Research article
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Decline in attrition rates in United States pediatric residency and fellowship programs, 2007–2020: a repeated cross-sectional study
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Emma Omoruyi
, Greg Russell
, Kimberly Montez
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J Educ Eval Health Prof. 2025;22:24. Published online September 5, 2025
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DOI: https://doi.org/10.3352/jeehp.2025.22.24
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Abstract
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Supplementary Material
- Purpose
Declining fill rates in US pediatric residency and subspecialty programs requires trainee retention. Attrition, defined as transfers, withdrawals, dismissals, unsuccessful completions, or deaths, disrupts program function and impacts the pediatric workforce pipeline. It aims to evaluate attrition trends among pediatric residents and fellows in Accreditation Council for Graduate Medical Education (ACGME)-accredited programs from 2007 to 2020.
Methods
This repeated cross-sectional study analyzed publicly available ACGME Data Resource Book records. Attrition rates and 95% confidence intervals (CIs) were calculated overall and by subspecialty. Logistic regression assessed temporal changes; odds ratios (ORs) compared 2020 to 2007.
Results
From 2007–2020, pediatric residents increased from 8,145 to 9,419 and fellows from 2,875 to 4,279. Aggregate annual resident attrition averaged 1.71% (range, 0.93%–2.64%), and fellow attrition ranged from 12.39%–30.87%. Transfer rates declined from 18.05 to 5.20 per 1,000 trainees (P<0.0001), withdrawals from 5.65 to 2.76 (P=0.030), and dismissals from 3.14 in 2010 to 1.27 in 2020 (P=0.0068). Odds of unsuccessful completion significantly decreased in categorical pediatrics (OR, 0.41; 95% CI, 0.29–0.58), pediatric cardiology (OR, 0.08; 95% CI, 0.01–0.64), pediatric critical care (OR, 0.14; 95% CI, 0.06–0.35), and neonatal-perinatal medicine (OR, 0.46; 95% CI, 0.20–1.08).
Conclusion
Although attrition has improved, premature trainee loss can still disrupt program operations and threaten workforce development. Attrition may reflect educational environment quality, support structures, or selection processes. Greater data transparency is needed to understand demographic trends and inform equitable retention strategies, ultimately strengthening training programs and sustaining the United States pediatric workforce.
Educational/Faculty development material
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Radiotorax.es: a web-based tool for formative self-assessment in chest X-ray interpretation
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Verónica Illescas-Megías
, Jorge Manuel Maqueda-Pérez
, Dolores Domínguez-Pinos
, Teodoro Rudolphi Solero
, Francisco Sendra-Portero
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J Educ Eval Health Prof. 2025;22:17. Published online June 9, 2025
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DOI: https://doi.org/10.3352/jeehp.2025.22.17
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Abstract
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Supplementary Material
- Radiotorax.es is a free, non-profit web-based tool designed to support formative self-assessment in chest X-ray interpretation. This article presents its structure, educational applications, and usage data from 11 years of continuous operation. Users complete interpretation rounds of 20 clinical cases, compare their reports with expert evaluations, and conduct a structured self-assessment. From 2011 to 2022, 14,389 users registered, and 7,726 completed at least one session. Most were medical students (75.8%), followed by residents (15.2%) and practicing physicians (9.0%). The platform has been integrated into undergraduate medical curricula and used in various educational contexts, including tutorials, peer and expert review, and longitudinal tracking. Its flexible design supports self-directed learning, instructor-guided use, and multicenter research. As a freely accessible resource based on real clinical cases, Radiotorax.es provides a scalable, realistic, and well-received training environment that promotes diagnostic skill development, reflection, and educational innovation in radiology education.
Research articles
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Performance of large language models on Thailand’s national medical licensing examination: a cross-sectional study
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Prut Saowaprut
, Romen Samuel Wabina
, Junwei Yang
, Lertboon Siriwat
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J Educ Eval Health Prof. 2025;22:16. Published online May 12, 2025
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DOI: https://doi.org/10.3352/jeehp.2025.22.16
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5,593
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338
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4
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Abstract
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Supplementary Material
- Purpose
This study aimed to evaluate the feasibility of general-purpose large language models (LLMs) in addressing inequities in medical licensure exam preparation for Thailand’s National Medical Licensing Examination (ThaiNLE), which currently lacks standardized public study materials.
Methods
We assessed 4 multi-modal LLMs (GPT-4, Claude 3 Opus, Gemini 1.0/1.5 Pro) using a 304-question ThaiNLE Step 1 mock examination (10.2% image-based), applying deterministic API configurations and 5 inference repetitions per model. Performance was measured via micro- and macro-accuracy metrics compared against historical passing thresholds.
Results
All models exceeded passing scores, with GPT-4 achieving the highest accuracy (88.9%; 95% confidence interval, 88.7–89.1), surpassing Thailand’s national average by more than 2 standard deviations. Claude 3.5 Sonnet (80.1%) and Gemini 1.5 Pro (72.8%) followed hierarchically. Models demonstrated robustness across 17 of 20 medical domains, but variability was noted in genetics (74.0%) and cardiovascular topics (58.3%). While models demonstrated proficiency with images (Gemini 1.0 Pro: +9.9% vs. text), text-only accuracy remained superior (GPT-4o: 90.0% vs. 82.6%).
Conclusion
General-purpose LLMs show promise as equitable preparatory tools for ThaiNLE Step 1. However, domain-specific knowledge gaps and inconsistent multi-modal integration warrant refinement before clinical deployment.
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Citations
Citations to this article as recorded by

- Performance of GPT-4o and o1-Pro on United Kingdom Medical Licensing Assessment-style items: a comparative study
Behrad Vakili, Aadam Ahmad, Mahsa Zolfaghari
Journal of Educational Evaluation for Health Professions.2025; 22: 30. CrossRef - Large Language Models for the National Radiological Technologist Licensure Examination in Japan: Cross-Sectional Comparative Benchmarking and Evaluation of Model-Generated Items Study
Toshimune Ito, Toru Ishibashi, Tatsuya Hayashi, Shinya Kojima, Kazumi Sogabe
JMIR Medical Education.2025; 11: e81807. CrossRef - Technologies, opportunities, challenges, and future directions for integrating generative artificial intelligence into medical education: a narrative review
Junseok Kang, Jihyun Ahn
Ewha Medical Journal.2025; 48(4): e53. CrossRef
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Empirical effect of the Dr LEE Jong-wook Fellowship Program to empower sustainable change for the health workforce in Tanzania: a mixed-methods study
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Masoud Dauda
, Swabaha Aidarus Yusuph
, Harouni Yasini
, Issa Mmbaga
, Perpetua Mwambinngu
, Hansol Park
, Gyeongbae Seo
, Kyoung Kyun Oh
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J Educ Eval Health Prof. 2025;22:6. Published online January 20, 2025
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DOI: https://doi.org/10.3352/jeehp.2025.22.6
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Abstract
PDF
Supplementary Material
- Purpose
This study evaluated the Dr LEE Jong-wook Fellowship Program’s impact on Tanzania’s health workforce, focusing on relevance, effectiveness, efficiency, impact, and sustainability in addressing healthcare gaps.
Methods
A mixed-methods research design was employed. Data were collected from 97 out of 140 alumni through an online survey, 35 in-depth interviews, and one focus group discussion. The study was conducted from November to December 2023 and included alumni from 2009 to 2022. Measurement instruments included structured questionnaires for quantitative data and semi-structured guides for qualitative data. Quantitative analysis involved descriptive and inferential statistics (Spearman’s rank correlation, non-parametric tests) using Python ver. 3.11.0 and Stata ver. 14.0. Thematic analysis was employed to analyze qualitative data using NVivo ver. 12.0.
Results
Findings indicated high relevance (mean=91.6, standard deviation [SD]=8.6), effectiveness (mean=86.1, SD=11.2), efficiency (mean=82.7, SD=10.2), and impact (mean=87.7, SD=9.9), with improved skills, confidence, and institutional service quality. However, sustainability had a lower score (mean=58.0, SD=11.1), reflecting challenges in follow-up support and resource allocation. Effectiveness strongly correlated with impact (ρ=0.746, P<0.001). The qualitative findings revealed that participants valued tailored training but highlighted barriers, such as language challenges and insufficient practical components. Alumni-led initiatives contributed to knowledge sharing, but limited resources constrained sustainability.
Conclusion
The Fellowship Program enhanced Tanzania’s health workforce capacity, but it requires localized curricula and strengthened alumni networks for sustainability. These findings provide actionable insights for improving similar programs globally, confirming the hypothesis that tailored training positively influences workforce and institutional outcomes.
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Reliability and construct validation of the Blended Learning Usability Evaluation–Questionnaire with interprofessional clinicians in Canada: a methodological study
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Anish Kumar Arora
, Jeff Myers
, Tavis Apramian
, Kulamakan Kulasegaram
, Daryl Bainbridge
, Hsien Seow
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J Educ Eval Health Prof. 2025;22:5. Published online January 16, 2025
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DOI: https://doi.org/10.3352/jeehp.2025.22.5
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4,879
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330
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Abstract
PDF
Supplementary Material
- Purpose
To generate Cronbach’s alpha and further mixed methods construct validity evidence for the Blended Learning Usability Evaluation–Questionnaire (BLUE-Q).
Methods
Forty interprofessional clinicians completed the BLUE-Q after finishing a 3-month long blended learning professional development program in Ontario, Canada. Reliability was assessed with Cronbach’s α for each of the 3 sections of the BLUE-Q and for all quantitative items together. Construct validity was evaluated through the Grand-Guillaume-Perrenoud et al. framework, which consists of 3 elements: congruence, convergence, and credibility. To compare quantitative and qualitative results, descriptive statistics, including means and standard deviations for each Likert scale item of the BLUE-Q were calculated.
Results
Cronbach’s α was 0.95 for the pedagogical usability section, 0.85 for the synchronous modality section, 0.93 for the asynchronous modality section, and 0.96 for all quantitative items together. Mean ratings (with standard deviations) were 4.77 (0.506) for pedagogy, 4.64 (0.654) for synchronous learning, and 4.75 (0.536) for asynchronous learning. Of the 239 qualitative comments received, 178 were identified as substantive, of which 88% were considered congruent and 79% were considered convergent with the high means. Among all congruent responses, 69% were considered confirming statements and 31% were considered clarifying statements, suggesting appropriate credibility. Analysis of the clarifying statements assisted in identifying 5 categories of suggestions for program improvement.
Conclusion
The BLUE-Q demonstrates high reliability and appropriate construct validity in the context of a blended learning program with interprofessional clinicians, making it a valuable tool for comprehensive program evaluation, quality improvement, and evaluative research in health professions education.
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Citations
Citations to this article as recorded by

- Multi-methods development and validation of a tool for use in measuring serious illness communication competence: Assessment of clinical encounters – Communication tool (ACE-CT)
Anish K. Arora, Hsien Seow, Daryl Bainbridge, Kulamakan Kulasegaram, Tavis Apramian, Nadia Incardona, Leah Steinberg, Justin Sanders, Zhimeng Jia, Oren Levine, Jessica Simon, Karen Zhang, Zelda Freitas, Clare Fuller, Amanda Lee Roze des Ordons, Jill Dombr
Patient Education and Counseling.2026; 144: 109465. CrossRef - Utilizing cognitive interview in the item refinement of the Blended Teaching Assessment Tool (BTAT) for Health Professions Education
Maria Teresita B. Dalusong, Glenda Sanggalang Ogerio, Valentin C. Dones, Maria Elizabeth M. Grageda
Philippine Journal of Health Research and Development.2025; 29(2): 54. CrossRef - All providers Better Communication Skills (ABCs) program: protocol for a randomized controlled trial assessing communication training effectiveness with interprofessional clinicians
Hsien Seow, Anish K. Arora, Daryl Bainbridge, Zhimeng Jia, Leah Steinberg, Nadia Incardona, Oren Levine, Justin J. Sanders, Jessica Simon, Amanda Roze des Ordons, Karen Zhang, Jeff Myers
BMC Palliative Care.2025;[Epub] CrossRef
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Validation of the Blended Learning Usability Evaluation–Questionnaire (BLUE-Q) through an innovative Bayesian questionnaire validation approach
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Anish Kumar Arora
, Charo Rodriguez
, Tamara Carver
, Hao Zhang
, Tibor Schuster
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J Educ Eval Health Prof. 2024;21:31. Published online November 7, 2024
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DOI: https://doi.org/10.3352/jeehp.2024.21.31
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3,328
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234
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1
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3
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Abstract
PDF
Supplementary Material
- Purpose
The primary aim of this study is to validate the Blended Learning Usability Evaluation–Questionnaire (BLUE-Q) for use in the field of health professions education through a Bayesian approach. As Bayesian questionnaire validation remains elusive, a secondary aim of this article is to serve as a simplified tutorial for engaging in such validation practices in health professions education.
Methods
A total of 10 health education-based experts in blended learning were recruited to participate in a 30-minute interviewer-administered survey. On a 5-point Likert scale, experts rated how well they perceived each item of the BLUE-Q to reflect its underlying usability domain (i.e., effectiveness, efficiency, satisfaction, accessibility, organization, and learner experience). Ratings were descriptively analyzed and converted into beta prior distributions. Participants were also given the option to provide qualitative comments for each item.
Results
After reviewing the computed expert prior distributions, 31 quantitative items were identified as having a probability of “low endorsement” and were thus removed from the questionnaire. Additionally, qualitative comments were used to revise the phrasing and order of items to ensure clarity and logical flow. The BLUE-Q’s final version comprises 23 Likert-scale items and 6 open-ended items.
Conclusion
Questionnaire validation can generally be a complex, time-consuming, and costly process, inhibiting many from engaging in proper validation practices. In this study, we demonstrate that a Bayesian questionnaire validation approach can be a simple, resource-efficient, yet rigorous solution to validating a tool for content and item-domain correlation through the elicitation of domain expert endorsement ratings.
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Citations
Citations to this article as recorded by

- Reliability and construct validation of the Blended Learning Usability Evaluation–Questionnaire with interprofessional clinicians in Canada: a methodological study
Anish Kumar Arora, Jeff Myers, Tavis Apramian, Kulamakan Kulasegaram, Daryl Bainbridge, Hsien Seow
Journal of Educational Evaluation for Health Professions.2025; 22: 5. CrossRef - Utilizing cognitive interview in the item refinement of the Blended Teaching Assessment Tool (BTAT) for Health Professions Education
Maria Teresita B. Dalusong, Glenda Sanggalang Ogerio, Valentin C. Dones, Maria Elizabeth M. Grageda
Philippine Journal of Health Research and Development.2025; 29(2): 54. CrossRef - All providers Better Communication Skills (ABCs) program: protocol for a randomized controlled trial assessing communication training effectiveness with interprofessional clinicians
Hsien Seow, Anish K. Arora, Daryl Bainbridge, Zhimeng Jia, Leah Steinberg, Nadia Incardona, Oren Levine, Justin J. Sanders, Jessica Simon, Amanda Roze des Ordons, Karen Zhang, Jeff Myers
BMC Palliative Care.2025;[Epub] CrossRef
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A new performance evaluation indicator for the LEE Jong-wook Fellowship Program of Korea Foundation for International Healthcare to better assess its long-term educational impacts: a Delphi study
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Minkyung Oh
, Bo Young Yoon
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J Educ Eval Health Prof. 2024;21:27. Published online October 2, 2024
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DOI: https://doi.org/10.3352/jeehp.2024.21.27
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3,493
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287
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1
Web of Science
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1
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Abstract
PDF
Supplementary Material
- Purpose
The Dr. LEE Jong-wook Fellowship Program, established by the Korea Foundation for International Healthcare (KOFIH), aims to strengthen healthcare capacity in partner countries. The aim of the study was to develop new performance evaluation indicators for the program to better assess long-term educational impact across various courses and professional roles.
Methods
A 3-stage process was employed. First, a literature review of established evaluation models (Kirkpatrick’s 4 levels, context/input/process/product evaluation model, Organization for Economic Cooperation and Development Assistance Committee criteria) was conducted to devise evaluation criteria. Second, these criteria were validated via a 2-round Delphi survey with 18 experts in training projects from May 2021 to June 2021. Third, the relative importance of the evaluation criteria was determined using the analytic hierarchy process (AHP), calculating weights and ensuring consistency through the consistency index and consistency ratio (CR), with CR values below 0.1 indicating acceptable consistency.
Results
The literature review led to a combined evaluation model, resulting in 4 evaluation areas, 20 items, and 92 indicators. The Delphi surveys confirmed the validity of these indicators, with content validity ratio values exceeding 0.444. The AHP analysis assigned weights to each indicator, and CR values below 0.1 indicated consistency. The final set of evaluation indicators was confirmed through a workshop with KOFIH and adopted as the new evaluation tool.
Conclusion
The developed evaluation framework provides a comprehensive tool for assessing the long-term outcomes of the Dr. LEE Jong-wook Fellowship Program. It enhances evaluation capabilities and supports improvements in the training program’s effectiveness and international healthcare collaboration.
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Citations
Citations to this article as recorded by

- Halted medical education and medical residents’ training in Korea, journal metrics, and appreciation to reviewers and volunteers
Sun Huh
Journal of Educational Evaluation for Health Professions.2025; 22: 1. CrossRef
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Challenges and potential improvements in the Accreditation Standards of the Korean Institute of Medical Education and Evaluation 2019 (ASK2019) derived through meta-evaluation: a cross-sectional study
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Yoonjung Lee
, Min-jung Lee
, Junmoo Ahn
, Chungwon Ha
, Ye Ji Kang
, Cheol Woong Jung
, Dong-Mi Yoo
, Jihye Yu
, Seung-Hee Lee
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J Educ Eval Health Prof. 2024;21:8. Published online April 2, 2024
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DOI: https://doi.org/10.3352/jeehp.2024.21.8
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4,860
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349
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2
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3
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Abstract
PDF
Supplementary Material
- Purpose
This study aimed to identify challenges and potential improvements in Korea's medical education accreditation process according to the Accreditation Standards of the Korean Institute of Medical Education and Evaluation 2019 (ASK2019). Meta-evaluation was conducted to survey the experiences and perceptions of stakeholders, including self-assessment committee members, site visit committee members, administrative staff, and medical school professors.
Methods
A cross-sectional study was conducted using surveys sent to 40 medical schools. The 332 participants included self-assessment committee members, site visit team members, administrative staff, and medical school professors. The t-test, one-way analysis of variance and the chi-square test were used to analyze and compare opinions on medical education accreditation between the categories of participants.
Results
Site visit committee members placed greater importance on the necessity of accreditation than faculty members. A shared positive view on accreditation’s role in improving educational quality was seen among self-evaluation committee members and professors. Administrative staff highly regarded the Korean Institute of Medical Education and Evaluation’s reliability and objectivity, unlike the self-evaluation committee members. Site visit committee members positively perceived the clarity of accreditation standards, differing from self-assessment committee members. Administrative staff were most optimistic about implementing standards. However, the accreditation process encountered challenges, especially in duplicating content and preparing self-evaluation reports. Finally, perceptions regarding the accuracy of final site visit reports varied significantly between the self-evaluation committee members and the site visit committee members.
Conclusion
This study revealed diverse views on medical education accreditation, highlighting the need for improved communication, expectation alignment, and stakeholder collaboration to refine the accreditation process and quality.
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Citations
Citations to this article as recorded by

- Beyond intentions: a critical narrative review of accreditation’s planned and emergent impact on medical schools
Do-Hwan Kim, Roghayeh Gandomkar, Hyo Hyun Yoo, David Rojas
Advances in Health Sciences Education.2026;[Epub] CrossRef - Evaluation of a Vietnamese medical school using Korean medical school accreditation standards
Bo-Young Yoon, Yon-Chul Park, Keunmi Lee, Hee-Je Lee, Jung-Sook Ha, Seung-Jae Hong, Nguyen Hoang Minh, Jung-Sik Huh
Journal of Medicine and Life Science.2026; 23(1): 24. CrossRef - The new placement of 2,000 entrants at Korean medical schools in
2025: is the government’s policy evidence-based?
Sun Huh
The Ewha Medical Journal.2024;[Epub] CrossRef
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Effect of an interprofessional simulation program on patient safety competencies of healthcare professionals in Switzerland: a before and after study
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Sylvain Boloré
, Thomas Fassier
, Nicolas Guirimand
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J Educ Eval Health Prof. 2023;20:25. Published online August 28, 2023
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DOI: https://doi.org/10.3352/jeehp.2023.20.25
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5,987
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325
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4
Web of Science
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7
Crossref
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Abstract
PDF
Supplementary Material
- Purpose
This study aimed to identify the effects of a 12-week interprofessional simulation program, operated between February 2020 and January 2021, on the patient safety competencies of healthcare professionals in Switzerland.
Methods
The simulation training was based on 2 scenarios of hospitalized patients with septic shock and respiratory failure, and trainees were expected to demonstrate patient safety competencies. A single-group before and after study was conducted after the intervention—simulation program, using a measurement tool (the Health Professional Education in Patient Safety Survey) to measure the perceived competencies of physicians, nurses, and nursing assistants. Out of 57 participants, 37 answered the questionnaire surveys 4 times: 48 hours before the training, followed by post-surveys at 24 hours, 6 weeks, and 12 weeks after the training. The linear mixed effect model was applied for the analysis.
Results
Four components out of 6 perceived patient safety competencies improved at 6 weeks but returned to a similar level before training at 12 weeks. Competencies of “communicating effectively,” “managing safety risks,” “understanding human and environmental factors that influence patient safety,” and “recognize and respond to remove immediate risks of harm” are statistically significant both overall and in the comparison between before the training and 6 weeks after the training.
Conclusion
Interprofessional simulation programs contributed to developing some areas of patient safety competencies of healthcare professionals, but only for a limited time. Interprofessional simulation programs should be repeated and combined with other forms of support, including case discussions and debriefings, to ensure lasting effects.
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Citations
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- Sustaining emergency team competencies: Impact of interprofessional simulation with team resource management and structured debriefing
Yihsuan Tsai, Chunwen Chiu, Shouchuan Sun, Hsingju Lin, Chihhao Lin, Yawen Lee
Clinical Simulation in Nursing.2026; 110: 101880. CrossRef - Interprofessional education in healthcare settings: are healthcare professionals translating learning into practice? An integrated mixed methods systematic review
Rebecca Field, Claire Palermo, Jane Kellett, Thomas Bevitt, Krishna Lambert, Rachel Bacon
Journal of Interprofessional Care.2026; : 1. CrossRef - Expressive pragmatic language in mood and psychotic disorders: a systematic review and meta-analysis
Fiona Meister, Martin Sellier Silva, Gleb Melshin, Chaimaa El Mouslih, Farida Zaher, Roozbeh Sattari, Hsi T. Wei, Neyra Mekideche, Valentina Bambini, Alban Voppel, Lena Palaniyappan
Schizophrenia.2026;[Epub] CrossRef - Midwifery Students’ and Obstetricians’ Perception of Training in Non-Technical Skills
Coralie Fregonese, Paul Guerby, Gilles Vallade, Régis Fuzier
Simulation & Gaming.2025; 56(4): 374. CrossRef - Cenário de simulação realística sobre respostas não punitivas aos erros no Centro Cirúrgico
Francyne Sequeira Lopes Martins, Dionisia Oliveira of Oliveira, Cassiana Gil Prates, Kaihara Freitas Furtado, Rita Catalina Aquino Caregnato
Revista Gaúcha de Enfermagem.2025;[Epub] CrossRef - Realistic simulation scenario on non-punitive responses to errors in the Surgical Center
Francyne Sequeira Lopes Martins, Dionisia Oliveira of Oliveira, Cassiana Gil Prates, Kaihara Freitas Furtado, Rita Catalina Aquino Caregnato
Revista Gaúcha de Enfermagem.2025;[Epub] CrossRef - Interprofessional education interventions for healthcare professionals to improve patient safety: a scoping review
Yan Jiang, Yan Cai, Xue Zhang, Cong Wang
Medical Education Online.2024;[Epub] CrossRef
Case report
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Successful pilot application of multi-attribute utility analysis concepts in evaluating academic-clinical partnerships in the United States: a case report
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Sara Elizabeth North
, Amanda Nicole Sharp
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J Educ Eval Health Prof. 2022;19:18. Published online August 19, 2022
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DOI: https://doi.org/10.3352/jeehp.2022.19.18
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3,881
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162
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Abstract
PDF
Supplementary Material
- Strong partnerships between academic health professions programs and clinical practice settings, termed academic-clinical partnerships, are essential in providing quality clinical training experiences. However, the literature does not operationalize a model by which an academic program may identify priority attributes and evaluate its partnerships. This study aimed to develop a values-based academic-clinical partnership evaluation approach, rooted in methodologies from the field of evaluation and implemented in the context of an academic Doctor of Physical Therapy clinical education program. The authors developed a semi-quantitative evaluation approach incorporating concepts from multi-attribute utility analysis (MAUA) that enabled consistent, values-based partnership evaluation. Data-informed actions led to improved overall partnership effectiveness. Pilot outcomes support the feasibility and desirability of moving toward MAUA as a potential methodological framework. Further research may lead to the development of a standardized process for any academic health profession program to perform a values-based evaluation of their academic-clinical partnerships to guide decision-making.
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- Advancing Value-Based Academic–Clinical Partnership Evaluation in Physical Therapy Education: Multiattribute Utility Analysis as a Contextual Methodological Approach
Sara North
Journal of Physical Therapy Education.2025; 39(2): 186. CrossRef - Application of Multi-Attribute Utility Analysis as a Methodological Framework in Academic–Clinical Partnership Evaluation
Sara E. North
American Journal of Evaluation.2024; 45(4): 562. CrossRef - Multi-attribute monitoring applications in biopharmaceutical analysis
Anurag S. Rathore, Deepika Sarin, Sanghati Bhattacharya, Sunil Kumar
Journal of Chromatography Open.2024; 6: 100166. CrossRef
Reviews
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Is accreditation in medical education in Korea an opportunity or a burden?
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Hanna Jung
, Woo Taek Jeon
, Shinki An
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J Educ Eval Health Prof. 2020;17:31. Published online October 21, 2020
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DOI: https://doi.org/10.3352/jeehp.2020.17.31
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9,487
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176
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13
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17
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Abstract
PDF
Supplementary Material
- The accreditation process is both an opportunity and a burden for medical schools in Korea. The line that separates the two is based on how medical schools recognize and utilize the accreditation process. In other words, accreditation is a burden for medical schools if they view the accreditation process as merely a formal procedure or a means to maintain accreditation status for medical education. However, if medical schools acknowledge the positive value of the accreditation process, accreditation can be both an opportunity and a tool for developing medical education. The accreditation process has educational value by catalyzing improvements in the quality, equity, and efficiency of medical education and by increasing the available options. For the accreditation process to contribute to medical education development, accrediting agencies and medical schools must first be recognized as partners of an educational alliance working together towards common goals. Secondly, clear guidelines on accreditation standards should be periodically reviewed and shared. Finally, a formative self-evaluation process must be introduced for institutions to utilize the accreditation process as an opportunity to develop medical education. This evaluation system could be developed through collaboration among medical schools, academic societies for medical education, and the accrediting authority.
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Geneviève Gauthier, Françoise Moreau-Johnson, Christine Landry, Tim Dubé, Claire Touchie
Advances in Health Sciences Education.2026;[Epub] CrossRef - Equity in Basic Medical Education accreditation standards: a scoping review protocol
Neelofar Shaheen, Usman Mahboob, Ahsan Sethi, Muhammad Irfan
BMJ Open.2025; 15(1): e086661. CrossRef - Making Medical Education Socially Accountable in Australia and Southeast Asia: A Systematic Review
Jyotsna Rimal, Ashish Shrestha, Elizabeth Cardell, Stephen Billett, Alfred King-yin Lam
Medical Science Educator.2025; 35(3): 1767. CrossRef - Impacts of the Accreditation Process for Undergraduate Medical Schools: A Scoping Review
Leticia C. Girotto, Karynne B. Machado, Roberta F. C. Moreira, Milton A. Martins, Patrícia Z. Tempski
The Clinical Teacher.2025;[Epub] CrossRef - Benefits, Challenges, and Opportunities of LCME Accreditation: A National Survey
Colleen Hayden, David Muller, Allan R. Tunkel, Reena Karani, Jennifer Christner, Abbas Hyderi, Robert Fallar
Medical Science Educator.2025; 35(5): 2533. CrossRef - Impact of accreditation on medical education quality improvement in 82 medical schools in Japan: a descriptive study
Nobuo Nara
Journal of Educational Evaluation for Health Professions.2025; 22: 22. CrossRef - Two decades of accreditation in Chilean medical education: outcomes and lessons learned
Oscar Jerez Yañez, Carlos Schade Carter, Miguel Altamirano Rivas, Bárbara Carrasco García
BMC Medical Education.2025;[Epub] CrossRef - Global research agenda for medical education regulation: findings from a nominal group consensus exercise
Valdes Roberto Bollela, Vanessa Burch, Kadambari Dharanipragada, Janneke Frambach, Janet Grant, Lois Haruna-Cooper, Homa Kabiri, James Kelly, Maria-Athina Martimianakis, Fernando Menezes da Silva, Lamiaa Mohsen, John-george Nicholson, Mohammed Ahmed Rashi
BMJ Global Health.2025; 10(12): e016014. CrossRef - To prove or improve? Examining how paradoxical tensions shape evaluation practices in accreditation contexts
Betty Onyura, Abigail J. Fisher, Qian Wu, Shrutikaa Rajkumar, Sarick Chapagain, Judith Nassuna, David Rojas, Latika Nirula
Medical Education.2024; 58(3): 354. CrossRef - ASPIRE for excellence in curriculum development
John Jenkins, Sharon Peters, Peter McCrorie
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Yoonjung Lee, Min-jung Lee, Junmoo Ahn, Chungwon Ha, Ye Ji Kang, Cheol Woong Jung, Dong-Mi Yoo, Jihye Yu, Seung-Hee Lee
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Journal of Educational Evaluation for Health Professions.2020; 17: 33. CrossRef
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How to execute Context, Input, Process, and Product evaluation model in medical health education
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So young Lee
, Jwa-Seop Shin
, Seung-Hee Lee
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J Educ Eval Health Prof. 2019;16:40. Published online December 28, 2019
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DOI: https://doi.org/10.3352/jeehp.2019.16.40
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21,229
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Abstract
PDF
Supplementary Material
- Improvements to education are necessary in order to keep up with the education requirements of today. The Context, Input, Process, and Product (CIPP) evaluation model was created for the decision-making towards education improvement, so this model is appropriate in this regard. However, application of this model in the actual context of medical health education is considered difficult in the education environment. Thus, in this study, literature survey of previous studies was investigated to examine the execution procedure of how the CIPP model can be actually applied. For the execution procedure utilizing the CIPP model, the criteria and indicators were determined from analysis results and material was collected after setting the material collection method. Afterwards, the collected material was analyzed for each CIPP element, and finally, the relationship of each CIPP element was analyzed for the final improvement decision-making. In this study, these steps were followed and the methods employed in previous studies were organized. Particularly, the process of determining the criteria and indicators was important and required a significant effort. Literature survey was carried out to analyze the most widely used criteria through content analysis and obtained a total of 12 criteria. Additional emphasis is necessary in the importance of the criteria selection for the actual application of the CIPP model. Also, a diverse range of information can be obtained through qualitative as well as quantitative methods. Above all, since the CIPP evaluation model execution result becomes the basis for the execution of further improved evaluations, the first attempt of performing without hesitation is essential.
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Brief report
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Benefits of focus group discussions beyond online surveys in course evaluations by medical students in the United States: a qualitative study
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Katharina Brandl
, Soniya V. Rabadia
, Alexander Chang
, Jess Mandel
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J Educ Eval Health Prof. 2018;15:25. Published online October 16, 2018
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DOI: https://doi.org/10.3352/jeehp.2018.15.25
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25,260
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379
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7
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10
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Abstract
PDF
Supplementary Material
- In addition to online questionnaires, many medical schools use supplemental evaluation tools such as focus groups to evaluate their courses. Although some benefits of using focus groups in program evaluation have been described, it is unknown whether these inperson data collection methods provide sufficient additional information beyond online evaluations to justify them. In this study, we analyze recommendations gathered from student evaluation team (SET) focus group meetings and analyzed whether these items were captured in open-ended comments within the online evaluations. Our results indicate that online evaluations captured only 49% of the recommendations identified via SETs. Surveys to course directors identified that 74% of the recommendations exclusively identified via the SETs were implemented within their courses. Our results indicate that SET meetings provided information not easily captured in online evaluations and that these recommendations resulted in actual course changes.
-
Citations
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Farah Otaki, Samuel B. Ho, Bhavana Nair, Reem AlGurg, Adrian Stanley, Amar Hassan Khamis, Agnes Paulus, Laila Alsuwaidi, Ashraf Atta Mohamed Safein Salem
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Karen Miner-Romanoff
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Constantina Constantinou, Marjo Wijnen-Meijer
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Daniel T. L. Shek, Xiaoqin Zhu, Diya Dou, Xiang Li
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Research article
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Evaluation of an undergraduate occupational health program in Iran based on alumni perceptions: a structural
equation model
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Semira Mehralizadeh
, Alireza Dehdashti
, Masoud Motalebi Kashani
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J Educ Eval Health Prof. 2017;14:16. Published online July 26, 2017
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DOI: https://doi.org/10.3352/jeehp.2017.14.16
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34,146
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318
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3
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Abstract
PDF
- Purpose
Evaluating educational programs can improve the quality of education. The present study evaluated the undergraduate occupational health program at the Semnan University of Medical Sciences in Semnan, Iran, with a focus on the associations between alumni perceptions of the learning environment and the outcomes of the occupational health program. Methods: A cross-sectional questionnaire survey was conducted among alumni of the undergraduate occupational health program. We asked alumni to rate their perceptions of the items using a 4-point Likert scale. The associations between alumni perceptions of the educational program and curriculum, faculty, institutional resources, and learning outcomes were modeled and described using structural equation modeling procedures. Results: A descriptive analysis of alumni perceptions indicated low evaluations for the administrative system, practical and research-based courses, and the number of faculty members. We found that a structural model of the evaluation variables of curriculum, faculty qualifications, and institutional resources significantly predicted undergraduate educational outcomes. The curriculum had direct and indirect effects on learning outcomes, mediated by faculty. Conclusion: The findings of our study highlight the usefulness of the structural equation modeling approach for examining links between variables related to the learning process and learning outcomes. Surveys of alumni can provide data for reassessing the learning environment in the light of the professional competencies needed for occupational health graduates.
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International Journal of Environmental Research and Public Health.2023; 20(5): 4272. CrossRef
Research Articles
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Evaluation of a continuing professional development training program for physicians and physician assistants in hospitals in Laos based on the Kirkpatrick model
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Hyun Bae Yoon
, Jwa-Seop Shin
, Ketsomsouk Bouphavanh
, Yu Min Kang
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J Educ Eval Health Prof. 2016;13:21. Published online May 31, 2016
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DOI: https://doi.org/10.3352/jeehp.2016.13.21
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33,948
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360
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25
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Abstract
PDF
- Purpose
Medical professionals from Korea and Laos have been working together to develop a continuing professional development training program covering the major clinical fields of primary care. This study aimed to evaluate the effectiveness of the program from 2013 to 2014 using the Kirkpatrick model. Methods: A questionnaire was used to evaluate the reaction of the trainees, and the trainers assessed the level of trainees’ performance at the beginning and the end of each clinical section. The transfer (behavioral change) of the trainees was evaluated through the review of medical records written by the trainees before and after the training program. Results: The trainees were satisfied with the training program, for which the average score was 4.48 out of 5.0. The average score of the trainees’ performance at the beginning was 2.39 out of 5.0, and rose to 3.88 at the end of each section. The average score of the medical records written before the training was 2.92 out of 5.0, and it rose to 3.34 after the training. The number of patient visits to the district hospitals increased. Conclusion: The continuing professional development training program, which was planned and implemented with the full engagement and responsibility of Lao health professionals, proved to be effective.
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Mina Golestani, Homayoun Sadeghi-bazargani, Sepideh Harzand-Jadidi, Hamid Soori
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Kritika Upadhyay, Sonu Goel, Preethi John, Sara Rubinelli
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Marco Zaccagnini, Patricia A. Miller
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Huanle Cai, Huiqiong Zheng, Jinghua Li, Chun Hao, Jing Gu, Jing Liao, Yuantao Hao
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Ekaterina Kouzmina, Stephen Mann, Timothy Chaplin, Boris Zevin
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Sehrish Bari, Joseph Incorvia, Katherine R. Iverson, Abebe Bekele, Kaya Garringer, Olivia Ahearn, Laura Drown, Amanu Aragaw Emiru, Daniel Burssa, Samson Workineh, Ephrem Daniel Sheferaw, John G. Meara, Andualem Beyene
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Frontiers in Pediatrics.2021;[Epub] CrossRef - Building Capacity of Programme Managers under National Health Mission on Public Health Management and Leadership: Experiences and Way Forward
Sonu Goel, Kritika Upadhyay, BK Padhi
Health and Population: Perspectives and Issues.2021; 44(3): 140. CrossRef - Evaluation of a training program on primary eye care for an Accredited Social Health Activist (ASHA) in an urban district
Pallavi Shukla, Praveen Vashist, SurajSingh Senjam, Vivek Gupta
Indian Journal of Ophthalmology.2020; 68(2): 356. CrossRef - Micro-feedback skills workshop impacts perceptions and practices of doctoral faculty
Najma Baseer, James Degnan, Mandy Moffat, Usman Mahboob
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Timothy Alan Wittick, Ketsomsouk Bouphavanh, Vannyda Namvongsa, Amphay Khounthep, Amy Gray
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Fatemeh Vizeshfar, Marzieh Momennasab, Shahrzad Yektatalab, Mohamad Taghi Iman
Health Education Journal.2018; 77(2): 190. CrossRef - Evaluation of a consulting training course for international development assistance for health
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Smartphone-based evaluations of clinical placements—a useful complement to web-based evaluation tools
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Jesper Hessius
, Jakob Johansson
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J Educ Eval Health Prof. 2015;12:55. Published online November 30, 2015
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DOI: https://doi.org/10.3352/jeehp.2015.12.55
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30,006
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146
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2
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5
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Abstract
PDF
- Purpose
Web-based questionnaires are currently the standard method for course evaluations. The high rate of smartphone adoption in Sweden makes possible a range of new uses, including course evaluation. This study examines the potential advantages and disadvantages of using a smartphone app as a complement to web-based course evaluation
systems.
Methods
An iPhone app for course evaluations was developed and interfaced to an existing web-based tool. Evaluations submitted using the app were compared with those submitted using the web between August 2012 and June 2013, at the Faculty of Medicine at Uppsala University, Sweden.
Results
At the time of the study, 49% of the students were judged to own iPhones. Over the course of the study, 3,340 evaluations were submitted, of which 22.8% were submitted using the app. The median of mean scores in the submitted evaluations was 4.50 for the app (with an interquartile range of 3.70-5.20) and 4.60 (3.70-5.20) for the web (P= 0.24). The proportion of evaluations that included a free-text comment was 50.5% for the app and 49.9% for the web (P= 0.80).
Conclusion
An app introduced as a complement to a web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations. web-based course evaluation system met with rapid adoption. We found no difference in the frequency of free-text comments or in the evaluation scores. Apps appear to be promising tools for course evaluations.
-
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Magnus Sundbom
MedEdPublish.2024; 13: 26. CrossRef - Practical tips for starting a successful national postgraduate course
Magnus Sundbom
MedEdPublish.2024; 13: 26. CrossRef - Practical tips for starting a successful national postgraduate course
Magnus Sundbom
MedEdPublish.2023; 13: 26. CrossRef - Practical tips for starting a successful national postgraduate course
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Hilary Edgcombe, Chris Paton, Mike English
Archives of Disease in Childhood.2016; 101(12): 1149. CrossRef
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Small group effectiveness in a Caribbean medical school’s problem-based learning sessions
-
P Ravi Shankar
, Atanu Nandy
, Ramanan Balasubramanium
, Soumitra Chakravarty
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J Educ Eval Health Prof. 2014;11:5. Published online March 24, 2014
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DOI: https://doi.org/10.3352/jeehp.2014.11.5
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66,905
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195
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5
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5
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Abstract
PDF
- Purpose
The tutorial group effectiveness instrument was developed to provide objective information on the effectiveness of small groups. Student perception of small group effectiveness during the PBL process has not been previously studied in Xavier University School of Medicine. Hence the present study was carried out.
Methods
The study was conducted among the second and third semester undergraduate medical students during the last week of September 2013, in Xavier University School of Medicine, Aruba, Kingdom of the Netherlands. Students were informed about the objectives of the study and invited to participate after obtaining written, informed consent. Demographic information like gender, age, nationality and whether the respondent had been exposed to PBL before joining the institution were noted. Student perception about small group effectiveness was studied by noting their degree of agreement with a set of 19 statements using a Likert type scale.
Results
Thirty four of the 37 (91.9%) second and third semester medical students participated in the study. The mean cognitive score was 3.76 while the mean motivational and demotivational scores were 3.65 and 2.51 respectively. The median cognitive category score was 27 (maximum score 35) while the motivation score was 26 (maximum score 35) and the demotivational score was 12 (maximum being 25). There was no significant difference in scores according to respondents’ demographic characteristics.
Conclusion
Student perception about small group effectiveness was positive. Since most medical schools all over the world already have or are introducing PBL as a learning modality, Tutorial Group Effectiveness Instrument can provide valuable information about small group functioning during PBL sessions.
-
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- Relationship of Prior Knowledge and Scenario Quality With the Effectiveness of Problem-based Learning Discussion among Medical Students of Universitas Malikussaleh, Aceh, Indonesia
Mulyati Sri Rahayu, Sri Wahyuni, Yuziani Yuziani
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Indian medical students’ perspectives on problem-based learning experiences in the undergraduate curriculum: One size does not fit all
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Nanda Bijli
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J Educ Eval Health Prof. 2013;10:11. Published online December 31, 2012
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DOI: https://doi.org/10.3352/jeehp.2013.10.11
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Is it time for integration of surgical skills simulation into the United Kingdom undergraduate medical curriculum? A perspective from King’s College London School of Medicine
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Hamaoui Karim
, Sadideen Hazim
, Saadeddin Munir
, Onida Sarah
, Hoey Andrew W
, Rees John
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J Educ Eval Health Prof. 2013;10:10. Published online December 31, 2012
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DOI: https://doi.org/10.3352/jeehp.2013.10.10
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37,421
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185
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Improved quality and quantity of written feedback is associated with a structured feedback proforma
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Philip M. Newton, Melisa J. Wallace
, Judy McKimm
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J Educ Eval Health Prof. 2012;9:10. Published online August 13, 2012
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DOI: https://doi.org/10.3352/jeehp.2012.9.10
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57,141
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216
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19
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Abstract
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- Facilitating the provision of detailed, deep and useful feedback is an important design feature of any educational programme. Here we evaluate feedback provided to medical students completing short transferable skills projects. Feedback quantity and depth were evaluated before and after a simple intervention to change the structure of the feedback-provision form from a blank free-text feedback form to a structured proforma that asked a pair of short questions for each of the six domains being assessed. Each pair of questions consisted of asking the marker ?占퐓hat was done well???and ?占퐓hat changes would improve the assignment???Changing the form was associated with a significant increase in the quantity of the feedback and in the amount and quality of feedback provided to students. We also observed that, for these double-marked projects, the marker designated as ?占퐉arker 1??consistently wrote more feedback than the marker designated ?占퐉arker 2??
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Marloes Nederhand, Bas Giesbers, Judith Auer, Ad Scheepers
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Brief Report
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Potential advantage of student-run clinics for diversifying a medical school class
-
Chris N. Gu
, Jane A. McElroy
, Blake C. Corcoran
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J Educ Eval Health Prof. 2012;9:8. Published online May 25, 2012
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DOI: https://doi.org/10.3352/jeehp.2012.9.8
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34,440
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149
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6
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Abstract
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- The purpose of this study was to evaluate the influence of a student-run clinic on the diversification of a medical student class. We distributed a two-page, 20-item, paper survey to students of the University of Missouri School of Medicine (MU SOM) class of 2015 in July of 2011. The survey gathered information on general demographics, opinions on the importance of medical education opportunities, and opinions on the importance of medical school characteristics in applying to and attending MU SOM. A total of 104 students responded to the survey. A majority of the students identified the MedZou Community Health Clinic, a student-run, free health clinic affiliated with MU SOM, and simulated-patient encounters as important educational experiences (81% and 94%, respectively). More than half of the self-identified non-white??students reported MedZou as an important factor in their choice to apply to (60%; 95% confidence interval [CI], 32 to 88) and attend (71%; 95% CI, 44 to 98) MU SOM, over half of the females reported MedZou as important in their choice to apply (59%; 95% CI, 43 to 76) and attend (57%; 95% CI, 40 to 74), and over half of non-Missouri residents reported MedZou as important in their choice to apply (64%; 95% CI, 36 to 93) and attend (71%; 95% CI, 44 to 98). According to the above results, it can be said that students clearly value both MedZou and simulated-patient encounters as important educational experiences. Women, minorities, and non-Missouri residents value MedZou more highly than their peers who are First Year Medical Students who are Missouri residents, suggesting that MedZou may provide a promising opportunity to advance diversity within MU SOM. These results highlight the need for additional research to further explore MedZou?占퐏 potential to enhance the recruitment of a diverse medical student class.
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- Student‐led activities of daily living group program in a hospital inpatient rehabilitation setting
Dione Miller, Sarah Mugridge, Meagan Elder, Megan Holt, Karen P. Y. Liu
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Tim Schutte, Jelle Tichelaar, Ramon S Dekker, Michiel A van Agtmael, Theo P G M de Vries, Milan C Richir
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Syed H. Shabbir, Maria Teresa M. Santos
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Lucy Cornthwaite, James Humphreys, Romesh Gupta, Satyan Rajbhandari
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Research Article
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Effect of portfolio assessment on student learning in prenatal training for midwives
-
Nourossadat Kariman
, Farnoosh Moafi
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J Educ Eval Health Prof. 2011;8:2. Published online March 25, 2011
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DOI: https://doi.org/10.3352/jeehp.2011.8.2
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30,448
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159
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4
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Abstract
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- The tendency to use portfolios for evaluation has been developed with the aim of optimizing the culture of assessment. The present study was carried out to determine the effect of using portfolios as an evaluation method on midwifery students??learning and satisfaction in prenatal practical training. In this prospective cohort study, all midwifery students in semester four (n=40), were randomly allocated to portfolio and routine evaluation groups. Based on their educational goals, the portfolio groups prepared packages which consisted of a complete report of the history, physical examinations, and methods of patient management (as evaluated by a checklist) for women who visited a prenatal clinic. During the last day of their course, a posttest, clinical exam, and student satisfaction form were completed. The two groups??mean age, mean pretest scores, and their prerequisite course that they should have taken in the previous semester were similar. The mean difference in the pre and post test scores for the two groups??knowledge and comprehension levels did not differ significantly (P>0.05). The average scores on questions in Bloom?占퐏 taxonomy 2 and 3 of the portfolio group were significantly greater than those of the routine evaluation group (P=0.002, P=0.03, respectively). The mean of the two groups??clinical exam scores was significantly different. The portfolio group?占퐏 mean scores on generating diagnostic and therapeutic solutions and the ability to apply theory in practice were higher than those of the routine group. Overall, students??satisfaction scores in the two evaluation methods were relatively similar. Portfolio evaluation provides the opportunity for more learning by increasing the student?占퐏 participation in the learning process and helping them to apply theory in practice.
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- The Effect of Integrating Service-Learning and Learning Portfolio Construction into the Curriculum of Gerontological Nursing
Pei-Ti Hsu, Ya-Fang Ho, Jeu-Jung Chen
Healthcare.2022; 10(4): 652. CrossRef - Portfolios and Assessment of Personal Protective Devices Course Learning
Seyedeh Negar Assadi
Research and Development in Medical Education.2016; 4(2): 123. CrossRef - Development and Evaluation of an e-portfolio for Use in a Dietetic Internship Program
Ann Gaba
Procedia - Social and Behavioral Sciences.2015; 174: 1151. CrossRef - Opiniones de alumnos y docentes en cuanto a la evaluación de competencias mediante el uso del portafolio en medicina
Marcela Agostini, Laura París, Francisco Heit, Alejandro Sartorio, Roberto Cherjovsky
Debate Universitario.2015; 4(7): 39. CrossRef
Brief Reports
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Evaluation of a Team-Based Learning Tutor Training Workshop on Research and Publication Ethics by Faculty and Staff Participants
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Young-Su Ju
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J Educ Eval Health Prof. 2009;6:5. Published online December 20, 2010
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DOI: https://doi.org/10.3352/jeehp.2009.6.5
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46,117
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164
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4
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Abstract
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- A team-based Learning (TBL) tutor training workshop on research and publication ethics was offered to 8 faculty members and 3 staff at Hallym University in 2009. To investigate the effect of the workshop and any attitude changes, a questionnaire survey was performed after the 8-hr course. Questions in four categories-general course content, change in attitudes toward research and publication ethics, the TBL format, and an open-ended question about the course--were included. Participants responded positively to all items on general course content. There was a positive change in attitude on research and publication ethics. Participants also responded positively to six items on team-based learning. The overall positive response to the workshop on research and publication ethics suggested the effectiveness of this kind of TBL tutor training course for university faculty and staff.
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- Pedagogic Strategies and Contents in Medical Writing/Publishing Education: A Comprehensive Systematic Survey
Behrooz Astaneh, Ream Abdullah, Vala Astaneh, Sana Gupta, Romina Brignardello-Petersen, Mitchell A. H. Levine, Gordon Guaytt
European Journal of Investigation in Health, Psychology and Education.2024; 14(9): 2491. CrossRef - Nursing Faculties’ Knowledge of and Attitudes Toward Research Ethics According to Demographic Characteristics and Institutional Environment in Korea
Sukhee Ahn, Geum Hee Jeong, Hye Sook Shin, Jeung-Im Kim, Yunmi Kim, Ju-Eun Song, Sun-Hee Kim, Ju Hee Kim, Yun Jung Lee, Young A. Song, Eun Hee Lee, Myoung-Hee Kim
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Program Evaluation in Medical Education: An Overview of the Utilization-focused Approach
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Matt Vassar
, Denna L. Wheeler
, Machelle Davison
, Johnathan Franklin
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J Educ Eval Health Prof. 2010;7:1. Published online June 15, 2010
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DOI: https://doi.org/10.3352/jeehp.2010.7.1
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33,095
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324
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17
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Abstract
PDF
- Medical school administrators, educators, and other key personnel must often make difficult choices regarding the creation, retention, modification, or termination of the various programs that take place at their institutions. Program evaluation is a data-driven strategy to aide decision-makers in determining the most appropriate outcome for programs within their purview. The purpose of this brief article is to describe one program evaluation model, the utilization-focused approach. In particular, we address the focus of this model, the personal factor, the role of the evaluator, and the evaluation process. Based on the flexibility of this model as well as its focus on stakeholder involvement, we encourage readers to consider the utilization-focused approach when evaluating programs.
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Rachel M. Jensen, Marzena Sasnal, Uyen T. Mai, James R. Korndorffer, Rebecca K. Miller-Kuhlmann, Arden M. Morris, Aussama K. Nassar, Carl A. Gold
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Medical Education Online.2024;[Epub] CrossRef - Teste de Progresso: a percepção do discente de Medicina
Marlene Moraes Rosa Chinelato, Jose Eduardo Martinez, Gisele Regina de Azevedo
Revista Brasileira de Educação Médica.2022;[Epub] CrossRef - Pandemi Döneminde Tıp Eğitimini Sürdürmek: Giresun Üniversitesi Tıp Fakültesi Deneyimi
Hülya AKAN, Berkan ŞAHİN, Murat USTA, Özkan ÖZAY, Hakan YÜZÜAK, Ural OĞUZ
Tıp Eğitimi Dünyası.2021; 20(60-1): 54. CrossRef - Ongoing Value and Practice Improvement Outcomes from Pediatric Palliative Care Education: The Quality of Care Collaborative Australia
Penelope J Slater, Caroline J Osborne, Anthony R Herbert
Advances in Medical Education and Practice.2021; Volume 12: 1189. CrossRef - Faculty Feedback Program Evaluation in CIMS Multan, Pakistan
Ambreen Shabbir, Hina Raja, Anjum A Qadri, Muhammad Hisaan Anjum Qadri
Cureus.2020;[Epub] CrossRef - A Guide to Evaluation of Quality Improvement and Patient Safety Educational Programs: Lessons From the VA Chief Resident in Quality and Safety Program
Rebecca L. Butcher, Kathleen L. Carluzzo, Bradley V. Watts, Karen E. Schifferdecker
American Journal of Medical Quality.2019; 34(3): 251. CrossRef - Design and Content Validation of Three Setting-Specific Assessment Tools for Advanced Pharmacy Practice Experiences
Eric H. Gilliam, Jason M. Brunner, Wesley Nuffer, Toral C. Patel, Megan E. Thompson
American Journal of Pharmaceutical Education.2019; 83(9): 7067. CrossRef - Is it a match? a novel method of evaluating medical school success
Leslie L. Chang, Alisa Nagler, Mariah Rudd, Colleen O’Connor Grochowski, Edward G. Buckley, Saumil M. Chudgar, Deborah L. Engle
Medical Education Online.2018; 23(1): 1432231. CrossRef - Evaluation of medical ethics doctoral program; a utilization-focused approach
Leila Afshar, Seyed Ziaedin Tabei, Mohammad Hosseinzade
International Journal of Ethics Education.2018; 3(1): 89. CrossRef - How we conduct ongoing programmatic evaluation of our medical education curriculum
Kelly Karpa, Catherine S. Abendroth
Medical Teacher.2012; 34(10): 783. CrossRef
Research Articles
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Students' Evaluation of a Team-based Course on Research and Publication Ethics: Attitude Change in Medical School Graduate Students
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Soo Young Kim
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J Educ Eval Health Prof. 2008;5:3. Published online December 22, 2008
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DOI: https://doi.org/10.3352/jeehp.2008.5.3
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33,034
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- In response to a growing need for students to appreciate ethical issues in medical research and publication, a brief team-based learning (TBL) course was presented to graduate students in the medical school of Hallym University in October and November 2007. To gather information as a basis for improving the course, questionnaires were distributed to 19 students and the feedback was evaluated. The questionnaire consisted of four categories: general course content (7 items), changes in attitudes toward research and publication ethics (6 items), the TBL format (6 items), and an open-ended question about the class (1 item). The most positive response had to do with the importance of the material. Students reported that their knowledge about ethical issues increased, and they expressed satisfaction regarding the communication with their tutors within the TBL format. Most students showed positive responses to the subject as well as to TBL. Since this was the first trial offering of this material in the graduate program at this medical school, it may have been novel to the students. The attitude change and the knowledge acquisition reported by students reflect a very positive outcome of this class. After adjustments to improve weaknesses, such as the short time allocation and students??lack of prior background, the outcomes of this TBL course on research and publication ethics provide a good basis for its continuation.
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Citations
Citations to this article as recorded by

- Pedagogic Strategies and Contents in Medical Writing/Publishing Education: A Comprehensive Systematic Survey
Behrooz Astaneh, Ream Abdullah, Vala Astaneh, Sana Gupta, Romina Brignardello-Petersen, Mitchell A. H. Levine, Gordon Guaytt
European Journal of Investigation in Health, Psychology and Education.2024; 14(9): 2491. CrossRef - Team-based Learning: Enhancing Academic Performance of Psychology Students
Nadia Rania, Stefania Rebora, Laura Migliorini
Procedia - Social and Behavioral Sciences.2015; 174: 946. CrossRef - Team-Based Learning Instruction for Responsible Conduct of Research Positively Impacts Ethical Decision-Making
Wayne T. McCormack, Cynthia W. Garvan
Accountability in Research.2014; 21(1): 34. CrossRef - Team-Based Learning in Pharmacy Education
William Ofstad, Lane J. Brunner
American Journal of Pharmaceutical Education.2013; 77(4): 70. CrossRef - Perspective
Paul Haidet, Ruth E. Levine, Dean X. Parmelee, Sheila Crow, Frances Kennedy, P. Adam Kelly, Linda Perkowski, Larry Michaelsen, Boyd F. Richards
Academic Medicine.2012; 87(3): 292. CrossRef - Evaluation of a Team-Based Learning Tutor Training Workshop on Research and Publication Ethics by Faculty and Staff Participants
Young-Su Ju
Journal of Educational Evaluation for Health Professions.2010; 6: 5. CrossRef
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Proposal of the Implementation of an International Pharmacy Graduate Preliminary Examination
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Kyenghee Kwon
, Jeoung Hill Park
, Jinwoong Kim
, Seung Ki Lee
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J Educ Eval Health Prof. 2008;5:2. Published online December 22, 2008
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DOI: https://doi.org/10.3352/jeehp.2008.5.2
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31,609
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Abstract
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- At present, graduates of international pharmacy schools can apply to take the Korean Pharmacist Licensing Examination after passing a review by the Accreditation Board of the Pharmacy Schools and Licenses. However, since the educational content of different schools and the roles of pharmacists differ from country to country, a preliminary examination might be necessary before the Pharmacist Licensing Examination. To prepare to implement a preliminary examination for foreign pharmacy graduates in Korea, we summarized the preliminary examinations used in four other countries and presented a proposal for a preliminary examination. Data were collected via the internet and through telephone interviews with appropriate persons. The proposal was revised after a public forum. There are preliminary examinations in the USA, Canada, Australia, and the United Kingdom, and these involve written, oral, practice, and English proficiency tests. We proposed that the Korean preliminary examination consist of a written test on basic pharmacy, a test in the Korean language, and an interview. The preliminary examination should include suitable items that effectively evaluate international graduates. Graduates of international pharmacy schools who have an ability equivalent to graduates of Korean pharmacy schools should be eligible to write the Korean Licensing Examination.
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Citations
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- Palestinian pharmacists’ knowledge of issues related to using psychotropic medications in older people: a cross-sectional study
Ramzi Shawahna, Mais Khaskiyyi, Hadeel Abdo, Yasmen Msarwe, Rania Odeh, Souad Salame
Journal of Educational Evaluation for Health Professions.2017; 14: 8. CrossRef - Can a medical regulatory system be implemented in Korea?
Sun Huh, Myung-Hyun Chung
Journal of the Korean Medical Association.2013; 56(3): 158. CrossRef - Career Perspectives of Future Graduates of the Newly Implemented 6-year Pharmacy Educational System in South Korea
Eunyoung Kim, Saurav Ghimire
American Journal of Pharmaceutical Education.2013; 77(2): 37. CrossRef
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Effects of Rating Training on Inter-Rater Consistency for Developing a Dental Hygiene Clinical Rater Qualification System
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Jeong Ran Park, Jung Sook Oh, Moungae Chae, Jae Yeon Jung, Sung Suk Bae
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J Educ Eval Health Prof. 2007;4:5. Published online December 20, 2007
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DOI: https://doi.org/10.3352/jeehp.2007.4.5
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Abstract
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- We tried to develop itemized evaluation criteria and a clinical rater qualification system through rating training of inter-rater consistency for experienced clinical dental hygienists and dental hygiene clinical educators. A total of 15 clinical dental hygienists with 1-year careers participated as clinical examination candidates, while 5 dental hygienists with 3-year educations and clinical careers or longer participated as clinical raters. They all took the clinical examination as examinees. The results were compared, and the consistency of competence was measured. The comparison of clinical competence between candidates and clinical raters showed that the candidate group?占퐏 mean clinical competence ranged from 2.96 to 3.55 on a 5-point system in a total of 3 instruments (Probe, Explorer, Curet), while the clinical rater group?占퐏 mean clinical competence ranged from 4.05 to 4.29. There was a higher inter-rater consistency after education of raters in the following 4 items: Probe, Explorer, Curet, and insertion on distal surface. The mean score distribution of clinical raters ranged from 75% to 100%, which was more uniform in the competence to detect an artificial calculus than that of candidates (25% to 100%). According to the above results, there was a necessity in the operating clinical rater qualification system for comprehensive dental hygiene clinicians. Furthermore, in order to execute the clinical rater qualification system, it will be necessary to keep conducting a series of studies on educational content, time, frequency, and educator level.
Brief Report
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Is the Pass/Fail System Applicable to a Medical School in Korea?
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Mee Young Kim
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J Educ Eval Health Prof. 2007;4:3. Published online December 20, 2007
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DOI: https://doi.org/10.3352/jeehp.2007.4.3
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Abstract
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- To determine whether a pass/fail system is more appropriate for medical education instead of a grade-based system, a survey of medical students and faculty members of Hallym University, Korea, was taken. A questionnaire was delivered to 54 junior students and 36 faculty members from a medical school in Korea and analyzed. Of these participants, 37.7% of students and 36.1% of faculty agreed to the pass/fail system, while 28.3% of students and 52.8% of faculty objected to it. The most frequent reason for objection was the potential decrease in learning achievement. A pass/fail system should be considered after persuasion of the students and faculty to think positively of this system.
Review Article
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The New Horizon for Evaluations in Medical Education in Korea
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Sang-Ho Baik
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J Educ Eval Health Prof. 2005;2(1):7-22. Published online June 30, 2005
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DOI: https://doi.org/10.3352/jeehp.2005.2.1.7
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36,401
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- Over the last two decades, there have been a number of significant changes in the evaluation system in medical education in Korea. One major improvement in this respect has been the listing of learning objectives at medical schools and the construction of a content outline for the Korean Medical Licensing Examination that can be used as a basis of evaluation. Item analysis has become a routine method for obtaining information that often provides valuable feedback concerning test items after the completion of a written test. The use of item response theory in analyzing test items has been spreading in medical schools as a way to evaluate performance tests and computerized adaptive testing. A series of recent studies have documented an upward trend in the adoption of the objective structured clinical examination (OSCE) and clinical practice examination (CPX) for measuring skill and attitude domains, in addition to tests of the knowledge domain. There has been an obvious increase in regional consortiums involving neighboring medical schools that share the planning and administration of the OSCE and CPX; this includes recruiting and training standardized patients. Such consortiums share common activities, such as case development and program evaluation. A short history and the pivotal roles of four organizations that have brought about significant changes in the examination system are discussed briefly.
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Citations
Citations to this article as recorded by

- Presidential address: Adoption of a clinical skills examination for dental licensing, implementation of computer-based testing for the medical licensing examination, and the 30th anniversary of the Korea Health Personnel Licensing Examination Institute
Yoon-Seong Lee
Journal of Educational Evaluation for Health Professions.2022; 19: 1. CrossRef - Effectiveness of Medical Education Assessment Consortium Clinical Knowledge Mock Examination (2011‐2016)
Sang Yeoup Lee, Yeli Lee, Mi Kyung Kim
Korean Medical Education Review.2018; 20(1): 20. CrossRef - Long for wonderful leadership in a new era of the Korean Association of Medical Colleges
Young Hwan Lee
Korean Journal of Medical Education.2014; 26(3): 163. CrossRef - Major Reforms and Issues of the Medical Licensing Examination Systems in Korea
Sang-Ho Baik
Korean Medical Education Review.2013; 15(3): 125. CrossRef - A Study on the Feasibility of a National Practical Examination in the Radiologic Technologist
Soon-Yong Son, Tae-Hyung Kim, Jung-Whan Min, Dong-Kyoon Han, Sung-Min Ahn
Journal of the Korea Academia-Industrial cooperation Society.2011; 12(5): 2149. CrossRef - The Relationship between Senior Year Examinations at a Medical School and the Korean Medical Licensing Examination
Ki Hoon Jung, Ho Keun Jung, Kwan Lee
Korean Journal of Medical Education.2009; 21(1): 17. CrossRef - What Qualities Do Medical School Applicants Need to Have? - Secondary Publication
Yera Hur, Sun Kim
Yonsei Medical Journal.2009; 50(3): 427. CrossRef
Original Articles
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Correlations between the scores of computerized adaptive testing, paper and pencil tests, and the Korean Medical Licensing Examination
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Mee Young Kim
, Yoon Hwan Lee
, Sun Huh
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J Educ Eval Health Prof. 2005;2(1):113-118. Published online June 30, 2005
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DOI: https://doi.org/10.3352/jeehp.2005.2.1.113
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44,464
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167
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3
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Abstract
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- To evaluate the usefulness of computerized adaptive testing (CAT) in medical school, the General Examination for senior medical students was administered as a paper and pencil test (P&P) and using CAT. The General Examination is a graduate examination, which is also a preliminary examination for the Korean Medical Licensing Examination (KMLE). The correlations between the results of the CAT and P&P and KMLE were analyzed. The correlation between the CAT and P&P was 0.8013 (p=0.000); that between the CAT and P&P was 0.7861 (p=0.000); and that between the CAT and KMLE was 0.6436 (p=0.000). Six out of 12 students with an ability estimate below 0.52 failed the KMLE. The results showed that CAT could replace P&P in medical school. The ability of CAT to predict whether students would pass the KMLE was 0.5 when the criterion of the theta value was set at -0.52 that was chosen arbitrarily for the prediction of pass or failure.
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Citations
Citations to this article as recorded by

- Analysis on Validity and Academic Competency of Mock Test for Korean Medicine National Licensing Examination Using Item Response Theory
Han Chae, Eunbyul Cho, SeonKyoung Kim, DaHye Choi, Seul Lee
Keimyung Medical Journal.2023; 42(1): 7. CrossRef - Application of Computerized Adaptive Testing in Medical Education
Sun Huh
Korean Journal of Medical Education.2009; 21(2): 97. CrossRef - Estimation of an Examinee's Ability in the Web-Based Computerized Adaptive Testing Program IRT-CAT
Yoon-Hwan Lee, Jung-Ho Park, In-Yong Park
Journal of Educational Evaluation for Health Professions.2006; 3: 4. CrossRef
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Students' Attitude toward and Acceptability of Computerized Adaptive Testing in Medical School and their Effect on the Examinees' Ability
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Mee Young Kim
, Sun Huh
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J Educ Eval Health Prof. 2005;2(1):105-111. Published online June 30, 2005
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DOI: https://doi.org/10.3352/jeehp.2005.2.1.105
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33,659
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Abstract
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- An examinee's ability can be evaluated precisely using computerized adaptive testing (CAT), which is shorter than written tests and more efficient in terms of the duration of the examination. We used CAT for the second General Examination of 98 senior students in medical college on November 27, 2004. We prepared 1,050 pre-calibrated test items according to item response theory, which had been used for the General Examination administered to senior students in 2003. The computer was programmed to pose questions until the standard error of the ability estimate was smaller than 0.01. To determine the students' attitude toward and evaluation of CAT, we conducted surveys before and after the examination, via the Web. The mean of the students' ability estimates was 0.3513 and its standard deviation was 0.9097 (range -2.4680 to +2.5310). There was no significant difference in the ability estimates according to the responses of students to items concerning their experience with CAT, their ability to use a computer, or their anxiety before and after the examination (p>0.05). Many students were unhappy that they could not recheck their responses (49%), and some stated that there were too few examination items (24%). Of the students, 79 % had no complaints concerning using a computer and 63% wanted to expand the use of CAT. These results indicate that CAT can be implemented in medical schools without causing difficulties for users.
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Citations
Citations to this article as recorded by

- Computer‐Based Testing and Construction of an Item Bank Database for Medical Education in Korea
Sun Huh
Korean Medical Education Review.2014; 16(1): 11. CrossRef - Can computerized tests be introduced to the Korean Medical Licensing Examination?
Sun Huh
Journal of the Korean Medical Association.2012; 55(2): 124. CrossRef - Application of Computerized Adaptive Testing in Medical Education
Sun Huh
Korean Journal of Medical Education.2009; 21(2): 97. CrossRef
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Comparison of item analysis results of Korean Medical Licensing Examination according to classical test theory and item response theory
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Eun Young Lim
, Jang Hee Park
, ll Kwon
, Gue Lim Song
, Sun Huh
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J Educ Eval Health Prof. 2004;1(1):67-76. Published online January 31, 2004
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DOI: https://doi.org/10.3352/jeehp.2004.1.1.67
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33,279
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- The results of the 64th and 65th Korean Medical Licensing Examination were analyzed according to the classical test theory and item response theory in order to know the possibility of applying item response theory to item analys and to suggest its applicability to computerized adaptive test. The correlation coefficiency of difficulty index, discriminating index and ability parameter between two kinds of analysis were got using computer programs such as Analyst 4.0, Bilog and Xcalibre. Correlation coefficiencies of difficulty index were equal to or more than 0.75; those of discriminating index were between - 0.023 and 0.753; those of ability parameter were equal to or more than 0.90. Those results suggested that the item analysis according to item response theory showed the comparable results with that according to classical test theory except discriminating index. Since the ability parameter is most widely used in the criteria-reference test, the high correlation between ability parameter and total score can provide the validity of computerized adaptive test utilizing item response theory.
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Citations
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- Journal of Educational Evaluation for Health Professions received the top-ranking Journal Impact Factor―9.3—in the category of Education, Scientific Disciplines in the 2023 Journal Citation Ranking by Clarivate
Sun Huh
Journal of Educational Evaluation for Health Professions.2024; 21: 16. CrossRef - Analysis on Validity and Academic Competency of Mock Test for Korean Medicine National Licensing Examination Using Item Response Theory
Han Chae, Eunbyul Cho, SeonKyoung Kim, DaHye Choi, Seul Lee
Keimyung Medical Journal.2023; 42(1): 7. CrossRef - Item difficulty index, discrimination index, and reliability of the 26 health professions licensing examinations in 2022, Korea: a psychometric study
Yoon Hee Kim, Bo Hyun Kim, Joonki Kim, Bokyoung Jung, Sangyoung Bae
Journal of Educational Evaluation for Health Professions.2023; 20: 31. CrossRef - Can computerized tests be introduced to the Korean Medical Licensing Examination?
Sun Huh
Journal of the Korean Medical Association.2012; 55(2): 124. CrossRef