Education Commons^™

Examining The Factor Structure Of A Subjective Well-Being Measure In A Medical Student Sample, Hoan Do, Mary Wurm-Schaar, Gordon Brooks

Mid-Western Educational Researcher

Accreditation standards for U.S. medical education programming require that training programs promote trainee wellness and well-being, although constructs such as psychological distress and depression commonly serve as proxies for well-being. A direct measure of subjective well-being would be invaluable to inform programming efforts to promote medical trainees’ well-being and advance the study of the well-being construct itself. This study investigated the structural validity of subjective well-being as measured by the Well-Being Scale in a sample of 548 osteopathic medical students. Results of the confirmatory factor analysis indicated that subjective well-being is best represented by a bifactor model with a general …

Development Of An Experiential Learning Lab Activity On Skeletal Muscle Physiology In Undergraduate Md Pre-Clerkship Curriculum, Meyer B. Maddox, Angela Martinez, Daniel Salinas, Kelsey Potter-Baker, Amin Shah

Research Symposium

Background: Experiential learning is an important part of the medical education curriculum. Due to the clinical relevance of skeletal muscle strength in evaluating patients’ complaints of muscle weakness or imbalance, skeletal muscle physiology is an important concept with extensive potential for experiential learning opportunities. Our goal was to establish an experiential learning skeletal muscle physiology lab activity that would improve undergraduate MD pre-clerkship students’ skill to collect muscle force measurements using a hand-held dynamometer (HHD) and understanding of core physiological concepts.

Methods: As part of the Musculoskeletal and Dermatology (MSKD) Module in the undergraduate MD pre-clerkship curriculum, we developed a …

Rapid (Reducing The Anxiety Of Patients In Interventional And Diagnostic) Radiologic Procedures: A Review Of The Literature, Unie Háng, Nathan Sim, Harika K. Bollineni, Arif Musa Md, Foaz Kayali Md, Roger Kakos Md, Monte Harvill Md, Ali Harb Md

Medical Student Research Symposium

Abstract Title: RAPID (Reducing the Anxiety of Patients in Interventional and Diagnostic) Radiologic Procedures: A Review of the Literature

Background: Pre-procedural anxiety is a prevalent concern that can be associated with negative effects for patients including perceived pain. Most interventional radiologic procedures are performed under local anesthesia with minimal sedation if any, which may not be sufficient in relaxing the patient. Effective patient education with appropriate pain management and anxiety control can improve comfort and can yield optimal post-procedural outcomes.

Methods: A search was done with the PubMed database for studies concerning patient anxiety in radiologic procedures. Search terms included, …

Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines Graduate Medical Education (GME) metrics in the Mountain West (Arizona, Colorado, Nevada, New Mexico, and Utah). The original report from the Association of American Medical Colleges (AAMC) includes data from all 50 states and includes measures of graduate medical education and the facilities needed to conduct graduate medical education. This fact sheet builds upon data previously published in fact sheets on Nevada medical residencies for the 2021, 2022, and 2023 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of …

Steps On Establishing A Faculty Development Curriculum For Health Science Educators In A New Medical School, Beatriz Tapia, Karina Madrigal, Robert Nelson

Research Colloquium

Purpose: New Medical Schools need health science educators, to teach throughout the medical education continuum from basic science to clinical years. The need to establish a defined faculty development curriculum for health science educators will aid in standardizing best teaching practices and build a potential master teacher to move the curriculum toward active learning and innovation. The UTRGV SoM is a distributed campus, to achieve increase outreach we will offer synchronous and asynchronous online faculty development during the pandemic. This poster will share our progress to date.

Methods: A pilot, faculty development program, was established from faculty needs assessment data, …

Exploring Physician Assistant Students' Perceptions Of Stress And Help Seeking Behavior, Kayla Cetrone

Educational Studies Dissertations

Physician Assistant (PA) students, similar to other students enrolled in medical education, experience a variety of stressors throughout their education and training that can inhibit their academic and clinical success and affect patient care outcomes. The purpose of this mixed-methods research study was to explore PA students' and alumni's perceived stressors, their experiences of the stressors, and the help-seeking behaviors they employ and perceive as useful to address them. Following an explanatory sequential design, all PA students and alumni (n = 288) from one program in the northeast were invited to complete an anonymous online survey assessing their perceptions and …

Combatting Abortion Misinformation And Disinformation In Medical Education, Jaya Prakash, Deborah Bartz

Feminist Pedagogy

Abstract Introduction: Although abortion has historically been federally legal, functional access to abortion care has been thwarted by inflammatory political discourse. Abortion misinformation and disinformation have been deliberately intertwined into political agendas and ideologies, widening the gap between the lay public’s perception of and patients’ lived experience with abortion care. The politicization of abortion care has adverse effects on its provision and training along lines of inequity and marginalization established by preexisting systems of oppression and structural violence. Critical feminist pedagogy—an examination of class, gender, and sexuality on patriarchal misrepresentations of abortion information—can guide medical students to recognize and combat …

Research Training And Certification Protocol For Medical Students, Michelle Arisleida Padley

Dissertations

Early and frequent exposure to research is imperative to initiating and sustaining long term for medical student research interest. The attitude and approach of physician mentors has been demonstrated to have a substantial effect on student perceptions of research involvement. The purpose of this study is to determine best practices for assessing student perceptions for a research certification program. An additional long-term objective is to utilize these findings to help maintain interest in research throughout their medical careers. Research is an essential aspect of the prestige of medical schools, and the benefits of academic research institutions have numerous facets, including …

Rethinking Assessment In Response To Generative Artificial Intelligence, Jacob Pearce, Neville Chiavaroli

Higher education research

The use of decision-making support tools during assessments, such as electronic differential diagnosis in examinations, is just the tip of the iceberg when it comes to how technology is currently changing assessment practice. We have reached a transformative stage in the development of artificial intelligence (AI). We can no longer rely on non-invigilated assessments and submitted ‘artefacts’ to demonstrate student learning and competence. This is bringing many long-term demands on educators, course coordinators and curriculum designers, forcing us to rethink assessment approaches. Going forward, we see an important distinction between ‘assisted’ assessments and ‘unassisted’ assessments. With the recent increase and …

Evaluating Healthcare Student Learning Performance During The Initial Year Of The Covid-19 Pandemic: A Case Study, Maria D. Garcia-Villarreal

Human Resource Development Theses and Dissertations

The COVID-19 pandemic caused a mass interruption to daily life lasting almost an entire academic year. Return to normalcy was hard won and phased over the following academic year. Neither time-period offered “traditional” learning experiences in academic institutions. The extent to which the operational shut-down affected academic institutions and their learners is just now beginning to be elucidated. Human resource development (HRD) is uniquely positioned to apply established and newly developed theories and applications to the study of this phenomenon. One particular case lends itself to observation. A major academic medical center launched a technology-driven state-of-the-art simulation education center mere …

The Monroe Method: A Methodology On Navigating Race, Oppression, And Equity In Medical Education Through Physician Cultural Responsibility, Christen D. Johnson

Antioch University Full-Text Dissertations & Theses

Many forms of oppression create barriers for health care, further health disparities, and impact the wellness of physicians. As health disparities, caused by the social determinants of health, complicate the practice of medicine, physicians’ risk of burnout increases. The practice of Physician Cultural Responsibility provides a means to overcome health disparities and support physicians while embracing the intersectionality of the populations they serve. Incorporation of Physician Cultural Responsibility into physician professional identity is essential for the practice to be life-long. As there is no standardized curriculum to address teaching the practice of Physician Cultural Responsibility, this study aims to evaluate …

Australian General Practice Training Program: National Report On The 2022 National Registrar Survey, Rebecca Taylor, Leyna Clarke, Ali Radloff

Higher education research

The Australian General Practice Training National Registrar Survey (AGPT NRS) is an annual, national survey of GP registrars currently training in the AGPT program. It collects information via an online questionnaire about registrar satisfaction, experience and future career plans. It also collects information about registrars’ demographics and training contexts and other aspects of their training experience. This survey is part of the Department of Health and Aged Care’s (the Department) monitoring and quality improvement activities. From June 27 until August 12, 2022, the Australian Council for Educational Research (ACER) administered the AGPT NRS to registrars enrolled in active training on …

Medicine Is Humbling, Victoria E. Coutin

be Still

As I near the last couple of months of third-year clinical rotations in medical school, this short letter represents my own reflection on the experiences this year that have shaped me.

During your third year of medical school, every month you may find yourself in a completely new environment. These were some of the thoughts that kept me grounded and helped me better integrate myself into each of these new environments.

Safe And Effective Prescribing With Dyslexia: A Collaborative Autoethnography, Sebastian C. K. Shaw, Michael Okorie, John L. Anderson

The Qualitative Report

Prescribing medicines is the most common patient-level intervention made by doctors in the United Kingdom. However, this is associated with a potential for harm. Whilst dyslexia can bring many strengths, it also impacts reading and writing abilities and therefore has the potential to contribute to errors in the prescribing process if dyslexic doctors are unsupported. This paper explores the experiences of Seb – regarding prescribing and prescribing education – as a dyslexic medical student and doctor. We hope that this might spark more research on this overlooked issue. This is a collaborative, analytic, autoethnographic study within an interpretivist paradigm. Firstly, …

Australian General Practice Training Program: National Report On The 2021 National Registrar Survey, Rebecca Taylor, Leyna Clarke, Ali Radloff

Higher education research

The Australian General Practice Training National Registrar Survey (AGPT NRS) is an annual, national survey of GP registrars currently training in the AGPT program. It collects information via an online questionnaire about registrar satisfaction, experience and future career plans. It also collects information about registrars’ demographics and training contexts and other aspects of their training experience. This survey is part of the Department of Health’s (the Department) monitoring and quality improvement activities. The information collected in the AGPT NRS can be used to assure the quality of training provision in the program, enables continuous improvement and allows responses to be …

Integrating Standardized Videos To Supplement The Clinical Physical Examination Curriculum In The First Year Of Medical School: An Assessment Of Medical Student And Osce Evaluator Perspective, Sarah E. Lehmann Ms4, Rebecca K. Glanzer Ms4, Brian Wallenburg Npr, Roy Mortinsen M.D.

Aesculapius Journal (Health Sciences & Medicine)

Background

Existing literature indicates medical students benefit from the utilization of multimedia tools to supplement traditional didactic curricula of physical examination technique, as well as the standardization of physical examination instruction.^{1 2} Although current literature supports the integration of standardized multimedia tools into the didactic curriculum, it lacks a detailed, reproducible integration model for other institutions to follow. Current literature also fails to assess the effect of multimedia tools on student well-being and largely ignores the educator perspective. This study aims to address the above discrepancies by demonstrating a practical approach to integrating supplemental videos into an existing curriculum …

Clinical Teaching And Learning In The Covid-19 Era And Beyond: The Emergent And Emerging Scenarios, Shashikala K. Bhat, Veena Manja, Vinutha Shankar, Shashikiran Umakanth

Manipal Journal of Medical Sciences

The need for social distancing due to the COVID-19 pandemic has compromised traditional medical education. Educators and students in low-resource settings face diverse challenges in clinical teaching, learning, and assessment. The pandemic has necessitated a rapid transition from traditional pedagogical strategies to virtual platforms. Challenges in low resource settings include knowledge and training in technology, limited resource allocation for faculty development in virtual teaching methods, and financial constraints limiting the use of available technologies. There is also a lack of constructive alignment between outcomes, instructional strategies, and assessment of curriculum delivery in virtual platforms as the earlier curriculum design was …

Coping With Medical School: An Interpretive Phenomenological Study, Sebastian C K Shaw, John L. Anderson

The Qualitative Report

Anecdotal evidence suggested that hopelessness and helplessness (HH) were often reported by undergraduate medical students. It is known that medical students are more susceptible to high levels of stress and depression than other student groups. There is currently concern about suicide rates in students and high drop-out rates in junior doctors. But what can be said of HH within this population? This study was aimed at eliciting medical students’ experiences of HH. An interpretive phenomenological approach was adopted. Participants were recruited from a single medical school. Loosely structured, audio-recorded interviews were carried out. Recordings were then transcribed verbatim, then underwent …

Australian General Practice Training Program: National Report On The 2020 National Registrar Survey, Rebecca Taylor, Leyna Clarke, Ali Radloff

Higher education research

The Australian General Practice Training National Registrar Survey (AGPT NRS) is an annual, national survey of GP registrars currently training in the AGPT program. It collects information via an online questionnaire about registrar satisfaction, experience and future career plans. It also collects information about registrars’ demographics and training contexts and other aspects of their training experience. This survey is part of the Department of Health’s (the Department) monitoring and quality improvement activities. From October 12 to December 9, 2020, the Australian Council for Educational Research (ACER) administered the AGPT NRS to registrars enrolled in active training on the AGPT program …

Other People’S Families: How Social Ties Shape Entrance Into The Medical Profession, Lillian Sims

Theses and Dissertations--Educational Policy Studies and Evaluation

Not enough members of low-income, rural, and minoritized populations are successfully prepared for and recruited into medical school, exacerbating issues of unequal access to healthcare and limiting access to the profession. While a multitude of factors contribute to this problem, early social exposure to others in a field can act as a key contributor to career interest and a key advantage for entering the profession. Meanwhile, students without early social exposure to healthcare may take unconventional paths to medical school or may struggle to fit into the unique culture of medicine when they do enter training, especially if they belong …

Personal Finance Skills Among Health Professionals: Piloting A Student-Led Finance Curriculum And A Review Of The Current Landscape, Jeremy Payne, Stephen Haller, Laura E. Flores, Jared Baxter, Walker Payton, Kari Nelson

Graduate Medical Education Research Journal

Introduction

Despite high costs of education, extended lengths of training, and rapidly increasing student debt, personal finance is an often-overlooked topic within professional school curricula. Due to the combination of high debt burden and poor financial literacy, professional students report low confidence and high stress regarding their personal finances. While some medical schools have begun to integrate financial education into their formal training, others provide little to no resources to combat this growing issue.

Methods

To address this gap and provide financial education opportunities, the Financial Development Club (FDC) was founded by students at the University of Nebraska Medical Center. …

Missed Opportunities For Hpv Vaccination Discussion Among Medical Trainees, Jahnavi Sunkara, Emily Noonan, Laura Weingartner

Undergraduate Research Events

MISSED OPPORTUNITIES FOR HPV VACCINATION DISCUSSION AMONG MEDICAL TRAINEES

Jahnavi Sunkara, BA Candidate; Emily J Noonan, Ph.D., M.A; Laura A. Weingartner, Ph.D., M.S.Abstract

BACKGROUND

Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and can cause serious health problems like genital warts and cancer. However, vaccination can prevent some of these issues. Although the CDC recommends that individuals between 9-26 years old should receive the HPV vaccine, catch-up vaccination until 45 years old is available upon further guidance from healthcare providers.

METHODS

Standardized patient (SP) encounters (n=28) were randomly sampled from 134 video recordings of …

A Curriculum Framework At Glsm, A Canadian Medical School, Jeff Bachiu

The Dissertation in Practice at Western University

Medical education has seen minor changes over the decades, but a dynamic movement towards competency-based medical education (CBME) has swept across the field in recent years. Organizing medical education curriculum to respond to these changes can be challenging due to many factors, in both content and context. The public rightly expects that graduating medical students be competent physicians, ready to deliver effective health care. This Organizational Improvement Plan (OIP) looks at a relatively new medical school’s lack of an outcomes-based curriculum framework. The Problem of Practice (PoP) is focused on the difficulty of moving the school toward the development of …

Building A Co-Curricular Wellness Program For Medical Students At A Canadian Medical School, Renea D. Leskie

The Dissertation in Practice at Western University

The increasing number of medical students who present with mental illness and burnout is becoming a very real challenge among medical schools nationally and globally, prompting a need for medical schools to address this very real problem. This Organizational Improvement Plan (OIP) seeks to help solve this problem by means of a co-curricular wellness program aimed at preventing mental illness and burnout from happening. Rather than being reactive as students self-identify as having a mental illness, this OIP argues for preventative measures that help to prevent mental illness and burnout from occurring at all.

Using a three-pronged leadership approach of …

A Career Eulogy Reflective Exercise: A View Into Early Professional Identity Formation, William Crump, R. Steve Fricker, Allison Crump-Rogers

Marshall Journal of Medicine

Introduction

Beginning medical students have a very early idea of what their physician identity will be. Providing a brief structured opportunity to reflect on the end of their career can be an important first step in identity formation.

Methods

A reflective exercise was used in the summer prior to beginning medical school as each class of students at a regional rural medical school began a summer prematriculation program from 2015-2019. Students wrote what they wished to be said about them at the end of their career using a “Career Eulogy.” Identifiers were removed and narratives were coded into recurring text …

How Do Health Systems Approach Patient Experience? Development Of An Innovative Elective Curriculum For Medical Students, Jordan Silberg Md, Michael Bennick Md, Ma, Agaf, Facp, Cpxp, Kelly Caverzagie Md, Facp, Fhm, Sarah Richards Md, Facp

Patient Experience Journal

Medical students currently learn about patient-centered care and practice communication skills via a variety of curricula. However, there is little in the published literature describing a standardized approach for training future physicians how health systems approach and work to improve patient experience. The [Anonymous1 and Anonymous2] Schools of Medicine designed a plan to pilot a two-week elective for medical students in their clinical years. The curriculum is designed to help students understand and appreciate the key elements of the patient experience across the continuum of care and prepare students to impact the patient experience either as a practicing physician and/or …

A Shift In Reality: Virtual And Augmented Systems In Higher And Medical Education, Brian Meyer

Current Issues in Emerging eLearning

Virtual and augmented technologies provide a seamless solution for merging traditional, theoretical learning with practical application in context. Unlike traditional teaching pedagogies, in which lessons are restricted in terms of the use of additional apparatus, pedagogies that involve the use of virtual and augmented reality technologies enable educators to build upon taught concepts to demonstrate the application of those concepts in practice, and allow educators to generate multiple atypical scenarios in order to build competence in practical fields of endeavour. In medical education, virtual and augmented reality tools provide an especially important opportunity for preparation before treating patients in actual …

The Clicker Study, Alex Brady, Daniel Mirsch, Do, Xiao C. Zhang, Md, Ms, Rishi Kalwani, Md, Phd, Zachary Risler, Md, Mph, Mark Magee, Md, Kelly Goodsell, Md, Resa E. Lewiss, Md, Arthur Au, Md, Dimitrios Papanagnou, Md

Phase 1

Purpose: A recent study in orthopedics showed that clicker-based learning was more effective than traditional feedback when teaching procedures. We sought to determine whether this principle is applicable to ultrasound skills.

Methods: Our prospective randomized control trial used a population of new ultrasound learners. Exclusion criteria included previous ultrasound experience of more than one hour. Students were shown an instructional video on the Focused Assessment with Sonography in Trauma (FAST) exam and randomized to receive clicker or scripted feedback. Each student performed the FAST exam once without feedback, then with either scripted or clicker-based feedback. They were timed and scored …

Developing An Online Critical Care Electroencephalography Curriculum For Epilepsy And Neurophysiology Fellows, Brooke Hancock, Anne Woehling, Nathanael Lee, Md, Connie Tang, Md, Allyson Pickard, Md, Andres Fernandez, Md

Phase 1

Purpose: This project aims to create an Electroencephalography (EEG) curriculum that synthesizes the teachings of current publications and faculty expertise within a single digital platform. The goal is to remedy the unmet need for a centralized resource for learners to use when learning EEG interpretation.

Methods: The target learner population is epilepsy and neurophysiology fellows. The platform will be accessible from any computer, tablet, or phone, allowing for mobile, self-paced learning to take place. To date, the curriculum outline has been designed with extensive literature review and collaboration from other institutions, and two pilot modules have been completed using the …

The Impact Of Socioeconomic Factors On Food Insecurity Among Syrian Refugees In Florida, Racha Sankar

FIU Electronic Theses and Dissertations

Syrian refugees settled in the United States may experience food insecurity due to different socioeconomic factors that may include nutrition knowledge, language proficiency, women’s education, and perceived stress. The structure and the type of households may also contribute to food insecurity in this population.

The objective of this study was to measure food security among Syrian refugees residing in Florida. It also aimed to determine the socioeconomic factors that may attribute to food insecurity at household level.

A comprehensive 228-item questionnaire was administered to N=80 households (n=43 in rural areas, n=37 in urban areas). Families with and without children were …