Publications by authors named "Carla S Lupi"

Introduction: Ambulatory clerkships, including longitudinal integrated clerkships (LICs), face challenges to assessment, including time pressure and clinical demands on preceptors. High-quality clinical assessment is critical to implementing competency-based medical education, generating valid grades, and supporting learning. This importance is further heightened with the new pass/fail scoring for US Medical Licensing Exam Step 1, discontinuation of US Medical Licensing Exam Step 2 Clinical Skills, and the growing concern for bias in assessment.

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Article Synopsis
  • Many health care providers don't regularly ask patients about intimate partner violence (IPV) because they feel unprepared or lack training.
  • A study with medical students found that after a special training and practice session, most students felt more confident about asking patients about IPV and reproductive coercion.
  • However, students still had personal worries about how to ask and deal with patients' answers, showing that more early training on this topic might be needed.
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  • The CoreEPA pilot aims to find a way for medical schools to decide if students are ready for important tasks called entrustable professional activities (EPAs).
  • After five years of research with ten participating schools, they found different methods being used, but all schools followed the basic rules of the pilot.
  • They discovered some common challenges schools face in this decision-making process and concluded that they need more practice to make important choices about students' readiness.
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Problem: In 2014, medical students at the Florida International University Herbert Wertheim College of Medicine (FIU HWCOM) first drew attention to perceived gaps in the sexual health curriculum. The authors used Kern and colleagues' model for curriculum development to review and update the existing curriculum.

Approach: To develop longitudinal sexual health curricular objectives for undergraduate medical education (UME), the authors reviewed existing specialty- and organization-specific objectives.

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This article was migrated. The article was marked as recommended. Introduction The move towards value-based care and population health has highlighted the prominent role of social and behavioral factors in determining health outcomes.

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In 2015, the Association of American Medical Colleges implemented an interinstitutional pilot of 13 core entrustable professional activities (EPAs) for entering residency, activities that entering residents should be expected to perform with indirect supervision. The pilot included a concept group on faculty development; this group previously offered a shared mental model focused on the development of faculty who devote their efforts to clinical teaching and assessment for learning and entrustment decision making. In this article, the authors draw from the literature of competency-based education to propose what is needed in overall approaches to faculty development to prepare institutions for undergraduate EPA implementation.

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Introduction: Many patients receiving news of an unplanned pregnancy need not only a test result, but also the initiation of pregnancy options counseling. Thus, this online instructional module and objective structured clinical examination (OSCE) aim to provide foundational training for medical students in nondirective pregnancy options counseling.

Methods: To further the validity of a previously published OSCE, we reconsidered content, revised the checklist, and produced videos for rater training.

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Objective: We sought to determine the effect of a pregnancy options counseling workshop focusing on communication skills and ethics on medical student competency.

Study Design: This educational trial randomized 105 third-year students to performance of an objective structured clinical examination before or after participation in the workshop assessed by a blinded reviewer. The primary outcome variable was student-level global competency in options counseling; secondary outcomes included competency components of general communication.

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Objective: This study evaluates an educational intervention focusing on the ethical reasoning and communication skills necessary in counseling patients about morally objectionable medical interventions.

Study Design: All students on the core clerkship in obstetrics and gynecology at the University of Miami Miller School of Medicine participated in a structured workshop. Students completed anonymous surveys before and after the workshop.

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