{"title":"The chicken and the egg: Clinical reasoning and uncertainty tolerance","authors":"A. Richmond","doi":"10.1111/medu.14814","DOIUrl":"https://doi.org/10.1111/medu.14814","url":null,"abstract":"Richmond aruges that clinical reasoning and uncertainty tolerance development occur simultaneously and that deficit in either domain will affect the development of the other. Implications for curriculum design are offered.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"56 1","pages":"696 - 698"},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45173273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The pelvic exam as bellwether for patient‐led care in the curriculum","authors":"C. Canfield, C. L. Holmes","doi":"10.1111/medu.14805","DOIUrl":"https://doi.org/10.1111/medu.14805","url":null,"abstract":"Sarah Towles' article, ‘Poorly relaxed women’, offers a compelling analysis of pelvic exam learning materials for medical students. In doing so, it highlights an overdue opportunity we have as educators to address the hidden curriculum of lip-service paid to patient-centred care (PCC) that we find in our formal curriculum. It could be argued that the pelvic exam, considered an ‘exceptional procedure for both patients and students’, might serve as a bellwether for authentic PCC and cultural competence across the curriculum. In other words, if absent or poorly described in the pelvic exam procedure, then what are the chances of finding truly patient-centred content in less challenging procedures? Conversely, well-developed patient-centred training materials for the pelvic exam might signal a greater likelihood of other sensitive and appropriate training that respects a wide range of patient vulnerabilities. An exceptionally high-quality patient-centric approach to the pelvic exam may indicate an overarching and pervasive patient-centred philosophy, not merely careful instructions pasted into difficult procedures.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"56 1","pages":"692 - 693"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63420546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fraide A. Ganotice, Harinder Gill, J. Fung, J. K. T. Wong, G. Tipoe
{"title":"Autonomous motivation explains interprofessional education outcomes.","authors":"Fraide A. Ganotice, Harinder Gill, J. Fung, J. K. T. Wong, G. Tipoe","doi":"10.1111/medu.14433","DOIUrl":"https://doi.org/10.1111/medu.14433","url":null,"abstract":"OBJECTIVES\u0000In response to the observations that interprofessional education (IPE) is seemingly atheoretical or under-theorised, this quantitative research seeks to uncover students' motivational mechanisms which could explain their behavioral and collaborative outcomes using self-determination theory (SDT). While SDT has been studied in various contexts, its applicability to IPE remains underexplored. This study aims to integrate a new perspective in understanding students' motivation in IPE by exploring how the fulfillment of a need for sense of autonomy, competence, and relatedness is linked to desirable IPE outcomes.\u0000\u0000\u0000METHODS\u0000Utilising quantitative methods, we involved 255 healthcare students in Hong Kong from the medical, nursing, and pharmacy disciplines enrolled in IPE anticoagulation therapy module. They were invited to respond to the Psychological Need Satisfaction Questionnaire and other measures as part of the post-test.\u0000\u0000\u0000RESULTS\u0000Sense of autonomy emerged as the strongest positive predictor of behavioral (collective dedication, behavioral engagement) and collaboration outcomes (team effectiveness, goal achievement). There were no significant program-level differences across these outcomes except for behavioural engagement for which nursing students had a higher perception than medicine students.\u0000\u0000\u0000CONCLUSIONS\u0000We were able to demonstrate that SDT is a meaningful framework in understanding behavioral and collaboration outcomes in IPE. The major theoretical contribution of this study refers to the ability of students' motivation to explain variance in their behavioral outcomes. That is, sense of autonomy consistently predicted team effectiveness, collective dedication, behavioral engagement, and goal achievement. Autonomous motivation among a sample of healthcare students can explain behavioral outcomes. Theoretical, methodological, and practical implications are discussed.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48949952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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