1,849 results on '"competency-based education"'
Search Results
2. Prospective study on comparison of simulation‐based mastery learning versus conventional apprentice‐based learning for basic endoscopy training.
- Author
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Maulahela, Hasan, Soetikno, Roy M., Kaltenbach, Tonya R., Annisa, Nagita Gianty, Putri, Nurul Amelia Rahayu, Syam, Ari Fahrial, Simadibrata, Marcellus, Findyartini, Ardi, and Indriatmi, Wresti
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MASTERY learning , *CURRICULUM , *LEAD time (Supply chain management) , *ENDOSCOPY , *LONGITUDINAL method - Abstract
Background and Aim Methods Results Conclusion The simulation‐based mastery learning (SBML) method holds promise for improving the efficiency and effectiveness of endoscopy training. However, further study is required to establish its advantages over the traditional method. We aim to prospectively compare outcomes between gastrointestinal endoscopy trainees taught using SBML and those trained using conventional apprenticeship methods for upper endoscopy.We performed a blinded, stepwise, comparative study with SBML participants deliberately practicing deconstructed steps of upper endoscopy and apprenticeship participants observing procedures. Three blinded trainers assessed trainees' skills using a validated esophagogastroduodenoscopy (EGD) tool pre‐and post‐training. The minimum pass standard (MPS) was set at a score > 2. We compared MPS of the groups using standard statistics and paired
t ‐test.Six trainees were enrolled in the SBML group, and six in the conventional group. All trainees in the SBML group passed the minimum standard compared with the conventional group (P = 0.06). All trainees in the SBML group obtained significantly higher scores in overall basic GI endoscopic skills, esophageal, stomach, and duodenal observation skills than those of the conventional apprenticeship group (P < 0.05). The SBML curriculum led to three times more learning (Cohen'sd = 6.5) than the conventional method (Cohen'sd = 1.8).This prospective study supports SBML for upper endoscopy training compared with the traditional apprentice‐based method. SBML resulted in a steeper learning curve, as trainees learned three times more during the same period. Furthermore, trainees developed a uniform competency level at the end of training. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
3. Undergraduate musculoskeletal ultrasound training based on current national guidelines—a prospective controlled study on transferability.
- Author
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Weimer, Andreas, Recker, Florian, Vieth, Thomas, Buggenhagen, Holger, Schamberger, Christian, Berthold, Rainer, Berthold, Svenja, Stein, Stephan, Schmidmaier, Gerhard, Kloeckner, Roman, Neubauer, Ricarda, Müller, Lukas, Weinmann-Menke, Julia, and Weimer, Johannes
- Subjects
OUTCOME-based education ,MEDICAL students ,BLENDED learning ,MEDICAL education ,JOINT diseases ,CONCEPT learning - Abstract
Introduction: Musculoskeletal ultrasound (MSUS) is integral to routine clinical diagnostics for musculoskeletal and joint disorders. This study aims to establish and validate a sonography course tailored to undergraduate medical students acquiring MSUS-specific skills at a German university. Methods: A blended learning training concept, comprising 24 instruction sessions of 45 min each, was designed based on the current national guidelines of the German Society for Ultrasound in Medicine (DEGUM). This program was integrated into the clinical phase of the undergraduate students' medical education. The self-perceived improvement in competency and the effectiveness of the course design were evaluated using a a 7-point Likert scale questionnaire. Objective learning success was evaluated via a written test and a "Direct Observation of Practical Skills" practical exam. Control groups included medical students without MSUS training (control group 1) and doctors who had completed DEGUM-certified basic MSUS courses (control group 2). Both control groups completed the written test, while control group 2 also took the practical final exam. The study involved 146 participants: 56 were allocated to the study group, 44 to control group 1, and 46 to control group 2. Results: The study group rated their skills significantly higher after the course (p < 0.01). Participants expressed high satisfaction with the course design, the teaching materials, and the teachers. The study group's performance on the final written test was comparable to those of control group 2 (p = 0.06) and significantly superior to control group 1 (p < 0.001). Additionally, the study group's performance on the practical final exam was not significantly different from control group 2 (p = 0.28), with both groups achieving scores exceeding 80%. Conclusion: Both subjective and objective measures of learning suggest that an MSUS course designed for postgraduates can be effectively adapted for undergraduate medical students. Incorporating MSUS training into the clinical curriculum is recommended to enhance future medical professionals' educational experience and practical skills. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. From outdated to outstanding: an institution's journey in reforming the dental materials science curriculum and lessons learned.
- Author
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Lin, Galvin Sim Siang, Foong, Chan Choong, and Kumaresan, Ramesh
- Subjects
EDUCATIONAL standards ,OUTCOME-based education ,CURRICULUM change ,CURRICULUM implementation ,NATIONAL curriculum - Abstract
Background: The Dental Materials Science (DMS) course within Malaysian undergraduate dental education has traditionally been taught in isolation, with a relatively stagnant delivery mode. Recent shifts in national dental competency standards have necessitated substantial reform in the DMS curriculum. This study aims to outline the journey of a local dental institute in developing and implementing a competency-based DMS curriculum. Methods: A faculty curriculum task force was established to oversee the curriculum reform process. The reform was guided by a "bottom-up" approach using the five-step curriculum reform model: (1). Curriculum mapping, (2). Comprehensive needs assessment, (3). Clear learning objectives and outcomes, (4). Curriculum development and implementation, and (5). Continuous evaluation and improvement. Results: Step 1 revealed the need to reduce content repetition and improve alignment with the new competency standards. Step 2 identified the need to include advanced materials, integrate theoretical and clinical aspects, and enhance teaching methods. The new curriculum included 25 relevant topics. Step 3 established three course learning outcomes, while Step 4 integrated DMS content horizontally and vertically across the curriculum, introduced innovative teaching methods, and diversified assessment methods. Step 5 ensured ongoing curriculum monitoring, with both short-term and long-term evaluations planned. Conclusion: The curriculum reform process represents a significant advancement in dental materials science while addressing challenges and aligning the curriculum with national standards. Ongoing evaluation, adaptability, interdisciplinary collaboration, and international engagement are essential for further improvements. This journey serves as a valuable reference for educators seeking to update their DMS curricula. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
5. Quality of Pedagogic Strategies in Teaching Multigrade Classes in the Division of Quezon.
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Autor, Edilbert A.
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OUTCOME-based education ,SUMMATIVE tests ,INDIVIDUALIZED instruction ,PEER teaching ,DIRECT instruction - Abstract
The study focused on the Quality of Pedagogic Strategies in Teaching Multigrade Classes in the Division of Quezon. The study applied descriptive survey method for the study with the Questionnaire as the main data gathering tool. A total of 81 respondents participated in the study. Statistical tools were utilized such as frequency count, mean scores, Mann Whitney U-Test and Kruskal Wallis H-Test. The study revealed that a typical respondent comprised of age 21 to 30 years old, female-dominated, married individuals, with Master's Units, were in Teacher I position, and served the school for 1 to 5 years. Also, the study concluded that quality of pedagogic strategies in teaching multigrade classes was given a very good rating in the Division of Quezon. When it comes to Peer Teaching or Tutoring, it showed that the administrators and teachers apply differentiated learning instruction to ensure learning will take place in school. According to Competency-based Learning, it stated that competency-based education is applied by the Multigrade teachers following the K-12 Curriculum and MELCs based competencies. In terms of Direct Instruction, it elicited that multigrade Instruction is evaluated or assessed through formative and summative assessments for the period. In addition, the study concluded that the respondents often encountered the problems in using pedagogic strategies in teaching multigrade classes in the Division of Quezon. This showed that the students lack gadgets to be used for internet classes for differentiated learning approach. Next item elicited that there are problems with the internet connectivity for differentiated approach. This was followed by the statement which said that the location of Multigrade schools are the reasons why facilities and other construction are not readily available. And, there is no significant difference on the respondents' assessments on the quality of pedagogic strategies in teaching multigrade classes in the Division of Quezon according to profile except for Teacher's Rank on Peer Teaching or Tutoring which is statistically significant on the respondents' assessments on the quality of pedagogic strategies in teaching multigrade classes in the Division of Quezon according to profile. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
6. Shifting the Curve.
- Author
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Rydberg, Leslie, Roy, Vivian, Roy, Ishan, and Neal, Jacqueline
- Subjects
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MEDICAL protocols , *REHABILITATION , *TEACHING methods , *HOSPITAL medical staff , *PRE-tests & post-tests , *PHYSICAL medicine , *ABILITY , *CURRICULUM planning , *OUTCOME-based education , *NATIONAL competency-based educational tests , *QUALITY assurance , *DELPHI method , *NERVE conduction studies , *TRAINING - Abstract
Abstract: Nerve conduction studies are a commonly performed procedure and a core competency for physical medicine and rehabilitation residents. Nerve conduction studies are complex to learn and no standardized training protocols exist across physical medicine and rehabilitation programs. The aims of this study are to standardize training and assessment of resident proficiency in nerve conduction studies skills and to evaluate the impact of an educational intervention on skills development. This was a repeated measures design wherein 36 physical medicine and rehabilitation residents underwent a pretest, followed by a mastery learning-based intervention, including deliberate practice. Residents were then expected to meet or exceed a minimum passing score at posttest. Performance improved from a median score of 4.5/ 66 on the pretest to a median score of 63/66 on the posttest. Thirty three of 36 residents achieved the minimum passing score on the first attempt; three residents required additional deliberate practice and met the minimum passing score on the second attempt. A curriculum featuring deliberate practice dramatically increased checklist scores of residents performing nerve conduction studies. This mastery learning program shows a reliable and reproducible method to achieve procedural competency within a physical medicine and rehabilitation residency program and can shift the curve to allow residents to immediately start performing nerve conduction studies at the start of their clinical experience. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
7. Instruments for Evaluating Student Learning Outcomes in Palliative Care: A Literature Review.
- Author
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Lippe, Megan P., Wingett, Gabrielle, Davis, Andra, Jizba, Theresa, Ehrlich, Olga, Cormack, Carrie L., Fasolino, Tracy, Glover, Toni L., Meskis, Susan, LeBlanc, Raeann G., Weiss, Dan, and Kirkpatrick, Amanda J.
- Subjects
ATTITUDES toward death ,SELF-efficacy ,RESEARCH evaluation ,EDUCATIONAL outcomes ,HEALTH occupations students ,EDUCATIONAL tests & measurements ,NURSING ,NURSES' attitudes ,CLINICAL competence ,PALLIATIVE care nursing ,OUTCOME-based education ,LEARNING strategies ,AFFECT (Psychology) ,TERMINALLY ill ,NATIONAL competency-based educational tests ,NURSING students ,COGNITION - Abstract
Primary palliative care is a core component of nursing practice for which all students must receive formal education. Through competency-based education, nursing students develop the knowledge, attitudes, and skills to deliver quality primary palliative care before they transition to practice. Nurse educators in academic and practice settings should use reliable and valid means to evaluate student learning across cognitive, affective, and psychomotor domains. Expert faculty conducted a literature review to identify published instruments that evaluate primary palliative care student learning outcomes. Selected articles were required to include instrument reliability, validity, or both. The literature search yielded 20 articles that report on the development and testing of 21 instruments. Findings are organized into 3 learning domains that encompass 5 outcomes. Four instruments assess knowledge within the cognitive domain. In the affective domain, 3 instruments assess attitudes about caring for seriously ill or dying patients, 7 assess attitudes about death, and 5 assess self-efficacy. Competence and competency are evaluated in the psychomotor domain with 4 tools. Instrument implementation considerations within each domain are discussed. Faculty are encouraged to use robust evaluation measures such as those identified in the literature review to measure primary palliative care learning outcomes within a competency-based education framework. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
8. Implementation of competency-based education for quality midwifery programmes in Africa: a scoping review.
- Author
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Ige, Waleola Bukola, Ngcobo, Winnie Baphumelele, and Afolabi, Opeyemi
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MEDICAL protocols , *EDUCATIONAL outcomes , *MIDWIFERY education , *SYSTEMATIC reviews , *THEMATIC analysis , *CURRICULUM planning , *LITERATURE reviews , *PROBLEM-based learning , *OUTCOME-based education - Abstract
Background: Improving the quality of midwifery education to international standards is critical to prepare competent midwives. Despite the recognised impact of competent midwives, little is known concerning the implementation of Competency-Based Education (CBE), especially in Africa, where poor investment in quality midwifery education has been reported. Objective: The aim of this study is to scope and synthesize the existing literature on the implementation of CBE for midwifery programmes and its sustainability in Africa. Methods: The scoping review methodology outlined by Arksey and O'Malley framework was adopted to explore the extent of the literature on the implementation of CBE for midwifery programmes and its sustainability in Africa. This framework directed the scoping review methodology, with reference to PRISMA-ScR guidelines. Results: A total sample of 72 studies were finally included in this scoping review. Reporting of the scoping review findings follows the PRISMA- ScR format. The study showed that of the 54 African countries as per the World Bank classification, after review of the full articles following the eligibility criteria for inclusion, literature on midwifery education programmes only spanned 17 African countries as at the time of this report. Of which, 11 are implementing CBE, 5 are still using Traditionally Based Approaches (TBA) while Problem-Based Learning (PBL) is the main teaching pedagogy used in Botswana. This review revealed that for the successful implementation of CBE, a CBE curriculum implementation process must be strictly observed. Evidence from the literature confirmed that CBE has not been sustained in Africa. There is still a struggle to fully integrate the major components of the competency-based midwifery programme due to inadequate support and an inadequate monitoring system. Conclusions: It is expedient that CBE implementation should be planned concurrently with its sustainability for it to be effective. Adequate training and support should be continuously provided to faculties, institutions, policy makers, professional bodies, students and other stakeholders for successful implementation and sustainability. International Registered Report Identifier (IRRID): PRR1-https://doi.org/10.2196/47603. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
9. An Evaluation of the First Clinical Posting in Psychiatry of the Competency-Based Medical Education (CBME) Curriculum for Undergraduate Medical Students in India.
- Author
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Perugu, Shalini, Sreedaran, Priya, Chari, Uttara, Sethuraman, Bhuvaneshwari, and Salazar, Luke Joshua
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EDUCATIONAL evaluation , *MEDICAL students , *PSYCHIATRY education , *OUTCOME-based education , *ATTITUDE change (Psychology) - Abstract
Background: The new competency-based medical education (CBME) curriculum presents an opportunity to address the many deficiencies in undergraduate (UG) psychiatry education in India. There are no published reports of such evaluations of psychiatry teaching programs based on the new CBME curriculum. Methods: We performed a cross-sectional evaluation of the first clinical posting in psychiatry of the new CBME curriculum using the following metrics: clinical skills, knowledge, attitudes towards psychiatry, self-efficacy in performing the specific learning objectives (SLOs), and satisfaction with specific teaching–learning and assessment methods implemented. Results: The mean knowledge score after the posting was significantly higher compared to the mean knowledge score at baseline (7.79 vs 5.45, p<0.001). The mean clinical skills score after the posting was 13.77 (0–20 range). Improvement was noted in the mean scores on all three sub-scales of the attitudes toward psychiatry scale. However, the improvement in scores was statistically significant only on the 'Stigma of Psychiatry' sub-scale. The mean scores on the items of the self-efficacy scale were between 63.41 and 77.73 (0–100 range). The mean scores on all items of the satisfaction scale were between 4 (somewhat satisfied) and 5 (very satisfied). Conclusion: We have described an evaluation of the first clinical posting in psychiatry of the new CBME curriculum. The posting was effective in imparting knowledge and clinical skills and potentially bringing about favorable changes in the attitudes toward psychiatry among UG medical students. The students also perceived confidence in performing the SLOs and were satisfied with the teaching-learning methods and assessment methods implemented. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Twelve tips for including disability education in undergraduate medical education.
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Tolchin, Dorothy W., Ankam, Nethra S., and Rydberg, Leslie
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MEDICAL education , *DIVERSITY & inclusion policies , *DIVERSITY training programs , *CURRICULUM planning , *TEACHER development , *DISCRIMINATION against people with disabilities , *HEALTH equity , *OUTCOME-based education , *PEOPLE with disabilities - Abstract
Disability is a large and growing minority population worldwide. People with disabilities continue to experience health and healthcare disparities. Despite multiple calls to action to provide disability education within undergraduate medical education as a strategy to mitigate ongoing inequities, robust disability education is not routinely provided across medical schools. This article provides twelve tips that any medical school faculty can utilize to integrate meaningful disability education within existing core medical education. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Student employability enhancement through fieldwork: purposefully integrated or a beneficial side effect?
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Peasland, Emma L., Scott, Graham W., Morrell, Lesley J., and Henri, Dominic C.
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EMPLOYMENT of students , *TEACHING aids , *STUDENT development , *OUTCOME-based education , *EDUCATIONAL outcomes - Abstract
Fieldwork provides opportunities for students to develop employability-enhancing transferable skills as well as technical, discipline-specific skills and disciplinary knowledge. However, the extent to which staff purposely plan transferable skills outcomes of field courses, and, therefore, whether they are communicated to students is unknown. We investigated whether staff intentionally plan transferable skills development opportunities into fieldwork by interviewing academic staff responsible for planning and leading residential field courses at a UK university. We also conducted a thematic analysis of associated module specifications and teaching materials to understand whether transferable skills were signposted to colleagues and students. Our findings show that although most staff recognise that their field courses help students to develop transferable skills, staff awareness of skills and professional development outcomes is narrowly focused on technical skills and discipline-related careers. Furthermore, those transferable skills outcomes that staff are aware of are not fully translated into module specifications and infrequently signposted to students via teaching materials. These findings suggest that transferable skills form a hidden curriculum of fieldwork. To maximise the employability benefits of fieldwork, we recommend that all skills should be signposted to students both during field course teaching and also via the associated teaching materials. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Improving Self-Reported Person-centered Care Competency in Nursing Students: A Pilot Study Using Interactive Case Studies.
- Author
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Zadvinskis, Inga M., Hoying, Jacqueline, Martini, Kady, Taylor, Tracy, Czaja, Rebecca, Terry, Ayanna E., and Fortney, Christine A.
- Abstract
Background: To prepare nursing students to deliver high-quality care, educators need strategies to foster person-centered care (PCC). Purpose: This pilot study evaluated an intervention with interactive case studies on undergraduate nursing students' PCC competency. Methods: We conducted a pilot study with sophomore undergraduate nursing students (n = 39) from a Midwestern US university. We developed a 90-minute class seminar with interactive case studies highlighting how patient preferences, values, and circumstances could influence fall risk. We assessed PCC using the Patient-Centered Care Competency Scale. Results: Although there was no statistically significant change in overall PCC competency before and after the intervention, we noted a small to medium effect size on PCC competency per Cohen's d standards (d = 0.35). Content analysis of students' open-ended responses reflected PCC and clustered into 5 themes. Conclusions: Findings suggest that educators may use interactive case studies to foster nursing student PCC competency. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Elevating competency-based education in baccalaureate nursing: A simulation integration project.
- Author
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Roberts, Michele Livich, Sinacori, Barbara, Hassler, Linda J., and Filippelli, Anthony
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Simulation offers a mechanism for scaffolded learning in a safe environment and affords opportunities for students to integrate nursing knowledge, skills, and behaviors into patient care activities. Faculty applied a structured change model and utilized simulation theory and the AACN Essentials framework for competency-based education to integrate simulation across the pre-licensure curriculum at a large school of nursing. A series of clinical learning activities were implemented including one revised scenario, a computer-based simulation adapted from an existing manikin-based activity, and a multi-patient simulation developed by modifying three textbook publisher simulation resources. Students were provided with opportunities to develop competencies across multiple Essentials domains, and congruence between course and simulation objectives was achieved. The purpose of this article is to describe the processes and outcomes of a faculty-driven effort to advance competency-based education in baccalaureate nursing curricula. • Plan, Do, Study, Act, (PDSA) helps facilitate structured change in nursing curricula. • Simulation modalities support competency development in pre-licensure students. • Backward design is useful for creating competency-based education activities. • Scaffolding affords students multiple opportunities to master nursing competencies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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14. Nurse Practitioner Education: Recommending Theories and Frameworks for Simulation-Based Experiences and Research.
- Author
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Sibley, Sean and Robinson, Kathryn N.
- Abstract
Simulation-based education is an evidence-based strategy to address learning and evaluation of outcomes in the updated American Association of Colleges of Nursing Essentials. Currently, there is a dearth of rigorous research on nurse practitioner education simulation. Studies on the topic often neglect a sound theoretical or conceptual framework beyond the National League of Nursing Jeffries Simulation Theory. This article aims to explore and distinguish the implementation of various theories and frameworks to determine how these elements can be stand-alone or used in combination to explore simulation-based experience competency outcomes. Specific recommendations for simulation research are (a) to include learning theories, (b) level learning and track competency progression using a framework, and (c) use a framework for measuring outcomes. Simulation science for nurse practitioner education can be advanced through united and consistent use of established theories and frameworks. These efforts will inform emerging best practices of simulation-based learning to address competition-based learning initiatives, validity of high-stakes simulation evaluation, and how to credit learners for simulation activities. • Nurse practitioner simulation programs and research should include learning theory. • Conceptual frameworks aid in leveling simulation experiences within curricula. • Simulation-based program outcomes can be leveled with existing frameworks. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Innovating to meet AACN essentials in a bachelor of science in nursing program.
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Howett, Maeve, Murphy, Hannah, Daniels, Amy, Goodwin, Jana, McElroy, Katie, Smith, Nicole, and Ulicny, Mary Pat
- Abstract
Our large, two campus (one urban and one suburban) and two track (RN-BSN and Entry-level BSN) program has revised our BSN curriculum to reflect the new Level One American Association of Colleges of Nursing (AACN) The Essentials: Core Competencies for Professional Nursing Education (AACN, 2021). This article describes the work to revise the curriculum to meet the demands of contemporary nursing education with increased elective choices for Generation Z learners, professional role courses on wellness and resiliency, a course on palliative care and symptom management, increased clinical hours to include virtual simulation and more community and public health experiences, and increased innovative student experiences with our clinical partners. A revised clinical evaluation tool (CET) was also developed to evaluate students in competency-based education and to reflect our new program outcomes. • There are new, essential core competencies for professional nursing education. • Competency-based education is the new way to assess learning and required a new tool. • Backward design by all faculty ensures that program outcomes are met. [ABSTRACT FROM AUTHOR]
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- 2024
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16. A Pharmacist Clinician Model as part of a collaborative clinical workforce: A philosophical critique.
- Author
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Rushworth, Gordon F., Forsyth, Paul, Radley, Andrew, Duggan, Catherine, Sampson, Rod, Cunningham, Scott, and Maguire, Barry
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The term 'clinician' is not reserved for any healthcare professional group. However, there is a general acceptance that a clinician would have the knowledge, skills and behaviours to enable them to clinically assess and manage a patient autonomously. The expectation, in a modern collaborative healthcare system, is that this work would be completed as a part of a planned and integrated multi-disciplinary care delivery structure, where any given clinician delivers a devolved element of that patient's care. Forthcoming changes to regulation and professional development pathways in the UK will have a profound impact on pharmacist professional identity and practice. From 2026, all new UK pharmacist registrants will have full independent prescribing rights. A paradigm shift is expected to enable the development of a Pharmacist Clinician Model , incorporating pharmaceutical care needs with wider clinical assessment, diagnostic, and clinical management responsibilities. Consideration is given to this model and its implications. Changes to regulation, policy, education, and the governance required to deliver safe and effective pharmacist clinicians are outlined. A philosophical critique on the nature of being a clinician, and the differentiation of pharmacist clinician roles compared to other healthcare professions, is given. A further examination of the projected risks and expected benefits of this transformative practice model are then explored. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Reimagining Undergraduate Critical Care Medical Education: A Path for the Next Decade.
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Gergen, Daniel J., Kommaraju, Kavya, Stewart, Nancy H., Shah, Nirav G., and Neumeier, Anna T.
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CRITICALLY ill patient care ,EDUCATIONAL planning ,GRADUATE medical education ,MEDICAL school graduates ,OUTCOME-based education - Abstract
Foundational training in critical care medicine is an integral part of both undergraduate and graduate medical education. Yet, many medical school graduates enter residency underprepared to care for critically ill patients because of a lack of ubiquity of undergraduate critical care education and the heterogeneity of existing didactic and clinical experiences. This Perspective explores the importance of undergraduate critical care education, the current national and international landscape, innovative educational strategies and exemplar curricula, and recent advances in assessment that may better reflect learner-centered educational outcomes. As broad curricular reforms push medical education toward a more innovative, interactive, and collaborative future, now is the time to rethink and reimagine undergraduate critical care education. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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18. Competency Framework Of Palliative Medicine For Geriatricians
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Laiane Moraes Dias, Alexandra Mendes Barreto Arantes, Mirella Rebello Bezerra, Gisele dos Santos, André Filipe Junqueira dos Santos, Ana Beatriz Galhardi Di Tommaso, Cláudia Burlá, Daniel Lima Azevedo, and Ligia Py
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competency-based education ,palliative care ,geriatrics ,Nursing ,RT1-120 ,Geriatrics ,RC952-954.6 ,Public aspects of medicine ,RA1-1270 - Abstract
INTRODUCTION AND OBJECTIVE: Despite a great interface between palliative care (PC) and geriatrics, there are currently no curriculum proposals of palliative medicine (PM) competencies for geriatricians in Brazil. Thus, the aim was to develop a competency framework of palliative medicine for geriatricians (CFPMG), especially for those under training. METHOD: The first phase consisted of preparing a pilot framework. To reach a consensus, geriatricians with expertise in the field of PM from all Brazilian regions were invited to express their opinions on the competencies listed in the pilot framework. A modified Delphi method was used in the 2nd and 3rd phases to obtain a consensus (level of agreement greater than 50% and 80%, respectively). Finally, a public consultation phase was conducted in the 21st Brazilian Congress on Geriatrics and Gerontology, and via Brazilian National Academy of Palliative Care website. RESULTS: Nineteen experts in PM and geriatrics evaluated the CFPMG. The level of agreement in all thematic areas was greater than that required, except for palliative sedation (20% of disagreement). The CFPMG concluded with 13 thematic areas and 105 competencies, including 11 prerequisite, 52 core, 24 desirable, and 18 advanced competencies. CONCLUSION: The defined competency framework of PC may be integrated into medical education, specifically into geriatric medicine training. Our suggestion is that residency programs in geriatrics provide training at least in the core competencies from the proposed thematic areas, thereby strengthening PC education homogeneously across the country.
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- 2024
- Full Text
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19. From outdated to outstanding: an institution’s journey in reforming the dental materials science curriculum and lessons learned
- Author
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Galvin Sim Siang Lin, Chan Choong Foong, and Ramesh Kumaresan
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Competency-based education ,Curriculum ,Dental education ,Health profession ,Undergraduate ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background The Dental Materials Science (DMS) course within Malaysian undergraduate dental education has traditionally been taught in isolation, with a relatively stagnant delivery mode. Recent shifts in national dental competency standards have necessitated substantial reform in the DMS curriculum. This study aims to outline the journey of a local dental institute in developing and implementing a competency-based DMS curriculum. Methods A faculty curriculum task force was established to oversee the curriculum reform process. The reform was guided by a “bottom-up” approach using the five-step curriculum reform model: (1). Curriculum mapping, (2). Comprehensive needs assessment, (3). Clear learning objectives and outcomes, (4). Curriculum development and implementation, and (5). Continuous evaluation and improvement. Results Step 1 revealed the need to reduce content repetition and improve alignment with the new competency standards. Step 2 identified the need to include advanced materials, integrate theoretical and clinical aspects, and enhance teaching methods. The new curriculum included 25 relevant topics. Step 3 established three course learning outcomes, while Step 4 integrated DMS content horizontally and vertically across the curriculum, introduced innovative teaching methods, and diversified assessment methods. Step 5 ensured ongoing curriculum monitoring, with both short-term and long-term evaluations planned. Conclusion The curriculum reform process represents a significant advancement in dental materials science while addressing challenges and aligning the curriculum with national standards. Ongoing evaluation, adaptability, interdisciplinary collaboration, and international engagement are essential for further improvements. This journey serves as a valuable reference for educators seeking to update their DMS curricula.
- Published
- 2024
- Full Text
- View/download PDF
20. Implementation of competency-based education for quality midwifery programmes in Africa: a scoping review
- Author
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Waleola Bukola Ige, Winnie Baphumelele Ngcobo, and Opeyemi Afolabi
- Subjects
Africa ,Competency-based education ,Implementation ,Midwifery programme ,Protocol ,Scoping review ,Nursing ,RT1-120 - Abstract
Abstract Background Improving the quality of midwifery education to international standards is critical to prepare competent midwives. Despite the recognised impact of competent midwives, little is known concerning the implementation of Competency-Based Education (CBE), especially in Africa, where poor investment in quality midwifery education has been reported. Objective The aim of this study is to scope and synthesize the existing literature on the implementation of CBE for midwifery programmes and its sustainability in Africa. Methods The scoping review methodology outlined by Arksey and O’Malley framework was adopted to explore the extent of the literature on the implementation of CBE for midwifery programmes and its sustainability in Africa. This framework directed the scoping review methodology, with reference to PRISMA-ScR guidelines. Results A total sample of 72 studies were finally included in this scoping review. Reporting of the scoping review findings follows the PRISMA- ScR format. The study showed that of the 54 African countries as per the World Bank classification, after review of the full articles following the eligibility criteria for inclusion, literature on midwifery education programmes only spanned 17 African countries as at the time of this report. Of which, 11 are implementing CBE, 5 are still using Traditionally Based Approaches (TBA) while Problem-Based Learning (PBL) is the main teaching pedagogy used in Botswana. This review revealed that for the successful implementation of CBE, a CBE curriculum implementation process must be strictly observed. Evidence from the literature confirmed that CBE has not been sustained in Africa. There is still a struggle to fully integrate the major components of the competency-based midwifery programme due to inadequate support and an inadequate monitoring system. Conclusions It is expedient that CBE implementation should be planned concurrently with its sustainability for it to be effective. Adequate training and support should be continuously provided to faculties, institutions, policy makers, professional bodies, students and other stakeholders for successful implementation and sustainability. International Registered Report Identifier (IRRID) PRR1- https://doi.org/10.2196/47603 .
- Published
- 2024
- Full Text
- View/download PDF
21. Interprofessional competency acquisition in an interprofessional training ward four-week placement: 'Teamwork is what is going to ensure our patients are happy and safe'
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Doolan-Noble, Fiona, Morgan, Sonya, Crabtree, Ian, Symes, Ashley, Skinner, Margot, and McKinlay, Eileen
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- 2024
22. Filling the knowledge-to- action gap with open access pedagogy: An alternative assignment model
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Briere, Jennifer L, Zaman, Ishita B, and Wang, Sophia Haotong
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- 2022
23. Quality education beyond borders: An international content analysis for transnational distance education
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Heiser, Rebecca E
- Published
- 2022
24. Evaluation of the BOPPPS model on otolaryngologic education for five-year undergraduates
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Dachuan Fan, Chao Wang, Xiumei Qin, Shiyu Qiu, Yan Xu, Yatang Wang, and Jinxiao Hou
- Subjects
BOPPPS model ,Otolaryngology education ,Five-year undergraduates ,Competency-based education ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background This study aimed to assess the effectiveness of the BOPPPS model (bridge-in, learning objective, pre-test, participatory learning, post-test, and summary) in otolaryngology education for five-year undergraduate students. Methods A non-randomized controlled trial was conducted with 167 five-year undergraduate students from Anhui Medical University, who were allocated to an experimental group and a control group. The experimental group received instruction using the BOPPPS model, while the control group underwent traditional teaching methods. The evaluation of the teaching effectiveness was performed through an anonymous questionnaire based on the course evaluation questionnaire. Students’ perspectives and self-evaluations were quantified using a five-point Likert scale. Furthermore, students’ comprehension of the course content was measured through a comprehensive final examination at the end of the semester. Results Students in the experimental group reported significantly higher scores in various competencies compared to the control group: planning work (4.27 ± 0.676 vs. 4.03 ± 0.581, P
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- 2024
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25. Exploring Interactive Learning Approaches and Technology Integration in the Kenyan Education System
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Roseline Nyamwamu, Richard Ronoh, and Yonah Etene
- Subjects
extended reality ,education ,competency-based education ,learning ,Social Sciences - Abstract
This paper examines the dynamic intersection of interactive learning approaches and technology integration within contemporary education. As technology rapidly evolves, it fundamentally reshapes pedagogical practices by introducing innovative tools and strategies that redefine the teaching and learning landscape. We investigated the pivotal roles of Extended Reality (XR) technologies, including Virtual Reality (VR) and Augmented Reality (AR), in crafting immersive educational experiences. Additionally, interactive learning methodologies, such as game-based learning and the Learning by Asking (LBA) system, are scrutinized for their potential to engage learners and foster their skill acquisition. Furthermore, the emergence of competency-based education (CBE) models is analyzed in response to evolving educational objectives, emphasizing the cultivation of practical skills, problem-solving abilities, and commitment to lifelong learning. Nevertheless, the successful integration of these advancements encounters formidable challenges, including institutional barriers and the imperative need for comprehensive teacher training. This review illuminates the transformative potential of technology in education and underscores educators’ pivotal role in equipping learners for an increasingly dynamic and uncertain future.
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- 2024
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26. Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre–post study
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Yuan-Ming Tsai, Szu-Yu Lin, Go-Shine Huang, Feng-Cheng Liu, Yaw-Wen Chang, and Chin-Sheng Lin
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central venous catheterization ,clinical competency ,competency-based education ,critical care ,interactive response system ,medical student ,skill acquisition ,Medicine - Abstract
Background: Central venous catheterization (CVC) is a critical clinical procedure. To avoid complications, possessing good knowledge regarding the CVC care bundle and skills for the proper insertion and maintenance of CVC are important. Objectives: To evaluate the effectiveness of an educational intervention and the use of an interactive response system in enhancing the CVC bundle care and insertion skills of medical students undergoing critical care medicine training. Materials and Methods: Sixth-year medical students (equivalent to fourth-year students in the United States) engaged in didactic lessons, interactive demonstrations, and simulator training facilitated by a CVC team comprising three thoracic and two vascular surgeons (all with a minimum 5 years of experience in central venous access) during their intensive care unit (ICU) rotation. Self-reported knowledge and confidence levels were assessed using pre-and posttests administered through the Zuvio App, an interactive response system. Results: A total of 60 students underwent the educational intervention, of which 54 completed the pretest and 40 completed the posttest. In the posttest, significant improvement was found in the CVC bundle care competency and understanding (P = 0.002), preprocedural preparation (P = 0.002), insertion procedures (P = 0.004), complications (P = 0.003), and insertion depth decisions (P = 0.001). Staff and students reported that assessment and interaction via the Zuvio App were valuable, practical, and feasible in a clinical setting, providing trainees with an individual competency portfolio of receiving precise medical education. Conclusions: Integrating the training provided by a specialized team with an interactive response system enhanced the knowledge and competency level in CVC insertion among medical students in this study.
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- 2024
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27. Overcoming Barriers to Research Competency: a nationwide mixed-method study on residency training in the field of Korean medicine
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Min-jung Lee and Myung-Ho Kim
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graduate medical education ,needs assessment ,competency-based education ,korean traditional medicine ,motivation ,Medicine ,Miscellaneous systems and treatments ,RZ409.7-999 ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Objectives: This study aimed to analyze the educational needs of interns and residents in Korean medicine as the first step in developing an education program to improve their research competencies. Methods: A mixed-method design, incorporating both quantitative and qualitative data collection methods, was used to investigate the educational needs for research competencies among interns and residents working in Korean medicine hospitals nationwide. Data were collected through online surveys and online focus group discussions (FGDs), and processed using descriptive statistical analysis and thematic analysis. The study results were derived by integrating survey data and FGD outcomes. Results: In total, 209 interns and residents participated in the survey, and 11 individuals participated in two rounds of FGDs. The majority of participants felt a lack of systematic education in research and academic writing in postgraduate medical education and highlighted the need for nationally accessible education due to significant disparities in the educational environment across hospitals and specialties. The primary barrier to learning research and academic writing identified by learners was the lack of knowledge, leading to time constraints. Improving learners’ research competencies, relationship building, autonomy, and motivation through a support system was deemed crucial. The study also identified diverse learner types and preferred educational topics, indicating a demand for learner-centered education and coaching. Conclusion: This study provides foundational data for designing and developing a program on education on research competencies for interns and residents in Korean medicine and suggests the need for initiatives to strengthen these competencies.
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- 2024
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28. Clinical competency of nurses trained in competency-based versus objective-based education in the Democratic Republic of the Congo: a qualitative study
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Mari Nagai, Miyuki Oikawa, Tomoko Komagata, Josué Désiré Bapitani Basuana, Gérard Kahombo Ulyabo, Yui Minagawa, Sadatoshi Matsuoka, Yuriko Egami, Mari Honda, and Toyomitsu Tamura
- Subjects
Clinical nurses ,Clinical supervisors ,Competency-based education ,Democratic Republic of the Congo ,Resource-limited countries ,Standardized nursing care ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Designing competency-based education (CBE) programmes is a priority in global nursing education for better nursing care for the population. In the Democratic Republic of the Congo (DRC), object-based education (OBE) remains mainstream in pre-service nursing education programmes. Recently, the Ministry of Health developed a self-assessment tool and quantitatively compared the clinical competency of CBE- and OBE-trained nurses. This study aimed to qualitatively triangulate the results of self-evaluation by exploring perception of supervisors, incumbent CBE-, and OBE-trained nurses in comparison with the competence of the two types of nurses, and to identify influential factors or barriers to their competence in clinical settings. Methods A qualitative descriptive approach with conventional content analysis was applied. Twenty interviews with clinical supervisors who oversaw both CBE- and OBE-trained nurses, 22 focus group discussions (FGDs) with CBE-trained nurses, and 21 FGDs with OBA-trained nurses currently working in health facilities were conducted. Participants of the FGDs were selected from the participants of the DRC self-assessment competency comparison study where there was no statistically significance between CBE- and OBE-trained nurses in the demographic characteristics. Data were analysed in terms of the competencies identified by the Ministry of Health. Results The supervisors recognised that the CBE-trained nurses had stronger competencies in professional communication, making decisions about health problems, and engaging in professional development, but were weak in clinical skills. This study identified challenges for supervisors in assuring standardised care in health facilities with OBE- and CBE-trained nurses, as well as barriers for CBE-trained nurses as a minority in the workplace in demonstrating their competencies. Conclusions The study results support the Ministry of Health’s policy to expand CBE in pre-service education programmes but reveal that its slow implementation impedes full utilisation of the acquired competencies at health facilities. Implementation could be accelerated by strengthening cooperation among the Ministry of Health’s three human resource departments, and developing and implementing a well-planned, legally binding, long-term CBE reform strategy, including an approach to the Continuing Professional Development system.
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- 2024
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29. Preclinical obesity curriculum: audit, implementation, and evaluation
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Amber Olson, Rosanna Watowicz, Eileen Seeholzer, Katherine Lyons, W. Scott Butsch, and Colleen Croniger
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Obesity ,Curriculum development ,Competency-based education ,Obesity attitudes and knowledge ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background This study aimed to (1) evaluate the current status of obesity education at Case Western Reserve University School of Medicine (CWRU) (2), introduce a comprehensive first-year curriculum on obesity, and (3) assess the impact of the curriculum on self-reported attitudes and knowledge regarding obesity among first-year medical students. Methods The preclinical curriculum at CWRU was reviewed to determine the degree of coverage of Obesity Medicine Education Collaborative (OMEC) competencies for healthcare professionals, and recommendations were provided for revising the curriculum to better adhere to these evidence-based competencies. A survey on obesity attitudes and knowledge was given before and after the implementation of the new curriculum to measure intervention-related changes. Changes in obesity attitudes and knowledge were compared (1) before and after the intervention for the class of 2025 and (2) after the intervention for the class of 2025 to a historical cohort that did not receive the intervention. Results Among the 27 competencies examined in the audit, 55% were unmet and 41% were partially met. Of 186 first-year medical students (M1s), 29 (16%) completed the baseline survey and 26 (14%) completed the post-intervention survey. Following the intervention, there was a notable improvement in attitudes and knowledge regarding obesity. Specifically, there was a significant decrease in the belief that obesity is caused by poor personal choices, and knowledge of obesity in fourteen out of fifteen areas showed significant improvement from pre- to post-intervention. Additionally, obesity attitudes and knowledge were significantly better post-intervention when compared to the historical cohort. Conclusions The improvements made to the preclinical curriculum through this project improved obesity attitudes and knowledge among first-year medical students. This method provides a practical approach for evaluating and enhancing obesity education in medical school curricula.
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- 2024
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30. Challenges and opportunities for competency-based health professional education in Bangladesh: an interview, observation and mapping study
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Lucie Byrne-Davis, Natalie Carr, Tapash Roy, Salim Chowdhury, Usmaan Omer, Saher Nawaz, Dolce Advani, Olivia Byrne, and Jo Hart
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Bangladesh ,Health professional education ,Competency-based education ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background Bangladesh has a shortfall of health professionals. The World Health Organization states that improving education will increase recruitment and retention of health workers. Traditional learning approaches, in medical education particularly, focus on didactic teaching, teaching of subjects and knowledge testing. These approaches have been superseded in some programmes, with a greater focus on active learning, integrated teaching and learning of knowledge, application, skills and attitudes or values and associated testing of competencies as educational outcomes. In addition, some regions do not have continuous professional development or clinical placements for health worker students, contributing to difficulties in retention of health workers. This study aims to explore the experiences of health professional education in Bangladesh, focusing on what is through observation of health professional education sessions and experiences of educators. Methods This mixed method study included 22 observations of teaching sessions in clinical and educational settings, detailed analysis of 8 national curricula documents mapped to Global Competency and Outcomes Framework for Universal Health Coverage and 15 interviews of professionals responsible for health education. An observational checklist was created based on previous literature which assessed training of within dimensions of basic clinical skills; diagnosis and management; professionalism; professional development; and effective communication. Interviews explored current practices within health education in Bangladesh, as well as barriers and facilitators to incorporating different approaches to learning. Results Observations revealed a variety of approaches and frameworks followed across institutions. Only one observation included all sub-competencies of the checklist. National curricula documents varied in their coverage of the Global Competency and Outcomes Framework domains. Three key themes were generated from a thematic analysis of interview transcripts: (1) education across the career span; (2) challenges for health professional education; (3) contextual factors and health professional education. Opportunities for progression and development post qualification are limited and certain professions are favoured over others. Conclusion Traditional approaches seem to predominate but there is some enthusiasm for a more clinical focus to education and for more competency based approaches to teaching, learning and assessment.
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- 2024
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31. Acceptability and feasibility of an evaluation table to assess the competency of general medicine interns during ambulatory rotations in Brest
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Brieux Longépé, Audrey Madec, Jérôme Fonseca, Lucas Beurton-Couraud, Marie Barais, and Delphine Le Goff
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Competency-based education ,Internship and residency ,General practice ,Teaching ,Educational assessment ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background General practitioner interns need to acquire the expected clinical, communication, personal and professional competencies. Internship evaluations use qualitative evaluation tables to assess competency acquisition. However, there is no standardised evaluation table used in France. Some faculties use the exhaustive, precise, and manageable Exceler evaluation tool. We aim to evaluate opinions of General practice interns in Brest about the acceptability and feasibility of using the Exceler evaluation tool to monitor competency acquisition during internships. Methods This qualitative study used intern focus groups. Six-open ended questions with optional follow-up questions were asked. Cards from the Dixit® game were used to guide and facilitate discussion. Open, axial, then integrative analysis of the verbatim was performed. Results This is the first study to evaluate intern opinions about GP internship evaluations using focus groups. Participants felt that the quality of existing evaluations was insufficient, and it was difficult to monitor their progress. Adapting evaluations to individual profiles and backgrounds seemed necessary. Exceler appeared to be a possible solution due to its content validity, flexibility of use and accessibility. However, there were comments about possible modifications. Conclusions Analysing opinions of tutors, supervisors and other practice centers could help identify potential barriers and reveal solutions to facilitate its implementation and use. Trial registration Not applicable.
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- 2024
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32. The impact of educational technologies on entrepreneurial competencies: A systematic review of empirical evidence
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Basel Hammoda
- Subjects
entrepreneurship education ,educational technology ,competency-based education ,systematic review ,entrepreneurial competency ,General Works - Abstract
Researchers and educators have been exploring innovative methods in entrepreneurship education to address traditional approach failure at engaging students and developing their skills. Educational technology has shown promising results in early studies. Yet, there is a scarcity of reviews on their effectiveness in developing entrepreneurial competencies. This paper systematically reviews the empirical literature on the outcomes of educational technology used to teach entrepreneurship at higher education institutions. From an initial 316 search hits, 26 articles were selected for in-depth review. The learning outcomes were translated into entrepreneurial competencies, using the EntreComp Framework as a reference. Findings show that educational technologies, in general, positively impacted entrepreneurial competencies, especially financial & economic literacy, motivation & perseverance, and initiative taking. Gaming and simulations were the most researched, having an overall positive influence, while online learning and MOOCs showed limited and sometimes contradictory effects. The study fills the scholarly gap by connecting educational technology, entrepreneurship education, and entrepreneurial competencies. It provides a basic mapping linking each educational technology to the competencies it develops and advocates for a competency-based pedagogy in the delivery and assessment of entrepreneurship education. Educators can apply the findings and the mapping developed in this study to design and deliver entrepreneurship courses, incorporating educational technologies more insightfully and effectively in their pedagogies.
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- 2024
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33. Evaluation of the BOPPPS model on otolaryngologic education for five-year undergraduates.
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Fan, Dachuan, Wang, Chao, Qin, Xiumei, Qiu, Shiyu, Xu, Yan, Wang, Yatang, and Hou, Jinxiao
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STUDENT attitudes ,OUTCOME-based education ,TEACHING methods ,ANALYTICAL skills ,UNDERGRADUATE education ,UNDERGRADUATES - Abstract
Background: This study aimed to assess the effectiveness of the BOPPPS model (bridge-in, learning objective, pre-test, participatory learning, post-test, and summary) in otolaryngology education for five-year undergraduate students. Methods: A non-randomized controlled trial was conducted with 167 five-year undergraduate students from Anhui Medical University, who were allocated to an experimental group and a control group. The experimental group received instruction using the BOPPPS model, while the control group underwent traditional teaching methods. The evaluation of the teaching effectiveness was performed through an anonymous questionnaire based on the course evaluation questionnaire. Students' perspectives and self-evaluations were quantified using a five-point Likert scale. Furthermore, students' comprehension of the course content was measured through a comprehensive final examination at the end of the semester. Results: Students in the experimental group reported significantly higher scores in various competencies compared to the control group: planning work (4.27 ± 0.676 vs. 4.03 ± 0.581, P < 0.05), problem-solving skills (4.31 ± 0.624 vs. 4.03 ± 0.559, P < 0.01), teamwork abilities (4.19 ± 0.704 vs. 3.87 ± 0.758, P < 0.05), and analytical skills (4.31 ± 0.719 vs. 4.05 ± 0.622, P < 0.05). They also reported higher motivation for learning (4.48 ± 0.618 vs. 4.09 ± 0.582, P < 0.01). Additionally, students in the experimental group felt more confident tackling unfamiliar problems (4.21 ± 0.743 vs. 3.95 ± 0.636, P < 0.05), had a clearer understanding of teachers' expectations (4.31 ± 0.552 vs. 4.08 ± 0.555, P < 0.05), and perceived more effort from teachers to understand their difficulties (4.42 ± 0.577 vs. 4.13 ± 0.59, P < 0.01). They emphasized comprehension over memorization (3.65 ± 1.176 vs. 3.18 ± 1.065, P < 0.05) and received more helpful feedback (4.40 ± 0.574 vs. 4.08 ± 0.585, P < 0.01). Lecturers were rated better at explaining concepts (4.42 ± 0.539 vs. 4.08 ± 0.619, P < 0.01) and making subjects interesting (4.50 ± 0.546 vs. 4.08 ± 0.632, P < 0.01). Overall, the experimental group expressed higher course satisfaction (4.56 ± 0.542 vs. 4.34 ± 0.641, P < 0.05). In terms of examination performance, the experimental group scored higher on the final examination (87.7 ± 6.7 vs. 84.0 ± 7.7, P < 0.01) and in noun-interpretation (27.0 ± 1.6 vs. 26.1 ± 2.4, P < 0.01). Conclusion: The BOPPPS model emerged as an effective and innovative teaching method, particularly in enhancing students' competencies in otolaryngology education. Based on the findings of this study, educators and institutions were encouraged to consider incorporating the BOPPPS model into their curricula to enhance the learning experiences and outcomes of students. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Competency Based Education Pilot in Illinois: Preliminary Findings.
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Blankenberger, Bob, Kerr, Rob, and Dooley, Ty
- Subjects
- *
OUTCOME-based education , *HIGH school graduation rates , *AFRICAN American students , *HIGH school seniors , *STUDENT engagement , *GRADUATION rate - Abstract
In this study we employed regression analysis and between-group matched pair design to analyze whether participation in a competency-based education pilot was associated with improved high school completion and postsecondary entry. Data were obtained for high schools participating in a CBE pilot program in Illinois. Results of the matched pair design showed that CBE participation was significantly associated with higher rates of high school graduation for seniors across all groups with differences significant overall (97.2% for CBE vs. 93.1% for non-CBE), for White students (97.2% vs. 92.7%), and for students eligible for Free and Reduced Lunch (96.3% vs. 90.3%). Graduation rate for seniors was also higher for African American students and for Hispanic-Latinx students, but the differences were not statistically significant. In the matched pair design, CBE participation was not significantly associated with entry into college within 12 months of high school. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Die neue Weiterbildungsordnung – eine Herausforderung für die Viszeralchirurgie: Ergebnisse einer Umfrage unter DGAV-Mitgliedern und Lösungsstrategien der Jungen Chirurgie.
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Schardey, Josefine, Hüttl, Florentine, Jacobsen, Anne, Brunner, Stefanie, Tripke, Verena, Wirth, Ulrich, Werner, Jens, Kalff, Jörg C., Sommer, Nils, and Huber, Tobias
- Subjects
- *
TEACHERS' assistants , *SURGERY , *UNIVARIATE analysis , *CONTINUING education , *MEDICAL societies , *NURSES' aides , *ORAL surgeons - Abstract
Background: The new competency-based further training regulations (nWBO) for surgical training have been adopted by all German state medical associations. Methods: From May to June 2023 the Young Surgeons' Working Group (CAJC) conducted an anonymous online survey among the 5896 members of the German Society for General and Visceral Surgery (DGAV). Objective: The survey aimed to assess expectations regarding the nWBO and to develop strategies for enhancing surgical training. Results: With 488 participants (response rate 8.3%) the study is representative. The respondents consisted of 107 continuing education assistants (WBA 21.9%), 69 specialist physicians, and 188 senior physicians (specialist physicians 14.1% and senior physicians 38.5%), as well as 107 chief physicians (21.9%). The majority worked in regular care providers (44%), followed by maximum care providers (26.8%) and university clinics (20.1%). Only 22% considered the required operative spectrum of the new medical specialist training regulations (nWBO) to be realistic. Half of the respondents believed that full training in their clinic according to the new catalog will no longer be possible and 54.6% considered achieving the target numbers in 6 years to be impossible or state that they can no longer train the same number of continuing education assistants (WBAs) in the same time frame. Endoscopy (17.1–18.8%), fundoplication (15.4–17.7%) and head and neck procedures (12.1–17.1%) were consistently mentioned as bottlenecks across all levels of care. Rotations for balance were reported to be already established or not necessary in 64.7%. In 48% it was stated that the department had established the partial steps concept. The importance of a structured training concept was considered important by 85% of WBAs, compared to 53.3% of chief physicians (CÄ). If a structured training concept was present in the department, the achievability of the target numbers was significantly assessed more positively in the univariate analysis. In the multivariate analysis, male gender and the status of "habilitated/professor" were independent factors for a more positive assessment of the nWBO. Objective certification of training was considered important by 51.5%. Conclusion: Concerns surround the nWBO and the sentiment is pessimistic. Additional requirements and hospital reforms could exacerbate the situation. Collaboration and rotations are crucial but still insufficiently implemented. Quality-oriented certification could enhance the quality of training. [ABSTRACT FROM AUTHOR]
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- 2024
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36. Integrating innovation and competency-based education in the development of a new direct-entry master of science in nursing program.
- Author
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Moore, Wendy, Palerino, Andrea, and Pawloski, Katie
- Abstract
There has been a call for nursing programs to shift to Competency-based education (CBE). Competency-based education has numerous benefits in nursing education. A curriculum that includes both concepts and competencies helps students and stakeholders understand what new nurse graduates will be able to do with the knowledge they construct throughout the program. Competency-based education is student-centered, flexible, and dependent on students actively engaging in their learning. A small faculty team developed a new direct-entry MSN program, based on essential components of CBE. This article describes the process of incorporating CBE into the development of the program, as well as challenges and barriers to fully implementing CBE into the curriculum. • It is expected by CCNE that nursing programs shift to a model of competency-based education • A new direct-entry MSN program was developed based on essential components of competency-based education • Challenges and barriers continue to exist to fully integrating competency-based education into the curriculum • Building a program based on competency-based education was rewarding for faculty and students [ABSTRACT FROM AUTHOR]
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- 2024
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37. Desarrollo de la capacidad de comunicar riesgos relacionados con la exposición infantil a fluoruros, a través de una estrategia educativa en línea.
- Author
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Corpus-Espinosa, Claudia Alejandra, Cilia-López, Virginia Gabriela, Nieto-Caraveo, Luz María, and Cubillas-Tejeda, Ana Cristina
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- 2024
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38. PROCESO DE EVALUACIÓN Y ACREDITACIÓN EN LAS CARRERAS DE ENFERMERÍA: EXPERIENCIA DE UNA UNIVERSIDAD ECUATORIANA.
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Vuele Duma, Diana Maricela, Ayora Apolo, Denny Caridad, and Bustos Cartuche, Camila Alejandra
- Subjects
ACCREDITATION ,SCHOOL environment ,PHILOSOPHY of education ,NURSING career counseling ,UNIVERSITIES & colleges ,SCIENTIFIC observation ,NURSING education ,DESCRIPTIVE statistics ,RESEARCH methodology ,DATA analysis software - Abstract
Copyright of Enfermería Investiga: Investigaciin, Vinculación, Docencia y Gestiin is the property of Revista Enfermeria Investiga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
- Full Text
- View/download PDF
39. Self-appraisal of communication skills in phase I medical students -- A comprehensive analysis.
- Author
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Davis, Aruna and Bahuleyan, Biju
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COMMUNICATIVE competence ,MEDICAL students ,SELF-evaluation ,OUTCOME-based education - Published
- 2024
- Full Text
- View/download PDF
40. Enriching math teaching guides from a competency-based perspective.
- Author
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Vilalta Riera, Albert, Deulofeu Piquet, Jordi, and Morera Úbeda, Laura
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MATHEMATICS education ,OUTCOME-based education ,TEACHING methods ,INSTRUCTIONAL systems design ,CURRICULUM planning - Abstract
This study introduces a novel framework designed to enrich mathematics teaching guides from a competency-based perspective. First, we narrow down the concept of a teaching guide in mathematics education, grounded in the documentational approach to didactics. This definition offers an updated perspective on the structure and function of math teaching guides in educational settings. Second, we provide a comprehensive definition of 'richness' in math activities, encompassing content, processes, cognitive demand, and classroom management. Lastly, we introduce an analytical tool developed for assessing and enhancing the richness of math teaching guides. This tool, formed through theoretical analysis and empirical testing, assists educators and curriculum developers in creating more balanced and integrative teaching guides. The results suggest that the tool holds potential for broader applications in curriculum design and teacher education. The findings contribute to the broader understanding of how teaching guides can effectively capture and communicate the richness of activities, thereby serving as a valuable tool for improving mathematical education resources. [ABSTRACT FROM AUTHOR]
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- 2024
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41. Instrumento de avaliação de competências para o internato de Medicina da Família e Comunidade: desenvolvimento e validação.
- Author
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CAMPOS TEIXEIRA, LEONARDO, CASTILHO PELLIS, ISABELA, CORRÊA, MATHEUS, and MACHADO PRADO, MARIA ROSA
- Subjects
MEDICAL education ,COMMUNITY health services ,INTERNSHIP programs ,OUTCOME-based education ,EDUCATIONAL evaluation - Abstract
Copyright of Meta: Avaliação is the property of Revista Meta: Avaliacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
42. Preclinical obesity curriculum: audit, implementation, and evaluation.
- Author
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Olson, Amber, Watowicz, Rosanna, Seeholzer, Eileen, Lyons, Katherine, Butsch, W. Scott, and Croniger, Colleen
- Subjects
CURRICULUM evaluation ,MEDICAL school curriculum ,OBESITY ,MEDICAL students ,ATTITUDE change (Psychology) ,MEDICAL personnel - Abstract
Background: This study aimed to (1) evaluate the current status of obesity education at Case Western Reserve University School of Medicine (CWRU) (2), introduce a comprehensive first-year curriculum on obesity, and (3) assess the impact of the curriculum on self-reported attitudes and knowledge regarding obesity among first-year medical students. Methods: The preclinical curriculum at CWRU was reviewed to determine the degree of coverage of Obesity Medicine Education Collaborative (OMEC) competencies for healthcare professionals, and recommendations were provided for revising the curriculum to better adhere to these evidence-based competencies. A survey on obesity attitudes and knowledge was given before and after the implementation of the new curriculum to measure intervention-related changes. Changes in obesity attitudes and knowledge were compared (1) before and after the intervention for the class of 2025 and (2) after the intervention for the class of 2025 to a historical cohort that did not receive the intervention. Results: Among the 27 competencies examined in the audit, 55% were unmet and 41% were partially met. Of 186 first-year medical students (M1s), 29 (16%) completed the baseline survey and 26 (14%) completed the post-intervention survey. Following the intervention, there was a notable improvement in attitudes and knowledge regarding obesity. Specifically, there was a significant decrease in the belief that obesity is caused by poor personal choices, and knowledge of obesity in fourteen out of fifteen areas showed significant improvement from pre- to post-intervention. Additionally, obesity attitudes and knowledge were significantly better post-intervention when compared to the historical cohort. Conclusions: The improvements made to the preclinical curriculum through this project improved obesity attitudes and knowledge among first-year medical students. This method provides a practical approach for evaluating and enhancing obesity education in medical school curricula. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
43. Clinical competency of nurses trained in competency-based versus objective-based education in the Democratic Republic of the Congo: a qualitative study.
- Author
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Nagai, Mari, Oikawa, Miyuki, Komagata, Tomoko, Basuana, Josué Désiré Bapitani, Ulyabo, Gérard Kahombo, Minagawa, Yui, Matsuoka, Sadatoshi, Egami, Yuriko, Honda, Mari, and Tamura, Toyomitsu
- Subjects
- *
CAREER development , *CITIZENSHIP education , *OUTCOME-based education , *CLINICAL competence , *HEALTH facilities - Abstract
Background: Designing competency-based education (CBE) programmes is a priority in global nursing education for better nursing care for the population. In the Democratic Republic of the Congo (DRC), object-based education (OBE) remains mainstream in pre-service nursing education programmes. Recently, the Ministry of Health developed a self-assessment tool and quantitatively compared the clinical competency of CBE- and OBE-trained nurses. This study aimed to qualitatively triangulate the results of self-evaluation by exploring perception of supervisors, incumbent CBE-, and OBE-trained nurses in comparison with the competence of the two types of nurses, and to identify influential factors or barriers to their competence in clinical settings. Methods: A qualitative descriptive approach with conventional content analysis was applied. Twenty interviews with clinical supervisors who oversaw both CBE- and OBE-trained nurses, 22 focus group discussions (FGDs) with CBE-trained nurses, and 21 FGDs with OBA-trained nurses currently working in health facilities were conducted. Participants of the FGDs were selected from the participants of the DRC self-assessment competency comparison study where there was no statistically significance between CBE- and OBE-trained nurses in the demographic characteristics. Data were analysed in terms of the competencies identified by the Ministry of Health. Results: The supervisors recognised that the CBE-trained nurses had stronger competencies in professional communication, making decisions about health problems, and engaging in professional development, but were weak in clinical skills. This study identified challenges for supervisors in assuring standardised care in health facilities with OBE- and CBE-trained nurses, as well as barriers for CBE-trained nurses as a minority in the workplace in demonstrating their competencies. Conclusions: The study results support the Ministry of Health's policy to expand CBE in pre-service education programmes but reveal that its slow implementation impedes full utilisation of the acquired competencies at health facilities. Implementation could be accelerated by strengthening cooperation among the Ministry of Health's three human resource departments, and developing and implementing a well-planned, legally binding, long-term CBE reform strategy, including an approach to the Continuing Professional Development system. [ABSTRACT FROM AUTHOR]
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- 2024
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44. Performance Indicators Corresponding to the Critical Competencies in Children's Environmental Health.
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Del Rio, Michelle, Lasley, Patricia, Tallon, Lindsay, Kauth, Jean-Marie, Bare, Gina, McCurdy, Leyla, and Etzel, Ruth A.
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ENVIRONMENTAL health , *CLINICAL medicine , *CHILDREN'S health , *KEY performance indicators (Management) , *RATING of students , *CHILD development , *PUBLIC health , *NATIONAL competency-based educational tests , *PROFESSIONAL competence - Abstract
According to the World Health Organization, a clean, safe, and healthy environment is essential for children to develop and thrive. Environmental insults to human health and well-being take on many forms, including environmental contaminants, lack of sanitation, socioeconomic concerns, and climate change factors--to which children are at heightened vulnerability. Supportive interventions in children's environmental health will affect not only the future lives of children but also the lives of families and communities. Translating knowledge to action provides a path forward in efforts to protect children. The 12 critical competencies developed by Del Rio et al. (2023) outlined an interdisciplinary approach to grappling with environmental health threats to children. These associated performance indicators map the proficiencies needed for competent performance in the public health sector and accurate assessment of environmental threats to children's health. The performance indicators for each critical competency were developed and intended as a guide for education and training. [ABSTRACT FROM AUTHOR]
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- 2024
45. Stakeholder perspectives on co‐designing a post‐registration mental health nursing curriculum: A case study.
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Molloy, Renee, Hansen, Alison, Robinson, Eddie, D'Astoli, Pauline, Wood, Tom, and Buus, Niels
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MENTAL health , *INTERPROFESSIONAL relations , *QUALITATIVE research , *FOCUS groups , *RESPECT , *CONTINUING education of nurses , *ATTITUDES of medical personnel , *CURRICULUM planning , *TRUST , *STAKEHOLDER analysis , *PSYCHIATRIC nursing , *OUTCOME-based education , *CASE studies , *INTERPERSONAL relations , *GROUP process - Abstract
Introduction: Globally, healthcare regulatory bodies require providers of academic programs to involve service users in the design and delivery of education, yet concrete and tested directions for operationalising this are lacking. Service users' involvement in education is often passive, ad‐hoc and tokenistic, with limited input at the program development level. Aim: To explore the co‐design processes and outcomes of a collaborative revision of an Australian post‐registration mental health nursing curriculum. Method: Using qualitative case study design, the experiences and collaborative practices of five stakeholders (one mental health service user, two carers and two academics) co‐designing a post‐registration mental health nursing curriculum were explored. Results: Commonly identified barriers to meaningful involvement were overcome through planning and collaborative execution of the group's work. Participants reported a strong sense of successful collaboration in reviewing the curriculum, trusting relationships and mutual respect. Discussion: While it was possible to support and augment stakeholder knowledge in the context of post‐registration education, co‐design processes were ultimately bound by the university's relatively inflexible bureaucratic context. Implications for Practice: To ensure effective stakeholder collaboration beyond classroom teaching, mental health nurse academics must prepare service users for the role, explaining the language and practices of the tertiary health education and nursing context. As part of co‐design processes, organisational mandates must be explored and negotiated, and mutual clarity regarding expectations and roles must be established. A Design Thinking approach can support meaningful engagement of stakeholders in curriculum development. [ABSTRACT FROM AUTHOR]
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- 2024
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46. Challenges Faced by Undergraduate Students of a Medical College in Kolkata During Family Visits Under Family Adoption Programme: A Mixed-Methods Study
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Soma Chakrabarti, Ankita Mishra, Ratul Kumar Bysack, Sreetama Chakrabarti, Somnath Naskar, and Mausumi Basu
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challenges ,competency-based education ,community health services ,family adoption programme ,medical students ,Medicine - Abstract
Background Family Adoption Programme (FAP) has been introduced in the curriculum for medical students to help them learn empathy while understanding the customs and limitations of the community. Though this would help in attaining universal health coverage, most of its aspects are still unknown. Through this study, challenges faced by the students could be identified and addressed. Objectives This study aimed to identify and explore the challenges faced by undergraduate students of a medical college in Kolkata during family visit under FAP. Materials and Methods A descriptive study, cross-sectional in design, using a mixed-methods approach (convergent parallel) was conducted for 2 months (from February 6, 2023, to April 8, 2023) at a medical college in Kolkata. On obtaining approval from the Institutional Ethics Committee (IEC) and after obtaining informed written consent from the participants, data were collected from the undergraduate medical students using a predesigned, pretested, and semi-structured questionnaire. In-depth interviews (IDIs) were conducted on purposively selected faculties supervising the visit. The quantitative data were analyzed using Statistical Package for the Social Sciences (SPSS) version 25, while the qualitative data were analyzed thematically. Results The study included 170 students and five faculties. The majority (91.8%) of the students faced challenges during the visit. The most commonly encountered challenge was transport related. Other problems faced were lack of supervision during the examination of the family members, difficulty in communicating, and locating allotted family and safety issues. The faculty members identified challenges related to transportation, burden of community expectations, insufficient clinical exposure, communication, and locating allotted families. On juxtaposition of quantitative and qualitative data, transportation issues, difficulty in locating families, and communication barrier were confirmed. Conclusion Almost all the students faced challenges during the family visits. Challenges, such as transportation issues, finding the family, and language barrier, were confirmed.
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- 2024
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47. TEACHING OF PATIENT SAFETY IN UNDERGRADUATE NURSING COURSES
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Stephanye Vithória Martins da Silva, Maria do Carmo Fernandez Lourenço Haddad, Patrícia Aroni Dadalt, and Larissa Gutierrez de Carvalho Silva
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Patient Safety ,Educational Evaluation ,Competency-Based Education ,Quality Assurance ,Undergraduate Nursing Programs. ,Nursing ,RT1-120 ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Objective: To identify the insertion of the theme “Patient Safety”, as a separate discipline, in undergraduate Nursing courses in the State of Paraná – Brazil. Method: Exploratory, descriptive, documentary-type study, with a quantitative approach, developed through analysis of information described in the curriculum guidelines, collected in January 2023 and analyzed using the document analysis method. Results: Of the 54 undergraduate nursing courses offered in the State of Paraná, nine teach specific subjects on the topic “patient safety”, three in public institutions and six in private institutions. Conclusion: Curricular weaknesses were observed in the approach to this topic, with a noticeable need to introduce concepts about patient safety into the curricular guidelines, integrating theory into professional practice.
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- 2024
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48. Psychotherapy Skills for Psychiatric Mental Health Nurse Practitioner Students in the Age of Competency-Based Education.
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Kent, Kelsey G.
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NURSING education , *PSYCHOTHERAPY , *NURSES , *PSYCHOTHERAPISTS , *TEACHING methods , *SIMULATION methods in education , *OUTCOME-based education , *LEARNING strategies , *NURSING students , *VIDEO recording - Abstract
As the field of nursing moves toward competency-based education, faculty need to adapt teaching and learning strategies to meet standards for assessing core behaviors of graduate psychiatric mental health nurse practitioner students. This article reviews a psychotherapy skills-based learning assignment at Frontier Nursing University that was adapted to meet developing competency-based learning standards. The assignment utilizes prerecorded video scenarios to provide students with opportunities to reinforce psychotherapy skills during didactic coursework. Assessment is conducted via an analytic rubric and specific feedback is given to each student in writing. [ABSTRACT FROM AUTHOR]
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- 2024
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49. Implementation of a Mental Health Objective Structured Clinical Examination (OSCE) Using Standards of Best Practice.
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Stockmann, Cherrill, Adelman-Mullally, Theresa, Willett, Joanna, and Dyck, Mary J.
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COMPETENCY assessment (Law) , *PHYSICAL diagnosis , *COMMUNICATIVE competence , *NURSE-patient relationships , *PROFESSIONAL practice , *RESEARCH funding , *RESEARCH methodology evaluation , *PILOT projects , *UNDERGRADUATES , *HEALTH occupations students , *NURSING education , *EXPERIMENTAL design , *CLINICAL competence , *PSYCHOMETRICS , *RESEARCH methodology , *NATIONAL competency-based educational tests , *STUDENT attitudes , *NURSING students , *INTER-observer reliability ,RESEARCH evaluation - Abstract
The objective structured clinical examination (OSCE) is effective for the evaluation of clinical competence. Studies examining the use of OSCEs in undergraduate mental health nursing education in the United States are limited. A pilot study and a followup study were conducted to establish the reliability and validity of a mental health OSCE to evaluate the clinical competence of prelicensure nursing students. International Nursing Association for Clinical Simulation and Learning Standards of Best Practice were used to guide the design and implementation. Results from both studies provide evidence for the use of OSCE in undergraduate mental health nursing education. [ABSTRACT FROM AUTHOR]
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- 2024
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50. The intersections between competency-based education and simulation-based education: Integration in nursing education.
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Gilbert, Marie, Brown, Kristen M., and Watts, Penni
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The article focuses on John Carroll University's response to the Registered Nursing (RN) shortage with a new academic-practice partnership for its Bachelor of Science in Nursing (BSN) program. Topics discussed include integrating practicing RNs as clinical instructors through a "leased employee agreement," collaborating with Chief Nurse Executives (CNEs), and the positive feedback received from students and faculty since August 2023.
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- 2024
- Full Text
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