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Emerging Themes in Medical education Research

Medical Bulletin of Shanghai Jiaotong University 2014年第1期26卷 6-11页

作者： Hamstra SJ Schoenherr JR Falconer MA Faculty of Medicine University of Ottawa

Purpose: We aim to provide a broad overview of emerging themes in medical education, with recommendations for future research. Following a brief overview of recent changes in medical education and their implications, we focus on suggestions and examples for making progress in this field. Principal findings: In this article, we briefly review the context that has led to the emergence of the competency-based model of medical education. A critical implication is that medical educators must now focus on the development and maintenance of high quality assessment instruments to support valid decisions around advancement and promotion of learners. Rater cognition and "collective competence" are emerging issues that may have profound implications for the identification and assessment of competencies. Conclusions: While competency-based education represents the future, larger systemic effects must be identified and monitored to effect meaningful change in medical *** authors conclude with a call for increased support for research in medical education and argue that the most promising and fruitful area of medical education scholarship for the future lies in the field of assessment of individual competence.

关键词： Emerging Themes Medical education competency-based education Assessment of Individual Competence

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Nurses’perception on competency requirement and training demand for intensive care nurses

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International Journal of Nursing Sciences 2022年第3期9卷 350-356,I0004页

作者： Yeray Gabriel Santana-Padilla María Desamparados Bernat-Adell Luciano Santana-Cabrera Complejo Hospitalario Universitario Insular Materno Infantil Las Palmas de Gran CanariaCanary IslandsSpain Department of Nursing University of Jaume ICastellonValencian CommunitySpain

Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational *** study aimed to evaluate nurses’perception of the importance of intensive care training in *** A descriptive,cross-sectional,multicentre study was conducted on a national level in *** 85 ICUs took part in the *** questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training *** evaluation was conducted by a 10-point Likert *** The sample was 568 Spanish *** differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an *** Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health *** benefited from training focused on the skills and knowledge of each moment of their working *** have a different evaluation of their training needs throughout their professional ***,their training must be adapted to the professional stage of each nurse.

关键词： competency-based education Critical care nursing Nursing education Nursing staff Staff development Surveys and questionnaires

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Simulation-based mastery learning in gastrointestinal endoscopy training

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World Journal of Gastrointestinal Endoscopy 2022年第9期14卷 512-523页

作者： Hasan Maulahela Nagita Gianty Annisa Tiffany Konstantin Ari Fahrial Syam Roy Soetikno Department of Internal Medicine Gastroenterology DivisionFaculty of Medicine University of Indonesia-Cipto Mangunkusumo General Central National HospitalJakarta 10430Indonesia Tiffany Konstantin Faculty of MedicineUniversity of IndonesiaJakarta 10430Indonesia

Simulation-based mastery learning(SBML)is an emerging form of competencybased training that has been proposed as the next standard method for procedural task training,including that in gastr-ointestinal *** basic gastrointestinal endoscopy training relies on the number of procedures performed,and it has been criticized for its lack of objective standards that result in variable skills among trainees and its association with patient safety ***,incorporating simulators into a competency-based curriculum seems ideal for gastrointestinal endoscopy *** curriculum for SBML in gastrointestinal endoscopy is currently being developed and has promising potential to translate into the clinical *** the present apprenticeship model of“see one,do one,teach one,”SBML integrates a competency-based curriculum with specific learning objectives alongside simulation-based *** allows trainees to practice essential skills repeatedly,receive feedback from experts,and gradually develop their abilities to achieve ***,trainees and trainers need to understand the learning targets of the program so that trainees can focus their learning on the necessary skills and trainers can provide structured feedback based on the expected *** addition to learning targets,an assessment plan is essential to provide trainees with future directions for their improvement and ensure patient safety by issuing a passing ***,the SBML program should be planned and managed by a specific team and conducted within a developed and tested *** review discusses the current state of gastr-ointestinal endoscopy training and the role of SBML in that field.

关键词： Simulation training education Endoscopy Mastery learning competency-based education Curriculum

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*** a novel approach to teaching ophthalmoscopy to medical student

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Annals of Eye Science 2018年第1期 444-444页

作者： Étienne Bénard-Séguin Jason Kwok Walter Liao Stephanie Baxter Department of Ophthalmology Queen’s UniversityKingstonOntarioCanada

Background:To determine if practice using an online fundus photograph program results in a long-term increase in proficiency with the direct ophthalmoscope in medical ***:This study was a prospective medical education *** were enrolled to participate in an objective structured clinical examination(OSCE)using five patients with ocular *** who matched a minimum of 6 discs 17 months prior to the study were assigned to the intervention group and were compared to students who did not participate in the ***:46 second-year medical students at Queen’s University:15 in the intervention group,31 in the control *** were evaluated using the Queen’s University Ophthalmoscopy OSCE Checklist(QUOOC).Students were asked to calculate the cup-to-disc ratio,comment on disc margins and if there was any macular *** participated in a summative OSCE as part of the curriculum in which all students attempted to match fundus ***:Students in the intervention group performed significantly better on the QUOOC with a mean score of 78.3%(+/−4.2%)compared to the control who had a mean score of 69.4%[+/−4.2%(P=0.007)].The intervention group was significantly more accurate at matching optic nerve photographs with 100%(15/15)of the students correctly identifying the correct optic nerve on first attempt compared to 53.3%(16/30)in the control group(P=0.0014).Conclusions:The use of an online peer fundus photograph program leads to a long-term increase in examination technique,proficiency in ophthalmoscopy and accuracy at matching optic nerve photographs.

关键词： Ophthalmoscopy undergraduate medical education competency-based education

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