Publications by authors named "Brett Schrewe"
Article Synopsis
- Imposter syndrome is often seen as a personal issue that people can fix on their own.
- However, this idea might be too simple, as it also has to do with how schools and universities work today.
- These institutions sometimes make some types of knowledge seem less important, which can make people feel like they don’t belong or aren't good enough.
Article Synopsis
- Over one million Francophone Canadians live in smaller French-speaking communities outside Quebec, struggling to access appropriate healthcare due to a lack of French-speaking medical professionals!* -
- The FrancoDoc program, initiated in 2015, aims to enhance the medical French skills of Francophone/Francophile medical students in English-speaking faculties, but challenges remain in its implementation and effectiveness.* -
- A study involving interviews with medical students revealed motivation to participate in FrancoDoc, but highlighted barriers like time constraints and insufficient faculty support, emphasizing the need for better resources and recognition of language as a health determinant.*
Purpose: The COVID-19 pandemic presented new barriers and exacerbated existing inequities for physician scholars. While COVID-19's impact on academic productivity among women has received attention, the pandemic may have posed additional challenges for scholars from a wider range of equity-deserving groups, including those who hold multiple equity-deserving identities. To examine this concern, the authors conducted a scoping review of the literature through an intersectionality lens.
View Article and Find Full Text PDFRe-thinking "I"dentity in medical education: genealogy and the possibilities of being and becoming.
Adv Health Sci Educ Theory Pract
August 2022
Article Synopsis
- Professional identity formation is important in medical education, focusing on how medical students develop their identities as doctors.
- Current training methods may limit this identity development by sticking to a narrow idea of what a doctor should be.
- A newer approach called Foucauldian genealogy can help explore how education shapes future doctors' identities, making it possible to create a more inclusive and diverse understanding of what being a doctor means.
Introduction: Medical education continues to diversify its settings. For postgraduate trainees, moving across diverse settings, especially community-based rotations, can be challenging personally and professionally. Competent performance is embedded in context; as a result, trainees who move to new contexts are challenged to use their knowledge, skills and experience to adjust.
View Article and Find Full Text PDFConnected from coast to coast to coast: Toward equitable high-speed Internet access for all.
Paediatr Child Health
January 2021
On metabolism: Ensuring our health care system remains "ready-to-hand".
J Eval Clin Pract
October 2020
Objectives: Completing training is a rite of passage common to all physicians, yet our knowledge of the components in postgraduate paediatric education that equip learners for successful transition to practice is limited. In order to optimally design training programs, it is critical to develop a better sense of what early career paediatricians (ECPs) experience as they navigate this time of transition.
Methods: We created and distributed a 23-question survey via e-mail to 481 Canadian ECPs in September 2017, specifically to those who received Royal College certification in 2011 or later.
Offering welcome in the kingdom of the sick: A physician guide to hospitality.
J Eval Clin Pract
June 2021
Rationale, Aims And Objectives: The onset of acute illness may be accompanied by a profound sense of disorientation for patients. Addressing this vulnerability is a key part of a physician's purview, yet well-intended efforts to do so may be impeded by myriad competing tasks in clinical practice. Resolving this dilemma goes beyond appealing to altruism, as its limitless demands may lead to physician burnout, disillusionment, and a narrowed focus on the biomedical aspects of care in the interest of self-preservation.
View Article and Find Full Text PDFArticle Synopsis
- Pedagogical validity refers to a teacher's identity and philosophy, shaped by their skills, educational goals, and core values.
- Effective reflection and improvement in teaching require a deeper understanding of how these elements influence pedagogical validity.
- The article outlines four types of pedagogical validity that help teachers justify their teaching approaches, with each teacher typically relating more to one or two of these types.
Article Synopsis
- The article addresses the ongoing tension between standardization and contextual diversity in medical education, emphasizing the need for better integration of both philosophies.
- It discusses the benefits of standardization, such as improved patient safety and fairness, while also highlighting the unique learning opportunities that local variations provide.
- The authors suggest strategies to reconcile these competing concepts to create a more effective medical education system that respects global standards while being responsive to local needs.
Article Synopsis
- The health care landscape has changed significantly in the last 25 years, leading to diverse training environments in medical education beyond traditional schools.
- Different factors like patient demographics, teaching practices, and cultural contexts create a 'contextual learning matrix' that influences how medical students learn and develop as physicians.
- Medical educators need to help learners recognize and understand these varying contexts so they can take advantage of critical learning opportunities, ultimately improving patient care and adapting to the fluid nature of their professional environments.
Thrown into the world of independent practice: from unexpected uncertainty to new identities.
Adv Health Sci Educ Theory Pract
December 2018
Article Synopsis
- Transitioning from supervised training to independent practice is a challenging time for physicians, marked by anxiety about competence and identity.
- This work uses a personal narrative and Heideggerian philosophy to analyze the author's experience during the first three years in pediatric practice, emphasizing the importance of relationships in this transition.
- The findings suggest that training should focus on contextual flexibility and comfort with uncertainty to better prepare medical trainees for professional changes.
Article Synopsis
- Medical education focuses on how future doctors see themselves and their patients, especially with the idea of putting patients' needs first.
- Researchers studied how medical students talked about patients while they learned in a children's hospital, looking at their words and ideas over a few weeks.
- The study found that students often viewed patients in ways that emphasized diseases and education rather than seeing them as individuals, which can shape the way they become doctors.
Article Synopsis
- The text discusses a child with a deletion on chromosome 3 (3q27.2-qter) that includes the RPL35A gene, which is linked to Diamond-Blackfan anemia (DBA) and an unexplained immunodeficiency disorder.
- The study reviewed existing literature to find 85 similar genomic deletions, noting that while all six deletions that included the RPL35A gene resulted in DBA, none had reported cases of immunodeficiency.
- Despite investigating the possibility of RIDDLE syndrome, linked to the RNF168 gene, the child's tests showed no deficiencies, leaving the cause of her immunodeficiency unknown.
Whether it is rock playing in the background during a surgery, cool jazz that wafts from our office computer speakers as we write up our clinical notes, or the soaring of a symphony on the radio that inspires that perfect flourish to an article, music is woven throughout much of our clinical and academic lives. For the five of us, however, music alternates between the background and foreground in our lives as health professions educators. Music balances the working day, illuminates our research, and reconciles the utility of our training with the originality of our practice.
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