Advances in Medical Education and Practice最新文献

{"title":"\"Good, Better, How\" Educational Intervention: Potential Benefits of Utilizing Feedback in General Surgery; Sequential Mixed-Methods Study of an Educational Intervention.","authors":"Mark Guadagnoli, Whitney Elks, Kencie Ely, Abigail W Cheng, Kavita Batra, Charles Randolph St Hill","doi":"10.2147/AMEP.S487038","DOIUrl":"https://doi.org/10.2147/AMEP.S487038","url":null,"abstract":"<p><strong>Background: </strong>Feedback is acknowledged as a necessity for effective learning and performance improvement. However, it has been shown to have variable effects on subsequent performance. This study introduces the \"Good, Better, How\" (GBH) framework for providing and receiving effective feedback in surgical training.</p><p><strong>Methods: </strong>Surgery residents, fellows and faculty at a single institution completed pre- and post-educational intervention surveys, attended a GBH educational intervention, and participated in focus groups. Survey results were analyzed quantitatively and qualitatively.</p><p><strong>Results: </strong>Survey analysis showed significant (p<0.05) positive changes from using the GBH method, and rated the GBH method very favorably (average score: 8.03/10), suggesting a positive paradigm shift from previous feedback methods used in surgical education. Dominant focus group themes included phrases such as \"positive culture\", \"systematic\", and \"useful\".</p><p><strong>Conclusion: </strong>Despite implementation challenges, the GBH feedback system shows promise for enhancing surgical education and may contribute to improved patient outcomes.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"381-398"},"PeriodicalIF":1.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651381","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":"Experience of Nurses with Educator Role in Selected Hospitals of Indonesia: Phenomenological Study.","authors":"Cicilia Ika Wulandari, Hanny Handiyani, Enie Novieastari, Diantha Soemantri, Ichsan Rizany","doi":"10.2147/AMEP.S480115","DOIUrl":"https://doi.org/10.2147/AMEP.S480115","url":null,"abstract":"<p><strong>Background: </strong>Competence of nurse educators in several countries is still unclear. In fact, nurse educators have a role in improving the knowledge and skills of nurses and students so that they can provide nursing services in a variety of situations. Moreover, absence of competency list attributed to lack of recognitions and various terminologies, which also less logical.</p><p><strong>Objective: </strong>This study aims to explore the perceptions and experiences of nurse educators in exercising their educational competencies in hospitals.</p><p><strong>Methods: </strong>This study uses a qualitative method of phenomenological study approach. The research was carried out in two hospitals: Universitas Indonesia Hospital and Persahabatan Central General Hospital, involving sixteen nurse educators. Thematic analysis was conducted to identify recurring patterns and themes in the data.</p><p><strong>Results: </strong>The thematic analysis revealed five overarching themes: 1) Requirements to become a nurse educator, 2) Specific competencies needed for nurse educators, 3) Unclear nurse educator programs, 4) Nurses' perceptions of professionalism and managerial support, and 5) Expectations for clear career paths for nurse educators.</p><p><strong>Conclusion: </strong>This study underlines the existence of nurse educators' expectations for a clear career path. The importance of clear qualifications to become a nurse educator. Nurse educator programs also require support from hospital management.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"371-380"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651399","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":"The Use of Peer Teaching in the Online Clinical PBL: The Medical Students' Perspectives [Letter].","authors":"Manal Dahir, Larissa Catherine Berry, Subhan Shahzad Khan","doi":"10.2147/AMEP.S517796","DOIUrl":"10.2147/AMEP.S517796","url":null,"abstract":"","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"369-370"},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587462","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 Transformative Impact of Online Education on Medical Student Learning Outcomes [Response to Letter].","authors":"Hessah Alshammari, Sameerah Shaheen, Shimaa Mahmoud, Amal Al-Rabiah, Khaleel Alyahya","doi":"10.2147/AMEP.S524848","DOIUrl":"10.2147/AMEP.S524848","url":null,"abstract":"","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"367-368"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587439","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":"Impact of Simulation-Based Surgical Training in Laparoscopy on Satisfaction Level and Proficiency in Surgical Skills.","authors":"Fareeda Mukhtar, Mohammed F Shaheen, Abdulrahman Y Alhabeeb, Muhammad Zafar, Khaled Alkattan","doi":"10.2147/AMEP.S492321","DOIUrl":"10.2147/AMEP.S492321","url":null,"abstract":"<p><strong>Introduction: </strong>The adoption of laparoscopic surgery has significantly transformed surgical practice. However, mastering these techniques requires specialized training. In Saudi Arabia, the level of proficiency in laparoscopic skills among General Surgery (GS) trainees is not well-documented. This study aims to assess GS residents' satisfaction with their laparoscopic training, self-appraise their proficiency, and objectively evaluate their skills using the Fundamentals of Laparoscopic Surgery (FLS) test.</p><p><strong>Methods: </strong>This cross-sectional study, approved by the Institutional Review Board and funded by Alfaisal University, took place between October 2021 and May 2023. It involved a two-part approach: an online survey and objective FLS testing. The survey, distributed to GS residents in seven government hospitals in Riyadh, captured self-reported satisfaction and subjective proficiency data. Subsequently, residents who volunteered for FLS testing were objectively assessed using standardized criteria.</p><p><strong>Results: </strong>Of 195 residents, 70 (36%) responded to the survey. Satisfaction with academic teaching and hands-on training in laparoscopic surgery was low (24% and 44%, respectively), while 62% were satisfied with case volume. Self-assessed proficiency was higher for basic skills than for advanced skills like extra-corporeal and intracorporeal knotting. Only a third had been exposed to laparoscopic trainers, and 14.3% had FLS certification prior. Fourteen residents participated in FLS testing, revealing a 36% failure rate in task completion. Prior simulation practice or laparoscopic training certification significantly improved performance (p<0.001), reflected by achieving higher scores and passing FLS proficiency scores.</p><p><strong>Conclusion: </strong>Despite satisfaction with exposure to laparoscopic surgeries, the study highlights a considerable gap in satisfaction and proficiency among GS residents in Saudi Arabia, particularly in advanced laparoscopic skills. The positive impact of simulation-based practice and laparoscopic training certification underscores the need for structured training programs. Addressing these gaps, through integrating comprehensive simulation-based programs and promoting laparoscopic skill certification, is crucial for enhancing surgical education and training outcomes.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"357-366"},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568409","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":"Challenges and Difficulties During the Nursing Internship Program Using 5 Domains: A Cross-Sectional Study.","authors":"Mohammed Hassan Moreljwab, Amani Mahmoud Fadul Mokhtar, Eltayeb Abdelazeem Idress, Aziza Ibrahim Mohamed, Abdulelah K Alanazi, Amany Sobhy Youssef Hassan, Mohammed Fayez J Alharbi, Khalid Mohamed Adam","doi":"10.2147/AMEP.S466735","DOIUrl":"https://doi.org/10.2147/AMEP.S466735","url":null,"abstract":"<p><strong>Background: </strong>The internship period for nursing students; the period of transition from nursing students to professional nurses who could work at different health organizations. Whereas the intern nurses were nurses who had achieved the required courses within the nursing department program and ready to join the internship nurses' program. Hence, it is of paramount importance to gain experience with various nursing skills, but it faces many obstacles and challenges including but not limited to organizing movement between departments and units, communicating with practitioners, and follow-up and coordination between colleges and hospitals. The current study aimed to assess the challenges and difficulties during the nursing internship program.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was carried out in the Asir region of Saudi Arabia, which included four hospitals. The study adopted the convenient sampling method accordingly, the number of participants was 112 (19 intern nurses (the trainees), 93 preceptors (trainers)). The data was collected through a questionnaire designed by the researcher and reviewed by the study team. The questionnaire consists of 5 domains (administrative procedures, organizational procedures, nursing procedures, challenges faced by the preceptors, and communication barriers).</p><p><strong>Results: </strong>The results of the study in general showed most of the participants strongly agreed with the administrative procedures average (Mean 4.45), for the rest of the other four domains the participants agreed on the average range (Mean 4.0-4.1).</p><p><strong>Conclusion: </strong>The overall high scores across domains reflect a generally well-received training program, with strong administrative and regulatory procedures. The preceptors' impression of the administrative procedures during the internship was very good (Mean 4.45), however, they faced difficulties in nursing procedures, especially regarding assigning non-nursing tasks to the interns' nurse, as well as barriers in communication due to the busyness of trainers.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"341-355"},"PeriodicalIF":1.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543792","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":"Predictive Validity of Preclerkship Performance Metrics on USMLE Step 2 CK Outcomes in the Step 1 Pass/Fail Era.","authors":"Karl Aharonian, Maggie Sanders, Tal Schlesinger, Victoria Winter, Edward Simanton","doi":"10.2147/AMEP.S505612","DOIUrl":"https://doi.org/10.2147/AMEP.S505612","url":null,"abstract":"<p><strong>Purpose: </strong>With the transition of USMLE Step 1 to pass/fail, Step 2 CK has become a critical factor in residency selection. This study evaluates the predictive value of preclinical academic metrics for Step 2 CK outcomes to help students assess their metrics for residency before starting clerkships.</p><p><strong>Methods: </strong>We analyzed data from 58 students at the Kirk Kerkorian School of Medicine at UNLV. Academic metrics included MCAT scores, NBME-style Phase 1 exam performance, and CBSE scores. Pearson correlation coefficients were calculated between each predictor and Step 2 CK scores. Binary logistic regression was used, with Step 2 CK upper quartile (score >255) as the dependent variable and thresholds for each predictor as independent variables.</p><p><strong>Results: </strong>MCAT scores showed a moderate positive correlation with Step 2 CK (r=0.37, p=0.004). Students scoring >510 on the MCAT were significantly more likely to achieve >255 on Step 2 CK. Phase 1 NBME exam performance had the strongest correlation (r=0.67, p<0.0001), with students scoring above the national mean on >75% of exams more likely to achieve >255. While CBSE scores showed a similar correlation (r=0.67, p<0.0001), logistic regression analysis revealed that their predictive ability was less consistent for students in the middle performance range, indicating variability in classification utility.</p><p><strong>Conclusion: </strong>Preclinical NBME exam performance emerged as the strongest predictor of Step 2 CK success in our cohort, with MCAT and CBSE scores offering additional, though less robust, predictive value. These findings highlight the importance of early academic guidance to optimize residency preparedness and provide actionable insights for students assessing their readiness within the new Step 1 pass/fail framework. Further multi-institutional research is warranted to validate and generalize these results.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"323-330"},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543795","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":"Application of Artificial Intelligence Generated Content in Medical Examinations.","authors":"Rui Li, Tong Wu","doi":"10.2147/AMEP.S492895","DOIUrl":"https://doi.org/10.2147/AMEP.S492895","url":null,"abstract":"<p><p>As the rapid development of large language model, artificial intelligence generated content (AIGC) presents novel opportunities for constructing medical examination questions. However, it is unclear about the way of effectively utilizing AIGC for designing medical questions. AIGC is characterized by its rapid response capabilities and high efficiency, as well as good performance in mimicking clinical realities. In this study, we revealed the limitations inherent in paper-based examinations, and provided a streamlined instruction for generating questions using AIGC, with a particular focus on multiple-choice questions, case study questions, and video questions. Manual review remains necessary to ensure the accuracy and quality of the generated content. Future development will be benefited from technologies like retrieval augmented generation, multi-agent system, and video generation technology. As AIGC continues to evolve, it is anticipated to bring transformative changes to medical examinations, enhancing the quality of examination preparation, and contributing to the effective cultivation of medical students.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"331-339"},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543742","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":"Career Planning in Medical Students Rotating Through Obstetrics and Gynecology: The Role of Self-Efficacy, Social Support, and Personal Participation.","authors":"Jinping Zhou, Wei Zhou, Xinyi Liu, Li Pan, Xiaoying Li, Nianchun Shan","doi":"10.2147/AMEP.S494749","DOIUrl":"10.2147/AMEP.S494749","url":null,"abstract":"<p><strong>Purpose: </strong>Aimed to examine the relationship between Individual participation, social support, self-efficacy and career planning among medical students of obstetrics and gynecology.</p><p><strong>Patients and methods: </strong>Utilizing a cross-sectional survey, We evaluated 292 medical students specializing in obstetrics and gynecology across various educational stages. Questionnaires measured academic self-efficacy, social support, personal involvement, and career planning. We applied descriptive statistics, linear regression, and mediation effect analyses with the SPSS AU tool.</p><p><strong>Results: </strong>This study evaluated the career planning status of 292 medical students rotating through obstetrics and gynecology at various educational stages using a cross-sectional survey. Linear regression analysis revealed that age has a negative impact on career planning scores, with each additional year reducing the score by an average of 0.065 points. Gender (with males scoring lower) and residence (with students from rural areas scoring higher) also had significant effects (all <i>p</i> <0.05). Positive factors included self-efficacy in academic ability, career planning guidance from parents and friends, participation in career planning-related training, medical practice projects, and medical competitions, all of which significantly and positively influenced career planning scores, the aforementioned factors account for 40.5% of the variation in career planning. Mediation effect analysis showed that social support and personal participation have significant indirect effects on career planning through self-efficacy, accounting for 7.746% and 5.338% of the total effect, respectively, and both have significant direct positive impacts on career planning, with total effects of 0.526 (95% CI [0.393, 0.658], <i>p</i> = 0.000 < 0.001) and 0.470 (95% CI [0.292, 0.648], p = 0.000 < 0.001), respectively. These results highlight the importance of enhancing social support and personal participation to improve career planning capabilities among medical students (all <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Enhancing social support and personal participation can improve career planning capabilities in medical students by boosting self-efficacy.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"297-309"},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504805","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":"The Effect of Integrated Simulation Experiential Learning Disaster Nursing for Enhancing Learning Outcomes Among Undergraduate Nursing Students: A Quasi-Experimental Study.","authors":"Etika Emaliyawati, Kusman Ibrahim, Yanny Trisyani, Praneed Songwathana","doi":"10.2147/AMEP.S489163","DOIUrl":"10.2147/AMEP.S489163","url":null,"abstract":"<p><strong>Background: </strong>Traditional classroom-based learning often lacks the depth of experience to develop the practical skills and decision-making abilities needed in disaster situations. Integrated Simulation Experiential Learning Disaster Nursing (ISEL-DN) is an innovative approach that combines simulation technology with experiential learning, providing a more immersive and interactive learning experience for students.</p><p><strong>Purpose: </strong>This study aimed to explore the effectiveness of the ISEL-DN model in enhancing knowledge, attitudes, satisfaction, and self-confidence among undergraduate nursing students.</p><p><strong>Methods: </strong>A quasi-experimental study with a control group was conducted on 94 undergraduate nursing students (Intervention group: 47 and control group: 47). Samples were recruited using convenience sampling by inclusion and exclusion criteria. The intervention group was given learning based on ISEL-DN. The data were analyzed univariately by displaying the frequency distribution and central tendency, and comparisons were made using the Wilcoxon rank and Mann-Whitney <i>U</i>-tests.</p><p><strong>Results: </strong>Significant improvements were observed in the control group across variables: knowledge (<i>p</i><0.001), attitude (<i>p</i>=0.042), satisfaction (<i>p</i>=0.001), and overall self-confidence (<i>p</i>=0.009). In the intervention group, all variables and subcomponents showed significant improvements (<i>p</i><0.05). The ISEL-DN model significantly increased knowledge and satisfaction, much greater than traditional learning (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>This study showed that the ISEL-DN model significantly improved nursing students' knowledge and satisfaction, attitudes, and self-confidence compared to traditional learning. The knowledge and satisfaction variables observed the most significant improvement, indicating that the ISEL-DN model provided a more interactive and in-depth learning experience. This model can be innovative in disaster nursing education to improve students' preparedness to deal with emergency situations effectively.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"311-321"},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504809","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}