Article
Education, Scientific Disciplines
Oliver W. Fung, Yvonne Ying
Summary: The intersections of social identities and health highlight the importance of medical schools centering their education on social accountability. To ensure graduates become competent physicians in addressing community needs, active learning strategies should be implemented. Recommendations have been made to optimize medical education through experiential learning within a spiral curriculum, based on reviews of literature and curriculum activities in Canadian medical schools.
Review
Medicine, General & Internal
Qingming Wu, Yubin Wang, Lili Lu, Yong Chen, Hui Long, Jun Wang
Summary: Virtual simulation is an emerging pedagogical strategy that has gained increasing attention in undergraduate medical education. This scoping review analyzed 92 recently published articles to provide an overview of the current trends and effectiveness of virtual simulation in medical teaching and learning. The results indicated a global recognition of virtual simulation's potential in medical education, although there are still challenges to be addressed.
FRONTIERS IN MEDICINE
(2022)
Article
Education & Educational Research
Jessica H. H. Tran, Emma Loebel, Mark Edouard, Thomas Quehl, Erin Walsh, Robin Ginsburg, Tameisha Frempong, Douglas Fredrick, Laura K. K. Stein, Michael G. G. Fara, Samira S. S. Farouk, Nisha Chadha
Summary: This study evaluated medical student perceptions of a novel ophthalmology resource delivered through facilitated workshops in the core clerkship curriculum. The results showed high engagement with the resource and increased knowledge among the students.
BMC MEDICAL EDUCATION
(2023)
Article
Education & Educational Research
Samara B. Ginzburg, Margaret M. Hayes, Brittany L. Ranchoff, Eva Aagaard, Katharyn M. Atkins, Michelle Barnes, Jennifer B. Soep, Andrew C. Yacht, Erik K. Alexander, Richard M. Schwartzstein
Summary: This study used a modified Delphi method to explore the feasibility of teaching socio-cultural topics in undergraduate and graduate medical education. Through expert consensus, key learning objectives of social determinants of health were identified and allocated along the medical education continuum, with more objectives suitable for undergraduate education.
BMC MEDICAL EDUCATION
(2022)
Article
Education, Scientific Disciplines
Ahtisham Younas, Sharoon Shahzad
Summary: Sociocultural determinants play a significant role in shaping health experiences and care choices for patients, yet nursing curricula often lack sufficient content on this topic. This discussion underscores the importance of integrating and teaching social determinants of health in undergraduate nursing programs.
NURSE EDUCATION TODAY
(2021)
Review
Public, Environmental & Occupational Health
D. Onchonga, M. E. Abdalla
Summary: This study utilized bibliometric analysis to examine the publication trends and thematic areas of integrating SDH into medical education. The findings revealed a growing trend in this field and identified five thematic areas. The study provides a foundation for advancing knowledge on the integration of SDH into medical education.
Article
Radiology, Nuclear Medicine & Medical Imaging
Teodoro Rudolphi-Solero, Alberto Jimenez-Zayas, Rocio Lorenzo-Alvarez, Dolores Dominguez-Pinos, Miguel Jose Ruiz-Gomez, Francisco Sendra-Portero
Summary: By adapting a multi-user competitive game in Second Life for undergraduate radiology learning, this study assessed student perception, impact on learning, and found that participants achieved better post-exposure test results and course grades compared to non-participants.
INSIGHTS INTO IMAGING
(2021)
Article
Education & Educational Research
Mitesh Patel, Devon Aitken, Yunlin Xue, Sanjeev Sockalingam, Alexander Simpson
Summary: AMI offers a unique method of advocacy training through cascading mentorship, engaging medical students both as mentors to at-risk youth and mentees to resident physicians. Through this process, medical students enhance their advocacy-related skills and understanding of social determinants of health.
BMC MEDICAL EDUCATION
(2021)
Article
Public, Environmental & Occupational Health
Robert W. Armstrong, Michaela Mantel, Gijs Walraven, Lukoye Atwoli, Anthony K. Ngugi
Summary: Health sciences curricular planners are facing challenges in adding new content to established education programs, particularly in areas such as public health, health systems, global health, and planetary health. A convergence model is proposed to build a common framework for students to integrate and align knowledge to individual clients or patients. This framework includes five areas that influence health and wellbeing, as well as methodologies essential to understanding health at both individual and population levels.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Education, Scientific Disciplines
Gwo-Jen Hwang, Ching-Yi Chang, Hiroaki Ogata
Summary: This study proposes a virtual patient-based social learning approach to enhance nursing students' performance and clinical judgment. The experimental results indicate that using a virtual patient for learning can improve students' learning achievements, self-efficacy, and communication skills, and students generally find learning with a virtual patient more enjoyable.
NURSE EDUCATION TODAY
(2022)
Article
Education, Scientific Disciplines
Stephanie Berger, Caroline Harada
Summary: To address health disparities, future physicians must understand the role of social determinants of health (SDH). We created an authentic SDH curriculum using four real myocardial infarction (MI) patients. The curriculum involved interviews, small group discussions, neighborhood exploration, and patient presentations, which were highly effective for learning about SDH according to student evaluations.
Article
Psychology, Multidisciplinary
Jennifer Guse, Ines Heinen, Sonja Mohr, Corinna Bergelt
Summary: This study aimed to assess the mental health outcomes of medical students during the COVID-19 pandemic, finding that a majority of students reported higher levels of distress. First-year students reported significantly higher levels of distress, anxiety, and depression than students in years two to four. Factors such as male gender, being in the second year of study, higher distress scores, and higher symptoms of depression were significantly associated with a higher likelihood of experiencing serious worries.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Education, Scientific Disciplines
John S. Andrews, Kimberly D. Lomis, Judee A. Richardson, Maya M. Hammoud, Susan E. Skochelak
Summary: This paper summarizes the changes in medical education a century after the Flexner report, including the call for standardized outcomes, individualized learner pathways, integration of material across traditional areas, attention to an environment of inquiry, and professional identity formation. While significant progress has been made in the past decade, there is still much work to be done in the field of medical education.
Article
Medicine, General & Internal
Husein Moloo, Rajajee Selvam, Nieve Seguin, Lisa Zhang, Ariane Lacaille-Ranger, Lindsey Sikora, Daniel I. McIsaac
Summary: Despite the urgency of the climate crisis, current medical education curricula do not adequately address planetary health. This scoping review aims to evaluate the inclusion of planetary health in undergraduate and postgraduate medical education to guide curricular development. The study will analyze a wide range of literature and reports and categorize the outcomes within the domains of the Planetary Health Education Framework.
Article
Medicine, General & Internal
Syeda Sadia Fatima, Romana Idrees, Kausar Jabeen, Saniya Sabzwari, Sadaf Khan
Summary: The Covid-19 pandemic disrupted education globally, requiring academic administrations to plan and implement online assessments. In Pakistan, after multiple pilot assessments, training, and feedback collection, students found online exams user-friendly and 90% supported continuing with them.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2021)
Article
Pharmacology & Pharmacy
Jenny Zhang, Brian Crossley, Alexander Sun, Sonali Palchaudhuri, Amit Pahwa, Paul O'Rourke, Nazeer Ahmed, Emily Pherson
Summary: This study assessed an intervention consisting of prescriber education and a pharmacist-driven protocol to reduce the percentage of patients discharged with inappropriate acid suppression therapy (AST). The intervention successfully reduced the use of inappropriate AST through pharmacist assessment and recommendations.
Article
Medicine, General & Internal
Glenn Moulder, Emily Harris, Lekshmi Santhosh
Summary: The ubiquitous nature of uncertainty in clinical practice is increasingly acknowledged, and it is important for educators to design and evaluate curricula addressing clinical uncertainty. Increasing explicit discussion of uncertainty can improve diagnostic reasoning and accuracy, as well as patient care. Discussing diagnostic and prognostic uncertainty with patients is central to shared decision-making.
Editorial Material
Medicine, General & Internal
Katherine R. Schafer, Lonika Sood, Christopher J. King, Irene Alexandraki, Paul Aronowitz, Margot Cohen, Katherine Chretien, Amit Pahwa, E. Shen, Donna Williams, Karen E. Hauer
AMERICAN JOURNAL OF MEDICINE
(2023)
Letter
Critical Care Medicine
Sophia Levan, Michelle Mourad, Brian Block, Rupal Shah, Lekshmi Santhosh
Article
Medicine, General & Internal
Darren Harrison, Arunima Misra, Amit Pahwa, Komal Muradali, Stephanie Sherman
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Elle Mizuki Fukui, Patrick G. Lyons, Emily Harris, Emma K. McCune, Juan C. Rojas, Lekshmi Santhosh
Summary: This study evaluates the implementation process of the ICU-PAUSE handoff tool in 10 academic medical centers, including adoption rate and acceptability. The study uses a mixed methods approach, including chart review, quantitative surveys, and qualitative interviews. The study anticipates that ICU-PAUSE will serve as an effective handoff tool for ICU-ward transitions.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Oncology
Matthew Z. Guo, Aanika Balaji, Joseph C. Murray, Joshua E. Reuss, Seema Mehta Steinke, Kathleen Bennett, Jarushka Naidoo
Summary: Immune checkpoint inhibitors (ICI) have become standard therapy for patients with nonsmall cell lung cancer (NSCLC), however, the burden of infectious complications associated with ICI therapy is poorly described. In a retrospective study of 298 patients with ICI-treated NSCLC, it was found that 54.4% of patients experienced an infection. Patients with chronic obstructive pulmonary disease, recent corticosteroid use, and concomitant immune-related adverse event and infection had worse infectious outcomes.
CLINICAL LUNG CANCER
(2023)
Review
Oncology
Matthew Z. Guo, Kristen A. Marrone, Alexander Spira, Samuel Rosner
Summary: Adagrasib is a newly approved targeted therapy for KRAS(G12C)-mutated non-small-cell lung cancer. It has shown clinical efficacy with an objective response rate of 42.9% and a median duration of response of 8.5 months in pretreated patients. Gastrointestinal adverse events were the most common, occurring in 97.4% of patients, with grade 3+ events in 44.8% of patients. This review provides comprehensive data on the preclinical and clinical use of adagrasib, as well as guidelines for clinical administration and toxicity management. It also discusses resistance mechanisms, other KRAS(G12C) inhibitors in development, and future directions for adagrasib-based combination therapies.
Article
Medicine, General & Internal
Shelby R. Sferra, Pooja S. Salvi, Annalise B. Penikis, Jennine H. Weller, Joseph K. Canner, Matthew Guo, Abigail J. Engwall-Gill, Daniel S. Rhee, Joseph M. Collaco, Amaris M. Keiser, Daniel G. Solomon, Shaun M. Kunisaki
Summary: This study found that racial and ethnic differences in mortality rates exist among infants with congenital diaphragmatic hernia (CDH). Patient and institutional factors contribute to these disparities, with hospitals treating a more diverse patient population associated with lower mortality rates in Black and Hispanic patients.
Article
Critical Care Medicine
Emily M. Olson, David M. Sanborn, Timothy G. Dyster, Diana J. Kelm, Sara G. Murray, Lekshmi Santhosh, Jacqueline T. DesJardin
Summary: This study explored the experiences of internal medicine residents in procedural training and investigated the impact of gender on access to procedural training. The results showed that female residents performed fewer procedures in the intensive care unit at one institution, but no significant difference was found at another institution. Focus group analysis revealed that assertiveness was perceived as important for accessing procedural opportunities by female residents. The conclusion is that residency programs should adopt structured procedural training programs to address inequities.
Article
Health Care Sciences & Services
James W. W. Salazar, Daniel J. J. Minter, Zian H. H. Tseng, Lekshmi Santhosh
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, Research & Experimental
Ashwini Niranjan-Azadi, Glenn Moulder, Maryellen E. E. Gusic, George Hoke, Amit Pahwa, Andrew S. S. Parsons
Summary: This study introduces a curriculum developed through collaboration to teach medical students the fundamentals of high-value care. The course received positive evaluations from students and can serve as a reference for other medical schools in teaching high-value care.
Article
Medicine, General & Internal
Ella G. Cornell, Emily Harris, Emma McCune, Elle Fukui, Patrick G. Lyons, Juan C. Rojas, Lekshmi Santhosh
Summary: The study explores barriers and facilitators to implementing a diagnostic pause at the ICU-to-ward transition. The use of the ICU-PAUSE tool, which includes a diagnostic pause, is recognized as a key benefit to reduce medical errors. However, implementing this new tool faces challenges in workflow, institutional culture, people, and assessment.
Editorial Material
Critical Care Medicine
Lekshmi Santhosh, Megan K. McGrath, Jennifer M. Babik
Article
Respiratory System
Alison G. Lee, Jason Maley, Kathryn Hibbert, Kathleen M. Akgun, Katrina E. Hauschildt, Anica Law, Naftali Kaminski, Margaret Hayes, Yaron Gesthalter, Gabriel T. Bosslet, Lekshmi Santhosh, Alison Witkin, Kelsey Hills-Dunlap, Basak Coruh, Hayley B. Gershengorn, C. Corey Hardin
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
