Focus on health professional education : a multi-disciplinary journal最新文献_第5页

The use of standardised patients in interprofessional education curriculum delivery: A causal-comparative study of student feedback 标准化病人在跨专业教育课程交付中的应用:学生反馈的因果比较研究

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-07-28 DOI: 10.11157/FOHPE.V16I3.81

V. Curran, A. Reid, Shari Fitzgerald, O. Heath, Paula Mullins-Richards

{"title":"The use of standardised patients in interprofessional education curriculum delivery: A causal-comparative study of student feedback","authors":"V. Curran, A. Reid, Shari Fitzgerald, O. Heath, Paula Mullins-Richards","doi":"10.11157/FOHPE.V16I3.81","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I3.81","url":null,"abstract":"Introduction: Interprofessional education (IPE) has emerged as an essential component of training for students in the health and social care professions. Standardised patients (SPs) have also been developed as an important simulation-based learning modality in health and social care curricula due to the authenticity and realism of the patient or client encounter that may be replicated. Reports evaluating the use of SPs across an IPE curriculum in the health and social care professions are limited. Methods: This evaluation study used a causal-comparative research design to examine the effect of SPs as an instructional method in an IPE curriculum. Evaluative outcomes of the educational experiences of students attending 37 IPE learning modules offered between Autumn 2006 and Winter 2012 were analysed. Results: A total of 6,561 students from seven health and social care professions rated the usefulness of the instructional methods used in each module through post- module surveys. Students consistently rated SPs as significantly more useful than other instructional methods, and overall mean satisfaction scores were significantly higher for IPE modules that incorporated SPs. Conclusions: This study’s findings demonstrate the positive effect that SPs can have on the learning experiences of health and social care students. By Using SPs in IPE curricula, the authenticity of classroom-based interprofessional learning experiences can be enhanced and lead to more positive IPE learning outcomes.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130930743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Patient and practitioner perceptions of student participation in private practice consultations: A mixed-methods study 病人和医生对学生参与私人诊所咨询的看法:一项混合方法研究

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-04-09 DOI: 10.11157/FOHPE.V16I2.72

F. Kent, K. Richards, T. Haines, P. Morgan, S. Maloney, J. Keating

{"title":"Patient and practitioner perceptions of student participation in private practice consultations: A mixed-methods study","authors":"F. Kent, K. Richards, T. Haines, P. Morgan, S. Maloney, J. Keating","doi":"10.11157/FOHPE.V16I2.72","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I2.72","url":null,"abstract":"The majority of undergraduate physiotherapy clinical education occurs in the public sector in Australia, despite the fact that about half of all graduates enter private practice upon graduation. Private practice physiotherapists provide primary care services for a wide range of conditions, with associated opportunities for student education. The barriers to addressing the imbalance between clinical education and graduate practice warrant investigation. This study combined quantitative patient survey data with qualitative practitioner interview data. Sixty-three patient surveys were collected from four private practices, and practitioner educators (n=4) at these sites were interviewed. The survey data revealed that patients tend to be agreeable to student presence in a consultation but expressed varying preferences regarding the degree of student involvement in their care. Practitioners reported benefits associated with taking on an educator role, including screening students for future recruitment. They also reported barriers to increasing education opportunities for education in private practice, including lack of time, cost and limited skills of students. A need to better prepare practitioners for the role of educator was identified. In conclusion, there is a subset of private practice patients that is agreeable to students providing health services. Routine identification of these patients, and better preparation of both educators and students, may improve the current lack of clinical learning opportunities in private, primary care and physiotherapy clinics.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116572868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Interprofessional preceptor and preceptee educational programing: An interdisciplinary needs assessment 跨专业导师和受教育者教育规划:跨学科需求评估

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-04-09 DOI: 10.11157/FOHPE.V16I2.74

E. Kinsella, Ann Bossers, Karen Jenkins, Sandra Hobson, A. MacPhail, Susan Schurr, Taslim Moosa, Karen Ferguson

{"title":"Interprofessional preceptor and preceptee educational programing: An interdisciplinary needs assessment","authors":"E. Kinsella, Ann Bossers, Karen Jenkins, Sandra Hobson, A. MacPhail, Susan Schurr, Taslim Moosa, Karen Ferguson","doi":"10.11157/FOHPE.V16I2.74","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I2.74","url":null,"abstract":"This paper presents the results of a needs assessment undertaken by an interdisciplinary team concerned with developing an interprofessional preceptor and preceptee education program for health professionals and students. The study draws on a pragmatic philosophical perspective, to undertake what Robson (1993) referred to as “real world research”, with the aim of applying the results for practical purposes. The objective of the needs assessment was to identify which content areas were considered to be of greatest educational value to an interdisciplinary range of health professional preceptors and students. In addition, the needs assessment sought to ascertain whether preceptors and students would find such an education resource useful, and if they would use a web-based electronic resource, and to identify preferred formats of potential educational modules. The needs assessment involved three phases: a literature review, an environmental scan of available preceptor/preceptee education programs and the design and implementation of a preceptor/preceptee survey. The results of the study point to content areas in education and design that hold relevance for both preceptors and preceptees. The findings hold significance for others concerned with preceptor and student preparation, and informed the development of an open access, online interprofessional educational program (Bossers et al., 2007).","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133751053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The script concordance test for clinical reasoning in paediatric medicine: Medical student performance and expert panel reliability 儿科医学临床推理的文字一致性检验:医学生的表现和专家小组的可靠性

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-04-09 DOI: 10.11157/FOHPE.V16I2.65

A. Morris, D. Campbell

{"title":"The script concordance test for clinical reasoning in paediatric medicine: Medical student performance and expert panel reliability","authors":"A. Morris, D. Campbell","doi":"10.11157/FOHPE.V16I2.65","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I2.65","url":null,"abstract":"Background: This study aimed to determine the correlation between student performance in clinical reasoning on the Script Concordance Test (SCT) and a modified essay question (MEQ) exam in a paediatric teaching block and to measure the intra-rater reliability of the expert scoring panel. Method: A 65-item assessment was developed using the accepted SCT method and scored against the responses of a panel of 10 general and subspecialty paediatricians. Student scores for the summative modified essay question examination at the end of the child and adolescent health block were compared with the score on the SCT. Intra-expert reliability was measured for the 10 paediatricians on the expert panel. Results: One hundred and two students completed both the SCT and the MEQ examination, with the correlation coefficient indicating moderate correlation (r = 0.46). The weighted Cohen kappa for the paediatricians on the panel ranged from 0.61–0.86, demonstrating good to excellent intra-rater agreement. Conclusion: We found that the MEQ is not a reliable means of measuring clinical reasoning of medical students, with only moderate correlation with the SCT, and that alternative methods such as SCT should be considered. Our finding of high reliability for paediatricians on the scoring panel is the first published using this methodology. It suggests that for lower stakes examinations, there is no need to re-test examiners. We do, however, propose that this simple method of assessing intra-rater reliability should be considered for high-stakes medical student examinations.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128776018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflection training as a form of professional development for physiotherapy clinical educators 反思训练作为物理治疗临床教育者专业发展的一种形式

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-04-09 DOI: 10.11157/FOHPE.V16I2.77

C. Frith, S. Cowan, C. Delaney

引用次数: 3

Abdomen and chest examinations in peer physical examination: Variation in participation by gender 同伴体格检查中的腹部和胸部检查:性别参与的差异

Focus on health professional education : a multi-disciplinary journal Pub Date : 2015-04-09 DOI: 10.11157/FOHPE.V16I2.66

Katharine J Reid, Ruth Sutherland, A. Dodds, R. McNair, David Pierce

{"title":"Abdomen and chest examinations in peer physical examination: Variation in participation by gender","authors":"Katharine J Reid, Ruth Sutherland, A. Dodds, R. McNair, David Pierce","doi":"10.11157/FOHPE.V16I2.66","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I2.66","url":null,"abstract":"Aims: To compare participation in peer physical examination (PPE) for male and female students when learning abdomen and chest examinations; to compare attitudes towards PPE for male and female students; and to determine if self-reported participation as examinees in PPE was related to attitudes towards PPE. Background: The opportunity to learn physical examination skills through practising with peers in formal tutorials is an important part of many medical curricula. Method: Students voluntarily completed a self-report questionnaire at the end of their third semester of medical training in which they rated their attitudes towards PPE and indicated how often they had been examined while practising abdomen and chest examinations. Results: Students volunteered to be examined less frequently in PPE when learning chest examination compared with abdominal examination; female students volunteered less frequently than male students for chest examinations but volunteered with similar frequency for abdomen examinations. Attitudes towards PPE were not related to student gender, but students who never volunteered for abdomen examinations tended to have higher average ratings for the perceived difficulty of PPE and lower ratings for the perceived value of PPE. Most students supplemented PPE with informal practice, although a majority practised exclusively with male volunteers. Conclusions: There is clear variation in participation rates for learning examinations for PPE of the abdomen and chest, but this variation is only partly explained by student gender and attitudes.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125782402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Medical student and patient language congruence: Impact on clinical learning and communication 医学生与病人语言一致性:对临床学习与沟通的影响

Focus on health professional education : a multi-disciplinary journal Pub Date : 2014-12-10 DOI: 10.11157/FOHPE.V16I1.46

J. Hamilton, C. Chung, S. Yasin

{"title":"Medical student and patient language congruence: Impact on clinical learning and communication","authors":"J. Hamilton, C. Chung, S. Yasin","doi":"10.11157/FOHPE.V16I1.46","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I1.46","url":null,"abstract":"Language congruence between practitioner and patient is a key influence on clinical communication. It influences not only the quality of communication in terms of information transferral but also the capacity of practitioners to establish rapport and maintain culturally-appropriate interactions. This article reports on a qualitative interview study using thematic analysis conducted with final-year medical students of Monash University's Jeffrey Cheah School of Medicine and Health Sciences in Malaysia. It investigated their perceptions of how the different languages used in communicating with patients influenced clinical interactions, as well as the nature of their learning within the clinical environment. Within the clinical learning settings investigated, many of the students and patients were multi-lingual, and both the students and patients varied considerably in their proficiency in the national language, Bahasa Malaysia, as well as in English. The study found that students perceived that the language used for consultation influenced clinical communication in a variety of ways, including the capacity to establish rapport, the approach to questioning, the amount and type of information elicited from patients and the ability of the students to express ideas and information with sensitivity. In turn, these factors had an impact on clinical learning, influencing, for example, patient expectations and behaviour. In some cases, particularly where there was a lack of alignment between perceived shared ethnicity and language congruence, it even had an impact on medical student “access” to patients. The paper explores some implications of these factors for clinical learning.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124450726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Importance of workplace knowledge and graduate resilience 职场知识和毕业生适应能力的重要性

Focus on health professional education : a multi-disciplinary journal Pub Date : 2014-10-10 DOI: 10.11157/FOHPE.V16I1.42

J. Dunphy

{"title":"Importance of workplace knowledge and graduate resilience","authors":"J. Dunphy","doi":"10.11157/FOHPE.V16I1.42","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I1.42","url":null,"abstract":"Background: Universities strive to improve healthcare by educating future healthcare professionals. This strategy assumes graduates will be able to effectively implement new practices and act as change agents within their professions. However, graduates are likely to encounter numerous barriers to change. Aim: To identify graduate attributes and educational opportunities that may increase Australian healthcare professionals’ capacity to be change agents. Method : Iterative thematic qualitative analysis of interviews with 64 healthcare professionals and educators. Results: Healthcare graduates face numerous barriers to implementing change within their professional contexts. Interviewees reasoned that by explicitly discussing coping strategies and common barriers to change, graduates will be better prepared to implement novel practices and aspects of professionalism. Curricula could include mindfulness, reflective practice, self-management, professional burn-out, workplace cultures, organisational structures, dominant professional paradigms and common professional practice. The importance of such curricula is discussed in the context of healthcare education for natural and social sustainability. Conclusions : A fundamental goal of tertiary healthcare degrees is to improve future professional practice through the education of students. Designing curricula to enhance students’ capacity to act as change agents would assist this endeavour. Informed by their professional experiences, interviewees asserted that resilience and workplace knowledge are key graduate attributes that will enhance graduates’ capacity to implement change within the healthcare sector. Keywords: allied health, nursing education, organisational change, organisational culture, organisational structure, professional burnout, professional education, professional power, psychological resilience.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128434533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Debating the issue: Using university student debates to facilitate active student engagement in sport and exercise science 辩论问题:利用大学生辩论促进学生积极参与体育和运动科学

Focus on health professional education : a multi-disciplinary journal Pub Date : 2014-10-10 DOI: 10.11157/FOHPE.V16I1.50

R. Sealey, M. Crowe

引用次数: 0

Graduates welcome on-road: A culture shift in ambulance preceptorship made clear through retrospective analysis 毕业生欢迎上路:通过回顾性分析，明确了救护车见习的文化转变

Focus on health professional education : a multi-disciplinary journal Pub Date : 2014-10-10 DOI: 10.11157/FOHPE.V16I1.37

Ann Lazarsfeld-Jensen, Donna Bridges, H. Carver

{"title":"Graduates welcome on-road: A culture shift in ambulance preceptorship made clear through retrospective analysis","authors":"Ann Lazarsfeld-Jensen, Donna Bridges, H. Carver","doi":"10.11157/FOHPE.V16I1.37","DOIUrl":"https://doi.org/10.11157/FOHPE.V16I1.37","url":null,"abstract":"A cultural shift in ambulance services has improved the experience of university- educated paramedics going on-road for the first time in New South Wales. In the “bad old days”, graduate paramedics reported routine rites of initiation, including barbed humour and contempt for skills gained in a university setting. Those educated in the on-road vocational system believed universities did not provide a tough enough environment for future paramedics. In this study, data were drawn from two projects involving university-educated paramedics who graduated between 1996 and 2011 and whose novice on-road experiences were several years apart. Comparative retrospective analysis of data provided evidence of a change in attitude towards New South Wales graduates, with an increase in support and inclusion. Novices with greater confidence in their own capacity was evidence of an attitudinal shift. Engaged on-road preceptors who won the respect of the novice was evidence of an increase in support. Inclusion had been a painful issue for both early cohorts of graduates and industry. Failure to fit is associated with attrition. Early in their on-road practice, recent novices reported a sense of belonging. The authors suggest that the shift in attitude could be attributed, first, to a critical mass of graduates on-road, including increasing numbers with postgraduate qualifications, and secondly, the stated preference of ambulance services in Australia to employ graduates.","PeriodicalId":306686,"journal":{"name":"Focus on health professional education : a multi-disciplinary journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130916752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3