Abstract:
OBJECTIVES:The present study explored how challenge and threat responses to stress relate to performance, anxiety, confidence, team identity and team characteristics (time spent in training and postgraduate experience) in a medical simulation-based team competition. METHODS:The study was conducted during a national simulation-based training event for residents, the SIMCUP Italia 2018. The SIMCUP is a simulation competition in which teams of four compete in simulated medical emergency scenarios. Cross-sectional data were collected prior to the 3 days of the competition. Subjects included 95 participants on 24 teams. Before the competition on each day, participants completed brief self-report measures that assessed demands and resources (which underpin challenge and threat responses to stress), cognitive and somatic anxiety, self-confidence and team identification. Participants also reported time (hours) spent practising as a team and years of postgraduate experience. A team of referees judged each scenario for performance and assigned a score. A linear mixed model using demands and resources was built to model performance. RESULTS:The data showed that both demands and resources have positive effects on performance (31 [11-50.3] [P < .01] and 54 [25-83.3] [P < .01] percentage points increase for unitary increases in demands and resources, respectively); however, this is balanced by a negative interaction between the two (demands * resources interaction coefficient = -10 [-16 to -4.2]). A high level of resources is associated with better performance until demands become very high. Cognitive and somatic anxieties were found to be correlated with demands (Pearson's r = .51 [P < .01] and Pearson's r = .48 [P < .01], respectively). Time spent training was associated with greater perceptions of resources (Pearson's r = .36 [P < .01]). CONCLUSIONS:We describe a model of challenge and threat that allows for the estimation of performance according to perceived demands and resources, and the interaction between the two. Higher levels of resources and lower demands were associated with better performance.
journal_name
Med Educjournal_title
Medical educationauthors
Carenzo L,Braithwaite EC,Carfagna F,Franc J,Ingrassia PL,Turner MJ,Slater MJ,Jones MVdoi
10.1111/medu.14050subject
Has Abstractpub_date
2020-03-01 00:00:00pages
254-263issue
3eissn
0308-0110issn
1365-2923journal_volume
54pub_type
杂志文章abstract::This paper has reported some aspects of an analysis of the correlates of success in candidates' first attempts at the postgraduate psychiatric examinations of the R.A.N.Z.C.P. These are developed to suggest some attributes which selectors of trainees could take into account. Profitable future areas for research are de...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02482.x
更新日期:1981-05-01 00:00:00
abstract:CONTEXT:The accreditation of medical school programmes and the licensing and revalidation (or recertification) of doctors are thought to be important for ensuring the quality of health care. Whereas regulation of the medical profession is mandated in most jurisdictions around the world, the processes by which doctors b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12286
更新日期:2014-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2007.02706.x
更新日期:2007-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03935.x
更新日期:2011-07-01 00:00:00
abstract::This report considers the implications for medical education of a global survey of the knowledge, behaviour and attitudes of medical students regarding tobacco. This was conducted in 42 countries derived from all continents. A total of 9326 students (44% women) from 51 medical schools replied anonymously to a multiple...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02697.x
更新日期:1994-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01011.x
更新日期:2001-08-01 00:00:00
abstract:PURPOSE:Computers with 50-inch, wall-mounted plasma screens and broadband Internet access were installed in all small group tutorial rooms at Harvard Medical School. This study examines how the introduction of this educational technology impacted on the problem-based learning tutorials. METHOD:A total of 37 tutorial g...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02105.x
更新日期:2005-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00284.x
更新日期:1993-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00424.x
更新日期:1999-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04032.x
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:In Japan, regulatory intervention aimed at preventing a prospective surplus of physicians is an important medical issue. The study committees organized by the Ministry of Health and Welfare (MHW) in 1986, 1993 and 1998, concluded that the number of physicians would exceed demand for their services in the fut...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00937.x
更新日期:2001-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12779
更新日期:2015-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02838.x
更新日期:1995-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00288.x
更新日期:1999-01-01 00:00:00
abstract:CONTEXT:Medical schools are increasingly using novel tools to select applicants. The UK Clinical Aptitude Test (UKCAT) is one such tool and measures mental abilities, attitudes and professional behaviour conducive to being a doctor using constructs likely to be less affected by socio-demographic factors than traditiona...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13082
更新日期:2016-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.37.s1.5.x
更新日期:2003-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14425
更新日期:2020-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01406.x
更新日期:2003-01-01 00:00:00
abstract::The strengths of general practice in the UK as a training environment for overseas doctors intending to implement the World Health Organization strategy 'Health for All by the Year 2000' in primary care are identified. A course of advanced training for teachers and administrators of primary care is described and evalu...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00027.x
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:The use of logbooks in the education of medical undergraduate students is not well-established. Traditionally, logbooks are used simply as a means for students to document their activities. This report examines whether logbooks used as an interactive vehicle between students and tutors can assist both studen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01163.x
更新日期:2002-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2010.03848.x
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Internationally, there are a number of universities at which medical and dental education programmes share common elements. There are no studies about the experiences of medical and dental students enrolled in different programmes who share significant amounts of learning and teaching. METHODS:Semi-structur...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03280.x
更新日期:2009-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14032
更新日期:2020-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13683
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. OBJECTIVE:To investigate the knowledge, attitudes and beliefs of GPs towards reval...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01469.x
更新日期:2003-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12745
更新日期:2015-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 00:00:00
abstract:CONTEXT:The banner of patient-centredness flies over many academic institutions; however, the practice and teaching of medicine remain oriented to disease. This incongruence is the result of an original Flexnerian dichotomy between the basic and clinical sciences and is maintained by a more recent distinction between d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02905.x
更新日期:2007-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00997.x
更新日期:2001-09-01 00:00:00
abstract:INTRODUCTION:Learning to value ethnic diversity is the appreciation of how variations in culture and background may affect health care. It involves acknowledging and responding to an individual's culture in its broadest sense. This requires learning the skills to negotiate effective communication, a heightened awarenes...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00474.x
更新日期:1999-08-01 00:00:00