Medical Education最新文献

{"title":"Breaking the silence: Revealing drivers and barriers to medical students' speaking up in medical error.","authors":"Jen-Chieh Wu, Hung-Chen Chen, Enoch Yi-No Kang, Hung-Wei Tsai, Yi-Chun Chen, Hao-Yu Chen, Hui-Wen Chen, S Barry Issenberg","doi":"10.1111/medu.70030","DOIUrl":"https://doi.org/10.1111/medu.70030","url":null,"abstract":"<p><strong>Introduction: </strong>Speaking up about medical errors is a critical behaviour for medical students, as it plays a vital role in enhancing patient safety. Few studies have explored the drivers and barriers affecting their willingness to speak up in clinical training, particularly within hierarchical Asian cultures. The purpose of this study was to explore drivers and barriers shaping medical students' speaking up behaviours about medical errors to inform education, mentorship and patient safety practices.</p><p><strong>Methods: </strong>This qualitative study using a descriptive phenomenological approach was conducted at a teaching hospital in Northern Taiwan between October 2023 and April 2024. Sixth-year medical students, with 20 months of clinical rotations and simulated speaking-up training, were invited to participate in semi-structured interviews. The interview process was concluded after the 10th participant, as data saturation had been achieved. Data were analysed using thematic analysis to explore factors influencing students' willingness and behaviour to speak up in clinical settings.</p><p><strong>Results: </strong>Three main themes were observed: (1) predisposing features, such as personal traits and prior experiences, which may influence students' speaking up behaviour; (2) psychological processes, highlighting the role of professional knowledge, attitudes towards clinical work and ethical and legal considerations; and (3) contextual interaction, emphasising the influence of patient urgency, supervisor characteristics and team atmosphere. The research team also found that the themes are interconnected and collectively influence novices' speaking-up behaviours when faced with a medical error.</p><p><strong>Conclusion: </strong>Confidence and responsibility promote speaking up, but barriers such as hierarchy and fear of criticism hinder it. Although ethical and legal training is designed to promote patient advocacy, it may unintentionally prioritise self-preservation, thereby discouraging speaking-up behaviour in medical error events. These findings may prompt medical educators to re-evaluate the hidden curriculum within ethical and legal training as well as clinical rotations.</p>","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030071","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 dual-role clinician teacher: A human bridge for socially responsible AI use.","authors":"Hiske Joanna Brouwer, Margot Barry, Esther de Groot","doi":"10.1111/medu.70035","DOIUrl":"https://doi.org/10.1111/medu.70035","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023670","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":"Leadership development retreat: Empowering female medical students.","authors":"Tayli Shekleton, Nina Tran","doi":"10.1111/medu.70043","DOIUrl":"https://doi.org/10.1111/medu.70043","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023638","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 trainee as reviewer: Training the next generation of scholars.","authors":"Rosemary B Kirk, Sruthi Saravanan, Anna de Beer, Jun Jie Lim","doi":"10.1111/medu.70039","DOIUrl":"https://doi.org/10.1111/medu.70039","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023701","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":"Facing hard truths: Medical education's reckoning with settler colonialism in an era of reconciliation.","authors":"Obinna Esomchukwu, Lisa Bishop, Libby Dean, Kori A LaDonna, Sarah Burm","doi":"10.1111/medu.70028","DOIUrl":"https://doi.org/10.1111/medu.70028","url":null,"abstract":"<p><strong>Introduction: </strong>Medical schools are responsible for embedding Indigenous health education across the training continuum. Central to this work is recognising settler colonialism as an ongoing structure that privileges non-Indigenous peoples while producing and sustaining inequities for Indigenous communities. This paper explores key learning moments as non-Indigenous medical learners and faculty reflect on their experiences within systems that promote reconciliation yet remain largely rooted in colonial logic.</p><p><strong>Methods: </strong>Data collection and analysis were informed by the principles of narrative inquiry. Five non-Indigenous medical students, a health research graduate student and 10 medical educators (MD and PhD) consented to participate in a narrative interview about how they positioned themselves and supported others engagement in ongoing reconciliatory efforts within their institution. Data were gathered over 2020-2022.</p><p><strong>Results: </strong>Participants acknowledged their privileged position and aimed to leverage it to address educational or health disparities affecting Indigenous peoples. Yet intervening when they witnessed unfairness proved challenging. Although many attempted to adopt a proactive stance and advocate for systemic change, the prevailing tendency in such situations was to avoid disrupting the status quo due to perceived gaps in their knowledge or apprehension about professional backlash.</p><p><strong>Conclusion: </strong>Non-Indigenous medical learners and faculty struggle to navigate a system calling for transformation yet rife with historical and institutional barriers. This struggle often arises from the discomfort stemming from their privilege and a sense of limited influence within the medical hierarchy.</p>","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023691","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 … space.","authors":"Tim Mickleborough","doi":"10.1111/medu.70032","DOIUrl":"https://doi.org/10.1111/medu.70032","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023666","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":"Case-based videos for resource stewardship in dermatology.","authors":"Ou Jia Emilie Wang, Chaocheng Liu, Seungwon Sara Choi, Harman Toor, Bei Yuan Ethan Zhang, Sabrina Nurmohamed","doi":"10.1111/medu.70031","DOIUrl":"https://doi.org/10.1111/medu.70031","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023621","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":"Enhancing reflection after oncology placements using 4P model.","authors":"Millicent Morris, Zaynab Sohail, Elena Whitehead, Daniel Anderson","doi":"10.1111/medu.70038","DOIUrl":"https://doi.org/10.1111/medu.70038","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960383","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":"TikTok™ in the lecture hall-Incorporating original and pre-existing short-form videos into medical education.","authors":"Abigail Isaac, Gandhar Katre, Molly McGroary, Robyn Kampf, Samantha Stimmel, Rachel Rosenberg","doi":"10.1111/medu.70037","DOIUrl":"https://doi.org/10.1111/medu.70037","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959124","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 way we do things here: Making mentoring a cultural habit.","authors":"Eivind A Valestrand","doi":"10.1111/medu.70042","DOIUrl":"https://doi.org/10.1111/medu.70042","url":null,"abstract":"","PeriodicalId":18370,"journal":{"name":"Medical Education","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959151","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}