Assessing Geriatric Competencies in Residents: Validating the 5Ms Dimensions.

Despite undergraduate training in geriatric care, gaps persist throughout residency, highlighting limitations of current assessment methods in evaluating medical expertise across geriatric dimensions. We developed a case-based assessment using the geriatric 5Ms framework (Mind, Mobility, Medications, Multicomplexity, Matters Most), aligned with undergraduate objectives and North American internal medicine milestones. We present feasibility data and preliminary validity evidence of using the geriatric 5Ms framework to evaluate residents' geriatric medical expertise.

Print-It-Yourself Bone Marrow Biopsy Simulator Compared With Human Cadavers.

Introduction: Bone marrow biopsy is a critical skill in hematology-oncology and internal medicine training. Less experienced practitioners more frequently obtain suboptimal specimens, leading to misdiagnoses, delays, or repeated procedures; rare but serious complications can occur during training on actual patients. Although cadaveric simulation and commercial simulators are valuable training tools, they present significant cost and accessibility challenges.

Key to sessile gnesiotrochan rotifers: Lacinularia and Sinantherina (Monogononta; Flosculariidae).

Understanding the general biology, biodiversity, ecology, and evolutionary history of organisms necessitates correct identification. Found worldwide in fresh, brackish, and some marine waters, rotifers can be difficult to identify due to their small size, complex characteristics, and dearth of keys to their identification. Moreover, many species lack a hard body wall (i.

Key to sessile gnesiotrochan rotifers: Floscularia (Monogononta; Flosculariidae).

Correct identification of species is necessary if we are to understand their biology, ecology, and evolutionary history, as well as to catalog their global biodiversity. This is acutely critical for many micrometazoans like rotifers, which are often difficult to identify because of their small size and complicated morphologies. Rotifers are ubiquitous micrometazoans that are found worldwide in fresh, brackish, and some marine waters.

Feedback in an Entrustment-Based Objective Structured Clinical Examination: Analysis of Content and Scoring Methods.

The integration of entrustable professional activities (EPAs) within objective structured clinical examinations (OSCEs) has yielded a valuable avenue for delivering timely feedback to residents. However, concerns about feedback quality persist. This study aimed to assess the quality and content alignment of verbal feedback provided by examiners during an entrustment-based OSCE.

Interventions for undergraduate and postgraduate medical learners with academic difficulties: A BEME systematic review update: BEME Guide No. 85.

Background: Clinical teachers often struggle to record trainee underperformance due to lacking evidence-based remediation options.

Objectives: To provide updated evidence-based recommendations for addressing academic difficulties among undergraduate and postgraduate medical learners.

Methods: A systematic review searched databases including MEDLINE, CINAHL, EMBASE, ERIC, Education Source, and PsycINFO (2016-2021), replicating the original Best Evidence Medical Education 56 review strategy.

Setting priorities for physical examination in pharmacy education: A Delphi study.

Background: As the scope of pharmacy practice is expanding, a growing number of pharmacists perform physical examination (PE) to gather additional information to monitor the effectiveness and safety of their patients' therapy. This professional activity calls for the development of comprehensive and valuable PE training. We sought to determine by consensus which PE tests should be given teaching priority in pharmacy education.

Key to sessile gnesiotrochan rotifers: Families, monospecific species in Flosculariidae, species of Atrochidae, Conochilidae, and Limnias.

Accurate identification of species is key to understanding their ecological roles and evolutionary history. It is also essential in cataloging biodiversity for comparisons among habitat types, responses to climate change, effective management practices, and more. The paucity of taxonomic expertise is increasing and with it the ability to competently identify species, this is particularly true for small taxa including rotifers.

Collaboration Scripts or Checklists to Engage Novice Observers in Immersive Simulation?

Introduction: In simulation, students often observe their peers perform a task. It is still unclear how different types of instructional guidance can turn the observational phase into an active learning experience for novices. This mixed-method study aims to understand similarities and differences between use of collaboration scripts and checklists by observers in terms of cognitive load and perception of learning.

[Feedback Guide for direct observation of family medicine residents in Canada: a francophone tool].

Background: There is no CanMEDS-FM-based milestone tool to guide feedback during direct observation (DO). We have developed a guide to support documentation of feedback for direct observation (DO) in Canadian family medicine (FM) programs.

Methods: The Guide was designed in three phases with the collaboration of five Canadian FM programs with at least a French-speaking teaching site: 1) literature review and needs assessment; 2) development of the DO Feedback Guide; 3) testing the Guide in a video simulation context with qualitative content analysis.

Three Weeks of Team-Based Leaning Do Not Overload Undergraduate Students.

Context: Team-based learning (TBL) is a flipped-classroom approach requiring students to study before class. Fully flipped curricula usually have fewer in-class hours. However, for practical reasons, several programs implement a few weeks of TBL without adjusting the semester timetable.

Analysis of Supervisors' Feedback to Residents on Communicator, Collaborator, and Professional Roles During Case Discussions.

Background: Literature examining the feedback supervisors give to residents during case discussions in the realms of communication, collaboration, and professional roles (intrinsic roles) focuses on analyses of written feedback and self-reporting.

Objectives: We quantified how much of the supervisors' verbal feedback time targeted residents' intrinsic roles and how well feedback time was aligned with the role targeted by each case. We analyzed the educational goals of this feedback.

Simulation of Adult Surgical Cricothyrotomy for Anesthesiology and Emergency Medicine Residents: Adapted for COVID-19.

Introduction: In a CICO (cannot intubate, cannot oxygenate) situation, anesthesiologists and acute care physicians must be able to perform an emergency surgical cricothyrotomy (front-of-neck airway procedure). CICOs are high-acuity situations with rare opportunities for safe practice. In COVID-19 airway management guidelines, bougie-assisted surgical cricothyrotomy is the recommended emergency strategy for CICO situations.

How to Convince Clinicians that 'Soft' Skills Save Lives? Practical Tips to Use Clinical Studies to Teach Physicians' Roles.

This article was migrated. The article was marked as recommended. The implementation of competency-based medical education is hampered by unsupported arguments like 'soft' skills are important, but they don't save lives.

Interventions for undergraduate and postgraduate medical learners with academic difficulties: A BEME systematic review: BEME Guide No. 56.

Clinical teachers often struggle to report unsatisfactory trainee performance, partly because of a lack of evidence-based remediation options. To identify interventions for undergraduate (UG) and postgraduate (PG) medical learners experiencing academic difficulties, link them to a theory-based framework and provide literature-based recommendations around their use. This systematic review searched MEDLINE, CINAHL, EMBASE, ERIC, Education Source and PsycINFO (1990-2016) combining these concepts: medical education, professional competence/difficulty and educational support.

McKittrick-Wheelock Syndrome Presenting with Acute Kidney Injury and Metabolic Alkalosis: Case Report and Narrative Review.

A rare combination of severe volume depletion and electrolyte imbalance caused by a rectal villous adenoma is often referred to as the McKittrick-Wheelock syndrome. Patients usually seek medical care because of chronic hypersecretory diarrhea and display renal failure, metabolic acidosis, hyponatremia, and hypokalemia. We report the case of a 68-year-old woman who presented with this condition but showed unusual features such as severe hypokalemia and metabolic alkalosis, without diarrhea.

Value for money in self-regulated procedural simulation.

Background: In self-regulated procedural simulation, learners practise on many simulators (e.g. paracentesis), self-regulating their choice of simulators, time and goals.

Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations.

Background: New scheduling models were needed to adjust to residents' duty hour reforms while maintaining safe patient care. In interdisciplinary night-float rotations, four to six residents from most residency programs collaborated for after-hours cross-coverage of most adult hospitalised patients as part of a Faculty-led rotation. Residents worked sixteen 12-hour night shifts over a month.

Acute infectious aortitis presenting as pyelonephritis.

A 65-years-old man with poorly controlled type 2 diabetes presented to the emergency department in sepsis with a 2-week history of new-onset fever, abdominal pain and pyuria. A Computed Tomography without contrast ruled out nephrolithiasis and hydronephrosis, but showed infiltration around the infra-renal aorta (5 x 1 cm) and several retroperitoneal lymph nodes. The periaortic infiltration raised suspicion for acute infectious aortitis.

Twelve tips for efficient procedural simulation.

Procedural simulation (PS) is increasingly being used worldwide in healthcare for training caregivers in psychomotor competencies. It has been demonstrated to improve learners' confidence and competence in technical procedures, with consequent positive impacts on patient outcomes and safety. Several frameworks can guide healthcare educators in using PS as an educational tool.

Task Demands in OSCEs Influence Learning Strategies.

Theory: Models on pre-assessment learning effects confirmed that task demands stand out among the factors assessors can modify in an assessment to influence learning. However, little is known about which tasks in objective structured clinical examinations (OSCEs) improve students' cognitive and metacognitive processes. Research is needed to support OSCE designs that benefit students' metacognitive strategies when they are studying, reinforcing a hypothesis-driven approach.

The simulated clinical environment: Cognitive and emotional impact among undergraduates.

Context: Simulated clinical immersion (SCI) is used in undergraduate healthcare programs to expose the learner to real-life situations in authentic simulated clinical environments. For novices, the environment in which the simulation occurs can be distracting and stressful, hence potentially compromising learning.

Objectives: This study aims to determine whether SCI (with environment) imposes greater extraneous cognitive load and stress on undergraduate pharmacy students than simulated patients (SP) (without environment).