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Entrustable professional activities (EPAs) have gained traction in the medical education field as a means of assessing competencies. Essentially, an EPA is a profession-specific task that a trainee is entrusted to conduct unsupervised, once deemed competent by their supervisor through prior evaluations and discussions. The integration of EPAs into postgraduate assessment strategies enhances the delivery of capability-based curricula. It strategically bridges the theoretical–practical divide and addresses existing issues associated with workplace-based assessments (WBPAs). This article aims to (a) provide an overview of EPAs, (b) review the application of EPAs in postgraduate psychiatry so far, exploring their conceptual framework, implementation, qualities and potential benefits and concerns, and (c) propose a theoretical framework for their integration into the UK psychiatry curriculum.
How does the public form preferences on racialized policy issues that are both widely discussed and broadly misunderstood? This has been the question centering around the sudden attacks on academic terms like “critical race theory” (CRT). I argue that the politicization of, and opinion polarization around, critical race theory is evidence of what I call policy branding, where political parties or organizations brand an arbitrary concept that has national salience into a policy issue. Using a series of original survey experiments, this study shows that one of the primary sources of opposition to critical race theory is the literal use of the term. I juxtapose this with evidence that the education policy issue at the core, antiracist teaching, maintained strong public, bipartisan support. This study has implications for the consequences of political elite capture of academic concepts and ideas.
Focusing on journalists’ training between 1960 and 2015, this chapter captures the enduring strength of colonial logic effectuated through nonjournalistic actors, such as the education field. It shows how curricula focused on Western canonical thought reinforce a sense of liminality in a field already perceived as out of touch. It discusses the role of journalism education in inculcating specific normative assumptions about how the fields should work on the continent. It argues that journalism education now, just as at the dawn of independence, is such that the profession is heavily moored on Western understandings of journalistic doxa.
There were about 130 universities in Europe when Goldsmith was born, most founded in the preceding 200 years. Focusing on Trinity College Dublin, Edinburgh University, and the University of Leiden, this chapter uses Goldsmith’s experiences as a means to detail the nature of university education in the mid eighteenth century. The chapter sketches Goldsmith’s time at these three universities and shows that each institution had a distinctive character, defined by its age, religious ethos, governance structures, architecture, and the curriculum it offered. A discussion of Goldsmith’s own thoughts on university education in An Enquiry into the Present State of Polite Learning in Europe (1759) concludes the chapter.
Higher specialist trainees (HSTs) in psychiatry in Ireland were recruited to complete a 21-item online questionnaire anonymously. Questions were designed to establish the research experience of HSTs in various years of training, identify perceived barriers to participation and generate potential strategies to overcome these barriers.
Results
Of 165 HSTs surveyed, 50 (30%) responded. Most respondents (58%) were in the second or third year of HST. Most (72%) were training in general adult psychiatry. Themes that emerged from analysis of the qualitative data were ‘collaborative research culture’, ‘guidance’, ‘choice’ and ‘access to resources’. Participants felt they needed more structured guidance and regular supervision, and expressed a desire for more networking and collaboration.
Clinical implications
The need for a supportive, collaborative research culture within psychiatry was predominant among responses. Structured research programmes and access to resources may facilitate a more positive research culture and should be considered as part of the training curriculum.
There is a need to utilise formal education to ensure and support the effective participation of communities in the disaster risk management process. The negative outcomes of disasters occurring as a result of various disasters in Turkiye show that the society is inadequately prepared. Therefore, the best fight against disasters can be carried out within the scope of formal education activities. In this study, the content and infrastructure of a curriculum for the management of disaster risks at the university level is presented at the conceptual level. Disaster literacy curriculum can contribute to the management of current and future disaster risks. However, there is a need to expand the implementation and measurement of the effectiveness and feasibility of the curriculum as a public health intervention tool. Finally, the support of the national education system needs to be ensured.
This study explores the transformative effects of the Community Plunge, an educational program at the Wake Forest University School of Medicine (WFUSOM), on healthcare delivery, community engagement, and trainee perspectives. It addresses the broader context of health outcomes, where clinical care only accounts for 20%, emphasizing the critical role of social determinants of health (SDOH) and individual behaviors in the remaining 80%.
Methods:
WFUSOM’s Community Plunge, established in 2002, involves a guided tour of the community, discussions with residents, and debriefing sessions. Qualitative interviews with 20 clinicians were conducted to extract key themes and insights.
Results:
The study identified several key outcomes. First, participants gained crucial insights into the community’s history, structural challenges, and prevalent SDOH, enhancing their understanding of the diverse patient populations they serve. Second, the program positively influenced clinician attitudes, fostering empathy, reducing paternalism, and promoting holistic patient care. Third, participants expressed a desire for increased community involvement and reported career trajectory changes toward advocacy and volunteerism. However, challenges such as time constraints were acknowledged.
Conclusions:
The study advocates for collaborative efforts to enhance the program’s impact, including proactive measures to ensure respectful engagement during community tours. It positions the Community Plunge as an innovative, scalable, and transformative strategy for experiential SDOH exposure, crucial for the evolving social consciousness of healthcare learners.
Democrats prize experts in staffing the Executive Branch while Republicans prefer political operatives and media spokespersons. But across the issue spectrum, policies are increasingly complicated and technical, requiring knowledge of many previous rounds of institution-building and policymaking. New social problems require remixing of complex policy tools, often led by research and experts. Addressing climate change and public health, for example, requires professionalized expert workforces and technical analyses. Even seemingly value-based areas of policymaking such as economic development and racial discrimination increasingly require subject-matter experts and formalized training. And the issue of higher education itself has increasingly divided the parties. Chapter 6 documents how each policy area is increasingly dominated by complex proposals from liberals accompanied by conservative suspicion of expert-led governance. Policy knowledge and evaluation capacity have become increasingly tethered to the Democratic Party, with believably nonpartisan expertise now in short supply.
During the 1980s, the AIDS crisis unleashed a torrent of animosity against gays and lesbians. As hatred rose, so too did physical assaults. Most of the perpetrators were teenagers, who did not just torment queer adults – they also directed their anger and hatred at their peers. As a result, a substantial percentage of gay and lesbian youth dropped out of school, abused alcohol and drugs, and attempted suicide. Two types of violence consequently plagued queer life: violence from attackers and self-harm. Some advocates responded by focusing on preventing attacks on the streets. They worked with police to improve their responses and lobbied legislators to enact hate crimes protections, which helped make antiqueer violence visible. Others, typically teachers and parents of queer children, focused on creating support systems in schools, so that gay and lesbian teens would not give up hope for a better future.
Gay and lesbian rights groups had tried to combat violence by legislating against hate and supporting queer students in schools, but these projects did not address the root of the violence – the prejudice and hatred that children learned at an early age. To forestall hate crimes, queer rights advocates consequently turned their attention to educational curricula, lobbying schools to identify same-sex sexuality as a matter of benign difference. These advocates met with intense resistance, which restricted their ability to secure even limited reforms. What ultimately transformed the social and legal landscape were the straight family members of gays and lesbians, who came out in droves in the 1990s. These mothers and fathers drew national attention to the plight of their sons and daughters, helping make violence visible. They also helped the country see that support for families and support for gay and lesbian rights were one and the same.
Supportive educators can aid young people in channelling negative emotions about climate change in healthy, adaptive ways. However, globally only a small minority (13 percent) of young people in school have been asked to consider their feelings about climate change and most teachers lack training and confidence to deliver climate change education. The first portion of this chapter provides an overview of climate change education and explores young people’s climate distress in educational settings, with an emphasis on institutional betrayal. The second portion presents case studies and qualitative data from semi-structured interviews conducted with four leading practitioners whose approaches to climate change education acknowledge and support the mental health implications for young people. Finally, themes identified from thematic analysis of the interviews are presented, and key insights for good practice in climate change education are provided.
Persistence in physician-scientist careers has been suboptimal, particularly among women. There is a gender gap in self-confidence in medicine. We measured the impact of our physician-scientist training programs on trainee’s confidence in professional, personal, and scientific competencies, using a survey measuring self-rated confidence in 36 competencies across two timepoints.
Methods:
Results were analyzed for the full survey and for thematic subscales identified through exploratory factor analysis (EFA). A mixed effects linear model and a difference in differences (DID) design were used to assess the differential impact of the programing by gender and career level.
Results:
Analysis included 100 MD-PhD or MD-only medical student or resident/fellow trainees enrolled between 2020 and 2023. Five subscales were identified through EFA; career sustainability, science productivity, grant management, goal setting, and goal alignment (Cronbach’s alpha 0.85–0.94). Overall, mean scores increased significantly for all five subscales. Women significantly increased their confidence levels in all five areas, whereas men increased only in science productivity and grant management. Mixed effects models showed significant increases over time for women compared to men in career sustainability and goal alignment. Residents and fellows had greater increases than medical students across all subscales.
Conclusion:
Physician-scientist trainees fellows increased their confidence in personal, professional, and scientific skills during training. Training had a greater impact on women than men in building confidence in sustaining careers and aligning their goals with professional and institutional priorities. The magnitude of increased confidence among residents and fellows exceeded that in medical students.
Otolaryngology (ENT) plays a crucial role in healthcare, yet undergraduate education in the United Kingdom has historically not reflected this. This study aimed to assess the delivery of ENT education, focusing on teaching methods, clinical placements, and assessment practices.
Methods
An online questionnaire was distributed to medical students. Data were collected via Qualtrics from 5 August 2023 to 17 October 2023.
Results
Forty medical schools were involved. Thirty-seven schools had compulsory ENT teaching however 20 per cent lack an ENT placement. Clinical placements varied, with an average length of 7.3 days. Assessment of ENT knowledge included Objective, Structures, Clinical Examination stations (90 per cent) and written exams (80 per cent).
Conclusion
The study highlights persistent gaps in ENT education. Deficiencies in clinical exposure and lack of alignment with national guidelines indicate the need for improvement. As the Medical Licensing Assessment approaches, standardising assessments may address disparities but should be accompanied by comprehensive changes in teaching methods and placements.
In response to recommendations for improving the quality and coordination of care delivered by eating disorder services, a whole-team training programme was commissioned by Health Education England in 2020. This paper describes the development and evaluation of the Eating Disorder Services for Adults (EDSA) whole-team training course, delivered to National Health Service adult eating disorder community teams in England. Course participants (n = 561) in the first two EDSA training cohorts (2021 and 2022) were asked to complete questionnaires at intake and after each session, asking about their views on the training.
Results
All course aspects were rated as highly enjoyable, meeting participants’ training needs and fostering reflective practice. Thematic analysis identified themes relating to key innovative features of the course and suggestions for improvements.
Clinical implications
Preliminary evaluation suggests that EDSA is valued by clinicians to enhance their knowledge, skills and ability to improve eating disorder patient care.
The new 2021 UK Foundation Programme Curriculum mandates foundation doctors to acquire mental health competencies. This study aimed to evaluate the effectiveness of psychiatry placements in facilitating competency attainment, foundation doctors’ perceived importance of acquiring these and their preferred teaching methods. Utilising Kirkpatrick's evaluation framework, the study employed a pre–post intervention design assessing the impact of psychiatry placements on 135 foundation doctors across three cohorts from August 2021 to March 2022.
Results
Initially, foundation doctors assigned high importance to mental health competencies. Post-placements, this perceived importance improved slightly, whereas that of clinical skills scenarios slightly decreased. Significant confidence increases were observed in recognising and assessing specific psychiatric disorders. Foundation doctors favoured small seminar groups and on-the-job ad hoc teaching. Qualitative insights underscored the need for context-specific teaching.
Clinical implications
Psychiatry placements enhance foundation doctors’ confidence and perceived importance of mental health competencies as specified by the curriculum. Addressing clinical scenario gaps through context-specific teaching and transferable skills development is essential. Customised teaching approaches, especially small seminars and ad hoc teaching, hold promise for effective mental health training.
In this paper, we offer a commentary on the climate change content in Ghana’s primary and junior high school science curriculum. Since 2019, the government of Ghana has mandated climate change education at multiple levels of the school system. However, there is very little analysis of these curricula. This paper fills an important gap by critically reviewing the climate change content in the science curriculum in a country with a complex and tenuous past regarding capitalist and colonialist expansion and exploitation. We note that while the curriculum attends to technical details of greenhouse gas emissions and climate impacts, it elides the larger global context that has led to the rise in carbon emissions and anthropogenic climate change. We make the case for a climate change curriculum that integrates culture, language and histories, and tackles the complexities of globalisation.
In general, medical students perceive themselves as inadequately prepared to assist in disasters. This study evaluated the impact of a disaster preparedness curriculum and medical students’ views toward required preparedness education for health care professionals.
Methods:
A comprehensive disaster preparedness curriculum was evaluated on its effect on medical students’ views on preparedness education requirements, preparedness, and prior disaster training using self-report survey methodology.
Results:
Results provide evidence to support curricular effectiveness in significantly increasing initial participant views of health professionals’ education requirements, perceived preparedness for integrating professional roles into the emergency response system, and confidence in exposure risk assessment and triage skills. Most participants possessed limited recent prior disaster training and drill experience. Most interestingly, the majority consistently believed throughout the study that disaster preparedness training should be a medical license mandate.
Conclusions:
For those instructing current medical students in disaster preparedness, it is suggested that a curriculum be chosen that can create participant initial anticipation, awareness, and belief in the importance of and need for disaster preparedness training. Further investigation is recommended into the relationship between students’ perceived training importance and any future curriculum delivery efforts on behalf of required or mandatory preparedness offerings in continuing professional development.
Chapter 2 provides the reader with an overview of the policy landscape and the documents that are influential in EC science provision. Attention is focused on Australia’s national curriculum framework for early childhood professionals – Belonging, Being and Becoming: The Early Years Learning Framework for Australia (AGDE, 2022). The relevance of the EYLF in relation to teaching science in the early years is explained, concluding with the identification of science outcomes for children within the framework. The relevance of the EYLF in relation to teaching science in the early years is explained, concluding with the identification of science outcomes for children within the framework. The voices of EC professionals are highlighted to illustrate how those working in the field are engaging with the framework.
Chapter 17 focuses on Task-Based Language Teaching (TBLT), a teaching approach that has strong alignment with empirical findings in second language acquisition research. Bryfonski and Mackey describe TBLT and outline the various phases of implementation needed to adopt it in a new teaching context. The defining characteristics of tasks as well as a practical example of a task that fulfills all four criterion are included so that readers can develop their own tasks.
This chapter focuses on the final decade of the mandate period, which was marked by notable investment in both psychiatric institutions and expertise. Against the backdrop of the Second World War and with partition on the horizon, this chapter traces two developments in particular: the opening of the third and final government mental hospital at Jaffa in 1944, and the cultivation of expertise within the department of health around wartime trauma and mental nursing. Far from reflecting any new vision for colonial development on the part of the mandate government, a closer look at each of these developments reveals that investment was driven as much by colonial subjects and crisis as by British design, and built figuratively and literally on the foundations of the past.