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1.
South Med J ; 117(8): 483-488, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39094798

RESUMO

OBJECTIVES: Robust faculty development (FD) is an emerging area of focus within hospital medicine, a relatively new specialty with limited mentorship infrastructure to find and develop a professional niche. There are few descriptions in the literature of establishing and evaluating an FD program with strategies to evaluate success, invite collaboration, and achieve feasible, useful metrics. METHODS: We created our University Division of Hospital Medicine's FD Program to help community and academic hospitalist faculty fulfill professional goals in (and beyond) quality improvement, leadership, education, and clinical skills. We describe program development, initial implementation, and early evaluation results. We outline program roles and offerings such as professional development awards, lectures, and mentorship structures. RESULTS: Our program was successfully implemented, measured by engagement and participation via preliminary indicators suggesting programmatic effectiveness: faculty who applied for (and continued participation in) mentorship and faculty development awards and faculty who attended our lecture series. Since program implementation, faculty retention has increased, and percentages of faculty reporting they were likely to remain were stable, even during the coronavirus disease 2019 pandemic. Scholarly production increased and the number of division associate professors/professors grew from 2 in 2015 to 19 in 2024. CONCLUSIONS: Our experience can guide institutions seeking to support and encourage faculty professional development. Lessons learned include the importance of needs assessment and leadership commitment to meeting identified needs; how a steering committee can amplify the effectiveness and relevance of FD efforts; and the utility of multiple recognition strategies-quarterly newsletters, monthly clinical recognition, mentions on social media-to support and encourage faculty.


Assuntos
Docentes de Medicina , Médicos Hospitalares , Desenvolvimento de Programas , Desenvolvimento de Pessoal , Humanos , Docentes de Medicina/organização & administração , Desenvolvimento de Pessoal/métodos , Desenvolvimento de Pessoal/organização & administração , Desenvolvimento de Programas/métodos , Médicos Hospitalares/educação , Mentores , Sistemas Multi-Institucionais/organização & administração , Avaliação de Programas e Projetos de Saúde/métodos , COVID-19/epidemiologia , Liderança , Melhoria de Qualidade/organização & administração
2.
Natl Med J India ; 37(1): 35-38, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39096215

RESUMO

Current medical education and clinical practice has led to a need for advanced faculty development for medical teachers to effectively play the role of educators, researchers and administrators. There is large variability in the teaching programmes across countries, which range from a one-time activity to regularly scheduled workshops and seminars, to a highly advanced course spanning a few months to a year. Several healthcare institutes around the world offer faculty training programmes in health professions education, where the curriculum varies in design as they are developed and implemented by their own institutional body or education unit. Following a discussion of arena blended connected (ABC) learning design during a faculty training programme (Postgraduate Diploma in Health Professions Education) and the subsequent move towards an online approach to education due to the pandemic in 2019, the advisory faculty and students started to envision designing the already existing Postgraduate Diploma in Health Professions Education curriculum along the ABC model favouring blended and outcome-based education. Criteria were set for each topic with clearly defined learning levels to be implemented and the frequency of implementation. We describe the design and development of a curriculum for faculty development of health professions education using the ABC model.


Assuntos
Currículo , Docentes de Medicina , Humanos , Docentes de Medicina/educação , Ocupações em Saúde/educação , Modelos Educacionais , Desenvolvimento de Pessoal/métodos , Desenvolvimento de Pessoal/organização & administração , Educação a Distância/métodos , Educação a Distância/organização & administração , Índia , Desenvolvimento de Programas
3.
J Pak Med Assoc ; 74(8): 1418-1422, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39160706

RESUMO

OBJECTIVE: To identify key factors influencing academic job satisfaction among faculty members of private medical colleges in an urban setting. METHODS: The cross-sectional, quantitative study was conducted from October to November 2021 at the Department of Community Health Sciences, Fazaia Ruth Pfau Medical College, Karachi, and comprised faculty members associated with 13 private medical colleges in Karachi. Data was collected using a 32-item questionnaire that was scored on a 5-point Likert scale. Key predictors of job satisfaction were identified and evaluated. Data was analysed using SPSS version 23. RESULTS: Of the 200 subjects surveyed, 106(52.7%) were males. The overall mean age was 29.4±5.2 years. There were 145(72.5%) respondents who were married, 106(53%) had employed spouses, 102(51%) were either professors or associate professors, and 93(46.5%) had professional experience of 1-5 years. Three principal factors were identified; career growth opportunities, working conditions and compensatory packages (p<0.001). The lowest mean satisfaction score was observed for compensatory packages (1.74±0.84), followed by working conditions (2.28±1.41) and career growth (2.38±1.39). CONCLUSIONS: Improving compensatory packages, working conditions and career growth opportunities were found to be crucial for enhancing job satisfaction among faculty members in Karachi-based private medical colleges.


Assuntos
Docentes de Medicina , Satisfação no Emprego , Humanos , Paquistão , Masculino , Feminino , Adulto , Estudos Transversais , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Inquéritos e Questionários , Mobilidade Ocupacional , Faculdades de Medicina , Local de Trabalho/psicologia
4.
BMC Med Educ ; 24(1): 885, 2024 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-39152420

RESUMO

BACKGROUND: Research evidence suggests gender-based differences in the extent and experiences of academic leaders across the globe even in developed countries like USA, UK, and Canada. The under-representation is particularly common in higher education organizations, including medical and dental schools. The current study aimed to investigate gender-based distribution and explore leaders' experiences in the medical and dental institutes in a developing country, Pakistan. METHODS: A mixed-method approach was used. Gender-based distribution data of academic leaders in 28 colleges including 18 medical and 10 dental colleges of Khyber Pakhtunkhwa, Pakistan were collected. Qualitative data regarding the experiences of academic leaders (n = 10) was collected through semi-structured interviews followed by transcription and thematic analysis using standard procedures. RESULTS: Gender-based disparities exist across all institutes with the greatest differences among the top-rank leadership level (principals/deans) where 84.5% of the positions were occupied by males. The gender gap was relatively narrow at mid-level leadership positions reaching up to as high as > 40% of female leaders in medical/dental education. The qualitative analysis found gender-based differences in the experiences under four themes: leadership attributes, leadership journey, challenges, and support. CONCLUSIONS: The study showed that women are not only significantly under-represented in leadership positions in medical and dental colleges in Pakistan, they also face gender-based discrimination and struggling to maintain a decent work life balance. These findings are critical and can have important implications for government, organizations, human resource managers, and policymakers in terms of enacting laws, proposing regulations, and establishing support mechanisms to improve gender-based balance and help current and aspiring leaders in their leadership journey.


Assuntos
Docentes de Medicina , Liderança , Humanos , Paquistão , Feminino , Masculino , Pesquisa Qualitativa , Sexismo , Fatores Sexuais , Docentes de Odontologia , Faculdades de Medicina
5.
BMC Med Educ ; 24(1): 883, 2024 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-39152419

RESUMO

BACKGROUND: Education is an important part of the work of most doctors. Clinical preceptors act as role models and supervisors. Preceptors' quality of supervision strongly influences the learning quality of clinical interns (Bartlett et al. BMC Med Educ 20:165, 2020). To ensure a consistent approach to every preceptorship experience, the competency of clinical preceptors should be assessed to ensure that the desired outcomes are achieved. This study aims to evaluate clinical preceptors' competency in learner-centered teaching, to provide constructive feedback to develop the preceptors' competency and improve supervisory skills and internship quality at Kunming Medical University (KMU) in Kunming of China. METHODS: This is a cross-sectional study with a quantitative self-administered online questionnaire. The convenience sampling technique was employed. In the undergraduate internship stage of KMU, clinical preceptors (N = 340) and interns (N = 487) were invited to use the augmented Stanford Faculty Development Program questionnaire (SFDPQ) (Stalmeijer et al. Med Teach 30:e272-e277, 2008), to (self-) assess the preceptor's competency of learner-centered teaching on a five-point scale (1 = strongly disagree, 5 = strongly agree). RESULTS: Two hundred twenty-eight preceptors and two hundred thirty-six interns completed the questionnaire correctly. Overall, the assessment was positive, but the preceptors' self-assessment significantly higher than the interns' (p < 0.00). The overall mean of each category of preceptors' self-assessment was greater than 4.5, with no difference based on educational qualification. Male preceptors scored significantly higher in two categories than female preceptors. Preceptors under 30 years of age with less than 5 years of teaching experience rated "Teacher's knowledge and attitude" lower than those over 40 years of age with more than 5 years of experience (p < 0.05). There were statistically significant differences in the four categories across disciplines (p < 0.05). Undergraduate interns rated "Teachers' knowledge" as the highest category and "Learning climate" as the lowest, and interns of different genders are evaluated without distinction in all categories of SFDPQ. CONCLUSIONS: Employing the augmented SFDPQ to evaluate learner-centered teaching competency of clinical preceptors, offers potentially useful information for delivering constructive feedback. Combining self-evaluations with learner evaluation data can contribute to exploring preceptor competency development framework to guide them in targeted learner-centered teaching skill and acquisition and improvement, finally improving the overall quality of internships.


Assuntos
Competência Clínica , Docentes de Medicina , Preceptoria , Humanos , Estudos Transversais , Masculino , Feminino , Inquéritos e Questionários , Docentes de Medicina/educação , China , Adulto , Internato e Residência
6.
J Med Libr Assoc ; 112(2): 73-80, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-39119173

RESUMO

Objectives: This study aims to explore how health science faculty publication patterns at a large public research university have changed over time and examine how productivity relates to their information-seeking behavior and perception of the academic library. Methods: Two datasets were utilized: one consisted of publication records of health sciences faculty spanning a 15-year period, while the other was from a faculty survey exploring faculty's perception of and satisfaction with library resources and services related to their research. Results: Health sciences faculty publication patterns have changed over time, characterized by greater productivity, collaboration, and use of literature in their publications. Faculty's literature use correlates with productivity, as evidenced by both datasets. The survey revealed that faculty with more publications tend to rely more on online journals and Interlibrary Loan (ILL). Similarly, the publication data indicated that less productive faculty tended to use fewer references in their publications. Discussion: The publication data and survey results offer valuable insights into the health sciences faculty's information-seeking behavior and productivity. Online access to information has been effective in facilitating use of information, as indicated by the greater incorporation of references in publications. Conclusion: The study highlights the changing publication patterns and productivity of health sciences faculty, as well as the role academic libraries play in supporting their research and publishing activities. Although multiple variables influence faculty access to and use of information, faculty attitudes towards the library and use of the library are related to faculty research and productivity.


Assuntos
Comportamento de Busca de Informação , Humanos , Bibliotecas Médicas/estatística & dados numéricos , Editoração/estatística & dados numéricos , Docentes/estatística & dados numéricos , Docentes/psicologia , Feminino , Inquéritos e Questionários , Masculino , Docentes de Medicina/estatística & dados numéricos , Docentes de Medicina/psicologia
7.
Med Educ Online ; 29(1): 2385666, 2024 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-39097939

RESUMO

In this rapid communication, accelerated undergraduate medical education is examined using prior literature as well as experiences of those who have completed or are in the process of completing accelerated medical curricula. The Consortium of Accelerated Medical Pathway Programs (CAMPP) hosts an annual multi-institutional conference for all its members. During the meeting in July 2023, a virtual panel was convened from multiple constituent programs (N = 4) including medical students (N = 2), resident physicians (N = 4), and faculty (N = 2). Panel participants represented current learners or graduates from accelerated pathways of varying specialties (N = 5) to share firsthand experiences about acceleration to an audience representing over 25 medical schools. Five key themes were identified for accelerated students and trainees: Reduced debt as motivating factor to accelerate, Feeling prepared for residency, Ideal accelerated students are driven, Ability to form early professional relationships, and Less time for additional clinical experiences. Discourse from the CAMPP panel can inform current and developing accelerated programs at institutions looking to create or improve accelerated learning.


Assuntos
Currículo , Educação de Graduação em Medicina , Faculdades de Medicina , Estudantes de Medicina , Humanos , Educação de Graduação em Medicina/organização & administração , Faculdades de Medicina/organização & administração , Estudantes de Medicina/psicologia , Motivação , Internato e Residência/organização & administração , Apoio ao Desenvolvimento de Recursos Humanos , Docentes de Medicina/psicologia , Fatores de Tempo
8.
Can Med Educ J ; 15(3): 110-112, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39114772

RESUMO

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.


Le Resident Support Network (RSN) est un réseau formel de résidents et de professeurs de médecine, avec une formation et des ressources supplémentaires sur le bien-être des résidents. Les résidents peuvent s'adresser au RSN pour faire part de leurs préoccupations en matière de bien-être. Il vise à soutenir les résidents pendant une période de leur formation médicale qui est associée à des taux élevés d'épuisement professionnel. La mise en œuvre de stratégies individuelles et organisationnelles dans les programmes de résidence s'est avérée efficace pour réduire l'épuisement professionnel. Le RSN, dans le programme de résidence en pédiatrie de l'Université McMaster, a été mis en place en raison de la nécessité de combler les lacunes en matière de soutien au bien-être des résidents. La mise en œuvre d'un RSN apporterait probablement des avantages similaires aux résidents d'autres universités et spécialités en améliorant le bien-être des résidents.


Assuntos
Esgotamento Profissional , Internato e Residência , Humanos , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Médicos/psicologia , Apoio Social , Pediatria/educação , Docentes de Medicina/psicologia , Promoção da Saúde/métodos
9.
Can Med Educ J ; 15(3): 113-115, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39114785

RESUMO

Assessment of clinical teachers is a requirement by family medicine residency programs in Canada. This facilitates feedback to teachers and ensures the curriculum is delivered in an efficient and safe way. To protect resident confidentiality, preceptors often receive their teaching evaluations months to years later. Teachers have requested shorter feedback loops, greater numbers, and more frequent assessments to improve their skills. The preceptor field note (PFN) is a tool that allows learners to evaluate teachers during a single encounter providing more frequent and immediate feedback. This study documents teachers' and residents' initial impressions of the first iteration of the PFN.


L'évaluation des cliniciens enseignants est une exigence des programmes de résidence en médecine familiale au Canada. Elle procure une rétrtoaction aux enseignants et garantit que le programme d'études est dispensé de manière efficace et sûre. Pour protéger la confidentialité des résidents, les superviseurs reçoivent souvent les évaluations de leur enseignement des mois, voire des années plus tard. Les enseignants réclament des boucles de rétroaction plus courtes, et des évaluations plus nombreuses et plus fréquentes afin d'améliorer leurs compétences.La feuille de route du superviseur (FRS) est un outil qui permet aux apprenants d'évaluer les enseignants au cours d'une seule rencontre et de fournir une rétroaction plus fréquente et plus immédiate. Cette étude rend compte des premières impressions des enseignants et des résidents sur la première itération de la FRS.


Assuntos
Internato e Residência , Preceptoria , Humanos , Preceptoria/métodos , Pesquisa Qualitativa , Canadá , Docentes de Medicina/psicologia
10.
11.
BMC Med Educ ; 24(1): 879, 2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-39143503

RESUMO

BACKGROUND: United States rural community-based practices are increasingly participating in undergraduate and graduate medical education to train the workforce of the future, and are required or encouraged to provide academic appointments to physicians who have typically not held an academic appointment. Mechanisms to identify faculty and award academic appointments across an entire health system have not been reported. METHODS: Our rural community regional practice identified academic appointments as important for participating in medical education. Over a three-year period, our regional leadership organized a formal education committee that led a variety of administrative changes to promote the adoption of academic rank. Data on attainment of academic appointments was obtained from our Academic Appointment and Promotion Committee, and cross referenced with data from our regional human resources department using self-reported demographic data. RESULTS: We describe a successful adoption strategy for awarding academic rank in a rural regional practice in which the percentage of physician staff with academic rank increased from 41.1 to 92.8% over a 3-year period. CONCLUSIONS: Our experience shows that process changes can rapidly increase and then sustain academic appointments for physicians over time. More rural health systems may want to consider the use of academic rank to support educational programs while enhancing physician satisfaction, recruitment and retention.


Assuntos
Centros Médicos Acadêmicos , Serviços de Saúde Rural , Humanos , Centros Médicos Acadêmicos/organização & administração , Serviços de Saúde Rural/organização & administração , Estados Unidos , Docentes de Medicina
12.
BMC Med Educ ; 24(1): 862, 2024 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-39129023

RESUMO

BACKGROUND: Health professionals and health professions educators (HPEs) worldwide were confronted by the COVID-19 pandemic, which disrupted standard practice and forced HPEs to develop creative, alternative modes of training and education. The ability of people to work successfully and efficiently in non-standard situations can be called adaptive expertise in which people quickly overcome changes in work requirements using their expert knowledge in novel ways. The objectives of the current study were to investigate how the adaptive expertise of a group of HPEs influenced perceived work performance in a non-standard situation and to see whether there were relationships between the level of adaptive expertise and academic ranking and work experience of HPEs. METHODS: A descriptive, cross-sectional, single-site study was conducted using a self-reported study tool about adaptive expertise developed by Carbonell et al. (2016), and three questions were asked about participants' perceptions of work performance, amount of work done, and teaching quality. The sample consisted of HPEs from the University of Twente, Netherlands. RESULTS: Among 123 eligible participants, 40 individuals completed the survey. Kaiser-Meyer-Olkin and Bartlett's Test of Sphericity indicated the adequacy of the sample size (KMO = 0.633, P < 0.0001). Participants were lecturers, senior lecturers, assistant professors, associate professors and full professors. The average adaptive expertise score of the sample was 4.18 ± 0.57 on a scale from 1 (low) to 5 (high). The domain and innovative skills are the principal distinct dimensions of adaptive expertise among HPEs. Professors showed higher adaptive expertise scores than the other ranks. Statistically significant correlations were found between scores of adaptive expertise and perceived work performance (r = 0.41, p < 0.05 and academic ranking (r = 0.42, p < 0.05). Adaptive expertise scores were not associated with work experience or HPEs' age. CONCLUSIONS: Our finding of a lack of relationships between self-reported level of adaptive expertise and experience and age but significant relationships with work performance and academic ranking of HPEs suggests that adaptive expertise is not auto-generated or acquired with seniority and experience but is a 'mastery' that should be developed deliberately.


Assuntos
COVID-19 , Desempenho Profissional , Humanos , Estudos Transversais , COVID-19/epidemiologia , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Países Baixos , SARS-CoV-2 , Fatores Etários , Docentes de Medicina/psicologia , Competência Profissional/normas
13.
BMC Med Educ ; 24(1): 835, 2024 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-39095851

RESUMO

BACKGROUND: Medical universities often face the ongoing challenge of identifying and supporting at-risk students to enhance retention rates and academic success. This study explores a comprehensive analysis of perceived at-risk factors impeding academic and career aspirations and compares the perspectives of students and faculty in a medical school. METHODS: We focused on first and second-year medical (MBBS) students and teaching faculty in an international medical college offering a twinning program in India and Malaysia. Our investigation involved a comprehensive assessment of 25 at-risk factors through Likert-type questionnaires distributed to 250 MBBS students and 50 teaching faculty. RESULTS: Our findings revealed distinct disparities in perceptions between faculty and students regarding mean scores of classroom engagement (p = 0.017), procrastination (p = 0.001), unrealistic goals (p = 0.026), emotional/behavioral problems (p = 0.008), limited key social skills (p = 0.023), and a non-supportive home environment (p = 0.001). These differences underscore the need for increased communication and understanding between faculty and students to address these risk factors effectively. In contrast, no significant disparities were observed among faculty and students' perceptions concerning mean scores of various potential at-risk factors, including academic unpreparedness, cultural/language barriers, individual guidance/mentoring, limited communication skills, racism/sexism, self-confidence, self-respect, self-concept, motivation, underprepared for current academic challenges, self-discipline, negative social network, negative peer culture, transportation time, college financial cost, college evaluation culture bias, broken college relationships, teaching methodology, and learning disabilities. However, varying degrees of influence were perceived by faculty and students, suggesting the importance of individualized support. CONCLUSION: This study contributes to the academic community by shedding light on the multifaceted nature of at-risk factors influencing student success. It underscores the need for proactive measures and tailored interventions to enhance student retention in higher education and academic achievement, fostering a sustainable foundation for lifelong learning and growth.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Feminino , Masculino , Fatores de Risco , Malásia , Índia , Docentes de Medicina/psicologia , Sucesso Acadêmico , Inquéritos e Questionários , Adulto Jovem , Adulto
14.
J Am Board Fam Med ; 37(3): 497-501, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39142872

RESUMO

Academic medicine continues to characterize the experiences of Black and other minoritized faculty in medicine to enhance their careers and promote their advancement. An issue of discussion is tenure and its role in the advancement and retention of this group. Tenure is a sign of national presence, command of an area of study, and can demonstrate support from the institution in terms of permanent employment, eligibility to apply for awards, sit or vote on certain committees or qualify for certain leadership opportunities. Anecdotally there have been reports that tenure is a thing of the past that has lost relevance prompting some to end tenure in their institutions. Reasons for this are complex, however the literature does not include minoritized faculty as a reason for the need to revise or eliminate tenure and tenure earning tracks. The authors discuss 3 reasons why Black and other minoritized faculty should be afforded the opportunity to achieve permanent status in their academic health centers. They include histories of being denied freedom, having information concealed or being giving false information, and being denied permanent academic employment status.


Assuntos
Mobilidade Ocupacional , Docentes de Medicina , Humanos , Docentes de Medicina/estatística & dados numéricos , Centros Médicos Acadêmicos/organização & administração , Negro ou Afro-Americano/estatística & dados numéricos , Estados Unidos , Emprego , Racismo/prevenção & controle
15.
Arch Dermatol Res ; 316(8): 556, 2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39177703

RESUMO

Entrustable professional activities (EPAs) are units of professional practice that could be observed, assessed, monitored, documented, and entrusted. EPAs when entrusted, outline the physician's qualifications, and shape the scope of practice. This insight highlights the importance of development of EPAs in all medical specialties including dermatology to ensure the best standards for patient's care. Development of EPAs-based training program is considered a challenge for clinical educators. In this paper, we describe practical tips and reflections on our experience in developing EPAs in dermatology doctoral training program that could be a guide for dermatology educators to implement EPAs in dermatology training programs.


Assuntos
Competência Clínica , Dermatologia , Educação de Pós-Graduação em Medicina , Dermatologia/educação , Humanos , Educação de Pós-Graduação em Medicina/métodos , Currículo , Docentes de Medicina/educação
16.
BMC Med Educ ; 24(1): 887, 2024 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-39155387

RESUMO

BACKGROUND: Bedside teaching is an important modality for training medical students and postgraduate trainees in clinical settings. Despite its significance, the effective practice of Bedside teaching has been declining over the past few decades. The literature highlighted the need for structured training, assessment, and certification or in other words entrustment of bedside teachers. The current study aims to develop and validate the Entrustable Professional Activities (EPAs) for bedside clinical teachers. METHODS: A multi-method study with clinical teachers, medical educationists, and postgraduate medical students was conducted from July 2021-22. First, a nominal group using the jigsaw puzzle technique was conducted with 16 participants to identify EPAs. Then these EPAs were mapped and validated by the skills/competencies identified in the literature. Next, the EPAs were evaluated using the EQual rubric by 3 medical educationists. This was followed by two-rounds of modified Delphi to develop consensus among 90 participants in round-one and 69 in round-two. For qualitative data, a thematic analysis was conducted. For quantitative data, means and standard deviations were calculated. RESULTS: The study identified five EPAs for bedside clinical teachers: developing bedside teaching program, planning bedside teaching session, conducting bedside teaching, conducting bedside assessments and evaluating bedside teaching. CONCLUSIONS: This study comprehensively developed and validated a full description of EPAs for bedside clinical teachers. The EPAs identified in the study can serve as a guiding framework for bedside clinical teachers' training, assessment, and entrustment.


Assuntos
Competência Clínica , Docentes de Medicina , Humanos , Competência Clínica/normas , Educação Baseada em Competências , Estudantes de Medicina , Masculino , Feminino , Técnica Delphi , Educação de Pós-Graduação em Medicina/normas , Adulto
17.
BMC Med Educ ; 24(1): 896, 2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39160552

RESUMO

BACKGROUND: Dyscalculia is defined as a specific learning difference or neurodiversity. Despite a move within postgraduate medical education (PGME) towards promoting inclusivity and addressing differential attainment, dyscalculia remains an unexplored area. METHODS: Using an interpretivist, constructivist, qualitative methodology, this scoping study explores PGME educators' attitudes, understanding and perceived challenges of supporting doctors in training (DiT) with dyscalculia. Through purposive sampling, semi-structured interviews and reflexive thematic analysis, the stories of ten Wales-based PGME educators were explored. RESULTS: Multiple themes emerged relating to lack of educator knowledge, experience and identification of learners with dyscalculia. Participants' roles as educators and clinicians were inextricably linked, with PGME seen as deeply embedded in social interactions. Overall, a positive attitude towards doctors with dyscalculia underpinned the strongly DiT-centred approach to supporting learning, tempered by uncertainty over potential patient safety-related risks. Perceiving themselves as learners, educators saw the educator-learner relationship as a major learning route given the lack of dyscalculia training available, with experience leading to confidence. CONCLUSIONS: Overall, educators perceived a need for greater dyscalculia awareness, understanding and knowledge, pre-emptive training and evidence-based, feasible guidance introduction. Although methodological limitations are inherent, this study constructs novel, detailed understanding from educators relating to dyscalculia in PGME, providing a basis for future research.


Assuntos
Discalculia , Docentes de Medicina , Pesquisa Qualitativa , Humanos , Docentes de Medicina/psicologia , Educação de Pós-Graduação em Medicina , Atitude do Pessoal de Saúde , Masculino , Feminino , País de Gales
18.
J Grad Med Educ ; 16(4): 461-468, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39148879

RESUMO

Background Residents and fellows as educators (RFAE) programs typically focus on clinical teaching skills in single departments, which may not be sustainable for those with limited trainees or faculty. Objective To determine the feasibility and value of a 2-week interdepartmental RFAE elective for advanced teaching skill development and transition to practice as clinician educators. Methods Facilitated discussion, simulation, and critiqued peer presentations developed participants' skills in teaching, curriculum design, professional development, and scholarship. Assessments in this prospective intervention included 2 self-reported surveys addressing: (1) teaching process and motivation (Conceptions of Learning and Teaching [COLT]), and (2) skills and attitudes. We administered both surveys at baseline, immediate-post, and 3-month-post elective with data compared across time points using Kruskal-Wallis tests. Program evaluation comprised daily open-ended surveys on engagement and an end-of-course feedback survey. Results There were 79 participants from 2019 to 2023. Survey response rates were 84.8% (67 of 79) at baseline, 58.2% (46 of 79) immediate-post, and 51.9% (41 of 79) 3-month-post. Most participants were residents (89.9%, 71 of 79), female (60.8%, 48 of 79), from pediatrics and/or medicine departments (77.2%, 61 of 79), and in their final year of training (77.2%, 61 of 79). COLT factor orientation to professional practice scores increased in the immediate-post (3.3) compared to baseline (2.5) surveys (P=.008). Teaching skills attitudes scores increased for all questions in 3-month-post compared to baseline surveys. In open-ended questions, participants emphasized the importance of professional development sessions in guiding their careers toward medical education. Conclusions This interdepartmental elective was feasible, favorably received, and sustained over time, with observed changes in participants' teaching skills attitudes.


Assuntos
Currículo , Educação de Pós-Graduação em Medicina , Internato e Residência , Humanos , Feminino , Masculino , Estudos Prospectivos , Inquéritos e Questionários , Avaliação de Programas e Projetos de Saúde , Docentes de Medicina , Ensino , Competência Clínica , Adulto
19.
MedEdPORTAL ; 20: 11427, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39139985

RESUMO

Introduction: Language that assumes gender and sex are binary and aligned is pervasive in medicine and is often used when teaching on physiology and pathology. Information presented through this lens oversimplifies disease mechanisms and poorly addresses the health of gender and sexually diverse (GSD) individuals. We developed a training session to help faculty reference gender and sex in a manner that would be accurate and inclusive of GSD health. Methods: The 1-hour session for undergraduate and graduate medical educators highlighted cisgender and binary biases in medical teachings and introduced a getting-to-the-root mindset that prioritized teaching the processes underlying differences in disease profiles among gender and sex subpopulations. The training consisted of 30 minutes of didactic teaching and 20 minutes of small-group discussion. Medical education faculty attended and self-reported knowledge and awareness before and after the training. Results were compared using paired t tests. Expenses included fees for consultation and catering. Results: Forty faculty participated (pretraining survey n = 36, posttraining survey n = 21). After the training, there was a significant increase in self-reported awareness of the difference between gender and sex (p = .002), perceived relevance of gender to teachings (p = .04), and readiness to discuss physiological drivers of sex-linked disease (p = .005). Discussion: Participants reported increased understanding and consideration of gender and sex in medical education; feedback emphasized a desire for continued guidance. This easily adaptable session can provide an introduction to a series of medical teachings on gender and sex.


Assuntos
Docentes de Medicina , Humanos , Inquéritos e Questionários , Masculino , Feminino , Educação Médica/métodos , Identidade de Gênero , Adulto , Minorias Sexuais e de Gênero
20.
Cent Eur J Public Health ; 32(2): 137-142, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-39069318

RESUMO

OBJECTIVES: The Slovak Medical University (SMU) holds a unique position in the health education system in Slovakia. It has a direct connection to the health sector, allowing health education to reflect the actual needs in this field. Because of increasing importance of public health in the last decades, more attention must be given to disease prevention and the promotion of healthy lifestyles. We aim to highlight the main characteristics of health higher education at one of the specialized health universities in Slovakia, with a particular focus on public health and its practical impacts. METHODS: We analysed the available legal regulations for postgraduate studies in Slovakia and the officially valid documents of the Faculty of Public Health (FPH) and the Slovak Medical University in accordance with the accredited study programme in Public Health. Archived data from the Department of Science, Research, and Doctoral Studies of the Faculty over the past 10 years were used for the analysis of postgraduate studies (2013-2023). RESULTS: PhD studies in Slovakia are conducted in accordance with Act No. 131/2002 Coll. on Higher Education Institutions and on amendments to certain acts. There are two forms of PhD study in Slovakia: full-time and external. The evaluation of study results is based on the credit system. The doctoral study programme proceeds according to an individual study plan under the guidance of the advisor. The PhD study concludes with the defence of the dissertation, which serves as the final thesis. A total of 97 students have graduated at FPH SMU in Public Health in the last 10 years. The majority of graduates were females (68% vs. 32% males) and studied in the external form of study (80.4% vs. 19.6% in the full-time programme). The most frequent research topics at FPH SMU in the last 10 years included Epidemiology and Prevention of Non-communicable (21.7%) and Infectious Diseases (11.3%), Health Management and Policy (17.5%), Environmental Health (15.5%), as well as Occupational Health (13.4%). CONCLUSION: High-quality and innovative postgraduate education in public health plays a crucial role in this field, preparing experts for the public health services. From a quality perspective, it is substantial to share experiences with various study programmes across the European region, as well as with other universities. Graduates of the Faculty of Public Health are highly sought-after professionals with diverse career opportunities not only in Slovakia but also within the European Union, other countries, and various important international institutions.


Assuntos
Educação de Pós-Graduação , Saúde Pública , Eslováquia , Humanos , Feminino , Masculino , Docentes de Medicina , Faculdades de Saúde Pública/organização & administração , Universidades
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