A scoping review of self-monitoring in graduate medical education.

BACKGROUND: Physicians and physicians-in-training have repeatedly demonstrated poor accuracy of global self-assessments, which are assessments removed from the context of a specific task, regardless of any intervention. Self-monitoring, an in-the-moment self-awareness of one's performance, offers a promising alternative to global self-assessment. The purpose of this scoping review is to better understand the state of self-monitoring in graduate medical education. METHODS: We performed a scoping review following Arksey and O'Malley's six steps: identifying a research question, identifying relevant studies, selecting included studies, charting the data, collating and summarising the results and consulting experts. Our search queried Ovid Medline, Web of Science, PsychINFO, Eric and EMBASE databases from 1 January 1999 to 12 October 2022. RESULTS: The literature search yielded 5363 unique articles. The authors identified 77 articles for inclusion. The search process helped create a framework to identify self-monitoring based on time and context dependence. More than 20 different terms were used to describe self-monitoring, and only 13 studies (17%) provided a definition for the equivalent term. Most research focused on post-performance self-judgements of a procedural skill (n = 31, 42%). Regardless of task, studies focused on self-judgement (n = 66, 86%) and measured the accuracy or impact on performance of self-monitoring (n = 41, 71%). Most self-monitoring was conducted post-task (n = 65, 84%). CONCLUSION: Self-monitoring is a time- and context-dependent phenomenon that seems promising as a research focus to improve clinical performance of trainees in graduate medical education and beyond. The landscape of current literature on self-monitoring is sparse and heterogeneous, suffering from a lack of theoretical underpinning, inconsistent terminology and insufficiently clear definitions.

Finding Success in Scholarship: How Physician Assistant Educators Can Overcome Barriers to Publication.

ABSTRACT: Publishing scholarly work offers several benefits for physician assistants (PAs) in faculty roles. It allows them to establish expertise, disseminate knowledge, and advance their careers. However, due to a variety of barriers, PAs are often unable to build a portfolio of scholarly articles. They frequently lack the time, training, experience, and resources to complete large academic projects and navigate the complex publication process. This article offers 6 key strategies to help PAs in academic settings pursue scholarly work and achieve publication.

Health Professions Education Graduate Programs Are a Pathway to Strengthening Continuing Professional Development.

The need to strengthen the preparation of individuals leading and providing continuing professional development (CPD) programs has grown dramatically within the current health care context. CPD is an integral part of the continuum of health professions education and cuts across the multiple disciplines and professions delivering health care. Each health care profession needs not only to keep up to date on new information within their specific discipline but also continue to develop and expand skills in areas that link interdisciplinary areas, such as quality of care delivery and communication skills, across various professions. In this article, we examine the changing context in which CPD is provided and explain how graduate programs in health professions education can be used as a strategy to strengthen the preparation of individuals for CPD practice and advance the delivery of CPD through evidence-based and innovative strategies.