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The role of academic emotions on medical and allied health students and #8217; motivated self-regulated learning strategies 学术情绪对医学和专职卫生学生和#8217的作用主动自我调节学习策略
Pub Date : 2017-01-01 DOI: 10.5455/JCME.20170412124640
F. Ngwira, Chuanhua Gu, H. W. Mapoma, Wellman Kondowe
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引用次数: 5
Using the Spearman-Brown Prophecy Formula to Improve Medical School Examination Quality 运用斯皮尔曼-布朗预言公式提高医学院考试质量
Pub Date : 2017-01-01 DOI: 10.5455/jcme.20170705091608
K. Royal
Most measurement experts suggest a minimum reliability estimate of .60 to .70 is desirable for routine medical education assessments with low to moderate stakes. The most common recommendation for improving examination reliability is to increase examination length. Unfortunately, adjustments in examination length may result in unpredictable reliability estimation and involve a great deal of trial and error for educators. The Spearman-Brown prophecy formula may help medical educators accurately predict the effects of adding or removing items on reliability estimation, and help educators make immediate improvements to the psychometric quality and functioning of their examinations.
大多数测量专家建议,对于低至中等风险的常规医学教育评估,最低信度估计为0.60至0.70是理想的。提高检查可靠性最常见的建议是增加检查时间。不幸的是,考试长度的调整可能会导致不可预测的可靠性估计,并且对教育者来说涉及大量的试验和错误。斯皮尔曼-布朗预言公式可以帮助医学教育工作者准确地预测增加或减少项目对可靠性估计的影响,并帮助教育工作者立即改善心理测量学的质量和考试的功能。
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引用次数: 0
Health habits of medical students during operating room rotations 医学生在手术室轮转期间的健康习惯
Pub Date : 2017-01-01 DOI: 10.5455/jcme.20170612092613
Colin Hamlin, A. Villafranca, E. Jacobsohn
Purpose: Healthy habits have been linked with enhanced learning during medical school, motivating some schools to institute healthy self-care programs for students. This study examined the health habits of medical students in the USA and Canada during OR rotations and compared the results with recommended health guidelines. Methods: The authors created a survey examining markers of a healthy lifestyle. The questions were derived from scientific guidelines and pertained to getting adequate amounts of exercise and sleep, and abstaining from excessive consumption of junk food, caffeine, and alcohol. Several demographic predictor variables were also measured. Results: A total of 543 students completed the survey. The proportions of students meeting recommended health guidelines for each health habit were as follows: alcohol (79.2%), caffeine (51.3%), food (47.6%), sleep (38.2%), and exercise (18.6%). The proportion of students meeting all health guidelines concurrently was 4.1% and the proportion meeting none was 4.8%. Men had a lower risk of poor health habits (odds ratio=0.66 , p=0.018 ) and older students (odds ratio=2.17 , p=0.012) were at a higher risk of having poor health habits. Conclusions: The vast majority of the medical students surveyed were not in compliance with healthy lifestyle guidelines. This research supports the need for healthy self-care programs for medical students and specifically draws attention to the importance of physical activity.
目的:在医学院期间,健康的习惯与提高学习能力有关,这促使一些学校为学生制定健康的自我保健计划。本研究调查了美国和加拿大医科学生在手术室轮转期间的健康习惯,并将结果与推荐的健康指南进行了比较。方法:作者创建了一项调查,检查健康生活方式的标志。这些问题来源于科学指南,涉及到充足的锻炼和睡眠,以及避免过量摄入垃圾食品、咖啡因和酒精。还测量了几个人口统计学预测变量。结果:共有543名学生完成了调查。符合各健康习惯健康指南建议的学生比例依次为:酒精(79.2%)、咖啡因(51.3%)、食物(47.6%)、睡眠(38.2%)、运动(18.6%)。同时符合所有健康指南的学生比例为4.1%,不符合健康指南的比例为4.8%。男性患不良健康习惯的风险较低(优势比=0.66,p=0.018),而年龄较大的学生患不良健康习惯的风险较高(优势比=2.17,p=0.012)。结论:绝大多数受访医学生没有遵循健康生活方式指南。这项研究支持了医学生健康自我保健计划的必要性,并特别提请注意体育活动的重要性。
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引用次数: 0
Moving wayward: Graduate Medical Education 任性:研究生医学教育
Pub Date : 2017-01-01 DOI: 10.5455/jcme.20170817091559
S. Rao
The Graduate Medical Regulations formulated by the regulatory body in India aims at preparing the basic medical doctor qualified to be an exemplary citizen by observation of medical ethics and fulfilling social and professional obligations, so as to respond to national aspirations. The present status of the traditional three pillars of medical college namely Patient care, education and research are in dilapidated condition. The fourth pillar of human values is found to be missing in medical education. The path delineated by Medical Council of India for Graduate Medical Education is deviated in this pest infested Medical Colleges in India. A dedicated effort is needed to resurrect the fourth pillar of human values and to restore the once bestowed medical profession
印度监管机构制定的《研究生医学条例》旨在培养合格的基本医生,通过遵守医德和履行社会和专业义务,成为模范公民,以响应国家的愿望。传统医学院校的三大支柱,即病人护理、教育和科研的现状是岌岌可危的。医学教育中缺失了人类价值观的第四个支柱。印度医学委员会为研究生医学教育划定的道路在这个害虫肆虐的印度医学院是偏离的。需要作出专门努力,恢复人类价值的第四个支柱,恢复曾经被赋予的医疗职业
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引用次数: 0
YouTube is a feasible tool to disseminate educational toxicology videoconferences: The Global Educational Toxicology Uniting Project (GETUP). YouTube是传播教育毒理学视频会议的可行工具:全球教育毒理学联合项目(GETUP)。
Pub Date : 2017-01-01 DOI: 10.5455/JCME.20170620103357
Anselm Wong, R. Vohra, A. Creaton, Z. Koutsogiannis, S. Greene
Introduction: GETUP has filled an important void in global education about poisoning management by linking countries with and without toxicology services through videoconferencing and educating primary healthcare doctors and other health professionals. However, timezone incompatibilities among geographically remote sites may mean some parties are unable to attend all videoconferences. Recorded video is one potential solution for asynchronous learning using GETUP case materials, but its utilization has not been adequately defined. We aimed to assess the feasibility of YouTube to disseminate recorded toxicology videoconferences and analyse its usage. Methods: We performed a review of nine recorded videoconferences recorded on Google Hangouts™ and stored on YouTube™ from March 2014 to August 2015. YouTube Analytics™ data were used to measure web traffic and viewer trends. Results: There were 204 views of the nine videoconferences during the study period. The main groups involved in making the recorded conferences included the Austin Toxicology Service, Victoria, Australia; Fresno Toxicology Service, California, USA and the Emergency Department, Suva, Fiji. The majority of views (59%) were by viewers in the 25 to 34 age bracket. Viewers were located in 20 countries over six continents. Thirty-three percent (67 views) were from 18 states in the USA. Devices used to playback these conferences included computer (93%), mobile phone (5.3%), tablet (1%) and unknown (0.7%). Conclusions: Recorded video available over the Internet is feasible method to disseminate toxicology based educational videoconferences around the world and gather important information about how medical professionals tend to consume case-based toxicology educational contents.
通过视频会议和教育初级保健医生和其他卫生专业人员,将有和没有毒理学服务的国家联系起来,填补了全球中毒管理教育中的一个重要空白。然而,地理位置遥远的站点之间的时区不兼容可能意味着一些各方无法参加所有的视频会议。录制视频是使用GETUP案例材料进行异步学习的一种潜在解决方案,但其使用尚未得到充分定义。我们旨在评估YouTube传播毒理学视频会议记录的可行性,并分析其使用情况。方法:我们对2014年3月至2015年8月期间在谷歌Hangouts上录制并存储在YouTube上的9次视频会议进行了回顾。YouTube Analytics的数据被用来衡量网络流量和观众趋势。结果:研究期间9次视频会议共204次观看。参与录制会议的主要团体包括澳大利亚维多利亚的奥斯汀毒理学服务处;美国加利福尼亚州弗雷斯诺毒理学处和斐济苏瓦急诊科。大多数观众(59%)是25岁至34岁年龄段的观众。观众来自六大洲的20个国家。33%(67次观看)来自美国的18个州。用于播放这些会议的设备包括电脑(93%)、手机(5.3%)、平板电脑(1%)和未知设备(0.7%)。结论:在互联网上提供的录制视频是在世界范围内传播基于毒理学的教育视频会议的可行方法,并收集关于医疗专业人员如何倾向于消费基于案例的毒理学教育内容的重要信息。
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引用次数: 1
An Assessment of Rewards and Faculty Development Opportunities Provided to Pediatric Community Faculty 提供给儿科社区教师的奖励和教师发展机会的评估
Pub Date : 2017-01-01 DOI: 10.5455/JCME.20170612092633
Jerold Stirling
Objective: Many medical schools in the US are experiencing difficulty maintaining sufficient ambulatory pediatric training sites for their students. The goals of this study were to assess the incentives, rewards, and faculty development opportunities provided for pediatricians serving as community faculty teaching in pediatric clerkships in the US. Methods: A 10 question prospective survey of the membership of the Council on Medical Student Education in Pediatrics incorporated into the organization's 2014 annual survey. Results: Representatives from 92% % (111 /121) of U.S. medical schools responded to the study. Seventy-nine percent of medical schools utilize community faculty to teach pediatrics. Eighty-two percent of respondents were having difficulty recruiting and retaining pediatricians to teach students. Thirty-nine percent of medical schools provided monetary stipends for teaching. Sixty-eight percent of schools provided faculty development for their community faculty. Conclusion: The majority of schools rely on non-monetary incentives to recruit and retain their community faculty. As compared to previous studies, more medical schools are offering financial stipends. Most schools, but not all, offer some form of faculty development training for their community faculty. There is a wide variation in the scope of faculty development training provided to community physicians that teach medical students.
目的:美国的许多医学院都难以为学生提供足够的儿科门诊培训场地。本研究的目的是评估在美国担任儿科见习的社区教师教学的儿科医生的激励、奖励和教师发展机会。方法:对儿科医学生教育委员会成员进行10个问题的前瞻性调查,并纳入该组织2014年年度调查。结果:来自92%(111 /121)美国医学院的代表回应了这项研究。79%的医学院利用社区教师教授儿科学。82%的受访者在招聘和留住儿科医生来教学生方面遇到了困难。39%的医学院为教学提供金钱津贴。68%的学校为他们的社区教师提供教师发展。结论:大多数学校依靠非金钱激励来招募和留住他们的社区教师。与以前的研究相比,更多的医学院提供经济津贴。大多数学校,但不是全部,为他们的社区教师提供某种形式的教师发展培训。为教授医学生的社区医生提供的教师发展培训范围有很大差异。
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引用次数: 0
Youtube as an education tool for shoulder arthroscopy: Is it the future? - Youtube作为肩关节镜的教育工具:这是未来吗?-
Pub Date : 2016-01-01 DOI: 10.5455/jcme.20160315115601
Mahdi Yacine Khalfaoui
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引用次数: 0
Final year medical students’ satisfaction with clinical education and family medicine module. Suez Canal University. Egypt - 高三医学生对临床教学和家庭医学模块的满意度。苏伊士运河大学。埃及- - - - - -
Pub Date : 2016-01-01 DOI: 10.5455/JCME.20160614032416
H. Salama, H. Nour-Eldein
Background: Satisfaction is an indirect performance measure to the effectiveness of a curriculum. Faculties which provide professional education should be concerned with students’ satisfaction as an educational process outcomes. Objective 1- to evaluate medical students’ satisfaction with clinical education and factors in the organizational domain that could influence their satisfaction. Objective 2- to evaluate the students’ satisfaction with family medicine module. Methods: This was a cross sectional descriptive analytic study carried out between September and October, 2015. Convenience sampling was used and It included all 136 final year medical students in Suez Canal University. The first questionnaire was used to evaluate the medical students’ satisfaction with clinical education. Student Perception of Module (SPOM) questionnaire with 18 items was used to evaluate the student’s perception of family medicine (FM) module. Results: The study included 136 students and the mean age was 23.5 (0.45) years. Overall satisfaction with clinical education was 86.8%. The majority of study sample (85.3%) was satisfied with outpatient training. Most of the study sample was satisfied with bedside and theoretical training (76.5% & 77.9 %) respectively. Students’ satisfaction with family medicine modules revealed that across 80% of the 18 items, strong satisfaction ranged from 61.8% to 42.6%. Conclusion: Future reevaluation of clinical education in Suez Canal University is recommended with consideration of the variety of diseases and improving instructor experience in bedside teaching. Reviewing FM module is recommended with special concern to make the students look the profession in positive way and to be intellectually more stimulating.
背景:满意度是对课程有效性的间接绩效衡量。提供专业教育的学院应该把学生的满意度作为教育过程的结果来关注。目的1-评价医学生对临床教育的满意度及影响其满意度的组织因素。目的2-评价学生对家庭医学模块的满意度。方法:采用横断面描述性分析方法,研究时间为2015年9月- 10月。采用方便抽样方法,纳入苏伊士运河大学全部136名医学生。第一份问卷是用来评估医学生对临床教育的满意度。采用学生模块感知问卷(SPOM)评估学生对家庭医学模块的感知,问卷共18个项目。结果:共纳入136名学生,平均年龄23.5岁(0.45岁)。总体满意度为86.8%。大多数研究样本(85.3%)对门诊培训感到满意。大多数研究样本对床边和理论培训感到满意(分别为76.5%和77.9%)。学生对家庭医学模块的满意度显示,在18个项目的80%中,强烈满意度从61.8%到42.6%不等。结论:苏伊士运河大学临床教育应考虑到疾病的多样性,提高临床教学教师的经验。特别推荐复习FM模块,使学生以积极的方式看待这个行业,并在智力上更有启发性。
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引用次数: 4
Assessment of Emotional Intelligence in Pediatric and Med-Peds Residents 儿科和儿科住院医师情绪智力的评估
Pub Date : 2016-01-01 DOI: 10.5455/JCME.20170116015415
R. Shahid, Jerold Stirling, W. Adams
Objective The purpose of this study was to determine the baseline emotional intelligence (EI) scores of Pediatric and Med-Peds Residents and to identify components of emotional intelligence that were high or low. Methods Residents from Pediatrics and Med-Peds residency programs at a university-based training program volunteered to complete an online self-report EI survey (EQ-i 2.0) in May 2015. A summary EI score report was generated for each resident by a consulting firm. De-identified score reports were compared between programs and by year of training. Results All pediatric and med-peds residents completed the survey (N=47). The median score for the group as a whole for overall emotional intelligence was higher than the national average and considered to be in the high range (110). The highest median subcomponent scores were in Impulse Control (114) and Empathy (113) and the lowest subcomponent scores were in Independence (101) and Assertiveness (102). No difference was seen between pediatric residents and medicine-pediatric residents in their total EI scores or the various components. Residents in their early years of training (PGY 1-2) compared to later years of training (PGY 3-4) showed significant differences in the component of Assertiveness (100 vs 109, p=0.002) and Empathy (115.5 vs 110, p=0.03). Conclusions As a group, Pediatric and Med-Peds residents scored lowest in areas of independence and assertiveness. While assertiveness scores improved with added years of training, empathy scores decreased. In order to improve the overall level of emotional intelligence of Pediatric and Med-Peds residents, educational interventions should focus on the areas of independence, assertiveness, and empathy.
目的本研究的目的是确定儿科和医学儿科住院医生的情绪智力(EI)基线得分,并确定情绪智力的高或低组成部分。方法2015年5月,来自某大学儿科和医学-儿科住院医师培训项目的住院医师自愿完成一份在线自我报告EI调查(EQ-i 2.0)。一家咨询公司为每位居民生成了一份汇总的EI评分报告。去识别的分数报告在不同的项目和不同的培训年份之间进行了比较。结果所有儿科住院医师均完成调查(N=47)。这群人整体情绪智力的中位数高于全国平均水平,被认为处于高水平(110分)。得分中位数最高的是冲动控制(114分)和共情(113分),得分中位数最低的是独立(101分)和自信(102分)。儿科住院医师和医学-儿科住院医师在EI总分或各组成部分上没有差异。住院医师在早期培训(PGY 1-2)与后期培训(PGY 3-4)相比,在自信(100 vs 109, p=0.002)和同理心(115.5 vs 110, p=0.03)方面表现出显著差异。作为一个群体,儿科和医学儿科住院医生在独立性和自信方面得分最低。虽然自信得分随着训练年限的增加而提高,但同理心得分却下降了。为了提高儿科和医学儿科住院医师的整体情商水平,教育干预应侧重于独立性、自信和同理心方面。
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引用次数: 11
Addressing Stress Among Medical Students: Strategies for Optimizing Student Health and Success 解决医学生的压力:优化学生健康和成功的策略
Pub Date : 2016-01-01 DOI: 10.5455/JCME.20170119025644
M. M. Varma
Background: Medical students throughout the world are subjected to high rates of occupational stressors. Additionally, in the developing world there is a shortage of mental health providers and widespread social stigma of mental disorders, which may prevent individuals suffering from stress induced disorders from getting the treatment they need. Policy changes can have broad impact in helping people cope with occupational stress, potentially preventing mental health issues. Objectives: The current study aimed to examine stress in a group of medical students in India and make policy recommendations based on findings. Methods: The current study adapted a questionnaire and administered it to a sample of medical students in India. Results: Participants reported many somatic and cognitive stress symptoms. A large portion of stress appears to be related to medical school. Conclusions: The large percentage of medical students suffering from stress suggest an acute need for adoption of policies that close the gaps in access to mental, emotional, and behavioral healthcare through appropriate screening tools, referrals, interventions, and support services.
背景:世界各地的医学生都受到高比率的职业压力。此外,在发展中国家,精神保健提供者短缺,社会普遍对精神障碍感到耻辱,这可能使患有压力引起的精神障碍的个人无法获得所需的治疗。政策变化可以在帮助人们应对职业压力方面产生广泛的影响,可能会预防心理健康问题。目的:目前的研究旨在检查一组印度医学生的压力,并根据研究结果提出政策建议。方法:目前的研究改编了一份调查问卷,并对印度医科学生进行了抽样调查。结果:参与者报告了许多躯体和认知应激症状。很大一部分压力似乎与医学院有关。结论:很大比例的医学生遭受压力,这表明迫切需要采取政策,通过适当的筛查工具、转诊、干预和支持服务,缩小在获得精神、情感和行为卫生保健方面的差距。
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引用次数: 0
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Journal of contemporary medical education
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