Seeking help as a strategy for ethical and professional decision-making in research: Perspectives of researchers from East Asia and the United States

Background: A person's cultural background shapes how they interpret and navigate problems. Given that large numbers of international researchers work and train in the U.S. we sought to better understand how researchers use the decision-making strategy of seeking help to navigate ethical and professional challenges.Methods: Participants (N = 300) were researchers working or training in the U.S. who were born in East Asia (EA) or born in the U.S. They completed a screening survey; then a subset completed think-aloud interviews (n = 66) focused on how they would respond to three hypothetical research scenarios.Results: Thematic analysis of the transcripts showed that seeking help was a commonly endorsed strategy, with some nuances between groups. Themes included seeking help in the form of getting advice, seeking someone to help solve the problem, and gathering information. Endorsement of the seeking help strategy frequently depended on participants' relationships; desiring to seek help from people they trusted. Notably, EA participants tended to prefer seeking help in ways that avoided reputational harm to others.Conclusion: A better understanding of how researchers from different cultural backgrounds use decision-making strategies can inform how to make educational programs more inclusive and comprehensive to more effectively develop researchers' ethical and professional decision-making skills.

CAR Peer Learning Guide

Peer learning is a quality initiative used to identify potential areas of practice improvement, both on a patient level and on a systemic level. Opportunities for peer learning include review of prior imaging studies, evaluation of cases from multidisciplinary case conferences, and review of radiology trainees' call cases. Peer learning is non-punitive and focuses on promoting life-long learning. It seeks to identify and disseminate learning opportunities and areas for systems improvement compared to traditional peer review. Learning opportunities arise from peer learning through both individual communication of cases reviewed for routine work, as well as through anonymous presentation of aggregate cases in an educational format. In conjunction with other tools such as root cause analysis, peer learning can be used to guide future practice improvement opportunities. This guide provides definitions of terms and a synthetic evidence review regarding peer review and peer learning, as well as medicolegal and jurisdictional considerations. Important aspects of what makes an effective peer learning program and best practices for implementing such a program are presented. The guide is intended to be a living document that will be updated regularly as new data emerges and peer learning continues to evolve in radiology practices.

Association of information, education, and communication with enrolment in health insurance: a case of Nepal

BACKGROUND

Many studies indicate that various health programmes have been failed because of the lack of appropriate information, education, and communication [IEC] for the target audiences. It is still unanswered which methods/means of communication could be the most powerful for changing behaviour or decision-making capacity. The paper aims to assess the effects of IEC on family enrolment in health insurance programme [HIP] in Nepal.

METHODS

We employed a household-based observational study with a control group. Altogether 810 household interviews were conducted in Baglung and Kailali districts of Nepal in 2018. The study used a validated structured interview schedule. Background characteristics of the family and respondents and their exposure to the means of communication were the independent variables while enrolment in health insurance [HI] was the dependent variable.

RESULTS

Data showed that 72% of the respondents heard about the HI and 66% knew the contribution amount for enrolment in HI. In the total enrolled households, 53% were household heads, 59% belonged to the age group 41-60 and 68% were above 60 years. More than half (56%) of rich compared to 46 and 49% of middle and poor (p < 0.05); 60% of the family member suffering from the chronic disease were enrolled in the HI. Similarly, 68% of those who heard about HI compared to 4 % who did not hear were enrolled (p < 0.001). A vast majority (69%) of those knowing contribution amount, 73% who interact with peer neighbour compared to 39% who did not, and 62% of those who listened to the radio and 63% of those who watched TV were enrolled in HI (p < 0.001). However, heard about HI (aOR = 21.18, 95%CI: 10.17-44.13, p < 0.001), knowledge about contribution amount (aOR = 5.13, 95%CI: 3.09-8.52, p < 0.001), having HI related books or guidelines (aOR = 4.84, 95%CI: 2.61-8.98, p < 0.001), and interact with peer or neighbours (aOR = 1.74, 95%CI: 1.34-2.65, p < 0.01) were appeared to be positive and significant predictors for enrolment in HI.

CONCLUSION

Knowledge about HI and interaction with peers and neighbours about the HI scheme of the government could lead to higher participation in the HIP. It would be better to incorporate this strategy while planning interventions for increasing enrolment in the HIP.

Collaborative Learning in Radiology: From Peer Review to Peer Learning and Peer Coaching

BACKGROUND

A Radiology Research Alliance Task Force was assembled in 2018 to review the literature on peer review and report on best practices for peer learning and peer coaching.

FINDINGS

This report provides a historical perspective on peer review and the transition to peer collaborative learning and peer coaching. Most forms of current peer review have fulfilled regulatory requirements but have failed to significantly impact quality improvement or learning opportunities. Peer learning involves joint intellectual efforts by two or more individuals to study best practices and review error collaboratively. Peer coaching is a process in which individuals in a trusted environment work to expand, refine, and build new skills in order to facilitate self-directed learning and professional growth. We discuss the value in creating opportunities for peer learning and peer coaching.

CONCLUSION

Peer collaborative learning combined with peer coaching provides opportunities for teams to learn and grow together, benefit from each other's expertise and experience, improve faculty morale, and provide more opportunities for collaborations between faculty.

Faculty development: From rubies to oak

Introduction: Faculty development has played a significant role in health professions education over the last 40 years. The goal of this perspective is to present a portrait of faculty development in Medical Teacher since its inception and to highlight emerging trends moving forward.Method: All issues of Medical Teacher were reviewed, using the search terms faculty development, staff development, professional development, or in-service training for faculty. The search yielded 286 results of which 145 focused specifically on faculty development initiatives, reviews, or frameworks.Findings: This review demonstrated a significant growth in publications related to faculty development in Medical Teacher over the last 40 years, with a primary focus on teaching improvement and traditional approaches to faculty development, including workshops, short courses and other structured, group activities. The international nature of faculty development was also highlighted.Recommendations: Moving forward, it is suggested that we: broaden the scope of faculty development from teaching to academic development; expand our approaches to faculty development, to include peer coaching, workplace learning and communities of practice; utilize a competency-based framework to guide the development of faculty development curricula; support teachers' professional identities through faculty development; focus on organizational development and change; and rigorously promote research and scholarship in faculty development.

Coaching as support for postgraduate students: A case study

Background: Undergraduate students as a group are well researched, with focus on enhancing student engagement and improving learning and teaching methods. However, working postgraduate students have become a growing trend in the higher education sector, with little known about their experience. The purpose of this research is to better understand and to gain insight into the inter-role conflict experienced by postgraduate students owing to managing the multiple roles of work, personal life and studies. This article reports the case study of a coaching intervention administered to a group of postgraduate students over a 5-month period. The study concludes that the inclusion of a coaching intervention to assist postgraduate students in dealing with inter-role stress can no longer be ignored. Coaching support is an authentic way to support these students, with benefits reaching beyond the classroom.Research purpose: The purpose of this research is to better understand the inter-role conflict emanating from managing work, personal life and studies, and to gain insight into the role of coaching as a support function.Motivation for the study: There is limited research focusing on the experiences of postgraduate students, who are often working either part-time or full-time while pursuing their studies, and navigating three overlapping role domains simultaneously. Furthermore, even less is known about coaching as a support function to strike a balance between these three demanding roles.Research design, approach and method: This study is qualitative in nature. A coaching intervention over a 5-month period was used to assist postgraduate students in managing inter-role conflict.Main findings: The study suggests that coaching can be used as a method to address the interface between work, personal life and study demands for the working postgraduate student. To ensure successful throughput rates in the allocated time, a new support framework is required to complement the often insufficient academic interventions.Contribution: The contribution of the research is twofold: Firstly, it focuses on working postgraduate students to gain insight into and a better understanding of the potential of coaching. Secondly, it highlights coaching as a potential support function. Very little research exists in the general literature on how to support working postgraduate students in higher education. The research also shows the potential of coaching as a support function to help postgraduate students navigate the three demanding role domains.