Their involvement as unique individuals will generate sets of challenges likely to influence simulation success, namely: learner-focussed, educator-focussed, situation-focussed, and curriculum focussed challenges respectively. The chapter ends with a summary of the ways educators might deal with inherent challenges confronting the use of simulation in healthcare settings.
"The NEJM Image Challenge app provides a great forum to keep one's diagnostic skills sharp, but has limitations in lack of robustness of explanations and inability to save particular images for later review."
Our study has shown that the online module on EBM was effective in increasing EBM knowledge and skills of postgraduate students and was well received by both students and tutors. Students and tutors experienced generic challenges that accompany any educational intervention of EBM (e.g. understanding difficult concepts), but in addition had to deal with challenges unique to the online learning environment. Teachers of EBM should acknowledge these so as to enhance and successfully implement EBM teaching and learning for all students.
"Limited opportunities may exist for students to develop insight into the challenges faced by doctors and patients presented with challenging or sensitive illness and difficult decisions. The use of patient and doctor narratives to facilitate discussion and encourage reflection on sensitive issues can offer a useful supplement to patient contact."
"We are sometimes unconscious of the hidden curriculum, but even when conscious of it we are silent or reluctant to act. We need a frank dialogue with students, residents, and each other about the lived experience of a career in medicine as the struggle it often is; about the challenges of living up to our profession's stated ideals; about the dangers of technological expertise without caring human relationships; about conflicts of interest and the difficult professional challenges of dealing with unprofessional colleagues; and about behaviour that imperils patients. We need to add "Above all be not silent" (Primum non tacere)17 to "First do no harm" as tenets to live by, and we must emphasize to students that what they are like as physicians is just as important as what they know. Thus will we build resistance to the hidden curriculum and reclaim our authenticity as trusted generalists whose knowledge is attached to values we truly uphold, model, and reproduce. "
"Limited opportunities may exist for students to develop insight into the challenges faced by doctors and patients presented with challenging or sensitive illness and difficult decisions. The use of patient and doctor narratives to facilitate discussion and encourage reflection on sensitive issues can offer a useful supplement to patient contact."
Take the Challenge - an online programme developed by Age Concern and the RCGP to help improve the diagnosis and treatment of older people with depression.
100 Diagnostic Challenges in Clinical Medicine is composed of one hundred well-illustrated clinical scenarios and their appropriate investigations. A wide variety of specialties are covered including cardiology, neurology, dermatology, endocrinology, tropical medicine, haematology, metabolic medicine, radiology, ophthalmology, venereology, and infectious diseases. Presenting the relevant investigations corresponding to each case in an interesting and easy-to-read Q&A format concerning diagnosis and management
"Social media use in medical education is an emerging field of scholarship that merits further investigation. Educators face challenges in adapting new technologies, but they also have opportunities for innovation."
"Pediatrics presents its own set of challenges: memorizing different parameters of normal vital signs, learning how to interact with children and their parents, and studying a fascinating constellation of congenital anomalies and syndromes."
"Following is a list of such practices made use for WBA.
-Mini-Clinical Evaluation Exercise (mini-CEX);
-Clinical Encounter Cards (CEC);
-Clinical Work Sampling (CWS);
-Blinded Patient Encounters (BPE);
-Direct Observation of Procedural Skills (DOPS);
-Case-based Discussion (CbD);
-MultiSource Feedback (MSF)."
"The home is an outstanding setting for education of medical students, providing wonderful opportunities to enrich students' appreciation of the patient-physician relationship; of interdisciplinary care; and of the challenging biomedical, psychosocial, and spiritual aspects of care."
"his resource is designed to help develop residents and fellows as teachers of medical students. The content addresses an aspect of teaching that many housestaff find challenging - that of providing effective formative feedback to medical students on clinical rotations."
"This series includes three Reviews about intensive care medicine. The papers describe the evolution of the specialty, the demand for and ability to supply appropriate levels of care, and some of the commonly faced ethical dilemmas and challenges. These topics are apt in this period of economic constraint. Intensive care medicine consumes a considerable proportion of health-care resources and these costs will need to be justified. The appropriateness and effectiveness of the care provided will need to be improved to ensure that these resources are directed to patients most in need of them. "
"Much of what medical researchers conclude in their studies is misleading, exaggerated, or flat-out wrong. So why are doctors-to a striking extent-still drawing upon misinformation in their everyday practice? Dr. John Ioannidis has spent his career challenging his peers by exposing their bad science."
"Even highly skilled individuals will find it challenging to grasp complex health information when made vulnerable by poor health. As reported by the American Medical Association (AMA), poor health literacy has a significant impact on health care outcomes as poor health literacy is "a stronger predictor of a person's health than age, income, employment status, education level, and race." "