Medical school

医学院
  • 文章类型: Journal Article
    Academic health centers have a responsibility to foster professional development approaches and engagement environments for faculty to elevate both knowledge and sense of belonging as medical educators. This new educational methods submission depicts faculty development and engagement initiatives implemented at a single institution that were created and influenced by the psychological framework of Professional Identity Formation. The authors suggest ways that academic medical centers can draw upon the formation of these programs to best serve their faculty for cultivating development and engagement for professional growth.
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  • 文章类型: Journal Article
    目的:员工对于大学的高效行政运作至关重要,这对教育至关重要,研究,和服务。医学院,往往是独立的,需要专门的行政要素。本研究探讨了医学院员工如何使用六箱模型来感知组织,并评估他们感知的组织支持,工作满意度,和基于工作态度概念的组织承诺。
    方法:本研究采用混合方法,通过收敛并行设计集成定量和定性数据。它同时收集和分析来自医学院工作人员的调查和共识研讨会的数据。对调查数据进行了统计分析(IBMSPSSver。25.0;IBM公司,美国),研讨会的讨论进行了内容分析。结合这些发现,可以全面了解医学院的行政管理系统。
    结果:定量分析显示,目标(3.80)是最高的组织感知,而奖励(2.72)是最低的。同样,工作态度中工作满意度最高(3.63),而感知的组织支持(2.96)最低。组间差异均按性别进行观察,招生能力,和合同类型(p<0.05)。在定性研究中,关键词出现在他们在医学院组织中的经历中,包括医生培训,情绪反应,管理功能,个人属性,和文化影响。过载,教师问题,沟通差距是障碍。克服这些挑战的战略侧重于改善工作人员的待遇,资源分配,培训,和沟通渠道。
    结论:本研究旨在探索对医学院管理的广泛理解。研究结果表明,工作量面临挑战,通信,和组织支持。我们提出了专门的医学院行政管理体制,改善工作条件,加强沟通。
    OBJECTIVE: Staff is essential to the university\'s efficient administrative operations, which are critical for education, research, and service. Medical schools, often independent, need specialized administrative elements. This study explores how medical school staff perceives the organization using the Six-Box model and evaluates their perceived organizational support, job satisfaction, and organizational commitment based on the concept of job attitudes.
    METHODS: This study employs a mixed-methods approach, integrating quantitative and qualitative data via a convergent parallel design. It simultaneously collects and analyzes data from a survey and consensus workshop for medical school staff. The survey data were statistically analyzed (IBM SPSS ver. 25.0; IBM Corp., USA), and the workshop discussions were subjected to content analysis. The findings combined provide a comprehensive understanding of the medical school administrative system.
    RESULTS: Quantitative analysis revealed purpose (3.80) as the highest-rated organizational perception and rewards (2.72) as the lowest. Similarly, job satisfaction was highest (3.63) in job attitudes, while perceived organizational support (2.96) was the lowest. Group differences were observed by gender, enrollment capacity, and contract type (p<0.05). In qualitative research, keywords appeared in relation to their experiences within the medical school organization, encompassing doctor training, emotional responses, administrative features, personal attributes, and cultural influences. Overload, faculty issues, and communication gaps are obstacles. Strategies for overcoming these challenges focus on improving staff treatment, resource allocation, training, and communication channels.
    CONCLUSIONS: This study was conducted to explore a broad understanding of the administration of medical schools. Findings suggest challenges with workload, communication, and organizational support. We propose a dedicated medical school administrative system, improved work conditions, and enhanced communication.
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  • 文章类型: Journal Article
    背景:有效的学习策略和资源利用在医学教育中至关重要,特别是对于肾脏生理学等复杂学科。鉴于慢性肾脏疾病的增加和肾脏病研究金的减少,这一点变得越来越重要。然而,学习时间之间的相关性,学习资源的感知效用,学习成绩没有得到很好的探索,这导致了这项研究。
    方法:对卑尔根大学二年级医学生进行了横断面调查,挪威,评估他们首选的学习资源和致力于肾脏生理学的学习时间。反应与期末考试成绩相关。
    结果:该研究表明,学习时间与整体学业成绩之间没有显着相关性,强调学习质量胜于数量的重要性。对主动学习资源的偏好,例如基于团队的学习,互动课程和形成性作业,与较好的学业成绩呈正相关。学生对教师专业能力的评价与他们的总学业成绩之间存在显着相关性。相反,整个课程的感知难度以及对肾脏生理学中自我发现的在线资源的依赖与学业成绩呈负相关。\'肾舱\',本地制作的肾脏生理学播客,在各个年级都很受欢迎。有趣的是,与只听某些情节的学生相比,听所有情节的学生的考试成绩更高,反映了播客使用的战略方法。教科书,虽然不那么受欢迎,与较高的考试成绩无关。尽管特别关注肾脏生理学,学习偏好与更广泛的学术成果系统相关,反映了医学教育的相互联系的性质。
    结论:研究表明,学习的质量和战略方法显著影响学业成绩。成功的学习者倾向于积极主动,已介入,战略,重视专家指导和积极参与。这些发现支持了激活学生的教学方法和奖励深度学习的作业的整合。
    BACKGROUND: Efficient learning strategies and resource utilization are critical in medical education, especially for complex subjects like renal physiology. This is increasingly important given the rise in chronic renal diseases and the decline in nephrology fellowships. However, the correlations between study time, perceived utility of learning resources, and academic performance are not well-explored, which led to this study.
    METHODS: A cross-sectional survey was conducted with second-year medical students at the University of Bergen, Norway, to assess their preferred learning resources and study time dedicated to renal physiology. Responses were correlated with end-of-term exam scores.
    RESULTS: The study revealed no significant correlation between time spent studying and overall academic performance, highlighting the importance of study quality over quantity. Preferences for active learning resources, such as Team-Based Learning, interactive lessons and formative assignments, were positively correlated with better academic performance. A notable correlation was found between students\' valuation of teachers\' professional competence and their total academic scores. Conversely, perceived difficulty across the curriculum and reliance on self-found online resources in renal physiology correlated negatively with academic performance. \'The Renal Pod\', a locally produced renal physiology podcast, was popular across grades. Interestingly, students who listened to all episodes once achieved higher exam scores compared to those who listened to only some episodes, reflecting a strategic approach to podcast use. Textbooks, while less popular, did not correlate with higher exam scores. Despite the specific focus on renal physiology, learning preferences are systematically correlated with broader academic outcomes, reflecting the interconnected nature of medical education.
    CONCLUSIONS: The study suggests that the quality and strategic approaches to learning significantly impact academic performance. Successful learners tend to be proactive, engaged, and strategic, valuing expert instruction and active participation. These findings support the integration of student-activating teaching methods and assignments that reward deep learning.
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  • 文章类型: Journal Article
    目的:本研究的目的是回顾和比较国际医学毕业生(IMGs)与美国医学毕业生(USMGs)的研究经验和职业成果。
    方法:2018-2020年神经外科毕业生在医学院的基础上进行评估,学位,居住计划,居住之前和期间的出版物,后居民奖学金,和职业发展。出版物按作者顺序和类型进一步分类(实验室,综合临床,或简短的沟通)。
    结果:550名神经外科毕业生,39个(7%)是IMG,来自印度的百分比最大(8/39,21%),在宾夕法尼亚州的居住职位(5/39,13%)。在居住之前,IMG在所有出版物中的中位数较高(4对1,p<0.001),第一作者文章(2vs0,p<0.001),综合临床文章(1vs0,p=0.002),和短的交流文章(1对0,p<0.001)比USMGs。同样,与所有出版物的USMGs相比,IMGs在居住期间发表的论文的中位数也更高(20vs9,p=0.004),实验室文章(1vs0,p<0.001),和简短的交流文章(4vs3,p=0.04)。IMG的早期学术任命百分比(25/39,64%)高于USMG(232/511,45%)(p=0.03)。IMG(28/39,72%)和USMGs(302/511,59%)(p=0.15)完成的住院后临床研究金百分比之间没有显着差异。在IMG和USMGs参加的神经外科住院医师计划的排名之间没有发现统计学意义(p=0.65)。
    结论:结果表明,IMGs通常比USMGs表现出更高的学术生产力。尽管在居住计划排名或完成后居住研究金方面没有明显的差异,早期学术任命在IMG中更为普遍。
    OBJECTIVE: The objective of this study was to review and compare the research experiences and career outcomes of international medical graduates (IMGs) with those of US medical graduates (USMGs).
    METHODS: Neurosurgery graduates from 2018 to 2020 were evaluated on the basis of medical school, degree, residency program, publications before and during residency, postresidency fellowships, and career progression. Publications were further categorized by author order and type (laboratory, comprehensive clinical, or short communication).
    RESULTS: Of 550 neurosurgery graduates, 39 (7%) were IMGs, with the largest percentages from India (8/39, 21%) and in a residency position in Pennsylvania (5/39, 13%). Prior to residency, IMGs had a higher median number of all publications (4 vs 1, p < 0.001), first-author articles (2 vs 0, p < 0.001), comprehensive clinical articles (1 vs 0, p = 0.002), and short communication articles (1 vs 0, p < 0.001) than USMGs. Similarly, the median number of papers published by IMGs during residency was also higher compared with that of USMGs for all publications (20 vs 9, p = 0.004), laboratory articles (1 vs 0, p < 0.001), and short communication articles (4 vs 3, p = 0.04). The percentage of early academic appointments was higher for IMGs (25/39, 64%) than for USMGs (232/511, 45%) (p = 0.03). No significant difference was observed between the percentages of postresidency clinical fellowships completed by IMGs (28/39, 72%) and USMGs (302/511, 59%) (p = 0.15). No statistical significance was found between the ranking of neurosurgery residency programs attended by IMGs and USMGs (p = 0.65).
    CONCLUSIONS: The results indicate that IMGs often exhibit higher academic productivity than USMGs. Although there was no discernible difference in residency program rankings or postresidency fellowships completed, early academic appointments were more prevalent among IMGs.
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  • 文章类型: Journal Article
    背景:可委托的专业活动(EPA)是评估能力的一种方式,旨在弥合理论能力和现实世界临床实践之间的差距。
    目的:这是一项系统综述,旨在回答以下问题:“为医学院描述了哪些与急诊医学相关的EPA?”
    方法:我们包括原始定性,介入和观察性研究(横断面,病例控制,和队列研究)描述了与医学院急诊医学相关的EPA。搜索策略是使用与EPA和急诊医学相关的关键字和标准化索引术语的组合创建的。
    结果:搜索策略确定了991条引文。筛选标题和摘要后,我们确定了85项潜在相关研究.在全文回顾之后,共有11份报告符合纳入标准。
    结论:认识到需要紧急或紧急护理的患者并开始评估和管理是医学院描述的与急诊医学相关的最常见的EPA。使用EPA与提高学生满意度和提高能力有关。然而,缺乏系统地开发和出版的本科EM特定的EPA,这应该是未来研究中需要探索的领域。
    BACKGROUND: Entrustable professional activities (EPAs) are one way to assess competencies, and are designed to bridge the gap between theoretical competencies and real world clinical practice.
    OBJECTIVE: This was a systematic review which aims to answer the question: \"Which EPAs related to Emergency Medicine are described for medical schools?\".
    METHODS: We included original qualitative, interventional and observational studies (cross-sectional, case-control, and cohort studies) that described EPAs relevant to Emergency Medicine for Medical School. The search strategy was created using a combination of keywords and standardized index terms related to EPAs and Emergency Medicine.
    RESULTS: The search strategy identified 991 citations. After screening the titles and abstracts, we identified 85 potentially relevant studies. After the full-text review, a total of 11 reports met the criteria for inclusion.
    CONCLUSIONS: Recognizing a patient requiring urgent or emergent care and initiating evaluation and management is the most common EPA related to Emergency Medicine described at Medical Schools. Use of EPAs is associated with increased student satisfaction and improved competences. However, there is a lack of undergraduate EM specific EPAs being systematically developed and published, and this should be an area to be explored in future studies.
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  • 文章类型: Journal Article
    背景:医学指导的重要性是公认的。获得导师是提高职业机会和网络的关键,提高研究生产率,以及所有职业阶段的整体健康和韧性。我们的研究旨在评估加拿大医学生和放射科居民的放射学指导计划的现状。方法:我们于2022年12月向加拿大放射学计划主任分发了一份匿名调查。这些问题与现有的导师计划的具体目标有关,结构,和成功。我们的零假设是,医学生和居民有相似的指导机会。结果:我们收到了12份回复(回复率为12/16=75%),其中9个有正式的导师计划,3个(25%)没有。比较医学生和居民的指导计划,得出P值=.11>.05。这个结果并不拒绝我们的零假设,表明这两组之间没有显着差异。使用定性分析,我们将回答分为4个主要主题:导师计划的目标,结构,评价方法,和他们的结果。结论:尽管我们的结果没有达到统计学意义(P值=.11>.05),观察到的趋势表明,三分之一的加拿大医学院没有为医学生提供放射学指导计划,强调潜在的重大改进机会。定性分析表明,尽管有各种方法将受训者分配给导师,开发形式化但灵活的导师模式,允许学生和居民自我选择他们的导师可能比随机分配导师给他们更有益。
    Background: The importance of mentorship in medicine is well-established. Access to mentors is pivotal in enhancing career opportunities and networking, increasing research productivity, and overall wellness and resilience at all career stages. Our study aims to assess the current status of radiology mentorship programs for Canadian medical students and radiology residents. Methods: We distributed an anonymous survey to Canadian radiology program directors in December 2022. The questions pertained to the existing mentorship programs\' specific goals, structure, and success. Our null hypothesis was that medical students and residents have similar mentorship opportunities. Results: We have received 12 responses (a response rate of 12/16 = 75%), 9 of which had formal mentorship programs and 3 (25%) did not. Comparing the mentorship program for medical students and residents yielded a P-value = .11 > .05. This result does not reject our null hypothesis, indicating there is no significant difference between these 2 groups. Using qualitative analysis, we categorized the responses into 4 main themes: mentorship programs\' goals, structures, evaluation methods, and their results. Conclusion: Although our result did not reach statistical significance (P-value = .11 > .05), the observed trend shows that one third of Canadian medical schools do not offer a radiology mentorship program for medical students, highlighting a potentially significant opportunity for improvement. Qualitative analysis shows that despite various methods for assigning mentees to mentors, developing formalized yet flexible mentorship models that allow students and residents to self-select their mentors might be more beneficial than randomly assigning mentors to them.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    背景:社会经济地位(SES)是一种考虑收入的社会分类因素,父母的教育和职业。SES已被证明在塑造学生的学业成绩方面发挥着重要作用,包括医学院,但全球范围内围绕SES和学业成绩的发现仍然存在显著差异。我们的目标是评估和探索社会经济差异及其对苏丹公立和私立大学医学院表现的影响。
    目的:我们研究的目的是评估年龄的影响,性别,生活条件,父母教育和收入水平对苏丹大学医学生学业成绩的影响。
    方法:这项横断面研究是在2023年9月至12月期间在苏丹10所公立大学的本科医学生中进行的。如果参与者年龄超过18岁,并且在2岁或以上学习,则将其包括在内。数据是使用在线问卷收集的,问卷中包含测量年龄的开放式和封闭式问题,生活条件,父母的收入水平和教育程度。采用便利抽样的方法从大学招募参与者。使用SPSSv28.0.0对数据进行分析,p值小于0.05表示有统计学意义。
    结果:我们收到832份回复,女性为516(62%),男性为307(36.9%)。中位年龄为23岁。大多数学生与家人住在一起(61.1%),其次是学生住房(28.2%)。这项研究表明,从长远来看,年龄(p=.024)(95%Cl:0.025-0.023)和高家庭收入(p=.019)(95%Cl:0.018-0.02)与学业成绩有关,通过累积平均成绩(cGPA)证明。
    结论:研究结果强调了有针对性的支持系统对弥合医学生之间存在的社会经济差距的重要性。让所有学生在学术上茁壮成长,无论他们的背景。
    背景:无。
    BACKGROUND: Socioeconomic status (SES) is a social classification factor that takes into account income, parental education and occupation. SES has been shown to play an important role in shaping students\' academic performance, including in medical schools, but there still remains significant variation in findings around SES and academic achievement worldwide. We aim to assess and explore socioeconomic disparities and their effects on medical school performance at Sudanese public and private universities.
    OBJECTIVE: The objective of our study was to assess the effects of age, sex, living conditions, parental education and income level on the academic achievement of medical students from universities in Sudan.
    METHODS: This cross-sectional study was conducted among undergraduate medical students at ten public universities in Sudan between September and December 2023. Participants were included if they were older than 18 years and were studying in their 2nd year or older. The data were collected using an online questionnaire with open- and closed-ended questions measuring age, living conditions, parental income level and education. A convenience sampling method was used to recruit participants from universities. The data were analyzed using SPSS v28.0.0, and a p value less than 0.05 was used to indicate statistical significance.
    RESULTS: We received 832 responses, 516 (62%) from females and 307 (36.9%) from males. The median age was 23 years. Most students lived with their families (61.1%), followed by student housing (28.2%). This study revealed age (p = .024) (95% Cl: 0.025- 0.023) andhigh family income (p = .019) (95% Cl: 0.018- 0.02) are associated with academic achievement in the long term, as demonstrated through cumulative grade point average (cGPA).
    CONCLUSIONS: The findings underscore the importance of targeted support systems to bridge the socioeconomic gaps that exist among medical students, allowing all students to thrive academically regardless of their background.
    BACKGROUND: None.
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  • 文章类型: Journal Article
    大学社团是以学生为主导的组织,为学生提供了良好的机会,以共同的利益进行合作。同伴教学是一种有效的医学教育方法。同伴教学还为学生导师提供核心教育技能,并为学生提供平易近人的同伴导师。这篇文章提供了关于组织的实践指导,规划,通过大学医学教育协会执行和维持同伴教学,并概述了支持文献。
    University societies are student-led organisations which provide excellent opportunities for students to collaborate in a shared interest. Peer teaching is gaining recognition as an effective method of medical education. Peer teaching also provides student tutors with core educational skills and provides students with approachable peer mentors. This article offers practical guidance on organising, planning, executing and sustaining peer teaching via a medical education society at university and outlines the supporting literature.
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  • 文章类型: Journal Article
    医疗保健的不断发展需要专业教育的范式转变,将临床专业知识与商业头脑相结合。本文深入研究了医疗保健专业人员对临床复杂性和业务动态的全面了解,同时研究联合学位课程的出现,旨在为毕业生提供驾驭现代医疗保健交付系统复杂性所需的多方面技能。从不同的文献综述中,本文强调了这种双学位教育的利弊,以及它带来的好处,给今天的充满挑战的医疗环境。它探讨了这些项目对学生成绩的深远影响,强调领导力的培养,金融敏锐度,和战略思维以及临床能力。此外,它解决了有关学术严谨性和将商业教育纳入已经要求苛刻的医疗保健课程的可行性的担忧。对当前趋势和未来预测的分析强调了对拥有混合技能的专业人员日益增长的需求。随着医疗劳动力短缺和不断变化的行业挑战,具备临床和商业技能的个人准备领导创新并推动组织成功。
    The evolving landscape of healthcare necessitates a paradigm shift in professional education, blending clinical expertise with business acumen. This paper delves into the need for healthcare professionals to acquire a comprehensive understanding of both clinical intricacies and business dynamics while examining the emergence of joint degree programs aimed to equip graduates with multifaceted skills required to navigate the complexities our of modern healthcare delivery systems. Drawing from a diverse literature review, this paper highlights the pros and cons of this dual-degree education and the benefits that it brings given today\'s challenging healthcare landscape. It explores the profound impact of such programs on student outcomes, emphasizing the cultivation of leadership, financial acumen, and strategic thinking alongside clinical competencies. Moreover, it addresses concerns regarding academic rigor and the feasibility of integrating business education into an already demanding healthcare curricula. Analysis of current trends and future projections underscores the growing demand for professionals who possess hybrid skill sets. With healthcare workforce shortages and evolving industry challenges, individuals equipped with both clinical and business proficiencies are poised to lead innovation and drive organizational success.
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