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Abstract Purpose of the article During the Covid-19 pandemic, formative OSCE were transformed into online OSCE, and senior students (near peers) substituted experienced clinical teachers. The aims of the study were to evaluate quality of the feedbacks given by near peers during online OSCEs and explore the experience of near-peer feedback from both learner’s and near peer’s perspectives. Materials and methods All 2nd year medical students (n = 158) attended an online OSCE under the supervision of twelve senior medical students. Outcome measures were 1) students’ perception of the quality of the feedback through an online survey (Likert 1–5); 2) objective assessment of the quality of the feedback focusing on both the process and the content using a feedback scale (Likert 1–5); 3) experience of near peer feedback in two different focus groups. Results One hundred six medical students answered the questionnaire and had their feedback session videotaped. The mean perceived overall quality of senior students’ overall feedback was 4.75 SD 0.52. They especially valued self-evaluation (mean 4.80 SD 0.67), balanced feedback (mean 4.93 SD 0.29) and provision of simulated patient’s feedback (mean 4.97 SD 0.17). The overall objective assessment of the feedback quality was 3.73 SD 0.38: highly scored skills were subjectivity (mean 3.95 SD 1.12) and taking into account student’s self-evaluation (mean 3.71 (SD 0.87). Senior students mainly addressed history taking issues (mean items 3.53 SD 2.37) and communication skills (mean items 4.89 SD 2.43) during feedback. Participants reported that near peer feedback was less stressful and more tailored to learning needs– challenges for senior students included to remain objective and to provide negative feedback. Conclusion Increased involvement of near peers in teaching activities is strongly supported for formative OSCE and should be implemented in parallel even if experience teachers are again involved in such teaching activities. However, it requires training not only on feedback skills but also on the specific content of the formative OSCE.

Abstract Background The purpose of this article is to describe an interventional project in a University Hospital. It explains the adjustments that were made to provide good care for patients with intellectual and developmental disabilities in an acute care setting in Western Switzerland. It is not the exposition of the results of a formalised research or study. Rather, this article relates the success story of a project initiated by a small group of passionate people on their free time, that eventually entered in the 2020 strategic planning of the largest hospital of Switzerland. Switzerland does not have a national policy regarding health needs for patients with intellectual and developmental disabilities. Health care professionals are not trained to identify and meet the specific health needs of this population and little is taught about intellectual and developmental disabilities during undergraduate studies. Method The Disability Project was conducted between 2012 and 2017 in Geneva University Hospital, as follows: Firstly, over sixty working group sessions took place to identify the specific health needs of people with intellectual and developmental disabilities, to identify the barriers to providing equity of care and to prioritize reasonable adjustments. The four following barriers emerged from these meetings:1.Lack of awareness of healthcare professionals on specific health issues for patients with intellectual and developmental disabilities, which resulted in a poor healthcare coordination and reduced quality of care.2.Communication and information transmission issues between hospital staff, families and supported residential accommodations.3.Lack of training or insufficient training of healthcare professionals and hospital staff on intellectual and developmental disabilities.4.Inaccessibility of the hospital facilities and buildings for patients with disabilities Secondly, arising from these priorities, interventions were developed. Findings The interventions were eventually applied throughout the hospital. Recommendations and reasonable adjustments were made to provide accessibility and equity of care for patients with intellectual and developmental disabilities. Conclusion The Disability Project has achieved many reasonable adjustments in an acute care setting to provide good care and satisfaction for this population and their families.

BACKGROUND:Undocumented migrants endure adverse living conditions while facing barriers to access healthcare. Evidence is lacking regarding their healthcare needs, notably in regards to chronic diseases. Our goal was to investigate health conditions in undocumented migrants attended in primary care setting. METHODS:This study was conducted at the primary care outpatient clinic, Geneva University Hospitals, Switzerland. We retrospectively recorded and coded all medical conditions of a random sample of 731 undocumented migrants using the International Classification of Primary Care, 2nd version (ICPC-2). We dichotomized conditions as chronic or non-chronic and considered multimorbidity in the presence of three or more chronic conditions. RESULTS:Participants originated from 72 countries and were mainly female (65.5%) with a mean age of 42.4 (standard deviation [SD]: 11.4) years. They presented a mean of 2.9 (SD: 2.1; range: 1-17) health conditions. In multivariable analysis, the number of conditions was associated with female gender (p = 0.011) and older age (p

Contemporary practice in interprofessional education (IPE) has evolved predominantly focusing on the competencies for interprofessional collaboration (IPC) that learners must acquire. Competencies that educators need to successfully deliver IPC have been overlooked. This lack of attention is further confounded by a field replete with inconsistent terminology and standards and no global consensus on the core competencies needed for IPE facilitation. There are no globally accepted tools to assess interprofessional educators' competencies nor are there established training programmes that might be used as the basis for a collective global approach to these issues. The International Working Group for Interprofessional Educators Competencies, Assessment, and Training (IWG_IPEcat) seeks to address this gap using a sequential mixed-method approach, to deliver globally developed, empirically derived tools to foster IPE educator competencies. This article presents the protocol of the research project. [ABSTRACT FROM AUTHOR]

Contexte et objectifs: La formation interprofessionnelle fait partie d'une stratégie internationale qui vise à une amélioration de la collaboration entre les professionnels de santé afin d'optimiser la prise en soin centrée sur le patient, acteur dans les prises de décisions le concernant. Les études relèvent que cette collaboration est d'autant plus efficiente si les professionnels connaissent les rôles et les compétences de chaque membre de l'équipe soignante. Toutefois, les stéréotypes partagés par les groupes professionnels sur eux-mêmes et sur les autres ont un impact préjudiciable à cette connaissance mutuelle et donc sur la collaboration interprofessionnelle. L'implémentation de formations interprofessionnelles, dès la formation initiale et sous différentes formes, favorise les interactions et permettrait aux étudiants en santé de confronter et réajuster leurs stéréotypes et leurs connaissances sur autrui. La plupart des études investiguent et observent ces changements sur plusieurs années de formation interprofessionnelle. Nous supposons dans notre étude que ces modifications pourraient apparaître sur des séquences courtes. Ainsi, une séquence courte incluant une séquence initiale de jeu sérieux suivie d'une séquence de simulation, pourrait avoir une influence positive sur les perceptions des connaissances d'autrui et des stéréotypes des étudiants. Méthode: Trente-huit étudiants des filières physiothérapie, nutrition et diététique, soins infirmiers et médecin ont participés à l'étude. Ils ont complété une version française du questionnaire « Student Stereotypes Rating Questionnaire » évaluant leurs perceptions/stéréotypes sur leur profession et celles des autres, ainsi qu'un questionnaire, construit pour l'étude, d'auto- et hétéro-attribution des connaissances sur la pathologie spécifique (broncho-pneumonie chronique obstructive) étudiée lors des deux séquences de formation. Ces questionnaires ont été remplis avant la séquence de jeu sérieux et après la simulation. Résultats: Les résultats mettent en évidence une influence positive des deux séquences de formation sur les stéréotypes attribués entre groupes professionnels en présence. De manière générale, les stéréotypes attribués à autrui sont plus positifs que ceux autoattribués. Concernant les connaissances, le score d'auto-attribution est supérieur à celui de l'hétéro-attribution. Bien que non significative, on observe des modifications entre les deux temps de mesures en hétéro-attribution. Conclusion: Les résultats tendent à soutenir l'hypothèse selon laquelle un temps court de collaboration interprofessionnelle lors d'un dispositif de formation impliquant un jeu sérieux et une simulation, pourrait conduire à des modifications substantielles des stéréotypes et des connaissances attribuées à autrui entre les étudiants mis en présence. Ces résultats méritent d'être reproduits avec des collectifs estudiantins plus importants afin de vérifier la tendance de ces résultats et les confronter à un groupe n'ayant pas accès à un jeu sérieux préalablement à leur séquence de simulation. [ABSTRACT FROM AUTHOR]

We identified evidence from item response theory (IRT) to examine a German translation of the Interprofessional Facilitation Scale (IPFS). The IPFS was administered to n  = 130 mixed-health profession participants in a post-interprofessional education practicum questionnaire. We used IRT analyses to examine the following three aspects of the IPFS: (a) general factor strength, (b) subscale usability, and (c) item bias. First, findings indicate a strong, general factor underlying the IPFS that supports unidimensional interpretations. Second, findings supported IPFS overall reliability, but failed to support subscale reliabilities. Third, item bias assessment using a comparator-French sample ( n  = 89) indicated insubstantial differences across German and French samples. Taken together, we find sufficient evidence to support the IPFS-German translation's application in IPE contexts and unidimensional interpretations. Subscores are not advisable for interpretation, and future researchers should aim to further inspect potential item bias.

As part of their mandates, health training institutions are regularly called to offer training programs for health professionals. Evaluating the effectiveness of these training courses is an obvious necessity and it is necessary to measure the benefits for users in their care, for professionals in their practice and for institutions in their organization. In this article, we provide a description of the training evaluation method that we have developed. It provides a guide for structuring evaluations and tools for evaluating reactions, learning, change in practices, results and benefits for users., Competing Interests: Les auteures n’ont déclaré aucun conflit d’intérêts en relation avec cet article.