KeyLIME

Jon's selected paper for review today is about 'Complexity Science' and does it address the oxymoron of bring order to a system that is unpredictable.

Authors: Cristancho et al.

Publication details:  What is the state of complexity science in medical education research? Med Educ. 2019 Jan;53(1):95-104 

Episode length 29:38

Jason's chosen paper is on Authorship, which is a fundamental attribution for scholarly contribution, and is the basis of career advancement, global recognition, funding, wellness, professional identity, and even historical legacy. Unfortunately, it is mired in tomfoolery. 

Voting on Methods at 27:15, and Educational Impact 27:30

Authors:   Maggio et. al.

Publication details: Exploring researchers' perspectives on authorship decision making. Med Educ. 2019 Sep 1. doi: 10.1111/medu.13950. [Epub ahead of print] 

Length of Episode: 24:45

1. Jon - Is it time to start using the emoji in biomedical literature?
2. Lara - Extraneous factors in judicial decisions
3. Linda -Incidence of and risk factors for nodding off at scientific sessions
4. Jason - It takes biking to learn: Physical activity improves learning a second language

Today's paper was chosen by Dr. Linda Snell discussing the shift in responsibility and the need to survive.

Authors:  Walzak et al., 

Publication details: Working in the dead of night: exploring the transition to after-hours duty Med Educ. 2019 Mar;53(3):296-305 

Released on May 14, 2019

Linda's article discusses what happens to those who go to medical school after parental influence.

Authors: Griffin B, Hu W.

Publication details: Parental career expectations: effect on medical students’ career attitudes over time. Med Educ. 2019 Feb 7. [Epub ahead of print]

Episode length 24:50

This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165. 

The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.

Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!

Voting for Methods and Impact - at 20 minutes in.

 Authors:  Chaiyachati et al.,

Publication details:  Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15. 

Jon chose a letter to the Editor.

Study - A robot equipped with AI - performs breast biopsy without a clinician present.

Authors:  Shlomi Laufer, Anne-Lise D. D'Angelo, and Carla M. Pugh

Publication details: Sensor Technology in Assessments of Clinical Skill. N Engl J Med. 2015 Feb 19;372(8):784-6. 

Episode length - 25:45

 The purpose of this study is

(1) to discuss the terms used in reference to clinical reasoning;

(2) describe how the research team categorized those terms in relation to the meanings inferred by each term and

(3) to report where there are disagreements in those interpretations 

Voting on Methods and Educational Impact start at 19:30

Authors:  Young et al.,

Publication details: The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8 

Jason selects an important paper on Physician burnout and how concerns have reached a strident pitch

Authors:  Panagioti, et al,.

Publication details: Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330.

Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner? 

Authors:  Shinkai et al. 

Publication details:  Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7) 

Jon's chosen article explores the information-gathering techniques of residents by analyzing their initial visual fixation patterns in a simulated resuscitation environment.

Authors:  Szulewski et al.,

Publication details:  A new way to look at simulation-based assessment: the relationship between gaze-tracking and exam performance CJEM. 2019 Jan;21(1):129-137. Epub 2018 Jun 21. 

This is Lara Varpio's 6th 'Methods Consult' for KeyLIME. 

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

Additional material about Thomas Kuhn, ontologies and epistemologies:

1. Stanford Encyclopedia of Philosophy [Internet]. Stanford University: Center for the Study of Language and Information; 2019. Available from: https://plato.stanford.edu
2. Kuhn, TS. The Structure of Scientific Revolutions. 50th ed. Chicago IL: University of Chicago Press; 2012 (Original work published in 1962).
3. Okasha, S. Philosophy of Science: A Very Short Introduction. 2nd ed. Oxford UK: Oxford University Press; 2016.

Episode length 25:55

This paper was selected by Lara Varpio it focuses on two important qualities for all clinicians to embrace and embody in their clinical work: empathy and compassion.

Voting on Methods at 22:30, and Educational Impact 23:27

Authors:  Krishnasamy et. al.,

Publication details: How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57. 2019 Med Teach. 2019 Aug 7:1-12. 

Total length of episode 38:17

This episode was recorded live at ICRE 2019 in Ottawa, Ontario.

Jon presents paper first paper at 7:30

Purpose:  “…we sought to determine which interventions aimed at increasing under-represented populations are associated with meeting the desired outcomes of increasing the representation of these populations within the health professions student body.” 

Audience participation

1) 24:42 Stan Hamstra - @StanHamstra

2) 28:04 Paula Craigo  -

3) 29:05 Saleem Razack @SaleemRazack 

Methodology vote starts at: 32:04

Educational Impact vote: 34:26

Authors:   Simone et al.,

Publication details: What are the features of targeted or systemwide initiatives that affect diversity in health professions trainees? A BEME systematic review: BEME Guide No. 50 2018 Medical Teacher, 40:8, 762-780, 

Why a robust body of theory-driven research is needed for education in the clinical setting.

Authors: Cleland J, Durning S.

Publication details: Education and service: how theories can help in understanding tensions. Medical Education 2019 53: 42–55

Length: 22:52

How did the Master Clinicians in your environment get their mastery ?

Authors:  Murthy VK, O'Brien B, Dhaliwal G.

Publication details: An Inquiry Into the Early Careers of Master Clinicians J Grad Med Educ. 2018 Oct;10(5):500-506 

Jon's paper discusses the wish list of many PD's in how to identify a resident in difficulty.

Authors: Ross S et al.,

Publication details:  Association of a Competency-Based Assessment System With Identification of and Support for Medical Residents in Difficulty. JAMA Netw Open. 2018 Nov 2;1(7):e184581.

Today's article for discussion was chosen by Linda. The autors aimed to ‘use a structured framework and individualized EMR-level data to guide how residents receive practice feedback, interpret data on their patient, panels, engage them in quality improvement efforts, and prepare them for practice.’

Authors: Haynes et al.,

Publication details:  Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education. Journal of Graduate Medical Education, April 2019

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

Jason paper is fanning the flames on the hot topic of 'Coaching'.

Linda wants to know if it works in Medicine.

Jon compares Coaching in medicine to a Diving Coach i.e. the 'triple lutz salchows' !! 

Authors: Watling CJ, LaDonna KA

Publication details:  Where philosophy meets culture: Exploring how coaches conceptualize their roles. Med Educ. 2019 Jan 23. [Epub ahead of print]  

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!