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Author: Brian S McGowan, PhD

ABSTRACT: How residents learn predicts success in surgical residency

BACKGROUND:Predictors of success in surgical residency have been poorly understood. Previous studies have related prior performance to future success without consideration of personal attributes that help an individual succeed. Surgical educators should consider how residents learn to gain insight into early identification of residents at risk of failing to complete their surgical training.METHODS:We examined our 14-year database of surgical resident learning-style assessments, Accreditation Council for Graduate Medical Education operative log data of graduating residents from 1999 to 2012, first time pass rates on the American Board of Surgery Qualifying and Certifying examinations, and departmental records to identify those residents who did not complete their surgery training at our institution. Statistical analysis was performed using the chi-square test, Wilcoxon rank-sum, and regression analysis with significance set at p < 0.05.RESULTS:We analyzed 441 learning-style assessments from 130 residents. Surgical residents are predominantly action-based learners, with converging 219, 49.7% and accommodating 112, 25.4% being the principal learning styles. Assimilating 66, 15% and diverging 44, 10% learning styles, where an individual learns by observation, were less common. Regression analysis comparing learning style with case volume revealed that residents who are action-based learners completed more cases at graduation p < 0.05 for each. Additionally, surgical residents who transferred to a nonsurgical residency or nonphysician field were more likely to learn by observation p = 0.0467.CONCLUSIONS:Surgical residents are predominantly action-based learners. However, a subset of surgical residents learn primarily by observation. These residents are at risk for a less robust operative experience and not completing surgical training. Learning-style analysis may be utilized by surgical educators to identify the potential at-risk residents in general surgery.

via How residents learn predicts success in … [J Surg Educ. 2013 Nov-Dec] – PubMed – NCBI.

RESOURCE: To Persuade People, Tell Them a Story

Even with digital and social-media tools, employees often struggle to convey ideas to each other, to managers and to customers. That’s why companies such as FedEx, Kimberly-Clark and Microsoft are teaching executives to tell relatable stories as a way to improve workplace communication.

It’s a tool that’s more useful than PowerPoint presentations, say career experts, who note that storytelling can also be used on a day-to-day basis to sell ideas to one person or a hundred. But being an effective storyteller requires preparation.

Move beyond facts and figures, which aren’t as memorable as narratives, says Cliff Atkinson, a communications consultant from Kensington, Calif., and author of “Beyond Bullet Points.”

Many people in business think raw data is persuasive. But when you’re dealing with people from other departments and in different fields who don’t understand how you got that data, you can lose them pretty quickly.

“You have to step back and put yourself into their shoes and take them through the process of understanding,” says Mr. Atkinson. “That requires you to distill the most important facts and wrap them in an engaging story.”

via To Persuade People, Tell Them a Story – WSJ.com.

RESOURCE: As the online education movement grows, Hollywood-style concerns — wardrobe, social media buzz — are coming to academia – Lifestyle – The Boston Globe

Before Adam Van Arsdale began taping his anthropology course to show online, he was used to standing in front of perhaps 20 Wellesley College undergrads. Now when he talks about Australopithecus, he has to worry whether the 19,000 people who registered for his Massive Open Online Course — enough to fill TD Garden — think he should have shaved that morning, and what they will tweet.

“It opens you up to a lot of complaining,” the assistant professor said, recalling the support one student enjoyed after he griped on Facebook about the way Van Arsdale phrased a question on natural selection. “Fifty people ‘liked’ that negative posting.”

Massive open online courses — known as MOOCs — have been around for years, but recently they have taken off. Mostly free, on topics as wide-ranging as “The History of the World from the 1300s’’ to “Warhol’’ to “Diabetes,’’ the online courses are giving the common person access to elite professors. Along the way, they are bringing Hollywood-style concerns — wardrobe, continuity issues, social media buzz— to the halls of academia. With tens of thousands of students or more sometimes registering to watch a single professor, the word “star” is being used to describe people more likely to spend time with The New York Review of Books than a personal masseuse.

“Now I have to worry about what shirt I’m wearing,” said David Cox, an assistant professor of molecular and cellular biology at Harvard.

via As the online education movement grows, Hollywood-style concerns — wardrobe, social media buzz — are coming to academia – Lifestyle – The Boston Globe.

RESOURCE: MOOCs Can Be Further Improved To Decrease Attrition Rate – EdTechReview™ (ETR)

Introduction
Nowadays, nearly half of the undergraduate students in the United States come to college grounds for counteractive work before the start of their standard credit-bearing classes.  In course of time, the prospective of free online college classes have bewildered the educators, and they are now emerging with the promise of harnessing online materials to deal with the toughest challenges in American higher education.

To add to the energy, the decreasing state budgets have impelled in collecting an enormous fee at public institutions and reducing the number of seats in classes available for graduate students. Nevertheless, in this circumstance, the online materials have served as a boon as these have been able to impart help to majority of students in making an entrance to college and earn a graduate degree in time.  For addressing the dual problems and helping students in graduation, universities have began experimenting by the addition of the new “massive open online courses” or MOOC for the purpose of delivering the most excellent college teaching to anyone with an Internet connection at free cost that once happened to be within the means of only an inadequate number of campus students at an elevated cost.  Furthermore, these massive open online courses, or MOOCs, also seem to play a role in harnessing the power of their huge enrollments for imparting education in new methods, applying crowd-sourcing proficiency for online discussion forum and grading simultaneously with the chance in utilizing the skills of professors for the usage of online lectures and setting aside on-campus class time for interacting with students.

MOOCs thus, stand apart from earlier online learning programs in their distinct, open, social nature.

via MOOCs Can Be Further Improved To Decrease Attrition Rate – EdTechReview™ (ETR).

RESOURCE: 5 Tips for Online Student Time Management

Ever consider how asynchronous online students manage their time? Ever receive emails about the online workload? The following 5 tips might help online students adjust to your online learning environment and prevent burn out.

Planning an online course takes a great deal of work up front. You have to create an online infrastructure for learning to take place the learning management system LMS. You have to plan a syllabus for the online environment. You have to plan assignments and assessment. And, you have to develop a calendar with attainable weekly tasks.

Many instructors new to online teaching find online classes to take considerably more time than a face-2-face class. I remember that feeling, but after practice everyone can learn how to organize their time wisely. New and returning students to online classes might not know how to organize their schedules for your online environment.

Here are some Time-Saving Tips for Online Instruction that I have found helpful in my asynchronous courses. Even when using these tips, you might receive push back from students. While planning your course, try to anticipate the needs of students in your discipline.

via 5 Tips for Online Student Time Management.

MANUSCRIPT: Physicians perceptions of an educational support system integrated into an electronic health record.

The purpose of this study is to determine the perceptions by physicians of an educational system integrated into an electronic health record (EHR). Traditional approaches to continuous medical education (CME) have not shown improvement in patient health care outcomes. Hospital Italiano de Buenos Aires (HIBA) has implemented a system that embeds information pearls into the EHR, providing learning opportunities that are integrated into the patient care process. This study explores the acceptability and general perceptions of the system by physicians when they are in the consulting room. We interviewed 12 physicians after one or two weeks of using this CME system and we performed a thematic analysis of these interviews. The themes that emerged were use and ease of use of the system; value physicians gave to the system; educational impact on physicians; respect for the individual learning styles; content available in the system; and barriers that were present or absent for using the CME system. We found that the integrated CME system developed at HIBA was well accepted and perceived as useful and easy to use. Future work will involve modifications to the system interface, expansion of the content offered and further evaluation.

via Physicians perceptions of an educ… [Stud Health Technol Inform. 2013] – PubMed – NCBI.

ABSTRACT: Medical education in an electronic health record-mediated world.

This paper reflects on the extent to which we are preparing learners for practice in an electronic health record (EHR)-mediated world. We are currently training the last generation to remember a world without the Internet and the first who will practice in a largely EHR-mediated practice environment. We undertook a thematic review of the literature connecting medical education with e-health using the concepts of ‘electronic health record’ or ‘electronic medical record’ as a proxy for the broader notion of e-health. Our findings are more equivocal and cautious than earlier commentators might have expected and while there are examples of good practice and successful integration, the majority of articles we reviewed raised issues and problems with the current links between EHRs and medical education. Medical professionals in particular are quite ambivalent about many of the changes brought about by EHRs, and in the absence of changes in perception and practice it is likely that the connections between medical education and e-health will continue to be problematic. We hope that this paper will lead to an improved understanding of these problems and will serve to advance the discourse on how medical education should engage with the world of e-health and the world of e-health with medical education

via Medical education in an electronic health record-m… [Med Teach. 2013] – PubMed – NCBI.

ABSTRACT: Open-book tests: search behaviour, time used and test scores

BACKGROUND:
Because of the increasing medical knowledge and the focus of medical education on acquiring competencies, the use of open-book tests seems inevitable. Dealing with a large body of information, indicating which kind of information is needed to solve a problem, and finding and understanding that knowledge at the right moment are behaviours that cannot be assessed during closed-book tests.
AIMS:
To examine whether there is a relationship between students’ search behaviour – using references or not when answering a question – during open-book tests and their test scores.
METHOD:
Second- (N = 491) and third-year medical students (N = 325) participated in this study. Search behaviour was operationalized as the number of questions for which students consulted their references. Furthermore, we collected data on the time students spent on answering all open-book questions and their test scores. To determine the relations, we calculated Spearman’s and Pearson’s correlations.
RESULTS:
Second- and third-year students consulted their references for 87% and 73% of the questions and spent 5.0 and 4.3 min on answering an open-book question, respectively. We did not find significant correlations between search behaviour and test scores.
CONCLUSION:
Both ‘well’ and ‘poorer performing’ students often consulted their references. Spending almost 5 min per open-book question in multiple choice format seems to be too much. More research is needed to establish optimal open-book test time and to explore how ‘well performing’ students use their references during open-book tests.

via Open-book tests: search behaviour, time used and t… [Med Teach. 2013] – PubMed – NCBI.

ABSTRACT: Twelve tips for getting started using mixed methods in medical education research

BACKGROUND:
Mixed methods research, which is gaining popularity in medical education, provides a new and comprehensive approach for addressing teaching, learning, and evaluation issues in the field.
AIM:
The aim of this article is to provide medical education researchers with 12 tips, based on consideration of current literature in the health professions and in educational research, for conducting and disseminating mixed methods research.
CONCLUSION:
Engaging in mixed methods research requires consideration of several major components: the mixed methods paradigm, types of problems, mixed method designs, collaboration, and developing or extending theory. Mixed methods is an ideal tool for addressing a full range of problems in medical education to include development of theory and improving practi

via Twelve tips for getting started using mixed method… [Med Teach. 2013] – PubMed – NCBI.

MANUSCRIPT: Education and training of pain medicine specialists in the United States.

Many pain patients present with a complex set of symptoms and comorbidities that defy the acumen of any one specific medical specialty; thus the knowledge and skills of the pain physician must, out of necessity cross specialty borders. The competency that comes from mastering essential skills is accomplished during the pain medicine training. The goal of pain medicine training in the United States is to provide the postgraduate trainee with the exposure to multiple disciplines of medicine, as well as multiple interventions, so that upon completion of training, the pain physician will have the necessary skill set to provide competent, appropriate, comprehensive care for the often medically complicated pain patient. In the United States, many training programs are governed by guidelines that have been established by the Accreditation Council for Graduate Medical Education (ACGME).

via Education and training of pain medici… [Eur J Phys Rehabil Med. 2013] – PubMed – NCBI.