Curricular course for medical students at a hematology and oncology specialty practice, 2010-2022

Aim: For several years now, medical students have also been taught general practice at academic medical teaching practices. Specialty practices have not yet been included in the curricular education. Since 1998, we have conducted a block seminar in hematology twice per semester for eighth-semester medical students. This block seminar was offered from 1998-2001 to students at the Philipps University in Marburg and since 2001 to students at the Johannes Gutenberg University in Mainz. Since 2010 our block seminar has been part of the curriculum at the Johannes Gutenberg University. Method: Standardized course evaluation by students who had attended our block seminar between January 2010 and March 2022. Courses that were held virtually due to corona were not included in the analysis. The questionnaire used to evaluate courses in the medical degree program at the Johannes Gutenberg University served as the evaluation instrument. Results: Since 1998 more than 1,000 students have attended our seminar. The systematic evaluation of the course by 500 students who participated in the curricular, classroom-based seminar sessions since 2010 shows that the highest ratings possible are given for practical relevance, learning atmosphere, teaching and effectiveness. Conclusion: High quality in teaching curricular courses to medical students at a specialty practice is possible. Insights into the possibilities connected with working in the outpatient setting at a medical practice broadens students' experience. This teaching format facilitates external university instructors in terms of teaching and, at the same time, relieves the university in terms of staff and financial budget.

Entrustable Professional Activities for Small-Group Facilitation: A Validation Study Using Modified Delphi Technique

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Entrustable professional activities (EPAs) provide a novel approach to support teachers' structured professionalization and to assess improvement in teaching competence thereafter. Despite their novelty, it is important to assess EPAs as a construct to ensure that they accurately reflect the work of the targeted profession.

BACKGROUND:

The co-creation of an EPA framework for training and entrustment of small-group facilitators has been discussed in the literature. Although a rigorous design process was used to develop the framework, its content validity has not been established yet.Approach: A modified Delphi technique was used. Three survey rounds were conducted from December 2019 to April 2020. Expert health professions educationalists were recruited using purposive sampling and snowball techniques. In Round 1, a rubric consisting of seven items was used to assess the quality of nine pre-designed EPAs. In Round 2, competencies required to perform the agreed-upon EPAs were selected from 12 competencies provided. In Round 3, consensus was sought on sub-activities recommended for agreed-upon EPAs. Quantitative data were analyzed using multiple statistical analyses, including item-wise and rubric-wise content validity indices, asymmetric confidence interval, mean, standard deviation, and response frequencies. Qualitative data were thematically analyzed using content analysis.

FINDINGS:

Three of the nine proposed EPAs achieved statistical consensus for retention. These EPAs were: (1) preparing an activity, (2) facilitating a small-group session, and (3) reflecting upon self and the session. Nine of the 12 pre-determined competencies achieved consensus and were then mapped against each agreed-upon EPA based on their relevance. Finally, results indicated consensus on five, six, and four sub-activities for EPA 1, EPA 2, and EPA 3, respectively.

CONCLUSIONS:

The final framework delineates three EPAs for small-group facilitation and their associated sub-activities. The full description of each EPA provided in this article includes the title, context, task specification, required competencies, and entrustment resources. Program developers, administrative bodies, and teaching staff may find this EPA framework useful to structure faculty development, to entrust teachers, and to support personal development.

Students' Learning Characteristics, Perceptions of Small-Group University Teaching, and Understanding Through a "Meeting of Minds"

Previous research has described some of the main characteristics of university teachers who teach in different ways, using a variety of methods and conceptions. What is generally missing from previous research is the impact of contrasting teaching approaches on students with different learning characteristics. The present investigation builds on a previous case study that identified the potential influence of a “meeting of minds” between tutors and students in developing personal understanding and also suggested contrasting perceptions of differing forms of teaching. Twenty-one in-depth interviews were used to identify distinctive perceived ways of teaching and groups of students with contrasting learning intentions, looking in particular at the perceptions of tutors who were seen to encourage a “meeting of minds.” The main characteristics of these tutors were found be tolerating ambiguity, showing authenticity and empathy, which led to providing opportunities for discussion in breaks, and offering thinking spaces within class. The analyses identified contrasting perceptions of teaching among students who differed in their learning characteristics and suggested how cognitive and affective elements in students’ experiences of teaching might be intertwined in influencing the development of personal understanding.

Teaching Tip: Teaching Animal Welfare through Competitive Judging Contests

Animal welfare is an important aspect of veterinary responsibility, yet the current curriculum at many US veterinary schools provides little training in this field. The Animal Welfare Judging and Assessment Contest provides an opportunity for students to learn about general principles of animal welfare, challenging them to apply critical reasoning skills in a competitive environment. Here we provide an overview of the contest and an example of how Colorado State University educates and prepares its students.

Straight from the Horse's Mouth: Using Vignettes to Support Student Learning in Veterinary Ethics

In the last few decades, the importance of imparting ethical competences to veterinary students has been increasingly acknowledged. Despite its relevance, there are few published descriptions of teaching approaches to veterinary ethics and their effect on student learning. At University College Dublin, veterinary ethics is part of a core module on animal behavior and welfare in the pre-clinical teaching program. The present study describes the implementation of a student-centered, skills-based approach to veterinary ethics teaching using vignettes (i.e., case scenarios). Vignettes were inspired by several resources, including a focus group, and designed to represent significant ethical challenges faced by veterinary professionals in Ireland in addition to cases of potential professional misconduct. In small groups, students had to identify the stakeholders and their conflicting interests and to suggest possible solutions and alternative outcomes to the case scenario. Results from qualitative material from the teaching sessions and from a quantitative post-teaching survey show that student understanding of stakeholders increased as a result of the tutorial, which helped them to clarify possible solutions to the scenario and to propose alternative outcomes to either mitigate or avoid future occurrence of the ethical challenges. These findings suggest that incorporating meaningful vignettes into the teaching of veterinary ethics can support student ethical awareness and skills, while promoting a pluralistic approach to considering ethical issues, making the best of available time and human resources.

Can microteaching be used for teaching postgraduate psychiatry residents in a small group?

OBJECTIVE

The objective of this study was to examine the feasibility of using microteaching for teaching postgraduate psychiatry residents in a small-group setting.

METHODS

Twelve postgraduate psychiatry residents attending the tutorial program were employed as study participants. Five of the consenting residents took part in the microteaching session in which subtopics were assigned. Feedback was obtained from the presenters and other participants regarding the microteaching session.

RESULTS

All of the presenters reported the microteaching session to be helpful in gaining a deeper understanding of the topic. Among the other participants, most found the microteaching exercise to be useful.

CONCLUSION

Although preliminary, our findings suggest that microteaching can be used for training postgraduate psychiatry residents.

Are fourth-year medical students effective teachers of the physical examination to first-year medical students?

OBJECTIVE

To determine if fourth-year medical students are as effective as faculty in teaching the physical examination to first-year medical students.

DESIGN

Stratified randomization of the first-year students.

SETTING

A public medical school.

PARTICIPANTS

All 100 first-year medical students in one medical school class were randomly assigned (controlling for gender) to either a faculty or a fourth-year student preceptor for the Physical Examination Module.

MAIN RESULTS

The first-year students of faculty preceptors scored no differently on the written examination than the students of the fourth-year medical student preceptors (82.8% vs 80.3%, p = .09) and no differently on a standardized patient practical examination (95.5% vs 95.4%, p = .92). Also, the first-year students rated the two groups of preceptors similarly on an evaluation form, with faculty rated higher on six items and the student preceptors rated higher on six items (all p > .10). The fourth-year student preceptors rated the experience favorably.

CONCLUSIONS

Fourth-year medical students were as successful as faculty in teaching first-year medical students the physical examination as measured by first-year student's performances on objective measures and ratings of teaching effectiveness.