Publications by authors named "P Greilich"

As institutions continuously strive to align with the standards set forth within competency-based medical education, there is an increased need to produce evidence of learner achievement in the form of observable behaviors. However, the complexity of healthcare education and clinical environments make it challenging to generate valid and reliable behavioral assessments. In this article, we utilize our interdisciplinary knowledge from the perspectives of experts in medical education, assessment, and academic administration to provide tips to successfully incorporate behavioral assessments into instructional designs.

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In medical settings, interprofessional education (IPE) plays an important role by bringing students from multiple disciplines together to learn how to collaborate effectively and coordinate safe patient care. Yet developing effective IPE is complex, considering that stakeholders from different schools and programs are involved, each with varying curriculum requirements and interests. Given its critical importance and inherent complexity, innovative approaches to address these challenges are needed to effectively develop and sustain effective IPE programs.

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Perioperative handoffs are high-risk events for miscommunications and poor care coordination, which cause patient harm. Extensive research and several interventions have sought to overcome the challenges to perioperative handoff quality and safety, but few efforts have focused on teamwork training. Evidence shows that team training decreases surgical morbidity and mortality, and there remains a significant opportunity to implement teamwork training in the perioperative environment.

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Article Synopsis
  • - The study focused on enhancing the reliability of handoffs and transitions in cardiovascular care at a busy academic medical center, where a previously implemented handoff process had poor adoption.
  • - Using methods like Plan-Do-Study-Act cycles and participatory design, researchers redesigned the handoff process, assessed it through video analysis, and developed a bundle of best practices with cognitive aids.
  • - Results showed significant improvements in team leadership, communication, coordination, and cooperation in handoffs, with sustained success observed over 2.3 years after implementing the new bundle.
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