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1.
Front Public Health ; 12: 1441326, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39386950

RESUMEN

Background: This paper describes a developmental evaluation (DE) of a pilot of a puberty curriculum that was implemented in grades four to six in San Antonio, Texas. The pilot evaluation assessed the initial feasibility and acceptability of curricular components. The DE framework guided the questions in an ever-changing environment where new tools were created as the situation called for them (10). Methods: The evaluation team utilized purposive sampling methods, surveys, and facilitator notes to guide the collaborative process. Both Google and Microsoft platforms were used for analysis and collection of findings. Results: Facilitator notes and surveys revealed that while comfortable leading sessions, there were still issues in timing and student comprehension. From a student's point of view, while many (60%) reported feeling uncomfortable during lessons, a greater majority (80%) reported learning something from the sessions. Conclusion: DE was a crucial piece of the pilot sessions and revision process despite any limitations. A user-focused and adaptable evaluation generated greater opportunities for positive change within the curriculum and its delivery.


Asunto(s)
Curriculum , Humanos , Texas , Femenino , Proyectos Piloto , Adolescente , Masculino , Pubertad , Evaluación de Programas y Proyectos de Salud , Niño
2.
MedEdPORTAL ; 20: 11442, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39355803

RESUMEN

Introduction: The technological revolution has narrowed the information gap between physician and patient. This has led to an evolution in medicine from paternalistic to patient-centric, with health care systems now prioritizing patient experience to achieve higher satisfaction scores. Therefore, it is imperative to start early in educating trainees on how to best address the holistic needs of the patient while also delivering high-quality care. Methods: We implemented a 1-hour workshop that was repeated weekly over 8 weeks to capture all internal medicine residents in our program. During the workshop, we reviewed the historical evolution of patient care from paternalistic to patient-centered, presented the Hospital Consumer Assessment of Healthcare Providers and Systems survey questions, and discussed evidence-based strategies for physicians to improve their patients' experience utilizing four case-based scenarios. Results: Over the 8-week period, a total of 195 residents participated in the workshop. One hundred thirty-nine residents (71%) completed the pre- and postsession survey. Results demonstrated significant knowledge improvement (p < .001) in all of the topics discussed. Additionally, the majority of residents felt the workshop would be useful in their clinical practice and found the clinical scenarios useful. Discussion: Given the evolution towards patient-centered care, it is important to take a proactive approach in providing residents with the tools to best address their patients' needs. Early understanding of patient satisfaction surveys and the impacts they have on hospital metrics can help trainees in their careers as practicing physicians.


Asunto(s)
Medicina Interna , Internado y Residencia , Humanos , Medicina Interna/educación , Internado y Residencia/métodos , Encuestas y Cuestionarios , Atención Dirigida al Paciente , Satisfacción del Paciente , Educación/métodos , Curriculum
3.
J Addict Nurs ; 35(3): 146-155, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39356587

RESUMEN

PROBLEM STATEMENT: Substance use disorder (SUD)-and more specifically opioid use disorder-is a national epidemic. With the increasing amounts of people suffering from SUD, all healthcare professionals should be educated to identify substance abuse, provide a brief intervention, and refer patients for treatment when indicated. PURPOSE: The purpose of this project is to integrate the SBIRT into the curriculum of a graduate-level family nurse practitioner (FNP) program in southeastern Pennsylvania and to determine if educating FNP students on the SBIRT process increases their knowledge of SUDs and their treatment and increases their motivation to work with patients with SUD. MEASUREMENTS: The measurements used were as follows: shortened Alcohol and Alcohol Problems Perception Questionnaire (S-AAPPQ), shortened Drug and Drug Problems Perception Questionnaire (S-DDPPQ), a 10-question knowledge test, and demographic data. RESULTS: All subscales of the S-DDPPQ, the S-AAPPQ, and the knowledge test showed a statistically significant change from the pretest score means and to posttest means. This evidence-based practice project supports the integration of SBIRT education into FNP programs to increase their ability to identify and treat individuals with SUDs.


Asunto(s)
Curriculum , Enfermeras de Familia , Derivación y Consulta , Trastornos Relacionados con Sustancias , Humanos , Trastornos Relacionados con Sustancias/enfermería , Trastornos Relacionados con Sustancias/diagnóstico , Femenino , Masculino , Adulto , Pennsylvania , Enfermeras de Familia/educación , Tamizaje Masivo , Persona de Mediana Edad , Encuestas y Cuestionarios , Práctica Clínica Basada en la Evidencia , Educación de Postgrado en Enfermería , Trastornos Relacionados con Opioides/enfermería , Trastornos Relacionados con Opioides/diagnóstico
4.
J Am Coll Cardiol ; 84(15): 1436-1454, 2024 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-39357941

RESUMEN

This consensus statement emerges from collaborative efforts among leading figures in critical care cardiology throughout the United States, who met to share their collective expertise on issues faced by those active in or pursuing contemporary critical care cardiology education. The panel applied fundamentals of adult education and curriculum design, reviewed requisite training necessary to provide high-quality care to critically ill patients with cardiac pathology, and devoted attention to a purposeful approach emphasizing diversity, equity, and inclusion in developing this nascent field. The resulting paper offers a comprehensive guide for current trainees, with insights about the present landscape of critical care cardiology while highlighting issues that need to be addressed for continued advancement. By delineating future directions with careful consideration and intentionality, this Expert Panel aims to facilitate the continued growth and maturation of critical care cardiology education and practice.


Asunto(s)
Cardiología , Cuidados Críticos , Cardiología/educación , Humanos , Cuidados Críticos/normas , Estados Unidos , Curriculum , Minnesota , Educación de Postgrado en Medicina/métodos
5.
BMC Med Educ ; 24(1): 1074, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39350224

RESUMEN

PURPOSE: Diagnosing and treating obstructive sleep apnea (OSA) requires fundamental understanding of sleep medicine, including training and clinical experience. So far, dental sleep medicine (DSM) has not yet become a mandatory part of dental education in Germany. This questionnaire-based survey for both lecturers and students aimed to evaluate DSM education among undergraduate students. METHODS: A structured questionnaire was sent to the managing directors and student councils of all 30 German university dental schools. The questionnaire contained 13 questions on teaching quantity and content, lecturers' knowledge, and future interest in DSM. For each university dental school, only one questionnaire should be completed by the student council and the managing director. A scoring system assessed lecturers' knowledge based on clinical experience and qualifications. Descriptive data and correlation coefficients were calculated (P < 0.05). RESULTS: The responses of 24 lecturers (80%) and 28 students (93.3%) could be evaluated. DSM was reported to be included in the curriculum by 14 lecturers (58.3%) and 4 students (14.3%). Mean teaching hours per semester were 1.4 ± 1.4 h (lecturers) and 0.2 ± 0.6 h (students) accordingly. Greater knowledge of lecturers in DSM was positively correlated with the inclusion of DSM in the curriculum (P = 0.022) and with the number of teaching hours per semester (P = 0.001). CONCLUSION: Postgraduate education and incorporating DSM knowledge into undergraduate education ("Teach the Teacher") seems to play a key role in fundamentally training future dentists in this field.


Asunto(s)
Curriculum , Educación en Odontología , Facultades de Odontología , Medicina del Sueño , Humanos , Alemania , Encuestas y Cuestionarios , Educación en Odontología/métodos , Medicina del Sueño/educación , Estudiantes de Odontología/estadística & datos numéricos , Masculino , Femenino , Enseñanza
6.
Health Res Policy Syst ; 22(1): 136, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39350233

RESUMEN

BACKGROUND: In light of the multi-faceted challenges confronting health systems worldwide and the imperative to advance towards development goals, the contribution of health policy graduates is of paramount importance, facilitating the attainment of health and well-being objectives. This paper delineates a set of core skills and competencies that are requisite for health policy graduates, with the objective of preparing these graduates for a spectrum of future roles, including both academic and non-academic positions. METHODS: The study was conducted in three phases: a scoping review, qualitative interviews and the validation of identified competencies through brainstorming with experts. In the initial phase, a scoping review was conducted on the databases. The following databases were searched: PubMed, Scopus, Web of Science and Google Scholar search engine. Additionally, the WebPages of universities offering health policy programmes were manually searched. In the second phase, 36 semi-structured interviews were conducted with students, graduates and distinguished academics from Iran and other countries. These interviews were conducted in person or via email. In the third phase, the draft version of the competencies and their associated learning objectives, derived from the preceding stages, was subjected to independent review by an expert panel and subsequently discussed. In light of the expert panel's findings, the authors undertook a subsequent revision of the list, leading to the finalization of the core competencies through a process of consensus. RESULTS: In the scoping review phase, the analysis included six studies and nine university curricula. The results of the scoping review could be classified into five domains: health system understanding, health policy research, knowledge translation, multidisciplinary work and knowledge of public health. In the second phase, six core competencies were extracted from the interviews and combined with the results of the first phase, which were then discussed by the expert panel at the third phase. The final five core competencies, derived from the brainstorming session and presented in no particular order, encompass health policy research, policy analysis, educational competencies, decision-making and multidisciplinary work. CONCLUSIONS: It is essential that the curriculum is appropriate and contextually tailored, as this is crucial to foster multi-dimensional competencies that complement the specific disciplines of future health policy scholars. These scholars must possess the ability to genuinely serve their health systems towards achieving health-system goals and sustainable development.


Asunto(s)
Consenso , Política de Salud , Competencia Profesional , Humanos , Competencia Profesional/normas , Irán , Investigación Cualitativa , Personal Administrativo , Curriculum
7.
BMC Med Educ ; 24(1): 1077, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39350241

RESUMEN

BACKGROUND: The general education course, Oral Science, has been offered by Guanghua School of Stomatology, Sun Yat-sen University for many years in order to improve students' knowledge of oral health. Information about the oral health knowledge, status, and behaviors among undergraduates who had taken Oral Science was collected to evaluate the impact of this course, and to provide a basis for further improvement of the course teaching quality. METHODS: Undergraduates taking Oral Science as an elective course were selected as the research subjects. The research time is the second semester of the 2022 academic year, from February 2023 to June 2023. Undergraduates who had not taken the course served as the control group. To investigate the oral health knowledge, status, and behaviors among undergraduate students who have taken the general education course of Oral Science, course students and non-course students were asked to fill out the same questionnaire at both the beginning and end of semester. The answer scores and accuracy of these two groups were compared and analyzed. Before and after the first lesson, and at the end of the semester, course students were asked to fill out the same oral knowledge questionnaire. Another questionnaire was released in week 10 to collect the data of the course students' oral health status and behaviors. The control group completed the same oral knowledge questionnaire at the beginning and end of the semester, respectively. SPSS 20.0 statistical software was used to analyze the data. Statistical significance level was set at 0.05 for all tests. RESULTS: At the beginning of the semester, there was no significant difference in the accuracy of the 16 questions nor the scores between two groups (P > 0.05). After one semester of learning, the accuracy of the 16 questions answered by the course students at the end of the semester was significantly higher (P < 0.05), as well as the score of the course students. CONCLUSION: The general education course of Oral Science can significantly improve undergraduates' general knowledge of dentistry and effectively improve their oral hygiene behavior.


Asunto(s)
Curriculum , Conocimientos, Actitudes y Práctica en Salud , Salud Bucal , Humanos , Salud Bucal/educación , Encuestas y Cuestionarios , Femenino , Masculino , Adulto Joven , Educación en Odontología/métodos
8.
JMIR Med Educ ; 10: e57077, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39353186

RESUMEN

BACKGROUND: Limited digital literacy is a barrier for vulnerable patients accessing health care. OBJECTIVE: The Stanford Technology Access Resource Team (START), a service-learning course created to bridge the telehealth digital divide, trained undergraduate and graduate students to provide hands-on patient support to improve access to electronic medical records (EMRs) and video visits while learning about social determinants of health. METHODS: START students reached out to 1185 patients (n=711, 60% from primary care clinics of a large academic medical center and n=474, 40% from a federally qualified health center). Registries consisted of patients without an EMR account (at primary care clinics) or patients with a scheduled telehealth visit (at a federally qualified health center). Patient outcomes were evaluated by successful EMR enrollments and video visit setups. Student outcomes were assessed by reflections coded for thematic content. RESULTS: Over 6 academic quarters, 57 students reached out to 1185 registry patients. Of the 229 patients contacted, 141 desired technical support. START students successfully established EMR accounts and set up video visits for 78.7% (111/141) of patients. After program completion, we reached out to 13.5% (19/141) of patients to collect perspectives on program utility. The majority (18/19, 94.7%) reported that START students were helpful, and 73.7% (14/19) reported that they had successfully connected with their health care provider in a digital visit. Inability to establish access included a lack of Wi-Fi or device access, the absence of an interpreter, and a disability that precluded the use of video visits. Qualitative analysis of student reflections showed an impact on future career goals and improved awareness of health disparities of technology access. CONCLUSIONS: Of the patients who desired telehealth access, START improved access for 78.7% (111/141) of patients. Students found that START broadened their understanding of health disparities and social determinants of health and influenced their future career goals.


Asunto(s)
Brecha Digital , Telemedicina , Humanos , Femenino , Masculino , Disparidades en Atención de Salud , Registros Electrónicos de Salud , Accesibilidad a los Servicios de Salud , Curriculum , Adulto
9.
South Med J ; 117(10): 612-616, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39366688

RESUMEN

OBJECTIVES: Teaching medical students about biases in health care poses challenges due to the complexity of modifying preexisting beliefs and the possibility of triggering strong emotional reactions. Narrative medicine fosters reflection and discussion among healthcare providers, and visual thinking strategies (VTS) enable providers to improve diagnostic ability through close and methodical examination of art. This study investigated the effectiveness of a session integrating narrative medicine and VTS to enhance third-year medical students' understanding of bias in health care. METHODS: A 90-minute "Narrative Medicine Rounds" session was implemented in the Family Medicine clerkship for all third-year medical students in the Florida International University Herbert Wertheim College of Medicine class of 2024. The session included a faculty-facilitated discussion of Robert Colescott's painting Emergency Room, an overview of narrative medicine principles, and a sharing of student narratives related to bias experienced in the healthcare setting. After the session, students wrote and submitted their narrative essays. Students also completed an anonymous, optional, computer-based evaluation with Likert-type and free-response questions. Likert questions were analyzed using descriptive statistics. For the short-answer questions, teams of two researchers (D.G. and S.E.S., E.E. and M.S.) analyzed responses for themes and subthemes, met to reach consensus on a codebook through discussion, and recoded data as needed until frequencies of themes were mutually determined. RESULTS: Of 101 students, 87 (86%) provided responses to the Likert questions. Seventy percent of respondents agreed that Robert Colescott's Emergency Room was a useful tool for discussing bias in medicine, whereas 25% were neutral. Fifty-one percent of respondents agreed that the session enhanced their understanding of bias in patient care, with 33% being neutral. Forty-seven percent of respondents agreed that the session made them more familiar with narrative medicine as a tool that they can use in patient care, with 28% being neutral. Students identified five themes for recognizing bias: empathy (16%), self-reflection (60%), active listening (17%), communication (13%), and education (7%). When addressing bias, students outlined five strategies: drawing from personal experiences (1%), self-reflection (64%), communication (29%), education (15%), and advocacy (26%). CONCLUSIONS: Combining narrative medicine and VTS in a single session offers a promising approach for discussing bias in healthcare education. Through reflective experiences and art interpretation, students demonstrated an awareness of often interconnected strategies to identify and mitigate bias while caring for patients. Future next steps for this study involve exploring longitudinal impacts and integrating narrative medicine strategies throughout the medical school curriculum.


Asunto(s)
Educación de Pregrado en Medicina , Medicina Narrativa , Estudiantes de Medicina , Humanos , Medicina Narrativa/métodos , Estudiantes de Medicina/psicología , Educación de Pregrado en Medicina/métodos , Curriculum , Sesgo , Narración
11.
BMC Res Notes ; 17(1): 285, 2024 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-39358753

RESUMEN

OBJECTIVE: This study examined the impact of a short-term study abroad program, focusing on program evaluation, attendee satisfaction, and acquired knowledge and skills. A questionnaire survey was conducted covering various aspects including demographics, program evaluation, and feedback. RESULTS: Results indicated higher female participation due to gender imbalances in pharmacy students in Egypt, with senior students recognizing the value of international experience. Attendee satisfaction was high, with positive feedback on accommodation, tours, and workshop materials. Field visits and workshops provided valuable experiential learning, with attendees suggesting extending the program's duration. The program equipped attendees with knowledge and skills relevant to pharmaceutical products and services, leading to improved competences and perceptions. The study concludes that such study abroad experiences profoundly impact personal growth and recommends integrating them into educational curricula for valuable experiences.


Asunto(s)
Educación en Farmacia , Evaluación de Programas y Proyectos de Salud , Estudiantes de Farmacia , Humanos , Estudiantes de Farmacia/estadística & datos numéricos , Estudiantes de Farmacia/psicología , Femenino , Masculino , Evaluación de Programas y Proyectos de Salud/métodos , Educación en Farmacia/métodos , Egipto , Encuestas y Cuestionarios , Adulto , Curriculum , Adulto Joven , Intercambio Educacional Internacional
12.
PLoS One ; 19(10): e0307939, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39361669

RESUMEN

INTRODUCTION: The pursuit of Equity, Diversity and Inclusion (EDI) in healthcare education has garnered significant attention in recent years, reflecting a broader societal imperative for equitable healthcare delivery. However, existing curricula within geriatric healthcare education may not adequately address these diverse needs within their educational frameworks, inadvertently resulting in disparities in care delivery and outcomes. Within the realm of geriatric healthcare, addressing EDI is particularly crucial due to the diverse needs of older adult populations and the imperative for healthcare professionals to deliver culturally humble care. This review provides a comprehensive overview of strategies and curricular strategies, actions and/or initiatives to promote EDI within geriatric healthcare professional education. METHODS: This paper presents a protocol for a forthcoming scoping review. The methodology for this scoping review adheres to the framework outlined in the Joanna Briggs Institute (JBI) Manual, encompassing four main stages: (1) formulation of a search strategy, (2) screening and selection of evidence, (3) data extraction, and (4) analysis. We will conduct a comprehensive search of peer-reviewed and empirical literature. Additionally, we will explore the reference lists of included studies to identify any relevant sources. The synthesis of findings will be conducted through a narrative approach. Reporting of the methods and results will adhere to the guidelines provided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). DISCUSSION: Healthcare professionals must possess the knowledge, skills, and attitudes necessary to deliver culturally humble care that respects and responds to diverse older adults' unique needs and preferences. The review aims to fill a crucial gap in the literature by providing a comprehensive overview of strategies and curricular interventions designed to promote EDI within geriatric healthcare professional education. By mapping these strategies, actions and/or initiatives, the review seeks to identify trends, challenges, and opportunities for advancing EDI within geriatric care. The forthcoming review serves as a call to action for educators, healthcare institutions, and decision makers to prioritize EDI within geriatric healthcare education. The review identifies effective strategies and interventions for promoting EDI, providing actionable insights to inform the development of inclusive curricula, training programs, and institutional policies, which can contribute to cultivating a healthcare workforce better equipped to address the complex and evolving needs of aging populations equitably and compassionately.


Asunto(s)
Diversidad Cultural , Curriculum , Geriatría , Personal de Salud , Humanos , Geriatría/educación , Personal de Salud/educación , Atención a la Salud
13.
Front Public Health ; 12: 1418494, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39363985

RESUMEN

Introduction: The rise of emerging public health threats has increased the need for qualified epidemiologists in Canada. Our study aimed to identify the knowledge, skills, and abilities (KSAs) required of epidemiologists entering the workforce and determine whether these align with those taught in graduate epidemiology programs. Methods: An inductive content analysis of Canadian job postings from May to December 2023 containing the keyword "epidemiology" and requiring master's degrees in epidemiology or related fields was conducted to identify the KSAs required in the workforce. Inductive content analysis of Master of Science (MSc) program descriptions and core course descriptions was completed to discern skills gained through Canadian graduate epidemiology and public health programs. Results: Based on the 295 job postings analyzed, five KSA categories were identified: communication skills (n = 268, 90.8%), analytical skills (n = 267, 90.5%), soft skills (n = 254, 86.1%), research methodology (n = 217, 73.6%), and knowledge of epidemiological concepts (n = 170, 57.6%). Analysis of 18 MSc programs found that that all of them described analytical skills, research methodology, and epidemiological concepts within their curriculum. Communication skills were described in 94.4% (n = 17) of programs, while soft skills were mentioned in 50.0% (n = 9). However, only 66.7% (n = 12) of programs outlined learning objectives or specified the skills acquired from their programs in their descriptions. Conclusion: There was alignment between the needs of the Canadian epidemiology job market and MSc programs, particularly in analytical skills and research methodology. However, development of soft skills should be emphasized within graduate epidemiology programs to better prepare graduates for the job market. Future research should aim to develop competency statements for epidemiologists in training to ensure consistency across graduate programs and promote career readiness.


Asunto(s)
Educación de Postgrado , Epidemiólogos , Canadá , Humanos , Epidemiólogos/educación , Competencia Profesional , Epidemiología/educación , Curriculum
14.
J Contin Educ Nurs ; 55(10): 464-466, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39366000

RESUMEN

Transition to practice programs, like many other educational programs, are scrutinized by organizations to demonstrate value to the organization in exchange for precious human and financial resources. By developing quality outcome measures aligned to the organizational strategy, transition to practice leaders can optimize support and ensure sustainability. [J Contin Educ Nurs. 2024;55(10):464-466.].


Asunto(s)
Educación Continua en Enfermería , Humanos , Masculino , Educación Continua en Enfermería/organización & administración , Educación Continua en Enfermería/normas , Femenino , Adulto , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud , Curriculum , Evaluación de Resultado en la Atención de Salud/normas , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/normas
15.
Med Educ Online ; 29(1): 2379629, 2024 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-39350696

RESUMEN

BACKGROUND: The Transformative Care Continuum (TCC) emerged in 2018 at Ohio University's Heritage College of Osteopathic Medicine, combining a three-year medical education track with a three-year family medicine residency. TCC aligns evolving family physician roles through the Kern model, AMA's Master Adaptive Learner model, Health Systems Science Training, and Kirkpatrick's evaluation model. METHODS: The TCC curriculum emphasizes intensive coaching, clinical encounter video evaluation, reflection, and case-log review. It fosters longitudinal clinical integration, community engagement, and a dynamic learning atmosphere. Students receive rigorous patient-centered communication training and engage in residency-based quality improvement projects, targeting care gap closure and community health in an accelerated 3-year program. OUTCOMES: Assessment of TCC graduates demonstrates advanced team communication, leadership, and project management skills, with entrustable professional activities (EPA) scores meeting or surpassing those of traditional program graduates. Projects led by students have yielded notable clinical enhancements, national recognition, and significant philanthropic funding for non-medical determinants of health. Finally, there is an overall increase in scholarly activity and leadership roles within the residency programs that have engaged these students. DISCUSSION: Lessons reveal intrinsic challenges and heightened academic demands for students and residency programs. Additional educational support for students may be necessary, though costly. Limitations in residency slots and faculty availability as student educators potentially hinder scalability. Ongoing faculty training, cultural support, and early integration of digital systems for curriculum management and evaluation are vital for success. Obtaining patient satisfaction, health outcomes, and program measures remains challenging due to privacy concerns and approval processes between institutions. CONCLUSION: Programs like TCC effectively prepare students for family physician leadership and change management roles through tailored learning, longitudinal experiences, health systems training, and addressing critiques of traditional medical education. Continuous feedback and robust communication strategies are essential for program improvement, fostering well-prepared family physicians committed to health system enhancement.


Asunto(s)
Curriculum , Medicina Familiar y Comunitaria , Internado y Residencia , Humanos , Medicina Familiar y Comunitaria/educación , Internado y Residencia/organización & administración , Rol del Médico , Atención Dirigida al Paciente/organización & administración , Continuidad de la Atención al Paciente/organización & administración , Liderazgo , Comunicación , Mejoramiento de la Calidad/organización & administración , Médicos de Familia/educación , Medicina Osteopática/educación
16.
BMC Med Educ ; 24(1): 1079, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39354485

RESUMEN

This study investigated the integration of online learning into complete denture rehabilitation (CDR) training for dental interns, highlighting its impact on their education and readiness for clinical practice. Given that CDR poses significant challenges due to its technical complexity and profound influence on patient well-being, online learning has emerged as a strategic educational tool to enhance interns' knowledge and skills. This research included the administration of a comprehensive questionnaire to 63 dental interns to assess their backgrounds, experiences with online learning, and attitudes toward its application in CDR education. The results revealed strong engagement with online learning, with a majority valuing its flexibility, accessibility, and capacity to facilitate self-paced, individualized learning. Despite the enthusiasm for online modalities, the results identified notable gaps in interns' confidence in and preparedness for performing CDR, highlighting the need for targeted improvements in online curriculum development. By emphasizing the essential role of innovative teaching methods, including virtual reality (VR), this study underscores the need for a balanced educational approach that combines traditional and digital platforms. This strategy aims to prepare future dental professionals for the complexities of modern clinical environments, ensuring that they are well equipped to meet the diverse needs of the edentulous population.


Asunto(s)
Dentadura Completa , Educación en Odontología , Educación a Distancia , Humanos , Educación en Odontología/métodos , Curriculum , Masculino , Femenino , Internado y Residencia , Encuestas y Cuestionarios , Competencia Clínica , Adulto , Actitud del Personal de Salud
17.
Med J Malaysia ; 79(5): 658-659, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39352169

RESUMEN

Presentation is a communication method to convey information within a specific time, involving judgment, decision-making and critical thinking. Incorporation of teaching- learning-assessment of presentation skills is essential in medical curriculum because medical education involves presentations such as case reports, seminar, and conferences. The presentation skills equip 'the future doctors' to be at par with the ever-advancing world of technology, artificial intelligence and globalisation. The presentations should involve effective constructive feedback to enhance the effectiveness of presentation skills in medical curriculum.


Asunto(s)
Anestesiología , Humanos , Anestesiología/educación , Curriculum , Enseñanza , Educación Médica/métodos
18.
MedEdPORTAL ; 20: 11448, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39371525

RESUMEN

Introduction: In busy clinical settings, there is limited time to teach physical examination (PE) and procedural skills, particularly when the traditional head-to-toe PE approach is time-consuming. Near-peer teaching of a more efficient approach, the hypothesis-driven PE (HDPE), increases students' learning opportunities. We developed a near-peer HDPE module to improve medical student confidence, knowledge, and skills for diagnosing and managing streptococcal pharyngitis. Methods: During this 1-hour module, residents taught the diagnostic approach for a patient with sore throat and facilitated small groups for practicing PE and throat swab skills. We assessed students using pre- and postmodule surveys including Likert-scale confidence scores (1 = not at all confident, 5= extremely confident), multiple-choice knowledge questions, and a skills rubric. A control group was surveyed at clerkship conclusion. Results: Of the 71 pediatric clerkship students who participated, 69 (97%) completed premodule surveys and 65 (91%) completed skills assessments. Twenty-eight (39%) completed postmodule surveys and skill assessments. After participation, students' survey responses and rubrics indicated significant increase in confidence (Mdn pre = 2 [IQR = 1,2], Mdn post = 4 [IQR = 4,5]; p < .001), knowledge (M pre = 40%, M post = 77%; p < .001), and skills (M pre = 5.3, M post = 7.5; p < .01). Participating students also had significantly higher confidence (p < .005) and knowledge (p < 0.01) compared to the control group. Discussion: This near-peer HDPE module improved students' knowledge, confidence, and skills related to streptococcal pharyngitis diagnosis and management and achieved compliance for a required clerkship skill.


Asunto(s)
Prácticas Clínicas , Competencia Clínica , Pediatría , Grupo Paritario , Faringitis , Examen Físico , Infecciones Estreptocócicas , Humanos , Pediatría/educación , Faringitis/diagnóstico , Faringitis/microbiología , Prácticas Clínicas/métodos , Examen Físico/métodos , Infecciones Estreptocócicas/diagnóstico , Evaluación Educacional/métodos , Encuestas y Cuestionarios , Estudiantes de Medicina/estadística & datos numéricos , Curriculum
19.
JMIR Med Educ ; 10: e64125, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39374073

RESUMEN

BACKGROUND: In the field of research, psychological safety has been widely recognized as a contributing factor to improving the quality of care and patient safety. However, its consideration in the curricula and traineeship pathways of residents and health care students is scarce. OBJECTIVE: This study aims to determine the extent to which health care trainees acquire psychological safety competencies during their internships in clinical settings and identify what measures can be taken to promote their learning. METHODS: A mixed methods observational study based on a consensus conference and an open-ended survey among a sample of health care trainee mentors from health care institutions in a pan-European context was conducted. First, we administered an ad hoc questionnaire to assess the perceived degree of acquisition or implementation and significance of competencies (knowledge, attitudes, and skills) and institutional interventions in psychological safety. Second, we asked mentors to propose measures to foster among trainees those competencies that, in the first phase of the study, obtained an average acquisition score of <3.4 (scale of 1-5). A content analysis of the information collected was carried out, and the spontaneity of each category and theme was determined. RESULTS: In total, 173 mentors from 11 pan-European countries completed the first questionnaire (response rate: 173/256, 67.6%), of which 63 (36.4%) participated in the second consultation. The competencies with the lowest acquisition level were related to warning a professional that their behavior posed a risk to the patient, managing their possible bad reaction, and offering support to a colleague who becomes a second victim. The mentors' proposals for improvement of this competency gap referred to training in communication skills and patient safety, safety culture, work climate, individual attitudes, a reference person for trainees, formal incorporation into the curricula of health care degrees and specialization pathways, specific systems and mechanisms to give trainees a voice, institutional risk management, regulations, guidelines and standards, supervision, and resources to support trainees. In terms of teaching methodology, the mentors recommended innovative strategies, many of them based on technological tools or solutions, including videos, seminars, lectures, workshops, simulation learning or role-playing with or without professional actors, case studies, videos with practical demonstrations or model situations, panel discussions, clinical sessions for joint analysis of patient safety incidents, and debriefings to set and discuss lessons learned. CONCLUSIONS: This study sought to promote psychological safety competencies as a formal part of the training of future health care professionals, facilitating the translation of international guidelines into practice and clinical settings in the pan-European context.


Asunto(s)
Competencia Clínica , Internado y Residencia , Mentores , Humanos , Mentores/psicología , Europa (Continente) , Encuestas y Cuestionarios , Competencia Clínica/normas , Femenino , Masculino , Seguridad del Paciente/normas , Adulto , Curriculum , Seguridad Psicológica
20.
CBE Life Sci Educ ; 23(4): ar47, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39374164

RESUMEN

Scientist Spotlights are homework assignments that highlight the personal and scientific stories of counterstereotypical scientists. Previous research has focused on whether these assignments promote possible selves in STEM (science, technology, engineering, mathematics). We sought to understand the value students themselves placed on the assignment using expectancy-value theory complemented by further analysis of the assignment's self-reported impacts on students. Therefore, at the end of an introductory biology course with several Scientist Spotlights, we asked students to reflect on how the course would influence them for years to come. We found that although the assignments had low instrumental value, 49% of students mentioned Scientist Spotlights or a highlighted scientist. Thematic analysis on the Scientist Spotlight-related parts of the reflections found novel emergent themes including diversity in science, humanizing scientists, and self-efficacy. Most students mentioned multiple themes, with few differences between students from minoritized and nonminoritized groups. We interpreted our results through the lens of the "mirrors, windows, and sliding glass doors" framework, as Scientist Spotlights appeared to function as "windows" into the diverse scientific world, "mirrors" for seeing human traits in scientists, and "sliding glass doors" inviting students further into science. Our study expands our understanding of the broad, multiple, and intersecting impacts of Scientist Spotlights.


Asunto(s)
Biología , Estudiantes , Humanos , Biología/educación , Femenino , Masculino , Ciencia/educación , Curriculum
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