Medicine and Health Sciences Commons^™

A Medical Student's Perspective Of Participation In An Interprofessional Education Placement: An Autoethnography, Jennifer Gallé, Lorelei Lingard

Lorelei Lingard

Interprofessional education (IPE) has emerged as a critical pedagogy for promoting interprofessional collaboration (IPC) within healthcare. However, the literature includes few reports of students' perspectives on IPE experiences. Understanding students' experiences is critical, as they are the crux of IPE's culture change agenda. This paper presents an autoethnographic account of my experiences as a medical student participating in an IPE placement within a Canadian academic hospital. During the five-week placement, I collected data using participant observation and reflective journaling on all placement experiences. I expanded my notes using the emotional recall technique and conducted thematic analysis. Using a series of …

A National Survey Of Oral Health Curriculum In All U.S. Allopathic And Osteopathic Medical Schools, Ashley Ferullo, Hugh Silk, Judith A. Savageau

Judith A. Savageau

Background:Oral Health (OH) is an important topic and area of medicine that all physicians should understand and that has become a more pressing issue in the last decade. OH is clearly tied to overall health and a number of systemic diseases, such as diabetes, immune disorders and infectious diseases, are known to have oral manifestations. Likewise, a number of oral diseases have systemic manifestations. (Migliorati, 2007). Oral disease and oral health issues affect all ages from infancy through adulthood. Childhood caries affect up to 25% of children in the U.S. and can lead to a lifetime of other oral …

Credentials As Cultural Capital: The Pursuit Of Higher Degrees Among Academic Medical Trainees, Orlee Guttman, Lorelei Lingard

Lorelei Lingard

BACKGROUND: Growing numbers of postgraduate medical trainees pursue master's or PhD degrees together with professional education. This study explored students' motivation for undertaking these degrees and considered theoretical explanations for the forces shaping this phenomenon.

METHOD: Using constructivist grounded theory methods, interviews were conducted with 14 fellows pursuing higher degrees during subspecialty pediatric training. Emergent themes were identified from transcripts using constant comparative analysis.

RESULTS: Participants pursued higher degrees to be more competitive for academic jobs and to increase their credibility within their field. Academic medicine was felt to demand ever-increasing credentials to position trainees as a good investment. Clinical …

An Exploration Of Faculty Perspectives On The In-Training Evaluation Of Residents, Christopher Watling, Cynthia Kenyon, Valerie Schulz, Mark Goldszmidt, Elaine Zibrowski, Lorelei Lingard

Lorelei Lingard

PURPOSE: The in-training evaluation report (ITER) is the most widely used approach to the evaluation of residents' clinical performance. Participants' attitudes toward the process may influence how they approach the task of resident evaluation. Whereas residents find ITERs most valuable when they perceive their supervisors to be engaged in the process, faculty attitudes have not yet been explored. The authors studied faculty supervisors' experiences and perceptions of the ITER process to gain insight into the factors that influence faculty engagement.

METHOD: Using a grounded theory approach, semistructured interviews were completed in 2008 with a purposive sample of 17 faculty involved …

Operating From The Other Side Of The Table: Control Dynamics And The Surgeon Educator, Carol-Anne Moulton, Glenn Regehr, Lorelei Lingard, Catherine Merritt, Helen Macrae

Lorelei Lingard

BACKGROUND: Critical moments in operations cause the surgeon to transition from a relatively "automatic" mode of operating to a more attentive mode-previously referred to as "slowing down when you should." Using this framework, this study explored how academic surgeons manage and balance the often competing responsibilities of patient safety and education during the slowing-down moments.

STUDY DESIGN: This study used a constructivist approach to grounded theory methodology to explore an emergent theme of control among academic surgeons. Twenty-eight surgeons were interviewed across 4 academic teaching hospitals, and 5 general (hepato-pancreatico-biliary) surgeons were observed. Thematic analysis of the transcripts and field …