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How do medical schools influence their students' career choices? A realist evaluation. 医学院如何影响学生的职业选择?现实主义评估。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-02-25 DOI: 10.1080/10872981.2024.2320459
Adam Thomas, Ruth Kinston, Sarah Yardley, R K McKinley, Janet Lefroy
{"title":"How do medical schools influence their students' career choices? A realist evaluation.","authors":"Adam Thomas, Ruth Kinston, Sarah Yardley, R K McKinley, Janet Lefroy","doi":"10.1080/10872981.2024.2320459","DOIUrl":"10.1080/10872981.2024.2320459","url":null,"abstract":"<p><strong>Introduction: </strong>The career choices of medical graduates vary widely between medical schools in the UK and elsewhere and are generally not well matched with societal needs. Research has found that experiences in medical school including formal, informal and hidden curricula are important influences. We conducted a realist evaluation of how and why these various social conditions in medical school influence career thinking.</p><p><strong>Methods: </strong>We interviewed junior doctors at the point of applying for speciality training. We selected purposively for a range of career choices. Participants were asked to describe points during their medical training when they had considered career options and how their thinking had been influenced by their context. Interview transcripts were coded for context-mechanism-outcome (CMO) configurations to test initial theories of how career decisions are made.</p><p><strong>Results: </strong>A total of 26 junior doctors from 12 UK medical schools participated. We found 14 recurring CMO configurations in the data which explained influences on career choice occurring during medical school.</p><p><strong>Discussion: </strong>Our initial theories about career decision-making were refined as follows: It involves a process of testing for fit of potential careers. This process is asymmetric with multiple experiences needed before deciding a career fits ('easing in') but sometimes only a single negative experience needed for a choice to be ruled out. Developing a preference for a speciality aligns with Person-Environment-Fit decision theories. Ruling out a potential career can however be a less thought-through process than rationality-based decision theories would suggest. Testing for fit is facilitated by longer and more authentic undergraduate placements, allocation of and successful completion of tasks, being treated as part of the team and enthusiastic role models. Informal career guidance is more influential than formal. We suggest some implications for medical school programmes.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 pandemic and its impact on medical interns' mental health of public and private hospitals in Guadalajara. COVID-19 大流行及其对瓜达拉哈拉公立和私立医院实习医生心理健康的影响。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-28 DOI: 10.1080/10872981.2024.2308360
Francisco José Barbosa-Camacho, Víctor Ulises Rodríguez-Machuca, Juan Carlos Ibarrola-Peña, Jonathan Matías Chejfec-Ciociano, Mario Jesús Guzmán-Ruvalcaba, Jaime Alberto Tavares-Ortega, Gonzalo Delgado-Hernandez, Gabino Cervantes-Guevara, Enrique Cervantes-Pérez, Sol Ramírez-Ochoa, Clotilde Fuentes-Orozco, Alejandro Gonzalez-Ojeda
{"title":"COVID-19 pandemic and its impact on medical interns' mental health of public and private hospitals in Guadalajara.","authors":"Francisco José Barbosa-Camacho, Víctor Ulises Rodríguez-Machuca, Juan Carlos Ibarrola-Peña, Jonathan Matías Chejfec-Ciociano, Mario Jesús Guzmán-Ruvalcaba, Jaime Alberto Tavares-Ortega, Gonzalo Delgado-Hernandez, Gabino Cervantes-Guevara, Enrique Cervantes-Pérez, Sol Ramírez-Ochoa, Clotilde Fuentes-Orozco, Alejandro Gonzalez-Ojeda","doi":"10.1080/10872981.2024.2308360","DOIUrl":"10.1080/10872981.2024.2308360","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout syndrome is a global burden characterized by exhaustion, work detachment, and a sense of ineffectiveness. It affects millions of individuals worldwide, with a particularly high prevalence among medical students. Factors such as demanding education, exposure to suffering, and the COVID-19 pandemic have contributed to elevated stress levels. Addressing this issue is crucial due to its impact on well-being and health-care quality.</p><p><strong>Materials and methods: </strong>This cross-sectional survey study assessed fear of COVID-19 and burnout levels among medical student interns in hospitals in Guadalajara, Jalisco. The study used validated scales and collected data from September 2021 to September 2022. A snowball sampling method was employed and a minimum sample size of 198 participants was calculated.</p><p><strong>Results: </strong>This study included 311 medical students (62.1% female and 37.9% male with a mean age of 23.51 ± 2.21 years). The majority were in their second semester of internship (60.5%) and from public hospitals (89.1%). Most students believed that the COVID-19 pandemic affected the quality of their internship (82.6%). Female students had higher personal burnout scores, while male students had higher work-related burnout scores. The mean score for fear of COVID-19 was 13.71 ± 6.28, with higher scores among women (<i>p</i> = 0.004) and those from public hospitals (<i>p</i> = 0.009). A positive weak correlation was found between COVID-19 scores and burnout subscales.</p><p><strong>Conclusion: </strong>Our study emphasizes the significant impact of various factors on burnout levels among medical students and health-care professionals during the COVID-19 pandemic. Prolonged exposure to COVID-19 patients, reduced staffing, and increased workload contributed to burnout, affecting well-being and quality of care. Targeted interventions and resilience-building strategies are needed to mitigate burnout and promote well-being in health-care settings.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a framework for promoting interest and engagement of scholarship of teaching and learning for medical students. 制定一个框架,提高医科学生对教学学术的兴趣和参与度。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-04-01 DOI: 10.1080/10872981.2024.2336332
Ritvik Bhattacharjee, Austin Reynolds, Lilian Zhan, Laura Knittig, Ranjini Nagaraj, Yuan Zhao
{"title":"Developing a framework for promoting interest and engagement of scholarship of teaching and learning for medical students.","authors":"Ritvik Bhattacharjee, Austin Reynolds, Lilian Zhan, Laura Knittig, Ranjini Nagaraj, Yuan Zhao","doi":"10.1080/10872981.2024.2336332","DOIUrl":"10.1080/10872981.2024.2336332","url":null,"abstract":"<p><strong>Background: </strong>The scholarship of teaching and learning (SoTL) is a field of academic research that focuses on improving learning through reflective and informed teaching. Currently, most SoTL-related work is faculty-driven; however, student involvement in SoTL has been shown to benefit both learners and educators. Our study aims to develop a framework for increasing medical students' interest, confidence, and engagement in SoTL.</p><p><strong>Methods: </strong>A student-led SoTL interest group was developed and a year-round program of SoTL was designed and delivered by student leaders of the group under the guidance of a faculty advisor. Individual post-session surveys were administered to evaluate participants' perceptions of each session. Pre- and post-program surveys were administered to evaluate the program impact.</p><p><strong>Results: </strong>The year-round SoTL program consistently attracted the participation of medical students and faculty. Survey responses indicated strong medical student interest in the program and positive impact of the program. Increased interest and confidence in medical education research were reported by the student participants. The program design provided opportunities for student participants to network and receive ongoing feedback about medical education research they were interested or involved in.</p><p><strong>Conclusion: </strong>Our study provides insights for developing a framework that other institutions can reference and build upon to educate and engage students in SoTL.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial. 护理本科生的本体论辅导:随机对照(OCEAN)试验。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-07-21 DOI: 10.1080/10872981.2024.2379109
Travis Lanz-Brian Pereira, Emily Ang, Aayisha, Kuhanesan N C Naidu, Yiong Huak Chan, Shefaly Shorey
{"title":"Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial.","authors":"Travis Lanz-Brian Pereira, Emily Ang, Aayisha, Kuhanesan N C Naidu, Yiong Huak Chan, Shefaly Shorey","doi":"10.1080/10872981.2024.2379109","DOIUrl":"10.1080/10872981.2024.2379109","url":null,"abstract":"<p><p>To develop and assess the preliminary effectiveness of Ontological Coaching Intervention for nursing undergraduates. Design: A pilot randomized controlled trial with a two-group pre-test and post-test followed by process-evaluation qualitative interviews. An Ontological Coaching Intervention was developed through an integration of prior literature and the collective the research team's experience, consisting of 4-6 sessions over 6-months, each lasting 30-60 minutes. Sessions encompassed exploring ontological coaching concepts, empowering nursing undergraduates to choose topics, and tailoring sessions to individual needs. Sixty undergraduates were recruited; ten were excluded for not completing the baseline questionnaires. Twenty-one nursing undergraduates were randomly assigned to the intervention group and twenty-nine undergraduates to the control group (standard academic support only). Primary (psychological well-being) and secondary (social support quantity and satisfaction, goal-setting, resilience) outcomes were measured at baseline, 3-months, and 6-months. Semi-structured interviews captured post-intervention experiences. Between-group analyses revealed a significant difference in goal-setting scores at 3-months (U = 325.5, p = 0.013), favoring the intervention group (median = 70.50, IQR = 64.25, 76.75). At 6-months, a significant difference in social support satisfaction scores (U = 114.5, p = 0.028) was found between the intervention (median = 33.00, IQR = 29.50, 35.25) and control (median = 30.00, IQR = 30.00, 35.00) groups. However, no significant between-group differences were noted in other outcome measures. Significant within-group differences were found in goal-setting scores at 3- and 6-months in the intervention group and social support quantity scores at 3- and 6-months in the control group. However, no significant within-group differences were noted in other outcome measures. Three themes were identified: Enhanced Holistic Development, Keys to Successful Coaching, and Future Directions for Successful Coaching. There is urgent need to advance research on Ontological Coaching Intervention, particularly, enhancing study rigor, broadening examinations to diverse healthcare student populations and cultural contexts, and addressing identified limitations.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difference in medical student performance in a standardized patient encounter between telemedicine and in-person environments. 远程医疗与面对面环境下医科学生在标准化会诊中的表现差异。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-08-06 DOI: 10.1080/10872981.2024.2388422
Emily M Murphy, Ariella Stein, Reshma Pahwa, Maura McGuire, Tina Kumra
{"title":"Difference in medical student performance in a standardized patient encounter between telemedicine and in-person environments.","authors":"Emily M Murphy, Ariella Stein, Reshma Pahwa, Maura McGuire, Tina Kumra","doi":"10.1080/10872981.2024.2388422","DOIUrl":"https://doi.org/10.1080/10872981.2024.2388422","url":null,"abstract":"<p><strong>Introduction: </strong>Telemedicine is an increasingly common form of healthcare delivery in the United States. It is unclear how there are differences in clinical performance in early learners between in-person and telemedicine encounters.</p><p><strong>Materials & methods: </strong>The authors conducted a single-site retrospective cohort study of 241 second-year medical students to compare performance between in-person and telemedicine standardized patient (SP) encounters. One hundred and twenty medical students in the 2020 academic year participated in a telemedicine encounter, and 121 medical students in the 2022 academic year participated in an in-person encounter. SPs completed a multi-domain performance checklist following the encounter, and the authors performed statistical analyses to compare student performance between groups.</p><p><strong>Results: </strong>Students who completed in-person encounters had higher mean scores in overall performance (75.2 vs. 69.7, <i>p</i> < 0.001). They had higher scores in physical exam (83.3 vs. 50, <i>p</i> < 0.001) and interpersonal communication domains (95 vs. 85, <i>p</i> < 0.001) and lower scores in obtaining a history (73.3 vs. 80, <i>p</i> = 0.0025). There was no significant difference in assessment and plan scores (50 vs. 50, <i>p</i> = 0.96) or likelihood of appropriately promoting antibiotic stewardship (41.3% vs. 45.8%, <i>p</i> = 0.48).</p><p><strong>Conclusion: </strong>The authors identified significant differences in clinical performance between in-person and telemedicine SP encounters, indicating that educational needs may differ between clinical environments.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A retrospective observational study - exploring food pantry referral as a clinical proxy for residents' ability to address unmet health-related social needs. 一项回顾性观察研究--探索食品储藏室转介作为居民解决未满足的健康相关社会需求能力的临床替代方案。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-09-20 DOI: 10.1080/10872981.2024.2404295
Michelle March, Daniel Schumacher, Andrew F Beck, Mary Carol Burkhardt, Allison Reyner, Melissa Klein
{"title":"A retrospective observational study - exploring food pantry referral as a clinical proxy for residents' ability to address unmet health-related social needs.","authors":"Michelle March, Daniel Schumacher, Andrew F Beck, Mary Carol Burkhardt, Allison Reyner, Melissa Klein","doi":"10.1080/10872981.2024.2404295","DOIUrl":"10.1080/10872981.2024.2404295","url":null,"abstract":"<p><strong>Background: </strong>Assessment of residents' ability to address unmet health-related social needs to promote social accountability remains subjective and difficult. Existing approaches rely on self-assessment surveys of residents' knowledge, skills, and attitudes following social determinants of health training, with few studies explicitly measuring clinical practice. We aimed to characterize social accountability using resident referrals to a food pantry embedded in a pediatric primary care center as an objective measure of resident ability to address unmet health-related social needs in clinical practice.</p><p><strong>Methods: </strong>This retrospective observational study occurred from 1 January 2019, to 30 June 2020, at an urban, pediatric primary care center with an embedded food pantry. All pediatric residents received social accountability education during a 2-week Advocacy rotation intern year. During clinic visits, pediatric residents were expected to act on results of a standardized social screen that included two food insecurity questions. Food pantry referral was the primary outcome. Food pantry referral data were extracted from food pantry logs.</p><p><strong>Results: </strong>During the 18-month study period, the pediatric primary care center food pantry was accessed at 1,031 visits. Of the 860 physician-based visits that resulted in pantry referral, 63% (<i>n</i> = 545) were initiated by residents. Eighty-six percent of residents (134/156) made ≥ 1 referral. Across all years, residents placed a mean of 3 (range 1-16) food pantry referrals.</p><p><strong>Conclusions: </strong>During our study, most residents placed at least one pantry referral in response to identifying food insecurity either via the screen or during conversation with the family. Referral to a primary care embedded food pantry, one way to address acute food insecurity may serve as a measurable proxy to assess residents' ability to address unmet health-related social needs and promote social accountability in healthcare delivery.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clues for improvement of research in objective structured clinical examination. 改进客观结构化临床检查研究的线索。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-06-27 DOI: 10.1080/10872981.2024.2370617
Jean Philippe Foy, Laure Serresse, Maxens Decavèle, Manon Allaire, Nadia Nathan, Marie Christine Renaud, Nada Sabourdin, Yasmine Souala-Chalet, Yanis Tamzali, Jessica Taytard, Mélanie Tran, Fleur Cohen, Hugo Bottemanne, Antoine Monsel
{"title":"Clues for improvement of research in objective structured clinical examination.","authors":"Jean Philippe Foy, Laure Serresse, Maxens Decavèle, Manon Allaire, Nadia Nathan, Marie Christine Renaud, Nada Sabourdin, Yasmine Souala-Chalet, Yanis Tamzali, Jessica Taytard, Mélanie Tran, Fleur Cohen, Hugo Bottemanne, Antoine Monsel","doi":"10.1080/10872981.2024.2370617","DOIUrl":"10.1080/10872981.2024.2370617","url":null,"abstract":"<p><p>While objective clinical structured examination (OSCE) is a worldwide recognized and effective method to assess clinical skills of undergraduate medical students, the latest Ottawa conference on the assessment of competences raised vigorous debates regarding the future and innovations of OSCE. This study aimed to provide a comprehensive view of the global research activity on OSCE over the past decades and to identify clues for its improvement. We performed a bibliometric and scientometric analysis of OSCE papers published until March 2024. We included a description of the overall scientific productivity, as well as an unsupervised analysis of the main topics and the international scientific collaborations. A total of 3,224 items were identified from the Scopus database. There was a sudden spike in publications, especially related to virtual/remote OSCE, from 2020 to 2024. We identified leading journals and countries in terms of number of publications and citations. A co-occurrence term network identified three main clusters corresponding to different topics of research in OSCE. Two connected clusters related to OSCE performance and reliability, and a third cluster on student's experience, mental health (anxiety), and perception with few connections to the two previous clusters. Finally, the United States, the United Kingdom, and Canada were identified as leading countries in terms of scientific publications and collaborations in an international scientific network involving other European countries (the Netherlands, Belgium, Italy) as well as Saudi Arabia and Australia, and revealed the lack of important collaboration with Asian countries. Various avenues for improving OSCE research have been identified: i) developing remote OSCE with comparative studies between live and remote OSCE and issuing international recommendations for sharing remote OSCE between universities and countries; ii) fostering international collaborative studies with the support of key collaborating countries; iii) investigating the relationships between student performance and anxiety.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11212575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Voices of the accelerated: key themes when considering implementation of an accelerated medical school program. 速成者的声音:考虑实施医学院速成计划时的关键主题。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-08-04 DOI: 10.1080/10872981.2024.2385666
Francesco Satriale, Arianna Winchester, Michael Partin
{"title":"Voices of the accelerated: key themes when considering implementation of an accelerated medical school program.","authors":"Francesco Satriale, Arianna Winchester, Michael Partin","doi":"10.1080/10872981.2024.2385666","DOIUrl":"10.1080/10872981.2024.2385666","url":null,"abstract":"<p><p>In this rapid communication, accelerated undergraduate medical education is examined using prior literature as well as experiences of those who have completed or are in the process of completing accelerated medical curricula. The Consortium of Accelerated Medical Pathway Programs (CAMPP) hosts an annual multi-institutional conference for all its members. During the meeting in July 2023, a virtual panel was convened from multiple constituent programs (<i>N</i> = 4) including medical students (<i>N</i> = 2), resident physicians (<i>N</i> = 4), and faculty (<i>N</i> = 2). Panel participants represented current learners or graduates from accelerated pathways of varying specialties (<i>N</i> = 5) to share firsthand experiences about acceleration to an audience representing over 25 medical schools. Five key themes were identified for accelerated students and trainees: Reduced debt as motivating factor to accelerate, Feeling prepared for residency, Ideal accelerated students are driven, Ability to form early professional relationships, and Less time for additional clinical experiences. Discourse from the CAMPP panel can inform current and developing accelerated programs at institutions looking to create or improve accelerated learning.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical education research study quality instrument: an objective instrument susceptible to subjectivity. 医学教育研究质量工具:容易受主观因素影响的客观工具。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-24 DOI: 10.1080/10872981.2024.2308359
Scott Jaros, Gary Beck Dallaghan
{"title":"Medical education research study quality instrument: an objective instrument susceptible to subjectivity.","authors":"Scott Jaros, Gary Beck Dallaghan","doi":"10.1080/10872981.2024.2308359","DOIUrl":"10.1080/10872981.2024.2308359","url":null,"abstract":"<p><strong>Background: </strong>The medical education research study quality instrument (MERSQI) was designed to appraise medical education research quality based on study design criteria. As with many such tools, application of the results may have unintended consequences. This study applied the MERSQI to published medical education research identified in a bibliometric analysis.</p><p><strong>Methods: </strong>A bibliometric analysis identified highly cited articles in medical education that two authors independently evaluated using the MERSQI. After screening duplicate or non-research articles, the authors reviewed 21 articles with the quality instrument. Initially, five articles were reviewed independently and results were compared to ensure agreed upon understanding of the instrument items. The remainder of the articles were independently reviewed. Overall scores for the articles were analyzed with a paired samples t-test and individual item ratings were analyzed for inter-rater reliability.</p><p><strong>Results: </strong>There was a significant difference in mean MERSQI score between reviewers. Inter-rater reliability for MERSQI items labeled response rate, validity and outcomes were considered unacceptable.</p><p><strong>Conclusions: </strong>Based on these results there is evidence that MERSQI items can be significantly influenced by interpretation, which lead to a difference in scoring. The MERSQI is a useful guide for identifying research methodologies. However, it should not be used to make judgments on the overall quality of medical education research methodology in its current format. The authors make specific recommendations for how the instrument could be revised for greater clarity and accuracy.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiologist preferences for faculty development initiatives to improve resident feedback in the era of competency-based medical education. 在以能力为基础的医学教育时代,放射科医生对教师发展计划的偏好,以改善住院医生的反馈。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-05-29 DOI: 10.1080/10872981.2024.2357412
Laura Wong, Ethan Sacoransky, Wilma Hopman, Omar Islam, Andrew D Chung, Benjamin Y M Kwan
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