In competency-based medical education emphasis has shifted towards outcomes, capabilities, and learner-centeredness. Together with a focus on sustained evidence of professional competence this calls for new methods teaching assessment. Recently, educators advocated the use holistic, programmatic approach Besides maximum facilitation learning it should improve validity reliability measurements documentation development. We explored how, in curriculum, current theories assessment interacted...

The transition to residency (TTR) goes along with new opportunities for learning and development, which can also be challenging, despite the availability of preparation courses designed ease process. Although TTR highly depends on organization, individual combined organizational strategies that advance adaptation are rarely investigated. This study explores residents' experiences help them adapt residency. We conducted a template analysis interview transcripts 16 second-year residents from...

WHERE DO WE STAND NOW?: In the 30 years that have passed since The Edinburgh Declaration on Medical Education, we made tremendous progress in research fostering 'self-directed and independent study' as propagated this declaration, of which one prime example is carried out problem-based learning. However, a large portion medical education happens outside classrooms, authentic clinical contexts. Therefore, article discusses recent developments regarding active learning contexts.Clinical...

Why and how do students seek feedback on their performance in the clinical workplace which factors influence this? These questions have remained largely unanswered research into learning during clerkships. Research has focused mainly providers. Whether recipients actively are under-examined issues. organisational psychology proposed a mechanism whereby seeking is influenced by motives goal orientation mediated perceived costs benefits of feedback. Building recently published model resident...

Summary Antimicrobial use in farm animals might contribute to the development of antimicrobial resistance humans and animals, there is an urgent need reduce animals. Veterinarians are typically responsible for prescribing overseeing A thorough understanding veterinarians' current practices their reasons prescribe antimicrobials offer leads interventions This paper presents results a qualitative study factors that influence behaviour animal veterinarians. Semi‐structured interviews with...

Objectives Undergraduate medical students are prone to struggle with learning in clinical environments. One of the reasons may be that they expected self-regulate their learning, which often turns out difficult. Students’ self-regulated is an interactive process between person and context, making a supportive context imperative. From socio-cultural perspective, takes place social practice, therefore teachers other hospital staff present vital for students’ given context. Therefore, this...

Changing demands from society and the veterinary profession call for medical curricula that can deliver veterinarians who are able to integrate specific generic competencies in their professional practice. This requires educational innovation directed by an integrative competency framework guide curriculum development. Given paucity of relevant information literature, a qualitative multi-method study was conducted develop validate such framework. A developed based on analysis focus group...

The importance of self-regulated learning (SRL) has been broadly recognised by medical education institutions and regulatory bodies. Supporting the development SRL skills proven difficult because self-regulation is a complex interactive process we know relatively little about factors influencing this in real practice settings. aim our study was therefore to identify that support or hamper students' clinical context.We conducted constructivist grounded theory using semi-structured interviews...

With the aim to assess levels of burnout and work engagement in junior veterinarians identify predictors male female veterinarians, 1760 who had graduated The Netherlands between 1999 2009, received an electronic questionnaire. Veterinarians numbering 860 (73 per cent females) participated. Levels exhaustion, cynicism were significantly lower compared norm group (a random sample Dutch working population). Male less exhausted more engaged than veterinarians. Exhaustion decreased over years....

This study examines the role of three personal resources (i.e., proactive behaviour, reflective and self-efficacy) in Job Demands–Resources (JD-R) model order to predict self other ratings performance. The sample consisted 860 Dutch veterinary professionals 170 colleagues. We hypothesized found that work engagement mediates relationship between job as well extrarole performance engagement. Although hypothesized, we no support for mediating exhaustion demands inrole Moreover were directly...

The medical education community acknowledges the importance of including humanities in general, and liberal arts particular, health professionals. Among arts, theater is especially helpful for educators wanting to bring experiences that are both real challenging learning encounter an interactive, engaging, reflective way. In this Perspective, authors share what they have learned after working together with a company actors 8 years (2012–2019) different obligatory elective curricular...

While portfolios are increasingly used to assess competence, the validity of such portfolio-based assessments has hitherto remained unconfirmed. The purpose present research is therefore further our understanding how assessors form judgments when interpreting complex data included in a competency-based portfolio. Eighteen appraised one three mock while thinking aloud, before taking part semi-structured interviews. A thematic analysis think-aloud protocols and interviews revealed that reached...

Veterinarians play an important role in the reduction of antimicrobial use farm animals. This study aims to quantify opinions veterinarians from Netherlands and Flanders regarding resistance issues An online survey was sent out 678 1100 animal Netherlands, which 174 437 were returned respectively. Suboptimal climate conditions regarded as most cause for high Flemish also insufficient biosecurity measures farmers' mentality determinants, while Dutch respondents ranked immunity young animals...

Context: Narrative feedback documented in performance evaluations by the teacher, i.e. clinical supervisor, is generally accepted to be essential for workplace learning. Many studies have examined factors of influence on usage mini-clinical evaluation exercise (mini-CEX) instruments and provision feedback, but little known about how these teachers' feedback-giving behaviour. In this study, we investigated use mini-CEX provide narrative undergraduate training.Methods: We designed an...

Background Novel virus outbreaks, such as the COVID-19 pandemic, may increase psychological distress among frontline workers. Psychological lead to reduced performance, employability or even burnout. In present study, we assessed experienced during pandemic from a self-determination theory perspective. Methods This mixed-methods with repeated measures, used surveys (quantitative data) combined audio diaries (qualitative assess work-related experiences, need satisfaction and frustration, over...

The transition from medical student to junior doctor is challenging. Junior doctors need become part of the physician community practice (CoP), while dealing with new responsibilities, tasks and expectations. At same time, they learn how navigate frontiers intersections other communities that form Landscape Practice (LoP). This study aims understand experience interprofessional collaboration (IPC) what elements shape these experiences considering their clinical practice.

Background Unprofessional behaviour undermines organizational trust and negatively affects patient safety, the clinical learning environment, clinician well-being. Improving professionalism in healthcare organizations requires insight into frequency, types, sources, targets of unprofessional order to refine programs strategies prevent address behaviours. Objective To investigate types frequency perceived behaviours among health care professionals identify sources these Methods Data was...

Student evaluations can help clinical teachers to reflect on their teaching skills and find ways improve teaching. Studies have shown that the mere presentation of student is not a sufficient incentive for critically teaching.We evaluated compared effectiveness two feedback facilitation strategies were identical except peer reflection meeting.In this study, 54 randomly assigned strategies. In one strategy, was added as an additional step. All completed questionnaire evaluating strategy they...