{"title":"Choosing wisely in medical education: bridging the gap between clinical care and managerial mindsets.","authors":"Pouriya Sadeghighazichaki","doi":"10.36834/cmej.81777","DOIUrl":"10.36834/cmej.81777","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"97-98"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552246","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":"Bioethics as a cornerstone: assessing and modifying the hidden curriculum in medical education.","authors":"Joshua Israel Culcay Delgado","doi":"10.36834/cmej.82203","DOIUrl":"10.36834/cmej.82203","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"105"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552317","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}
Karina Prucnal, Stuart Murdoch, Kulamakan Kulasegaram, Fok-Han Leung
{"title":"Assessing the impact of virtual learning on family medicine trainees' medical knowledge using progress tests: a retrospective cohort study.","authors":"Karina Prucnal, Stuart Murdoch, Kulamakan Kulasegaram, Fok-Han Leung","doi":"10.36834/cmej.78343","DOIUrl":"10.36834/cmej.78343","url":null,"abstract":"<p><strong>Background: </strong>Progress testing provides residents with an opportunity to identify strengths and weaknesses, encouraging self-directed learning. The University of Toronto's Department of Family & Community Medicine administers the Family Medicine Mandatory Assessment of Progress (FM-MAP) biannually to track resident competency and medical knowledge. Our aim was to determine the impact of virtual learning on Family Medicine residents.</p><p><strong>Methods: </strong>We administered previous iterations of the FM-MAP to the virtual learning cohort and compared scores to those of the in-person cohort between October 2020 - Spring 2022.</p><p><strong>Results: </strong>There were no statistically significant differences between in-person and virtual cohorts of first- and second-year postgraduate family medicine trainees regarding their overall FM-MAP score. Second-year family medicine trainees outperformed first year trainees in both cohorts.</p><p><strong>Conclusion: </strong>The study found no significant effect on the scores of first- and second-year family medicine trainees caused by the shift to virtual learning, suggesting medical curricula can incorporate virtual learning without compromising trainee progress, offering flexibility in medical education. Future studies could explore its applicability across different residency programs and long-term effects on clinical performance.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552175","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":"Disagreeing respectfully: embracing complexity facilitates civil discourse.","authors":"Ariel Lefkowitz, Jerry M Maniate, Ayelet Kuper","doi":"10.36834/cmej.82086","DOIUrl":"10.36834/cmej.82086","url":null,"abstract":"<p><p>Polarization and incivility are on the rise, negatively affecting collegiality, workplace relationships, morale, and performance at work. The authors argue for the need for civil discourse in medicine and for embracing complexity as an essential component of that civil discourse, facilitating nuanced thinking, respectful dialogue, and greater understanding of other perspectives. This principle of embracing complexity is congruent with the attitude of physicians, who are trained to tolerate uncertainty and to hold and appreciate multiple perspectives in making diagnoses and choosing and proposing treatment plans. This understanding of civil discourse does not amount to moral relativism, whataboutism, or an embracing of both sides of an argument universally, nor does it serve as a cudgel to silence or to perpetuate hegemonic power. Instead, the principles of civil discourse clarify multiple aspects of the boundaries of professional conduct, outlining how physicians can engage in advocacy for patients and communities while maintaining collegial relationships and the perception that they will be safe providers for all patients. The rights of citizens in democracies, including to engage in peaceful protest and to say anything within the bounds of their country's laws governing free speech, do not extend unabbreviated into the lives of professionals, who are limited by the privileges afforded to them and by the responsibilities they have to their patients and colleagues. By embracing complexity and nuance over simplism and slogans, physician colleagues who disagree with one another can communicate respectfully, advocate professionally, and be safe and effective care providers to all patients.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552243","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}
Adriane E Bell, Holly S Meyer, Lauren A Maggio, LaKesha N Anderson
{"title":"Five ways to get a grip by incorporating trust into the design and implementation of peer coaching programs.","authors":"Adriane E Bell, Holly S Meyer, Lauren A Maggio, LaKesha N Anderson","doi":"10.36834/cmej.79872","DOIUrl":"10.36834/cmej.79872","url":null,"abstract":"<p><p>Peer coaching is a form of faculty development in which faculty improve their teaching skills through collaborative work or peer observation of teaching. As a tool grounded in experiential learning, peer coaching promotes targeted feedback, reflection on action, and collegial exchange to improve teacher self-efficacy and trainee learning outcomes. Nevertheless, faculty developers face challenges in creating sustainable, effective peer coaching programs as faculty fear scrutiny of their teaching practices. Additionally, to promote collegial exchange, faculty (the person observed and peer coach) must trust one another and accept vulnerability. Without attending to trust, faculty developers may find themselves on black ice, designing and implementing ineffective peer coaching programs. In this Black Ice article, we underscore the role of trust in peer coaching and present five ways to help faculty developers get a grip by incorporating trust into the design and implementation of peer coaching programs, optimizing its efficacy.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552277","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 learner voice in medical education research: no study about us without us!","authors":"Julia Fox, Kevin McLaughlin","doi":"10.36834/cmej.82152","DOIUrl":"10.36834/cmej.82152","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551948","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":"Authorship in medical education.","authors":"Marcel F D'Eon","doi":"10.36834/cmej.82527","DOIUrl":"10.36834/cmej.82527","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552270","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}
Deepaysh Dcs Dutt, Harry Hohnen, Subham Kulshrestha, Hessom Razavi
{"title":"Simulation models in direct ophthalmoscopy education: a systematic review.","authors":"Deepaysh Dcs Dutt, Harry Hohnen, Subham Kulshrestha, Hessom Razavi","doi":"10.36834/cmej.79989","DOIUrl":"10.36834/cmej.79989","url":null,"abstract":"<p><strong>Background: </strong>An ever-increasing range of simulation devices are available for direct ophthalmoscopy. However, the effectiveness of simulation design and components have not been evaluated. This systematic review aims to describe and evaluate direct ophthalmoscopy simulation models and highlight components that have been found to be effective, and challenges faced when using simulation models.</p><p><strong>Methods: </strong>A systematic review of the literature was conducted according to the PRISMA statement in four online databases: Medline, Embase, Cochrane Library and Web of Science. Citation searching using Google Scholar and Citationchaser was also undertaken. Validity and effectiveness were assessed using a validated scale based on Messick's modern validity framework and McGaghie's proposed levels of simulation-based translational outcomes respectively.</p><p><strong>Results: </strong>A total of 1,275 titles and abstracts were screened. A total of 37 studies were included in the final analysis. Physical models, digital models and virtual reality direct ophthalmoscopy models were described in studies. A plastic cannister design was the most common in the literature, followed by a sphere with a painted fundus and the EyeSi Direct Ophthalmoscope Simulator (VRmagic, GmbH, Mannheim, Germany). Simulation was effective in its ability to allow students to engage in repeated practice without patient discomfort. The lack of realism was the most noted limitation of simulation practice.</p><p><strong>Conclusion: </strong>While more robust evidence is needed to support simulation design efficacy in direct ophthalmoscopy, simulation-based teaching of direct ophthalmoscopy will likely be increasingly effective as technological advancements support improved realism and affordability.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"51-65"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552000","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":"Empathic action: the practice of compassionate care.","authors":"Courtney Ross, Alice Kam","doi":"10.36834/cmej.81711","DOIUrl":"10.36834/cmej.81711","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552249","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}
Sheliza Halani, Shoba Sujana Kumar, Dawn Yin Lim, Darren Hefferon, Varuna Prakash, Arno K Kumagai, Esther Bui
{"title":"\"In-the-moment\" feedback: a novel app for clinical teaching evaluations.","authors":"Sheliza Halani, Shoba Sujana Kumar, Dawn Yin Lim, Darren Hefferon, Varuna Prakash, Arno K Kumagai, Esther Bui","doi":"10.36834/cmej.80156","DOIUrl":"10.36834/cmej.80156","url":null,"abstract":"<p><p>Encounter-based teaching is vital to medical education, however feedback can be difficult to obtain. We developed and evaluated a web-based application (app) called \"<i>my</i>TeachingEvaluation\" (<i>my</i>TE.org<sup>TM</sup>). Thirty-four academic clinical teachers completed a needs assessment survey, and 47% (16/34) of participants reported that 50% or more of their teaching was undocumented. We invited participants to pilot <i>my</i>TE.org<sup>™</sup> over eight weeks. Thirteen faculty piloted the app and 62% (8/13) reported the app enabled documentation of 50% or more of previously undocumented teaching. <i>my</i>TE.org<sup>TM</sup> app complements the pre-existing infrastructure for clinical teachers to obtain real-time teaching feedback.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 5","pages":"86-88"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552230","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}