Curated Collections for Educators: Five Key Papers on Clinical Teaching

The ability to teach in the clinical setting is of paramount importance. Clinical teaching is at the heart of medical education, irrespective of the learner’s level of training. Learners desire and need effective, competent, and thoughtful clinical teaching from their instructors. However, many clinician-educators lack formal training on this important skill and thus may provide a variable experience to their learners. Although formal training of clinician-educators is standard and required in many other countries, the United States has yet to follow suit, leaving many faculty members to fend for themselves to learn these important skills. In September 2018, the Academic Life in Emergency Medicine (ALiEM) 2018-2019 Faculty Incubator program discussed the topic of clinical teaching techniques. We gathered the titles of papers that were cited, shared, and recommended within our online discussion forum and compiled the articles pertaining to the topic of clinical teaching techniques. To augment the list, the authors did a formal literature search using the search terms “teaching techniques", "clinical teaching", "medical education", "medical students", and "residents” on Google Scholar and PubMed. Finally, we posted a call for important papers on the topic of clinical teaching techniques on Twitter. Through this process, we identified 48 core articles on the topic of clinical teaching. We conducted a modified Delphi methodology to identify the key papers on the topic. In this paper, we present the five highest-rated articles based on the relevance to junior faculty and faculty developers. This article will review and summarize the articles we found to be the most impactful to improve one’s clinical teaching skills

The speaking vocabulary of grade two

Thesis (M.A.)--Boston Universit

A Portrait of MWrite as a Research Program: A Review of Research on Writing-to-Learn in STEM through the MWrite Program

The writing-to-learn (WTL) literature is varied in how assignments are structured and implemented in the classroom, making it difficult for instructors to identify how to incorporate writing effectively. Drawing on the WTL literature, the MWrite program was established to work with STEM faculty to design, implement, and assess evidence- based WTL assignments. Herein we present a review of the WTL research generated through the MWrite program, situating our findings in a four-dimensional framework of engagement to identify how the MWrite WTL assignment design and implementation has supported students’ learning. Our analysis indicates that the multi-faceted design of MWrite WTL assignments supports students’ development of conceptual knowledge and disciplinary thinking. The assignments’ rhetorical features (i.e., context, audience, and genre) guide how students write about content, and peer review and revision stages encourage a collaborative, knowledge building process between students and their peers

The inverse hazard law: Blood pressure, sexual harassment, racial discrimination, workplace abuse and occupational exposures in US low-income black, white and Latino workers

http://dx.doi.org/10.1016/j.socscimed.2008.09.03

PKC-dependent Phosphorylation of the H1 Histamine Receptor Modulates TRPC6 Activity

Transient receptor potential canonical 6 (TRPC6) is a cation selective, DAG-regulated, Ca2+-permeable channel activated by the agonists of Gq-protein-coupled heptahelical receptors. Dysfunctions of TRPC6 are implicated in the pathogenesis of various cardiovascular and kidney conditions such as vasospasm and glomerulosclerosis. When stimulated by agonists of the histamine H1 receptor (H1R), TRPC6 activity decays to the baseline despite the continuous presence of the agonist. In this study, we examined whether H1R desensitization contributes to regulating the decay rate of TRPC6 activity upon receptor stimulation. We employed the HEK expression system and a biosensor allowing us to simultaneously detect the changes in intracellular diacylglycerol (DAG) and Ca2+ concentrations. We found that the histamine-induced DAG response was biphasic, in which a transient peak was followed by maintained elevated plateau, suggesting that desensitization of H1R takes place in the presence of histamine. The application of PKC inhibitor Gö6983 slowed the decay rate of intracellular DAG concentration. Activation of the mouse H1R mutant lacking a putative PKC phosphorylation site, Ser399, responsible for the receptor desensitization, resulted in a prolonged intracellular DAG increase and greater Mn2+ influx through the TRPC6 channel. Thus, our data support the hypothesis that PKC-dependent H1R phosphorylation leads to a reduced production of intracellular DAG that contributes to TRPC6 activity regulation

The Use of a Pressure-Indicating Sensor Film to Provide Feedback upon Hydrogel-Forming Microneedle Array Self-Application In Vivo

PURPOSE: To evaluate the combination of a pressure-indicating sensor film with hydrogel-forming microneedle arrays, as a method of feedback to confirm MN insertion in vivo. METHODS: Pilot in vitro insertion studies were conducted using a Texture Analyser to insert MN arrays, coupled with a pressure-indicating sensor film, at varying forces into excised neonatal porcine skin. In vivo studies involved twenty human volunteers, who self-applied two hydrogel-forming MN arrays, one with a pressure-indicating sensor film incorporated and one without. Optical coherence tomography was employed to measure the resulting penetration depth and colorimetric analysis to investigate the associated colour change of the pressure-indicating sensor film. RESULTS: Microneedle insertion was achieved in vitro at three different forces, demonstrating the colour change of the pressure-indicating sensor film upon application of increasing pressure. When self-applied in vivo, there was no significant difference in the microneedle penetration depth resulting from each type of array, with a mean depth of 237 μm recorded. When the pressure-indicating sensor film was present, a colour change occurred upon each application, providing evidence of insertion. CONCLUSIONS: For the first time, this study shows how the incorporation of a simple, low-cost pressure-indicating sensor film can indicate microneedle insertion in vitro and in vivo, providing visual feedback to assure the user of correct application. Such a strategy may enhance usability of a microneedle device and, hence, assist in the future translation of the technology to widespread clinical use

Coral macrobioerosion is accelerated by ocean acidification and nutrients

Author Posting. © The Author(s), 2014]. This is the author's version of the work. It is posted here by permission of Geological Society of America for personal use, not for redistribution. The definitive version was published in Geology 43 (2015): 7-10, doi: 10.1130/G36147.1.Coral reefs exist in a delicate balance between calcium carbonate (CaCO3) production and CaCO3 loss. Ocean acidification (OA), the CO2-driven decline in seawater pH and CaCO3 saturation state (Ω), threatens to tip this balance by decreasing calcification, and increasing erosion and dissolution. While multiple CO2 manipulation experiments show coral calcification declines under OA, the sensitivity of bioerosion to OA is less well understood. Previous work suggests that coral and coral reef bioerosion increase with decreasing seawater Ω. However, in the surface ocean, Ω and nutrient concentrations often covary, making their relative influence difficult to resolve. Here, we exploit unique natural gradients in Ω and nutrients across the Pacific basin to quantify the impact of these factors, together and independently, on macrobioerosion rates of coral skeletons. Using an automated program to quantify macrobioerosion in 3-D computerized tomography (CT) scans of coral cores, we show that macrobioerosion rates of live Porites colonies in both low-nutrient (oligotrophic) and high-nutrient (>1 µM nitrate) waters increase significantly as Ω decreases. However, the sensitivity of macrobioerosion to Ω is ten times greater under high-nutrient conditions. Our results demonstrate that OA (decreased Ω) alone can increase coral macrobioerosion rates, but the interaction of OA with local stressors exacerbates its impact, accelerating a shift toward net CaCO3 removal from coral reefs.This work was supported by NSF OCE 1041106 to A.L.C. and K.E.S., NSF OCE 1220529 to A.L.C., TNC award PNA/WHOI061810 to A.L.C., NSF Graduate Research Fellowships to T.M.D. and H.C.B., and a WHOI-OLI post-doctoral fellowship to K.E.S.2015-11-1

The Grizzly, September 5, 2002

143 Students Call Richter / North Hall Home • Under Construction Again: Field House Floor to be Redone • Orientation 2002 a Success for Freshmen and OAs • Bridge Program Unique and Important at Ursinus • Y100 at Ursinus • Freshmen Give Three Thumbs Up to Their So-Called Overcrowded Rooms • Opinions: Dirty Rooms Make Move-in Extra Grungy; What\u27s it Liked to be Named Bart?; Enemy Combatant Declarations: Wrong Policy for America • Bored? Get Some Brotherly Love in Your Life • Comparative Pricing Report: Snack Foods • Field Hockey Makes a Move to Centennial Conference • X-Country Boys and Girls Ranked 8th in Conference • Volleyball Jumps Out to Positive Start • Men\u27s Soccer Regroups with New Coach • Women\u27s Soccer go 2-0 in First Weekend of Play • Bearcock\u27s Rugby Returns for Second Season • Football Team Prepares for big Season Opener Against Washington & Jefferson • Roller Hockey Club to Play in PCRHL • Dougherty Sets Course Record in Brian Dennis Memorial X-Country Meethttps://digitalcommons.ursinus.edu/grizzlynews/1517/thumbnail.jp

The Grizzly, February 7, 2002

The Bluelight Hits a Stoplight: Kmart Files for Chapter 11 • Reinstatement of Zeta Chi Charter On Hold • Alan Morrison and Friends to Perform at Heefner Organ Recital • Opinions: Not Everyone Loves Valentine\u27s Day; Tri Sig Strikes Back; Nowhere to Park • Wynton Marsalis is Coming to Campus! • Berman Museum: A Fun and Relaxing Alternative • When the Weather Outside is Frightful • Comparative Pricing Report: Cell Phone Plans • Spring Fashion Preview for Women • Record Breaking Results at Widener Invitational for UC Track & Field • Hussey Twins are Double Trouble • Bears Turn the Bullet in the Opposite Direction • Gymnastics Gods Shine on Johnson; Girls Set Three School Records in Second Straight Win • Men\u27s Basketball Splits Two League Games • UC Women\u27s Basketball Hits Three Game Winning Streak • UC Women\u27s Lacrosse Aiming for Final Four in 2002 • Bears Swimming Claws Their way Through the Water, Falling Short to a Powerful Franklin and Marshall Teamhttps://digitalcommons.ursinus.edu/grizzlynews/1506/thumbnail.jp