Review
Medicine, General & Internal
Chnstine A. Sinsky, James T. Jerzak, Kevin D. Hopkins
Summary: The COVID-19 pandemic accelerated the adoption of telemedicine in American medicine, but the experiences on the ground have been both positive and negative. Advanced models of team-based care have been developed over the past decade, allowing physicians to provide focused attention to patients with the support of trained staff.
MAYO CLINIC PROCEEDINGS
(2021)
Review
Hematology
Stefanie Lesch, Saar Gill
Summary: Understanding the failure of the immune system in controlling tumor growth or preventing autoimmunity has led to the development of targeted immunotherapies. Advances in functionalized antibodies, genetically engineered T cells, and immune checkpoint inhibitors are accelerating, shedding light on new biology and providing new treatments for patients. Immunotherapies have mechanistically driven effects, making their outcomes and toxicities theoretically more predictable than conventional therapies.
Review
Veterinary Sciences
Kristin P. Chaney, Jennifer L. Hodgson
Summary: In recent years, veterinary education has been transitioning to competency-based models, inspired by medical education. Implementing competency-based veterinary education is important but challenging, and maintaining educational quality is crucial during the implementation process.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Article
Veterinary Sciences
Jared A. Danielson
Summary: This perspective explores six key assumptions of a competency-based approach to medical-sciences education, as they relate to veterinary medical education. While available research does not unequivocally support all six assumptions, overall the potential benefits of adopting a competency-based approach seem promising for veterinary medical education.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Editorial Material
Gastroenterology & Hepatology
Siddharth Singh, Samir Gupta
Summary: The incidence and mortality of early-onset colorectal cancer (EOCRC) is increasing. Current screening options may be burdensome for average-risk individuals and only a fraction of those at risk have a chance for early detection. Therefore, there is a need for novel noninvasive screening methods to improve early detection and prevention.
Article
Education & Educational Research
Jane McKenzie-White, Aloysius G. Mubuuke, Sara Westergaard, Ian G. Munabi, Robert C. Bollinger, Robert Opoka, Scovia N. Mbalinda, David Katete, Yukari C. Manabe, Sarah Kiguli
Summary: This study evaluated whether the assessment methods within the MBChB curriculum at Makerere University College of Health Sciences addressed the stated competencies. The study found that CBME was successfully implemented, with almost all established competencies being assessed. Faculty members acknowledged the importance of CBME but expressed the need for further training to improve the implementation of competency-based assessments.
BMC MEDICAL EDUCATION
(2022)
Article
Computer Science, Artificial Intelligence
Nils Koebis, Christopher Starke, Iyad Rahwan
Summary: This passage discusses the political and social consequences of using AI in anti-corruption efforts. It argues that the success of AI-based anti-corruption tools depends on their implementation and outlines the challenges that need to be overcome.
NATURE MACHINE INTELLIGENCE
(2022)
Review
Medicine, Research & Experimental
Samantha A. Whiteside, John E. McGinniss, Ronald G. Collman
Summary: The healthy lung is not completely sterile, with bacteria entering from the upper respiratory tract through microaspiration. The nature and dynamics of the lung microbiome differ from other ecological niches with self-sustaining microbial communities, and dysbiosis has been demonstrated in many pulmonary diseases.
JOURNAL OF CLINICAL INVESTIGATION
(2021)
Review
Chemistry, Multidisciplinary
Madeleine Schultz, Damien L. Callahan
Summary: The COVID-19 restrictions have forced academic staff to shift to emergency remote teaching and move in-person exams online, leading to reevaluation of chemistry assessment methods and potential permanent replacement of in-person exams in some institutions.
NATURE REVIEWS CHEMISTRY
(2022)
Article
Education, Scientific Disciplines
Michael S. Ryan, William Iobst, Eric S. Holmboe, Sally A. Santen
Summary: The study investigates the alignment between CBME frameworks used in undergraduate medical education (UME) and graduate medical education (GME) settings in the US. It highlights the challenges of creating alignment in assessment frameworks across the continuum of training and suggests four next steps to improve educational continuity.
Article
Education, Scientific Disciplines
Warren J. Cheung, Andrew K. Hall, Alexandra Skutovich, Stacey Brzezina, Timothy R. Dalseg, Anna Oswald, Lara J. Cooke, Elaine Van Melle, Stanley J. Hamstra, Jason R. Frank
Summary: This study evaluated the readiness of Canadian postgraduate training programs to implement Competence by Design (CBD), a model of Competency-Based Medical Education (CBME). The majority of respondents were supportive of successful CBD implementation, but there were also challenges that need to be addressed for future improvement.
Article
Education, Scientific Disciplines
Daniel J. Schumacher, Benjamin Kinnear, Carol Carraccio, Eric Holmboe, Jamiu O. Busari, Cees van der Vleuten, Lorelei Lingard
Summary: High-value care is not often delivered in healthcare, but medical education can provide the spark for change by embracing competency-based medical education (CBME) and centering the patient. The authors argue that medical educators must adopt a new approach, treat CBME as an adaptive challenge, and prioritize genuine engagement and discussion.
Review
Education, Scientific Disciplines
Angela R. Schneider, Tejeswin Sharma, Anindita Bhattacharya, Allison Brown
Summary: This narrative review investigated the relationship between social accountability (SA) and competency-based medical education (CBME). Three main descriptions of the relationship were identified: CBME as a driver for SA, CBME as a mechanism for enhancing medical training to meet SA standards, and CBME as a tool to measure SA through measurable outcomes data.
Editorial Material
Health Care Sciences & Services
Natalie Feldman, Sarah Perret
Summary: Postpartum mental health conditions, particularly postpartum depression, have a significant impact on reproductive-age women and their families, but little research has been done on how digital mental health advances can benefit this population. This manuscript provides a comprehensive overview of digital mental health advances including telehealth, apps, and digital phenotyping, exploring how these interventions can improve connection to treatment, accessibility, agency, and ease of access for postpartum women. The manuscript also highlights concerns regarding the quality of resources, ethical considerations, and equity in digital postpartum mental health, and offers suggestions on leveraging the potential benefits while addressing these challenges.
NPJ DIGITAL MEDICINE
(2023)
Article
Education & Educational Research
Patricia A. Carney, Stefanie S. Sebok-Syer, Martin V. Pusic, Colleen C. Gillespie, Marjorie Westervelt, Mary Ellen J. Goldhamer
Summary: Graduate medical education and Clinical Competency Committees are using competency-based medical education principles to monitor trainee progression, but evidence suggests that CCCs are not meeting this goal effectively. Challenges include incomplete and conflicting evaluation data, as well as difficulties organizing, analyzing, and integrating data elements. Learning analytics have the potential to improve CCC decision making, but their use is not widespread.
MEDICAL EDUCATION ONLINE
(2023)
Article
Health Care Sciences & Services
Leslie Carstensen Floren, Amy Louise Pittenger, Olle ten Cate, David M. Irby
Summary: This paper describes the development and preliminary validity evidence for a Tool for Observing Construction of Knowledge in Interprofessional teams (TOCK-IP). The tool showed fair agreement among faculty raters and high agreement between raters' scores and consensus rating. Faculty supported the feasibility and utility of the tool.
JOURNAL OF INTERPROFESSIONAL CARE
(2023)
Article
Education, Scientific Disciplines
Lynnea M. Mills, Patricia S. O'Sullivan, Olle ten Cate, Christy Boscardin
Summary: Feedback orientation is a valuable concept to understand medical learners' attitudes toward feedback's role in their development. The study found that medical learners' overall feedback orientation remains mostly stable throughout their training, with utility being the highest domain and feedback self-efficacy being the lowest.
Article
Education, Scientific Disciplines
Inge Pool, Saskia Hofstra, Marieke van der Horst, Olle ten Cate
Summary: Healthcare has become highly specialized, with specialists playing a crucial role in delivering high-quality care. However, this specialization has also led to fragmentation, with professionals often trained in separate postgraduate programs and facing challenges in collaboration. The concept of transdisciplinary entrustable professional activities (EPAs) has been proposed to enhance collaboration and flexibility in healthcare education. This paper discusses the practical and conceptual issues surrounding transdisciplinary EPAs and their potential impact on professional identity.
Article
Education, Scientific Disciplines
Adrian Philipp Marty, Machelle Linsenmeyer, Brian George, John Q. Young, Jan Breckwoldt, Olle ten Cate
Summary: With the rise of competency-based medical education and workplace-based assessment, assessment methods have been extensively discussed. Direct observation and other sources of information have become standard in many clinical programs. Entrustable professional activities have become a central focus in clinical workplace assessment. The use of digital technology has rendered paper and pencil observation obsolete, and mobile technology has become indispensable for documentation and assessment at the point of care.
Article
Multidisciplinary Sciences
Susan Humphrey-Murto, Seung Ho Lee, Michael Gottlieb, Tanya Horsley, Bev Shea, Karine J. Fournier, Christopher Tran, Teresa Chan, Timothy Wood, Olle ten Cate
Summary: This study aims to explore the use of virtual NGT in research. The study will use literature review and online interviews to answer questions about the extent of virtual NGT usage, modifications made to accommodate the online format, and the advantages and disadvantages compared to face-to-face mode.
Article
Education & Educational Research
Olle ten Cate, Hilliard Jason
Summary: The history of medical education scholarship is often overlooked and the impact of non-active medical education researchers may be unknown. This paper discusses the contributions of Dr. Harmen Tiddens to Utrecht and Maastricht Universities, where he established an environment and support for influential work. As the founding Dean of Maastricht's new medical school, Dr. Tiddens facilitated educational principles that became exemplary internationally.
ADVANCES IN HEALTH SCIENCES EDUCATION
(2023)
Editorial Material
Education, Scientific Disciplines
Marije P. Hennus, Jennie B. Jarrett, David R. Taylor, Olle ten Cate
Summary: This article provides practical recommendations for developing Entrustable Professional Activities (EPAs), including assembling a core team, building expertise, establishing a shared understanding of the purpose of EPAs, drafting preliminary EPAs, elaborating EPAs, using a framework of supervision, performing a structured quality check, using a Delphi approach for refinement and/or consensus, pilot testing EPAs, attuning EPAs to their feasibility in assessment, mapping EPAs to existing curriculum, and building a revision plan.
Review
Medicine, General & Internal
Daniel Nel, Eduard Jonas, Vanessa Burch, Amy Nel, Lydia Cairncross, Adnan Alseidi, Brian George, Olle ten Cate
Summary: This scoping review aims to provide an overview of the current use of EPAs in general surgery, and to guide surgeon-educators on implementing CBME. The review will include peer-reviewed journal publications and an extensive review of grey literature sources. The results will be disseminated through publication in peer-reviewed journals and presentation at international conferences.
Article
Computer Science, Interdisciplinary Applications
Terence Ma, Olle Ten Cate
Summary: This paper discusses a job activity framework called entrustable professional activities (EPAs) used in medical education, and explores its potential application in other industries to provide employers with information about a prospective employee's ability to perform required job activities.
INTERNATIONAL JOURNAL OF INFORMATION AND LEARNING TECHNOLOGY
(2023)
Article
Education, Scientific Disciplines
Leslie Carstensen Floren, Amy L. L. Pittenger, Ingeborg Wilting, David . M. Irby, Olle ten Cate
Summary: This study investigates workplace-based interactions between residents and pharmacists, finding differences between US and Dutch residents in their engagement with pharmacists and medication resources. While US residents reported positive impacts of informal interactions with pharmacists on their learning, Dutch residents did not confirm this. Designing training programs to include opportunities for interactions with pharmacists could potentially improve residents' informal workplace learning.
MEDICAL SCIENCE EDUCATOR
(2023)
Article
Pharmacology & Pharmacy
Olle ten Cate, Jennie B. Jarrett
Summary: Entrustable Professional Activities (EPAs) and entrustment decision making are becoming mainstream in competency-based education in the health professions. However, the issue arises whether students can have autonomy in practice without licensure. Graduating learners without experience of responsibility and reasonable autonomy may jeopardize patient safety after training. Programs need to find a balance between using EPAs and ensuring patient safety.
Article
Nursing
Inge A. Pool, Helma van Zundert, Olle ten Cate
Summary: EPAs are increasingly being used in nursing education for training and assessment purposes. The Dutch postgraduate nursing education landscape was redesign using EPAs through collaboration between training hospitals and education institutions.
INTERNATIONAL NURSING REVIEW
(2023)
Review
Education, Scientific Disciplines
Olle ten Cate, Natasha Khursigara-Slattery, Richard L. Cruess, Stanley J. Hamstra, Yvonne Steinert, Robert Sternszus
Summary: This article proposes a multilayered conceptualisation of medical competence, including a core layer of canonical knowledge and skill, context-dependent knowledge, skill, and attitude, and personalised competence. The assessment methods for each layer are different, with standardized tests for canonical knowledge and skills, merged multiple sources of information for context-dependent competence, and recognition and reward for personal excellence.
Article
Education, Scientific Disciplines
Subha Ramani, Rashmi A. Kusurkar, Johnny Lyon-Maris, Eeva Pyoeraelae, Gary D. Rogers, Dujeepa D. Samarasekera, David C. M. Taylor, Olle ten Cate
Summary: This AMEE guide discusses theoretical principles and practical strategies for health professions educators to promote impactful mentoring relationships. Traditional definitions are challenged, distinctions are made between roles such as mentor, advisor, coach and sponsor. Newer formats of mentoring are discussed in detail and their advantages and disadvantages compared. The importance of mentees in their own professional development is emphasized, along with tips for seeking mentors and taking the lead in setting the agenda during mentoring meetings.
Article
Education & Educational Research
Marjel van Dam, Hanneke van Hamersvelt, Lisette Schoonhoven, Reinier G. G. Hoff, Olle ten Cate, Marije P. P. Hennus
Summary: This study aims to explore the nature, aspects, and key features of supervision under highly demanding circumstances among certified and redeployed healthcare professionals on COVID-19 ICUs. The study found that efforts should primarily focus on factors that are within a supervisor or trainee's span of control to ensure good clinical supervision.
MEDICAL EDUCATION ONLINE
(2023)
