习管理系统(LMS)中,同样的基于游戏的概念被应用,通过限制学生访问每周的内容,直到他们完成复习讲座材料并通过测验。顺利完成测试,解锁下周的材料。在Gimkit中设计的问答游戏被整合为对学生的奖励。评估:从LMS收集学生参与数据,并将考试成绩与未使用门式路径的前一队列进行比较。自愿、匿名的调查记录了学生们的看法。88%的受访者认为门控通道帮助他们按时完成任务,87%的人认为这种干预对他们的学习有帮助。启示:这项研究证明了在整个DH课程中成功整合了基于游戏的概念,对参与度和表现产生了积极影响。临床教育工作者可以采用这种方法,在游戏式课程中为学生提供更好的学习体验。
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引用次数: 0
Educational Interventions to Prepare Undergraduate Students for Out-of-Hours Practice as a Newly Qualified Doctor in the United Kingdom: A Scoping Review 教育干预准备本科学生作为一个新合格的医生在英国的非工作时间的做法:范围审查。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-17 DOI: 10.1111/tct.70299
Alex Gordon, Molly Parkinson, Rosanna Watts, Kamal El-Badawi, Erin Dawson, Rohan Chiktara, Lorna Burns, Nicola Brennan

Background

In the United Kingdom (UK), newly qualified doctors are routinely responsible for out-of-hours (OOH) care, often managing acutely unwell patients with limited supervision. Despite national recommendations encouraging OOH experience during medical school training, there is no formal curriculum for OOH practice.

Objectives

This scoping review aimed to identify the range of educational interventions designed to prepare UK medical students for OOH clinical responsibilities and assess their reported effects on perceived and actual preparedness.

Methods

Following Joanna Briggs Institute methodology, a systematic search of seven databases and grey literature sources was conducted. Eligible studies involved UK-based medical students and reported empirical outcomes on educational interventions focused on OOH preparedness. Data were extracted and synthesised using the Template for Intervention Description and Replication checklist and Kirkpatrick's evaluation hierarchy.

Results

Eighteen studies were included, primarily using quasi-experimental designs of simulation-based teaching. Interventions targeted a wide range of competencies, including prioritisation, communication, clinical decision-making, and leadership. Thirteen studies demonstrated improvements in learner confidence or attitudes (Kirkpatrick Level 2a), while only three showed measurable performance improvement (Level 2b), and one demonstrated behavioural change (Level 3). Most lacked long-term follow-up. Grey literature analysis revealed inconsistent institutional expectations for OOH experience.

Conclusions

Educational interventions on OOH are well-received and enhance perceived preparedness. Current interventions often lack objective assessment and long-term evaluation. This review was limited to published sources and may not reflect all current practice. Nationally standardised, longitudinal curricula supported by robust evaluation strategies are needed to improve graduate preparedness for OOH practice.

背景:在英国(UK),新获得资格的医生通常负责非工作时间(OOH)护理,通常在有限的监督下管理急性不适患者。尽管国家建议在医学院培训期间鼓励户外活动经验,但没有关于户外活动实践的正式课程。目的:本综述旨在确定旨在为英国医学生准备户外医学临床责任的教育干预措施的范围,并评估其对感知和实际准备的影响。方法:采用Joanna Briggs研究所的方法,系统检索7个数据库和灰色文献来源。符合条件的研究涉及在英国的医科学生,并报告了侧重于户外活动准备的教育干预措施的经验结果。数据提取和综合使用模板干预描述和复制清单和柯克帕特里克的评价层次。结果:纳入18项研究,主要采用模拟教学的准实验设计。干预措施针对广泛的能力,包括优先排序、沟通、临床决策和领导力。13项研究表明,学习者的信心或态度有所改善(柯克帕特里克2a级),而只有3项研究显示了可衡量的绩效改善(2b级),1项研究显示了行为改变(3级)。大多数缺乏长期随访。灰色文献分析显示,机构对户外广告体验的期望不一致。结论:户外媒体的教育干预措施很受欢迎,并增强了感知准备。目前的干预措施往往缺乏客观评价和长期评价。本综述仅限于已发表的资料,可能不能反映当前的所有做法。全国标准化的纵向课程需要强有力的评估策略支持,以提高毕业生对户外媒体实践的准备。
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引用次数: 0
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Clinical Teacher
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