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Navigating the uncertainty of health advocacy teaching and evaluation from the trainee's perspective.

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Title: Navigating the uncertainty of health advocacy teaching and evaluation from the trainee's perspective.
Authors: Endres, Kaitlin1, Burm, Sarah2, Weiman, Daniel1, Karol, Dalia1, Dudek, Nancy1,3,4, Cowley, Lindsay4, LaDonna, Kori1,4
Source: Medical Teacher. Jan 2022, Vol. 44 Issue 1, p79-86. 8p.
Subject Terms: *Course evaluation (Education), *Medical students, *Research methodology, *Learning strategies, *Medical schools, *Outcome-based education, *Communication, *Student attitudes, *Needs assessment, *Content analysis, *Medical education, *Clinical education, Patient advocacy, Uncertainty, Interviewing, Thematic analysis, Medical specialties & specialists
Geographic Terms: Ontario
Abstract: There may be no competency more shrouded in uncertainty than health advocacy (HA), raising questions about the robustness of advocacy training in postgraduate medical education. By understanding how programs currently train HA, we can identify whether trainees' learning needs are being met. From 2017 to 2019, we reviewed curricular documents across nine direct-entry specialties at all Ontario medical schools, comparing content for the HA and communicator roles to delineate role-specific challenges. We then conducted semi-structured interviews with trainees (n = 9) and faculty (n = 6) to review findings and discuss their impact. Data were analyzed using thematic content analysis. Curricular documents revealed vague objectives and ill-defined modes of assessment for both intrinsic roles. This uncertainty was perceived as more problematic for HA, in part because HA seemed both undervalued in, and disconnected from, clinical learning. Trainees felt that the onus was on them to figure out how to develop and demonstrate HA competence, causing many to turn their learning attention elsewhere. Lack of curricular focus seems to create the perception that advocacy isn't valuable, deterring trainees—even those keen to become competent advocates—from developing HA skills. Such ambivalence may have troubling downstream effects for both patient care and trainees' professional development. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Navigating the uncertainty of health advocacy teaching and evaluation from the trainee's perspective.
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Jan 2022, Vol. 44 Issue 1, p79-86. 8p.
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  Data: There may be no competency more shrouded in uncertainty than health advocacy (HA), raising questions about the robustness of advocacy training in postgraduate medical education. By understanding how programs currently train HA, we can identify whether trainees' learning needs are being met. From 2017 to 2019, we reviewed curricular documents across nine direct-entry specialties at all Ontario medical schools, comparing content for the HA and communicator roles to delineate role-specific challenges. We then conducted semi-structured interviews with trainees (n = 9) and faculty (n = 6) to review findings and discuss their impact. Data were analyzed using thematic content analysis. Curricular documents revealed vague objectives and ill-defined modes of assessment for both intrinsic roles. This uncertainty was perceived as more problematic for HA, in part because HA seemed both undervalued in, and disconnected from, clinical learning. Trainees felt that the onus was on them to figure out how to develop and demonstrate HA competence, causing many to turn their learning attention elsewhere. Lack of curricular focus seems to create the perception that advocacy isn't valuable, deterring trainees—even those keen to become competent advocates—from developing HA skills. Such ambivalence may have troubling downstream effects for both patient care and trainees' professional development. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=155003102
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/0142159X.2021.1967905
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 79
    Subjects:
      – SubjectFull: Course evaluation (Education)
        Type: general
      – SubjectFull: Medical students
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Learning strategies
        Type: general
      – SubjectFull: Medical schools
        Type: general
      – SubjectFull: Outcome-based education
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Student attitudes
        Type: general
      – SubjectFull: Needs assessment
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      – SubjectFull: Content analysis
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      – SubjectFull: Medical education
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      – SubjectFull: Clinical education
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      – SubjectFull: Patient advocacy
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      – SubjectFull: Uncertainty
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      – SubjectFull: Interviewing
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Medical specialties & specialists
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      – SubjectFull: Ontario
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              Text: Jan 2022
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