GMS Journal for Medical Education最新文献

{"title":"MaReS (Magdeburg Reflective Writing Scoring Rubric for Feedback) - development of a feedback method for reflective writing in health professions education: A pilot study in veterinary medicine.","authors":"Sabine Ramspott, Ulrike Sonntag, Anja Härtl, Stefan Rüttermann, Doris Roller, Marianne Giesler, Linn Hempel","doi":"10.3205/zma001752","DOIUrl":"10.3205/zma001752","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to develop a scoring rubric that provides valuable feedback to students and to gather evidence for its construct validity.</p><p><strong>Methodology: </strong>The Magdeburg Reflective Writing Feedback and Scoring Rubric (MaReS) was developed in an iterative process following a symposium on reflection by a committee of the \"DACH Association for Medical Education (GMA)\" in June 2016. 25 essays written by 13 veterinary students were assessed by three independent raters with MaReS and by two raters with the REFLECT rubric in two runs (13 and twelve essays). Validity evidence was gathered referring to the following of Messick's components of construct validity: content (rubric development), response process (rater manual, rater training, rating time, students' evaluation), internal structure (inter-rater reliability, IRR), and relationship to other variables (comparison of the rating with the REFLECT rubric and a global rating scale).</p><p><strong>Results: </strong>The analytic rubric comprises twelve items that are rated on three-point rating scales. The authors developed an assignment with guiding questions for students and a rater manual. Results for free marginal kappa of the items of MaReS ranged from -0.08 to 0.77 for the first set of reflective essays and from 0.13 to 0.75 for the second set. Correlations between MaReS and the REFLECT rubric were positive (first run: r=0.92 (p<0.001); second run: r=0.29 (p=0.37)).</p><p><strong>Conclusion: </strong>MaReS might be a useful tool to guide students' reflective writing and provide structured feedback in health professions education. Using more essays for a rater training and more training cycles are likely to result in higher IRRs.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 2","pages":"Doc28"},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227113","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}

{"title":"Simulative learning in the room of horror - a method to enhance patient safety in undergraduate nursing education.","authors":"Vivian Hauff, Laura Homann, Antje Tannen","doi":"10.3205/zma001743","DOIUrl":"10.3205/zma001743","url":null,"abstract":"<p><strong>Objective: </strong>High expectations are placed on healthcare systems concerning safety and health restoration. Simultaneously, healthcare involves risks and potential hazards that may lead to adverse events for patients and healthcare professionals alike. To raise awareness of these risks, it is essential to incorporate the topic of patient safety into healthcare education. The <i>room of horror</i>, a form of simulated learning, represents an effective teaching and learning approach for this purpose.</p><p><strong>Methods: </strong>At the end of their first semester, undergraduate nursing students participated in a <i>room of horror</i> exercise designed following the Swiss manual for interactive learning. The task involved identifying 13 errors relevant to patient safety within the room. Subsequently, the students provided written evaluations of this teaching format.</p><p><strong>Results: </strong>Participants successfully identified twelve out of the thirteen safety-critical errors. All students perceived the simulation as educational and pertinent to professional practice. Heightened risk awareness and relevance to the professional context were particularly highlighted as positive outcomes.</p><p><strong>Conclusion: </strong>The <i>room of horror</i> provides a practical simulation training environment where students can develop observational skills, critical thinking, and situational awareness regarding patient safety risks early in their clinical education.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 2","pages":"Doc19"},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227165","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}

{"title":"An online escape room as an icebreaker in interdisciplinary and international health care professions education: A pilot mixed-methods study of \"UKA Escape\".","authors":"Martin Lemos, Veronique Kouchev, Laura Bell","doi":"10.3205/zma001742","DOIUrl":"10.3205/zma001742","url":null,"abstract":"<p><p>This pilot study explored the use of an online escape room at RWTH Aachen University Hospital (UKA Escape) as an icebreaker. The game was developed for the introductory day of an international program aimed at teaching scientific skills in health professions education. The group activity in the online escape room was designed to provide an engaging introduction to the course and the subsequent learning group(s). Based on the story of a medical researcher and her team, who have developed a revolutionary serum, students must try to escape from the digital lab and save the serum. To this end, the students worked in five small groups to solve science-related puzzles. An interactive and synchronous collaboration was facilitated despite physical distance using a video conferencing tool. The usability of the digital escape room was rated in the fourth quartile (system usability scale score of <i>M</i>=81.25). In line with the questionnaire-based feedback, students' qualitative feedback was predominantly positive, with indications of areas for improvement. Overall, the results indicate that the students greatly appreciated the online escape room and that teamwork was encouraged, demonstrating the potential of escape rooms in health professions education.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 2","pages":"Doc18"},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227110","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}

{"title":"Interdisciplinary tutorial. Skills lab training in oral health as a strategy for promoting interdisciplinary skills.","authors":"Nima Gholamzadeh Biji, Marc André Ackermann, Florian Lautenbacher, Susanne Borgmann, Sabine Sennhenn-Kirchner, Iris Demmer","doi":"10.3205/zma001747","DOIUrl":"10.3205/zma001747","url":null,"abstract":"<p><strong>Objective: </strong>Trained student tutors instruct medical and dentistry students in the methodology of structured intraoral diagnosis, the identification of common oral pathologies, and the fundamental treatment concepts. The objective of this study is to assess the feasibility and efficacy of a peer teaching-based interdisciplinary tutorial and a training program for tutors designed for this purpose.</p><p><strong>Methods: </strong>The present study describes the feasibility, evaluation, and implementation of an interdisciplinary tutorial for medical and dental students at the University Medical Center Göttingen. The development of tutorial contents, monitored by experts, and structured training of the tutors formed the foundation for the implementation of the tutorial. The concepts for the tutor training and the tutorial were evaluated by the participants. The efficacy of the tutorial in enhancing the participants' clinical skills was assessed through analysis of their performance in a mini-clinical evaluation exercise on intraoral diagnosis and a mini-quiz comprising nine questions.</p><p><strong>Results: </strong>The structured training program enabled tutors to enhance their theoretical and practical abilities, as well as their educational competencies. The peer teaching tutorial, conducted in accordance with the training program, facilitated the advancement of the participating students' clinical knowledge and practical skills.</p><p><strong>Conclusion: </strong>The interdisciplinary student tutorial equipped medical and dentistry students with pertinent interdisciplinary competencies drawn from the medical and dental learning objectives catalogues on oral health topics, thereby raising awareness of their future relevance in the context of medical and dental practice. Both the student tutors and the students participating in the tutorial benefited from the educational approaches delineated as part of the study. Other medical skills laboratory teams may use and adapt these approaches.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 2","pages":"Doc23"},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227112","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}

{"title":"Strategy-based evaluation of a formative simulation test assessing professionally relevant competences of undergraduate medical students.","authors":"Sarah Prediger, Julia Gärtner, Lea Jebram, Sigrid Harendza","doi":"10.3205/zma001745","DOIUrl":"10.3205/zma001745","url":null,"abstract":"<p><strong>Objectives: </strong>A strategy-based evaluation of new teaching or examination formats is recommended in order to check their suitability before a possible integration into a medical curriculum. The aim of the project was to evaluate an established formative competence- and simulation-based examination format for medical students in a standardized way.</p><p><strong>Project description: </strong>In a realistic simulation of a first working day in hospital, medical students at the end of their studies were given the opportunity to test their medical competences and to develop them further on the basis of self-assessment and feedback. In the years 2020 to 2023, a total of 879 students participated. This included 707 students in their final year (PJ) and 172 students before their PJ. The simulation format was evaluated in a standardized manner based on the Stanford criteria for evaluating clinical teaching. The free text comments were analyzed by content using MAXQDA.</p><p><strong>Results: </strong>The quality of the training, the practical learning content and aspects of the individual training phases are the most important areas of the student evaluation. The learning atmosphere, the leadership and the assessments and feedback received are described positively. There are also clear indications that the simulation format promotes understanding and retention and supports self-directed learning well. Overall, participants gave the teaching format an average school grade of 1.26±.45. Some evaluation results have already been implemented in the adaptation of the simulation.</p><p><strong>Conclusion: </strong>The integration of the simulation format into medical curricula can be recommended on the basis of this evaluation. Further development of the format is also possible.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 2","pages":"Doc21"},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227166","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}

{"title":"\"Hold the retractor, that's it?\" - A retrospective longitudinal evaluation-study of the surgical and the elective tertial in the practical year.","authors":"Anna Junga, Dennis Görlich, Sönke Scherzer, Meike Schwarz, Henriette Schulze, Bernhard Marschall, Jan Carl Becker","doi":"10.3205/zma001727","DOIUrl":"10.3205/zma001727","url":null,"abstract":"<p><strong>Introduction: </strong>In the context of the shortage of physicians, the practical year is an important component in the acquisition of future medical talent. Previous studies suggest that PJ students rate several satisfaction parameters significantly lower in the surgical term than in other terms. Poor perceptions of surgical topics may lead to a health care problem. The aim of the current study was to analyse in detail the specific comparison between compulsory surgical and other elective surgical terms.</p><p><strong>Methods: </strong>7762 anonymous online PJ evaluations at the Medical Faculty of Münster from 2007-2020 (RR 60.6%) were retrospectively analysed. The elective subjects were divided into operative and conservative subjects. In particular, evaluations and subjective learning gains were compared.</p><p><strong>Results: </strong>On the one hand, this study confirmed that the mandatory subject surgery was rated significantly worse than the other tertials (M_surg=69,3, M_Int=76,7, M_elec=84,6; p<0,001). Among the elective subjects, the conservative subjects were also preferred and rated better than the operative subjects (30,7% vs. 69,3%; M_op=85,9, M_kons=81,8; p<0,001). A final comparison of the elective operative subjects and the compulsory surgical terms showed that the elective operative subjects were also rated sig. better than the compulsory surgical term (M_surg=69,3, M_op=85,9; p<0,001).</p><p><strong>Discussion: </strong>The compulsory surgical specialty was found to be deficient in student autonomy and supervision, which may explain the worsening recruitment problem. In order to improve the attractiveness of surgical training, a compulsory surgical elective could be introduced, where students could learn the core competencies in smaller units. This enhancement could increase the interest of future medical professionals in surgical training.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 1","pages":"Doc3"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112235","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}

{"title":"Evaluating the longitudinal effectiveness of a smoking cessation counselling course based on the 5A model for medical students in family medicine placement.","authors":"Jessica Ruck, Elena Tiedemann, Jessica Sudmann, Andrea Kübler, Anne Simmenroth","doi":"10.3205/zma001734","DOIUrl":"10.3205/zma001734","url":null,"abstract":"<p><strong>Background: </strong>Preparing students for their future roles in preventive medicine is relevant, especially on the subject of nicotine consumption. We implemented a longitudinal smoking cessation counselling course as a part of the subject \"prevention and health promotion\". Beginning with 6^th semester students were taught the 5A model, a widely used framework to support behavioural change. Four semesters later, we evaluated feasibility of the counselling in the family medicine placement.</p><p><strong>Methods: </strong>In this evaluative follow-up study, we used online questionnaires with Likert-scales, closed and open questions. Students of the 10^th semester assessed feasibility and obstacles of counselling during placement in a family practice with real patients, their counselling confidence and professional attitudes. For examination of changes since 6^th semester we compared matched data. Data were analysed with t-tests and ANOVAs.</p><p><strong>Results: </strong>Data of 114 students of the 10^th semester were analysed, 45 data could be matched to the 6^th semester. Results showed that the intervention was feasible under favourable conditions: half of the students did not perform a counselling because of lack of time or opportunity. Performing the counselling during the placement led to a greater increase in felt counselling competences compared to students who did not perform a counselling.</p><p><strong>Conclusion: </strong>To improve communicative skills in the area of behavioural change, it is important to combine theoretical content and practical implementation. The 5A model has proven due to its simplicity. Promoting good framework conditions in family medicine, such as sufficient time, is essential to give students the opportunity to practice counselling and increase their felt competence.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 1","pages":"Doc10"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111267","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}

{"title":"Reducing stress, strengthening resilience and self-care in medical students through Mind-Body Medicine (MBM).","authors":"Benno Brinkhaus, Barbara Stöckigt, Claudia M Witt, Miriam Ortiz, Markus Herrmann, Daniela Adam, Peter Vogelsänger","doi":"10.3205/zma001731","DOIUrl":"10.3205/zma001731","url":null,"abstract":"<p><p>Stress-related illnesses are on the rise among medical students and doctors in Germany and internationally. Mind-Body Medicine (MBM) methods are increasingly being used to reduce stress. MBM courses are now being offered to students at medical faculties in Germany, including Charité - Universitätsmedizin Berlin and e.g. at the universities of Magdeburg, Witten-Herdecke, Essen and Ulm. The courses offered in Berlin and Magdeburg are presented as examples in this article. In addition, the Charité course was also conducted with employees (doctors and nurses) of a Charité intensive care unit. The student courses at both medical universities were evaluated at the same time. The results of the analyses showed a reduction in perceived stress and an increase in self-efficacy, mindfulness, self-reflection and empathy in 117 Charité students, and an improvement in mindfulness (Freiburg mindfulness inventory (FFA)) and self-compassion (Self Compassion Scale - German Version (SCS-D)) in 69 students from Magdeburg. In the qualitative focus groups, the students at Charité also reported better abilities to self-regulate stressful experiences, personal growth and new insights into integrative medicine. The further implementation of MBM courses at German-speaking medical universities appears to make sense. In addition, MBM courses should be networked across different locations in order to coordinate their content and carry out a joint evaluation using standardised measurement instruments on a larger group of participants. In addition, the implementation of randomised controlled studies to investigate the effectiveness of MBM courses would be beneficial.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 1","pages":"Doc7"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111739","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}

{"title":"Alternative evaluation methods in medical education.","authors":"Marjo Wijnen-Meijer","doi":"10.3205/zma001739","DOIUrl":"10.3205/zma001739","url":null,"abstract":"","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 1","pages":"Doc15"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112236","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}

{"title":"Classroom teaching versus online teaching in physiology practical course - does this lead to different examination results?","authors":"Tom Dreyer, Symeon Papadopoulos, Rudolf Wiesner, Yassin Karay","doi":"10.3205/zma001732","DOIUrl":"10.3205/zma001732","url":null,"abstract":"<p><strong>Background: </strong>Due to contact restrictions during the Corona pandemic, teaching at the Center for Physiology and Pathophysiology at the University of Cologne was temporarily offered online for some students and face-to-face for others. As there are different views on the effectiveness of online teaching, this study compared students' examination results between the teaching formats (face-to-face vs. online).</p><p><strong>Methods: </strong>In winter 2021/22, a total of 198 students in their fourth preclinical semester took part in the physiology course. The students were randomly assigned to 15 practical courses, so that the practical course was completed either traditionally in presence (face-to-face; FtF_group) or as an online practical course via Zoom^® (O_group). The teaching format versus the score achieved per test question were recorded for each examinee. The differences in test scores were calculated using a two-sided t-test. The effect size was determined using Cohen's d. Spearman's rank correlation coefficient was used as a measure of the correlation.</p><p><strong>Results: </strong>In comparison with the O_group (M=7.02), the FtF_group (M=7.38) achieved a significantly higher test score on average. The effect size was low (Cohen's d=0.135). The FtF_group performed better than the O_group in 14 subject areas. The Spearman's correlation test between the number of FtF participations and the test scores achieved reached a value of r=0.236 (p<.001).</p><p><strong>Conclusion: </strong>Our study shows that students who have attended traditional face-to-face classes tend to perform better in the written exam. The reasons may be multifactorial. However, online teaching also offers some advantages, such as flexibility in terms of location and time management for students. The choice between online and face-to-face teaching should be based on the specific requirements of the course. Ideally, a hybrid solution that combines the advantages of both formats would be an effective teaching format. It is therefore essential to continuously review educational practices.</p>","PeriodicalId":45850,"journal":{"name":"GMS Journal for Medical Education","volume":"42 1","pages":"Doc8"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112237","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}