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Wu YL, Hsieh TY, Hwang SF, Lin YY, Chu WM. Developing an innovative national ACP-OSCE program in Taiwan: a mixed method study. BMC MEDICAL EDUCATION 2024; 24:333. [PMID: 38521917 PMCID: PMC10960391 DOI: 10.1186/s12909-024-05294-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 03/11/2024] [Indexed: 03/25/2024]
Abstract
OBJECTIVES To evaluate the process and the comprehensiveness of advance care planning (ACP), we designed a national ACP-OSCE (Objective Structured Clinical Examination) program. METHODS The program was designed as a 40-minute OSCE test. Participants were categorized as different ACP team members to illustrate realistic scenarios. Preceptors were asked to observe ACP professionals' actions, responses, and communication skills during ACP with standardized patients (SP) through a one-way mirror. Participants' communication skills, medical expertise, legal knowledge, empathetic response and problem-solving skills of ACP were also self-evaluated before and after OSCE. Thematic analysis was used for qualitative analysis. RESULTS In Nov 2019, a total of 18 ACP teams with 38 ACP professionals completed the ACP-OSCE program, including 15 physicians, 15 nurses, 5 social workers, and 3 psychologists. After the ACP-OSCE program, the average score of communication skills, medical expertise, legal knowledge, empathetic response, ACP problem-solving all increased. Nurses felt improved in medical expertise, legal knowledge, and problem-solving skills, psychologists and social workers felt improved in legal knowledge, while physicians felt no improved in all domain, statistically. Thematic analysis showed professional skills, doctoral-patient communication, benefit and difficulties of ACP were the topics which participants care about. Meanwhile, most participants agreed that ACP-OSCE program is an appropriate educational tool. CONCLUSION This is the first national ACP-OSCE program in Asia. We believe that this ACP-OSCE program could be applied in other countries to improve the ACP process and quality.
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Affiliation(s)
- Yen-Lin Wu
- Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Tsu-Yi Hsieh
- Division of Clinical Training, Department of Medical Education, Taichung Veterans General Hospital, Taichung, Taiwan
- Department of Allergy-Immunology-Rheumatology, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Sheau-Feng Hwang
- Department of Obstetrics, Gynecology and Women's Health, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Yi-Yin Lin
- Hospice Foundation of Taiwan, Taipei, Taiwan
| | - Wei-Min Chu
- Department of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
- School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.
- Department of Epigemiology on Aging, National Center for Geriatrics and Gerontology, Obu, Japan.
- Geriatrics and Gerontology Research Center, College of Medicine, National Chung Hsing University, Taichung, Taiwan.
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Adreak N, Mackay MH, Pike A, O’Neill C, Sterling E, Randhawa V, Comber L, Thompson K, Srivaratharajah K, Paquin A, Abramson BL, Mullen KA. Integration of Women's Cardiovascular Health Content Into Healthcare Provider Education: Results of a Rapid Review and National Survey. CJC Open 2024; 6:463-472. [PMID: 38487051 PMCID: PMC10935693 DOI: 10.1016/j.cjco.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 11/01/2023] [Indexed: 03/17/2024] Open
Abstract
Despite its importance, formal education in healthcare training programs on sex- and gender-specific cardiovascular disease (CVD) risk factors, symptoms, treatment, and outcomes is lacking. We completed rapid reviews of the academic and grey literature to describe the current state of women-specific CVD education in medical, nursing, and other healthcare education programs. Second, we analyzed results from a Canada-wide survey of healthcare professional education programs to identify gaps in curricula related to sex- and gender-specific training in CVD. Our academic review yielded only 15 peer-reviewed publications, and our online search only 20 healthcare education programs, that note that they specifically address women, or sex and gender, and CVD in their curricula. Across both searches, the majority of training and education programs were from the USA, varied greatly in length, delivery mode, and content covered, and lacked consistency in evaluation. Of surveys sent to 213 Canadian universities and other entry-to-practice programs, 80 complete responses (37.6%) were received. A total of 47 respondents (59%) reported that their programs included women-specific CVD content. Among those programs without content specific to CVD in women, 69.0% stated that its inclusion would add "quite a bit" or "a great deal" of value to the program. This study highlights the emerging focus on and substantial gaps in women-specific CVD training and education across healthcare education programs. All medical, nursing, and healthcare training programs are implored to incorporate sex- and gender-based CVD content into their regular curricula as part of a consolidated effort to minimize gaps in cardiovascular care.
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Affiliation(s)
- Najah Adreak
- Division Cardiac Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
| | - Martha H. Mackay
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - April Pike
- Memorial University of Newfoundland Faculty of Nursing, St. John’s, Newfoundland and Labrador, Canada
| | - Carley O’Neill
- School of Kinesiology, Acadia University, Wolfville, Nova Scotia, Canada
| | - Evan Sterling
- Library, University of Ottawa, Ottawa, Ontario, Canada
| | - Varinder Randhawa
- Department of Critical Care Medicine, Sunnybrook Health Sciences Centre; Department of Cardiology, St Michael’s Hospital; and Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Lisa Comber
- Canadian Women’s Heart Health Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | - Keshandi Thompson
- Canadian Women's Heart Health Alliance, University of Calgary, Calgary, Alberta, Canada
| | - Kajenny Srivaratharajah
- Division Cardiac Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Amélie Paquin
- Institut universitaire de cardiologie et de pneumologie de Quebec—Universite Laval, Quebec City, Quebec, Canada
| | - Beth L. Abramson
- Division of Cardiology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Kerri-Anne Mullen
- Canadian Women’s Heart Health Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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Myers KA. Objective Structured Clinical Examination: Underused Tool in Epilepsy Fellowship Programs? Can J Neurol Sci 2023:1-3. [PMID: 38148001 DOI: 10.1017/cjn.2023.325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2023]
Affiliation(s)
- Kenneth A Myers
- Research Institute of the McGill University Health Centre, Montreal, QC, Canada
- Division of Child Neurology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada
- Department of Neurology & Neurosurgery, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada
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