A5010913179- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Radiology practices and education
- Medical Education and Admissions
- Health Sciences Research and Education
- Health and Medical Research Impacts
- Primary Care and Health Outcomes
- Diversity and Career in Medicine
- Simulation-Based Education in Healthcare
- Electronic Health Records Systems
- Empathy and Medical Education
- Healthcare professionals’ stress and burnout
- Education and Critical Thinking Development
- Global Health Workforce Issues
- Healthcare Systems and Technology
- Healthcare Policy and Management
- Clinical practice guidelines implementation
- Patient Safety and Medication Errors
- Health and Conflict Studies
- Advances in Oncology and Radiotherapy
- Evaluation of Teaching Practices
- Healthcare cost, quality, practices
- Teacher Education and Leadership Studies
- Innovative Teaching Methods
- Hospital Admissions and Outcomes
Uniformed Services University of the Health Sciences
2013-2024
ORCID
2022-2024
Johns Hopkins Medicine
2021
Johns Hopkins University
2021
University of Health Sciences
2015
Defense Information Systems Agency
2014
Division of Undergraduate Education
2014
United States Department of Defense
2002-2012
VA Boston Healthcare System
2012
Weatherford College
2012
In any evaluation system of medical trainees there is an underlying set assumptions about what to be evaluated (i.e., which goals reflect the values or institution), kind observations assessments are useful allow judgments; and how these analyzed compared a standard achieved by learner. These can conventionalized into framework for evaluation. Frameworks encompass, "frame," group ideas categories educational against trainee's level competence progress gauged. Different frameworks provide...
Progress in improving the credibility of teachers' descriptive evaluations students and residents has not kept pace with progress made more quantified methods, such as multiple-choice examinations standardized patient clinical skills. This article addresses innovative approaches to making ongoing in-training evaluation (ITEv) trainees during their experiences reliable valid. The innovations include development a standard vocabulary for describing from "reporter" "interpreter" "manager"...
A central tenet of Flexner's report was the fundamental role science in medical education. Today, there is tension between time needed to teach an ever-expanding knowledge base and for increased instruction clinical application behavioral, ethical, managerial skills prepare experiences. One result has been at least a perceived reduction focus on foundational sciences. In this context, International Association Medical Science Educators initiated study address value basic sciences education...
Objective: To determine the accuracy of faculty evaluations residents' clinical skills and whether a structured form instructional videotape improve accuracy. Design: Randomized, controlled trial. Setting: Twelve university community teaching hospitals. Participants: A total 203 internists. Interventions: Participants watched one two residents performing new patient workups. were assigned to three groups: They used either an open-ended evaluation or that prompted detailed observations; some...
Prior work has found that a doctor's clinical reasoning performance varies on case-by-case (situation) basis; this is often referred to as 'context specificity'. To explore the influence of context diagnostic and therapeutic reasoning, we constructed series videotapes which doctors were asked respond, modifying different contextual factors (patient, doctor, setting). We explored how these factors, displayed by videotape encounters, may have influenced board-certified internists (experts)....
Purpose The mini—clinical evaluation exercise, or mini-CEX, assesses residents' history and physical examination skills. To date, no study has assessed the validity of mini-CEX (mCEX) format. authors' objective was to determine reliability mCEX Method Twenty-three first-year residents at Wright—Patterson Medical Center in Dayton, Ohio, were included (academic years 1996–97, 1997–98, 1998–99). Validity instrument determined by comparing scores with from corresponding sections a modified...
Physician training and practice occur in complex environments. These environments, or contexts, raise important challenges opportunities for research medical education. The authors explore how studies from fields outside medicine can assist educators with their approach to the notion of context clinical encounter. First, they discuss use term encounter as it relates They then detail meaning diverse medicine, such mathematics, physics, psychology, all which suggest a nonlinear context. Next,...
The electronic health record (EHR) is an important advancement in care. It facilitates improvement of care delivery and coordination care, but it creates special challenges for student education. This article represents a collaborative effort the Alliance Clinical Education (ACE), multidisciplinary group formed 1992. ACE recognizes importance medical participation patient including ability documentation. proposes guidelines that can be used by educators to establish expectations on...
Few studies have reported on the utilization and effect of electronic health records education medical students.The purpose this study was to describe current use by students in United States explore opportunities challenges integrating into daily teaching students.A survey with 24 questions regarding developed Alliance for Clinical Educators sent clerkship directors across States. Both quantitative qualitative responses were collected analyzed determine access students.This found that an...
To compare the performances of three evaluation methods in detecting deficiencies professionalism among third-year medical students during their ambulatory care and inpatient ward rotations a core internal medicine clerkship.From 1994 to 1997, 18 at The Uniformed Services University Health Sciences failed satisfactorily complete 12-week clerkship due professionalism. Three had been used assess all students' two clerkship: standard checklists, written comments, comments from formal sessions....
Abstract Background and objective The clinical note documents the clinician's information collection, problem assessment, management, its used for administrative purposes. Electronic health records (EHRs) are being implemented in practices throughout USA yet it is not known whether they improve quality of notes. goal this study was to determine if EHRs outpatient Materials methods A five a half year longitudinal retrospective multicenter quantitative comparing handwritten electronic visit...
Debate over reforming the nation's healthcare system has stimulated a need for health services research (HSR) models that are nationally applicable. Toward this end, authors identify Military Health System (MHS) as America's "undiscovered" laboratory HSR. Although many may confuse MHS with Department of Veterans Affairs (VA), 2 systems vary dramatically respect to their beneficiary populations, access care, and other important attributes. In article, describe key characteristics including...
To investigate whether a spaced-education (SE) game can be an effective means of teaching core content to medical students and reliable valid method assessing their knowledge.This nine-month trial (2008-2009) enrolled from three U.S. schools. The SE consisted 100 validated multiple-choice questions-explanations in preclinical/clinical domains. Students were e-mailed two questions daily. Adaptive mechanics re-sent or six weeks if answered, respectively, incorrectly correctly. Questions...
Background: Directors of courses, clerkships, residencies, and fellowships are responsible not only for determining whether individual trainees have met educational goals but also ensuring the quality training program itself. The purpose this article is to discuss a framework evaluation that has sufficient rigor satisfy accreditation requirements yet flexible responsive uniqueness programs. Summary: We key aspects include cardinal definitions, measurements, needed resources, analyses...
Medical education research in general is a young scientific discipline which still finding its own position the range. It rooted both biomedical sciences and social sciences, each with their language. A more unique feature of medical (and assessment) that it has to be locally internationally relevant. This not always easy sometimes leads purely ideographic descriptions an assessment procedure insufficient lessons or generalised knowledge being generated vice versa. For educational research,...
Electronic medical records (EMRs) increasingly are used to document the delivery of patient care. Clinical practices that involved in education more likely employ EMRs. Yet, growing use EMRs presents a new set challenges for undergraduate and graduate education. can significantly impact how trainees learn develop decision-making strategies clinical documentation skills. also affect notes evaluated feedback is provided learner. To effectively, students must narrative elements (how take record...
This study aimed to investigate the relationship between authenticity of instructional formats and outcome measures within a pre-clerkship clinical reasoning course.We conducted randomised, prospective, crossover with Year 2 medical students taking course. Students were randomised small groups exposed three differing (paper case, DVD presentation, standardised patient [SP] presentation) across subject areas (abdominal pain, anaemia, polyuria). Three student cohorts taught using one format...
Organizational approaches to physician burnout are limited. Training leaders influence the organizational environment is a growing area of study. This study explored perceived leadership behaviors in response from viewpoint faculty physicians not formal positions. Understanding those being led can inform strategy and training address burnout.
The clerkship director (CD) is an essential leader in the education of medical students on clinical rotations. This article represents a collaborative effort national organizations that comprise Alliance for Clinical Education (ACE), multidisciplinary group formed 1992. ACE suggests selection CD be regarded as implied contract between and department chair each will take steps to ensure success CD. sets standards what should expected provides guidelines resources support provided person...