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  1. Article ; Online: Response to: "Managing exam stress: Caveats to break stations in OSCEs".

    Forbes, Karen L / Foulds, Jessica L / Mian, Qaasim

    Medical teacher

    2024  , Page(s) 1

    Language English
    Publishing date 2024-04-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2024.2343465
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  2. Article ; Online: Give me a break! Addressing observed structured clinical exam anxiety.

    Forbes, Karen L / Mian, Qaasim / Foulds, Jessica L

    Medical teacher

    2024  , Page(s) 1–3

    Abstract: What was the educational challenge? ...

    Abstract What was the educational challenge?
    Language English
    Publishing date 2024-02-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2024.2313577
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Team-based Learning Approach During Pediatric Clerkship to Promote Clinical Reasoning.

    Forbes, Karen L / Foulds, Jessica L

    Academic pediatrics

    2023  Volume 23, Issue 7, Page(s) 1459–1464

    Abstract: Background: Clinical reasoning skills are essential to medical practice. The problem lies in assuming junior medical students with limited experience develop clinical reasoning and decision-making skills passively and solely through clinical exposure. ... ...

    Abstract Background: Clinical reasoning skills are essential to medical practice. The problem lies in assuming junior medical students with limited experience develop clinical reasoning and decision-making skills passively and solely through clinical exposure. To prepare learners for independent practice and care for future patients, explicit teaching and assessment of clinical reasoning in low-stakes, collaborative learning environments are needed.
    Methods: The key-feature question (KFQs) format is an assessment approach that focuses on the reasoning and decision-making aspects of medical problems rather than knowledge recall. This report describes the development, implementation, and evaluation of a team-based learning (TBL) approach using KFQs to foster clinical reasoning in the third-year pediatric clerkship at our institution.
    Results: Over the first 2 years of implementation (2017-18, 2018-19), 278 students participated in TBL sessions. Mean individual student scores significantly improved in the group setting for both academic years (P < .001). Individual scores were moderately positively correlated with their total summative Objective Structured Clinical Examination score (r[275] = 0.51; P < .001). The correlation between individual score and their multiple-choice question examination was weaker at 0.29 (P < .001) but remained positive.
    Conclusions: A TBL session using KFQs to both teach and assess clinical reasoning in clerkship students may help educators identify students with gaps in knowledge and/or reasoning. The next steps include developing and implementing individualized coaching opportunities, and expanding this approach within the undergraduate medical curriculum. Outcome measures to assess clinical reasoning in authentic patient encounters require further research and development.
    Language English
    Publishing date 2023-04-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2483385-X
    ISSN 1876-2867 ; 1876-2859
    ISSN (online) 1876-2867
    ISSN 1876-2859
    DOI 10.1016/j.acap.2023.04.002
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    Zs.A 5914: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  4. Article: Barriers and opportunities for health service access among fathers: A review of empirical evidence.

    Wynter, Karen / Mansour, Kayla A / Forbes, Faye / Macdonald, Jacqui A

    Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

    2024  

    Abstract: Issue addressed: Engagement with health supports benefits the whole family, yet few health services report successful engagement of fathers. Our aim was to describe available evidence on barriers and opportunities relevant to health system access for ... ...

    Abstract Issue addressed: Engagement with health supports benefits the whole family, yet few health services report successful engagement of fathers. Our aim was to describe available evidence on barriers and opportunities relevant to health system access for fathers.
    Methods: Scoping reviews were conducted seeking empirical evidence from (1) Australian studies and (2) international literature reviews.
    Results: A total of 52 Australian studies and 44 international reviews were included. The most commonly reported barriers were at the health service level, related to an exclusionary health service focus on mothers. These included both 'surface' factors (e.g., appointment times limited to traditional employment hours) and 'deep' factors, in which health service policies perpetuate traditional gender norms of mothers as 'caregivers' and fathers as 'supporters' or 'providers'. Such barriers were reported consistently, including but not limited to fathers from First Nations or culturally diverse backgrounds, those at risk of poor mental health, experiencing perinatal loss or other adverse pregnancy and birth events, and caring for children with illness, neurodevelopmental or behavioural problems. Opportunities for father engagement include offering father-specific resources and support, facilitating health professionals' confidence and training in working with fathers, and 'gateway consultations', including engaging fathers via appointments for mothers or infants. Ideally, top-down policies should support fathers as infant caregivers in a family-based approach.
    Conclusions: Although barriers and opportunities exist at individual and cultural levels, health services hold the key to improved engagement of fathers. SO WHAT?: Evidence-based, innovative strategies, informed by fathers' needs and healthy masculinities, are needed to engage fathers in health services.
    Language English
    Publishing date 2024-03-17
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 2250864-8
    ISSN 2201-1617 ; 1036-1073
    ISSN (online) 2201-1617
    ISSN 1036-1073
    DOI 10.1002/hpja.846
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  5. Article ; Online: Escaping the Routine Journal Club, Virtually.

    Foulds, Jessica L / Forbes, Karen L

    Medical education

    2021  Volume 55, Issue 5, Page(s) 635

    MeSH term(s) Humans ; Internship and Residency
    Language English
    Publishing date 2021-03-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 195274-2
    ISSN 1365-2923 ; 0308-0110
    ISSN (online) 1365-2923
    ISSN 0308-0110
    DOI 10.1111/medu.14482
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    Zs.B 312: Show issues Location:
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  6. Article ; Online: Disseminating evidence in medical education: journal club as a virtual community of practice.

    Gold, Jonathan / Pahwa, Amit / Forbes, Karen L

    BMC medical education

    2023  Volume 23, Issue 1, Page(s) 572

    Abstract: Background: This study explores the impacts of the Council on Medical Student Education in Pediatrics (COMSEP) Journal Club, a unique means of providing monthly professional development for a large international community of pediatric undergraduate ... ...

    Abstract Background: This study explores the impacts of the Council on Medical Student Education in Pediatrics (COMSEP) Journal Club, a unique means of providing monthly professional development for a large international community of pediatric undergraduate medical educators. In particular, we sought to establish member engagement with the Journal Club, identify factors impacting member contributions to the Journal Club, and determine perceived benefits of and barriers to participation as a Journal Club reviewer.
    Methods: Using an established Annual Survey as a study instrument, six survey questions were distributed to members of COMSEP. Items were pilot tested prior to inclusion. Quantitative data were analyzed using descriptive statistics and chi-square analysis..
    Results: Of 125 respondents who completed the survey, 38% reported reading the Journal Club most months or always. Level of engagement varied. Reasons for reading included a topic of interest, keeping up to date on medical education literature, gaining practical tips for teaching and implementing new curricula. Motivators for writing a review included keeping up to date, contributing to a professional organization, and developing skill in analyzing medical education literature, with a minority citing reasons of enhancing their educational portfolio or academic promotion. The most commonly cited barriers were lack of time and lack of confidence or training in ability to analyze medical education literature.
    Conclusion: As a strategy to disseminate the latest evidence in medical education to its membership, the COMSEP Journal Club is effective. Its format is ideally suited for busy educators and may help in members' professional development and in the development of a community of practice.
    MeSH term(s) Humans ; Child ; Education, Medical ; Surveys and Questionnaires ; Curriculum ; Students, Medical ; Mental Processes
    Language English
    Publishing date 2023-08-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-023-04550-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: An infant with refusal to weight bear and pancytopenia.

    Balbaa, Amira / Hudson, Alexandra S / Archibald, Alyssa / Forbes, Karen L

    Paediatrics & child health

    2023  Volume 28, Issue 3, Page(s) 139–140

    Language English
    Publishing date 2023-03-27
    Publishing country England
    Document type Case Reports
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/pxad004
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    Zs.A 5774: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  8. Article ; Online: Enhanced supportive care in cancer centres: national cross-sectional survey.

    Caulfield, Rachel Moya Helen / Selman, Lucy E / Gibbins, Jane / Forbes, Karen / Chamberlain, Charlotte

    BMJ supportive & palliative care

    2024  

    Abstract: Objectives: ': Methods: This national cross-sectional survey of 53 cancer centres had two parts. Part 1: Service details, was directed to lead ESC/SPC nurses or consultants about service configuration, and Part 2: Clinician understanding, targeting ... ...

    Abstract Objectives: '
    Methods: This national cross-sectional survey of 53 cancer centres had two parts. Part 1: Service details, was directed to lead ESC/SPC nurses or consultants about service configuration, and Part 2: Clinician understanding, targeting conceptual understanding of service aims including ESC/SPC teams and oncology consultants (n=262 surveys). Multiple-choice questions explored service provision, referral triggers and evidence of integration with oncology, with free-text responses. Quantitative results were analysed with Fischer's exact test. Qualitative free text was line-by-line coded by two authors independently to derive themes.
    Results: 56% (30/53) of SPC and ESC teams and 14% (14/100) of oncologists responded. Those involved in ESC self-reported greater integration with oncology compared with non-ESC teams, for example, joint case discussions (64.3%, 9/14 vs 23.1%, 3/13, p=0.05), and timelier patient referral ((>6 months before death vs <6 months) (10/14 vs 4/13, p=0.06)). Qualitative themes described ambiguity in definitions of supportive and palliative terms and a perception of timelier identification of patients when ESC was involved.
    Conclusion: Providers of ESC perceive greater integration with oncology and potentially timelier referral for patients compared with teams not delivering ESC. Terminology around SPC and ESC remains uncertain across England.
    Language English
    Publishing date 2024-03-12
    Publishing country England
    Document type Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/spcare-2023-004326
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  9. Article: Supporting the transition to senior pediatric resident: an interactive online resource.

    Boschee, Erin / Walton, Jennifer / Foulds, Jessica / Forbes, Karen

    Canadian medical education journal

    2022  Volume 13, Issue 6, Page(s) 96–97

    Abstract: Transitions to roles with increasing clinical responsibility and independence can be anxiety provoking for many trainees. To support our pediatric residents preparing to transition from the role of junior to senior resident, we developed a novel ... ...

    Abstract Transitions to roles with increasing clinical responsibility and independence can be anxiety provoking for many trainees. To support our pediatric residents preparing to transition from the role of junior to senior resident, we developed a novel asynchronous online interactive case-based resource. Our experience suggests that this resource was voluntarily utilized and can effectively increase trainee confidence and reduce anxiety about this key transitional stage. We suggest that interactive case-based resources can be utilized as supplemental support for residents preparing for residency transitions in other programs and settings.
    Language English
    Publishing date 2022-11-15
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2689512-2
    ISSN 1923-1202
    ISSN 1923-1202
    DOI 10.36834/cmej.73680
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  10. Article: Engaging culturally diverse fathers in maternal and family healthcare: Experiences and perspectives of healthcare professionals.

    Forbes, Faye / Wynter, Karen / Zeleke, Berihun M / Fisher, Jane

    Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

    2023  Volume 34, Issue 4, Page(s) 691–701

    Abstract: Issue addressed: Australian maternal, family and child services increasingly espouse the value of being 'father-inclusive'. However, fathers report feeling excluded or marginalised during healthcare visits with their partners/infants, and experience ... ...

    Abstract Issue addressed: Australian maternal, family and child services increasingly espouse the value of being 'father-inclusive'. However, fathers report feeling excluded or marginalised during healthcare visits with their partners/infants, and experience barriers to engaging in perinatal healthcare at the community, individual and healthcare service level. These barriers may be amplified in men who are members of minority groups, such as those from culturally and linguistically diverse (CALD) backgrounds.
    Methods: This research investigated healthcare professionals' perceptions and experiences of providing perinatal health services to families from CALD backgrounds. Semi-structured interviews were held with healthcare professionals from multiple disciplinary backgrounds providing services to families in the perinatal period. Interviews were audio recorded, transcribed and analysed thematically to identify key themes and sub-themes.
    Results: Ten healthcare professionals were interviewed. Participants acknowledged that inclusion of fathers in care is important as involvement enables fathers to support their pregnant partners and children, manage their own mental health, and helps to transform harmful gender roles.
    Conclusions: Overall, healthcare professionals are willing to include culturally diverse fathers. However, the ability of culturally diverse families to engage with healthcare services is impacted by the cultural competency of the services. So what? Healthcare delivered during pregnancy, childbirth and postpartum year may be improved by adopting a whole-family approach, which considers the needs and perspectives of fathers and partners. However, particular attention is needed to ensure healthcare policies and practices are culturally competent to meet the needs of fathers from culturally diverse backgrounds.
    MeSH term(s) Male ; Pregnancy ; Child ; Female ; Humans ; Australia ; Health Personnel/psychology ; Cultural Competency ; Delivery of Health Care ; Fathers/psychology ; Qualitative Research
    Language English
    Publishing date 2023-06-27
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2250864-8
    ISSN 2201-1617 ; 1036-1073
    ISSN (online) 2201-1617
    ISSN 1036-1073
    DOI 10.1002/hpja.769
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