Medical TeacherPub Date : 2024-12-01Epub Date: 2024-03-09DOI: 10.1080/0142159X.2024.2323243
Dario Cecilio-Fernandes, Naomi Steenhof, John Sandars
{"title":"The challenge of transfer to clinical practice: The illusion of learning and illusion of teaching.","authors":"Dario Cecilio-Fernandes, Naomi Steenhof, John Sandars","doi":"10.1080/0142159X.2024.2323243","DOIUrl":"10.1080/0142159X.2024.2323243","url":null,"abstract":"<p><p>There is increasing pressure to accelerate health professions education programs and educators have the challenge of ensuring that students can effectively transfer their learning into clinical practice. In this personal view, we discuss how insights from cognitive science can inform the redesign of current curricula and highlight the challenge of implementing these new approaches for instructional design and assessment. We also recommend that educators disseminate the important lessons learned from their endeavors.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1647-1648"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01Epub Date: 2024-10-31DOI: 10.1080/0142159X.2024.2412786
Mohi Eldin Magzoub, Mohammed Hassan Taha, Susan Waller, Awad Mansour Al Eissa, Hossam Hamdy, John Norcini, Saeeda Al Marzooqi, Sami Shaban, Mohammed Elhassan Abdalla, Henk Schmidt
{"title":"Going beyond competencies: Building blocks for a patient- and population-centered medical curriculum.","authors":"Mohi Eldin Magzoub, Mohammed Hassan Taha, Susan Waller, Awad Mansour Al Eissa, Hossam Hamdy, John Norcini, Saeeda Al Marzooqi, Sami Shaban, Mohammed Elhassan Abdalla, Henk Schmidt","doi":"10.1080/0142159X.2024.2412786","DOIUrl":"10.1080/0142159X.2024.2412786","url":null,"abstract":"<p><strong>Introduction: </strong>Changing health care requires changing medical education. In this position paper it is suggested that subsequent innovations in medical education each had their specific strengths and shortcomings. What they have, however, in common is that they place the medical student and their competencies at their center. Innovation in medical education is inward looking.</p><p><strong>Discussion: </strong>The authors propose a perspective on the medical curriculum in which the patient, their family, and the surrounding community take center stage. They argue that present medical education cannot adequately respond to the great challenges to population health: an aging population, the obesity epidemic, and future pandemics of new diseases due to population growth, urbanization, and antimicrobial resistance, particularly because these challenges cannot be dealt with by the medical sciences alone but need deep understanding of the social sciences as well. In addition, the practice of health care is changing: effective health care demands a close partnership between the health care system and the medical school which is mostly lacking, cooperation with other health professions is becoming more and more necessary in response to the increasing complexity of health care, patients and their families are required to play a more active role in their health, medical error threatening patient safety is becoming to be seen as a huge problem, and the emergence of artificial intelligence in education and practice, all requiring transformation of medical education.</p><p><strong>Conclusion: </strong>The present contribution suggests eight such transformations necessary to create a truly patient- and population-centered medical curriculum.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1568-1574"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01Epub Date: 2024-01-25DOI: 10.1080/0142159X.2023.2289841
Abhishikth Chennupati, Jinaw Qalib, Abdirahman Mohamed Jama, Yusuf Ahmed Ali, Abdirahman Mohamed Abib, Nura Aided Ibrahim, John Rees, Cathy Read, Don Bradley, Leena Patel
{"title":"Development of Somaliland national harmonised medical curriculum.","authors":"Abhishikth Chennupati, Jinaw Qalib, Abdirahman Mohamed Jama, Yusuf Ahmed Ali, Abdirahman Mohamed Abib, Nura Aided Ibrahim, John Rees, Cathy Read, Don Bradley, Leena Patel","doi":"10.1080/0142159X.2023.2289841","DOIUrl":"10.1080/0142159X.2023.2289841","url":null,"abstract":"<p><strong>Background and objectives: </strong>The rational for the Somaliland national harmonised curriculum (NHC) was driven by shared concern about the quality of medical education.</p><p><strong>Process: </strong>The Ministry of Education and Science and the Ministry of Health Development produced a Medical Education Policy 2018. Policy objectives included the development of the NHC and accreditation for medical schools that met the standards of the World Federation for Medical Education (WFME). Two bodies were asked to oversee these aims: the National Health Professions' Commission (NHPC) and the National Commission of Higher Education (NCHE). Between 2018 and 2020, a collaborative approach between the Somaliland government, medical school stakeholders, King's Global Health Partnership's (KGHP) volunteers and the Tropical Health Education Trust (THET) team was used to design the 6-years NHC. The NHC structure, content and delivery were grounded by WFME standards, health needs of the local population, student focused and active learning methods, and feasibility of implementation in medical schools.</p><p><strong>Outcomes: </strong>The NHC comprises details about the educational outcomes, curriculum model and framework, educational principles, instructional and learning methods, core as well as optional content, and assessment strategy.</p><p><strong>Conclusions: </strong>The approach used to develop the NHC ensured it is bespoken for Somaliland. Ongoing evaluation of patient and population needs, each medical school's review of programme implementation and outcomes will inform continuous revision and renewal.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1589-1592"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01Epub Date: 2024-10-31DOI: 10.1080/0142159X.2024.2412794
Sayra Cristancho, Natashia Seemann, Taryn Taylor
{"title":"<i>If instruments could talk:</i> Trace-based communication and its implications in the curriculum for trainee-supervisor interactions.","authors":"Sayra Cristancho, Natashia Seemann, Taryn Taylor","doi":"10.1080/0142159X.2024.2412794","DOIUrl":"10.1080/0142159X.2024.2412794","url":null,"abstract":"<p><p>Contrary to common belief, effective communication is not only achieved <i>via</i> verbal exchanges of information. It requires a thoughtful combination of verbal and non-verbal cues since, in some circumstances, verbal communication in healthcare may be impossible, unfavourable or ineffective. The semiotics literature suggests that effective non-verbal communication goes beyond body language and gestures. It also includes the use of objects (i.e. traces) to transmit a message. We call this trace-based communication (TBC). In this perspective paper, we offer some reflections from our experience researching and using trace-based communication for training purposes. Our intention was to bring further awareness to the opportunities that trace-based communication might enable, including opportunities to enhance trainee-supervisor interactions, and consequently inform curriculum design.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1584-1588"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01Epub Date: 2024-11-02DOI: 10.1080/0142159X.2024.2374512
James Rourke
{"title":"Curriculum is the road to success in medical education.","authors":"James Rourke","doi":"10.1080/0142159X.2024.2374512","DOIUrl":"10.1080/0142159X.2024.2374512","url":null,"abstract":"<p><p>Medical education is complicated, with many interconnected components and processes. It involves a network of complex interconnected relationships that extend beyond the learner-teacher dyad. The curriculum is the foundation upon which all other elements are built and can be considered the road to success in medical education. Like a good road, a successful medical curriculum functions well with all the medical education components working together. The overall direction is clear to all, with short and long-term outcome measures demonstrating success.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1529-1531"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01Epub Date: 2024-12-02DOI: 10.1080/0142159X.2024.2422152
{"title":"Medical Teacher in ten minutes.","authors":"","doi":"10.1080/0142159X.2024.2422152","DOIUrl":"10.1080/0142159X.2024.2422152","url":null,"abstract":"","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":"46 12","pages":"1521-1523"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical TeacherPub Date : 2024-12-01DOI: 10.1080/0142159X.2024.2434101
Samuel Birks, James Gray, Claire Darling-Pomranz
{"title":"Using artificial intelligence to provide a 'flipped assessment' approach to medical education learning opportunities.","authors":"Samuel Birks, James Gray, Claire Darling-Pomranz","doi":"10.1080/0142159X.2024.2434101","DOIUrl":"https://doi.org/10.1080/0142159X.2024.2434101","url":null,"abstract":"<p><strong>Purpose of the article: </strong>Generative AI can potentially streamline the creation of practice exam questions. This study sought to evaluate medical students' confidence using generative AI for this purpose, and overall attitudes towards its use.</p><p><strong>Materials and methods: </strong>The study used a mixed-methods approach with a pre-post intervention design. 68 medical and physician associate students were recruited to attend a workshop where they were shown how to use Google Bard (now Gemini) to write exam questions before being encouraged to do this themselves with guidance. A survey was completed before and after. Seven students also participated in a follow-up focus group.</p><p><strong>Results: </strong>The results showed an increase in participants' confidence in using AI to write practice exam questions (<i>p</i> < 0.001) after the workshop. Qualitative feedback highlighted pros and cons of using generative AI to write exam questions, alongside some concerns about its implementation. Students noted other positive uses in the curriculum and expressed a desire for institutional clarity on appropriate AI use.</p><p><strong>Conclusions: </strong>While increased confidence is positive, rigorous evaluation of AI-generated question quality is needed to confirm accuracy. Teaching students to use generative AI to create and critique practice questions represents a means of encouraging appropriate AI use.</p>","PeriodicalId":18643,"journal":{"name":"Medical Teacher","volume":" ","pages":"1-8"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}