Medicine and Health Sciences Commons^™

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 …

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 …

Understanding The Experiences Of Latino Medical Students In A Learning Medical Environment, Leslie García

Dissertations and Theses

Very little is known about the experiences and perceptions of underrepresented minority (URiM) medical students in the U.S. allopathic medical schools. The limited literature posits URiMs experience more adverse experiences in the learning environment and have different learning outcomes in comparison to their White peer counterparts. Latino medical students represent 7.1% of all entering medical students across all U.S. medical schools. While they represent the largest ethnic minority in the United States within parity lack representation among the physician workforce [sic]. There is a dearth of knowledge of what factors contribute to the success of Latino medical students progressing in …

Well-Being In Graduate Health Professions Education: Exploration Of Programmatic Interventions, The Student Experience, And Students’ Support Preferences, Katherine Schultz

Graduate Research Theses & Dissertations

Healthcare provider well-being is a growing area of professional concern. Beyond the negative impacts on the clinicians’ health, stress, burnout, and other manifestations of decreased clinician well-being can directly affect the quality of patient care. Research suggests that well-being concerns begin in graduate health professions education programs, during which students undergo rigorous academic and clinical training for future careers as clinicians. The aim of this study was to explore programmatic interventions to promote well-being in graduate health professions education and the students’ experiences of well-being while enrolled in graduate health professions programs.

This study was conducted across three phases. Phase …

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 …

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 …

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 …

Many Hands Make Light Work: Crowdsourced Ratings Of Medical Student Osce Performance, Mark Grichanik

USF Tampa Graduate Theses and Dissertations

Clinical skills are often measured using objective structured clinical examinations (OSCEs) in healthcare professions education programs. As with assessment centers, it is challenging to provide learners with effective feedback due to burdensome human capital demands. The aim of this dissertation was to evaluate the viability of using a crowdsourced system to gather OSCE ratings and feedback. Aggregating evaluations of student performance from a crowd of patient proxies has the potential to mitigate biases associated with single-rater evaluations, allow the patient a voice as the consumer of physician behavior, improve reliability, reduce costs, improve feedback latency, and help learners develop a …

Women In White: A Retrospective Look At Medical Education At One School Before Title Ix, Karen Clancy

Theses and Dissertations--Educational Policy Studies and Evaluation

The Women in White generation of women physicians who graduated from American medical schools between World War II and the enactment of Title IX were trailblazers. They successfully pursued and achieved physician careers during a time when doctoring was still considered “man’s work.” They helped to clear a path to a modern medical student culture where women and men had more choices.

In a 2008 oral history interview, Dr. Jacqueline Noonan, world-renowned pediatric cardiologist, discoverer of the congenital heart condition known as “Noonan Syndrome,” and the first woman appointed to a chairman role at the University of Kentucky College of …

Justice And Care: Decision Making Of Medical School Student Promotions Committees, Emily Paige Green

Educational Studies Dissertations

Accreditation standards for allopathic medical schools in the United States require that each institution have in place a mechanism by which student progress through the curriculum is monitored. These entities, referred to here as promotions committees, make important decisions in a high stakes medical education environment. Yet little is currently known about how promotions committee members make decisions about students who experience academic failures and lapses in professional behavior. Using the work of Lawrence Kohlberg and Carol Gilligan on moral development as a theoretical basis, the purpose of this study was to elucidate committee members’ perceptions of the role of …

“I Just Need To Get Myself Supervised:” Exploring Transformative Learning In The Development Of Professionalism Among Physicians In The First Year Of Graduate Medical Education, Elizabeth P. Marlowe

Theses and Dissertations

The study explored the learning experiences of first-year resident physicians during the first year of graduate medical education. The experiences of four intern physicians in the first year of residency training at an urban academic health system provided the site for the research. An exploratory case study research design was employed to examine the learning experiences of these new physicians. A qualitative approach was used to analyze data from interviews and ethnographic observations. The findings of this research study provide evidence surrounding how and what these physician trainees learned regarding professionalism during the first year of residency training.

The findings …

Factors Influencing The Adoption Of Learning Management Systems By Medical Faculty, Kristy Burrough

Walden Dissertations and Doctoral Studies

Despite recommendations by the Association of American Medical Colleges regarding

the adoption of technology in medical universities, faculty are still reluctant to adopt new

learning technologies. The purpose of this qualitative interview study was to determine

the factors existing in the adoption of learning management technology among late

adopters within the faculty of colleges labeled as comprehensive academic medical

centers. Using the Everett Rogers diffusion of innovations theory as its framework, this

study sought to ascertain the factors late adopters identify as preventing them from

adopting technology and to determine what measures they suggest to increase technology

adoption among their …

A Critical Discourse Analysis Of Medical Students’ Reflective Writing: Social Accountability, The Hidden Curriculum, And Critical Reflexivity, Stacey Ritz

Electronic Thesis and Dissertation Repository

In recent years, many medical schools have adopted a ‘social accountability’ approach, implementing a variety of activities and curricula aimed at developing a sense of social responsibility in medical students. The research of this thesis uses critical discourse analysis (CDA) to scrutinize the writing of senior medical students, with a view to uncovering how identity, ideology, and social position are expressed by students who have undertaken a curriculum designed with social accountability in mind. The analysis examines the conditions of discourse practice, student orientations to a professional medical identity, and ideologies of community, rurality, indigeneity, and gender. I discuss these …

Simulated Patients' Experiences With Verbal Feedback For First Year Medical Students And Residents: A Grounded Theory Study, Carol Fleishman

Educational Studies Dissertations

The purpose of this study was to explore the experiences of simulated patients (SPs) with the process of providing verbal feedback for first-year medical students and residents during formative simulation activities. Feedback to medical trainees provides a valuable learning context, effecting communication and interpersonal skills which impact healthcare outcomes and patient safety. This qualitative research study used a grounded theory approach based on data from semi-structured interviews with 17 SPs who were casual employees of a standardized patient program for a large academic medical center in the mid-Atlantic region of the USA. The study analyzed what participants said about their …

Descriptions Of Clinical Teaching Excellence In The First Two Years Of Medical School: The Views Of Academic And Community-Based Preceptors, Patricia Anne Stubenberg

USF Tampa Graduate Theses and Dissertations

The changing dynamics in patient care, along with the increasing role of early clinical experiences and community-based teaching models, can be a catalyst in furthering important research and training for clinical teaching excellence. Curricular challenges as well as limited scholarly work generate educational possibilities for study. Embracing a strong educational doctrine of teaching excellence in undergraduate medical education will help shape the future of health care and ultimately enhance patient care.

This grounded theory study (a) described and explained descriptions of teaching excellence among first and second year academic and community-based preceptors in the Longitudinal Clinical Experience (LCE) program at …