Educational Highlights from SEA 2019 Spring Meeting

At the SEA 2019 Spring meeting, program hosts Libby and Herodotos Ellinas, introduced a new session called “Best of the Year.” During this Sunday morning workshop, attendees collaboratively generated a list of educational resources that helps them stay connected and the 2018 best educational material that impacted their work.

Educational resources: How do you stay connected?

  1. Anesthesia and Critical Care Reviews and Commentary (ACCRAC)

    The aim of the podcasts is to help trainees who are reviewing for their exams as well as provide a forum for interesting topics, debates and interviews in the areas of anesthesia and critical care. 

  2. Diigo

    A social bookmarking website that allows signed-up users to bookmark and tag Web pages. Additionally, it allows users to highlight any part of a webpage and attach sticky notes to specific highlights or to a whole page.

  3. Evidence Alerts

    Internet service that notifies physicians and researchers about newly-published clinical studies. Researchers at the McMaster Health Information Unit find the highest quality studies, reviews, and evidence-based clinical practice guidelines from 121 premier clinical journals and these articles are rated by practicing physicians for clinical relevance and interest. Alerts are curated to your own clinical interests.

  4. Google Scholar

    Provides a simple way to broadly search for scholarly literature. From one place, you can search across many disciplines and sources: articles, theses, books, abstracts and court opinions, from academic publishers, professional societies, online repositories, universities and other web sites.

  5. KeyLIME Podcasts

    Key Literature in medical education is a weekly podcast produced by the Royal college of Physicians and Surgeons of Canada.

  6. Local Library Running List 

    Request from a librarian to create a topic search in specific journals.

  7. MedEdPortal

    A peer-reviewed, open-access journal that promotes educational scholarship and dissemination of teaching and assessment resources in the health professions

  8. The New England Journal of Medicine (NEJM) (with university subscription) 

    Delivers high-quality, peer-reviewed research and interactive clinical content to physicians, educators, and the global medical community.

  9. QxMD is a personalized medical medical & scientific journal where you can:
    • Keep up with the latest new research that will impact your practice
    • Search millions of articles from PubMed and our database of outstanding topic reviews
    • Access full text through your university/institutional subscription or via open access publishers
    • Organize, review & publish your personal article collections

  10. Table of Contents from Noteworthy Journals -
    • Journal of Graduate Medical Education (JGME) - disseminates scholarship and promotes critical inquiry to inform and engage the graduate medical education community to improve the quality of graduate medical education.
    •  Anesthesia and Analgesia (A&A)- provides the practice-oriented, clinical research you need to keep current and provide optimal care to your patients.
    • Anesthesiology - leads the world in publication of peer-reviewed novel research that transforms clinical practice and fundamental understanding in anesthesiology: the practice of perioperative, critical care, and pain medicine.
    • Academic Medicine - serves as an international forum for the exchange of ideas, information, and strategies to address the major challenges facing the academic medicine community as it strives to carry out its missions in the public interest.

  11. Twitter

  12. UptoDate Anesthesia (with university subscription) 
    Original clinical content authored by leading physicians synthesized into graded, evidence-based recommendations. Clinicians around the world can earn CME/CE/CPD credits with UpToDate without interrupting their regular workflow.

  13. WFSA Tutorial of the Week 
    Anesthesia Tutorial of the Week is an online open access educational resource. Our aim is to support anesthesia training throughout the world, particularly in areas where access to journals and learning is limited.

Best of Year 2018 – What educational material had the most impact on you? 

  1. A Comparison of Approaches for Mastery Learning Standard Setting . Barsuk JH et al. Acad Med 2018 Jul: 93(7), 1079-1084.

    The Mastery Angoff and Patient-Safety standard-setting approaches resulted in higher central venous catheter (CVC) insertion simulation-based mastery learning (SBML) minimum passing standards (MPSs) compared with traditional standard-setting methods

  2. Assessment, feedback and the alchemy of learning.  Watling CS, Ginsburg S. Medical Education 2019: 53: 76–85

    Successfully blending assessment and feedback demands clarity of purpose, support for learners, and a system and organizational commitment to a culture of improvement rather than a culture of performance.

  3. Behavioral Insights Toolkit by IRS .

    This Behavioral Insights Toolkit was created as a practical resource for use by IRS employees and researchers seeking to incorporate Behavioral Insights into their work. Behavioral Insights is the study of why we act as we do. Behavioral Insights (BI) uses principles from the behavioral sciences such as psychology, neuroscience, and behavioral economics to understand how individuals absorb, process, and react to information, and applies this to design practical policies and interventions with human behavior in mind. This Toolkit describes the field of Behavioral Insights, its potential benefits, and how Behavioral Insights can be practically applied to serve taxpayers and help the IRS achieve its mission. 

  4. Dare to Lead.  Brené Brown. 10/2018.

    A leader is anyone who takes responsibility for recognizing the potential in people and in ideas and has the courage to develop that potential. When we dare to lead, we don't pretend to have the right answers; we stay curious and ask the right questions.

  5. Dear Program Director: Deciphering Letters of Recommendation. Saudek K. et al. J Grad Med Educ. 2018 Jun; 10(3): 261–266.

    Commonly used phrases in LORs were interpreted consistently by PDs and influenced their impressions of candidates. Key elements of LORs include distinct phrases depicting different degrees of endorsement.

  6. Ethological observations of social behavior in the operating room. Jones LK et al. Proc Natl Acad Sci U S A. 2018 Jul 17;115(29):7575-7580.

    Operating rooms (ORs) are inhabited by hierarchical, mixed-gender clinical teams that are often prone to conflict. Behavior varied by clinical role and with the gender composition in the OR. Conflict was initiated mostly down the hierarchy between individuals several ranks apart. Cooperation tended to increase with a rising proportion of females in the OR, but the most pronounced effect concerned the interaction between both genders. If the attending surgeon's gender differed from that of the majority of other personnel in the OR, cooperation was significantly more common.

  7. Formal Versus Informal Judgments: Faculty Experiences with Entrustment in Graduate Medical Education . van Loon, KA et al, JGME 2018 10:5, 537-542

    In a graduate medical education program where formal entrustment has been used for more than a decade, faculty used a combination of formal and informal entrustment. Informal entrustment is key in deciding if a resident can work independently. Faculty members reported being unsure how to optimally use formal entrustment in practice next to their informal decisions.

  8. Gender Differences in Academic Medicine: Retention, Rank, and Leadership Comparisons from the National Faculty Survey.  Carr PL et al. Acad Med. 2018 Nov;93(11):1694-1699. 

    Gender disparities in rank, retention, and leadership remain across the career trajectories of the faculty cohort in this study. Women were less likely to attain senior-level positions than men, even after adjusting for publication-related productivity. Institutions must examine the climate for women to ensure their academic capital is fully utilized and equal opportunity exists for leadership.

  9. Learning Theory Foundations of Simulation-Based Mastery Learning.  McGaghie, WC. and Harris, IB. Simulation in Healthcare: June 2018 - Volume 13 - Issue 3S - p S15-S20.

    This article briefly describes three of the most prominent learning theory foundations (Behavioral, Constructivist, Social Cognitive) that underlie simulation-based mastery learning (SBML) and to argue that they function together to yield strong learning results.

  10. Pedi Crisis 2.0 Critical Events Checklists Mobile App.

    The Pedi Crisis 2.0 app is a free resource to support clinician responses to pediatric perioperative life-threatening critical events.

  11. Performance Measures for Healthcare Teams: A Review .  Marlow S et al. 01/2018. Small Group Research 2018, Vol. 49(3) 306–356.

    Ensuring effective health care team performance through accurate measurement is critical, as teams represent an integral aspect of patient care and safety (Manser 2009). This review summarized evidence related to the validity and reliability of available health care team performance measures with the aim of furthering effective teamwork through error-free measurement. The use of more appropriate measures may ultimately lead to stronger studies and more robust evidence related to health care team performance.

  12. Psychotherapist Perspectives on Resident Wellness.  Bhe ES et al. J Grad Med Educ. 2018 Oct;10(5):494-496.

    Utilizing a psychotherapist's perspective, we understand that the day-to-day encounters between residents and faculty can provide a fruitful venue for teaching and modeling emotional connection and mindfulness within the work environment. This contact provides an empathic space to process the struggles that we all endure in medical training. It can foster resilience in the face of adversity and an overall sense of well-being within a supportive professional family.

  13. Staying Up to Date and Managing Information Overload.  Maggio, LA., Artino AR. J Grad Med Educ. 2018 Oct; 597-8

    Medical educators should: 1. Utilize electronic tools, such as medical education listservs/blogs, automated database/journal alerts, Twitter, and reference managers, to help stay abreast of the latest medical education research and innovations. 2. Seek sources that aggregate the literature, including ‘‘best of’’ lists and review articles. 3. Review for journals/conferences, attend medical education meetings, and learn from your peer network. 4. Remind oneself that do not need to read everything. Unsubscribe if a resource does not meet needs.

  14. The Person You Mean to Be.  Dolly Chugh. 09/2018.

    An inspiring guide from Dolly Chugh, an award-winning social psychologist at the New York University Stern School of Business, on how to confront difficult issues including sexism, racism, inequality, and injustice so that you can make the world (and yourself) better.

  15. The R2C2 Model in Residency Education: How Does It Foster Coaching and Promote Feedback Use?  Sargeant J., Acad Med 2018 Jul;93(7):1055-1063

    The R2C2 (Relationship building, Exploring Reactions to the feedback, Explore the understanding of the feedback Content, Coach for Change) model was reported to be effective in fostering a productive, reflective feedback conversation focused on resident development and in facilitating collaborative development of a change plan. Factors contributing to successful use were identified.

  16. The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants.  Leffert l. et al. Anesth Analg. 2018 Mar;126(3):928-944.

    The goal of this consensus statement is to provide a practical guide of how to appropriately identify, prepare, and manage pregnant women receiving thromboprophylaxis or higher dose anticoagulants during the ante-, intra-, and postpartum periods. The tactics to facilitate multidisciplinary communication, evidence-based pharmacokinetic and spinal epidural hematoma data, and Decision Aids should help inform risk-benefit discussions with patients and facilitate shared decision making.

  17. Twelve tips to maximize the value of a clinical competency committee in postgraduate medical education.  Kinnear B. et al. Med Teach. 2018 Nov;40(11):1110-1115.

    This paper collates available evidence and the authors' experiences to provide practical tips on CCC purpose, membership, processes, and outputs. These tips can benefit programs looking to start a CCC and those that are improving their current CCC processes.

  18. What Makes for Good Anesthesia Teaching by Faculty in the Operating Room? The Perspective of Anesthesiology Residents. Wakatsuki S. et al. Cureus. 2018 May 1;10(5):e2563.

The best practice for OR teaching, as perceived by anesthesia residents, includes social characteristics, such as context, commitment, psychological safety, equanimity, and proper timing, as well as teaching methods, such as autonomy, reasoning, literature, prior knowledge, flexibility, reflection, real-time feedback, and teach back.