Academic medicine : journal of the Association of American Medical Colleges
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Randomized Controlled Trial
Impact of increased authenticity in instructional format on preclerkship students' performance: a two-year, prospective, randomized study.
To address whether increasingly authentic instructional formats are more effective in improving preclerkship medical students' performance. ⋯ The authors could not demonstrate that increased authenticity of the instructional format resulted in improved learner performance. However, they believe that there may be some benefit to tailoring preclerkship clinical education based on students' ability.
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Randomized Controlled Trial
Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.
Although residents commonly perform patient care sign-out during training, faculty do not frequently supervise or evaluate sign-out. The authors designed a sign-out checklist, and they investigated whether use of the checklist, paired with faculty member review and feedback, would improve interns' written sign-out. ⋯ A sign-out checklist paired with twice-monthly, face-to-face feedback from a faculty member led to improvements in the content and quality of interns' written sign-out.
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Randomized Controlled Trial Comparative Study
A randomized trial to evaluate methodologies for engaging academic physicians in grateful patient fundraising.
Donations from grateful patients can support medical education, research, and clinical programs. This study sought to compare the effectiveness of three approaches to educating physicians about grateful patient fundraising. ⋯ A process in which development officers give one-on-one coaching to physicians can effectively enhance collaboration on grateful patient philanthropy.
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Randomized Controlled Trial Comparative Study
Can eliminating risk stratification improve medical residents' adherence to venous thromboembolism prophylaxis?
Hospital-acquired venous thromboembolism (VTE) is a common and preventable adverse event that most patients are at risk of developing during their hospital stay. VTE prophylactic anticoagulation (chemoprophylaxis) is the preferred pharmacological assignment for reducing risk of VTE, but it is underused in current practices involving risk stratification (RS) for VTE prevention. The purpose of this study was to determine whether a protocol that eliminates the RS step (non-RS protocol) is more likely to lead residents to evidence-based VTE assignment than the currently used RS protocol. The non-RS protocol follows a methodology that reduces complexity by assuming that the risk of VTE is present and uses contraindications to determine appropriate VTE assignment. ⋯ This study used a new, streamlined protocol (non-RS), which improved VTE assignment and the use of chemoprophylaxis and simplified the process when compared with the use of a traditional RS protocol.
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Randomized Controlled Trial
Exploring the changing learning environment of the gross anatomy lab.
The objective of this study was to assess the impact of virtual models and prosected specimens in the context of the gross anatomy lab. ⋯ The use of virtual lab resources seemed to influence the social context and learning environment of the anatomy lab. As computer-based learning methods are implemented and studied, they must be evaluated beyond their impact on knowledge gain to consider the effect technology has on students' social development.