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Shankar PR, Azhar T, Nadarajah VD, Er HM, Arooj M, Wilson IG. Faculty perceptions regarding an individually tailored, flexible length, outcomes-based curriculum for undergraduate medical students. KOREAN JOURNAL OF MEDICAL EDUCATION 2023; 35:235-247. [PMID: 37670520 PMCID: PMC10493402 DOI: 10.3946/kjme.2023.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 04/26/2023] [Accepted: 05/16/2023] [Indexed: 09/07/2023]
Abstract
PURPOSE The perception of faculty members about an individually tailored, flexible-length, outcomes-based curriculum for undergraduate medical students was studied. Their opinion about the advantages, disadvantages, and challenges was also noted. This study was done to help educational institutions identify academic and social support and resources required to ensure that graduate competencies are not compromised by a flexible education pathway. METHODS The study was done at the International Medical University, Malaysia, and the University of Lahore, Pakistan. Semi-structured interviews were conducted from 1st August 2021 to 17th March 2022. Demographic information was noted. Themes were identified, and a summary of the information under each theme was created. RESULTS A total of 24 (14 from Malaysia and 10 from Pakistan) faculty participated. Most agreed that undergraduate medical students can progress (at a differential rate) if they attain the required competencies. Among the major advantages mentioned were that students may graduate faster, learn at a pace comfortable to them, and develop an individualized learning pathway. Several logistical challenges must be overcome. Providing assessments on demand will be difficult. Significant regulatory hurdles were anticipated. Artificial intelligence (AI) can play an important role in creating an individualized learning pathway and supporting time-independent progression. The course may be (slightly) cheaper than a traditional one. CONCLUSION This study provides a foundation to further develop and strengthen flexible-length competency-based medical education modules. Further studies are required among educators at other medical schools and in other countries. Online learning and AI will play an important role.
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Affiliation(s)
| | - Tayyaba Azhar
- Department of Medical Education, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
| | - Vishna Devi Nadarajah
- IMU Centre for Education, School of Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Hui Meng Er
- IMU Centre for Education, Faculty of Medicine Health, International Medical University, Kuala Lumpur, Malaysia
| | - Mahwish Arooj
- Department of Medical Education, University College of Medicine and Dentistry, Lahore, Pakistan
| | - Ian G. Wilson
- IMU Centre for Education, International Medical University, Kuala Lumpur, Malaysia
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Roberts LW. The Price of Becoming a Physician. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2023; 98:535-537. [PMID: 37146564 DOI: 10.1097/acm.0000000000005172] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
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Ashour L, Schoumann-Alkhatib A, Alshawabkeh A, Alsouri M, Sawalmeh M, Hatamleh H, Sawahreh H. Highlighting the Need for MD-PhD Programs in Developing Countries. Avicenna J Med 2023; 13:65-67. [PMID: 37435555 PMCID: PMC10332939 DOI: 10.1055/s-0043-1768445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023] Open
Affiliation(s)
- Laith Ashour
- Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Jordan
| | | | | | - Mohammad Alsouri
- Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Jordan
| | | | - Hamzeh Hatamleh
- Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Jordan
| | - Hamza Sawahreh
- Faculty of Medicine, Al-Balqa Applied University, Al-Salt, Jordan
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Orr CJ, Turner AL, Ritter VS, Gutierrez-Wu J, Leslie LK. Pursuing a Career in Pediatrics: Intersection of Educational Debt and Race/Ethnicity. J Pediatr 2023; 252:162-170. [PMID: 35973445 DOI: 10.1016/j.jpeds.2022.08.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 07/25/2022] [Accepted: 08/11/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To examine the associations among pediatric trainees' self-reported race/ethnicity, educational debt, and other factors for pursuing a pediatrics career. STUDY DESIGN Cross-sectional study using data from the American Board of Pediatrics In-training Examination Post-examination Survey years 2018-2020 of categorical pediatric interns. Independent variable of interest was race/ethnicity. Classifications used were White, Hispanic/Latinx, Black/African American, Asian, and other/multiracial. The primary dependent variable was educational debt; secondary dependent variables included the importance of personal, professional, and financial factors in selecting a pediatric career. Means with 95% CIs were computed to summarize scores regarding a factor's importance. Chi-square tests of homogeneity and one-way ANOVA F tests were used to compare proportions and means of dependent variables across levels of self-reported race/ethnicity. RESULTS A total of 11 150 (91.5%) completed the survey. Of the final analytical sample (7 943), approximately 6.3% self-identified as Black/African American, 8.2% as Hispanic/Latinx, 22% as Asian, and 55% as White; 44% reported >$200 000 of debt. Overall, 33% of those identifying as Black/African American had >$300 000 in educational debt. The highest ranked career factor was interest in a specific disease/patient population. The importance of educational debt in career choices was highest among those identifying as Black/African American, followed by Asians and Hispanic/Latinx. Among all races/ethnicities, the importance of mentorship decreased with higher educational debt. CONCLUSION Among individuals pursuing pediatrics, the intersection of race/ethnicity and debt may influence trainees' pursuit of pediatric careers. Educational debt negatively impacts the importance of mentorship.
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Affiliation(s)
- Colin J Orr
- Department of Pediatrics, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
| | | | - Victor S Ritter
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Jennifer Gutierrez-Wu
- Department of Pediatrics, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Laurel K Leslie
- American Board of Pediatrics, Chapel Hill, NC; Tufts School of Medicine, Boston, MA
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Levy KH, Ahmed A. The Value of Contemporary BS-MD Programs. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:622. [PMID: 35476831 DOI: 10.1097/acm.0000000000004613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Kenneth H Levy
- First-year medical student, CUNY School of Medicine, New York, New York;
| | - Adham Ahmed
- First-year medical student, CUNY School of Medicine, New York, New York
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Gonnella JS, Callahan CA, Erdmann JB, Veloski JJ, Markle RA, Hojat M. In Reply to Levy and Ahmed. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:623. [PMID: 35476832 DOI: 10.1097/acm.0000000000004617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Joseph S Gonnella
- Emeritus dean, distinguished professor of medicine, and founder, Asano-Gonnella Center for Research in Medical Education and Health Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
| | - Clara A Callahan
- Emeritus director, Asano-Gonnella Center for Research in Medical Education and Health Care, and professor of pediatrics, the Lillian H. Brent Dean of Students and Admission, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
| | - James B Erdmann
- Emeritus dean, College of Health Sciences, and emeritus professor of medicine (education) and psychiatry and human behavior, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
| | - J Jon Veloski
- Director, Medical Education Division, Asano-Gonnella Center for Research in Medical Education and Health Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
| | - Ronald A Markle
- Professor, biology, and director, premedicine and science majors, Pennsylvania State University, University Park, Pennsylvania
| | - Mohammadreza Hojat
- Research professor, psychiatry and human behavior, Department of Psychiatry and Human Behavior, and director, Jefferson Longitudinal Study, Asano-Gonnella Center for Research in Medical Education and Health Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania;
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Larson AR, Jagsi R, Moeschler SM, Silver JK. Association of Compensation and Educational Debt with Burnout and Perceived Impact of Debt on Women Physicians' Career and Lifestyle Choices. Health Equity 2020. [DOI: 10.1089/heq.2020.0048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Allison R. Larson
- Department of Dermatology, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Reshma Jagsi
- Department of Radiation Oncology, Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Susan M. Moeschler
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic School of Medicine, Rochester, Minnesota, USA
| | - Julie K. Silver
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Massachusetts General Hospital, Spaulding Rehabilitation Hospital, Brigham and Women's Hospital, Boston, Massachusetts, USA
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