Abstract:
BACKGROUND:Inadequate physician training may be a barrier to physician-patient discussions of advance directives (ADs). DESCRIPTION:The purpose of this study was to determine the effects of an ADs course, which includes completing a directive, on medical students' perceived knowledge of and preparedness for discussing ADs with patients. All 4th-year medical students completed a 10-hr bioethics course comprising interactive lecture and small-group discussion formats. Curriculum content included ethical and legal aspects of ADs. An 8-item survey with free-text entry was administered 1 month after course completion. Internal consistency reliability of survey scores was determined. Two authors independently coded the free-text comments and reached consensus on underlying themes. EVALUATION:Of the 89 students who completed the survey (response rate 80%), 87 (98%) felt more knowledgeable and 88 (99%) better equipped to counsel patients about ADs. Forty-two (47%) reported they had counseled others to complete ADs during the month after the course. Internal consistency reliability of survey scores was very good (Cronbach's alpha =.78). Dominant themes of responses to the question, "What was the most eye opening, troubling, or difficult aspect about filling out your advance directive?" included difficulties articulating wishes, legal language, selecting a surrogate, and facing mortality. CONCLUSIONS:These findings suggest an ADs course that includes completing a directive enhances medical students' empathy for and preparedness to discuss ADs with patients.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Mueller PS,Litin SC,Hook CC,Creagan ET,Cha SS,Beckman TJdoi
10.1080/10401331003656678subject
Has Abstractpub_date
2010-04-01 00:00:00pages
137-41issue
2eissn
1040-1334issn
1532-8015pii
920535782journal_volume
22pub_type
杂志文章abstract::Phenomenon: This study explored Black/African American and Hispanic/Latino medical students' perceptions of the medical school admissions process. Previous research has explored other elements of the medical education continuum. However, little is known regarding minorities' perceptions of navigating the medical schoo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1220861
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Although medical school typically lasts 4 years, little attention has been devoted to the structure of the educational experience that takes place during the final year of medical school. SUMMARY:In this perspectives paper, we outline goals for the 4th year of medical school to facilitate a transition from ...
journal_title:Teaching and learning in medicine
pub_type: 社论
doi:10.1080/10401334.2014.945027
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Summative evaluation of medical students is a critical component of the educational process. Despite extensive literature on evaluation, few studies have centered on affiliate faculty members' attitudes toward summative evaluation of students, though it has been suggested that these attitudes influence their...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.641478
更新日期:2012-01-01 00:00:00
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: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:BACKGROUND:Technical and communicative skills are both important features for one's perception of practitioner competence. PURPOSE:This research examines how trainees' perceptions of practitioner competence change as they view health care practitioners who vary in their technical and communicative skill proficiencies....
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.664528
更新日期:2012-01-01 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:PROBLEM:Multiple-choice questions (MCQs) are the main method of assessing medical student knowledge. As a result there is a high demand from medical students for formative MCQs. However, teaching staff rarely have the time or incentive to develop high-quality formative questions, focusing instead on material for high-s...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1011651
更新日期:2015-01-01 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:BACKGROUND:Developing effective transformational leaders is essential for a diverse and complex academic medical system. The purpose of this study is to elicit faculty perspectives on their leadership skills before and after participation in a Leadership in Academic Medicine (LAM) Program. SUMMARY:The two-part study c...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2011.611773
更新日期:2011-10-01 00:00:00
abstract::In 1999, the University of Michigan Medical School (UMMS) initiated a new career development program (CDP). The CDP incorporates the 4-phase career development model described by the Association of American Medical Colleges (AAMC) Careers in Medicine (CiM). The CDP offers self-assessment exercises with guidance from t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330709336624
更新日期:2007-01-01 00:00:00
abstract::Construct: The McMaster Modular Assessment Program (McMAP) is a programmatic workplace-based assessment (WBA) system that provides emergency medicine trainees with competency judgments through frequent task-specific and global daily assessments. Background: The longevity of McMAP relative to other programmatic WBA sys...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1574581
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Integrated inpatient-outpatient firms developed in residencies with single institutions may not be applicable to residency programs with multiple inpatient and outpatient training sites. Our objective was to develop a firm in a multisite residency program that improved education and patient care. DESCRIPTIO...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1403_9
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Although it is a Joint Commission requirement for hospitals to maintain an up-to-date disaster plan and to implement drills, disaster training is not routinely incorporated into undergraduate medical education. PURPOSES:The objectives are to provide medical students with an introduction to disaster medicine...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903446040
更新日期:2010-01-01 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::Phenomenon: Internal medicine physicians in the United States must pass the American Board of Internal Medicine Internal Medicine Maintenance of Certification (ABIM IM-MOC) examination as part of their ABIM IM-MOC requirements. Many of these physicians use an examination product to help them prepare, such as e-Learnin...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1811095
更新日期:2020-09-15 00:00:00
abstract:ISSUE:Healthcare costs have spiraled out of control, yet students and residents may lack the knowledge and skills to provide high value care, which emphasizes the best possible care while reducing unnecessary costs. EVIDENCE:Mainly national campaigns are aimed at physicians to reconsider their test ordering behaviors,...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077132
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Simulation requires involvement from participants. However, it is unknown to what extent simulation effectiveness is a function of the number of participants. PURPOSE:This study assessed the impact of varying group size on medical students' subjective experience of simulation and on postsimulation exam perf...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2011.586920
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Aiming to inform curriculum changes in medical school, we developed, administered, and validated a 31-question survey to measure the learning environment as perceived by medical students. DESCRIPTION:We administered the survey annually in 4 medical school classes in a Southeastern medical school from May 19...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1204_7
更新日期:2000-10-01 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:Studies indicate that practicing clinicians do not employ quantitative techniques in diagnosis. If evidence-based approaches to clinical care are to succeed, there is a need to develop pedagogical tools to introduce the relevant techniques in clinical medicine. DESCRIPTION:This article describes 2 heuristic...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1203_4
更新日期:2000-07-01 00:00:00
abstract:PROBLEM:Longitudinal patient contacts are being implemented worldwide as a way to enhance a patient-centered orientation among medical students. In large medical schools, longitudinal integrated clerkships may not be feasible, so other ways must be sought to expose students to prolonged contact with patients. INTERVEN...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1524330
更新日期:2019-04-01 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: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: 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:UNLABELLED:PHENOMENON: Medical students receive much of their inpatient teaching from residents who now experience restructured teaching services to accommodate the 2011 duty-hour regulations (DHR). The effect of DHR on medical student educational experiences is unknown. We examined medical students' and clerkship dire...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2014.979187
更新日期:2015-01-01 00:00:00
abstract:PROBLEM:Clinical educators at U.S. academic health centers are frequently disadvantaged in the academic promotion system, lacking needed faculty development, mentoring, and networking support. INTERVENTION:In 2006, we implemented the national Educational Scholars Program to offer faculty development in educational sch...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2017.1282370
更新日期:2017-07-01 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::Construct: Valid score interpretation is important for constructs in performance assessments such as objective structured clinical examinations (OSCEs). An OSCE is a type of performance assessment in which a series of standardized patients interact with the student or candidate who is scored by either the standardized...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2016.1202832
更新日期:2017-01-01 00:00:00