Benefits and barriers among volunteer teaching faculty: comparison between those who precept and those who do not in the core pediatrics clerkship

Background: Community-based outpatient experiences are a core component of the clinical years in medical school. Central to the success of this experience is the recruitment and retention of volunteer faculty from the community. Prior studies have identified reasons why some preceptors volunteer their time however, there is a paucity of data comparing those who volunteer from those who do not. Methods: A survey was developed following a review of previous studies addressing perceptions of community-based preceptors. A non-parametric, Mann–Whitney U test was used to compare active preceptors (APs) and inactive preceptors (IPs) and all data were analyzed in SPSS 20.0. Results: There was a 28% response rate. Preceptors showed similar demographic characteristics, valued intrinsic over extrinsic benefits, and appreciated Continuing Medical Education (CME)/Maintenance of Certification (MOC) opportunities as the highest extrinsic reward. APs were more likely to also precept at the M1/M2 level and value recognition and faculty development opportunities (p<0.05). IPs denoted time as the most significant barrier and, in comparison to APs, rated financial compensation as more important (p<0.05). Conclusions: Community preceptors are motivated by intrinsic benefits of teaching. Efforts to recruit should initially focus on promoting awareness of teaching opportunities and offering CME/MOC opportunities. Increasing the pool of preceptors may require financial compensation

Perceptions Of Career And Psychosocial Functions Between Mentor And Protégé Teachers

The purpose of this study was to identify the career and psychosocial functions that mentor teachers and their protégé teachers believed occurred during the 2008-2009 mentoring relationship. This comparative survey study was conducted in a suburban middle-sized Florida school district. The target population for this study involved one group of matched mentor teachers and protégé teachers. Two survey instruments were used during this study, Mentoring Functions Scale for the Mentor and the Mentoring Functions Scale for the Protégé modified by Wilson (2006). This instrument was selected because it measures the career and psychosocial functions of the mentoring process. The survey was available to the mentors and protégés participating in this study via paper and pencil. There were 645 mentor teachers and protégé teachers surveyed. There was a 33.4% response rate of the total population surveyed and a 67.0% usable response rate of the 322 mentor teachers and protégé teachers who responded. The findings were that both mentor and protégé teachers value the mentoring process. All of the participants agreed that the career and psychosocial functions were provided. Mentor and protégé teachers both agreed that the career and psychosocial functions were present during the mentoring relationship. These findings indicated that there were specific career and psychosocial functions provided by the mentor to the protégé that were found to be beneficial to the mentoring process

Perceptions Of Career And Psychosocial Functions Between Mentor And Protégé Teachers

The purpose of this study was to identify the career and psychosocial functions that mentor teachers and their protégé teachers believed occurred during the 2008-2009 mentoring relationship. This comparative survey study was conducted in a suburban middle-sized Florida school district. The target population for this study involved one group of matched mentor teachers and protégé teachers. Two survey instruments were used during this study, Mentoring Functions Scale for the Mentor and the Mentoring Functions Scale for the Protégé modified by Wilson (2006). This instrument was selected because it measures the career and psychosocial functions of the mentoring process. The survey was available to the mentors and protégés participating in this study via paper and pencil. There were 645 mentor teachers and protégé teachers surveyed. There was a 33.4% response rate of the total population surveyed and a 67.0% usable response rate of the 322 mentor teachers and protégé teachers who responded. The findings were that both mentor and protégé teachers value the mentoring process. All of the participants agreed that the career and psychosocial functions were provided. Mentor and protégé teachers both agreed that the career and psychosocial functions were present during the mentoring relationship. These findings indicated that there were specific career and psychosocial functions provided by the mentor to the protégé that were found to be beneficial to the mentoring process

Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action

Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care. This article addresses some of the unique healthcare needs of the aging LGBT population with an emphasis on social concerns and healthcare disparities. It provides additional curricular recommendations to aid in the progressive augmentation of medical school curricula. Abbreviations: Liaison Committee on Medical Education (LCME); LGBT: Lesbian, gay, bisexual, transgende

Addressing the growing opioid and heroin abuse epidemic: a call for medical school curricula

Substance abuse is a growing public health concern in the USA (US), especially now that the US faces a national drug overdose epidemic. Over the past decade, the number of drug overdose deaths has rapidly grown, largely driven by increases in prescription opioid-related overdoses. In recent years, increased heroin and illicitly manufactured fentanyl overdoses have substantially contributed to the rise of overdose deaths. Given the role of physicians in interacting with patients who are at risk for or currently abusing opioids and heroin, it is essential that physicians are aware of this issue and know how to respond. Unfortunately, medical school curricula do not devote substantial time to addiction education and many physicians lack knowledge regarding assessment and management of opioid addiction. While some schools have modified curricula to include content related to opioid prescription techniques and pain management, an added emphasis about the growing role of heroin and fentanyl is needed to adequately address the epidemic. By adapting curricula to address the rising opioid and heroin epidemic, medical schools have the potential to ensure that our future physicians can effectively recognize the signs, symptoms, and risks of opioid/heroin abuse and improve patient outcomes. This article proposes ways to include heroin and fentanyl education into medical school curricula and highlights the potential of simulation-based medical education to enable students to develop the skillset and emotional intelligence necessary to work with patients struggling with opioid and heroin addiction. This will result in future doctors who are better prepared to both prevent and recognize opioid and heroin addiction in patients, an important step in helping reduce the number of addicted patients and address the drug overdose epidemic

Rater Training to Support High-Stakes Simulation-Based Assessments

Competency‐based assessment and an emphasis on obtaining higher‐level outcomes that reflect physicians\u27 ability to demonstrate their skills has created a need for more advanced assessment practices. Simulation‐based assessments provide medical education planners with tools to better evaluate the 6 Accreditation Council for Graduate Medical Education (ACGME) and American Board of Medical Specialties (ABMS) core competencies by affording physicians opportunities to demonstrate their skills within a standardized and replicable testing environment, thus filling a gap in the current state of assessment for regulating the practice of medicine. Observational performance assessments derived from simulated clinical tasks and scenarios enable stronger inferences about the skill level a physician may possess, but also introduce the potential of rater errors into the assessment process. This article reviews the use of simulation‐based assessments for certification, credentialing, initial licensure, and relicensing decisions and describes rater training strategies that may be used to reduce rater errors, increase rating accuracy, and enhance the validity of simulation‐based observational performance assessments

‘Don’t play the butter notes’: jazz in medical education

Jazz has influenced world music and culture globally – attesting to its universal truths of surviving, enduring, and triumphing over tragedy. This begs the question, what can we glean in medical education from this philosophy of jazz mentoring? Despite our training to understand disease and illness in branching logic diagrams, the human experience of illness is still best understood when told as a story. Stories like music have tempos, pauses, and silences. Often they are not linear but wrap around the past, future, and back to the present, frustrating the novice and the experienced clinician in documenting the history of present illness. The first mentoring lesson Hancock discusses is from a time he felt stuck with his playing – his sound was routine. Miles Davis told him in a low husky murmur, ‘Don’t play the butter notes’. In medical education, ‘don’t play the butter notes’ suggests not undervaluing the metacognition and reflective aspects of medical training that need to be fostered during the early years of clinical teaching years

Curricular integration of social medicine: a prospective for medical educators

In the United States, the health of a community falls on a continuum ranging from healthy to unhealthy and fluctuates based on several variables. Research policy and public health practice literature report substantial disparities in life expectancy, morbidity, risk factors, and quality of life, as well as persistence of these disparities among segments of the population. One such way to close this gap is to streamline medical education to better prepare our future physicians for our patients in underserved communities. Medical schools have the potential to close the gap when training future physicians by providing them with the principles of social medicine that can contribute to the reduction of health disparities. Curriculum reform and systematic formative assessment and evaluative measures can be developed to match social medicine and health disparities curricula for individual medical schools, thus assuring that future physicians are being properly prepared for residency and the workforce to decrease health inequities in the United States. We propose that curriculum reform includes an ongoing social medicine component for medical students. Continued exposure, practice, and education related to social medicine across medical school will enhance the awareness and knowledge for our students. This will result in better preparation for the zero mile stone residency set forth by the Accreditation Council of Graduate Medical Education and will eventually lead to the outcome of higher quality physicians in the United States to treat diverse populations

Health disparities and underserved populations: a potential solution, medical school partnerships with free clinics to improve curriculum

Health-care educators share the social responsibility to teach medical students about social determinants of health and health-care disparities and subsequently to encourage medical students to pursue residencies in primary care and medical practice in underserved communities. Free clinics provide care to underserved communities, yet collaborative partnerships with such organizations remain largely untapped by medical schools. Free clinics and medical schools in 10 US states demonstrate that such partnerships are geographically feasible and have the potential to mutually benefit both organizational types. As supported by prior research, students exposed to underserved populations may be more likely to pursue primary care fields and practice in underserved communities, improving health-care infrastructure