Medical Education最新文献

{"title":"Seeking medical wisdom: Development of a physician-defined practical model of wise competence.","authors":"Jordan Millhollin, Wei Wei Lee, Nic M Weststrate, Lars Osterberg, James N Woodruff","doi":"10.1111/medu.15709","DOIUrl":"https://doi.org/10.1111/medu.15709","url":null,"abstract":"<p><strong>Purpose: </strong>Medical practice is complex, ambiguous and dynamic. It requires more than technical knowledge; it necessitates the application of wisdom. Unfortunately, integration of the wisdom construct into established U.S. medical competency frameworks has been difficult. This study explored this interdisciplinary problem by investigating how academic physicians define medical wisdom (MW) and discern barriers and facilitators to such integration.</p><p><strong>Method: </strong>Investigators conducted in-depth, semi-structured interviews with 19 faculty physicians at 3 U.S. academic medical centres. They probed physicians' definitions of MW and perceived barriers and facilitators to the development of MW. Interview data were analysed using thematic analysis (TA). TA results and insights from non-medical models of wisdom and complex problem-solving supported the creation of a model of MW. Polarity mapping of the moral economies of medical wisdom and medical science was utilized to clarify the challenges and opportunities of integrating these two philosophically distinct paradigms.</p><p><strong>Results: </strong>TA of transcripts suggests physicians understand MW as consisting of interactions between 3 core components: adaptive capacity, values and technical knowledge. This finding and insights on their integration derived from non-medical models of wisdom supported the creation of a tripartite model of medical wisdom (TMMW) with features of complex adaptive systems (CAS). Polarity mapping of the moral economies of medical wisdom and medical science highlighted differences in assumptions, values and practices between the two paradigms. Barriers and facilitators identified through TA reinforced the relevance of these differences to difficulties in incorporating wisdom into established medical competency frameworks.</p><p><strong>Conclusions: </strong>Wise competence is the ability to integrate medical knowledge with clinical context and patient wishes to deliver patient-centered care. The TMMW offers a mental model of such integration with features of CAS and a critical role for metacognition. Introduction of MW models into established competency frameworks may benefit from explicit acknowledgement of each paradigm's underlying moral economies.</p>","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caffeinate a resident: Brewing career connections.","authors":"Sarah Moussa, Nehal Islam, Aurgho Datta","doi":"10.1111/medu.15714","DOIUrl":"https://doi.org/10.1111/medu.15714","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Team-based learning: Enhancing primary care medical education.","authors":"Dhrupadh Yerrakalva, Leila Saeed, Graham Easton, Maryam Malekigorji, Nick Fisher","doi":"10.1111/medu.15713","DOIUrl":"https://doi.org/10.1111/medu.15713","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The doctor as an educator: Bridging the gap between clinical medicine and education.","authors":"Joanna O'Sullivan, Eve Rushforth, Pradeepa Venkatesan","doi":"10.1111/medu.15705","DOIUrl":"https://doi.org/10.1111/medu.15705","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defying or defining identity: Wrestling with the wicked problem of branding identities.","authors":"Kuo-Chen Liao","doi":"10.1111/medu.15710","DOIUrl":"https://doi.org/10.1111/medu.15710","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When I say … assessment burden.","authors":"Jacob Pearce, Katharine Reid","doi":"10.1111/medu.15708","DOIUrl":"https://doi.org/10.1111/medu.15708","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvisation, the butterfly and the cultivation of wonder.","authors":"Christiaan Alexander Rhodius, Marco Antonio de Carvalho Filho","doi":"10.1111/medu.15675","DOIUrl":"https://doi.org/10.1111/medu.15675","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety or prejudice? Challenging disability discrimination in medical training.","authors":"Daniel J Schumacher, Jackson Hearn, Hannah L Kakara Anderson","doi":"10.1111/medu.15687","DOIUrl":"https://doi.org/10.1111/medu.15687","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"May in this issue","authors":"","doi":"10.1111/medu.15673","DOIUrl":"https://doi.org/10.1111/medu.15673","url":null,"abstract":"&lt;p&gt;Despite growing discussion, equity in assessment within medical education remains ambiguous. This paper aims to enrich the dialogue by critically reviewing three distinct orientations toward equity: fairness-oriented assessment, assessment for inclusion and justice-oriented assessment. Each orientation is examined for its unique assumptions, methods and resulting advantages and disadvantages. The authors argue that advancing equity requires educators to clearly identify their orientations, select aligned methods and tools and explore alternative perspectives.&lt;/p&gt;&lt;p&gt;Kakara Anderson, H, Govaerts, M, Abdulla, L, Balmer, D, Busari, JO, West, D. Clarifying and Expanding Equity in Assessment by Considering Three Orientations: Fairness, Inclusion, and Justice. &lt;i&gt;Med Educ&lt;/i&gt;. 2025;59(5):494-502. doi: 10.1111/medu.15534.&lt;/p&gt;&lt;p&gt;Inclusive teaching practice ensures health care and medical students are adequately prepared for practice with a diverse population. Inclusion of volunteer patients is a significant part of preparing students for practice. This qualitative study explored the perspectives of GP tutors regarding recruiting diverse volunteer patients. While participants acknowledge the importance of ensuring medical students have diverse clinical experience, most did not actively think about the diversity of the patients they were recruiting. Instead, they concentrated on course curriculum and teaching requirements. This article offers a range of suggested recommendations and solutions to facilitate the recruitment of diverse patients in medical education.&lt;/p&gt;&lt;p&gt;Mohammad, M, Tyson, L, Bryant, P, Patel, P, Young, R, Semlyen, J. Factors Influencing the Inclusion of Diverse Volunteer Patients within Medical Student Primary Care Placements. &lt;i&gt;Med Educ&lt;/i&gt;. 2025;59(5):531-539. doi: 10.1111/medu.15562.&lt;/p&gt;&lt;p&gt;This critical review examines empirical and theoretical work from within and outside the health professions education literature to describe what and how physicians-in-training learn from interacting with other health professionals. It describes how these brief, spontaneous, informal interactions contribute both to developing physician competencies including, but not limited to, collaboration. This learning reflects a complex interplay of individual, social and situated factors, which this review unifies into a cohesive model as well as an illustrative example to help make the theoretical more practical.&lt;/p&gt;&lt;p&gt;Miller, K, Ilgen, J, de Bruin, A, Pusic, M, Stalmeijer, R. Physician Development through Interprofessional Workplace Interactions: A Critical Review. &lt;i&gt;Med Educ&lt;/i&gt;. 2025;59(5):484-493. doi: 10.1111/medu.15564.&lt;/p&gt;&lt;p&gt;This study examines whether the clinical information clinicians use during diagnosis differs between correct and incorrect diagnoses. Clinicians diagnosed written cases accompanied by a suggested likely diagnosis, which was correct in half of the cases. The authors measured an increase in time spent processing clinical informati","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":"59 5","pages":"451"},"PeriodicalIF":4.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/medu.15673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the lab: A postdoctoral researcher's guide to mentorship for MD students.","authors":"Shiyue Sun, Tingting Chen, Hafiz Muhammad Ahmad Javaid","doi":"10.1111/medu.15704","DOIUrl":"https://doi.org/10.1111/medu.15704","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}