Competency-Based Medical Education for Fellowship Training During the COVID-19 Pandemic

Arrighi, James A.; Mendes, Lisa A.; McConnaughey, Shannon

doi:10.1016/j.jacc.2021.02.022

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…Simulation enables standardization of testing across the country and removes dependency of testing on availability of live patients. Multiple prior publications have stated the need to focus on competency‐based medical education 27–29 . Assessment may be summative—based on the candidate's ability to perform for certification or promotion—or formative, in which feedback is provided to the candidate regarding progress, accomplishment, and areas needing further practice 30 .…”

Section: Discussionmentioning

confidence: 99%

Transesophageal echocardiography simulation: A review of current technology

2021

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Transesophageal echocardiography (TEE) has experienced tremendous increase in interest and demand alongside the rapid growth of transcatheter structural cardiac interventions. TEE instruction prolongs the procedure, increasing the risk of probe malfunction from overheating and patient complications from prolonged sedation. Echocardiographic simulation programs have been developed to hone the procedural skills of novice operators in a time‐unrestricted, low‐pressure environment before they perform TEEs on real patients. Simulators likely benefit training in interventional TEE for the same reasons. We searched PubMed, basic Google, and Google Scholar for currently marketed TEE simulators, including foreign as well as US companies. We queried the vendors regarding features of the simulators that pertain to effective instructional design for diagnostic TEE. We also queried regarding the simulators’ applicability to training in interventional TEE. The vendors’ responses are reported here. In addition, we discuss the specific training needs for structural heart interventions, for which echocardiographic simulation could be a powerful educational tool. Lastly, we discuss the role of simulation for formative and summative assessment, and the advances required to improve training in complex procedures within the field of interventional echocardiography.

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Section: Discussionmentioning

confidence: 99%

Transesophageal echocardiography simulation: A review of current technology

2021

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“…Nursing standards of conduct demand that practitioners have faith in their skills and abilities. In addition, given COVID-19's continuing effect on conventional teaching, achieving competence can necessitate more self-directed instruction, remote case studies, or the use of alternative training methods, such as simulation ( Arrighi et al, 2021 ).…”

Section: Literature Reviewmentioning

confidence: 99%

The Effects of the COVID-19 Pandemic on the Clinical Practicum of Undergraduate Nursing and Midwifery Students in Jordan: A Descriptive Survey

Alnjadat,

Al-Rawashdeh,

Almutairi

et al. 2024

SAGE Open Nursing

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Introduction The effects of COVID-19 lockdowns and the discontinued face-to-face clinical practicum had negative consequences on nursing and midwifery students at many levels. The clinical learning environment includes all the training and learning experiences that nursing students undergo during their clinical practicum. Objectives This study aimed to assess the effects of the COVID-19 lockdowns on the nursing and midwifery students’ practicum training in governmental and private universities and academic faculties of nursing in Jordan. Methods A descriptive cross-sectional study of 1025 nursing and midwifery students from academic faculties of nursing of both governmental and private Jordanian universities was conducted in September 2021. The research group from two Jordanian universities designed and validated a 13-item survey to determine and evaluate the impact of mass lockdowns on nursing and midwifery students’ practicum training. The responses were assessed using descriptive and inferential analyses. Results The findings revealed that the lockdown had a negative impact on nursing and midwifery students’ self-confidence and competency in performing nursing procedures. The academic year of the students was a significant independent predictor of their self-confidence and competency levels in performing nursing procedures. Conclusion The study concluded that nursing and midwifery students were dissatisfied with their clinical education during the COVID-19 pandemic, which led to poor self-confidence in performing nursing procedures. The study group recommended repeating the clinical practicum, incorporating extensive laboratory and hospital courses, and implementing a one-year internship for newly graduated nurses and midwives to address the training gap and enhance self-confidence in clinical procedures.

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“…The decisionmaking process is an attempt to achieve the goals of the unit for which they are responsible. Arrighi et al, (2021) defines "TQM is a system of means to economically produce goods or services which satisfy customers' requirements". Harding & McCoubrie, (2009) who quotes from Isikawa, describes: "MMT is the combination of all the functions of the company into a holistic philosophy built on the concepts of quality, teamwork, productivity, and understanding and customer satisfaction."…”

Section: Total Quality Managementmentioning

confidence: 99%

Development of Total Quality Management Model Integrated with Soft Skills Based on Competency-Based Training in Increasing the Interest and Competence

2023

JEP

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The training model carried out by teachers in schools has little impact on student competence, especially preparing students later after graduating from school. This study aims to determine: ( 1) product validity of total quality management model integrated with soft skills based on Competency Based Training; and (2) product effectiveness of the total quality management model integrated with soft skills based on Compentency Based Training implemented in increasing the interest and competence of developed vocational high school students. This research includes development research carried out by vocational high school teachers in Medan City. Subjects in this study were students consisting of 36 people. The object of this research is a product of total quality management model integrated with soft skills based on Competency Based Training. The research resultsshow that: (1) In the validation of material experts, it is known that the average of total score of Competency Based Training material according to material experts is 96,5 with a percentage of 91,9% in the very feasible category. Furthermore, based on the validation of media experts, it is known that the average of total score of total quality management model integrated with soft skills based on Competency Based Training according to media experts is 88 with a percentage of 95,9% in the very feasible category; (2) The results of the analysis can be seen from the calculation of the t value for the training factor of 7.322, it can be concluded that tcount = 7.322 > with ttable = 2.042, this value is much smaller than the significance level of 0,05, so it was concluded that H0 which stated that the soft skills behavior of students who were taught with the total quality management model integrated with CBT-based soft skills was lower than the student learning outcomes of students who were taught with conventional training models were rejected. In other words, it can be stated that the learning outcomes of students who are taught with total quality management model integrated with CBT-based soft skills are higher than the behavior of soft skills of students who are taught with conventional training models.

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Competency-Based Medical Education for Fellowship Training During the COVID-19 Pandemic

Cited by 7 publications

References 5 publications

Transesophageal echocardiography simulation: A review of current technology

Transesophageal echocardiography simulation: A review of current technology

The Effects of the COVID-19 Pandemic on the Clinical Practicum of Undergraduate Nursing and Midwifery Students in Jordan: A Descriptive Survey

Development of Total Quality Management Model Integrated with Soft Skills Based on Competency-Based Training in Increasing the Interest and Competence

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