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Related Concept Videos

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Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Does the Timing of USMLE Step 1 Affect Performance? A Comparison of Pre- and Post-Clerkship Timing in the Pass/Fail Era.

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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Excellence in medical training: developing talent-not sorting it.

Gurpreet Dhaliwal1,2, Karen E Hauer3

  • 1Department of Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA. gurpreet.dhaliwal@ucsf.edu.

Perspectives on Medical Education
|August 20, 2021
PubMed
Summary
This summary is machine-generated.

Medical education is shifting away from traditional grades and scores. A new model emphasizes coaching for learning and developing talent, rather than just evaluating students.

Keywords:
Competency-based educationMedical facultyUndergraduate medical education

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Area of Science:

  • Medical Education
  • Competency-Based Education

Background:

  • Traditional metrics for learner excellence in medical schools (grades, test scores, honor societies) are being re-evaluated.
  • The United States Medical Licensing Examination Step 1 is moving to a pass/fail system, prompting discussions on recognizing excellence.

Purpose of the Study:

  • To propose a new model for recognizing and rewarding excellence in undergraduate medical education.
  • To align assessments with how students learn and societal values, moving beyond an accolade-driven system.

Main Methods:

  • Critically analyzing current assessment practices and their limitations.
  • Envisioning a new paradigm for teacher and learner excellence focused on growth and feedback.

Main Results:

  • The current model of excellence is often based on subjective impressions and limited skill domains.
  • A new model requires teachers to shift from evaluators to coaches, focusing on assessment for learning.

Conclusions:

  • Shifting to a coaching model requires institutional policies and structures to foster a supportive culture.
  • The core duty of educators should be talent development, not just sorting learners based on traditional metrics.