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[233] Evidence. Experience. Tomato. Tom-ah-to?

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Release Date: 09/10/2019

[482] Re-Run of Ep 144 Part 2 of a live session recorded at the 2017 CGEA Conference in Chicago show art [482] Re-Run of Ep 144 Part 2 of a live session recorded at the 2017 CGEA Conference in Chicago

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Part 2 of a live session recorded at the 2017 CGEA Conference in Chicago with special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis! Part 2 finds Jason and the guest hosts mulling over a major question in medical education today: how do supervising physicians make decisions regarding who and how much to trust trainees and students who report to them.  Authors: Sheu L, O'Sullivan PS, Aagaard EM, Tad-Y D, Harrell HE, Kogan JR, Nixon J, Hollander H, Hauer KE. Publication details: How Residents Develop Trust in Interns: A Multi-Institutional Mixed-Methods...

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[481] Re-Run of Ep 143 Medical Students' Understanding of Directed Questioning by Their Clinical Preceptors show art [481] Re-Run of Ep 143 Medical Students' Understanding of Directed Questioning by Their Clinical Preceptors

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Joining Jason live from Chicago are special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis! Part 1 of a live session recorded at the 2017 CGEA Conference. Our guest hosts discuss a paper where the authors found that learners had specific strategies for attempting to manage situations where they were directly questioned by preceptors.

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[480] Re-Run of Ep 142 Effective teaching of manual skills to physiotherapy students. A Randomized Clinical Trial show art [480] Re-Run of Ep 142 Effective teaching of manual skills to physiotherapy students. A Randomized Clinical Trial

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Sometimes health professional education can be embarrassing.  Despite the maturity of the field, there are occasions when a study, such as the one in Jon's paper selection this week, can highlight shared assumptions among clinician educators. So, what is the most effective way to teach a technical skill? The KeyLIME team is here to help you figure it out!  Authors: Rossettini G, Rondoni A, Palese A, Cecchetto S, Vicentini M, Bettale F, Furri L, Testa M. Publication details: Effective teaching of manual skills to physiotherapy students. A Randomized Clinical...

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[479] Re-Run of Ep 140  Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries. show art [479] Re-Run of Ep 140 Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries.

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Empathy is widely regarded as a critical element of patient care and medical education. The more you have, the greater the patient and provider satisfaction, greater adherence to therapy, greater physician well-being and perceived clinical decision-making, greater physician joy at work. Jason's paper selection looks at "what is 'empathy' in health care, anyway?" and has the co-hosts questioning their own construct of empathy. Authors: Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, Costa MJ, Quince T. Publication details: Measuring Medical Students'...

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[478] Re-Run of Ep 139 Feedback for Learners in Medical Education: What Is Known? A Scoping Review. show art [478] Re-Run of Ep 139 Feedback for Learners in Medical Education: What Is Known? A Scoping Review.

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Feedback to learners has always been important in Med Ed and is getting even more air time with the advent of CBME and mastery learning. While there has been a lot of literature on various aspects of feedback, it has not been broadly assessed. This scoping review, chosen by Linda, offers a wide perspective on the literature which may lead to further deeper reviews. Authors: Bing-You R, Hayes V, Varaklis K, Trowbridge R, Kemp H, McKelvy D. Publication details: Feedback for Learners in Medical Education: What Is Known? A Scoping Review. Academic Medicine. 2017 Feb 7. [Epub ahead...

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[477] Re-Run of Ep 138 Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training show art [477] Re-Run of Ep 138 Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training

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Gender bias in the workplace should come as no surprise to KeyLIME-ers.  Yet, many do not realize how pervasive sexism can be in the assessment of trainees in our residency programs. Jon's selection showcases the significant issue of gender bias in the academic environment and the hosts attempt to understand the scope of the problem.  Authors: Dayal A, O’Connor DM, Qadri U, Arora VM.  Publication details: Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training.  JAMA Internal...

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[476] Re-run of Ep 137 Imperfect practice makes perfect: error management training improves transfer of learning show art [476] Re-run of Ep 137 Imperfect practice makes perfect: error management training improves transfer of learning

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As the old adage goes- does ‘practice make perfect’?  Or the not so old saying coming from mastery learning – does ‘perfect practice makes perfect’? The authors of Linda's selected paper - a report on a randomized education trial - want to convince us that ‘imperfect practice makes perfect’.   Authors: Dyre L , Tabor A, Ringstead C, Toldsgaard, MG. Publication details: Imperfect practice makes perfect: error management training improves transfer of learning. Medical Education. 2017 Feb;51(2):196-206. 

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[475] Re-Run of Ep 136  Patients of doctors further from medical school graduation have poorer outcomes show art [475] Re-Run of Ep 136 Patients of doctors further from medical school graduation have poorer outcomes

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Jason selects an article from Medical Education and the co-hosts discuss: When it comes to physicians in practice, what should clinician-educators focus on to make the most difference in patient outcomes? Authors: Norcini JJ, Boulet JR, Opalek A, Dauphinee WD.  Publication details: Patients of doctors further from medical school graduation have poorer outcomes. Medical Education. 2017. 51(5):480. 

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[474] Re-Run of Ep 135 Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs show art [474] Re-Run of Ep 135 Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs

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Linda's article selection asks: if HPESUs (health professions education scholarship units) are defined as “organizational structures within which a group of people is substantively engaged in health professions education scholarship’’ -  does this mean heads of HPESUs act as Institutional Entrepreneurs?  Authors: Varpio L, O'Brien B, Durning S, van der Vleuten C, Gruppen L, Ten Cate O, Humphrey-Murto S, Irby DM, Hamstra SJ, Hu W. Publication details: Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs. Academic Medicine....

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[473] Re-Run of Ep 134 Comparing Open-Book and Closed-Book Examinations: A Systematic Review show art [473] Re-Run of Ep 134 Comparing Open-Book and Closed-Book Examinations: A Systematic Review

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In this episode:  In this week's paper, selected by Jon, the co-hosts discuss whether a a closed-book exam - that requires a learner to have encoded and recall the required information - is a superior educational process to an open-book exam that requires a learner to appraise and apply an array of widely available information?   Authors: Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR Jr, Boulet JR, Eva K. Publication details: Comparing Open-Book and Closed-Book Examinations: A Systematic Review. Academic Medicine. 2016 Apr; 91(4):583-99. 

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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 details:  Use of evidence in health professions education: Attitudes, practices, barriers and supports Med Teach. 2019 May 3:1-11 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

The views expressed in the KeyLIME podcast are solely those of the hosts and do not necessarily reflect those of any organization or institution to which the hosts are affiliated including the Uniformed Services University of the Unites States Department of Defense.

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