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Characterizing the initial effects of the single accreditation system merge on the ophthalmology residency match. 单一评审系统合并对眼科住院医师匹配的初步影响。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-23 DOI: 10.1080/10872981.2024.2307124
Forrest Bohler, Allison Garden, Christian J Santiago, Lily Bohler, Varna Taranikanti
{"title":"Characterizing the initial effects of the single accreditation system merge on the ophthalmology residency match.","authors":"Forrest Bohler, Allison Garden, Christian J Santiago, Lily Bohler, Varna Taranikanti","doi":"10.1080/10872981.2024.2307124","DOIUrl":"10.1080/10872981.2024.2307124","url":null,"abstract":"<p><strong>Introduction: </strong>In 2020, the American Osteopathic Association merged its residency programs into one system under the Accreditation Council for Graduate Medical Education (ACGME). The effects of this transition on the ophthalmology match is not fully understood. The purpose of this study is to assess the early impact of the transition to ACGME accreditation on MD, DO, and IMG representation in ophthalmology residency programs.</p><p><strong>Materials and methods: </strong>Information about resident medical degree and resident medical school was gathered from ophthalmology residency program websites from a resident class before and after the Transition. Additionally, the medical degree of residency program directors (PD) was collected to analyze MD vs DO leadership in ophthalmology residency programs and to further stratify resident data to identify any trends in PD preference for different medical graduates.</p><p><strong>Results: </strong>Data was obtained for 915 ophthalmology residents in 110 residency programs that met the study's inclusion criteria. Of these programs, 102 were allopathic with MD leadership, 1 was allopathic with DO leadership, 3 were osteopathic with MD leadership, and 4 were osteopathic with DO leadership. Overall, MD representation increased while DO and IMG representation decreased although not significantly. For both classes analyzed, DO and IMG representation was disproportionately low.</p><p><strong>Discussion: </strong>The transition to ACGME accreditation seems to have primarily harmed DO and IMG applicants in the ophthalmology match while benefitting MDs. Various factors such as loss of protected residency positions for DO applicants and the closure of osteopathic ophthalmology residency programs are likely reasons to blame for this decrease in osteopathic representation.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2307124"},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543110","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
Evaluating the effectiveness of an online curriculum on caring for transgender and nonbinary patients. 评估变性和非二元病人护理在线课程的有效性。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-02-06 DOI: 10.1080/10872981.2024.2311481
Julie Blaszczak, Sara Wiener, Melissa Plegue, Dan Shumer, John Shatzer, Anita Hernandez
{"title":"Evaluating the effectiveness of an online curriculum on caring for transgender and nonbinary patients.","authors":"Julie Blaszczak, Sara Wiener, Melissa Plegue, Dan Shumer, John Shatzer, Anita Hernandez","doi":"10.1080/10872981.2024.2311481","DOIUrl":"10.1080/10872981.2024.2311481","url":null,"abstract":"<p><strong>Background and objectives: </strong> It is well established that provider lack of knowledge in the field of transgender and nonbinary health is as ignificant barrier to care and that training in this area is lacking. This study examined how family medicine residents' self-confidence and medical knowledge in providing gender-affirming care changed after completing a novel, online curriculum on transgender and nonbinary care.</p><p><strong>Methods: </strong>Thirty-nine family medicine residents were invited to complete the curriculum. Change inself-confidence was determined by the difference in scores on a Likert scale on a pre- and post-survey. Change in medical knowledge was assessed by examining the difference between pre- and post-test scores on a novel multiple-choice examination.</p><p><strong>Results: </strong>Only 7% of current residents agreed that their current training is adequate in order to provide comprehensive primary care to transgender and nonbinary people. After completion of the curriculum, 100% of participants felt at least somewhat confident providing primary care to transgender and nonbinary people, including hormone therapy. Average medical knowledge post-test scores trended higher than the pre-test results (mean (SD) at pre = 11.2 (1.4) vs post = 14.6 (2.8)).</p><p><strong>Conclusions: </strong>An online, self-directed curriculum on caring for transgender and nonbinary patients in the primary care setting, including management of gender-affirming hormone therapy, has the potential to increase confidence and knowledge in this field, decreasing barriers to care for this population.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2311481"},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698561","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
The effect of case-based mobile virtual patient application on students' academic achievement in clinical reasoning skills. 基于案例的移动虚拟病人应用对学生临床推理技能学习成绩的影响。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-03-06 DOI: 10.1080/10872981.2024.2322223
Levent Çetinkaya, I Lke Keser, Serkan Yildirim, Hafize Keser
{"title":"The effect of case-based mobile virtual patient application on students' academic achievement in clinical reasoning skills.","authors":"Levent Çetinkaya, I Lke Keser, Serkan Yildirim, Hafize Keser","doi":"10.1080/10872981.2024.2322223","DOIUrl":"10.1080/10872981.2024.2322223","url":null,"abstract":"<p><p>This mixed-method study aims to determine the effect of the use of mobile virtual patient application with narrated case-based virtual patients as an assistive technology on students' clinical reasoning skills. It makes a notable contribution by exploring the impact of mobile virtual patient applications on healthcare students' clinical skills and their preparation for real-world patient care. In addition, the accuracy of the analysis results regarding the effect on student achievement was analyzed with a second dataset tool, and thus, aiming to increase reliability by verifying the same research question with a different quantitative analysis technique. In the qualitative part of the study, students' views on the implementation were collected through an open-ended questionnaire and the data were subjected to content analysis. An achievement test was also developed to determine the development of students' clinical reasoning skills, which revealed that each of the learning environments had different outcomes regarding students' achievement and that supporting the traditional environment with the mobile virtual patient application yielded better results for increasing students' achievement. Students' opinions about the mobile virtual patient application and the process also support the increase in academic achievement aimed at measuring clinical reasoning skills. The content analysis showed that the students, who generally reported multiple positive factors related to the application, thought that the stories and cases presented created a perception of reality, and they especially highlighted the contribution of the application to learning the story organization. Based on all these results, it can be said that the application supports clinical reasoning, provides practical experience, improves academic achievement, and contributes positively to motivation.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2322223"},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040614","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
Exploring effective video-review strategies of patient encounters for medical students: precepted review versus peer discussion. 探索医科学生接触病人的有效视频审查策略:戒律审查与同行讨论。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-08-18 DOI: 10.1080/10872981.2024.2392428
Kye-Yeung Park, Ye Ji Kang, Hoon-Ki Park, Hwan-Sik Hwang
{"title":"Exploring effective video-review strategies of patient encounters for medical students: precepted review versus peer discussion.","authors":"Kye-Yeung Park, Ye Ji Kang, Hoon-Ki Park, Hwan-Sik Hwang","doi":"10.1080/10872981.2024.2392428","DOIUrl":"10.1080/10872981.2024.2392428","url":null,"abstract":"<p><strong>Background: </strong>Video-recordings review of patient encounters is reported to improve the clinical performance of medical students. However, evidence on specific remediation strategies or outcomes are lacking. We aimed to implement videorecording-based remediation of standardized patient encounters among medical students, combined with preceptor one-on-one feedback or peer group discussion, and evaluate the effectiveness of the two remediation methods using objective structured clinical examination (OSCE).</p><p><strong>Methods: </strong>Following standardized patient encounters, 107 final-year medical students were divided into two groups based on different remediation methods of video review: (1) precepted video review with preceptor feedback (<i>N</i> = 55) and (2) private video review and subsequent peer group discussion under supervision (<i>N</i> = 52). All students underwent twelve-stations of OSCE both before and after the video review. Students' pre- and post-remediation OSCE scores, self-efficacy level in patient encounters, and level of educational satisfaction with each method were assessed and compared between different video-based remediation methods to evaluate their respective effects.</p><p><strong>Results: </strong>After remediation, the total and subcomponent OSCE scores, such as history taking, physical examination, and patient - physician interaction (PPI), among all students increased significantly. Post-remediation OSCE scores showed no significant difference between two remediation methods (preceptor module, 79.6 ± 4.3 vs. peer module, 79.4 ± 3.8 in the total OSCE score). Students' self-efficacy levels increased after remediation in both modules (both p-value <0.001), with no difference between the two modules. However, students' satisfaction level was higher in the preceptor module than in the peer module (80.1 ± 17.7 vs. 59.2 ± 25.1, p-value <0.001). Among students with poor baseline OSCE performance, a prominent increase in PPI scores was observed in the preceptor-based module.</p><p><strong>Conclusion: </strong>Video-based remediation of patient encounters, either through preceptor review with one-on-one feedback or through private review with peer discussion, was equally effective in improving the OSCE scores and self-efficacy levels of medical students. Underperforming students can benefit from precepted video reviews for building PPI.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2392428"},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001018","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
The Transformative Care Continuum: implementing an accelerated pathway that addresses the new roles of the family medicine physician. 变革性护理连续性:针对家庭医生的新角色实施加速路径。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-10-01 DOI: 10.1080/10872981.2024.2379629
Leanne Chrisman-Khawam, Sandra Snyder, Carl Tyler, Douglas Harley, Elliot Davidson, Loren Anthes, Sharon Casapulla
{"title":"The Transformative Care Continuum: implementing an accelerated pathway that addresses the new roles of the family medicine physician.","authors":"Leanne Chrisman-Khawam, Sandra Snyder, Carl Tyler, Douglas Harley, Elliot Davidson, Loren Anthes, Sharon Casapulla","doi":"10.1080/10872981.2024.2379629","DOIUrl":"10.1080/10872981.2024.2379629","url":null,"abstract":"<p><strong>Background: </strong>The Transformative Care Continuum (TCC) emerged in 2018 at Ohio University's Heritage College of Osteopathic Medicine, combining a three-year medical education track with a three-year family medicine residency. TCC aligns evolving family physician roles through the Kern model, AMA's Master Adaptive Learner model, Health Systems Science Training, and Kirkpatrick's evaluation model.</p><p><strong>Methods: </strong>The TCC curriculum emphasizes intensive coaching, clinical encounter video evaluation, reflection, and case-log review. It fosters longitudinal clinical integration, community engagement, and a dynamic learning atmosphere. Students receive rigorous patient-centered communication training and engage in residency-based quality improvement projects, targeting care gap closure and community health in an accelerated 3-year program.</p><p><strong>Outcomes: </strong>Assessment of TCC graduates demonstrates advanced team communication, leadership, and project management skills, with entrustable professional activities (EPA) scores meeting or surpassing those of traditional program graduates. Projects led by students have yielded notable clinical enhancements, national recognition, and significant philanthropic funding for non-medical determinants of health. Finally, there is an overall increase in scholarly activity and leadership roles within the residency programs that have engaged these students.</p><p><strong>Discussion: </strong>Lessons reveal intrinsic challenges and heightened academic demands for students and residency programs. Additional educational support for students may be necessary, though costly. Limitations in residency slots and faculty availability as student educators potentially hinder scalability. Ongoing faculty training, cultural support, and early integration of digital systems for curriculum management and evaluation are vital for success. Obtaining patient satisfaction, health outcomes, and program measures remains challenging due to privacy concerns and approval processes between institutions.</p><p><strong>Conclusion: </strong>Programs like TCC effectively prepare students for family physician leadership and change management roles through tailored learning, longitudinal experiences, health systems training, and addressing critiques of traditional medical education. Continuous feedback and robust communication strategies are essential for program improvement, fostering well-prepared family physicians committed to health system enhancement.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2379629"},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336975","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
Gamification in medical education: identifying and prioritizing key elements through Delphi method. 医学教育游戏化:通过德尔菲法确定和优先考虑关键要素。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-09 DOI: 10.1080/10872981.2024.2302231
Yung-Fu Wang, Ya-Fang Hsu, Kwo-Ting Fang, Liang-Tseng Kuo
{"title":"Gamification in medical education: identifying and prioritizing key elements through Delphi method.","authors":"Yung-Fu Wang, Ya-Fang Hsu, Kwo-Ting Fang, Liang-Tseng Kuo","doi":"10.1080/10872981.2024.2302231","DOIUrl":"10.1080/10872981.2024.2302231","url":null,"abstract":"<p><strong>Background: </strong>Gamification has gained popularity in medical education, but key elements have not been formally identified. This study aimed to generate and prioritize a list of key elements of gamification in medical education.</p><p><strong>Methods: </strong>This study utilized a two-stage approach, including the Delphi method and qualitative interview. Nineteen medical educators with expertise in gamification participated in the Delphi method stage. Experts who had more than three years of experience with gamification in medical education constituted the expert panel. The experts were then asked to rate the gamification elements using the Likert five-point scale through at least two consensus-seeking rounds. Consensus for key elements was predefined as ≥ 51% of respondents rating an element as 'important' or\"very important.\" In the qualitative interview stage, 10 experts provided feedback on the application of these key gamification elements.</p><p><strong>Results: </strong>Eighteen participants (11 males and 7 females) completed the entire Delphi process for this study. After two rounds of surveys, the consensus was reached on all elements. Thirteen elements scored more than 4 points (37%) and reached the criteria of key elements of gamification in medical education. The top five key elements were integration with instruction objectives, game rules, rapid feedback, fairness, and points/scoring. The thirteen key elements for successful gamification in medical education were further organized into two main categories: (1) gamification design principles and (2) game mechanisms.</p><p><strong>Conclusions: </strong>Integration with educational objectives, gamification in curriculum design and teaching methods, and balancing between the mechanisms and principles were the three key components for successful gamification. This study explored the gamification key elements, providing practical tips for medical educators in their efforts to gamify medical education. Future studies involving learners could be performed to examine the efficacy of these key elements in gamification.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2302231"},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10778414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404821","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
Socio-culturally responsive medical professionalism and ethics education: A curriculum co-creation approach. 顺应社会文化的医学职业精神和伦理教育:课程共创方法。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-01-09 DOI: 10.1080/10872981.2024.2303209
Nurfarahin Nasri, Wenwen Xu, Khairul Azhar Jamaludin, Nurfaradilla Mohamad Nasri
{"title":"Socio-culturally responsive medical professionalism and ethics education: A curriculum co-creation approach.","authors":"Nurfarahin Nasri, Wenwen Xu, Khairul Azhar Jamaludin, Nurfaradilla Mohamad Nasri","doi":"10.1080/10872981.2024.2303209","DOIUrl":"10.1080/10872981.2024.2303209","url":null,"abstract":"<p><p>Medical professionalism and ethics (MPE) are critical components influencing how medical practitioners provide patients with the highest standard of care. As a result, a structured attempt has been undertaken to enhance the content and teaching delivery of the medical professionalism and ethics education (MPEE) in the undergraduate medical curriculum. Guided by Vygotsky's sociocultural learning theory, Harre and Van Langenhove's positioning theory and Taba's principles of curriculum development, a curriculum co-creation project was organized with the aim of developing a socio-culturally responsive MPEE. A total of fifteen medical students agreed to participate in the project where they co-created MPE curriculum with a medical educator over the course of three months. Upon completion of the project, a co-created, socio-culturally responsive MPE curriculum was presented. The thematic analysis revealed positive changes in the participants' attitudes, skills, and behaviors towards co-creating the MPE curriculum. They also reported feeling a sense of fulfilment after having a transformative experience as curriculum co-creators and after receiving positive feedback from the faculty, staff, and other students on the co-created MPE curriculum. The project's success demonstrates the importance of curriculum co-creation as a strategy to promote co-creation efforts among students and educators in developing a socio-culturally responsive curriculum. The project's framework and practical recommendations can be adopted by other medical educators and faculties to encourage students' participation and their role on curriculum development using the co-creation approach.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2303209"},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10778402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404822","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
Tips for developing a coaching program in medical education. 制定医学教育辅导计划的技巧。
IF 4.6 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2023-12-05 DOI: 10.1080/10872981.2023.2289262
Rebecca Miller-Kuhlmann, Marzena Sasnal, Carl A Gold, Aussama K Nassar, James R Korndorffer, Sandrijn Van Schaik, Andrea Marmor, Sarah Williams, Rebecca Blankenburg, Caroline E Rassbach
{"title":"Tips for developing a coaching program in medical education.","authors":"Rebecca Miller-Kuhlmann, Marzena Sasnal, Carl A Gold, Aussama K Nassar, James R Korndorffer, Sandrijn Van Schaik, Andrea Marmor, Sarah Williams, Rebecca Blankenburg, Caroline E Rassbach","doi":"10.1080/10872981.2023.2289262","DOIUrl":"10.1080/10872981.2023.2289262","url":null,"abstract":"<p><p>This article provides structure to developing, implementing, and evaluating a successful coaching program that effectively meets the needs of learners. We highlight the benefits of coaching in medical education and recognize that many educators desiring to build coaching programs seek resources to guide this process. We align 12 tips with Kern's Six Steps for Curriculum Development and integrate theoretical frameworks from the literature to inform the process. Our tips include defining the reasons a coaching program is needed, learning from existing programs and prior literature, conducting a needs assessment of key stakeholders, identifying and obtaining resources, developing program goals, objectives, and approach, identifying coaching tools, recruiting and training coaches, orienting learners, and evaluating program outcomes for continuous program improvement. These tips can serve as a framework for initial program development as well as iterative program improvement.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2289262"},"PeriodicalIF":4.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10783821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488772","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
Biometrically measured sleep in medical students as a predictor of psychological health and academic experiences in the preclinical years. 通过生物测定法测量医学生的睡眠状况,以此预测临床前几年的心理健康和学习经历。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-10-09 DOI: 10.1080/10872981.2024.2412400
Lindsay M Oberleitner, Dwayne M Baxa, Scott M Pickett, Kara E Sawarynski
{"title":"Biometrically measured sleep in medical students as a predictor of psychological health and academic experiences in the preclinical years.","authors":"Lindsay M Oberleitner, Dwayne M Baxa, Scott M Pickett, Kara E Sawarynski","doi":"10.1080/10872981.2024.2412400","DOIUrl":"10.1080/10872981.2024.2412400","url":null,"abstract":"<p><strong>Background: </strong>Student wellness is of increasing concern in medical education. Increased rates of burnout, sleep disturbances, and psychological concerns in medical students are well documented. These concerns lead to impacts on current educational goals and may set students on a path for long-term health consequences.</p><p><strong>Methods: </strong>Undergraduate medical students were recruited to participate in a novel longitudinal wellness tracking project. This project utilized validated wellness surveys to assess emotional health, sleep health, and burnout at multiple timepoints. Biometric information was collected from participant Fitbit devices that tracked longitudinal sleep patterns.</p><p><strong>Results: </strong>Eighty-one students from three cohorts were assessed during the first semester of their M1 preclinical curriculum. Biometric data showed that nearly 30% of the students had frequent short sleep episodes (<6 hours of sleep for at least 30% of recorded days), and nearly 68% of students had at least one episode of three or more consecutive days of short sleep. Students that had consecutive short sleep episodes had higher rates of stress (8.3%) and depression (5.4%) symptoms and decreased academic efficiency (1.72%).</p><p><strong>Conclusions: </strong>Biometric data were shown to significantly predict psychological health and academic experiences in medical students. Biometrically assessed sleep is poor in medical students, and consecutive days of short sleep duration are particularly impactful as it relates to other measures of wellness. Longitudinal, biometric data tracking is feasible and can provide students the ability to self-monitor health behaviors and allow for low-intensity health interventions.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"29 1","pages":"2412400"},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394278","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
Bridging the procedures skill gap from medical school to residency: a simulation-based mastery learning curriculum. 缩小从医学院到实习医生的程序技能差距:基于模拟的掌握学习课程。
IF 3.1 2区 医学
Medical Education Online Pub Date : 2024-12-31 Epub Date: 2024-10-07 DOI: 10.1080/10872981.2024.2412399
Lauren D Branditz, Andrew P Kendle, Cynthia G Leung, Christopher E San Miguel, David P Way, Ashish R Panchal, Jennifer Yee
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