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Technology, innovation, and openness in medical education in the information age.
Editor-in-Chief:
Blake J. Lesselroth, MD MBI FACP FAMIA, University of Oklahoma | OU-Tulsa Schusterman Center; University of Victoria, British Columbia fast delivery to usa
Impact Factor 3.2 CiteScore 6.9
Recent Articles
![The Utility of Wearable Cameras in Developing Examination Questions and Answers on Physical Examinations: Preliminary Study Article Thumbnail](#/assets/20bd679768c2e8199d85edc05b75dd2f.png 480w,#/assets/20bd679768c2e8199d85edc05b75dd2f.png 960w,#/assets/20bd679768c2e8199d85edc05b75dd2f.png 1920w,#/assets/20bd679768c2e8199d85edc05b75dd2f.png 2500w)
Wearable video cameras can replicate physicians' perspectives, and increasing research has shown their utility in medical education. To assess the utility of wearable cameras in medical examinations, we developed an examination question on abdominal physical examination and a corresponding answer explanation using physician-view videos recorded with a head-mounted camera (Insta360 ONE R®). Forty-two resident physicians from multiple Japanese institutions participated in this pilot examination. To assess the utility of wearable cameras based on the examinees’ perception, we conducted a questionnaire survey after the examination. The survey results indicated that the inclusion of physician-view videos in medical examinations enabled participants to envision more real patients, was suitable for evaluating clinical competency, and provided effective education. Wearable video cameras can be a potent tool to improve the evaluation and educational capabilities of medical examinations.
![Development and Implementation of a Safety Incident Report System for Health Care Discipline Students During Clinical Internships: Observational Study Article Thumbnail](#/assets/17cae89fd11ed2c3a2e699c4f4f01649.png 480w,#/assets/17cae89fd11ed2c3a2e699c4f4f01649.png 960w,#/assets/17cae89fd11ed2c3a2e699c4f4f01649.png 1920w,#/assets/17cae89fd11ed2c3a2e699c4f4f01649.png 2500w)
Patient safety is a fundamental aspect of health care practice across global health systems. Safe practices, which include incident reporting systems, have proven valuable in preventing the recurrence of safety incidents. However, the accessibility of this tool for health care discipline students is not consistent, limiting their acquisition of competencies. In addition, there is no tools to familiarize students with analyzing safety incidents. Gamification has emerged as an effective strategy in health care education.
![Curriculum Frameworks and Educational Programs in AI for Medical Students, Residents, and Practicing Physicians: Scoping Review Article Thumbnail](#/assets/8c7f0c147f7dd5231ce7464409898ff6.png 480w,#/assets/8c7f0c147f7dd5231ce7464409898ff6.png 960w,#/assets/8c7f0c147f7dd5231ce7464409898ff6.png 1920w,#/assets/8c7f0c147f7dd5231ce7464409898ff6.png 2500w)
The successful integration of artificial intelligence (AI) into clinical practice is contingent upon physicians’ comprehension of AI principles and its applications. Therefore, it is essential for medical education curricula to incorporate AI topics and concepts, providing future physicians with the foundational knowledge and skills needed. However, there is a knowledge gap in the current understanding and availability of structured AI curriculum frameworks tailored for medical education, which serve as vital guides for instructing and facilitating the learning process.
![Assessing GPT-4’s Performance in Delivering Medical Advice: Comparative Analysis With Human Experts Article Thumbnail](#/assets/2f5fd39618c0cdd28e53f802e806d2ee.png 480w,#/assets/2f5fd39618c0cdd28e53f802e806d2ee.png 960w,#/assets/2f5fd39618c0cdd28e53f802e806d2ee.png 1920w,#/assets/2f5fd39618c0cdd28e53f802e806d2ee.png 2500w)
Accurate medical advice is paramount in ensuring optimal patient care, and misinformation can lead to misguided decisions with potentially detrimental health outcomes. The emergence of Large Language Models (LLMs) such as OpenAI's GPT-4 has spurred interest in their potential healthcare applications, particularly in automated medical consultation. Yet, rigorous investigations comparing their performance to human experts remain sparse.
![The Ability of ChatGPT in Paraphrasing Texts and Reducing Plagiarism: A Descriptive Analysis Article Thumbnail](#/assets/0e98278a385c432adc2640e04c0e6f9e.png 480w,#/assets/0e98278a385c432adc2640e04c0e6f9e.png 960w,#/assets/0e98278a385c432adc2640e04c0e6f9e.png 1920w,#/assets/0e98278a385c432adc2640e04c0e6f9e.png 2500w)
![Use of Multiple-Choice Items in Summative Examinations: Questionnaire Survey Among German Undergraduate Dental Training Programs Article Thumbnail](#/assets/0a1beaf4-72dd-417b-a076-49fd1b12a23e.png 480w,#/assets/0a1beaf4-72dd-417b-a076-49fd1b12a23e.png 960w,#/assets/0a1beaf4-72dd-417b-a076-49fd1b12a23e.png 1920w,#/assets/0a1beaf4-72dd-417b-a076-49fd1b12a23e.png 2500w)
The continued demand for digital health requires that providers adapt thought processes to enable sound clinical decision making in digital settings. Providers report that lack of training is a barrier to providing digital healthcare. Physical exam techniques and hands-on interventions must be adjusted in safe, reliable and feasible ways to digital care and decision making may be impacted by modifications made to these techniques. We have proposed a framework for determining if a procedure can be modified to obtain a comparable result in a digital environment or if a referral to in-person care is required. The decision making framework developed using program outcomes of a digital physical therapy platform, and aims to alleviate provider barriers to providing digital care. This paper describes the unique considerations a provider must make when collecting background information, selecting procedures, executing procedures, assessing results, and determining if they can proceed with clinical care in digital settings.
![Inverted Classroom Teaching of Physiology in Basic Medical Education: Bibliometric Visual Analysis Article Thumbnail](#/assets/4408ef345ca2ec6c2c1634404a4631a3.png 480w,#/assets/4408ef345ca2ec6c2c1634404a4631a3.png 960w,#/assets/4408ef345ca2ec6c2c1634404a4631a3.png 1920w,#/assets/4408ef345ca2ec6c2c1634404a4631a3.png 2500w)
Over the last decade, there has been growing interest in inverted classroom teaching (ICT) and its various forms within the education sector. Physiology is a core course that bridges basic and clinical medicine, and inverted classrooms teaching in physiology (ITP) has been sporadically practiced to different extents globally. However, students' and teachers' responses and feedback to ITP are diverse, and the effectiveness of modified ITP integrated into regular teaching is difficult to assess objectively and quantitively.
The persistence of diagnostic errors, despite advances in medical knowledge and diagnostics, highlights the importance of understanding atypical disease presentations and their contribution to mortality and morbidity. Artificial intelligence (AI), particularly Generative Pre-trained Transformers like ChatGPT-4, holds promise for improving diagnostic accuracy, but requires further exploration in handling atypical presentations.
![Development of a Novel Web-Based Tool to Enhance Clinical Skills in Medical Education Article Thumbnail](#/assets/08ac50e08b4cdaeff3dd1bb7e58aaab0.png 480w,#/assets/08ac50e08b4cdaeff3dd1bb7e58aaab0.png 960w,#/assets/08ac50e08b4cdaeff3dd1bb7e58aaab0.png 1920w,#/assets/08ac50e08b4cdaeff3dd1bb7e58aaab0.png 2500w)
Background: A significant component of Canadian medical education is the development of clinical skills. The medical educational curriculum assesses these skills through the Objective Structured Clinical Examination (OSCE). The OSCE assesses skills imperative to good clinical practice, such as patient communication, clinical decision-making and medical knowledge. Despite the widespread implementation of this examination across all academic settings, few preparatory resources currently exist that cater specifically to Canadian medical students. MonkeyJacket is a novel, open-access, online application built with the goal of providing medical students with an accessible and representative tool for clinical skill development for the OSCE and clinical settings. Viewpoint: This paper represents the development of the MonkeyJacket application and its potential purchase online antibiotic to assist medical students in preparation for clinical exams and practical settings. Aim Statement: Limited resources exist that are virtual, accessible in cost, specific to the Medical Council of Canada (MCC), and most importantly, scalable in nature. The goal of this research study is to thoroughly describe the potential utility of the application, particularly in its capacity to provide practice and scalable formative feedback to medical students. Development: MonkeyJacket was developed to allow Canadian medical students the opportunity Amoxicillin for the treatment of bacterial infections to practice their clinical examination skills and receive peer feedback using a centralized platform. The OSCE cases included in the application were developed using the MCC guidelines to ensure their applicability to a Canadian setting. There are currently 75 cases covering five specialties, including cardiology, respirology, gastroenterology, neurology, and psychiatry. Application Interface and Features: The MonkeyJacket application is an online platform that allows medical students to practice clinical decision-making skills in real-time with their peers through a synchronous platform. Through this application, students can practice patient interviewing, clinical reasoning, developing differential diagnoses, formulating a management plan, and they can receive both qualitative and quantitative feedback. Each clinical case is associated with an ‘assessment checklist’ that is accessible to students after practice sessions are complete in order to promote personal improvement through peer feedback. This tool provides students with relevant case stems, follow-up questions to probe for differential diagnoses and management plans, assessment checklists, and the ability to review the trend in their performance. Conclusions: The MonkeyJacket application provides medical students with a valuable tool that promotes clinical skill development for OSCEs and clinical settings. MonkeyJacket introduces a way for medical learners to receive feedback regarding patient interviewing and clinical reasoning skills that is both formative and scalable in nature, in addition to promoting inter-institutional learning. The widespread usage of this application can increase practice and feedback of clinical skills amongst medical learners. This will not only benefit the learner, but more importantly, can provide downstream benefits for the most valuable stakeholder in medicine - the patient.
![Health Care Workers’ Motivations for Enrolling in Massive Open Online Courses During a Public Health Emergency: Descriptive Analysis Article Thumbnail](#/assets/b0db38099433ec803428b26e4cd83742.png 480w,#/assets/b0db38099433ec803428b26e4cd83742.png 960w,#/assets/b0db38099433ec803428b26e4cd83742.png 1920w,#/assets/b0db38099433ec803428b26e4cd83742.png 2500w)
Massive Open Online Courses (MOOCs) are increasingly used to educate healthcare workers during public health emergencies. Early in 2020, the World Health Organization (WHO) developed a series of MOOCs for COVID-19, introducing the disease and strategies to control its outbreak, with six courses specifically targeting healthcare workers as learners. In 2020, Stanford University also launched a MOOC designed to deliver accurate and timely education on COVID-19 equipping healthcare workers across the globe to provide healthcare safely and effectively to patients suffering from the novel infectious disease. While the use of MOOCs for just-in-time training has expanded during the pandemic, evidence is limited regarding the factors motivating healthcare workers to enroll in and complete courses, particularly in low- and lower-middle-income countries (LICs/LMICs).
![A Call for a Health Data–Informed Workforce Among Clinicians Article Thumbnail](#/assets/b2a29a74f02e165ffb2ac043d0b04d00.png 480w,#/assets/b2a29a74f02e165ffb2ac043d0b04d00.png 960w,#/assets/b2a29a74f02e165ffb2ac043d0b04d00.png 1920w,#/assets/b2a29a74f02e165ffb2ac043d0b04d00.png 2500w)
A momentous amount of health data has been and is being collected. Across all levels of healthcare, data is driving decision making and impacting patient care. A new knowledge and role for those in healthcare is emerging – the need for a health data informed workforce. In this commentary, the authors describe approaches needed to build a health data informed workforce, a new and critical skill for the healthcare ecosystem.
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