"Our experience with the calculators shows that it helps surgeons improve the quality of care they provide their patients because it improves shared decision making and patient-centered informed consent."
"A large number of medical residents are unable to correctly interpret crucial statistical concepts that are commonly found in the medical literature. They are also especially prone to the gambler's fallacy bias, which may undermine clinical judgment and medical decision making. Formalized systematic teaching of biostatistics during residency will be required to de-bias residents and ensure that they are proficient in understanding and communicating statistical information."
Whereas present theories of transformative learning tend to focus on the rational and reflective actor, in this article it is suggested that spontaneous action may play a decisive role in transformative learning too. In the spontaneity of action, novelty finds its way into life, gains momentum, is respected by others and reflected by the actor. Such transformation processes are investigated both with the means of theoretical reflection and of empirical inquiry. Based on nine narrative interviews typical phases of transformative learning processes are identified. Owing to the comparative nature of the study, it was also possible to develop an age-related typology that overlaps certain phases of the transformation process. These empirical findings constitute the background against which the nexus of spontaneous action and transformative learning is reflected theoretically. Theories drawn upon include John Dewey's Pragmatism and George Herbert Mead's Social Pragmatism. Both scholars provide rich theoretical concepts for reflecting on the nature of that what so often eludes from the control of both educators and learners: the spontaneity of the beginning.
Admissions and personnel decisions rely on stable predictor-criterion relationships. The authors studied the validity of Big Five personality factors and their facets for predicting academic performance in medical school across multiple years, investigating whether criterion-related validities change over time. In this longitudinal investigation, an entire European country's 1997 cohort of medical students was studied throughout their medical school career
"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."
Download this "medical decision-making algorithm tool" here. Medical professionals can create visual algorithms to explain processes and collaborate on projects.
Web 2.0 use represents a profound departure from previous learning and decision processes which were normally controlled by senior medical staff or medical schools. There is widespread concern with the risk of poor quality information with Web 2.0 use, and the manner in which physicians are using it suggest effective use derives from the mitigating actions by the individual physician. Three alternative policy options are identified to manage this risk and improve efficiency in Web 2.0's use.
he principle aim of the NHS Evidence service is to provide easy access to a comprehensive evidence base for everyone in health and social care who takes decisions about treatments or the use of resources - including clinicians, public health professionals, commissioners and service managers - thus improving health and patient care. It will build on NICE's significant international reputation for developing high quality evidence-based guidance. It provides access to a range of information types, including primary research literature, practical implementation tools, guidelines and policy documents.
"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."
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The BEME Collaboration is a group of individuals or institutions who are committed to the promotion of Best Evidence Medical Education through:
the dissemination of information which allows medical teachers, institutions and all concerned with medical education to make decisions on the basis of the best evidence available;
the production of appropriate systematic reviews of medical education which reflect the best evidence available and meet the needs of the user; and
the creation of a culture of best evidence medical education amongst individual teachers, institutions and national bodies."
"It is important for clinicians to recognize that well-timed encouragement to consider and explore the use of hospice services, although it may indeed diminish hope for cure or recovery, simultaneously offers an opportunity to engage with important and time-sensitive developmental tasks."
CanMEDS Professional:
1. demonstrate commitment to their patients, profession, and society through ethical practice
2. demonstrate a commitment to their patients, profession, and society through participation in profession-led regulation
3. demonstrate a commitment to physician health and sustainable practice
According the CanMEDs framework, developed by the Royal College of Physicians and Surgeons of Canada, the professional
role of physicians is defined as a commitment to “the health and well-being of individuals and society through ethical practice,
professionled regulation, and high personal standards of behaviour”
The Canadian Medical Association considers the three major features of medical professionalism to be clinical independence,
self-regulation and the ethic of care
The needs of the patient should always
trump the financial priorities of the physician. Every skill, every decision, every morsel of scientific knowledge — all are
to be used to better serve patients.