Episode length: 25:55

Author: Gingerich et. al.

Publication: Seeing but not believing: Insights into the intractability of failure to fail Med Educ. 2020 Jun 19.

Purpose: “We need to identify the social rules regarding what can and cannot be said … to inform further improvement to our assessments, … How do physician supervisors conceptualize and recognize incompetence in trainees?”

Voting for Methodology and Educational Impact: 19:54

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode length: 32:45

Author: Landrigan et. al.

Publication: Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts N Engl J Med. 2020 June 25;382(26):2514-2523.

Purpose: This Boston group has produced multiple previous papers relating to modified resident duty hours vs various outcomes. This time they share a multicentre study to look at the effect of 16-hour shifts vs “extended duration” duty hours for trainees in pediatric ICUs on “serious medical errors”, the ROSTERS study.

Methodology and Impact voting starts: 27:10

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Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode length: 28:46

Author: Maggio et. al.

Publication: #MedEd: Exploring the relationship between altmetrics and traditional measures of dissemination in health professions education. Perspectives in Medical Education Feb 2018.

Purpose of the study: To examine the relationship between altmetrics and traditional measures: journal article citations and access counts. 

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode Length: 27:26

KeyLIMErs know that we talk about assessment a lot. Assessment has always been the sexier older sibling to other major aspects of meded, such as curriculum. Assessment always gets the publications, the grants, the exam committees, the competence committees, the appeals, the lawyers, the Karolinska Prizes, the Hollywood glitz. Curriculum stays home and watches Netflix again. But are we really fooling ourselves into keeping busy with all of this “assessment” activity?

Are all these forms and ratings just the meded equivalent of Monty Python’s machine-that-goes-bing? (See: https://www.youtube.com/watch?v=arCITMfxvEc). This speaks to the perennial question of validity. 

Authors: Marceau et. al.

Publication details: Validity as a social imperative for assessment in health professions education: a concept analysis. Med Educ. 2018 Jun;52(6):641-653 

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Episode Length: 41:53

This is #5 the Best of KeyLIME for the Summer months of 2020.

Episode 174 was originally aired on June 12, 2018.

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science.

Authors: Mueller et. al.

Publication details: Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis. J Grad Med Educ. 2017 Oct;9(5):577-585. 

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode Length: 18:32

This is #4 the Best of KeyLIME for the Summer months of 2020.

Episode 188 was originally aired on Sept 18, 2018.

Linda's selected paper tests the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive physician qualities.

Authors: Mangione S et al.

Publication details: Medical Students' Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: A Multi-Institutional U.S. Survey. J Gen Intern Med. 2018 May;33(5):628-634. Epub 2018 Jan 29. 

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode Length: 40:07

Authors:  Rietmeijer et al.

Publication details:Patterns of direct observation and their impact during residency: general practice supervisors’ Med Educ. 2018 Jul 24. [Epub ahead of print] 

Purpose: Research question: What are the manifestations, meanings and effects of DO in developing postgraduate training relationships? 

Authors chose to focus on and understanding the perspective of clinical supervisors as they play a pivotal role in the DO in clinical education / practice. In the Netherlands GP residents PGY1 and 3 are directly supervised for the year by an experienced, faculty developed supervisor 

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode Length: 22:15

Jon's article provides a brief description of the three key steps to learning, and introduces four major learning-science strategies.

Authors: Van Hoof TJ and Doyle TJ

Publication details: Van Hoof TJ, Doyle TJ Learning science as a potential new source of understanding and improvement for continuing education and continuing professional development Medical Teacher Jan 2018.

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode length: 27:45

This 'Best of' Episode was originally aired in September 2018 and has been downloaded over 2, 500 times!!

Here are some citations for those listeners who are interested in taking a deeper dive into Philosophy of science:

1. Crotty, The Foundations of Social Research: Meaning and Perspective in the Research Process (1998).
2. Howell, An Introduction to the Philosophy of Methodology. (2012)
3. Godfrey-Smith. Theory and reality: An introduction to the philosophy of science. (2003)

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

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Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available upon request.

Episode length: 24:38

Author: Sukhera et. al.

Publication: The Implicit Association Test in health professions education: A meta-narrative review Perspect Med Educ. 2019 Oct; 8(5): 267–275.

The authors set out to synthesize existing knowledge about the IAT, about how and why it is used for teaching and learning in HPE. They set out to understand the assumptions and theoretical positions that inform those assumptions

Voting for Methodology and Educational Impact: 18:50

Follow our co-hosts on Twitter!

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Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

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Full transcript for this Episode is available here.