JAMA : the journal of the American Medical Association
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Randomized Controlled Trial
Effect of exposure to good vs poor medical trainee performance on attending physician ratings of subsequent performances.
Competency-based models of education require assessments to be based on individuals' capacity to perform, yet the nature of human judgment may fundamentally limit the extent to which such assessment is accurately possible. ⋯ In an experimental setting, attending physicians exposed to videos of good medical trainee performances rated subsequent borderline performances lower than those who had been exposed to poor performances, consistent with a contrast bias.
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Randomized Controlled Trial
Effectiveness of a clinically integrated e-learning course in evidence-based medicine for reproductive health training: a randomized trial.
For evidence-based practice to embed culturally in the workplace, teaching of evidence-based medicine (EBM) should be clinically integrated. In low-middle-income countries (LMICs) there is a scarcity of EBM-trained clinical tutors, lack of protected time for teaching EBM, and poor access to relevant databases in languages other than English. ⋯ In a group of LMICs, a clinically integrated e-learning EBM curriculum in reproductive health compared with a self-directed EBM course resulted in higher knowledge and skill scores and improved educational environment.
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There has been difficulty designing medical school admissions processes that provide valid measurement of candidates' nonacademic qualities. ⋯ Compared with students who were rejected by an admission process that used MMI assessment, students who were accepted scored higher on Canadian national licensing examinations.