Mario Corrado, Carlyn McNeely, Isabelle Lefebvre, Rikesh Raichura, Bryce Jm Bogie, Timothy J Wood
{"title":"Practice makes perfect: the development of a medical student-led crowdsourced question bank for self-study in undergraduate medical education.","authors":"Mario Corrado, Carlyn McNeely, Isabelle Lefebvre, Rikesh Raichura, Bryce Jm Bogie, Timothy J Wood","doi":"10.36834/cmej.78869","DOIUrl":"10.36834/cmej.78869","url":null,"abstract":"<p><p>The development of multiple-choice questions (MCQs) for undergraduate medical education study purposes is resource intensive. Commercially available question banks are typically expensive, only available in English, and may not be aligned with medical school learning objectives. Here, we introduce <i>The Ottawa Question Bank</i>: a student-led, bilingual study resource curated to a Canadian undergraduate medicine curriculum (www.theottawaquestionbank.ca). In total, 205 medical students wrote and edited 4438 original MCQs linked to objectives from the University of Ottawa undergraduate medical education curriculum. The project has received positive feedback from both developers and users. Our experience suggests that involving medical students in MCQ development is feasible and can result in the rapid creation of a low-cost, high-quality study resource curated to a program's learning objectives. The platform outlined here can be used as a model for other medical schools and professional degree programs to develop their own question banks, including pharmacy, dentistry, nursing, and physiotherapy. Interested programs are encouraged to contact our team for collaborative opportunities.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"127-129"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302380","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":"Emotional labour in learning to doctor.","authors":"Marcel F D'Eon","doi":"10.36834/cmej.79935","DOIUrl":"10.36834/cmej.79935","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302372","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}
Noam Raiter, Kiana Yau, Alisha Sharma, Melanie Lewis, Victor Do
{"title":"The state of wellbeing education across North American medical schools: a scoping review.","authors":"Noam Raiter, Kiana Yau, Alisha Sharma, Melanie Lewis, Victor Do","doi":"10.36834/cmej.76095","DOIUrl":"10.36834/cmej.76095","url":null,"abstract":"<p><strong>Background/objective: </strong>Medical students experience increased rates of burnout and mental illness compared to the general population. Yet, it is unclear to what extent North American medical schools have adopted formal wellbeing curricula. We sought to establish prevailing themes of existing wellbeing educational interventions to identify opportunities for further curricular development.</p><p><strong>Methods: </strong>We conducted a scoping review of the literature to identify wellbeing education programs implemented for undergraduate medical students across North America. We searched four comprehensive databases and grey literature and only included published original research. Two independent researchers screened all papers, with a third resolving disagreements. Two researchers conducted the data extraction using a continuously refined template, with a third researcher resolving any discrepancies.</p><p><strong>Results: </strong>We identified 3996 articles in the initial search of which 30 met inclusion criteria and were included for further analysis. The most common types of interventions were mindfulness and meditation practices. 27 studies found that their wellbeing sessions contributed to positive wellbeing outcomes of learners.</p><p><strong>Conclusions: </strong>Our review identified that there are few wellbeing curricular initiatives that have been evaluated and published in the literature. Additionally, the methodology and rigour of wellbeing curriculum evaluation to date leaves significant room for improvement. The existing literature does suggest that the adoption of a wellbeing curriculum has the potential to improve outcomes for medical students. These findings can be used to assist the development of a validated wellbeing curricular framework for wellbeing initiatives. However, while such a curriculum may represent an effective tool in enhancing medical trainee wellbeing, it cannot effect change in isolation; lasting and meaningful change will require concurrent shifts within the broader systemic framework and cultural fabric of the medical education system.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"76-92"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302384","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":"Psychedelics in medicine - a call for educational action.","authors":"Daniel Shane, Matthew Cho, Sabrina Akhtar","doi":"10.36834/cmej.78844","DOIUrl":"10.36834/cmej.78844","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"132-133"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302381","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}
Steven Bellemare, Guylaine Lefebvre, Valanci-Aroesty Sofia
{"title":"Evolving, not maintaining: embracing the dynamic nature of physician competence.","authors":"Steven Bellemare, Guylaine Lefebvre, Valanci-Aroesty Sofia","doi":"10.36834/cmej.79362","DOIUrl":"10.36834/cmej.79362","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"136-137"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302374","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":"Hiding in Canadian medicine.","authors":"Gill Kazevman","doi":"10.36834/cmej.79584","DOIUrl":"10.36834/cmej.79584","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302376","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":"Patient safety: a flipped classroom curriculum for family medicine residents.","authors":"Aaron Jattan, Roger Suss","doi":"10.36834/cmej.76071","DOIUrl":"10.36834/cmej.76071","url":null,"abstract":"<p><p>Addressing patient safety incidents is a complicated and challenging issue for physicians. At present, there is little training in residency programs to help prepare learners to tackle situations where harm arises as a result of healthcare delivery. In response to new accreditation mandates, we piloted a flipped classroom patient safety curriculum to help train family medicine residents to identify and address patient safety incidents in practice. Family medicine programs could consider similar case-based training for their learners to help prepare them to respond to these events and address contributory factors.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302379","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":"A phenomenological study of resident and faculty experiences with learner engagement in the normalization of workplace-based assessment.","authors":"Melissa Mc Donald, Fiona Muir","doi":"10.36834/cmej.76192","DOIUrl":"10.36834/cmej.76192","url":null,"abstract":"<p><strong>Background: </strong>Workplace-based assessments (WPBA) have become integral to learner-centred medical education. As previous research has linked learner engagement to WPBA implementation, this study explores residents' and faculty members' experiences with learner engagement in the normalisation of WPBA practice.</p><p><strong>Methods: </strong>Transcendental phenomenology was used as the qualitative approach, focusing on the participants' lived experiences. A semi-structured interview guide was used to interview five faculty members and five residents who had conducted WPBA. The interviews were transcribed and analysed using phenomenological data analysis.</p><p><strong>Results: </strong>Three themes were identified between learner engagement and WPBA conduct: (a) work environment, (b) roles and relationships, and (c) mutually beneficial teaching and learning. WPBA learner engagement occurred when participants interacted with each other and with the clinical setting to facilitate teaching and learning. Both participant groups reported a desire to participate in WPBA, but time constraints at times hindered participation. The residents indicated that WPBA improved their knowledge and admitted to experiencing negative emotions during the assessment. Overall, participants recognised the reciprocal benefits of WPBA participation for their professional development.</p><p><strong>Conclusion: </strong>The findings of the study suggest that learner engagement influences the use of WPBA. Consequently, it may be beneficial to consider the role of learner engagement to normalise WPBA application for teaching and learning in the clinical context.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302369","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":"Ongoing discussions on supporting medical students during a crisis.","authors":"Sallie Han, Joyce Nyhof-Young","doi":"10.36834/cmej.79569","DOIUrl":"10.36834/cmej.79569","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"15 4","pages":"143"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302378","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}