Teaching and learning in medicine
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One goal of program directors is to attract and retain high-quality residents. It is therefore important to study attrition of residents to determine specific cohorts that may be less likely to complete residency training. ⋯ Attrition from these programs remains a small but persistent issue. In addition, the differences in termination and transfer rates for the 2 years of the study were greater than the differences in rates between U.S. and international medical graduates.
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To provide an update on, and a preliminary research agenda for, best evidence medical education (BEME). ⋯ BEME is gaining momentum with growing numbers of people becoming involved as well as an increased number of pertinent workshops, publications, and Web sites. The work of creating pertinent systematic reviews of the medical education literature is at hand.
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Randomized Controlled Trial Clinical Trial
Screen-based anesthesia simulation with debriefing improves performance in a mannequin-based anesthesia simulator.
Previous investigations have established the need for improved training for management of anesthetic emergencies. Training with inexpensive screen-based anesthesia simulators may prove to be helpful. ⋯ Residents who managed anesthetic problems using a screen-based anesthesia simulator handled the emergencies in a mannequin-based anesthesia simulator better than residents who were asked to study a handout covering the same problems. Computer simulations with feedback are effective as a supplement to traditional residency training methods for the management of medical emergencies.
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Comparative Study
Do underrepresented minority medical students differ from non-minority students in problem-solving ability?
In medical education, examinations must assess a logical progression toward problem-solving skills. Differences in cognitive development between underrepresented minority students (URMs) and non-URMs may affect examination performance and subsequent attrition rates. ⋯ Because cognitive measures fail to account for the majority of performance differences, noncognitive attributes must contribute to the poorer performance of URMs.
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Acquisition of core practical skills by students assures quality and relevance of medical education. ⋯ Our curriculum is facilitating acquisition of core obstetric and gynecologic skills.