Dominique Harz, Andrea W Schwartz, Truelian Lee, David S Jones, Edward M Hundert, Lisa M Wong, Susan E Pories
{"title":"Learning Harmony: Medical Student Reflections on the Intersection of the Arts & Humanities and Medicine, A Mixed Methods Study.","authors":"Dominique Harz, Andrea W Schwartz, Truelian Lee, David S Jones, Edward M Hundert, Lisa M Wong, Susan E Pories","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The arts and humanities form a critical part of medical education. In this study, we explore medical students' reflections following an arts and humanities experience. An intensive day and a half long program focused on music and reflection was designed for first-year students at Harvard Medical School.</p><p><strong>Methods: </strong>Students completed an evaluation of the experience with both open-ended and Likert scale questions. Data were analyzed using a mixed methods approach. Descriptive statistics were used to analyze quantitative data and inductive content analysis for qualitative data.</p><p><strong>Results: </strong>168 first-year medical and dental students participated in the activity. Survey response rate was 73% (n =122). Quantitatively, the overall quality of the experience was assessed at a mean value of 4.86 points (SD = 0.37 points) out of a maximum of 5, with 5 being excellent. The qualitative evaluation illustrated how the arts and humanities experience encouraged students to reflect on their leadership and doctoring skills, taking a holistic approach to their medical education, and integrating the lessons of the arts and humanities into their medical practice.</p><p><strong>Conclusion: </strong>The arts and humanities program encouraged student reflection on profound questions in medicine related to empathy, vulnerability, and authenticity. This experience broadened students' perspectives regarding the relationship between medicine and the arts and humanities.</p>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"9 2","pages":"72-81"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/1d/nihms-1926591.PMC10601353.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54232748","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}
Timothy J. David , Ellen I. Schafheutle , Penny McConnell , Hannah Quirk
{"title":"Student Discipline. The Construction and Use of Warnings Concerning Past Behaviour","authors":"Timothy J. David , Ellen I. Schafheutle , Penny McConnell , Hannah Quirk","doi":"10.1016/j.hpe.2020.08.001","DOIUrl":"10.1016/j.hpe.2020.08.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Warnings are one of the basic methods for giving advice to students, yet there is a dearth of guidance and considerable variation and inconsistency in their content and application. Much of the associated terminology is confusing. To provide clarity, this paper examines the essential ingredients of warnings and their optimal construction and use in higher education, with a focus on students intending a career in one of the health and social care professions.</p></div><div><h3>Background</h3><p>Currently warnings are often poorly designed and unclear. One example is giving a student a ‘yellow card warning’ without explaining what errors or omissions have occurred, what action needs to be taken, and what could happen if the warning is ignored.</p></div><div><h3>Terminology</h3><p>A range of unhelpful descriptors of warnings are often used, such as ‘formal’, ‘informal’, ‘verbal’, ‘written’, ‘Level 1’, ‘Level 2’, or ‘final’. Any warning needs to provide the student with a written and unambiguous explanation of the meaning and implications of any terms used.</p></div><div><h3>Essential ingredients</h3><p>Warnings should be recorded (in writing). They should contain the word ‘warning’; a sufficiently detailed explanation of what the student has done wrong; and identification of any rule, regulation or professional guidance that has been transgressed. Warnings should explain what the student needs to do to ensure that the problem does not recur; what the consequences will be or may be if the problem(s) continue unabated or recur; if relevant, what effect the warning will have on the student and their career; the duration a warning will be kept on the student record, and an explanation of what the student can do if they do not agree with the decision to issue a warning.</p></div><div><h3>Conclusion</h3><p>There is an increasing tendency for students to challenge adverse decisions. To respond to such challenges, education providers need to be able to show that they have acted reasonably, including providing the student with appropriate warnings.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 4","pages":"Pages 490-500"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47827372","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":"Calibration and Academic Performance in Students of Health Sciences","authors":"Tricia R. Prokop","doi":"10.1016/j.hpe.2020.08.003","DOIUrl":"10.1016/j.hpe.2020.08.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Accurate metacognitive control is an essential component of effective clinical reasoning, as the inability to accurately pass judgment over knowledge has been associated with greater diagnostic error than lack of knowledge or poor memory. As such, it is necessary for educators of students in health sciences to assess metacognition in addition to academic performance. Calibration is a quantitative measurement used to operationalize metacognitive control, as it indicates the relationship between perceived and actual performance.</p></div><div><h3>Method</h3><p>This study explored the relationship between local-level calibration and academic performance in 34 students of health sciences in an authentic, classroom setting. The class was designed to have five quizzes across the 15-week semester. Performance on each of the five quizzes was used to track academic performance of each student over time.</p></div><div><h3>Results</h3><p>Statistically significant correlations are reported between local-level calibration and performance on five quizzes. Local-level calibration scores accounted for 51-81% of the variance in quiz scores throughout the 15-week semester course.</p></div><div><h3>Discussion</h3><p>This study was able to generalize the previously reported relationship between calibration and academic performance as found in laboratory settings and educational psychology courses to students of the health sciences. These findings translate metacognitive research into the health sciences to further the theoretical framework for research in the area of clinical reasoning.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 4","pages":"Pages 564-573"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42771881","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}
Ghaith M. Alfakhry , Mayssoon Dashash , Issam Jamous
{"title":"Native Arabic Language Use Acceptability and Adequacy in Health Professional Instruction: Students and Faculty’s Perspectives","authors":"Ghaith M. Alfakhry , Mayssoon Dashash , Issam Jamous","doi":"10.1016/j.hpe.2020.06.004","DOIUrl":"10.1016/j.hpe.2020.06.004","url":null,"abstract":"<div><h3>Purpose</h3><p>This study had three main purposes which were (a) to assess the adequacy and desirability of Arabic in health professional instruction by investigating students and teachers’ perspectives and attitudes, (b) to explore aspects of Arabic medical translations which are not meeting expectations, and lastly, (c) to examine whether the level of education is a predictor of attitude.</p></div><div><h3>Method</h3><p>A questionnaire survey of medical and dental students at the undergraduate and postgraduate levels was carried out in 2019 at major universities in Damascus. Faculty members were also invited to participate. 346 respondents in total completed the questionnaires. Data were processed and analysed quantitatively and qualitatively. Attitude theory and Health belief model were employed to analyse and interpret the study findings.</p></div><div><h3>Results</h3><p>Overall attitudes toward Arabic as a language of instruction were relatively negative. Students consistently exhibited a preference for English as the language of instruction. The one-way Welch’s ANOVA test found a significant difference among the main subgroups (undergraduates, postgraduates, faculty). Findings also showed that students and teachers suffer from the inadequacy of Arabic medical translations in quality and quantity. Respondents were generally dissatisfied with the proficiency of medical translators, and the majority agreed that there is a shortage of up-to-date Arabic study materials.</p></div><div><h3>Discussion</h3><p>Students’ implicitly considered Arabic as a threat to their career advancement. Inadequacy of teaching in Arabic was more evident among postgraduates. Syrian students’ desire to join the international medical community was one of the data implications. This study shed new light on the anomalous Syrian educational system as it provided a theortical framework which could further understanding of the interaction between different concepts that affect attitudes towards the language of instruction. In terms of directions for future research, qualitative field research is recommended to give an idiographic account of students and teachers’ subjective perception of the career threats posed by using Arabic as the medium of instruction in medical education.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 4","pages":"Pages 454-464"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48595401","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":"MED-E-SIM: Inspiring Healthcare Career through Simulated Learning in Australian Senior Secondary School Students","authors":"Alberto Au, Louise Palmer, Catherine Carbery","doi":"10.1016/j.hpe.2020.11.002","DOIUrl":"10.1016/j.hpe.2020.11.002","url":null,"abstract":"<div><h3><em>Purpose</em></h3><p>Previous studies have demonstrated that a motivational programme can have positive effects in inspiring secondary school students in pursuing a career in health. However, majority of studies were conducted in the United States and were delivered in the multiple sessions and attendances format. MED-E-SIM is a one-day educational pilot programme designed for Australian secondary school students interested in pursuing a career in healthcare.</p></div><div><h3><em>Method</em></h3><p>MED-E-SIM's aim is to increase participants' interest and certainty in pursuing the healthcare professions through participation in mannequin-based simulated clinical exercises, procedural workshops using part-task simulation trainers, and active engagement in an ‘ask the expert’ style masterclass hosted by healthcare clinicians. In order to evaluate the impact of MED-E-SIM, 66 senior secondary school students who participated in the programme were invited to complete the post programme evaluation survey.</p></div><div><h3><em>Results</em></h3><p>We observed increases in both students' self-perceived understanding of health profession and knowledge about Basic Life Support after the participation in MED-E-SIM programme. Furthermore, our study also showed that MED-E-SIM programme participation could help improve participants’ decision in pursuing future career in health (P < 0.001).</p></div><div><h3><em>Discussion</em></h3><p>Implementing programmes like MED-E-SIM can be a feasible strategy to help increase awareness and interest of pursuit in health-related career amongst our younger generation.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 4","pages":"Pages 605-611"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47065371","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}
Kylie Fitzgerald , Elizabeth Devonshire , Brett Vaughan
{"title":"Pain Knowledge, Attitudes and Beliefs of Allied Health Learners Across Three Curricular Models","authors":"Kylie Fitzgerald , Elizabeth Devonshire , Brett Vaughan","doi":"10.1016/j.hpe.2020.09.001","DOIUrl":"10.1016/j.hpe.2020.09.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The global burden of pain is considerable; therefore, all health professionals require comprehensive pain education. Pain education is essential and should be embedded in health professional curricula. This paper reports on pain knowledge, attitudes and beliefs changes of osteopathy learners undertaking pain education via three curricula models.</p></div><div><h3>Methods</h3><p>Osteopathy learners undertook pain education via three different curricula models and at different time points in the course: Standard (Year 4 & 5), Integrated (Year 2 & 3) or Block (Year 1). Learners completed questionnaires at the start (T1) and end (T2) of the 2018 academic year. Evaluation included demographic information, Neurophysiology of Pain Questionnaire (NPQ) and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT).</p></div><div><h3>Results</h3><p>Matched data was received for 211 learners (40.5% response rate). Pain knowledge increased from T1 to T2 within all curricula models (p < 0.007) and between Block and Standard curricula models (p < 0.01). Differences in biomedical orientation scores for Block and Integrated (p < 0.01) and Block and Standard (p < 0.01) were found between groups, with Block model respondents recording the highest biomedical orientation scores. Differences in behavioural orientation score were found for Block and Standard (p < 0.01) with highest behavioural scores in the Integrated and Standard models. Cronbach's alpha was acceptable for PABS-PT Biomedical orientation score only (α = 0.71). T2 NPQ score was found to have a medium negative correlation with the T2 PABS-PT biomedical orientation score for all models, and with the behavioural orientation score for the integrated curriculum group (r = −0.31, p < 0.03).</p></div><div><h3>Discussion</h3><p>There were reductions in biomedical beliefs and increases in behavioural orientation scores as pain knowledge increased in each cohort over the 2018 academic year. However, osteopathy learners were also measured at different progress points and some measures have low reliability. Following these learner groups over time will enable further comparisons between these different curricula models.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 4","pages":"Pages 552-563"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42275363","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}