CDEM Voice – Member Highlight

capture


Meigra Chin

Meigra Myers Chin, MD

Assistant Professor

Clerkship Director

Department of Emergency Medicine

Rutgers-Robert Wood Johnson Medical School


 

spacer

  1. What is your most memorable moment of teaching?

I don’t have a single moment, although there are moments that stand out in my mind along the way.  I teach medical students (in various roles) from their first through fourth years, so I get to see quite a few through all the way…and I think that one of the most satisfying, if not memorable, moments in teaching is seeing that evolution from a wobbly first-year to a self-confident, organized fourth-year student.  It is gratifying when you hear back from a student that they remember learning something from you.

  1. Who or what is your biggest influence?

I was very privileged to train under some of the best of the best at Bellevue, not just attending faculty, but residents and fellows as well.  I’d have to say that the true sense of integrity and duty to patients first that I learned there is one of my biggest influences.

  1. Any advice for other clerkship directors?

Get your faculty invested in your students.  There can be a tendency to focus on residents more than students, or EM-bound students more than all students if you have a required clerkship like we do.  Faculty need to remember that these are the kids who will be taking care of our patients (and us!) down the line.  One of my main goals for my clerkship is to give all students a clearer understanding of what EM does, why we are great at what we do, and that in the future, when we wake you up in the middle of the night for a consult, we are doing it for good reason!

  1. What is your favorite part about being an educator/director?

I’ve had a lot of first-year students assigned to follow me in the ED and then come to me down the line to tell me that they’ve decided to pursue EM.  That makes me feel great.

  1. Any interesting factoids you would like to share?

I was an atypical student, back in school as a single parent with an undergrad BFA in theatre and absolutely zero science background when I started my pursuit of medicine.  I think I will always have a soft spot for the outlier students and their individual circumstances because of the way I came up.  “Wanderer, there is no road, the road is made by walking.”—Antonio Machado

CDEM Faculty Podcast Episode 7: Digital and Social Media for Academic Promotion

Hi everyone!  In this month’s podcast I had the pleasure of talking with Daniel Cabrera MD, assistant professor of emergency medicine at the Mayo Clinic and Bryan Vartabedian, MD, assistant professor of pediatrics at Baylor about their recent paper, “More Than Likes and Tweets: Creating Social Media Portfolios for Academic Promotion and Tenure.”  We discussed why digital and social media scholarship should matter for academic promotion, your responsibilities as a creator of digital content, and how you may be able to start this conversation at your institution.  Listed below are the link for the articles and websites Dr. Cabrera referred to in the podcast.

More Than Likes and Tweets: Creating Social Media Portfolios for Academic Promotion and Tenure

Retraction Watch:

http://retractionwatch.com/

METRIQ Study:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017842/

Dr. Cabrera’s website which contains links for more articles on this topic

http://www.cabreraerdr.com/academicsocialmedia/

 

Keep up to date on the latest CDEM Faculty podcast on SoundCloud, RSS, and iTunes.  

 

Suzana Tsao, DO

Director Medical Student Clerkship

Perelman School of Medicine

CDEM Voice – FOAMonthly

foamonthly-title

https://edgeforscholars.org/writing-in-academia-an-interview-with-helen-sword/

Who doesn’t want to be a better writer or publish more frequently? Helen Sword is the author of a new book entitled Air &Light &Time & Space: How Successful Academics Write.  In this interview, she discusses  the process of writing and her insights from writing the book. She provides useful resources to help improve not only your writing but your writing process. You can use the Writer’s Diet website (www.writersdiet.com) to determine if your writing is “flabby or fit.” You can learn why you may not need to write every day. Additionally, the Edge for Scholars blog provides “candid commentary” and “gritty truths” about life in academics and offers a broad range of perspectives from multiple disciplines. The blog has topics ranging from productivity to wellness to negotiation to gender and diversity. It is a great community where you can just read or jump in and share your thoughts and ideas!

Kendra Parekh, MD

parekh-signature

EMRA Hangout Invitation: 11/7/2017 (FEMinEM)

CLICK HERE TO SUBMIT QUESTIONS:

We are excited to extend an invitation for you to take part in EMRA’s exciting webinar style series EMRA Hangouts. Each month EMRA Hangouts host a featured Emergency Medicine program director and other key speakers as they share their key insights and information on everything from the match process, away rotations, interviews, and more!

This Hangout is a special edition in collaboration with FemInEM and features a discussion with female physicians and residents focused on women’s paths through medical education and the specific challenges faced by female students while applying to and working in emergency medicine. This session is called:

WOMEN IN EMERGENCY MEDICINE PANEL WITH FEMinEM

Featuring:

Dara Kass, MD
  CEO and Editor-in-chief of FemInEM
Deborah Pierce, DO
Residency Program Director, Einstein Healthcare Network
Shana Ross, DO
Assistant Program Director, Assistant Professor of Emergency Medicine
Megan Stobart-Gallagher, DO
Assistant Program Director, Undergraduate Medical Director, Einstein Healthcare Network

Topic: “Women in Emergency Medicine Panel w/ FemInEM”

Date: November 7, 8PM EST 

Time: 8PM Eastern | 7PM Central|6PM
                 Mountain |5PM Pacific  

SIGN UP FOR WOMEN IN EMERGENCY MEDICINE PANEL

For more information on past and future sessions make sure to visit the EMRA Hangouts website at: https://www.emra.org/students/hangouts/

 

CDEM Voice – Research Column

er-column

Using Surveys in Medical Education Research

Surveys are a common means of acquiring data in medical education research. They can be used to perform needs assessments for curriculum design, evaluate learner and instructor perceptions, or gather information about the attitudes and preferences of individuals in the educational environment.

Surveys are best used to obtain subjective data, such as opinions or attitudes, as these cannot be observed directly. Directly observable data may be gained by various means, such as direct measurement (e.g. using an exam to test content retention), database review (e.g. analyzing student academic records), or third-party observation (e.g. outsourcing analysis of videotaped procedural performance). In contrast, surveys ask respondents to report or recall information, and as such their findings risk being subject to various cognitive biases such as recall bias. For this reason, data should only be obtained by a survey if they are otherwise unavailable due to the impracticality or impossibility of more direct assessment.

When designed and applied properly, surveys can achieve a scientific rigor comparable to psychometric tools. If relevant to the researcher’s questions, previously validated survey tools should be used, as these are more likely to yield high-quality responses and allow for comparison against pre-existing data. Many questions in medical education research may require the construction of new surveys, however, as pre-existing survey questions may not fully capture the information relevant to the study at hand.

Artino et al. describe seven steps in developing a survey tool to maximize its scientific rigor: (1) conduct a literature review to look for pre-existing survey tools or items, and to align the new survey with existing literature; (2) conduct interviews or focus groups to help understand how the population of interest conceptualizes the relevant questions; (3) synthesize the first two steps to ensure that the ideas under investigation a) use language that the population of interest can understand, and b) that these ideas make theoretical sense based on the literature; (4) develop survey items; (5) conduct expert review of these items to assess for content validity; (6) vet these items with members of the respondent population to ensure understanding in the manner that the investigators intend; and (7) run a pilot survey to evaluate response variance and conduct a formal analysis of the content validity of each survey item. While the performance of each of these steps may be too cumbersome for the construction of a given survey, incorporating as many as possible will increase the quality and reproducibility of survey responses and will make the data more reliable for comparison against future studies.

Furthermore, careful design facilitates the reporting of many important survey considerations. A robust evaluation of the study population will enable clearer description of sampling criteria, which will add to a survey’s reproducibility and indicate the generalizability of its results. Content review and item vetting not only improve the quality of data collected by individual questions, but also help identify the best means of response measurement. For example, an opinion question might utilize a Likert scale or free responses, and these two types of data demand very different analyses. Identifying which response type is best suited to gathering the data of interest is crucial for both data acquisition and reporting.

Finally, carefully crafted survey items avoid ambiguity or confusing language. This helps reduce erroneous responses, and thus makes inaccurate conclusions less likely. Clear wording can also improve the response rate, which is a crucial piece of information for any survey study to report. As in all study types, achieving appropriate power helps reduce the risk of type I and type II errors, and in survey methodology power is reflected by the response rate as well as the sample size.

Surveys can be excellent tools for elucidating subjective or otherwise non-observable data. With careful design and appropriate application, they can attain a high degree of scientific rigor.check box

 

Andrew Ketterer, MD

Medical Education Fellow

Beth Israel Deaconess Medical Center/Harvard Medical School

References:

Artino AR, La Rochelle JS, Dezee KJ, et al. Developing questionnaires for educational research. AMEE Guide No. 87. 2014(36):463-74.

Phillips AW. Proper applications for surveys as a study methodology. Brief Educational Advances. December 5, 2016. 18(1).

 

CDEM Voice – FOAMonthly

foamonthly-title

A Heaping Spoonful of FOAM Literature Reviews


Site: https://journalfeed.org

Are you tired of hearing about “that cool new study” that your student heard about on a podcast, but can’t cite? Do you find the “why do we do this?” question difficult to answer on shift? Looking to direct your students to landmark EM papers that guide our practice?  This month’s FOAMonthly highlights JournalFeed, formerly EM Topics, which promises to spoon feed us the most important EM literature.

Clay Smith, MD (@spoonfedEM), created JournalFeed to meet the broad needs of novice to advanced learners who need some help staying informed.  Via an almost continuously updating website, daily emails and weekly summary emails, Dr. Smith uses the “spaced repetition” model of learning. After he combs through all of the new EM literature in a month (>1500 articles from 31 journals), Dr. Smith selects articles that seem the most relevant to an EM physician’s practice and posts a summary/emails one reviewed article per day. While each review does link to the primary source, there is also a summary of the highlights, including a single sentence “Spoon Feed” summary, a “why does this matter” section and a brief discussion of the findings and methods of each article.  The website is open access, and daily/weekly emails are via a free subscription.

For our most novice learners, the “Landmark Papers” section will be the most informative. From articles on vent management, stroke care, antibiotic stewardship, to health policy and ED operations, there’s something for every interest.  Best of all, summaries are short, concise and relevant to daily practice.

 

Happy Spoonfeeding,

 

Emily Brumfield MD

@DrSadieHawkins

Assistant Professor

Assistant Director of Undergraduate Medical Education

Vanderbilt University Medical Center

CDEM Faculty Podcast Episode 6

Episode 6:  National Clinical Assessment Tool for Emergency Medicine (NCAT-EM)

 

Hi everyone!  In this month’s podcast I had the opportunity to talk with Dr. Kathy Hiller about  the recently released National Clinical Assessment Tool for Emergency Medicine (NCAT-EM), which was developed by Jules Jung, Doug Franzen, Kathy Hiller, and Luan Lawson.  We last talked with this group in episode 2 (https://cdemcurriculum.com/2016/03/26/end-of-shift-assessment-of-medical-students/), when they were still in the beginning stages of developing this evaluation tool.  In this interview, Dr. Hiller discusses how you may use the NCAT-EM (see link below) in your clerkship and their current study.  If you are interested in using the NCAT-EM and/or would like to be a part of the study, please email Dr. Hiller at khiller@aemrc.arizona.edu.

NCAT-EM

Keep up to date on the latest CDEM Faculty podcast on SoundCloud, RSS, and iTunes.  

Suzana Tsao, DO

Director Medical Student Clerkship

Perelman School of Medicine