One advantage of simulation as an educational tool is the re-creation of cognitive and emotional stresses in caring for patients. Doing this for a high fidelity scenario is relatively easy – add additional patients, make a them loud, combative, or otherwise cantankerous, and add interruptions for good measure. However, when training for procedures in the simulation lab, we practice the procedure in isolation on a “task trainer” without cognitive and emotional stress for context. An off-the-shelf task trainer can do a superb job of teaching the mechanics of performing a procedure, but they lack complexity necessary to train for performing the procedure under stress. (more…)
Socratic questioning, a dialectic approach to acquiring knowledge, has been around for ages. If done appropriately, it’s a rigorous method of learning. Questioning reveals our knowledge base, reasoning, and want for clarification; invites a dialogue; and establishes a relationship with others. Socratic questioning can also aid in the development of critical thinking.
This past December it was reported in the Harvard Crimson that the median grade at their prestigious University was an A-.1 A flood of articles followed bemoaning grade inflation at educational institutions with a former Harvard President noting cheekily that “the most unique honor you could graduate with was none”.2 This might be alright if well-developed criterion-based instruments are used to grade the students, but given the variability in courses taught at the University and difficulty of developing such tools, it is unlikely. That being the case, if the median is an A-, one wonders how sub-par performance must be to fail.
The man who saved more lives than any other physician (in the history of humanity combined) died in a mental institution—unrecognized and shunned by the medical community. He was beaten by guards and died a miserable death. Dr. Ignaz Semmelweis was a Hungarian obstetrician practicing in the mid-1800’s, years before Louis Pasteur came up with his germ theory and Joseph Lister popularized hand washing.
Being a learner in a medical simulation case can be tough. But equally challenging, is the role of the Debriefer. This person has to balance the important task of debriefing the small group, provide feedback, and still maintain a positive and open learning environment. A 2013 paper by Rudolph et al attempts to show methods how to balance these demands while improving as a Debriefer through the use of 2 Column Case Analysis and Learning Pathway Grid.
HOT OFF THE PRESS! We would like to announce a great opportunity for U.S. MEDICAL STUDENTS. In collaboration with the Emergency Medicine Residents’ Association (EMRA), we at ALiEM are launching the 2014-2015 ALiEM-EMRA Social Media and Digital Scholarship Fellowship for medical students! This is in parallel to the just-announced similar ALiEM-CORD fellowship for EM residents, except that this is for U.S. medical students, who are members of EMRA. The application process for this virtual fellowship is open as of right now.
The International Teaching Course, now held twice annually in Baltimore, has a recurring Slide Redesign workshop and competition. Taught by Dr. Stacey Poznanski, this workshop addressed many of the widespread pitfalls which cause “death by powerpoint”. Here are the winners from the workshop competition, illustrating great examples based on Mayer’s multimedia learning theories. The examples below show the before and after slides. Congratulations to the winner, Badria Alhatali, and the close co-runners up, Nadia Awad and Kris Maday!