Medical Science EducatorPub Date : 2025-03-21eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02363-2
Valerie Glassman, Kelly Lacy Smith
{"title":"Mind over Matter: Tracking Medical Students' Self-perceptions of Wellness at the USMLE Step 1 Juncture.","authors":"Valerie Glassman, Kelly Lacy Smith","doi":"10.1007/s40670-025-02363-2","DOIUrl":"https://doi.org/10.1007/s40670-025-02363-2","url":null,"abstract":"<p><p>This study examines medical students' self-reported wellness during the USMLE Step 1 dedicated study period at the University of North Carolina School of Medicine. Data from 40 participants revealed significant fluctuations in emotional and physical well-being. Students commonly described feeling \"nervous\" and \"anxious,\" with fewer positive terms like \"connected.\" After receiving their Step 1 scores, negative descriptors decreased, and positive ones, including \"connected,\" increased. However, as students transitioned to clinical coursework, feelings of isolation and anxiety returned. These findings highlight the ongoing impact of stress and anxiety throughout the study period and into the clinical phase of medical education.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1235-1238"},"PeriodicalIF":1.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-20eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02361-4
Brian Yuen, Abdo Asmar, Jonathan Kibble
{"title":"Trainee Identification of the Self-efficacy Domains Needed to Succeed in Undergraduate and Graduate Medical Education.","authors":"Brian Yuen, Abdo Asmar, Jonathan Kibble","doi":"10.1007/s40670-025-02361-4","DOIUrl":"https://doi.org/10.1007/s40670-025-02361-4","url":null,"abstract":"<p><p>Self-efficacy is defined as a person's belief in their ability to perform context-specific tasks in a defined domain to accomplish a goal. There is a substantial body of evidence showing that the level of academic self-efficacy predicts achievement in a range of educational contexts, including medical training. The goals of this study were to identify (1) what domains of self-efficacy are most important for success from the perspective of learners at different stages of training and (2) what experiences during training most promote self-efficacy. The nominal group technique was applied to generate top 5 rank-ordered lists for each research question. One group of trainees was sampled from each year of the 4 years of medical school and from each year of the 3 years of post-graduate residency training in internal medicine. The most prevalent domains of self-efficacy identified were skills needed for patient interactions, multitasking while balancing personal wellness, independent studying, professional communication, and interprofessional work. Activities that most promoted self-efficacy related to experiences of mastery in the above domains, especially successful patient care encounters, multitasking, and self-care. Formative feedback and faculty mentorship were also important. We discuss possible interventions in the formal training programs that could better align with these trainee needs for self-efficacy.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1587-1595"},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-20eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02325-8
Peter J Boedeker, Nancy P Moreno, Alana D Newell, Atul Maheshwari, Matthew A McMillin, Samantha P Tippen, Malford T Pillow, Andrew D Bergemann
{"title":"Pedagogical Content Knowledge as a Lens for Transforming Teaching in Medical and Health Professions Education.","authors":"Peter J Boedeker, Nancy P Moreno, Alana D Newell, Atul Maheshwari, Matthew A McMillin, Samantha P Tippen, Malford T Pillow, Andrew D Bergemann","doi":"10.1007/s40670-025-02325-8","DOIUrl":"10.1007/s40670-025-02325-8","url":null,"abstract":"<p><p>Pedagogical content knowledge (PCK) is the separate, topic-specific, specialized knowledge of educators that integrates subject matter expertise with effective teaching strategies in response to an identified learner misconception or to optimize teaching. Although PCK has been used for decades as a framework for understanding the often-tacit ability of an educator to educate well, little has been done to bring this framework into medical and health professions education. We provide examples of PCK in various contexts, including large -group lectures, problem-based learning sessions, and bedside teaching. Finally, we present a tool for capturing instances of PCK that can be used to facilitate an educator's self-reflection and development.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1707-1714"},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-17eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02359-y
Jack Natin, Muhammad Ahmad Ashfaque, Anne Hickey, Frank Doyle, Maria Pertl
{"title":"Lifestyle Medicine Pillars and Pedagogies in Pre-registration Health Profession Degrees: A Scoping Review.","authors":"Jack Natin, Muhammad Ahmad Ashfaque, Anne Hickey, Frank Doyle, Maria Pertl","doi":"10.1007/s40670-025-02359-y","DOIUrl":"10.1007/s40670-025-02359-y","url":null,"abstract":"<p><p>Non-communicable diseases are the greatest cause of mortality and disability globally. Lifestyle medicine (LM) can facilitate effective prevention and treatment of such diseases. However, the extent and nature of LM education has not been sufficiently mapped. This scoping review aimed to assess the pedagogies, content and structure of LM education in pre-registration health profession degrees using the JBI methodology. Fifty-two articles met the inclusion criteria. Three of the six core LM pillars were not taught in the majority of programmes studied. Universities should survey their curricula to identify such gaps and appropriate opportunities to incorporate these pillars into existing modules.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40670-025-02359-y.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1787-1801"},"PeriodicalIF":1.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-17eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02360-5
Hongnan Ye
{"title":"Journal Club Is a Good Start, But More Can Be Done.","authors":"Hongnan Ye","doi":"10.1007/s40670-025-02360-5","DOIUrl":"https://doi.org/10.1007/s40670-025-02360-5","url":null,"abstract":"","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1829-1830"},"PeriodicalIF":1.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-13eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02352-5
Joshua A Roshal, Caitlin Silvestri, Tejas Sathe, Courtney Townsend, V Suzanne Klimberg, Alexander Perez
{"title":"GPT-4 as a Board-Certified Surgeon: A Pilot Study.","authors":"Joshua A Roshal, Caitlin Silvestri, Tejas Sathe, Courtney Townsend, V Suzanne Klimberg, Alexander Perez","doi":"10.1007/s40670-025-02352-5","DOIUrl":"https://doi.org/10.1007/s40670-025-02352-5","url":null,"abstract":"<p><strong>Purpose: </strong>Large language models (LLMs), such as GPT-4 (OpenAI; San Francisco, CA), are promising tools for surgical education. However, skepticism surrounding their accuracy and reliability remains a significant barrier to their widespread adoption. Although GPT-4 has demonstrated a remarkable ability to pass multiple-choice tests, its general surgery knowledge and clinical judgment in complex oral-based examinations are less clear. This study aims to evaluate GPT-4's general surgery knowledge on mock written and oral board-style examinations to drive improvements that will enable the tool to revolutionize surgical education and practice.</p><p><strong>Methods: </strong>We tested GPT-4's ability to answer 250 random multiple-choice questions (MCQs) from the Surgical Council on Resident Education (SCORE) question bank and navigate 4 oral board scenarios derived from the Entrustable Professional Activities (EPA) topic list. Two former oral board examiners assessed the responses independently for accuracy.</p><p><strong>Results: </strong>On MCQs, GPT-4 answered 197 out of 250 (78.8%) correctly, corresponding to a 92% probability of passing the American Board of Surgery Qualifying Examination (ABS QE). On oral board scenarios, GPT-4 committed critical failures in 3 out of 4 (75%) clinical cases. Common reasons for failure were incorrect timing of intervention and incorrect suggested operation.</p><p><strong>Conclusions: </strong>While GPT-4's high performance on MCQs mirrored prior studies, the model struggled to generate accurate long-form content in our mock oral board examination. Future efforts should use specialized datasets and advanced reinforcement learning to improve LLM performance in complex, high-stakes clinical decision-making.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1557-1566"},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-12eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02358-z
Nizar Ali, Abel Jacobus Pienaar, Aurang Zeb
{"title":"Cultural Competence Among Nurse Educators in Nursing Colleges of Pakistan.","authors":"Nizar Ali, Abel Jacobus Pienaar, Aurang Zeb","doi":"10.1007/s40670-025-02358-z","DOIUrl":"https://doi.org/10.1007/s40670-025-02358-z","url":null,"abstract":"<p><strong>Background: </strong>Cultural competence (CC) is regarded as an essential requirement in providing relevant, effective, and culturally sensitive health care to a more diverse population. Thus, nurse educators' cultural competence is critical in shaping nursing students' ability to offer culturally competent care. Hence, this study aimed to measure the level of cultural competence among nurse educators in Islamabad, Pakistan.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted. The study was conducted in 14 nursing colleges of Islamabad, Pakistan. Using census sampling, 93 nurse educators were recruited. The nurse Cultural Competence Scale (NCCS) was used for data collection.</p><p><strong>Results: </strong>The majority of nurse educators in Islamabad demonstrated a high degree of cultural competence. It was found that nurse educators who were engaged in teaching students from diverse cultural backgrounds had higher cultural competence. Furthermore, it was found that the majority of nurse educator's characteristics were not predictors of the cultural competence level.</p><p><strong>Conclusions: </strong>The findings highlight the need for cultural competence training programs for nurse educators and ongoing institutional support to enhance their cultural competence via diverse cultural exposures. The study also emphasizes the need for further research to understand the impact of demographic characteristics on cultural competence in other contexts.</p><p><strong>Implications: </strong>This research has important implications for policymakers and educational institutions. It illuminates the necessity of developing training programs to improve cultural competence among nurse educators.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1577-1585"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-12eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02353-4
Chaoyan Dong, Vaikunthan Rajaratnam
{"title":"Evaluating Synchronous Online Teaching in Health Professions Education: a Self-Assessment Rubric for Educators.","authors":"Chaoyan Dong, Vaikunthan Rajaratnam","doi":"10.1007/s40670-025-02353-4","DOIUrl":"https://doi.org/10.1007/s40670-025-02353-4","url":null,"abstract":"<p><p>The shift towards synchronous online teaching within health professions education (HPE) has accelerated post-COVID-19, necessitating reliable tools for educators to evaluate their online teaching effectiveness. This article presents a rubric developed to address this need, guided by instructional design and multimedia learning principles, customized to the unique feature of health professions education. An initial item analysis highlights the rubric's reliability and potential for further application and research. Our results show that the rubric fits the unique setting of health professions education and aligns with effective teaching practices, including interactivity, assessment, and ethical considerations.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1227-1234"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-12eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02355-2
Mitesh Patel
{"title":"Is Team-Based Learning Effective for the Medical Student in Difficulty?","authors":"Mitesh Patel","doi":"10.1007/s40670-025-02355-2","DOIUrl":"10.1007/s40670-025-02355-2","url":null,"abstract":"<p><p>Team-based learning is a widely accepted technique for small group, active learning, in medical courses. The nature of team-based learning allows students to discuss and explore topics in a structured way. The tasks that are set develop problem-solving skills and professional attitudes. Students are encouraged to collaborate and share knowledge to build confidence and a clinical language. There is more variability in the learning experience from team-based learning compared to lectures. However, for the student in difficulty, who may have failed an assessment, maintaining the current team-based learning environment may not yield beneficial results. Here, responses showed that a subset of students in difficulty do not utilise team-based learning to develop their learning. Students in difficulty can be less confident than other students and less willing to express their opinions within a group, particularly when there are highly achieving students dominating the session.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1749-1752"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical Science EducatorPub Date : 2025-03-10eCollection Date: 2025-06-01DOI: 10.1007/s40670-025-02349-0
Jeannette Manger, Lindsay Benedik, Michael Matott, Chasity B O'Malley
{"title":"Why the Delay? Factors Predicting Step 1 Delay.","authors":"Jeannette Manger, Lindsay Benedik, Michael Matott, Chasity B O'Malley","doi":"10.1007/s40670-025-02349-0","DOIUrl":"10.1007/s40670-025-02349-0","url":null,"abstract":"<p><p>Few studies have examined Step 1 delay trends in active learning or identified other factors that could influence Step 1 delay, which could inform interventions for struggling students. Our study examines factors across an active learning curriculum that could potentially predict delaying Step 1. Using a multiple logistics regression model, we found that performance on NBME final exams in our major systems-based modules later in the curriculum correlated with the decision to delay, but that formative assessments were the earliest strong predictors. These findings indicate that successful participation in an active learning curriculum positions students for success in Step 1.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"35 3","pages":"1215-1219"},"PeriodicalIF":1.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}