Canadian medical education journal最新文献

In the post-pandemic era, modalities for delivering medical education are at a crossroads. The pandemic disrupted the traditional in-person model, and a boom of virtual meetings and sessions quickly found their place in medical education. Now, educators are left with a selection of in-person, virtual, and hybrid approaches to structure medical education programming. We provide six tips to help guide medical educators on deciding between the variety of educational delivery methods.

International medical electives are viewed as an opportunity for medical students to experience global health firsthand and improve cultural humility. Despite its potential benefits, concerns have been raised regarding harms during placements. These need to be addressed to ensure that international electives are conducted ethically and not only benefit learners but also the communities involved. The University of Saskatchewan has transformed its global health certificate, Making the links, in an effort to address existing concerns. We seek to share the program's approach and its value to us. Other centres may introduce this approach to help train more equity-oriented healthcare workers.

Introduction: The progression from preclinical medical training to clerkship is a pivotal yet steep transition for medical students. Effective feedback on clinical skills during preclinical training can better equip students for clerkship and allows time for them to address difficulties promptly. The goal of this study was to explore whether and how narrative comments at this stage were being leveraged to achieve this transition.

Methods: We conducted a content analysis to categorize narrative comments on the clinical skills of two cohorts of third-year preclinical students at one academic institution.

Results: Teachers made narrative comments for 272 students. Each comment was divided into analysis units (n = 1,314 units). Comments were either general (n = 187) or focused on attitude (n = 628), knowledge and cognitive processes (n = 357), or clinical reasoning (n = 142). They were abundantly positive (n = 1,190) and marginally negative (n = 39). Few (6%) contained suggestions for improvement.

Discussion: In this study, narrative comments on clinical skills before clerkship seemed minimally helpful, as they were overwhelmingly positive and seldom offered suggestions. This could suggest missed opportunities for early interventions. Pre-clerkship narrative comments could potentially be optimized by increasing emphasis on clinical reasoning, addressing challenges early and providing actionable steps for improvement.

Background: Multisource feedback (MSF) and 360-degree assessment collate feedback from multiple perspectives for a particular person. Since MSF aligns with programmatic assessment, undergraduate programs could theoretically incorporate this practice. This paper details the creation of an undergraduate medical education (UGME) MSF and its initial pilot.

Methods: The Medical Council of Canada (MCC) collaborated with researchers from four Canadian UGME programs to adapt an existing tool, MCC 360. They adjusted MSF components for clerkship and piloted the revised version at one Canadian medical school. Student participants completed a post-evaluation survey. Researchers chose the Norcini et al. framework to inform the tool adaptation and evaluation.

Results: The new MCC 360 UGME incorporated MSF from three rater groups (patients, self, and a mixed group of supervisors, residents, hospital staff and/or peers) and compiled it into an individualized report. An independent facilitator reviewed and discussed the report with the student. Students indicated that the MCC 360 UGME had a major to moderate impact on their learning. They appreciated receiving patient feedback and working with facilitators to identify areas of improvement. Although students found completing the MSF requirements to be burdensome, they found it to be acceptable to provide educational benefits.

Conclusion: Implementing MSF in Canadian UGME would allow clerkship students to access feedback from patients and others in the workplace. It would also socialize students to MSF early in their careers.