Abstract:
:In Germany, two-week clinical clerkships in university-associated general practices have existed since 2002. Approximately 10,000 medical students participate in these decentral clerkships each year. Empirical information on quality management strategies in decentral learning environments is sparse. This nationwide study aims to describe the current quality management efforts of German family medicine departments in response to negative events. A nationwide three-part mixed methods study on the quality management of family medicine clerkships was conducted. First, individuals from n = 37 family medicine departments involved in the organization of family medicine clerkships were interviewed. Interview transcripts were analyzed with qualitative content analysis. Second, a questionnaire on quality management of decentralized learning environments based on the categories of the analysis was developed and sent to the departments. Three negative event cases in family medicine clerkships were included in the questionnaire. Third, interview and survey data were integrated based on respondents' process descriptions of how each department handled the cases. Of the 37 contacted departments, n = 12 (32%) performed an interview. Major categories of negative events included problems in the student-teacher interaction, didactical challenges, and problematic student behavior. Twenty departments answered at least one questionnaire (54%). Most respondents indicated that their department conducts quality management in decentralized teaching. Negative events in decentral family medicine clerkships occurred at a rate of 66.4 to 179.5 events per 10.000 Students per semester. The mixed-method analysis showed that departments are conscious about quality management issues in decentral learning environments but adhere to heterogeneous local standards. Negative events occur regularly in decentral learning environments. Local quality management processes exist but lack national harmonization. Further outcome-based research is needed to explore the effectiveness and feasibility of quality management strategies. This will become increasingly relevant with an expected upscaled family medicine content.
journal_name
Med Educ Onlinejournal_title
Medical education onlineauthors
Koch R,Steffen MT,Braun J,Joos Sdoi
10.1080/10872981.2021.1923114keywords:
["Germany","Medical education","decentral learning environments","family medicine","interviews","mixed-methods","qualitative research","quality management","quantitative research","survey"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
1923114issue
1issn
1087-2981journal_volume
26pub_type
杂志文章abstract::Introduction. The COVID-19 pandemic placed an unprecedented strain on academic healthcare systems necessitating a pause in medical student teaching in clinical care settings, including at Weill Cornell Medicine (WCM). WCM had a preexisting telemedicine curriculum, but limited opportunities for students to apply knowle...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2021.1918609
更新日期:2021-12-01 00:00:00
abstract::During the height of the COVID-19 pandemic, telemedicine visits surged to increase access and maintain continuity of care, while reducing transmission of disease. However, few curricula exist for training residents on how to care for patients via telemedicine, especially in pediatrics. We aimed to create and evaluate ...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2021.1911019
更新日期:2021-12-01 00:00:00
abstract::Online classes have been provided for health-care pre-licensure learners during the novel coronavirus disease 2019 pandemic. The purpose of this study was to evaluate the utility of online group work in interprofessional education. A total of 209 students were assigned to 50 groups (18 medical student groups, 13 nursi...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2021.1886649
更新日期:2021-12-01 00:00:00
abstract:BACKGROUND:Dental education involves teaching and assessing the acquisition of verifiable domains that require superior psychomotor, communication, and cognitive skills. Evolving technologies and methods of assessment could enhance student learning environment and improve tutor assessment experience. OBJECTIVE:The aim...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1826861
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Burnout is known to be high amongst physician trainees. Factors such as stress, fatigue, social environment, and resilience could affect burnout. Cross-sectional data describe burnout in pediatric residents, but the trajectory of burnout in a cohort of residents followed longitudinally through the full cours...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1815386
更新日期:2020-12-01 00:00:00
abstract::Communication skills are fundamental to effective patient care, and inter-subspecialty communication is frequently identified as a key component of medical education curriculums globally. The team primarily responsible for a patient, the 'primary service', may often request a consult from a specialist, the 'consulting...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1794341
更新日期:2020-12-01 00:00:00
abstract::The repercussions of the COVID-19 pandemic for medical students are enormous and not limited to the interruption of courses in medical schools and/or hospital training rotations, the introduction of teaching exclusively online, postponement of examinations, and of the new academic year, but extend beyond that. The mob...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1783784
更新日期:2020-12-01 00:00:00
abstract::Our personal views about the challenges of continuing to deliver peer teaching during a pandemic. We are a group of 4th year medical students who are part of a student society which has delivered structured, highly formulaic peer-led teaching sessions for the past three years. During the COVID-19 pandemic, the reduced...
journal_title:Medical education online
pub_type: 信件
doi:10.1080/10872981.2020.1772014
更新日期:2020-01-01 00:00:00
abstract::This study investigated the impact of empathy training on medical students using a project-based learning approach on the development of their empathic abilities. Study participants were Year 2 students in the six-year medical program, to whom a one credit-hour course on empathic communication was offered over a semes...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1742965
更新日期:2020-12-01 00:00:00
abstract::Objectives: In this study we evaluated 40, top recommended, laparoscopic appendectomy and laparoscopic cholecystectomy videos located on public domain websites using eight criteria created by a panel of third year medical students and general surgeons. We hypothesized that there is a lack of quality, thorough educatio...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2020.1714197
更新日期:2020-12-01 00:00:00
abstract::Background: Medical residents usually suffer from work overload and experience both personal and professional distress, which affects their level of the empathy to patients. Psychological capital (PsyCap) is a psychological resource that is negatively associated with indicators of distress.Objective: This study explor...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2019.1710326
更新日期:2020-12-01 00:00:00
abstract::Background: Industry funding in continuing medical education has been extensively studied in the USA. Although continuing medical education is also a requirement for Chinese physicians, little is known about Chinese physician perceptions of industry support in continuing medical education.Objective: We aim to determin...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2019.1694308
更新日期:2020-12-01 00:00:00
abstract::Effective mentoring enhances the personal and professional development of mentees and mentors, boosts the reputation of host organizations and improves patient outcomes. Much of this success hinges upon the mentor's ability to nurture personalized mentoring relationships and mentoring environments, provide effective f...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2018.1555435
更新日期:2019-12-01 00:00:00
abstract::Background: Physician assistants (PAs) are an integral part of inpatient care teams, but many PAs do not receive formal education on authoring discharge summaries. High-quality discharge summaries can mitigate patient risk during transitions of care by improving inter-provider communication. Objective: To understand t...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2019.1648944
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Resident physicians' achievement of professional competencies requires reflective practice skills and faculty coaching. Graduate medical education programs, however, struggle to operationalize these activities. OBJECTIVE:To (1) describe the process and strategies for implementing an Internal Medicine (IM) r...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2019.1591256
更新日期:2019-12-01 00:00:00
abstract::Within the context of major medical education curricular reform ongoing in the United States, a subset of schools has re-initiated accelerated (3-year) medical education. It would be helpful for education leaders to pause and consider historical reasons such accelerated medical schools were started, and then abandoned...
journal_title:Medical education online
pub_type: 历史文章,杂志文章
doi:10.1080/10872981.2018.1530557
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The continuity provided by longitudinal clerkships has documented benefits to medical student education. Yet, little quantitative data exist on the association between longitudinal clerkships and patient outcomes. OBJECTIVE:This study compares screening metrics of a longitudinal clerkship called the educati...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2018.1505401
更新日期:2018-12-01 00:00:00
abstract::While medical educators appear to believe that admission to the medical school should be governed, at least in part, by human judgement, there has been no systematic presentation of evidence suggesting it improves selection. From a fair testing perspective, legal, ethical, and psychometric considerations, all dictate ...
journal_title:Medical education online
pub_type: 杂志文章,meta分析,评审
doi:10.1080/10872981.2018.1522225
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Longitudinal clinical experiences are a common component of undergraduate medical curricula, yet these programs have not been systematically characterized in US medical schools. OBJECTIVE:Our study sought to identify and characterize longitudinal clinical programs (LCPs) in US medical schools and measure as...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2018.1444900
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The advanced access (AA) model is a highly recommended innovation to improve timely access to primary healthcare. Despite that many studies have shown positive impacts for healthcare professionals, and for patients, implementing this model in clinics with a teaching mission for family medicine residents pose...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2018.1438719
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Moral competencies and ethical practices of medical professionals are among the desired outcomes of academic training. Unfortunately, academic dishonesty and misconduct are reported from medical colleges across the world. This study investigates the level of academic dishonesty/misconduct among multicultural...
journal_title:Medical education online
pub_type: 杂志文章,多中心研究
doi:10.1080/10872981.2017.1372669
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Increasingly, residents are being trained in Patient-centered Medical Home (PCMH) settings. A set of PCMH entrustable professional activities (EPAs) for residents has been defined but not evaluated in practice. OBJECTIVE:To understand whether residents trained at PCMH sites reported higher likelihood of eng...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2017.1352434
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Ethics and professionalism are an integral part of medical school curricula; however, medical students' views on these topics have not been assessed in many countries. OBJECTIVE: The study aimed to examine medical students' perceptions toward ethics and professionalism teaching, and its learning and assessm...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.1080/10872981.2017.1328257
更新日期:2017-01-01 00:00:00
abstract:CONTEXT:Achieving the goals proposed in national screening guidelines for colon cancer is difficult, especially in a primary care residency. The major vehicle for teaching outpatient medicine is the precepting process. Preceptors use their influence to teach guideline principles. Unfortunately, most precepting occurs a...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v11i.4616
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:Students' professional development is an essential aim of medical school. The purpose of this paper is to report how an assessment of first-year medical students' professional behavior was designed and to investigate its measurement characteristics. METHODS:The assessment was implemented as a peer assessment o...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v11i.4587
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of small group tutorials in teaching senior medical students the requirements of prescription writing. DESIGN:Random allocation to interactive tutorial or didactic lecture with blinded evaluation. SUBJECTS:All 1999 6th year medical students, the University of Adelaide. RESULT...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v11i.4588
更新日期:2006-12-01 00:00:00
abstract::Although the concept of needs assessment in continuing medical education is well accepted, there is limited information on needs assessment in postgraduate medical education. We discuss the learning needs of postgraduate trainees and review the various methods of needs assessment such as: questionnaire surveys, interv...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v7i.4542
更新日期:2002-12-01 00:00:00
abstract::First year dental students at The University of Texas Dental Branch at Houston (Dental Branch) are required to take a basic biochemistry course. To facilitate learning and allow student self-assessment of their progress, WWW-based lessons covering intermediary metabolism were developed as a supplement to traditional l...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v7i.4547
更新日期:2002-12-01 00:00:00
abstract::The module was developed as an elective to give motivated senior dental students an opportunity to expand their horizons in planning oral rehabilitation. It comprised one tutor and 12 students, from five universities world-wide, communicating on the World Wide Web (WWW), to develop oral rehabilitation plans for simula...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v6i.4527
更新日期:2001-12-01 00:00:00
abstract::Purpose -Population demographics are shifting towards an increased average age. Yet, many medical schools still do not have mandatory comprehensive education in Geriatric Medicine. In 2001, the Division of Geriatric Medicine at Dalhousie University developed a required three-week geriatric course for fourth year medic...
journal_title:Medical education online
pub_type: 杂志文章
doi:10.3402/meo.v8i.4342
更新日期:2003-12-01 00:00:00