Interventions for undergraduate and postgraduate medical learners with academic difficulties : A BEME systematic review : BEME Guide No. 56

Authors: Lacasse, Miriam; Audétat, Marie-Claude; Boileau, Élisabeth; Caire Fon, Nathalie; Dufour, Marie-HélèneLaferrière, Marie-ClaudeLafleur, AlexandreLa Rue, Ève; Lee, Shirley; Nendaz, Mathieu; Paquette Raynard, EmmanuelleSimard, Caroline; Steinert, Yvonne; Théorêt, Johanne
Abstract: Background:Clinical teachers often struggle to report unsatisfactory trainee performance, partly because of a lack of evi-dence-based remediation options.Objectives:To identify interventions for undergraduate (UG) and postgraduate (PG) medical learners experiencing academicdifficulties, link them to a theory-based framework and provide literature-based recommendations around their use.Methods:This systematic review searched MEDLINE, CINAHL, EMBASE, ERIC, Education Source and PsycINFO (1990–2016)combining these concepts: medical education, professional competence/difficulty and educational support. Originalresearch/innovation reports describing intervention(s) for UG/PG medical learners with academic difficulties were included.Data extraction employed Michie’s Behavior Change Techniques (BCT) Taxonomy and program evaluation models fromStufflebeam and Kirkpatrick. Quality appraisal used the Mixed Methods Appraisal Tool (MMAT). The authors synthesizedextracted evidence by adapting the GRADE approach to formulate recommendations.Results:Sixty-eight articles met the inclusion criteria, most commonly addressing knowledge (66.2%), skills (53.9%) and atti-tudinal problems (26.2%), or learner personal issues (41.5%). The most common BCTs wereShaping knowledge,Feedback/monitoring, andRepetition/substitution. Quality appraisal was variable (MMAT 0–100%). A thematic content analysis identified109 interventions (UG:n¼84, PG:n¼58), providing 24 strong, 48 moderate, 26 weak and 11 very weak recommendations.Conclusion:This review provides a repertoire of literature-based interventions for teaching/learning, faculty development,and research purposes.
Document Type: Article de recherche
Issue Date: 12 May 2019
Open Access Date: 12 May 2020
Document version: AM
This document was published in: Medical Teacher, Vol. 41 (9), 981-1001 (2019)
Taylor & Francis Health Sciences Informa Healthcare
Alternative version: 10.1080/0142159X.2019.1596239
Collection:Articles publiés dans des revues avec comité de lecture

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