BIOMEDICAL RESEARCH POLICY COMMITTEE REPORT WAS PUBLISHED AS A SUPPLEMENT TO THE AUGUSTJOURNAL OF MEDICAL EDUCATION. A REPRINT IS ENCLOSED. REQUESTS FOR ADDITIONAL COPIES SHOULD BE ADDRESSED TO THISOFFICE. -COPIES ARE BEING SENT TO MEMBERS OF CONGRESS AND THE KEY MEMBERS OF THE ADMINISTRATION. CALLING UPON-YOUR SENATORSAND CONGRESSMEN TO TELL THE STORY OF THE ROLE. OF MEDICAL SCHOOLS IN BIOMEDICAL RESEARCH AND HEALTH CARE IS IMPORTANT.I STRONGLY URGE THAT YOU MAKE AN 411 APPOINTMENT TO SEE YOUR CONGRESSIONAL REPRESENTATIVES WHILE YOU ARE IN WASHINGTON FOR THE COUNCIL MEETINGON OCTOBER 29. UPON REQUEST WE CAN SUPPLY THE NAMES OF APPOINTMENT SECRETARIES AND PHONE NUMBERS OF YOUR SENATORS AND CONGRESSMEN. APPROPRIATIONS COMMITTEE ACTED WITH EXTRAORDINARY ALACRITY THIS YEAR. THE-NIH APPROPRIATION WAS INCREASED BY 242 MILLION DOLLARSOVER 1971, REPRESENTING A 142 MILLION DOLLAR INCREASE OVER. THE ADMINISTRATION BUDGET, THE BLUE SHEET ASCRIBES APPROPRIATIONS OUTCOME TO THE EFFECTIVENESS OF THE COALITION FOR HEALTH FUNDING UNDER THE LEADERSHIP OF JOHN A. D. COOPER.

The Association of American Medical Colleges

When there are many people who don't need to expect something more than the benefits to take, we will suggest you to have willing to reach all benefits. Be sure and surely do to take this problem based learning an approach to medical education that gives the best reasons to read. When you really need to get the reason why, this problem based learning an approach to medical education book will probably make you feel curious.

Problem-Based Learning: An Approach to Medical Education

Objective: To provide an estimation of how often peer teaching is applied in medical education, based on reports in the literature and to summarize reasons that support the use of this form of teaching.Method: We surveyed the 2006 medical education literature and categorised reports of peer teaching according to educational distance between students teaching and students taught, group size, and level of formality of the teaching. Subsequently, we analysed the rationales for applying peer teaching.Results: Most reports were published abstracts in either Medical Education's annual feature ‘Really Good Stuff’ or the AMEE's annual conference proceedings. We identified twelve distinct reasons to apply peer teaching, including ‘alleviating faculty teaching burden’, ‘providing role models for junior students’, ‘enhancing intrinsic motivation’ and ‘preparing physicians for their future role as educators’.Discussion: Peer teaching appears to be practiced often, but many peer teaching reports do not become full len...

Peer teaching in medical education: twelve reasons to move from theory to practice

Learning by teaching.

Acknowledgements the authors thank the UK General Medical Council (GMC) for commissioning an initial rapid review of the literature on selection and widening access to medicine in 2013. Further thanks are due to the UK Medical Schools Council (MSC) for commissioning a significantly updated review of selection methods in 2014, funding for which was provided by Health Education England (HEE) and the Office for Fair Access (OFFA). Working together on both of these projects encouraged us to further develop our ideas and produce an updated systematic review for publication in 2015. We also thank those who contributed to the original project funded by the GMC, notably John McLachlan, Member of the Centre for Medical Education Research, Durham University, and Emma Dunlop, Medical Admissions, University of Aberdeen. Funding funding was provided by HEE and the OFFA.

/pdf/how-effective-are-selection-methods-in-medical-education-a-1qnthmo28f.pdf

How effective are selection methods in medical education? A systematic review

Background: We reviewed the medical-education literature in order to explore the significance and importance of teaching medical students about education principles and teaching skills. Aims: To discuss reasons why formal initiatives aimed at improving teaching skills should be part of the training of all physicians, and how it could begin at the medical-student level. Description: In this article, we propose several reasons that support formal undergraduate medical training in education principles: (1) medical students are future residents and faculty members and will have teaching roles; (2) medical students may become more effective communicators as a result of such training, as teaching is an essential aspect of physician–patient interaction; and (3) medical students with a better understanding of teaching and learning principles may become better learners. We suggest that exposure to teaching principles, skills, and techniques should be done in a sequential manner during the education of a physician, starting in medical school and continuing through postgraduate education and into practice. We outline learning objectives, teaching strategies, and evaluation methods for medical-education components in an undergraduate curriculum. Conclusion: Medical students’ informal teaching activities accompany, facilitate, and complement many important aspects of their medical education. Formally developing medical students’ knowledge, skills, and attitudes in education may further stimulate these aspects.

Why medical students should learn how to teach

Bedside point-of-care ultrasound (POCUS) is increasingly used to assess medical patients. At present, no consensus exists for what POCUS curriculum is appropriate for internal medicine residency training programs. This document details the consensus-based recommendations by the Canadian Internal Medicine Ultrasound (CIMUS) group, comprising 39 members, representing 14 institutions across Canada. Guiding principles for selecting curricular content were determined a priori. Consensus was defined as agreement by at least 80% of the members on POCUS applications deemed appropriate for teaching and assessment of trainees in the core (internal medicine postgraduate years [PGY] 1-3) and expanded (general internal medicine PGY 4-5) training programs. We recommend four POCUS applications for the core PGY 1-3 curriculum (inferior vena cava, lung B lines, pleural effusion, and abdominal free fluid) and three ultrasound-guided procedures (central venous catheterization, thoracentesis, and paracentesis). For the expanded PGY 4-5 curriculum, we recommend an additional seven applications (internal jugular vein, lung consolidation, pneumothorax, knee effusion, gross left ventricular systolic function, pericardial effusion, and right ventricular strain) and four ultrasound-guided procedures (knee arthrocentesis, arterial line insertion, arterial blood gas sampling, and peripheral venous catheterization). These recommendations will provide a framework for training programs at a national level.

/pdf/internal-medicine-point-of-care-ultrasound-curriculum-2zhugn1fpm.pdf

Internal Medicine Point-of-Care Ultrasound Curriculum: Consensus Recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group

Context The McGill University Faculty of Medicine undertook a pilot, simulation-based multiple mini-interview (MMI) for medical school applicant selection, which ran simultaneously with traditional unstructured interviews (all applicants underwent both processes). This paper examines major stakeholder (applicants and evaluators) opinions towards the MMI compared with traditional interviews, including perceptions about the feasibility and utility of the MMI.

Methods  A total of 100 candidates applying to McGill University Medical School were enrolled in the pilot comparison of the MMI with the traditional, unstructured interview. Applicants’ opinions were obtained by questionnaire shortly after the process (for all applicants) and approximately 6 months after the interviews (for non-accepted applicants). Evaluators’ perceptions were also surveyed. Questionnaires contained both quantitative items and space for qualitative impressions. Descriptive statistics, repeated measures analysis of variance (manova) and analysis of the topics raised in written comments were conducted.

Results  Univariate analyses of response scores revealed statistically significant differences, with the MMI rated more highly than the traditional interview on fairness, imposition of stress and effectiveness as a measurement tool. Compared with the traditional interview, applicants also felt the MMI: (i) allowed them to be competitive; (ii) was enjoyable, and (iii) was often a favourite part of their interview experience. It should be noted that applicants were aware that their MMI score would be included in their overall interview rating. Written comments were positive with regard to, for example, fairness, the provision of opportunities to show one’s strengths, and appreciation of the fidelity of the simulations. Evaluators’ responses were in agreement with applicants’ responses, albeit that overall they expressed more caution about the MMI.

Conclusions  Results suggest the MMI is a promising selection tool from the point of view of both applicants and evaluators. Both groups expressed concerns, but overall the response was favourable for the MMI in comparison with traditional interviews, and the MMI has been adopted by McGill University’s medical school.

Multiple mini-interviews versus traditional interviews: stakeholder acceptability comparison.

Small-group medical problem-based learning (PBL) was a pioneering form of collaborative learning at the university level. It has traditionally been delivered in face-to-face text-based format. With the advancement of computer technology and progress in CSCL, educational researchers are now exploring how to design digitally-implemented scaffolding tools to facilitate medical PBL. The “deteriorating patient” (DP) role play was created as a medical simulation that extends traditional PBL and can be implemented digitally. We present a case study of classroom usage of the DP role play that examines teacher scaffolding of PBL under two conditions: using a traditional whiteboard (TW) and using an interactive whiteboard (IW). The introduction of the IW technology changed the way that the teacher scaffolded the learning. The IW showed the teacher all the information shared within the various subgroups of a class, broadening the basis for informed classroom scaffolding. The visual records of IW usage demonstrated what students understood and reduced the need to structure the task. This allowed more time for engaging students in challenging situations by increasing the complexity of the problem. Although appropriate scaffolding is still based on the teacher’s domain knowledge and pedagogy experience, technology can help by expanding the scaffolding choices that an instructor can make in a medical training context.

/pdf/scaffolding-problem-based-learning-with-cscl-tools-2n08zbje3h.pdf

Jeffrey Wiseman

Papers

Why medical students should learn how to teach

Internal Medicine Point-of-Care Ultrasound Curriculum: Consensus Recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group

Multiple mini-interviews versus traditional interviews: stakeholder acceptability comparison.

Scaffolding problem-based learning with CSCL tools

The role of regulation in medical student learning in small groups