Episode 206 was originally aired in February 2019 and was a big hit with KeyLIMErs. This Episodes starts with a few out-takes from the last year - we hope you enjoy them.

Episode total length is : - 22:25

Let us know what you think at [email protected]

Authors: Panagioti, et al,. 

Publication details: Panagioti, et al,. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330. 

View Episode 206 abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

Next week:

The hosts will be back from their summer vacation - Jonathan Sherbino has chosen this paper to review from Medical Teacher Use of evidence in health professions education: Attitudes, practices, barriers and supports Med Teach. 2019 May 3:1-11

The 4th Summer re-run  - originally posted in November 2018.

Length of podcast 22:59

Purpose of this study "To identify the different machine learning (ML) techniques that have been applied to automate physician competence assessment and evaluate how these techniques can be used to assess different competence domains in several medical specialties.” 

Authors: Dias et al.,

Publication details: Using Machine Learning to Assess Physician Competence: A Systematic Review Acad Med. 2018 Aug 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

The 3rd Summer re-run  - originally posted in October 2018.

A narrative review chosen by Linda Snell on Assessment and Feedback, are they a risky recipe for learning.

"An amazing paper - everyone should read it" ~ Jason Frank.

 Authors: Watling CJ, Ginsburg S.

Publication details: Assessment, feedback and the alchemy of learning.Med Educ. 2018 Aug 2  [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

This Episode is a re-run of Episode 189 that was aired in September 2018.

“While several narrative and systematic reviews have begun to identify the characteristics of research-favourable environments, these reviews have ignored the contextual complexities and multiplicity of environmental characteristics. Therefore, the current synthesis adopts a realist approach to explore what interventions work for whom and under what circumstances.” 

It's rare but Linda, Jon and Jason all agree and give this paper triple 5 points for Methods!

 

Let us know what you think at [email protected]

Authors: Ajjawi R et al

Publication details: What really matters for successful research environments? A realist synthesis Journal of Medical Education 2018 [ePub ahead of print] 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

Today's paper is a re-run, originally released in September 2018. It has been downloaded many many times.

The paper examines the Direct versus Indirect Supervision methods used in health professions education.

Does it matter how much time you spend with an attending on an Internal Medicine Ward? 

Although Jason likes the Methodology, there maybe a fatal floor in the logic.

Let us know what you think at [email protected]

 Authors: Finn KMet al

Publication details: Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial.JAMA Intern Med. 2018 Jul 1;178(7):952-959.

 View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

Episode Length:  26:50 This paper, Smirnova et al, is a team of heavy hitting meded authors. The group set out to describe how CPIs, as measures of the activities, behaviours, and abilities of clinicians, can inform medical education and health care quality improvement.   

Authors conclusions: 19:55

Jason's Spare Keys: 20:37

Voting for Methods = 2, N/A, N/A, 2.

Voting for Impact = 5, 4, 5, 4.

Authors: Smirnova A et. al.,

Publication details: Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going? Acad Med. 2019 May;94(5):671-677 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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. 

Want to learn more about KeyLIME? Click here!

Def of gnarly 

a: DIFFICULT, HAIRY skidded around gnarly hairpin turns— Austin Murphy

b: BAD, NASTY has some pretty gnarly karma coming— Drew Barrymore

c: COOL, GOOD some gnarly guitar playing

Episode length - 28:19

This manuscript is from the Lancet it highlights feminist and gender issues in both medicine and medical education. 

Instead of reporting on a study, this manuscript focuses on how feminist theory has been applied to medical education, and how rigorous application of feminist theory can help address some of medical education’s modern challenges.

Jon's Shout Out #1 9:31, Shout out #2 18:40 

Voting on Methods and Educational Impact at 23:00

Authors: Sharma M

Publication details:Applying feminist theory to medical education. Lancet. 2019 Feb 9;393(10171):570-578

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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. 

Want to learn more about KeyLIME? Click here!

 

Episode length - 33:24

The WHO has recognized that it’s hard to recruit and retain health workers in remote and rural areas and recommended clinical rotations in rural areas during studies. 

This paper is a ‘comprehensive literature review ‘ to assess the published evidence for the impact of rural rotations on urban-based postgraduate learners in all disciplines. 

Voting on Methods and Educational Impact at 26:39

Authors: Malhi et al.,

Publication details: The impact of rural rotations on urban based postgraduate learners: A literature review. Med Teach. 2019 May 1:1-9 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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. 

Want to learn more about KeyLIME? Click here!

 

Episode length 24:50

This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165. 

The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.

Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!

Voting for Methods and Impact - at 20 minutes in.

 Authors:  Chaiyachati et al.,

Publication details:  Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15. 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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. 

Want to learn more about KeyLIME? Click here!

 

Jon's selected paper for review today is about 'Complexity Science' and does it address the oxymoron of bring order to a system that is unpredictable.

 

Authors: Cristancho et al.

Publication details:  What is the state of complexity science in medical education research? Med Educ. 2019 Jan;53(1):95-104 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

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. 

Want to learn more about KeyLIME? Click here!