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      • Application of an objective structured clinical examination to evaluate and monitor interns’ proficiency in hand hygiene and personal protective equipment use in the United States

        Ying Nagoshi,Lou Ann Cooper,Lynne Meyer,Kartik Cherabuddi,Julia Close,Jamie Dow,Merry Jennifer Markham,Carolyn Stalvey 한국보건의료인국가시험원 2019 보건의료교육평가 Vol.16 No.-

        Purpose: This study was conducted to determine whether an objective structured clinical examination (OSCE) could be used to evaluate and monitor hand hygiene and personal protective equipment (PPE) proficiency among medical interns in the United States. Methods: Interns in July 2015 (N=123, cohort 1) with no experience of OSCE-based contact precaution evaluation and teaching were evaluated in early 2016 using an OSCE for hand hygiene and PPE proficiency. They performed poorly. Therefore, the new interns entering in July 2016 (N=151, cohort 2) were immediately tested at the same OSCE stations as cohort 1, and were provided with feedback and teaching. Cohort 2 was then retested at the OSCE station in early 2017. The Mann-Whitney U-test was used to compare the performance of cohort 1 and cohort 2 on checklist items. In cohort 2, performance differences between the beginning and end of the intern year were compared using the McNemar chi-square test for paired nominal data. Results: Checklist items were scored, summed, and reported as percent correct. In cohort 2, the mean percent correct was higher on the posttest than on the pretest (92% vs. 77%, P

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        Self-care perspective taking and empathy in a student-faculty book club in the United States

        Rebecca Henderson,Melanie Gross Hagen,Zareen Zaidi,Valentina Dunder,Edlira Maska,Ying Nagoshi 한국보건의료인국가시험원 2020 보건의료교육평가 Vol.17 No.-

        Purpose: We aimed to study the impact of a combined faculty-student book club on education and medical practice as a part of the informal curriculum at the University of Florida College of Medicine in the United States. Methods: Sixteen medical students and 7 faculties who participated in the book club were interviewed through phone and recorded. The interview was then transcribed and entered into the qualitative data analysis program QSR NVivo (QSR International, Burlington,MA, USA). The transcripts were reviewed, and thematic codes were developed inductively through collaborative iteration. Based onthese preliminary codes, a coding dictionary was developed and applied to all interviews within QSR Nvivo to identify themes. Results: Four main themes were identified from interviews: The first theme, the importance of literature to the development andmaintenance of empathy and perspective-taking, and the second theme, the importance of the book club in promoting mentorship,personal relationships and professional development, were important to both student and faculty participants. The third and fourththemes, the need for the book club as a tool for self-care and the book club serving as a reminder about the world outside of school werediscussed by student book club members. Conclusion: Our study demonstrated that an informal book club has a significant positive impact on self-care, perspective-taking, empathy, and developing a “world outside of school” for medical school students and faculty in the United States. It also helps to fostermeaningful relationships between students and faculty.

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