Digital Commons Network^™

Distance Learning Programs For Pathology Education, Bruce Fenderson, Anthony J. Frisby

Anthony J Frisby, PhD

In this article we describe the development of distance learning programs for pathology education at Thomas Jefferson University. Our first step was to create a one-credit computer lab for an existing graduate course (Pathologic Aspects of Disease, PA570). Students use this computer lab to review case studies, submit essays, and take weekly quizzes. A discussion board is used to publish student essays and provide a forum for class discussion. Examination scores and academic progress are reported online. Our second step was to add lectures to create a complete, three-credit distance learning course for pathology education. (Pathophysiology of Human Disease, NU570). …

An Operational Measure Of Physician Lifelong Learning: Its Development, Components And Preliminary Psychometric Data, Mohammadreza Hojat, Thomas J. Nasca, James B. Erdmann, Anthony J. Frisby, Jon J. Veloski, Joseph S. Gonnella

Anthony J Frisby, PhD

Despite the emphasis placed on physicians’ lifelong learning, no psychometrically sound instrument has been developed to provide an operational measure of the concept and its components among physicians. The authors designed this study to develop a tool for measuring physician lifelong learning, to identify its underlying components and to assess its psychometric properties. A 37-item questionnaire was developed, based on a review of literature and the results of two pilot studies. Psychometric analyses of the responses of 160 physicians identified 19 items that were included in the Jefferson Scale of Physician Lifelong Learning. Factor analysis of the 19 items showed …

Development And Evaluation Of An Interactive Multimedia Clinical Skills Teaching Program Designed For The Pediatric Clerkship., Anthony J. Frisby, Lindsey Lane, Anna M. Carr, Ellen Ross, Ruth P. Gottlieb

Anthony J Frisby, PhD

Background and Purpose: The physical examination section of a multimedia program developed to teach infant history and physical examination skills was evaluated. Methods: 71 students participated: one group viewed only the physical examination section (PX), one the history section (HX), one none of the program (CX). Physical examination skills were assessed by direct observation of medical students performing an abdominal exam and scored using a checklist at baseline, immediately after intervention and at the end of the pediatric clerkship. Results were analyzed using ANOVA with repeated measures. Results: Baseline scores were: PX 2.5; HX 2.8. The PX group scored significantly …

Using Computer-Based Case Studies For Developing Information Searching Skills And Implementing Evidence-Based Medicine In Patient Care Plans., Anthony J. Frisby, Daniel G. Kipnis

Anthony J Frisby, PhD

Since 1987 over 1,300 first year medical students at Jefferson Medical College in Philadelphia, PA have completed a required Medical Informatics course. This course is the responsibility of the Library’s Education Services division. Designed to develop information-searching skills and teach methods for evaluating evidence-based medicine, the course employs a combination of self-paced online tutorials and case studies. The case studies in particular have proven to be a very effective learning tool. Course evaluations are consistently positive, with comments citing the interesting case studies and the effectiveness and appropriateness of the teaching method. This chapter describes the case development process, presents …

Using World-Wide-Web Technology For Pathology Education, Anthony J. Frisby, Bruce Fenderson, Christopher D. Braster, Rodney B. Murray

Anthony J Frisby, PhD

In this article, we describe the development of computer-based learning programs for pathology students at Jefferson Medical College. These programs are authored using HTML (HyperText Markup Language), and are available to students on campus and via the internet. Our computer-based learning resources include scheduling information, course goals and objectives, glossary of key words, self-assessment programs and image-based case studies. These educational programs are popular with the students. We recommend the use of World Wide Web technology to improve teaching and learning in pathology education.

Rules Of Engagement: Residents' Perceptions Of The In-Training Evaluation Process, Christopher Watling, Cynthia Kenyon, Elaine Zibrowski, Valerie Schulz, Mark Goldszmidt, Indu Singh, Heather Maddocks, Lorelei Lingard

Lorelei Lingard

BACKGROUND: In-training evaluation reports (ITERs) often fall short of their goals of promoting resident learning and development. Efforts to address this problem through faculty development and assessment-instrument modification have been disappointing. The authors explored residents' experiences and perceptions of the ITER process to gain insight into why the process succeeds or fails.

METHOD: Using a grounded theory approach, semistructured interviews were conducted with 20 residents. Constant comparative analysis for emergent themes was conducted.

RESULTS: All residents identified aspects of "engagement" in the ITER process as the dominant influence on the success of ITERs. Both external (evaluator-driven, such as evaluator credibility) …

Point-Of-Care Assessment Of Medical Trainee Competence For Independent Clinical Work, Tara Kennedy, Glenn Regehr, G. Baker, Lorelei Lingard

Lorelei Lingard

BACKGROUND: Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific assessments of trainees' competence for independent clinical work.

METHOD: In Phase One, 88 teaching team members from internal and emergency medicine were observed during clinical activities (216 hours), and 65 participants completed brief interviews. In Phase Two, 36 in-depth interviews were conducted using video vignettes. Data collection and analysis employed grounded theory methodology.

RESULTS: Supervisors' assessments of trainee trustworthiness for independent clinical work involved consideration of four dimensions: knowledge/skill, discernment of limitations, truthfulness, and …

Know When To Rock The Boat: How Faculty Rationalize Students' Behaviors, Shiphra Ginsburg, Lorelei Lingard, Glenn Regehr, Kathryn Underwood

Lorelei Lingard

BACKGROUND: When faculty evaluate medical students' professionalism, they make judgments based on the observation of behaviors. However, we lack an understanding of why they feel certain behaviors are appropriate (or not).

OBJECTIVE: To explore faculty's reasoning around potential student behaviors in professionally challenging situations.

DESIGN: Guided interviews with faculty who were asked to respond to 5 videotaped scenarios depicting students in professionally challenging situations.

SUBJECTS: Purposive sample of 30 attending Internists and surgeons.

APPROACH: Transcripts were analyzed using modified grounded theory to search for emerging themes and to attempt to validate a previous framework based on student responses.

RESULTS: Faculty's …

Catalyzing And Sustaining Communities Of Collaboration Around Interprofessional Care: An Evaluation Of Four Educational Programs, Eileen Egan-Lee, Elisa Hollenberg, Dale Dematteo, Stasey Tobin, Ivy Oandasan, Mary-Agnes Beduz, Debbie Kwan, Karen Leslie, Jacques Lee, Maria Tassone, Jane Merkley, Lorelei Lingard, Lynne Sinclair, Mandy Lowe, Danny Nashman, Cate Creede, Doreen Day, Ivan Silver, Scott Reeves

Lorelei Lingard

No abstract provided.

Measuring Educational Workload: A Pilot Study Of Paper-Based And Pda Tools, Susan Tallett, Lorelei Lingard, Karen Leslie, Jonathan Pirie, Ann Jefferies, Lawrence Spero, Rayfel Schneider, Robert Hilliard, Jay Rosenfield, Jonathan Hellmann, Marcellina Mian, Jennifer Hurley

Lorelei Lingard

BACKGROUND: Teaching is an important professional role for most faculty members in academic health sciences centres. Careful delineation of educational workload is needed to foster and reward teaching efforts, and to facilitate equitable allocation of resources.

AIMS: To promote recognition in teaching and facilitate equitable resource allocation, we developed, piloted, and qualitatively assessed a tool for delineating the educational workload of pediatric faculty in an academic health sciences centre.

METHODS: A prototype educational workload measurement tool was developed. Between 2002 and 2004, three successive phases of pilot implementation were conducted to (1) assess the face validity of the tool, (2) …