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::Quantitative methods of evaluating the outcomes of medical education may not always deliver the information which course organizers and teachers most need in order to improve their courses. Qualitative methods of research could provide such information. However, the use of qualitative methods has been limited by the d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01575.x
更新日期:1989-11-01 00:00:00
abstract::The introduction of the new Open University distance learning pack on coronary heart disease to a selected group of Welsh general practitioners has been evaluated. The most commonly perceived disadvantages were the amount of time required to study the pack, the cost of buying it and the work involved in implementing i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00801.x
更新日期:1988-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02770.x
更新日期:2007-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04212.x
更新日期:2012-06-01 00:00:00
abstract::As the importance of psycho-social factors in medicine is increasingly stressed, it is believed that attitudes towards psycho-social issues in medicine should be taken into account in the selection of medical students. The first step of a longitudinal study concerning the impact of medical studies on the students of a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02271.x
更新日期:1980-07-01 00:00:00
abstract::This report describes the results of the project 'Assessment of Undergraduate Medical Education: Re-inventing the Wheel?' funded by the Nuffield Trust. The project was initiated in order to obtain information on current assessment practices in medical schools across the UK, to determine the extent of change as a conse...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.0340s1001.x
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:Remediation is usually offered to medical students and doctors in training who underperform on written or clinical examinations. However, there is uncertainty and conflicting evidence about the effectiveness of remediation. The aim of this systematic review was to synthesise the available evidence to clarify...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.12052
更新日期:2013-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02086.x
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Although several studies (Anat Sci Educ, 8 [6], 525, 2015) have shown that computer-based anatomy programs (three-dimensional visualisation technology [3DVT]) are inferior to ordinary physical models (PMs), the mechanism is not clear. In this study, we explored three mechanisms: haptic feedback, transfer-app...
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
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00463.x
更新日期:1976-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13532
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To assess the relative effectiveness of videotape feedback and lecture methods for teaching alcohol brief intervention skills. DESIGN:In a controlled trial, two student blocks received a manual, lecture and demonstration about the principles and practice of brief alcohol intervention. In addition, experiment...
journal_title:Medical education
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2923.1999.00378.x
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:This research aims to identify the influences contributing to students' decisions to study medicine and to apply the findings to the design and targeting of outreach activities aimed at widening participation. METHODS:Semi-structured interviews were carried out with 15 medical students at a UK medical schoo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02798.x
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:Enculturation is a normal and continuing part of human development. This study examined how medical graduates perceive the process of enculturation after graduation. METHODS:We conducted a qualitative study of the values of medical graduates associated with Sydney Medical School to identify processes that c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04301.x
更新日期:2012-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1977.tb00575.x
更新日期:1977-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00697.x
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVES:To assess the impact of a written cognitive aid on expressed clinical reasoning and quantity and the accuracy of information transfer during resident doctor handover. METHODS:This study was a randomised controlled trial in an academic paediatric intensive care unit (PICU) of 20 handover events (10 events pe...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12212
更新日期:2013-08-01 00:00:00
abstract:UNLABELLED:Communicating "bad news" to patients and their families can be difficult for physicians. OBJECTIVE:This qualitative study aimed to examine residents' perceptions of barriers to delivering bad news to patients and their family members. DESIGN:Two focus groups consisting of first- and second-year medical and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00766.x
更新日期:2001-03-01 00:00:00
abstract::In a study of the development of professional attitudes in medical students, a modified version of the Medical Attitudes Inventory (Harris, 1974) was administered to 141 male and female first year medical students in Lagos, Nigeria. The results show that the students have well-defined attitudes on certain issues and a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb01417.x
更新日期:1978-11-01 00:00:00
abstract::This paper describes a strategy for helping students to learn about laboratory and radiological investigations in diagnosis and management, and to make decisions about the use of investigations, taking into account such features as safety, patient comfort and cost. Learning takes place through the use of a programmed ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02310.x
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVES:To investigate the values and practices of assessment of the clinical practice of dental students by a sample of teachers in restorative dentistry. DESIGN:A questionnaire, based on the above objectives, was designed, piloted and redesigned. Its content was based on evidence-based good practice in assessment...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00733.x
更新日期:2001-04-01 00:00:00
abstract:CONTEXT:A challenge for medical educators is to better understand the personal factors that lead to individual success in medical school and beyond. Recently, educational researchers in fields outside medicine have acknowledged the importance of motivation and emotion in students' learning and performance. These affect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03712.x
更新日期:2010-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00209.x
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:Using a novel longitudinal tracking project, this study develops and evaluates the performance of a predictive model and index of rural medical practice intention based on the characteristics of incoming medical students. METHODS:Medical school entry survey data were obtained from the Medical Schools Outcom...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03506.x
更新日期:2009-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12422
更新日期:2014-07-01 00:00:00
abstract::Recent graduates (1989-1990) of a traditional school of Chinese medicine were assessed by observers using a 10-item scale for professional behaviour in the non-cognitive realm. Overall, 10.7% of the graduates had low ratings on this scale. Of those who scored in the top two quartiles on this scale, 71.4% reported that...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02715.x
更新日期:1994-07-01 00:00:00
abstract:BACKGROUND:Progress testing is a form of longitudinal examination which, in principle, samples at regular intervals from the complete domain of knowledge considered a requirement for medical students on completion of the undergraduate programme. Over the course of the programme students improve their scores on the test...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02060.x
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:To develop and assess the feasibility and psychometric properties of multi-source feedback questionnaires to monitor international medical graduates practising in Canada under 'defined' licences. METHOD:Four questionnaires (patient, co-worker, colleague and self) were developed and administered in 2 phases t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02410.x
更新日期:2006-04-01 00:00:00
abstract:CONTEXT:At the Katholieke Universiteit Leuven, Belgium, final year medical students participate in 70 problem-solving clinical seminars over a period of 2 months, concentrating on clinical reasoning for formulating differential diagnoses. The clinical seminars end in an examination consisting of 200 extended-matching q...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02627.x
更新日期:2006-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00718.x
更新日期:1996-01-01 00:00:00