The Hitchhiker’s Guide to Clinical Performance Indicators
Release Date: 07/30/2019
Episode length 29:38 Jason's chosen paper is on Authorship, which is a fundamental attribution for scholarly contribution, and is the basis of career advancement, global recognition, funding, wellness, professional identity, and even historical legacy. Unfortunately, it is mired in tomfoolery. Voting on Methods at 27:15, and Educational Impact 27:30 Authors: Maggio et. al. Publication details: Exploring researchers' perspectives on authorship decision making. Med Educ. 2019 Sep 1. doi: 10.1111/medu.13950. [Epub ahead of print] View the abstract here Follow our...info_outline  Getting to the heart of the matter
Episode length 25:55 This paper was selected by Lara Varpio it focuses on two important qualities for all clinicians to embrace and embody in their clinical work: empathy and compassion. Voting on Methods at 22:30, and Educational Impact 23:27 Authors: Krishnasamy et. al., Publication details: How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57. 2019 Med Teach. 2019 Aug 7:1-12. View the abstract here Follow our co-hosts on Twitter! Jason R. Frank: @drjfrank Jonathan Sherbino: @sherbino Linda...info_outline  Cost analyses: no simple solutions
Episode length 29:59 These days we live in a world of healthcare and HPE where resources are limited – choices must be made; there are increasing demands for transparency; there is more scrutiny of costs and efficiency of spending. No voting on Methology but voting on Educational Impact starts at 27:00 Authors: Maloney et al., Publication details: AMEE Guide No. 123 – How to read studies of educational costs Med Teach. 2019 May;41(5):497-504. View the abstract here Follow our co-hosts on Twitter! Jason R. Frank: @drjfrank Jonathan...info_outline  Watch your words!
Episode length - 25:45 The purpose of this study is (1) to discuss the terms used in reference to clinical reasoning; (2) describe how the research team categorized those terms in relation to the meanings inferred by each term and (3) to report where there are disagreements in those interpretations Voting on Methods and Educational Impact start at 19:30 Authors: Young et al., Publication details: The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8 View the abstract here Follow...info_outline  Evidence. Experience. Tomato. Tom-ah-to?
Episode length 24:10 *Now 32:45 with Dr. Thomas's rebuttal at the end of the episode* This Evidence based Medicine paper tries to answer 3 important questions: 1. What are HP educators’ attitudes toward using educational research evidence to inform their teaching and assessment practices? 2. To what extent do HP educators use educational research evidence in their practice? 3. What are the individual and organizational supports and barriers of evidence-informed education from the perspective of HP educators? Authors: Thomas et al., Publication...info_outline  Summer re-run (with out-takes) of Ep 206 Physician Burnout = Badness
Episode 206 was originally aired in February 2019 and was a big hit with KeyLIMErs. This Episodes starts with a few out-takes from the last year - we hope you enjoy them. Episode total length is : - 22:25 Let us know what you think at KeyLIME@royalcollege.ca Authors: Panagioti, et al,. Publication details: Panagioti, et al,. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330. View Episode 206 abstract here Follow our co-hosts on Twitter!...info_outline  Summer re-run #4 -Ep 195 MEd Ed Assessment: Judgement Day
The 4th Summer re-run - originally posted in November 2018. Length of podcast 22:59 Purpose of this study "To identify the different machine learning (ML) techniques that have been applied to automate physician competence assessment and evaluate how these techniques can be used to assess different competence domains in several medical specialties.” Authors: Dias et al., Publication details: Using Machine Learning to Assess Physician Competence: A Systematic Review Acad Med. 2018 Aug View the abstract here Follow our co-hosts on Twitter! Jason R....info_outline  Summer re-run of Episode 191 Assessment, feedback and the alchemy of learning
The 3rd Summer re-run - originally posted in October 2018. A narrative review chosen by Linda Snell on Assessment and Feedback, are they a risky recipe for learning. "An amazing paper - everyone should read it" ~ Jason Frank. Authors: Watling CJ, Ginsburg S. Publication details: Assessment, feedback and the alchemy of learning.Med Educ. 2018 Aug 2 [Epub ahead of print] View the abstract here Follow our co-hosts on Twitter! Jason R. Frank: @drjfrank Jonathan Sherbino: @sherbino Linda Snell: @LindaSMedEd ...info_outline  Summer re-run of Ep. 189 What really matters for successful research environments?
This Episode is a re-run of Episode 189 that was aired in September 2018. “While several narrative and systematic reviews have begun to identify the characteristics of research-favourable environments, these reviews have ignored the contextual complexities and multiplicity of environmental characteristics. Therefore, the current synthesis adopts a realist approach to explore what interventions work for whom and under what circumstances.” It's rare but Linda, Jon and Jason all agree and give this paper triple 5 points for Methods! Let us know what you think at...info_outline  Summer re-run - Ep 187 See One, Do One, Call me later - Is the supervision overrated?
Today's paper is a re-run, originally released in September 2018. It has been downloaded many many times. The paper examines the Direct versus Indirect Supervision methods used in health professions education. Does it matter how much time you spend with an attending on an Internal Medicine Ward? Although Jason likes the Methodology, there maybe a fatal floor in the logic. Let us know what you think at KeyLIME@royalcollege.ca Authors: Finn KMet al Publication details:...info_outline
Authors conclusions: 19:55
Jason's Spare Keys: 20:37
Voting for Methods = 2, N/A, N/A, 2.
Voting for Impact = 5, 4, 5, 4.
Authors: Smirnova A et. al.,
Publication details: Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going? Acad Med. 2019 May;94(5):671-677
View the abstract here
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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.
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Def of gnarly