Canadian medical education journal最新文献

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Assessing the effectiveness of a cadaveric workshop in improving resident physicians' confidence in performing ultrasound-guided joint injections. 评估尸体研讨会在提高住院医师在超声引导下进行关节注射的信心方面的有效性

Canadian medical education journal

Pub Date : 2023-12-30 eCollection Date: 2023-12-01 DOI: 10.36834/cmej.77293

Jane Thornton, Ahmed Mahdi, Lydia Schultz, Graham Briscoe

Our study showed that an educational workshop using a cadaveric specimen is effective in improving resident physicians' confidence in performing ultrasound-guided, as well as landmark-based, joint injections. Participants also reported a strong interest in future cadaveric workshops on ultrasound-guided joint injections and believe such workshops would be a valuable educational resource for other physicians. Implementing cadaver-based ultrasound-guided joint injection workshops similar to the one discussed in this manuscript could be used to supplement training for these procedures in medical education and provide residents with the early experience they need to be able to perform these injections independently in clinic settings.

含义陈述我们的研究表明，使用尸体标本的教育研讨会可以有效地提高住院医生在超声引导下以及基于里程碑的关节注射方面的信心。参与者还报告说，他们对未来超声引导下的关节注射尸体研讨会非常感兴趣，并认为此类研讨会将为其他医生提供宝贵的教育资源。实施与本文中讨论的类似的基于尸体的超声引导关节注射研讨会，可以用来补充医学教育中对这些程序的培训，并为住院医师提供他们在临床环境中独立进行这些注射所需的早期经验。

引用次数: 0

ChatGPT and medical education: a new frontier for emerging physicians. ChatGPT与医学教育：新兴医生的新前沿

Canadian medical education journal

Pub Date : 2023-12-30 eCollection Date: 2023-12-01 DOI: 10.36834/cmej.77644

Ethan Waisberg, Joshua Ong, Mouayad Masalkhi, Nasif Zaman, Sharif Amit Kamran, Prithul Sarker, Andrew G Lee, Alireza Tavakkoli

引用次数: 0

Protection, freedom, stigma: a critical discourse analysis of face masks in the first wave of the COVID-19 pandemic and implications for medical education. 保护、自由、耻辱：新冠肺炎第一波疫情中口罩的批判性话语分析及其对医学教育的影响

Canadian medical education journal

Pub Date : 2023-12-30 eCollection Date: 2023-12-01 DOI: 10.36834/cmej.73155

Ran Huo, Maria Athina Martimianakis

Background: The COVID-19 pandemic has spotlighted the face mask as an intricate object constructed through the uptake of varied and sometimes competing discourses. We investigated how the concept of face mask was discursively deployed during the first phase of the COVID-19 pandemic. By examining the different discourses surrounding the use of face masks in public domain texts, we comment on important educational opportunities for medical education.

Method: We applied critical discourse methodology to look for key phrases related to face masks that can be linked to specific socio-economic and educational practices. We created an archive of 171 English and Mandarin texts spanning the period of February to July 2020 to explore how discourses in Canada related to discourses of mask use in China, where the pandemic was first observed. We analyzed how the uptake of discourses related to masks was rationalized during the first phase of the pandemic and identified practices/processes that were made possible.

Results: While the face mask was initially constructed as personal protective equipment, it quickly became a discursive object for rights and freedoms, an icon for personal expression of political views and social identities, and a symbol of stigma that reinforced illness, deviance, anonymity, or fear.

Conclusion: Discourses related to face masks have been observed in public and institutional responses to the pandemic in the first wave. Finding from this research reinforce the need for medical schools to incorporate a broader socio-political appreciation of the role of masks in healthcare when training for pandemic responses.

背景:2019冠状病毒病大流行凸显了口罩是一个复杂的物体，它是通过吸收各种各样的、有时是相互竞争的话语构建起来的。我们调查了在COVID-19大流行的第一阶段，口罩的概念是如何被口头部署的。通过研究围绕在公共领域文本中使用口罩的不同话语，我们评论了医学教育的重要教育机会。方法:我们应用批判性话语方法论来寻找与口罩相关的关键短语，这些短语可以与特定的社会经济和教育实践联系起来。我们创建了一个涵盖2020年2月至7月期间的171篇英文和中文文本的档案，以探索加拿大的话语与首次观察到大流行的中国的口罩使用话语之间的关系。我们分析了在大流行的第一阶段，与口罩相关的话语是如何被合理化的，并确定了可能的做法/过程。结果:虽然口罩最初被构建为个人防护装备，但它很快成为权利和自由的话语对象，个人表达政治观点和社会身份的标志，以及强化疾病，偏差，匿名或恐惧的耻辱象征。结论:在第一波大流行的公共和机构应对中，已经观察到与口罩有关的话语。这项研究的发现加强了医学院在培训大流行应对措施时，对口罩在医疗保健中的作用有更广泛的社会政治认识的必要性。

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引用次数: 0

Equity, diversion, and inclusion in medical school teaching. 医学院教学中的公平、分流和包容。

Canadian medical education journal

Pub Date : 2023-12-30 eCollection Date: 2023-12-01 DOI: 10.36834/cmej.78257

Zahra Taboun, Omar Taboun, Marcel F D'Eon

引用次数: 0

[Mapping the research activities on social accountability in health of an emerging international community]. 绘制国际社会健康社会责任研究活动图

Canadian medical education journal

Pub Date : 2023-12-30 eCollection Date: 2023-12-01 DOI: 10.36834/cmej.76320

Tim Dubé, Marie-Dominique Beaulieu, Mariem Fourati, Imane Benaskeur

We used environmental analysis to document the nature and characteristics of research on social accountability (SA) in health conducted by members of an emerging international Francophone network on SA. We developed a questionnaire focusing on research inputs, activities, and outputs, which could serve as a reference in other institutions and networks. The results provide a better understanding of SA research within the international Francophone community. Networks that aim to promote research among their members should carry out such mapping to leverage the strengths of the community and act as catalysts and stepping stones for future research.

研究影响声明我们使用环境分析记录了新兴法语国家社会责任网络成员开展的健康社会责任（SSR）研究的性质和特点。我们制定了一份关于研究投入、活动和产出的调查问卷，可作为其他机构和网络的参考。结果使国际法语社区对RSS研究有了更好的了解。寻求促进其成员之间研究的网络应进行此类测绘，以利用社区优势，并作为未来研究的催化剂和跳板。

引用次数: 0

The CanMEDS Competency Framework in laboratory medicine: a phenomenographic study exploring how professional roles are applied outside the clinical environment CanMEDS 实验医学能力框架：探索如何在临床环境之外应用专业角色的现象学研究

Canadian medical education journal

Pub Date : 2023-12-11 DOI: 10.36834/cmej.77140

Chloe Bogaty, J. Frambach

Background: The CanMEDS Competency Framework is an internationally recognized model used to outline the proficiencies of a physician. It has predominantly been studied in clinical environments but not all medical specialties take part in direct patient contact. In laboratory medicine, the role of the physician is to promote and enhance patient diagnostics by managing and overseeing the functions of a diagnostic laboratory.Methods: This phenomenographic study explores the lived experiences of biochemistry, microbiology, and pathology residency program directors to better understand how they utilize the CanMEDS competencies. Eight laboratory medicine program directors from across Canada were individually interviewed using a semi-structured interview, and the data was analysed using inductive thematic analysis.Results: The findings show that the current framework is disconnected from the unique context of laboratory medicine with some competencies appearing unrelatable using the current standardized definitions and expectations. Nevertheless, participants considered the framework to be an appropriate blueprint of the competencies necessary for their professional environment, but to make it accessible more autonomy is required to adapt the framework to their needs.Conclusion: Newer renditions of the CanMEDS Competency Framework should better consider the realities of non-clinical disciplines.

背景：CanMEDS 能力框架是国际公认的用于概述医生能力的模型。它主要在临床环境中进行研究，但并非所有医学专科都直接接触病人。在检验医学中，医生的角色是通过管理和监督诊断实验室的功能来促进和加强对病人的诊断：本现象学研究探讨了生物化学、微生物学和病理学住院医师培训项目主任的生活经历，以更好地了解他们如何利用 CanMEDS 能力。研究人员采用半结构化访谈法对来自加拿大各地的八名检验医学项目主任进行了单独访谈，并采用归纳式主题分析法对数据进行了分析：研究结果表明，目前的框架与实验室医学的独特环境脱节，一些能力似乎与目前的标准化定义和期望不相关。尽管如此，参与者认为该框架是其专业环境所需的能力的适当蓝图，但要使其便于使用，需要更多的自主权来调整该框架，以适应他们的需求：结论：CanMEDS 能力框架的新版本应更好地考虑非临床学科的实际情况。

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引用次数: 0

Dismantling discrimination through education 通过教育消除歧视

Canadian medical education journal

Pub Date : 2023-12-08 DOI: 10.36834/cmej.77999

Khaled Moustafa

引用次数: 0

From curiosity to cure 从好奇到治愈

Canadian medical education journal

Pub Date : 2023-11-27 DOI: 10.36834/cmej.78189

Antonio Yaghy

引用次数: 0

Resident Support Network: a supportive approach to resident physician wellness 住院医师支持网络：住院医师健康支持方法

Canadian medical education journal

Pub Date : 2023-11-27 DOI: 10.36834/cmej.77147

Nina Mazze, Sureka Pavalagantharajah, Celia Kwan, Alexandra Nieuwesteeg, Claire Young, Joanna Humphreys

Implication Statement The Resident Support Network (RSN) is a formal network of residents and medical faculty, with additional training and resources in resident wellness. RSN is accessible to residents to approach with their wellness concerns. It aims to support residents during a period of medical training that is associated with high trainee burnout rates. Implementing individual-focused and organizational strategies in residency programs has been found to reduce burnout. The RSN, in the McMaster University Pediatrics Residency program, was initiated based on the need to help address gaps in supporting resident wellness. Implementation of an RSN would likely provide similar benefits for residents in other universities and specialties by enhancing resident wellness.

意义声明住院医师支持网络（RSN）是一个由住院医师和医学教员组成的正式网络，在住院医师健康方面提供额外的培训和资源。住院医师可以通过 RSN 解决其健康问题。其目的是在受训者倦怠率较高的医学培训期间为住院医师提供支持。研究发现，在住院医师培训项目中实施以个人为中心的组织策略可以减少倦怠感。麦克马斯特大学儿科住院医师培训项目中的 "住院医师健康网 "就是基于帮助解决住院医师健康支持方面的不足而启动的。在其他大学和专科实施 RSN 可能会通过提高住院医师的健康水平为住院医师带来类似的益处。

引用次数: 0

Understanding the perspective of community co-educators on community-based service learning: a qualitative analysis 了解社区共同教育者对社区服务学习的看法：定性分析

Canadian medical education journal

Pub Date : 2023-11-20 DOI: 10.36834/cmej.76453

Grace Zhou, A. Thayaparan, Stephanie Park, Yasamin Sadeghi, Brandi Deimling, Roxanne Wright, F.-H. Leung

Background: Community-based service learning (CBSL) is a core component of the Canadian medical education system. However, the unique role of community partner organizations (CPOs) in supporting CBSL remains unclear. This qualitative study evaluates the perspective of CPOs as co-educators in the undergraduate medical curriculum. Methods: We conducted eight semi-structured, one-on-one interviews with CPOs at a medical school in Toronto, Ontario between 2020-2021. Interviews were conducted following a pre-determined interview guide and then recorded, de-identified, and transcribed. Three reviewers independently performed an inductive thematic analysis of codes followed by a group review of discrepancies. Results: Five main findings were identified: 1) CPOs share a common interest in serving as co-educators; 2) considerable heterogeneity in the understanding of co-education exists; 3) there is an opportunity for increased partnerships between CPOs and faculty; 4) the role of co-educators is limited by curriculum structure; and 5) co-educators facilitate unique teachings of social determinants of health otherwise not available through traditional didactic teaching. Conclusions: There is an emerging, unique role for community co-educators in the undergraduate medical curriculum, supported by interest from CPOs. Its emphasis may contribute to future cohorts of medical students capable of understanding and addressing the needs of the populations they serve.

背景：社区服务学习（CBSL）是加拿大医学教育体系的核心组成部分。然而，社区伙伴组织（CPOs）在支持社区服务学习方面的独特作用仍不明确。本定性研究评估了作为本科医学课程共同教育者的 CPOs 的观点。研究方法2020-2021 年间，我们对安大略省多伦多市一所医学院的 CPO 进行了八次半结构化一对一访谈。访谈按照预先确定的访谈指南进行，然后进行录音、去标识和转录。三位审稿人独立对代码进行归纳式主题分析，然后对差异进行集体审查。结果确定了五项主要发现：1) CPOs 对担任共同教育者有着共同的兴趣；2) 对共同教育的理解存在相当大的差异；3) CPOs 和教师之间有机会建立更多的伙伴关系；4) 共同教育者的作用受到课程结构的限制；5) 共同教育者促进了对健康的社会决定因素的独特传授，而传统的说教式教学则无法做到这一点。结论：社区共同教育者在医学本科课程中扮演着新出现的独特角色，并得到了 CPOs 的支持。其重点可能有助于培养未来的医学生，使他们能够理解和满足所服务人群的需求。

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