KeyLIME KeyLIME

For nearly 100 years, there have been calls from experts and other stakeholders to change medical education to incorporate “health systems science” (HSS). This push for HSS in health professions education is heating up, as multiple countries seek physicians who have new sets of skills and behaviours to improve the performance of health care systems and improve patient outcomes. Jason presents a qualitative study that sets out to identify “value-added roles for medical students within the health care delivery system” in Pennsylvania, USA.  
Authors: Gonzalo JD, Graaf D, Johannes B, Blatt B, Wolpaw DR.
Publication details: Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students. American Journal of Medical Quality. 2016 Apr 26. [Epub ahead of print] PubMed Link

What are the effective solutions to prevent burnout and promote wellness for clinicians?  Jon presents a systematic review that attempts to answer that problem. (All three hosts wanted to present this paper but Jon was the quickest to grab it!) His own specialty (Emergency Medicine) consistently ranks high in several studies on burnout. 
Authors: Panagioti M, Efharis Panagopoulou E, Peter Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A.
Publication details: Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine. 2016 Dec. [ePub ahead of print] PubMed Link

Linda presents an article that summarizes five contemporary theories about motivation to learn, articulates key intersections and distinctions among these theories, and identifies important considerations for future research - the hosts agree all Clinician Educators in training should have this article on their bookshelf!
Authors: Cook DA, Artino AR Jr
Publication details: Motivation to learn: an overview of contemporary theories. Medical Education. 2016. 50(10):997-1014. PubMed Link

In this episode: Jason has chosen today’s article to discuss how the ratio of teachers to learners is an important design factor. Length: 28:14 min. 
Authors: Loewen PS, Gamble A, Legal M, Shah K, Tkachuk S, Zed PJ.
Publication details: Learner-Preceptor Ratios for Practice-Based Learning Across Health Disciplines: A Systematic Review. Medical Education. 2016 Nov 23. [Epub ahead of print] Read the article here.

In this episode: Jon’s chosen paper discusses the quality of blogs and podcasts used by residents - now that text books are in the process of becoming extinct. Length: 23:47 min. 
Authors: Lin M, Joshi N, Grock A, Swaminathan A, Morley EJ, Branzetti J, Taira T, Ankel F, Yarris LM. 
Publication details: Approved Instructional Resources Series: A National Initiative to Identify Quality Emergency Medicine Blog and Podcast Content for Resident Education. J Grad Med Educ. 2016 May;8(2):219-25. PubMed Link

In this episode: Jason rates this paper’s method section as a 5 because of the gargantuan effort involved, he also suggests we stop calling data ‘Teacher Evaluation’ and instead call it ‘Learner Satisfaction’.  Length: 27:15 min. 
Authors: Uttl B, White CA, Gonzalez DW
Publication details: Meta-analysis of faculty's teaching effectiveness: Student evaluation of teaching ratings and student learning are not related. Studies in Educational Evaluation. 2016 Sept 19 Link to journal page