Leslie Wimsatt | Des Moines University (original) (raw)
Papers by Leslie Wimsatt
American String Teacher, 1991
Context Competency-based medical education, developmental milestones for residency training, and ... more Context Competency-based medical education, developmental milestones for residency training, and the single graduate medical education (GME) accreditation system have emerged over the last decade, necessitating new ways to adequately prepare graduates to meet new standards in proficiency, including the 13 Core Entrustable Professional Activities (EPA) for Entering Residency. The American Association of Colleges of Osteopathic Medicine (AACOM) Entrustable Professional Activities (EPA) steering committee has implemented an information-gathering process to provide suggestions for supporting a variety of EPA-related implementation efforts at colleges of osteopathic medicine (COMs) across the country. Objective To review the status of EPA implementation at COMs nationally. Methods An explanatory mixed-methods design was used to guide information gathering and synthesis of a 41-question survey and interview feedback; the overarching premise of this design was to use qualitative data to bu...
The journal of research administration, 2009
This paper uses literature on faculty worklife and findings from a recent study conducted by the ... more This paper uses literature on faculty worklife and findings from a recent study conducted by the Federal Demonstration Partnership (FDP) to shed light on the sources and extent of administrative burden experienced by faculty engaged in federal grant research. Discussion focuses on the implications for research administrators, including strategies for designing faculty support services that take into account a variety of factors that motivate academic engagement.
U.S. Department of Education. The findings and opinions expressed in the report do not reflect th... more U.S. Department of Education. The findings and opinions expressed in the report do not reflect the position or policies of OERI or the U.S. Department of Education. NCPI Technical Report Number 5-06. One of higher education’s basic assumptions is that college quality has profound and lasting consequences for students, and evidence of this assumption can be seen in the activities undertaken by the many constituencies concerned with higher and postsecondary education. Students (and often their parents as well) invest a great deal
Educational activities: organized Curricular: Activities undertaken by students during high schoo... more Educational activities: organized Curricular: Activities undertaken by students during high school related to academic pursuits that are sponsored by the school. Such constructs include questions related to choice of courses, type of program in which enrolled, etc. Co-curricular: Activities undertaken by student during high with an academic focus that are not part of the school's curriculum, which are sponsored by the school. Such constructs include participation in academic honor societies, etc. Extra-curricular: Activities undertaken by students during high school outside of curricular or co-curricular pursuits that are formally organized or sanctioned by the school. Such constructs include participation in athletics, student government, or other types of student clubs or organizations. Educational activities: others Vocational training or courses: Activities or courses taken by students during high school directly related to vocational or job skills or interests. Such activities include course taking patterns in relation to vocational work or job training experiences during high school. Teacher contact/interaction: Respondent's interaction with high school teachers, either in formal or informal circumstances, outside of the classroom. Examples may range from meeting teachers during office hours to visiting teachers at their homes. Educational climate: Constructs used to measure the perceptions and attitudes of the respondent with regard to patterns of organizational life in the high school (e.g. other students often disrupt class, students get along well with teachers, there is a real school spirit).
BACKGROUND AND OBJECTIVES Several factors have been linked to the decline in medical student choi... more BACKGROUND AND OBJECTIVES Several factors have been linked to the decline in medical student choice of a career in primary care (eg, gender, race, family income, student debt), yet understanding remains limited regarding the availability of curricular and co-curricular experiences for medical students within family medicine that may play a role, particularly one-on-one opportunities such as faculty mentoring and advising. Our study sought to collect baseline data on family medicine learning experiences during predoctoral training. METHODS An online 21-question survey was sent to family medicine departments at US allopathic medical schools between January and March 2012 (84.6% response rate) to capture institutional representation and experiences within family medicine. RESULTS Most institutions reported offering family medicine interest groups (98.1%), electives (97.1%), and clerkships (90.4%). Career advising as an elective course component was available at 53.8% of schools and as ...
The Journal of the American Osteopathic Association, 2018
In the process of analyzing entrustable professional activities (EPAs) for use in medical educati... more In the process of analyzing entrustable professional activities (EPAs) for use in medical education, ten Cate and others identified challenges, including the need for valid and reliable EPA assessment strategies. To provide osteopathic medical schools with a database of assessment tools compiled from the literature to assist them with the development and implementation of robust, evidence-based assessment methods. MEDLINE, ERIC, PubMed, and other relevant databases were searched using MeSH keywords for articles outlining robust, evidence-based assessment tools that could be used in designing assessments for EPAs 1 through 6. A total of 55 publications were included in content analysis and reporting. All but 2 of the assessment articles were conducted in an undergraduate or graduate medical education setting. The majority of the 55 articles related to assessment of competencies affiliated with EPA 2 (16 articles) and EPA 4 (15 articles). Four articles focused on EPA 3. Osteopathic me...
Teaching and learning in medicine
Phenomenon: Existing research provides little specific evidence regarding the association between... more Phenomenon: Existing research provides little specific evidence regarding the association between public and private medical school curricular settings and the proportion of medical students matching into family medicine careers. Institutional differences have been inadequately investigated, as students who match into family medicine are often consolidated into the umbrella of primary care along with those matching in internal medicine and pediatrics. However, understanding medical school contexts in relation to career choice is critical toward designing targeted strategies to address the projected shortage of family physicians. This study examines factors associated with family medicine residency match rates and the extent to which such factors differ across medical school settings. We combined data from a survey of 123 departments of family medicine with graduate placement rates reported to the American Academy of Family Physicians over a 2-year period. Chi-square/Fisher's Exa...
This study examined whether, and to what extent, college quality has a longitudinal impact on the... more This study examined whether, and to what extent, college quality has a longitudinal impact on the occupational status of students after controlling for students' background characteristics, ability, and years of schooling. The study also explored whether college quality differentially affects the long-term occupational status of students. Data for the study came from the Wisconsin Longitudinal Study of 1957 and represented a sample of Wisconsin high school seniors who had graduated during the 1957 school year, had attended college and earned a postsecondary degree, and who were employed at the time of the survey.
Journal of Research Administration, Sep 22, 2009
This paper uses literature on faculty worklife and findings from a recent study conducted by the ... more This paper uses literature on faculty worklife and findings from a recent study conducted by the Federal Demonstration Partnership (FDP) to shed light on the sources and extent of administrative burden experienced by faculty engaged in federal grant research. Discussion focuses on the implications for research administrators, including strategies for designing faculty support services that take into account a variety of factors that motivate academic engagement.
Jama the Journal of the American Medical Association, 2011
This study examined the attitudes, beliefs, and experiences of faculty and students about the use... more This study examined the attitudes, beliefs, and experiences of faculty and students about the use of nontraditional pedagogies such as active learning, collaborative /cooperative learning, and the encouragement of student participation and involvement in the learning experience. The data came from two surveys of faculty (n=136) and students (n=676) conducted through the National Center for Postsecondary Improvement at seven institutions during the winter and fall of 2000. The result reveal that both groups agree on the value and desirability of direct involvement in learning, academic collaboration with student peers, and productive, constructive student/faculty relationships. There are substantial, statistically significant differences, however, between how frequently they believe these practices are actually enacted in the classroom. Possible explanations and
The Journal of the American Osteopathic Association, 2015
Peer tutoring can benefit both tutors and tutored students, but information is lacking regarding ... more Peer tutoring can benefit both tutors and tutored students, but information is lacking regarding establishing and measuring outcomes of such a program at new medical schools. To examine the outcomes of a pilot peer tutoring initiative and explore the implications for long-term program development. Fifty-one osteopathic medical students who participated in a pilot peer tutoring program during the 2013-2014 academic year were surveyed regarding satisfaction with the program. Course grade means for the tutors (all courses) and tutored students (specific courses) were analyzed before and after participating in the tutoring experience. Data analyses were performed using frequency distributions, t tests, and qualitative assessment of emergent themes. The survey had a 76% response rate (39 of 51 students). Both tutored students and tutors were satisfied with the tutoring program. Statistically significant changes in course grades for the tutored courses were noted at 3 to 4 and 8 to 9 months among the tutored students who were most at risk for failure (P=.001). Tutor course grades showed no significant changes for any of the courses in which they were enrolled (P=.445). Learning gains were realized by the students at greatest academic risk. Additional research is needed to evaluate long-term outcomes.
American Journal of Preventive Medicine, 2015
Suicide rates are higher among U.S. physicians than the general population. Untreated depression ... more Suicide rates are higher among U.S. physicians than the general population. Untreated depression is a major risk factor, yet depression stigma presents a barrier to treatment. This study aims to identify early career indications of stigma among physicians-in-training and to inform the design of stigma-reduction programs. A cross-sectional student survey administered at a large, Midwestern medical school in fall 2009 included measures of depression symptoms, attitudes toward mental health, and potential sources of depression stigma. Principal components factor analysis and linear regression were used to examine stigma factors associated with depression in medical students. The response rate was 65.7%, with 14.7% students reporting a previous depression diagnosis. Most students indicated that, if depressed, they would feel embarrassed if classmates knew. Many believed that revealing depression could negatively affect professional advancement. Factor analyses revealed three underlying stigma constructs: personal weakness, public devaluation, and social/professional discrimination. Students associating personal weakness with depression perceived medication as less efficacious and the academic environment as more competitive. Those endorsing public stigma viewed medication and counseling as less efficacious and associated depression with an inability to cope. Race, gender, and diagnosis of past/current depression also related to beliefs about stigma. Depression measures most strongly predicted stigma associated with personal weakness and social/professional discrimination. Recommendations for decreasing stigma among physicians-in-training include consideration of workplace perceptions, depression etiology, treatment efficacy, and personal attributes in the design of stigma reduction programs that could facilitate help-seeking behavior among physicians throughout their career.
Family medicine, 2011
Online modules offer an opportunity to overcome barriers to educational delivery. Such approaches... more Online modules offer an opportunity to overcome barriers to educational delivery. Such approaches can require significant investment dependent on the development model used. There is little in the literature on the formative assessment of design and development. Better understanding is needed to determine effective methods of training and supporting faculty authors. The purpose of this study was to examine the effectiveness of Web-based modules developed by a Department of Family Medicine in delivering instruction to resident learners and to examine perceptions of the design and development process. Participants included 49 resident learners and 28 faculty and staff members as the development team. Data collection involved use of Web-based surveys, participant observation focus groups, and pretesting/posttesting. Frequency distributions and mean comparisons were used to analyze quantitative data. Participant comments were thematically analyzed. Residents felt that modules met their ...
Family practice management
The Comprehensive Textbook of Healthcare Simulation, 2013
ABSTRACT
American String Teacher, 1991
Context Competency-based medical education, developmental milestones for residency training, and ... more Context Competency-based medical education, developmental milestones for residency training, and the single graduate medical education (GME) accreditation system have emerged over the last decade, necessitating new ways to adequately prepare graduates to meet new standards in proficiency, including the 13 Core Entrustable Professional Activities (EPA) for Entering Residency. The American Association of Colleges of Osteopathic Medicine (AACOM) Entrustable Professional Activities (EPA) steering committee has implemented an information-gathering process to provide suggestions for supporting a variety of EPA-related implementation efforts at colleges of osteopathic medicine (COMs) across the country. Objective To review the status of EPA implementation at COMs nationally. Methods An explanatory mixed-methods design was used to guide information gathering and synthesis of a 41-question survey and interview feedback; the overarching premise of this design was to use qualitative data to bu...
The journal of research administration, 2009
This paper uses literature on faculty worklife and findings from a recent study conducted by the ... more This paper uses literature on faculty worklife and findings from a recent study conducted by the Federal Demonstration Partnership (FDP) to shed light on the sources and extent of administrative burden experienced by faculty engaged in federal grant research. Discussion focuses on the implications for research administrators, including strategies for designing faculty support services that take into account a variety of factors that motivate academic engagement.
U.S. Department of Education. The findings and opinions expressed in the report do not reflect th... more U.S. Department of Education. The findings and opinions expressed in the report do not reflect the position or policies of OERI or the U.S. Department of Education. NCPI Technical Report Number 5-06. One of higher education’s basic assumptions is that college quality has profound and lasting consequences for students, and evidence of this assumption can be seen in the activities undertaken by the many constituencies concerned with higher and postsecondary education. Students (and often their parents as well) invest a great deal
Educational activities: organized Curricular: Activities undertaken by students during high schoo... more Educational activities: organized Curricular: Activities undertaken by students during high school related to academic pursuits that are sponsored by the school. Such constructs include questions related to choice of courses, type of program in which enrolled, etc. Co-curricular: Activities undertaken by student during high with an academic focus that are not part of the school's curriculum, which are sponsored by the school. Such constructs include participation in academic honor societies, etc. Extra-curricular: Activities undertaken by students during high school outside of curricular or co-curricular pursuits that are formally organized or sanctioned by the school. Such constructs include participation in athletics, student government, or other types of student clubs or organizations. Educational activities: others Vocational training or courses: Activities or courses taken by students during high school directly related to vocational or job skills or interests. Such activities include course taking patterns in relation to vocational work or job training experiences during high school. Teacher contact/interaction: Respondent's interaction with high school teachers, either in formal or informal circumstances, outside of the classroom. Examples may range from meeting teachers during office hours to visiting teachers at their homes. Educational climate: Constructs used to measure the perceptions and attitudes of the respondent with regard to patterns of organizational life in the high school (e.g. other students often disrupt class, students get along well with teachers, there is a real school spirit).
BACKGROUND AND OBJECTIVES Several factors have been linked to the decline in medical student choi... more BACKGROUND AND OBJECTIVES Several factors have been linked to the decline in medical student choice of a career in primary care (eg, gender, race, family income, student debt), yet understanding remains limited regarding the availability of curricular and co-curricular experiences for medical students within family medicine that may play a role, particularly one-on-one opportunities such as faculty mentoring and advising. Our study sought to collect baseline data on family medicine learning experiences during predoctoral training. METHODS An online 21-question survey was sent to family medicine departments at US allopathic medical schools between January and March 2012 (84.6% response rate) to capture institutional representation and experiences within family medicine. RESULTS Most institutions reported offering family medicine interest groups (98.1%), electives (97.1%), and clerkships (90.4%). Career advising as an elective course component was available at 53.8% of schools and as ...
The Journal of the American Osteopathic Association, 2018
In the process of analyzing entrustable professional activities (EPAs) for use in medical educati... more In the process of analyzing entrustable professional activities (EPAs) for use in medical education, ten Cate and others identified challenges, including the need for valid and reliable EPA assessment strategies. To provide osteopathic medical schools with a database of assessment tools compiled from the literature to assist them with the development and implementation of robust, evidence-based assessment methods. MEDLINE, ERIC, PubMed, and other relevant databases were searched using MeSH keywords for articles outlining robust, evidence-based assessment tools that could be used in designing assessments for EPAs 1 through 6. A total of 55 publications were included in content analysis and reporting. All but 2 of the assessment articles were conducted in an undergraduate or graduate medical education setting. The majority of the 55 articles related to assessment of competencies affiliated with EPA 2 (16 articles) and EPA 4 (15 articles). Four articles focused on EPA 3. Osteopathic me...
Teaching and learning in medicine
Phenomenon: Existing research provides little specific evidence regarding the association between... more Phenomenon: Existing research provides little specific evidence regarding the association between public and private medical school curricular settings and the proportion of medical students matching into family medicine careers. Institutional differences have been inadequately investigated, as students who match into family medicine are often consolidated into the umbrella of primary care along with those matching in internal medicine and pediatrics. However, understanding medical school contexts in relation to career choice is critical toward designing targeted strategies to address the projected shortage of family physicians. This study examines factors associated with family medicine residency match rates and the extent to which such factors differ across medical school settings. We combined data from a survey of 123 departments of family medicine with graduate placement rates reported to the American Academy of Family Physicians over a 2-year period. Chi-square/Fisher's Exa...
This study examined whether, and to what extent, college quality has a longitudinal impact on the... more This study examined whether, and to what extent, college quality has a longitudinal impact on the occupational status of students after controlling for students' background characteristics, ability, and years of schooling. The study also explored whether college quality differentially affects the long-term occupational status of students. Data for the study came from the Wisconsin Longitudinal Study of 1957 and represented a sample of Wisconsin high school seniors who had graduated during the 1957 school year, had attended college and earned a postsecondary degree, and who were employed at the time of the survey.
Journal of Research Administration, Sep 22, 2009
This paper uses literature on faculty worklife and findings from a recent study conducted by the ... more This paper uses literature on faculty worklife and findings from a recent study conducted by the Federal Demonstration Partnership (FDP) to shed light on the sources and extent of administrative burden experienced by faculty engaged in federal grant research. Discussion focuses on the implications for research administrators, including strategies for designing faculty support services that take into account a variety of factors that motivate academic engagement.
Jama the Journal of the American Medical Association, 2011
This study examined the attitudes, beliefs, and experiences of faculty and students about the use... more This study examined the attitudes, beliefs, and experiences of faculty and students about the use of nontraditional pedagogies such as active learning, collaborative /cooperative learning, and the encouragement of student participation and involvement in the learning experience. The data came from two surveys of faculty (n=136) and students (n=676) conducted through the National Center for Postsecondary Improvement at seven institutions during the winter and fall of 2000. The result reveal that both groups agree on the value and desirability of direct involvement in learning, academic collaboration with student peers, and productive, constructive student/faculty relationships. There are substantial, statistically significant differences, however, between how frequently they believe these practices are actually enacted in the classroom. Possible explanations and
The Journal of the American Osteopathic Association, 2015
Peer tutoring can benefit both tutors and tutored students, but information is lacking regarding ... more Peer tutoring can benefit both tutors and tutored students, but information is lacking regarding establishing and measuring outcomes of such a program at new medical schools. To examine the outcomes of a pilot peer tutoring initiative and explore the implications for long-term program development. Fifty-one osteopathic medical students who participated in a pilot peer tutoring program during the 2013-2014 academic year were surveyed regarding satisfaction with the program. Course grade means for the tutors (all courses) and tutored students (specific courses) were analyzed before and after participating in the tutoring experience. Data analyses were performed using frequency distributions, t tests, and qualitative assessment of emergent themes. The survey had a 76% response rate (39 of 51 students). Both tutored students and tutors were satisfied with the tutoring program. Statistically significant changes in course grades for the tutored courses were noted at 3 to 4 and 8 to 9 months among the tutored students who were most at risk for failure (P=.001). Tutor course grades showed no significant changes for any of the courses in which they were enrolled (P=.445). Learning gains were realized by the students at greatest academic risk. Additional research is needed to evaluate long-term outcomes.
American Journal of Preventive Medicine, 2015
Suicide rates are higher among U.S. physicians than the general population. Untreated depression ... more Suicide rates are higher among U.S. physicians than the general population. Untreated depression is a major risk factor, yet depression stigma presents a barrier to treatment. This study aims to identify early career indications of stigma among physicians-in-training and to inform the design of stigma-reduction programs. A cross-sectional student survey administered at a large, Midwestern medical school in fall 2009 included measures of depression symptoms, attitudes toward mental health, and potential sources of depression stigma. Principal components factor analysis and linear regression were used to examine stigma factors associated with depression in medical students. The response rate was 65.7%, with 14.7% students reporting a previous depression diagnosis. Most students indicated that, if depressed, they would feel embarrassed if classmates knew. Many believed that revealing depression could negatively affect professional advancement. Factor analyses revealed three underlying stigma constructs: personal weakness, public devaluation, and social/professional discrimination. Students associating personal weakness with depression perceived medication as less efficacious and the academic environment as more competitive. Those endorsing public stigma viewed medication and counseling as less efficacious and associated depression with an inability to cope. Race, gender, and diagnosis of past/current depression also related to beliefs about stigma. Depression measures most strongly predicted stigma associated with personal weakness and social/professional discrimination. Recommendations for decreasing stigma among physicians-in-training include consideration of workplace perceptions, depression etiology, treatment efficacy, and personal attributes in the design of stigma reduction programs that could facilitate help-seeking behavior among physicians throughout their career.
Family medicine, 2011
Online modules offer an opportunity to overcome barriers to educational delivery. Such approaches... more Online modules offer an opportunity to overcome barriers to educational delivery. Such approaches can require significant investment dependent on the development model used. There is little in the literature on the formative assessment of design and development. Better understanding is needed to determine effective methods of training and supporting faculty authors. The purpose of this study was to examine the effectiveness of Web-based modules developed by a Department of Family Medicine in delivering instruction to resident learners and to examine perceptions of the design and development process. Participants included 49 resident learners and 28 faculty and staff members as the development team. Data collection involved use of Web-based surveys, participant observation focus groups, and pretesting/posttesting. Frequency distributions and mean comparisons were used to analyze quantitative data. Participant comments were thematically analyzed. Residents felt that modules met their ...
Family practice management
The Comprehensive Textbook of Healthcare Simulation, 2013
ABSTRACT