The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Yasuharu Tokuda - One of the best experts on this subject based on the ideXlab platform.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:BACKGROUND: It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven. OBJECTIVE: We aimed to investigate the association between the hospital Educational Environment and the performance of the medical knowledge base among resident physicians in Japanese teaching hospitals. METHODS: To assess the knowledge base of medicine, we conducted the General Medicine InTraining Examination (GM-ITE) for second-year residents in the last month of their residency. The items of the exam were developed based on the outcomes designated by the Japanese Ministry of Health, Labor, and Welfare. The Educational Environment was evaluated using the Postgraduate Hospital Educational Environment Measure (PHEEM) score, which was assessed by a mailed survey 2 years prior to the exam. A mixed-effects linear regression model was employed for the analysis of variables associated with a higher score. RESULTS: Twenty-one teaching hospitals participated in the study and a total of 206 residents (67 women) participated and completed the exam. There were no residents who declined to participate in the exam. The mean GM-ITE score was 58 (standard deviation 8.4). The mixed-effects linear regression analysis showed that a higher PHEEM score was associated with a higher GM-ITE score (P = 0.02). Having a department of general medicine, and hospital location in a provincial community (versus an urban setting), were also shown to have a significant relationship with the higher score (P = 0.03, and P = 0.02, respectively). CONCLUSION: We found that the performance of the medical knowledge base of resident physicians was significantly associated with the Educational Environment of their hospitals. Improvement of the Educational Environment in teaching hospitals might be crucial for enhancing the performance of resident physicians in Japan.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:Background It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven.
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undergraduate Educational Environment perceived preparedness for postgraduate clinical training and pass rate on the national medical licensure examination in japan
BMC Medical Education, 2010Co-Authors: Yasuharu Tokuda, Eiji Goto, Junji Otaki, Joshua L Jacobs, Fumio Omata, Haruo Obara, Mina Shapiro, Kumiko Soejima, Yasushi Ishida, Sachiko OhdeAbstract:We investigated the views of newly graduating physicians on their preparedness for postgraduate clinical training, and evaluated the relationship of preparedness with the Educational Environment and the pass rate on the National Medical Licensure Examination (NMLE). Data were obtained from 2429 PGY-1 physicians-in-training (response rate, 36%) using a mailed cross-sectional survey. The Dundee Ready Education Environment Measure (DREEM) inventory was used to assess the learning Environment at 80 Japanese medical schools. Preparedness was assessed based on 6 clinical areas related to the Association of American Medical Colleges Graduation Questionnaire. Only 17% of the physicians-in-training felt prepared in the area of general clinical skills, 29% in basic knowledge of diagnosis and management of common conditions, 48% in communication skills, 19% in skills associated with evidence-based medicine, 54% in professionalism, and 37% in basic skills required for a physical examination. There were substantial differences among the medical schools in the perceived preparedness of their graduates. Significant positive correlations were found between preparedness for all clinical areas and a better Educational Environment (all p 0.05). Different Educational Environments among universities may be partly responsible for the differences in perceived preparedness of medical students for postgraduate clinical training. This study also highlights the poor correlation between self-assessed preparedness for practice and the NMLE.
Sue Roff - One of the best experts on this subject based on the ideXlab platform.
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development of acleem questionnaire an instrument measuring residents Educational Environment in postgraduate ambulatory setting
Medical Teacher, 2013Co-Authors: Arnoldo Riquelme, Cristian A Herrera, Oslando Padilla, Trinidad Olivos, Jose Antonio Roman, Alberto Sarfatis, Nancy Solis, Margarita Pizarro, Patricio Torres, Sue RoffAbstract:Background: Students’ perceptions of their Educational Environment (EE) have been studied in undergraduate and postgraduate curricula. Postgraduate EE has been measured in hospital settings. However, there are no instruments available to measure the EE in postgraduate ambulatory settings. Aim: The aim of this study was to develop the ‘‘Ambulatory Care Learning Education Environment Measure’’ (ACLEEM). Methods: A mixed methodology was used including three stages: (1) Grounded theory (focus groups); (2) Delphi technique to identify consensus; and (3) Pilot study. Results: Three quota samples of approximately 60 stakeholders were formed, one as Focus Groups and two as Delphi panels. Eight focus groups were carried out including 58 residents (Latin-American Spanish speakers). The results were analysed and 173 items were offered to a National Delphi panel (61 residents and teachers). They reduced in two rounds the number of important items to 54. The 54-item questionnaire was then piloted with 63 residents and refined to the final version of the ACLEEM with 50 items and three domains. Conclusions: The 50-item inventory is a valid instrument to measure the EE in postgraduate ambulatory setting in Chile. Largescale administration of the ACLEEM questionnaire to evaluate its construct validity and reliability are the next steps to test the psychometric properties of the instrument.
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assessing the Educational Environment in the operating room a measure of resident perception at one canadian institution
Surgery, 2006Co-Authors: Jeanie Kanashiro, Sean Mcaleer, Sue RoffAbstract:Background The Educational experience in the operating room is considered the centerpiece of learning for surgical residents. The Educational Environment is defined as the “ethos” or “climate” that affects all aspects of learning within an Educational setting. A measure of the Educational Environment in the operating room as perceived by residents would assist educators and trainees in gauging the quality of the learning occurring within this important venue. The Operating Room Educational Environment Measure (OREEM) was adapted from an inventory validated for use with basic surgical trainees in Scotland to determine whether an inventory specifically adapted to the specialized Environment of the operating room can produce a valid assessment of trainee perception of the overall Educational Environment and the contributing factors therein at a North American institution. Methods The 40-item inventory was piloted on a group of general surgery residents at the University of Calgary from November 26, 2003, to January 31, 2004. Results With a response rate of 96%, the OREEM was shown to be a relevant, internally consistent (Cronbach ∝ = .8656) and valid tool for assessing the overall Educational Environment in the operating room within a Canadian surgical residency program. Four subscales included teaching and training, learning opportunities, atmosphere, and workload/supervision/support. The overall mean score of 74% suggests the learning Environment may be considered satisfactory; however, areas for potential improvement are identifiable. Results reveal strengths such as a nondiscriminatory operating room atmosphere on racial and gender grounds. However, differences were shown in male and female perceptions of learning opportunities and in junior versus senior perceptions of workload, supervision, and support. Conclusions The OREEM has potential to be applied further as a quality assessment tool whose results could be used by faculty and program directors to improve the learning experiences of residents in the operating room.
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the dundee ready Educational Environment measure dreem a generic instrument for measuring students perceptions of undergraduate health professions curricula
Medical Teacher, 2005Co-Authors: Sue RoffAbstract:Students’ perceptions of their Educational Environment have been studied at all levels of the education system, from primary through post-secondary education. Recent imperatives towards enhanced quality assessment monitoring at a time when health professions education is increasingly committed to student-centred teaching and learning have stimulated a revival of interest in this field. This paper reports a body of research in health professions institutions around the world based on the Dundee Ready Educational Environment Measure (DREEM), a reliable, validated inventory that claims to be generic to undergraduate health professions education and non-culturally specific.
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students perceptions of Educational Environment a comparison of academic achievers and under achievers at kasturba medical college india
Education and Health, 2004Co-Authors: Shreemathi S Mayya, Sue RoffAbstract:Context No country, least of all poorly resourced countries such as India, can afford to lose too many medical students in their undergraduate years. It would be useful to have an instrument to identify those students who are vulnerable to academic failure at this level of training and to identify the features of the Educational Environment that they perceive differently from students who are succeeding academically in order to design intervention strategies. Gender differences in perceptions of the Educational Environment might well emerge in particular academic or cultural contexts, with particular curricula. The present study was motivated by this concern and focused on comparisons between academic achievers and under-achievers and male and female students of Kasturba Medical College, India. Objectives (1) To compare the perceptions of the Educational Environment of academic achievers and under-achievers and to identify problem areas that should be remediated. (2) To identify whether there is any gender difference in the perceptions. Methods The Dundee Ready Educational Environment Measure (DREEM) was administered to 508 medical students studying in the clinical years at the Kasturba Medical College in India. Item as well as scale scores were compared between academic achievers and under-achievers. Findings Overall sample of the present study rated Educational Environment in this institution as average. The overall mean DREEM score was significantly higher for academic achievers. Compared to under-achievers, academic achievers scored significantly higher on perceptions regarding teachers, academic atmosphere and social self-perceptions. In addition to this, the overall rating (total DREEM score) of female students was significantly less compared to males in the academically vulnerable group. Conclusions Perceptions of poor performers are significantly different from those of better performers in the same institution. More importance should be given to the perceptions of students to improve the Educational Environment, as perceptions are associated positively with learning outcome, learning approach and attitude toward studying. Use of the DREEM as a monitoring tool might permit timely interventions to remediate problematic Educational Environments.
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development and validation of the anaesthetic theatre Educational Environment measure ateem
Medical Teacher, 2004Co-Authors: M C Holt, Sue RoffAbstract:The Anaesthetic Trainee Theatre Educational Environment Measure (ATEEM) was developed to measure the Educational Environment for trainee anaesthetists in the theatre setting using similar methodology to that of other existing tools. The ATEEM was administered to 271 anaesthetic trainees three months into their post of whom 218 (80%) responded. The ATEEM showed that trainees' perceptions of their Educational Environments do vary and that this inventory is capable of identifying problem areas that can be remediated by training managers.
Taro Shimizu - One of the best experts on this subject based on the ideXlab platform.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:BACKGROUND: It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven. OBJECTIVE: We aimed to investigate the association between the hospital Educational Environment and the performance of the medical knowledge base among resident physicians in Japanese teaching hospitals. METHODS: To assess the knowledge base of medicine, we conducted the General Medicine InTraining Examination (GM-ITE) for second-year residents in the last month of their residency. The items of the exam were developed based on the outcomes designated by the Japanese Ministry of Health, Labor, and Welfare. The Educational Environment was evaluated using the Postgraduate Hospital Educational Environment Measure (PHEEM) score, which was assessed by a mailed survey 2 years prior to the exam. A mixed-effects linear regression model was employed for the analysis of variables associated with a higher score. RESULTS: Twenty-one teaching hospitals participated in the study and a total of 206 residents (67 women) participated and completed the exam. There were no residents who declined to participate in the exam. The mean GM-ITE score was 58 (standard deviation 8.4). The mixed-effects linear regression analysis showed that a higher PHEEM score was associated with a higher GM-ITE score (P = 0.02). Having a department of general medicine, and hospital location in a provincial community (versus an urban setting), were also shown to have a significant relationship with the higher score (P = 0.03, and P = 0.02, respectively). CONCLUSION: We found that the performance of the medical knowledge base of resident physicians was significantly associated with the Educational Environment of their hospitals. Improvement of the Educational Environment in teaching hospitals might be crucial for enhancing the performance of resident physicians in Japan.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:Background It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven.
Yusuke Tanoue - One of the best experts on this subject based on the ideXlab platform.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:BACKGROUND: It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven. OBJECTIVE: We aimed to investigate the association between the hospital Educational Environment and the performance of the medical knowledge base among resident physicians in Japanese teaching hospitals. METHODS: To assess the knowledge base of medicine, we conducted the General Medicine InTraining Examination (GM-ITE) for second-year residents in the last month of their residency. The items of the exam were developed based on the outcomes designated by the Japanese Ministry of Health, Labor, and Welfare. The Educational Environment was evaluated using the Postgraduate Hospital Educational Environment Measure (PHEEM) score, which was assessed by a mailed survey 2 years prior to the exam. A mixed-effects linear regression model was employed for the analysis of variables associated with a higher score. RESULTS: Twenty-one teaching hospitals participated in the study and a total of 206 residents (67 women) participated and completed the exam. There were no residents who declined to participate in the exam. The mean GM-ITE score was 58 (standard deviation 8.4). The mixed-effects linear regression analysis showed that a higher PHEEM score was associated with a higher GM-ITE score (P = 0.02). Having a department of general medicine, and hospital location in a provincial community (versus an urban setting), were also shown to have a significant relationship with the higher score (P = 0.03, and P = 0.02, respectively). CONCLUSION: We found that the performance of the medical knowledge base of resident physicians was significantly associated with the Educational Environment of their hospitals. Improvement of the Educational Environment in teaching hospitals might be crucial for enhancing the performance of resident physicians in Japan.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:Background It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven.
Ryota Konishi - One of the best experts on this subject based on the ideXlab platform.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:BACKGROUND: It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven. OBJECTIVE: We aimed to investigate the association between the hospital Educational Environment and the performance of the medical knowledge base among resident physicians in Japanese teaching hospitals. METHODS: To assess the knowledge base of medicine, we conducted the General Medicine InTraining Examination (GM-ITE) for second-year residents in the last month of their residency. The items of the exam were developed based on the outcomes designated by the Japanese Ministry of Health, Labor, and Welfare. The Educational Environment was evaluated using the Postgraduate Hospital Educational Environment Measure (PHEEM) score, which was assessed by a mailed survey 2 years prior to the exam. A mixed-effects linear regression model was employed for the analysis of variables associated with a higher score. RESULTS: Twenty-one teaching hospitals participated in the study and a total of 206 residents (67 women) participated and completed the exam. There were no residents who declined to participate in the exam. The mean GM-ITE score was 58 (standard deviation 8.4). The mixed-effects linear regression analysis showed that a higher PHEEM score was associated with a higher GM-ITE score (P = 0.02). Having a department of general medicine, and hospital location in a provincial community (versus an urban setting), were also shown to have a significant relationship with the higher score (P = 0.03, and P = 0.02, respectively). CONCLUSION: We found that the performance of the medical knowledge base of resident physicians was significantly associated with the Educational Environment of their hospitals. Improvement of the Educational Environment in teaching hospitals might be crucial for enhancing the performance of resident physicians in Japan.
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the hospital Educational Environment and performance of residents in the general medicine in training examination a multicenter study in japan
International Journal of General Medicine, 2013Co-Authors: Taro Shimizu, Yusuke Tanoue, Ryota Konishi, Yuji Nishizaki, Mitsumasa Kishimoto, Toshiaki Shiojiri, Yusuke Tsugawa, Yasuharu TokudaAbstract:Background It is believed that the type of Educational Environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven.