Are All Teaching Activities Valued the Same? Their Relative Worth Is in the Eye of the Beholder.

Abstract:

OBJECTIVES:The pressures for generating revenue from clinical activities dissuade clinician-educators from teaching; taking the steps to develop an educational value system is a way to recognize and perhaps support education. We compared the perceived educational value of diverse pedagogical activities during clinical training from students, residents, and faculty in medical and surgical specialties. METHODS:Between 2016 and 2017, a survey among medical students, residents, and faculty from medical (internal medicine, pediatrics) or surgical (general surgery, obstetrics and gynecology) departments was conducted at an academic medical center that sponsors 88 training programs. Participants ranked teaching activities relative to their perceived teaching importance. RESULTS:In total, 156 subjects participated (48 core teaching faculty, 68 residents, and 40 medical students). Teaching in the wards was the highest-ranked teaching activity for medical (mean 1.6) and surgical specialties (mean 1.9). For medicine and pediatrics, active teaching activities were ranked higher (mean 2.9, 95% confidence interval [CI] 2.8-3.0) than passive teaching activities (mean 5.3, 95% CI 5.1-5.5, P < 0.001). Similarly, for surgery and obstetrics and gynecology, active teaching activities were ranked higher (mean 3.6, 95% CI 3.3-3.9) than passive teaching activities (mean 5.2, 95% CI 4.8-5.5, P < 0.001). CONCLUSIONS:Medical students, residents, and faculty across specialties have a high degree of agreement regarding the ranking of diverse pedagogical activities; such correlation will facilitate the interpretation of educational value units across specialties.

journal_name

South Med J

journal_title

Southern medical journal

authors

Heudebert GR,Estrada CA

doi

10.14423/SMJ.0000000000000850

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

465-469

issue

8

eissn

0038-4348

issn

1541-8243

pii

SMJ50577

journal_volume

111

pub_type

杂志文章
  • Transient golden appendicolith.

    abstract::This case report describes an accidental ingestion of a gold dental inlay prosthesis that became lodged in the appendix. A nonsurgical approach was pursued because this blunt foreign body posed a minimal perforation risk. A second opinion for an elective appendectomy was chosen by the patient until a preoperative abdo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199807000-00012

    authors: Palmer GM,Shortsleeve MJ

    更新日期:1998-07-01 00:00:00

  • Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making.

    abstract:OBJECTIVES:Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrate...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001112

    authors: Engels R,Graziani C,Higgins I,Thompson J,Kaplow R,Vettese TE,Massart A

    更新日期:2020-07-01 00:00:00

  • Detecting ductal shunting in premature infants by range-gated Doppler echocardiography.

    abstract::Range-gated pulsed Doppler echocardiography has been reported to be a useful noninvasive bedside technic for detecting ductal left-to-right shunting in premature infants. We studied 30 premature infants with a birth weight of less than 1,500 gm, using a 5 MHz system developed by Advanced Technology Laboratories. An um...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198109000-00023

    authors: Rees A,Elbl F,Solinger R,Gattinella J,Lambert L,Cook L

    更新日期:1981-09-01 00:00:00

  • Hormones in the etiology and prevention of breast and endometrial cancer.

    abstract::Since the incidence of endometrial cancer among estrogen-treated women at Wilford Hall Air Force Medical Center was not increased as reported by others, a prospective study was begun in 1975. With this data base, the cases of breast and endometrial cancer in estrogen and oral contraceptive users were reviewed. The inc...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198412000-00009

    authors: Gambrell RD Jr

    更新日期:1984-12-01 00:00:00

  • Combination chemotherapy and radiation therapy of undifferentiated small cell bronchogenic carcinoma.

    abstract::We reviewed 76 cases of small cell bronchogenic carcinoma seen at the University of South Florida Medical Center. One third of the 55 patients who have subsequently died did so within one month of diagnosis. Thirty-five patients were treated with cyclophosphamide, adriamycin, vincristine, and radiation therapy includi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197805000-00013

    authors: Lyman GH,Hartmann RC,Saba HI,Preston D,Shukovsky L,Jensen R,Knight M

    更新日期:1978-05-01 00:00:00

  • Does physician benchmarking improve performance of laparoscopically assisted vaginal hysterectomy?

    abstract:BACKGROUND:Benchmarking techniques were implemented to optimize operating time and charges associated with laparoscopically assisted vaginal hysterectomy (LAVH). MATERIALS AND METHODS:The baseline LAVH profile over a period of 4 years (167 cases) was compared with 1-year data (47 cases) after a benchmarking educationa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000176713.71878.63

    authors: Tu FF,Feinglass J,Milad MP

    更新日期:2005-09-01 00:00:00

  • Ehrlichiosis: making the diagnosis in the acute setting.

    abstract::Human monocytic ehrlichiosis (HME) is a tick-borne disease transmitted during the summer months in the mid-Atlantic, southeastern and south-central United States. A large proportion of patients presenting with ehrlichiosis must be hospitalized because of the severity of their presenting signs, symptoms and lab abnorma...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31804aa1ad

    authors: Prince LK,Shah AA,Martinez LJ,Moran KA

    更新日期:2007-08-01 00:00:00

  • Tolerability of Switch to Macitentan from Bosentan in Pulmonary Arterial Hypertension.

    abstract:OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000607

    authors: Safdar Z,Thakur A,Frost A

    更新日期:2017-03-01 00:00:00

  • Dementia: physician approaches to the caregiver's problems.

    abstract::The demented patient requires medical and often psychiatric supervision, but the caregiver is often neglected. This article identifies special issues for caregivers that may need attention from the demented patient's physician. The physician's attention can benefit both the patient and the caregiver and save the physi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Greene JA,Taylor SE,Johnson W

    更新日期:1993-09-01 00:00:00

  • Chronic hemoptysis: an unusual manifestation of fungal sinusitis.

    abstract::A woman with chronic hemoptysis as her only complaint had extensive testing and did not respond to antibiotic therapy. Radiologic examination of the sinuses identified a mass which, on surgical exploration, was found to be the result of a fungus, Pseudallescheria boydii. Although this fungus is known to be a cause of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199507000-00021

    authors: Fiero RA,Groth M,Hurewitz A,April M,Nuovo M

    更新日期:1995-07-01 00:00:00

  • Elevated body mass index in Texas Head Start children: a result of heredity and economics.

    abstract:OBJECTIVE:The problem of high body mass index (BMI) for age in the Head Start population in Texas is of great concern. The primarily Mexican American population is at high risk for diabetes and cardiovascular disease. This study examines the prevalence of elevated BMI for age in the Head Start population in a sampling ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181faeb4d

    authors: Piziak V,Morgan-Cox M,Tubbs J,Rajab MH

    更新日期:2010-12-01 00:00:00

  • Cyclophosphamide therapy for Weber-Christian disease associated with alpha 1-antitrypsin deficiency.

    abstract::Weber-Christian disease is an uncommon disorder of unclear etiology whose unifying feature is fatty tissue inflammation. Its association with alpha 1-antitrypsin deficiency produces severe clinical manifestations. Although many agents have been used to treat Weber-Christian disease, current therapy is based on the poo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00024

    authors: Strunk RW,Scheld WM

    更新日期:1986-11-01 00:00:00

  • Planning for ambulatory care: simple methods for improving patient flow.

    abstract::A combined patient flow and work sampling study was done at the Ambulatory Pediatric Service of the Medical University of South Carolina. The biggest problem was that almost two thirds of the patient's time was spent waiting to see the doctor. Reasons for delay included too few examining rooms, the single block appoin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197706000-00004

    authors: Schuh SE,Tolins I,Westphal MC,Miller MC

    更新日期:1977-06-01 00:00:00

  • Multiple intrahepatic and extrahepatic biliary cysts.

    abstract::In most cases of congenital cyst of the extrahepatic biliary system, a single choledochal cyst is described. We have reported a patient with multiple intrahepatic and extrahepatic biliary cysts. Intraoperative cholangiograms demonstrated free reflux among the multiple choledochal cysts, with reflux into the intrahepat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197805000-00036

    authors: Daly JM,Bowen JC

    更新日期:1978-05-01 00:00:00

  • Adrenal insufficiency due to metastatic lung carcinoma and shown by abdominal CT scan.

    abstract::Our patient's symptoms of adrenal insufficiency were the first evidence of recurrence of the primary tumor. The diagnosis of hypoadrenalism was established by the standard ACTH stimulation test. The elevated ACTH level provided corroborating evidence that this was primary adrenal insufficiency rather than secondary to...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198412000-00031

    authors: Payne DK,Levine SN,Franco DP,Giyanani VL

    更新日期:1984-12-01 00:00:00

  • Hyponatremia in the syndrome of inappropriate secretion of antidiuretic hormone: rapid correction with osmotic agents.

    abstract::In three patients with SIADH, mannitol or glycerol promoted a rapid free water diuresis. Use of osmotic agents requires less laboratory and clinical monitoring than use of furosemide, is appropriate treatment, and in fact may be the treatment of choice in some patients with symptomatic hyponatremia from SIADH. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198503000-00028

    authors: Weinberg MS,Donohoe JF

    更新日期:1985-03-01 00:00:00

  • Medical education and the dying patient.

    abstract::Several recent cases illustrate the medical-ethical-legal consequences associated with lack of awareness in caring for and treating the dying patient. We question whether solutions advanced by others are feasible or desirable for use in medical education, and suggest looking to the familiar principles of clinical medi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197904000-00011

    authors: Mullaly RW,Osmond H

    更新日期:1979-04-01 00:00:00

  • Distal renal tubular acidosis in selective hypoaldosteronism.

    abstract::Renal mechanisms for metabolic acidosis in selective hypoaldosteronism were investigated in a patient with marked renal insufficiency. Studies demonstrated a distal hydrogen ion secretory defect. Control of elevated serum potassium levels did not normalize urinary acid excretion, but systemic acidosis was improved. Mi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00023

    authors: Barbour GL,Keller AW Jr

    更新日期:1978-11-01 00:00:00

  • Benign papillary mesothelioma of the peritoneum: a consideration in the differential diagnosis of peritoneal implants.

    abstract::We have reported a case of benign papillary mesothelioma of the peritoneum found incidentally during surgical exploration in a patient with rectal carcinoma. Clinicians and pathologists alike may find it difficult to differentiate this uncommon lesion from metastatic tumors. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198912000-00032

    authors: Tzanakakis G,McCully KS,Vezeridis MP

    更新日期:1989-12-01 00:00:00

  • Stomatococcus mucilaginosus catheter-related infection in an adolescent with osteosarcoma.

    abstract::Ours is apparently the first reported pediatric case of Stomatococcus mucilaginosus bacteremia. It is the second reported case of S mucilaginosus catheter-associated infection, but the first case successfully treated without removing the central venous catheter. This unusual organism should be added to the list of opp...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199103000-00029

    authors: Ascher DP,Bash MC,Zbick C,White C

    更新日期:1991-03-01 00:00:00

  • Parainfluenza virus type 2 meningitis and parotitis in an 11-year-old child.

    abstract::We describe the case of an 11-year-old Bolivian boy with parotitis and aseptic meningitis to demonstrate that parainfluenza virus type 2 can cause disseminated infection in a normal child. Parainfluenza virus type 2 was isolated from nasopharyngeal and CSF specimens from the patient and was confirmed to be parainfluen...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199502000-00014

    authors: Jantausch BA,Wiedermann BL,Jeffries B

    更新日期:1995-02-01 00:00:00

  • Massive asymmetric virginal breast hypertrophy.

    abstract::Massive unilateral virginal breast hypertrophy in a 13-year-old girl was treated by right breast reduction, with removal of 2,968 g of breast tissue. A year later, the patient had enlargement of the left breast, and contralateral reduction mammoplasty was done. Two-year follow-up has shown no further enlargement. This...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199604000-00019

    authors: Netscher DT,Mosharrafa AM,Laucirica R

    更新日期:1996-04-01 00:00:00

  • Clinical experience with a new casting tape.

    abstract::Between October 1977 and 1978, 93 CutterCast casts were applied at the Veterans Administration Hospital in Atlanta, Georgia. The composition and application of this new casting system are described, and the performance of the 93 casts is evaluated in relation to ease of application, roentgenographic clarity, skin cond...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198005000-00007

    authors: Fleming LL,Miller K,Sinback M

    更新日期:1980-05-01 00:00:00

  • Haemophilus influenzae endocarditis.

    abstract::Haemophilus influenzae endocarditis on a prosthetic valve has previously been reported only once. Routine physical and laboratory evaluation does not distinguish endocarditis from this organism from other causes of endocarditis. Our patient with prosthetic mitral valve endocarditis was successfully treated with antibi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198506000-00041

    authors: Blair TP,Baker WP

    更新日期:1985-06-01 00:00:00

  • Yield of diagnostic tests and its impact on cost in adult patients with syncope presenting to a community hospital.

    abstract:OBJECTIVES:Total annual costs for syncope-related hospitalizations were $2.4 billion in 2000. The aim of this study was to examine the type and number of tests ordered for patients admitted with syncope and whether these tests helped establish the cause. METHODS:We studied the records of 1038 patients coded as "syncop...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000184

    authors: Johnson PC,Ammar H,Zohdy W,Fouda R,Govindu R

    更新日期:2014-11-01 00:00:00

  • Fate of retained foreign bodies in the peritoneal cavity.

    abstract::Two patients with retained laparotomy pads after laparotomy had pain, abscess formation, and bleeding, with erosion of the pad into the small bowel and colon. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198604000-00026

    authors: Richards WO,Keramati B,Scovill WA

    更新日期:1986-04-01 00:00:00

  • Colonoscopy preparation complicated by Mallory-Weiss tear.

    abstract::I have reported two cases of Mallory-Weiss tear occurring after the patients drank an oral electrolyte/polyethylene glycol preparation before colonoscopy. Only two other such cases have been previously reported. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199203000-00021

    authors: Hroncich ME

    更新日期:1992-03-01 00:00:00

  • Prevalence and self-reported medical history of overweight in a cardiac stress testing population.

    abstract:OBJECTIVES:To determine the prevalence of overweight in a cardiac stress testing population, and the percentage of subjects who indicate a history of overweight. METHODS:A total of 251 consecutive subjects presenting for cardiac stress testing in a 450-bed community hospital from June to September 2010 were asked to c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31821e9359

    authors: Dittoe NJ,Hahn HS,Sansone RA,Wiederman MW

    更新日期:2011-07-01 00:00:00

  • Isolated cardiac metastasis from cervical carcinoma: presentation as acute anteroseptal myocardial infarction.

    abstract::Squamous cell carcinoma of the cervix is a common malignancy, but like other genital malignancies, it rarely metastasizes to the heart, even in advanced stages. This case illustrates several points, including the presentation of a cardiac metastasis mimicking ischemic cardiac disease on electrocardiogram. The diagnosi...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199302000-00019

    authors: Kountz DS

    更新日期:1993-02-01 00:00:00

  • Neck mass resulting from local extension of pulmonary blastomycosis.

    abstract::Blastomycosis is an endemic systemic fungal infection that usually involves the lungs and superficial skin. Although head and neck involvement has been reported in the literature, no previous cases of neck mass resulting from direct extension of a pulmonary lesion have been published. We encountered an immunocompetent...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199810000-00009

    authors: Hoskere GV,Hubbs DT,Vasquez JE

    更新日期:1998-10-01 00:00:00