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 systems affords a unique view that precedes large-scale transitions to competency-based medical education (CBME), particularly in North America. Although prior work has described the perspective of residents using this system, the in-depth experiences of assessors using the system have yet to be explored. This perspective is important for understanding the validity of the competency judgments the system produces. Approach: We conducted a qualitative study that used semi-structured interviews analyzed using interpretive description (Thorne) to explore 16 attending physicians' experiences using McMAP. Data analysis was completed independently by 2 researchers, who met regularly to discuss codes and resolve any disagreements. Results: Having a structured assessment framework for a range of clinical tasks has helped encourage what attendings perceived to be more frequent and better-quality assessments, with the added advantages of being holistic, flexible, and learner-driven. However, attendings also perceived a number of challenges of McMAP and programmatic WBA more broadly. These included a reluctance to give and to document negative feedback, "gaming" of the system by both attendings and residents, and a variety of logistic and technology-related concerns. Conclusions: Based on our findings, we offer several key recommendations that can help programs maximize the benefits of programmatic WBA as they transition to CBME.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Acai A,Li SA,Sherbino J,Chan TMdoi
10.1080/10401334.2019.1574581subject
Has Abstractpub_date
2019-08-01 00:00:00pages
434-444issue
4eissn
1040-1334issn
1532-8015journal_volume
31pub_type
杂志文章abstract:BACKGROUND:For programs to accomplish the goals of the Accreditation Council of Graduate Medical Education (ACGME) Outcome Project, faculty must be trained to deliver and assess education that is level-specific, competency-based, standardized, integrated, and easily accessible. DESCRIPTION:An innovative faculty develo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.692280
更新日期:2012-01-01 00:00:00
abstract::Issue: The practice of medicine is intrinsically unpredictable. Clinicians must respond skillfully to this uncertainty; therefore, medical educators are using improvisational theater training methods to teach improvisational ability in areas such as communication and professionalism. This teaching approach is called "...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1537880
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Provision of adequate opportunities for faculty to receive training in teaching skills requires persons with faculty development expertise to provide this training. PURPOSE:In this study, we examined outcomes of a teaching scholars program (TSP) aimed at promoting leaders in faculty development in teaching ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1703_8
更新日期:2005-07-01 00:00:00
abstract::Construct: This study aims to provide validity evidence for the standardized Assessment Letter for Pediatrics as a measure of competencies expected of a 1st-year pediatrics resident as part of a pediatric residency admissions process. BACKGROUND:The Narrative Letter of Recommendation is a frequently used tool in the ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2017.1367297
更新日期:2018-04-01 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
abstract:BACKGROUND:Studies have shown that medical student attitudes decline as students progress through school. Controversy persists about the meaning and generalizability of these findings because studies have not been longitudinal and many were conducted prior to an influx of female students. Much of medical education occu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm0904_2
更新日期:1997-01-01 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: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:Although the literary arts initiated the movement to include the humanities in medical education, little is known about the incorporation of other art forms. PURPOSE:A study was designed to determine the variety of arts-related activities in U.S. medical schools. METHODS:Questionnaires were mailed twice to...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1404_11
更新日期:2002-10-01 00:00:00
abstract:PROBLEM:Inappropriate social media behavior can have detrimental effects on students' future opportunities, but medical students are given little opportunity to reflect upon ways of integrating their social media identities with their newly forming professional identities. INTERVENTION:In 2012, a required educational ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1275971
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:A systematized approach to descriptive evaluation of clinical performance using a vocabulary of global descriptors in the setting of formal evaluation and feedback sessions has been shown to be reliable and valid. The feasibility of this method beyond the institution at which it was developed has not been st...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1401_3
更新日期:2002-01-01 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::Work-based assessment (WBA) is the assessment of trainees and physicians across the educational continuum of day-to-day competencies and practices in authentic, clinical environments. What distinguishes WBA from other assessment modalities is that it enables the evaluation of performance in context. In this perspectiv...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2013.842912
更新日期:2013-01-01 00:00:00
abstract:PROBLEM:Point-of-care ultrasound has been a novel addition to undergraduate medical education at a few medical schools. The impact is not fully understood, and few rigorous assessments of educational outcomes exist. This study assessed the impact of a point-of-care ultrasound curriculum on image acquisition, interpreta...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1172012
更新日期:2017-01-01 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:PURPOSE:To canvas perceptions and experiences of students who had failed Year 2 of a traditional medical program and who chose to remain in the conventional program (n = 6) or had swapped to Curriculum 2001 (C2001), a problem-based learning (PBL) curriculum (n = 14). METHODS:A year after their decision regarding curri...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1603_15
更新日期:2004-07-01 00:00:00
abstract::Phenomenon: Despite a high degree of interest in research among matriculating M.D. students, very few apply to combined M.D.-Ph.D. training programs. Even fewer of those applicants are female, leading to a gender disparity among M.D.-Ph.D. trainees. We used a qualitative approach to understand why students choose not ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1598414
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Accreditation and Institute of Medicine mandates require retooling of graduate medical education curriculum and assessment processes. This Objective Structured Clinical Exam (OSCE) focused on patient safety-specific skills important to stakeholders from multiple institutions. PURPOSES:A 10-station OSCE was ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330802573837
更新日期:2009-01-01 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: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::Phenomenon: This scoping literature review summarizes current Canadian health science education and training aimed to lessen health gaps between Aboriginal and non-Aboriginal peoples. APPROACH:Keyword searches of peer-reviewed and gray literature databases, websites, and resources recommended by local Aboriginal comm...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2016.1234960
更新日期:2017-04-01 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:Script concordance (SC) questions, in which a learner is given a brief clinical scenario then asked if additional information makes one hypothesis more or less likely, with answers compared to a panel of experts, are designed to reflect a learner's clinical reasoning. PURPOSE:The purpose is to compare relia...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.692239
更新日期:2012-01-01 00:00:00
abstract::Construct: The purpose of this study was to provide initial evidence of the validity of written case summaries as assessments of clinical problem representation in a classroom setting. BACKGROUND:To solve clinical problems, clinicians must gain a clear representation of the issues. In the clinical setting, oral case ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1190730
更新日期:2016-10-01 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:Computer-based learning has gained widespread acceptance in medical curricula, but can it replace faculty-led teaching. PURPOSE:To investigate the effectiveness of independent computer-based learning of pulmonary auscultation alone and in combination with faculty-led teaching. METHODS:The first method invo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1601_6
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Geriatric clinical clerkships in Israel teach mostly about the hospitalized elder patient with almost no ambulatory experience. Meanwhile, primary care physicians provide most of the health care to the elderly in the community. This article describes an innovation in the curriculum of the 5th-year family med...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1502_09
更新日期:2003-04-01 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:The timing and methods of teaching clinical skills are some of the main concerns of medical education. PURPOSE:The aim of this study was to compare clinical skills of the 3rd and 6th-year students who acquired clinical skills training within different years and methods. METHODS:Randomly chosen students wer...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1701_5
更新日期:2005-01-01 00:00:00