Exploring the Validity of an Instrument That Measures Final Year Medical Students' Career Choice Preferences.

Purpose: The influences on medical graduates' career choices and destinations are varied but not well quantified. This study aimed to explore the validity of an instrument that measures the factors that influence Aotearoa New Zealand (NZ) medical students' career choices.

Methods: The Medical Schools Outcomes Database (MSOD) questionnaire containing 24 question items entitled "Factors Influencing Career Choice" (FICC) section was psychometrically analyzed.

Technology, evidence, and continuing clinical education: a role for self-directed learning?

Clinical technology in anaesthesia is rapidly advancing, challenging clinicians to find the time for the vital task of keeping up-to-date with new equipment. Self-directed learning using video has been shown to be an effective and flexible method to meet this training challenge, but this mode of learning seems unlikely to entirely replace instructor-led learning.

Artificial Intelligence in Medical Education: a Scoping Review of the Evidence for Efficacy and Future Directions.

Artificial intelligence (AI) has demonstrated clinical potential, yet its influence on medical education remains limited. This review explores AI applications in medical education, evaluates available evidence and considers future applications. We conducted a scoping review (PubMed, MEDLINE, SCOPUS, Google Scholar; 2010-2022) identifying 42 relevant peer-reviewed articles.

The future of sound in patient monitoring: a call to action to embrace the evidence and move forward.

Patient monitoring systems have relied on beeping alarm sounds for the past 70 years, yet evidence suggests that these conventional tones limit alarm effectiveness, informativeness, and user situation awareness. More advanced alarm modalities, such as auditory icons and voice alerts, offer more intuitive approaches, and were found to improve alarm detection and reduce caregiver workload. Made possible by adoptions of international standards, and supported by evidence, the future of patient monitoring alarm sounds might incorporate conventional alarm tones with auditory icons, voice alerts, and advanced visualisations to better support caregivers and reduce alarm fatigue in patients and caregivers.

The Conceptualization of Health Care Resilience: A Scoping Review.

Objectives: In recent years, health care resilience has garnered increased attention, particularly since COVID-19. Resilience in health care is commonly framed across four interconnected levels: individual, team, organisational, and systemic. While individual-level resilience is relatively well explored, conceptualisations at other levels remain poorly defined.

Vitamin D deficiency and duration of COVID-19 symptoms in UK healthcare workers.

Objectives: Vitamin D has a role in the innate immunity against pathogens and is also involved in mechanisms for reducing inflammation. VD deficiency (VDD) may increase COVID-19 infection susceptibility, however research is limited on the association between VDD and COVID-19 symptom prevalence and duration. The study aimed to determine whether VDD is a risk factor for the presence and extended duration of COVID-19 symptoms.

Phytoplasma vignae', assigning a species description to a long-known phytoplasma occurring in northern Australia.

Gene- and genome-based approaches were used to determine whether little leaf (ViLL) phytoplasma, which occurs in northern Australia, is a distinct ' Phytoplasma' species. The ViLL 16S rRNA gene sequences exhibited the highest known similarity to species in the 16SrXXIX-A and 16SrIX-D subgroups, namely ' Phytoplasma omanense' (98.03-98.

Safety improvement requires data: the case for automation and artificial intelligence during incident reporting.

The reporting of incidents has a long association with safety in healthcare and anaesthesia, yet many incident reporting systems substantially under-report critical events. Better understanding the underlying reasons for low levels of critical incident reporting can allow such factors to be addressed systematically to arrive at a better reporting culture. However, new forms of automation in anaesthesia also provide powerful new approaches to be adopted in the future.

A standard to report biological variation data studies - based on an expert opinion.

There is a need for standards for generation and reporting of Biological Variation (BV) reference data. The absence of standards affects the quality and transportability of BV data, compromising important clinical applications. To address this issue, international expert groups under the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) have developed an online resource (https://tinyurl.

A simple system change to reduce delays in emergency calls for assistance during anaesthesia in the operating theatre.

Promptly calling for assistance in an anaesthetic emergency is important. However, emergency call systems are not present in all locations where anaesthesia is administered, and in those that do have an emergency call system, the call button is often obscured by other equipment or in an unfamiliar location. Placing a red stripe from the ceiling, down the wall, to the emergency call button significantly reduces delays in activating an emergency call, demonstrating a simple but effective system change to the layout of operating theatres.

Learning pathways composed of core subjects with features of reducing cognitive load have better learning outcomes.

Background: Changing the course duration or timing of subjects in learning pathways would influence medical students' learning outcomes. Curriculum designers need to consider the strategy of reducing cognitive load and evaluate it continuously. Our institution underwent gradual curricular changes characterized by reducing cognitive load since 2000.

Medical Students' Self-Perceptions of Harassment During Clinical Placement.

Objectives: Exploring workplace dynamics during clinical placement is crucial to determine whether medical students are encountering safe and meaningful learning experiences. The aim of this original article is to describe medical students' reported harassment experiences whilst on clinical placement.

Design: Medical students in years 4 to 6 were invited to participate in the survey.

Analytical performance specifications based on biological variation data - considerations, strengths and limitations.

Analytical performance specifications (APS) are typically established through one of three models: (i) outcome studies, (ii) biological variation (BV), or (iii) state-of-the-art. Presently, The APS can, for most measurands that have a stable concentration, be based on BV. BV based APS, defined for imprecision, bias, total allowable error and allowable measurement uncertainty, are applied to many different processes in the laboratory.

A metagenomic investigation of phytoplasma diversity in Australian vegetable growing regions.

In this study, metagenomic sequence data was used to investigate the phytoplasma taxonomic diversity in vegetable-growing regions across Australia. Metagenomic sequencing was performed on 195 phytoplasma-positive samples, originating either from historic collections (=46) or during collection efforts between January 2015 and June 2022 (=149). The sampled hosts were classified as crop (=155), weed (=24), ornamental (=7), native plant (=6), and insect (=3) species.

Psychology in the operating theatre: the importance of colour and cognition in the redesign of clinical systems for medication safety.

Medication errors in anaesthesia remain a leading cause of patient harm. Compared with conventional methods, use of the international colour-code standard on syringes and medication trays allows significantly more errors to be detected, and does so under conditions of cognitive load. Testing methods from experimental psychology provide important new insights for human factors research in anaesthesia and health care.

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

Healthcare today is the prerogative of teams rather than of individuals. In acute care domains such as anaesthesia, intensive care, and emergency medicine, the work is complex and fast-paced, and the team members are diverse and interdependent. Three decades of research into the behaviours of high-performing teams provides us with clear guidance on team training, demonstrating positive effects on patient safety and staff wellbeing.

Age-specific Reference Intervals of Abbott Intact PTH-Potential Impacts on Clinical Care.

Background: PTH assays are not standardized; therefore, method-specific PTH reference intervals are required for interpretation of results. PTH increases with age in adults but age-related reference intervals for the Abbott intact PTH (iPTH) assay are not available.

Methods: Deidentified serum PTH results from September 2015 to November 2022 were retrieved from the laboratory information system of a laboratory serving a cosmopolitan population in central-west England for individuals aged 18 years and older if the estimated glomerular filtration rate was ≥60 mL/min, serum 25-hydroxyvitamin D was >50 nmol/L, and serum albumin-adjusted calcium and serum phosphate were within reference intervals.

Interprofessional Learning in Multidisciplinary Healthcare Teams Is Associated With Reduced Patient Mortality: A Quantitative Systematic Review and Meta-analysis.

Objective: The aim of the study is to identify quantitative evidence for the efficacy of interprofessional learning (IPL) to improve patient outcomes.

Methods: We conducted a systematic review and meta-analysis of quantitative patient outcomes after IPL in multidisciplinary healthcare teams reported in the Medline, Scopus, PsycInfo, Embase, and CINAHL databases.

Results: In 2022, we screened 15,248 reports to include 20 and extracted rates of mortality and primary outcomes in conventional care groups and intervention groups (involving initiatives to promote IPL in multidisciplinary teams).

Validation of the Generalized Workplace Harassment Questionnaire for Use with Medical Students.

The Generalized Workplace Harassment Questionnaire (GWHQ) has not been validated among medical students whilst they are on clinical placements. Therefore, this study aims to validate its use when applied to this cohort. A sample of 205 medical students in their clinical training phase completed the GWHQ.

Systems, safety, and anaesthesia outside the operating room.

An increasing number of patients are receiving sedation or anaesthesia in locations outside of the operating room. Compared with the operating room, anaesthesia providers working in a non-operating room anaesthesia (NORA) location report significantly lower perceived levels of safety, and higher levels of anxiety, stress, and workload. These results are likely to affect the well-being of staff in NORA locations and are clinically relevant in terms of patient safety.