Changing Medical Education, Overnight: The Curricular Response to COVID-19 of Nine Medical Schools

Teaching and Learning in Medicine, Год журнала: 2021, Номер 33(3), С. 334 - 342

Опубликована: Март 11, 2021

Issue: Calls to change medical education have been frequent, persistent, and generally limited alterations in content or structural re-organization. Self-imposed barriers prevented adoption of more radical pedagogical approaches, so recent predictions the 'inevitability' transitioning online delivery seemed unlikely. Then March 2020 COVID-19 pandemic forced schools overcome established overnight make most rapid curricular shift education's history. We share collated reports nine postulate how responses may influence future education. Evidence: While extraneous pandemic-related factors it impossible scientifically distinguish impact changes, some themes emerged. The transition was made possible by all having learning management systems key electronic resources already blended into their curricula; we were closer than anticipated. Student engagement with varied different pedagogies used importance social interaction along autonomy apparent. These are known enhance learning, student-centered modalities (e.g. problem-based learning) that included them appeared be engaging. Assumptions new environment would easily adopted embraced 'technophilic' students did not always hold true. Achieving true distance will take longer this 'overnight' response, but adhering best practices for open a realm possibilities. Implications: experience confirm is really 'inevitable,' revealed possible. Thoughtfully blending components curriculum allow us advantage environment's strengths such as efficiency ability support asynchronous autonomous engage foster intrinsic our students. maintaining aspects interaction, could pre-clinical allowing integration collaboration among classes students, other health professionals, even between schools. What remains seen whether provided experience, vision courage change, old rise again when over.

Язык: Английский

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The Norms and Corporatization of Medicine Influence Physician Moral Distress in the United States

Teaching and Learning in Medicine, Год журнала: 2022, Номер 35(3), С. 335 - 345

Опубликована: Апрель 25, 2022

PhenomenonMoral distress, which occurs when someone's moral integrity is seriously compromised because they feel unable to act in accordance with their core values and obligations, an increasingly important concern for physicians. Due part limited understanding of the root causes little known about approaches are most beneficial mitigating physicians' distress. Our objective was describe system-level factors United States (U.S.) healthcare that contribute distress among pediatric hospitalist attendings residents.ApproachIn this qualitative study, we conducted one-on-one semi-structured interviews residents from 4 university-affiliated, freestanding children's hospitals U.S. between August 2019 February 2020. Data were coded iteratively developed codebook, categorized into themes, then synthesized.FindingsWe interviewed 22 hospitalists 18 residents. Participants described detail how culture medicine created a context cultivated Norms medical education practice conflicts residents' strong sense professional responsibility serve best interests patients expectations hierarchical system decision-making. The corporatization administrative financial pressures conflicted felt by both provide care families needed.InsightsThese findings highlight critical role systemic sources These suggest interventions must supplement existing target individual health providers. Preventing managing will require broad approach addresses drivers, such as medicine, entrenched medicine.

Язык: Английский

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Blind spots in medical education: how can we envision new possibilities?

Perspectives on Medical Education, Год журнала: 2022, Номер 11(6), С. 365 - 370

Опубликована: Ноя. 22, 2022

As human beings, we all have blind spots. Most obvious are our visual spots, such as where the optic nerve meets retina and inability to see behind us. It can be more difficult acknowledge other types of like unexamined beliefs, assumptions, or biases. While each individual has groups share spots that limit change innovation even systematically disadvantage certain groups. In this article, provide a definition in medical education, offer examples, including unfamiliarity with evidence theory informing lack supporting well-accepted influential practices, significant absences scholarly literature, failure engage patients curriculum development reform. We argue actively helping may allow us avoid pitfalls take advantage new opportunities for advancing education scholarship practice. When expand collective field vision, also envision “adjacent possibilities,” future states near enough considered but not so distant unimaginable. For attend its there needs increased participation among stakeholders commitment acknowledging when cause discomfort. Ultimately, better imagine possibilities, will able adapt, innovate, reform prepare sustain physician workforce serves society’s needs.

Язык: Английский

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Discourses of Digitalisation and the Positioning of Workers in Primary Care: A Norwegian Case Study

Social Inclusion, Год журнала: 2023, Номер 11(4), С. 172 - 183

Опубликована: Ноя. 15, 2023

Primary health services are subjected to intensified digitalisation transform care provision. Various smart and assistive technologies introduced support the growing elderly population enhance opportunities for independent living among patients in need of continuous care. Research has shown how such processes evolve at intersection different often competing discourses, oriented towards service efficiency, cost containment, technological innovation, client‐centred care, digital competence development. Often, increased technology use is presented as a solution pressing problems. However, discourses negotiated work contexts their mechanisms social inclusion/exclusion evolving practices have received less attention. This article examines workers primary sector discursively positioned when services. We employ perspective on subject positions analysing strategic documents interviews with large Norwegian city. show managerial that focus narrowly implementation mastery single provide limited spaces exert influence situations, while emphasise professional knowledge or broader organisational aspects variety resources workers’ agency. The way adopt negotiate varies based tasks responsibilities organisation. discuss move beyond “solutionism” efforts digitalise order inclusive supporting contributions various worker groups.

Язык: Английский

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The Philosophy of Technology: On Medicine’s Technological Enframing

Опубликована: Янв. 1, 2022

This chapter examines the growing role of technology in healthcare through lens philosophy technology. I introduce insights from three philosophers technology, Martin Heidegger, Andrew Feenberg and John Dewey, each whom challenges commonplace views as simply applied science offers important lessons for health professions education. These teach how is not merely material artifact but instead a way thinking interacting with world; value-neutral rather product social choices; purely means to an end embodies continuum ends emerging within context inquiry. As professionals face increasing use patient care, these critical help support more reflective engagement practice, challenging us leverage technologies order better serve needs clinicians, patients, their communities.

Язык: Английский

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“It’s making me think outside the box at times”: a qualitative study of dynamic capabilities in surgical training

Advances in Health Sciences Education, Год журнала: 2022, Номер 28(2), С. 499 - 518

Опубликована: Окт. 26, 2022

Craft specialties such as surgery endured widespread disruption to postgraduate education and training during the pandemic. Despite expansive literature on rapid adaptations innovations, generalisability of these descriptions is limited by scarce use theory-driven methods. In this research, we explored UK surgical trainees' (n = 46) consultant surgeons' (trainers, n 25) perceptions how learning in clinical environments changed a time extreme uncertainty (2020/2021). Our ultimate goal was identify new ideas that could shape post-pandemic training. We conducted semi-structured virtual interviews with participants from range working/training across thirteen Health Boards Scotland. Initial analysis interview transcripts inductive. Dynamic capabilities theory (how effectively an organisation uses its resources respond environmental changes) micro-foundations (sensing, seizing, reconfiguring) were used for subsequent analysis. Findings demonstrate responded dynamically adapted external internal uncertainty. Sensing threats opportunities environment prompted trainers' institutions seize ways working. Learners gained reconfigured (e.g., splitting operative cases between trainees), pan-surgical working broader exposure), redeployment medical specialties), collaborative (working colleagues ways) supervision (shifting online supervision). data foreground human resource structural reconfigurations, technological innovations maintained pandemic, albeit different ways. These provide foundations enhancing era.

Язык: Английский

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Predicting Covid-19: wearable technology and the politics of solutionism

Cultural Studies, Год журнала: 2021, Номер 35(2-3), С. 382 - 391

Опубликована: Май 4, 2021

The COVID-19 crisis has helped facilitate and amplify a set of articulations between technology, public health, culture. Among these connections is the idea that wearable technologies – with their attendant claims to know more better about relationship human bodies daily life are able predict onset symptoms and, in doing so, help mitigate its spread. This article considers this imaginary through case study Oura 'smart ring' Oura's partnership medical researchers National Basketball Association. Through close, critical reading popular press reports, I examine how imagined as productive articulation technology health capable compensating for failure United States government implement adequate testing. analysis demonstrates one way cultural studies scholars might interrogate map politics unfolding conjuncture is, understand series failings offloaded private companies an effort develop quick solutions only further entrench existing crises.

Язык: Английский

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Beyond Implementation: Enabling Sustainable Transformations of Digital Teaching and Learning in Higher Education

Springer eBooks, Год журнала: 2023, Номер unknown, С. 97 - 118

Опубликована: Янв. 1, 2023

Язык: Английский

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Unintended consequences of technology in competency-based education: a qualitative study of lessons learned in an OtoHNS program

Journal of Otolaryngology - Head and Neck Surgery, Год журнала: 2023, Номер 52(1)

Опубликована: Янв. 1, 2023

Background Formative feedback and entrustment ratings on assessments of entrustable professional activities (EPAs) are intended to support learner self-regulation inform decisions in competency-based medical education. Technology platforms have been developed facilitate these goals, but little is known about their effects new assessment practices. This study investigates how users interacted with an e-portfolio OtoHNS surgery program transitioning a Canadian approach assessment, Competence by Design. Methods We employed sociomaterial perspective technology grounded theory methods iterative data collection analysis this program's use for purposes. All residents (n = 14) competency committee members 7) participated the study; included resident portfolios, observation meeting, focus group explore they used visualize interfaces that would better meet needs. Results Use document, access, interpret was problematic both faculty, faced more challenges. While faculty were slowed making decisions, formative not actionable residents. Workarounds barriers resulted “numbers game” played acquire EPAs. Themes prioritized needs searchable, contextual, visual, mobile aspects design learning. Conclusion Best practices begin understanding user Insights from recommendations improved centred provide experience training. Graphical Abstract

Язык: Английский

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A scoping review and theory‐informed conceptual model of professional identity formation in medical education: Commentary from a clinical psychology perspective

Medical Education, Год журнала: 2024, Номер 58(10), С. 1138 - 1139

Опубликована: Июль 10, 2024

Medicine and psychology share challenges adopting theory to enhance education. Here Schubert et al. use a social constructionist view highlight how identities form evolve, guiding educators provide support.

Язык: Английский

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