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Author: Brian S McGowan, PhD

ABSTRACT: Inspiring innovation in medical education

Traditionally, changes to medical education come from the top down, an approach that potentially misses important contributions from medical students, residents, faculty and staff. In order to provide an avenue for them to bring forward their ideas for educational improvements, the University of Minnesota Medical School sponsored the “What’s the Bright Idea?” contest. Through the contest, we sought to foster a culture of innovation and collaboration among faculty, staff and students. The contest included five phases: launch, idea submission, online voting, follow-up and implementation. Seventy-six ideas were submitted, and 902 people participated in the online voting. When asked in a follow-up survey whether the submitter would have developed their idea without the contest, 27% of respondents answered “no” and 18% answered “maybe.” Three-fourths stated the contest stimulated networking and collaboration. Four of the recommendations are now being implemented.

via Inspiring innovation in medical education. [Minn Med. 2014] – PubMed – NCBI.

MANUSCRIPT: Online continuing medical education (CME) for GPs: does it work? A systematic review.

BACKGROUND:
Numerous studies have assessed the effectiveness of online continuing medical education (CME) designed to improve healthcare professionals’ care of patients. The effects of online educational interventions targeted at general practitioners (GP), however, have not been systematically reviewed.
METHODS:
A computer search was conducted through seven databases for studies assessing changes in GPs’ knowledge and practice, or patient outcomes following an online educational intervention.
RESULTS:
Eleven studies met the eligibility criteria. Most studies (8/11, 72.7%) found a significant improvement in at least one of the fol-lowing outcomes: satisfaction, knowledge or practice change. There was little evidence for the impact of online CME on patient outcomes. Variability in study design, characteristics of online and outcome measures limited conclusions on the effects of online CME.
DISCUSSION:
Online CME could improve GP satisfaction, knowledge and practices but there are very few well-designed studies that focus on this delivery method of GP education.

via Online continuing medical education (CME)… [Aust Fam Physician. 2014] – PubMed – NCBI.

RESOURCE: Realizing the Promise of Competency-Based Medical Education.

Competency-based medical education CBME places a premium on both educational and clinical outcomes. The Milestones component of the Next Accreditation System represents a fundamental change in medical education in the United States and is part of the drive to realize the full promise of CBME. The Milestones framework provides a descriptive blueprint in each specialty to guide curriculum development and assessment practices.From the beginning of the Outcomes project in 1999, the Accreditation Council for Graduate Medical Education and the larger medical education community recognized the importance of improving their approach to assessment. Work-based assessments, which rely heavily on the observations and judgments of clinical faculty, are central to a competency-based approach. The direct observation of learners and the provision of robust feedback have always been recognized as critical components of medical education, but CBME systems further elevate their importance. Without effective and frequent direct observation, coaching, and feedback, the full potential of CBME and the Milestones cannot be achieved. Furthermore, simply using the Milestones as end-of-rotation evaluations to “check the box” to meet requirements undermines the intent of an outcomes-based accreditation system.In this Commentary, the author explores these challenges, addressing the concerns raised by Williams and colleagues in their Commentary. Meeting the assessment challenges of the Milestones will require a renewed commitment from institutions to meet the profession’s “special obligations” to patients and learners. All stakeholders in graduate medical education must commit to a professional system of self-regulation to prepare highly competent physicians to fulfill this social contract.

via Realizing the Promise of Competency-Based Medical E… [Acad Med. 2014] – PubMed – NCBI.

FAQ: Safe Management of Patients with Ebola Virus Disease (EVD) in US Hospitals | Accreditation Council for Continuing Medical Education

Publish Date:
Tuesday, October 14, 2014
In response to the Ebola public health emergency, the American Hospital Association (AHA) has provided an Ebola education package for CME providers. This package contains information that the American Hospital Association believes would be useful to healthcare providers and institutions right now, including this FAQ. An informational PowerPoint is available here.

Go to this publication:
EBOLA FAQ.doc

via FAQ: Safe Management of Patients with Ebola Virus Disease (EVD) in US Hospitals | Accreditation Council for Continuing Medical Education.

BREAKING Ebola Facts | Accreditation Council for Continuing Medical Education

Publish Date: 
Tuesday, October 14, 2014
In response to the Ebola public health emergency, the American Hospital Association (AHA) has provided an Ebola education package for CME providers. This package contains information that the American Hospital Association believes would be useful to healthcare providers and institutions right now, including this informational PowerPoint. An FAQ is available here.

Go to this publication:
Ebola Facts.ppt

via Ebola Facts | Accreditation Council for Continuing Medical Education.

RESOURCE: Decision support model for introduction of gamification solution using AHP.

Gamification means the use of various elements of game design in nongame contexts including workplace collaboration, marketing, education, military, and medical services. Gamification is effective for both improving workplace productivity and motivating employees. However, introduction of gamification is not easy because the planning and implementation processes of gamification are very complicated and it needs interdisciplinary knowledge such as information systems, organization behavior, and human psychology. Providing a systematic decision making method for gamification process is the purpose of this paper. This paper suggests the decision criteria for selection of gamification platform to support a systematic decision making process for managements. The criteria are derived from previous works on gamification, introduction of information systems, and analytic hierarchy process. The weights of decision criteria are calculated through a survey by the professionals on game, information systems, and business administration. The analytic hierarchy process is used to derive the weights. The decision criteria and weights provided in this paper could support the managements to make a systematic decision for selection of gamification platform.

via Decision support model for introducti… [ScientificWorldJournal. 2014] – PubMed – NCBI.

RESOURCE: The Hidden Curriculum of the Medical Care for Elderly Patients in Medical Education: A Qualitative Study

In spite of more attention being given to geriatrics in medical curricula, few new physicians are seeking training in this field. So far there has been no exploration of factors in the hidden curriculum that could potentially influence the persisting lack of interest in this field of medicine. To study this hidden curriculum in medical education in relation to medical care of elderly patients we used a qualitative research design including participant observations on two internal medicine wards in a teaching hospital and semi-structured interviews. The results showed that elderly patients with multiple problems are seen as frustrating and not interesting. Medical students were not stimulated to go into the totality of medical problems of elderly patients. They picked up a lot of disparaging remarks about these patients. The mainly negative attitudes demonstrated by role models, in particular the residents, may potentially influence the development of future doctors and their choice of career.

via The Hidden Curriculum of the Medical C… [Gerontol Geriatr Educ. 2014] – PubMed – NCBI.

RESOURCE: Investigating the use of quick response codes in the gross anatomy laboratory.

The use of quick response QR codes within undergraduate university courses is on the rise, yet literature concerning their use in medical education is scant. This study examined student perceptions on the usefulness of QR codes as learning aids in a medical gross anatomy course, statistically analyzed whether this learning aid impacted student performance, and evaluated whether performance could be explained by the frequency of QR code usage. Question prompts and QR codes tagged on cadaveric specimens and models were available for four weeks as learning aids to medical n = 155 and doctor of physical therapy n = 39 students. Each QR code provided answers to posed questions in the form of embedded text or hyperlinked web pages. Students’ perceptions were gathered using a formative questionnaire and practical examination scores were used to assess potential gains in student achievement. Overall, students responded positively to the use of QR codes in the gross anatomy laboratory as 89% 57/64 agreed the codes augmented their learning of anatomy. The users’ most noticeable objection to using QR codes was the reluctance to bring their smartphones into the gross anatomy laboratory. A comparison between the performance of QR code users and non-users was found to be nonsignificant P = 0.113, and no significant gains in performance P = 0.302 were observed after the intervention. Learners welcomed the implementation of QR code technology in the gross anatomy laboratory, yet this intervention had no apparent effect on practical examination performance.

via Investigating the use of quick response codes … [Anat Sci Educ. 2014] – PubMed – NCBI.

RESOURCE: What Do Professional Learning Communities (PLCs) Look Like?

PLC (Professional Learning Community) is a group of educators, stakeholders, community members and administrators who come together to analyze and improve their practices. Usually, such groups meet regularly over a period of time and discuss various things of common interest.

Professional Learning Communities can be at the school, district and national level and the members of the community are determined by its focus. For example-a group of science teachers can work in collaboration to adopt and implement programs in the best ways that help students learn science and develop 21st century skills simultaneously. Or administrators and teachers meet in professional learning community to learn and share best teaching and leading strategies including the use of technology. In PLCs, school heads and decision makers can talk and discuss on the effective ways to handle challenges and overcome problems in their role. The purpose and aim of the PLC and several gatherings may be any:

  • Annual Meeting of the community members
  • Showcase of member initiatives and best practices around 21st century education
  • Face-to-face networking with leaders and educators from across the country
  • Refinement of the content, tools, initiatives and future priorities through member collaboration.

via What Do Professional Learning Communities (PLCs) Look Like? – EdTechReview™ (ETR).

ABSTRACT: Building an open academic environment – a new approach to empowering students in their learning of anatomy through ‘Shadow Modules’.

Teaching and learning in anatomy is undertaken by a variety of methodologies, yet all of these pedagogies benefit from students discussing and reflecting upon their learning activities. An approach of particular potency is peer-mediated learning, through either peer-teaching or collaborative peer-learning. Collaborative, peer-mediated, learning activities help promote deep learning approaches and foster communities of practice in learning. Students generally flourish in collaborative learning settings but there are limitations to the benefits of collaborative learning undertaken solely within the confines of modular curricula. We describe the development of peer-mediated learning through student-focused and student-led study groups we have termed ‘Shadow Modules’. The ‘Shadow Module’ takes place parallel to the formal academically taught module and facilitates collaboration between students to support their learning for that module. In ‘Shadow Module’ activities, students collaborate towards curating existing online open resources as well as developing learning resources of their own to support their study. Through the use of communication technologies and Web 2.0 tools these resources are able to be shared with their peers, thus enhancing the learning experience of all students following the module. The Shadow Module activities have the potential to lead to participants feeling a greater sense of engagement with the subject material, as well as improving their study and group-working skills and developing digital literacy. The outputs from Shadow Module collaborative work are open-source and may be utilised by subsequent student cohorts, thus building up a repository of learning resources designed by and for students. Shadow Module activities would benefit all pedagogies in the study of anatomy, and support students moving from being passive consumers to active participants in learning.

via Building an open academic environment – a new approac… [J Anat. 2014] – PubMed – NCBI.