Using Instrument-Guided Team Reflection and Debriefing to Cultivate Teamwork Knowledge, Skills, and Attitudes in Pre-Clerkship Learning Teams.

Drawing on the science of teamwork and the science of learning, we designed an instrument-guided team reflection and debriefing activity to foster teamwork knowledge, skills, and attitudes (KSAs) in medical students. We then embedded this activity within and between a biweekly series of pre-clerkship Team-Based Learning sessions with the goal of encouraging medical students to cultivate a practical and metacognitive appreciation of eight foundational teamwork KSAs that are applicable to both healthcare teams and classroom learning teams. On evaluations, 144 learners from a class of 156 reported increased appreciation for and team improvement with these teamwork KSAs.

Teaching and Practicing Cultural Competency Skills with Medical Students Using Nutrition-Focused Case Scenarios.

Cultural competency is a required standard for American medical students, but it can be challenging to effectively engage students with this topic. Because nutrition and culture are inherently intertwined in patient care, classroom role-play with nutrition-focused case scenarios enables students to practice strategies for navigating cultural barriers with patients.

Why are medical students 'checking out' of active learning in a new curriculum?

Objectives: The University of Virginia School of Medicine recently transformed its pre-clerkship medical education programme to emphasise student engagement and active learning in the classroom. As in other medical schools, many students are opting out of attending class and others are inattentive while in class. We sought to understand why, especially with a new student-centred curriculum, so many students were still opting to learn on their own outside of class or to disengage from educational activities while in class.

Temperature and acid-base balance in the American lobster Homarus americanus.

Lobsters (Homarus americanus) in the wild inhabit ocean waters where temperature can vary over a broad range (0-25 degrees C). To examine how environmental thermal variability might affect lobster physiology, we examine the effects of temperature and thermal change on the acid-base status of the lobster hemolymph. Total CO(2), pH, P(CO)2 and HCO(-)(3) were measured in hemolymph sampled from lobsters acclimated to temperature in the laboratory as well as from lobsters acclimated to seasonal temperatures in the wild.

Temperature dependent modulation of lobster neuromuscular properties by serotonin.

In cold-blooded species the efficacy of neuromuscular function depends both on the thermal environmental of the animal's habitat and on the concentrations of modulatory hormones circulating within the animal's body. The goal of this study is to examine how temperature variation within an ecologically relevant range affects neuromuscular function and its modulation by the neurohormone serotonin (5-HT) in Homarus americanus, a lobster species that inhabits a broad thermal range in the wild. The synaptic strength of the excitatory and inhibitory motoneurons innervating the lobster dactyl opener muscle depends on temperature, with the strongest neurally evoked muscle movements being elicited at cold (<5 degrees C) temperatures.

Temperature acclimation alters cardiac performance in the lobster Homarus americanus.

The American lobster is a poikilotherm that inhabits a marine environment where temperature varies over a 25 degrees C range and depends on the winds, the tides and the seasons. To determine how cardiac performance depends on the water temperature to which the lobsters are acclimated we measured lobster heart rates in vivo. The upper limit for cardiac function in lobsters acclimated to 20 degrees C is approximately 29 degrees C, 5 degrees C warmer than that measured in lobsters acclimated to 4 degrees C.

Neuromuscular synapses on the dactyl opener muscle of the lobster Homarus americanus.

The crustacean dactyl opener neuromuscular system has been studied extensively as a model system that exhibits several forms of synaptic plasticity. We report the ultrastructural features of the synapses on dactyl opener of the lobster (Homarus americanus) as determined by examination of serial thin sections. Several innervation sites supplied by an inhibitory motoneuron have been observed without nearby excitatory innervation, indicating that excitatory and inhibitory inputs to the muscle are not always closely matched.

Dual inhibition of the dactyl opener muscle in lobster.

The dactyl opener neuromuscular system of crayfish and lobster has long been a popular model system for studies of synaptic physiology and its modulation. Previous studies of its neural innervation in both species have reported that whereas the opener excitor axon (OE) and the specific opener inhibitor (OI) innervate the entire muscle, the common inhibitor (CI) is restricted to a small number of the most proximal muscle fibers and is the physiologically weaker of the two inhibitors. Here, we show in the lobster that, contrary to previous reports, CI innervates fibers along the entire extent of the dactyl opener muscle and thus shares the innervation targets of OE and OI.

Temperature dependence of cardiac performance in the lobster Homarus americanus.

The lobster Homarus americanus inhabits ocean waters that vary in temperature over a 25 degrees C range, depending on the season and water depth. To investigate whether the lobster heart functions effectively over a wide range of temperatures we examine the temperature dependence of cardiac performance of isolated lobster hearts in vitro. In addition, we examined whether modulation of the heart by serotonin depends on temperature.