Abstract:
BACKGROUND:The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material.
PURPOSE:We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physician's role within health care systems.
METHODS:Experiential learning occurs during a 5-day rotation through 26 areas encompassing the clinical revenue cycle, guided by "expert" staff. Using a reversal of the TV show Survivor, house staff begin conceptually "alone" and discover they are members of a large, dedicated team. Assessment results, including a system knowledge test and course evaluations, are presented.
RESULTS:Twenty-five residents from four clinical departments participated in Year 1. An increase in pretest to posttest knowledge scores of 14.8% (p journal_name journal_title authors doi subject pub_date pages issue eissn issn journal_volume pub_type
abstract:BACKGROUND:The Accreditation Council on Graduate Medical Education (ACGME) Outcomes Project has endorsed the in-training examination (ITE) as an example of a multiple-choice question examination that is a valid measure of a resident's attainment of medical knowledge. An outcome measure for performance on the ITE would ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330801991642
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Many medicine residency training programs include a lecture-based preclinic conference series as part of the ambulatory educational curriculum when more effective teaching formats might be available. Our institution has replaced this lecture-based teaching format with an ambulatory morning report modeled aft...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1301_9
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Team-based learning (TBL) has been studied in several preclinical settings, but there is less evidence for its effectiveness in clinical curricula. PURPOSE:We compared the impact of TBL versus usual small group lecture (SGL) on knowledge objectives in a clinical clerkship. METHODS:We used an unblinded cros...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2011.536888
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Limited studies have examined the factors associated with the implementation of team-based learning (TBL). PURPOSE:The purpose of this study was to identify faculty reactions (successes and challenges) associated with the implementation of a modified TBL in undergraduate anatomy teaching. METHOD:To obtain ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.797343
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Ultrasound is increasingly recognized as a valuable addition to medical school curriculum. PURPOSE:In this study, we tested the ability of rising second year students to learn and conduct an ultrasound examination of vertical liver span at the point of care. METHODS:Six patients from a GI clinic volunteere...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2012.741535
更新日期:2013-01-01 00:00:00
abstract:THEORY:Empathy has a potentially complicated relationship with dealing with death and dying. Having clinical empathy can improve interactions with dying, but educational interventions aimed at fostering empathy may cause medical students to connect emotionally with dying patients and behave unprofessionally out of self...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1794881
更新日期:2020-08-11 00:00:00
abstract:BACKGROUND:Further dissemination of medical education work presented at national meetings is limited. PURPOSES:The purpose of this study was to explore dissemination outcomes of scholarly work in pediatric medical education. METHODS:Council on Medical Student Education in Pediatrics (COMSEP) members who presented at ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857332
更新日期:2014-01-01 00:00:00
abstract:PROBLEM:Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, experiential learning in systems-based practice, including practical...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1146606
更新日期:2016-01-01 00:00:00
abstract::Problem: Although motivational interviewing is an effective patient-centered counseling method that healthcare providers can adopt to promote positive behavior change among patients, motivational interviewing is not routinely taught in medical schools. Intervention: A 3.5-hour motivational interviewing workshop was de...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1681273
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The ability to accurately interpret electrocardiogram (ECG) abnormalities is a core competency for graduating medical students (GMS). Incorrect interpretation of ECG findings can result in adverse patient outcomes. To our knowledge, there has been no published study evaluating the level of competency in ECG ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2014.918882
更新日期:2014-01-01 00:00:00
abstract::Problem: Conferences are the most common form of continuing medical education (CME), but their effect on clinician practice is inconsistent. Reflection is a critical step in the process of practice change among clinicians and may lead to improved outcomes following conference-based CME. However, reflection requires ti...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779070
更新日期:2020-10-01 00:00:00
abstract::Issue: Despite clear relevance, need, descriptive literature, and student interest, few schools offer required curriculum to develop leadership skills. This paper outlines a proposed shared vision for leadership development drawn from a coalition of diverse medical schools. We advocate that leadership development is a...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1754835
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:The importance of training physicians and other health care professionals in first aid and basic life support (BLS) is now widely recognized. The Faculty of Medicine and Health Sciences of the United Arab Emirates University have been offering formal training in these skills to 1st-year medical students sinc...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1304_05
更新日期:2001-10-01 00:00:00
abstract:UNLABELLED:NEGEA 2015 CONFERENCE ABSTRACT (EDITED): Measuring an Organization's Culture of Feedback: Can It Be Done? Steven Rougas and Brian Clyne. CONSTRUCT: This study sought to develop a construct for measuring formative feedback culture in an academic emergency medicine department. Four archetypes (Market, Adhocrac...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077133
更新日期:2015-01-01 00:00:00
abstract::This Conversation Starters article presents a selected research abstract from the 2016 Association of American Medical Colleges Northeast Region Group on Educational Affairs annual spring meeting. The abstract is paired with the integrative commentary of three experts who shared their thoughts stimulated by the pilot ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1217225
更新日期:2016-10-01 00:00:00
abstract::Theory: Self-compassion has been identified as a promising interventional target enabling medical learners to respond effectively to stressors and challenges of medical training. Determining factors in the learning environment that support self-compassion is critical for developing such interventions. What is already ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1667241
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:A well-known phenomenon among U.S. medical students known as pimping, or the pedagogical device of questioning students in the clinical setting, receives virtually no attention in medical literature. PURPOSE:Identifying 4th-year medical students' relevant knowledge and attitudes about pimping may help educa...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1702_14
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Graduating medical students, when surveyed, noted a deficit in training in physical examination skills. PURPOSES:In an attempt to remedy this deficit we implemented a pilot program for 3rd-year medical students consisting of twice-weekly bedside diagnosis rounds as part of their 8-week medicine clerkship. ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857329
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Firearm injury prevention training is lacking in pediatric residency programs. DESCRIPTION:This study aimed to evaluate a web-based curriculum teaching residents how to provide injury prevention anticipatory guidance, emphasizing firearm injury prevention. Ninety-two residents participated and completed pre...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.715254
更新日期:2012-01-01 00:00:00
abstract:UNLABELLED:PHENOMENON: In higher education, reflection sessions are often used when participants learn in the workplace. In the Netherlands, all General Practitioner training programs include regular meetings called Exchange of Experiences, in which General Practitioner trainees are expected to learn collaboratively fr...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1107486
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The popularization of problem-based learning (PBL) has drawn attention to the motivational and cognitive skills necessary for medical students in group learning. This study identifies the effect of motivational and cognitive factors on group productivity of PBL tutorial groups. DESCRIPTION:A self-administer...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1501_11
更新日期:2003-01-01 00:00:00
abstract:PROBLEM:Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The e...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1462186
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Despite the health consequences of incarceration, there are no national standards for teaching physicians about correctional health. The purpose of this study was to survey existing correctional health training programs for primary care physicians. SUMMARY:Programs were identified through literature and Web...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.641492
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The increase in people with insufficient health insurance has largely been fueled by a record influx of immigrants, who often live in medically underserved areas of inner cities. An increase in the desire of medical students to practice in underserved areas is needed to counter low physician-to-population ra...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1803_7
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:Current training in the United States for pelvic speculum examinations (PSEs) has a primary focus on the physician-centered goal of visualizing the cervix but may not inform practitioners of potential iatrogenic effects. Such oversight leaves trainees unprepared and unskilled in preventing and addressing advers...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.827969
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Night float rotations are being increasingly used in the era of resident physician work-hour regulations, but their impact on resident education is not clear. PURPOSE:Our objective was to clarify resident perceptions of the educational aspects of night float rotations. METHODS:An anonymous survey of intern...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2010.488203
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Although publishing in scientific journals has an educational component, the educational role of journals in medicine has not been evaluated. PURPOSE:To assess whether tutoring authors in a medical scientific journal could be related to their long-term scientific publications and academic advancement. METH...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1802_6
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. PURPOSE:This study examines patients encountered with psychiatric diagnoses using quantitative data collected by students in a family practice clerkshi...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1303_6
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Domestic violence (DV) is prevalent but often unrecognized, and it is a challenge to teach. This article presents an evidence-based DV education program for medical residents and incorporates it into a women's medicine curriculum. DESCRIPTION:An initial 3-hr seminar included video and case discussion, liter...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1504_09
更新日期:2003-10-01 00:00:00
abstract::Phenomenon: Obstetrics and gynecology can be a high-stress clinical environment for medical students due to the specialty's fast-paced and unpredictable nature. Little is known about learning stressors for medical students on the obstetrics and gynecology clerkship to inform stress-reducing interventions and improve l...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1575742
更新日期:2019-08-01 00:00:00