Case Study Research in Health Professions Education

Bunton, Sarah A.; Sandberg, Shana F.

doi:10.1097/acm.0000000000001443

Cited by 6 publications

(4 citation statements)

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“…Two found it hard to understand the tutors, two thought the cases didn't relate to the patients they saw, and one felt the covered topics were unhelpful. The most valuable parts of the tutorial were help in organizing thinking (5), networking with colleagues (4), learning the UK perspective (3), the chat group (3), and increased con dence in patient care decisions (3). Most (7/9) in clinical practice used decision support such as Epocrates and the American Family Physician.…”

Section: Survey Resultsmentioning

confidence: 99%

“…The overarching program goal was to provide focused, interactive, practical training for the residents in order to improve their clinical reasoning and decision making skills in a patient-centered manner. The purpose of this paper is to present and evaluate this online tutorial program as case study research 5 to understand the factors that facilitated or impaired a positive virtual learning environment.…”

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confidence: 99%

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A Case Study: Lessons learned from online tutorial to improve clinical reasoning for Family Medicine residents in Palestine

Colton,

Al-Saudi,

Smalldridge

et al. 2023

Preprint

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Background Geopolitical and socioeconomic challenges limit faculty development and clinical teaching in the Occupied Territories of Palestine and many other developing countries. The first, and still only, Family Medicine residency program is a four-year program based out of An-Najah University in the West Bank. Training in primary care clinics occurs in the final two years and there are many challenges to adequate supervision in the clinical setting that were exacerbated during the pandemic. To improve the clinical reasoning skills of 13 Palestinian FM residents a three-month tutorial program was organized in 2020. An NGO that has worked to support Family Medicine development in the region engaged experienced British General Practitioners trained as tutors to offer online tutorials. We evaluate the program as case study research to understand the factors that facilitated or impaired a positive virtual learning environment. Methods The tutors and residents were divided into groups and met virtually between June and September 2020. Evaluations and session reports collected during the program, the text of an online chat, and responses to an online survey two years later were collected. Using thematic analysis techniques, we evaluated the value for the residents at the time and two years later and identified factors that facilitated or impaired a positive virtual learning environment. Results Themes of knowledge, skills, attitudes, cultural disconnects, and tutorial logistics emerged. The group with the most stable tutor pairing, including one Arabic-speaker familiar with the context, was the most engaged. The all-female group formed a chat group to share real-time case questions during clinical practice, and focused on skills (e.g. conducting a thorough medication review) and attitudes (e.g. open to sharing and discussing uncertainties). Other groups were less cohesive. Conclusions Transnational tutorials that focused on clinical thinking and decision-making skills were most successful when the tutorial pair was stable, offered familiarity with the language and addressed cultural differences. Intrinsic factors such as lacking the motivation to participate and extrinsic factors such as unstable internet and rolling electric cuts, and clinical structures that made applying new skills challenging were more difficult to address but must be considered.

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Section: Survey Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

A Case Study: Lessons learned from online tutorial to improve clinical reasoning for Family Medicine residents in Palestine

Colton,

Al-Saudi,

Smalldridge

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…This qualitative study was based on a case-study research approach, in which a phenomenon is examined within its real-life context [ 19 ]. This enabled a holistic view of specific, contextualized cases to understand complex situations and deepen knowledge [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Clinicians’ perspectives on quality: do they match accreditation standards?

Akdemir

Malik

Walters³

et al. 2021

Hum Resour Health

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Background Quality of training is determined through programs’ compliance with accreditation standards, often set for a number of years. However, perspectives on quality of training within these standards may differ from the clinicians’ perspectives on quality of training. Knowledge on how standards relate to clinicians’ perspectives on quality of training is currently lacking yet is expected to lead to improved accreditation design. Methods This qualitative study design was based on a case-study research approach. We analyzed accreditation standards and conducted 29 interviews with accreditors, clinical supervisors and trainees across Australia and the Netherlands about the quality and accreditation of specialist medical training programs. The perspectives were coded and either if applicable compared to national accreditation standards of both jurisdictions, or thematized to the way stakeholders encounter accreditation standards in practice. Results There were two evident matches and four mismatches between the perspectives of clinicians and the accreditation standards. The matches are: (1) accreditation is necessary (2) trainees are the best source for quality measures. The mismatches are: (3) fundamental training aspects that accreditation standards do not capture: the balance between training and service provision, and trainee empowerment (4) using standards lack dynamism and (5) quality improvement; driven by standards or intrinsic motivation of healthcare professionals. Conclusion In our Australian and Dutch health education cases accreditation is an accepted phenomenon which may be improved by trainee empowerment, a dynamic updating process of standards and by flexibility in its use.

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“…To answer this explanatory question, an educational case study approach combined with Kirkpatrick's four-level evaluation model was used as the theoretical framework to scaffold this pilot study. An educational case study can be an effective approach to exploring the phenomenon in an educational context [23]. Kirkpatrick's evaluation model is pragmatic and appropriate for evaluating a teaching tool: digital recordings [24].…”

Section: Introductionmentioning

confidence: 99%

Enhanced Learning Using Digital Recordings with Integrated Standardized Patient Examinations (ISPEs) in Physical Therapy Education: A Qualitative Pilot Study

Kinney,

Nordon-Craft,

Kardong-Edgren

et al. 2023

Education Sciences

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(1) Background: Integrated standardized patient examinations (ISPEs) allow students to demonstrate competence with curricular learning and communication. Digital recordings of these experiences provide an objective permanent record, allowing students to review and improve their performance. Although recordings have been utilized as a tool in physical therapy education, no studies have described the impact of reviewing recordings of ISPE. This qualitative pilot study aimed to investigate student perceptions and learning after reviewing their recordings of ISPE. (2) Methods: Second-year Doctor of Physical Therapy students (n= 23) participated in the study by completing an anonymous online survey after reviewing their recordings from three ISPEs. Thematic analysis was used to identify codes and central themes from the survey data. (3) Results: The results showed that 95.6% of students found the video review process beneficial. Five themes emerged: (i) digital recordings provide an objective performance assessment, (ii) approaches to self-review vary, (iii) it provides an opportunity for growth, (iv) a holistic review is possible, and (v) students need structure and guidance in the process. (4) Conclusions: Study findings indicate that a review of the recordings of ISPEs facilitates the development of clinical skills for physical therapy students. Implementing an explicit framework for reviewing the recordings may enhance the process and facilitate further promotion of reflection-on-action.

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Case Study Research in Health Professions Education

Cited by 6 publications

References 0 publications

A Case Study: Lessons learned from online tutorial to improve clinical reasoning for Family Medicine residents in Palestine

A Case Study: Lessons learned from online tutorial to improve clinical reasoning for Family Medicine residents in Palestine

Clinicians’ perspectives on quality: do they match accreditation standards?

Enhanced Learning Using Digital Recordings with Integrated Standardized Patient Examinations (ISPEs) in Physical Therapy Education: A Qualitative Pilot Study

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