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      Optimizing engagement of undergraduate students in medical education research: The eMERG training network

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          Abstract

          Background

          The practice of evidence-based medicine and critical appraisal are essential for the modern doctor. Early engagement of medical students in research methodology is considered as a rising need for most medical school curricula; however, few peer-reviewed initiatives have been reported so far. We developed a Medical Education Research Group (eMERG) as part of a novel undergraduate surgical masterclass, which aimed to train undergraduate students on basic research methodology, as well as to motivate them to pursue a clinical and academic career in surgical specialties.

          Methods: eMERG consists of an international structured network of senior academics, consultant-level clinicians, senior and junior trainees who support undergraduate trainees. Students are selected from a competitive pool of applicants. Several small prospective studies in skills-based education, as well as systematic reviews on similar topics, have run under the umbrella of this framework, in the form of scholarship awards. Structured feedback questionnaires were distributed to evaluate the experience of the first three years.

          Results

          12 students have participated in this pilot initiative. 11 manuscripts have been submitted for publication and 8 were accepted following peer-review in MEDLINE-indexed journals. Delegates perceived this experience as an excellent training opportunity which improved their research productivity. Delegates also stated engagement in research developed interest in the relevant surgical speciality, impacting their career aspirations.

          Conclusions

          eMERG is one of the first reported European educational research networks for undergraduates. Research outcomes and students' perceptions conclude that eMERG enhances engagement with research methodology and motivation towards a career in surgery.

          Highlights

          • eMERG is a pilot international research training network where medical students receive support to conduct research in Medical Education.

          • eMERG structure can serve as a novel model to convey research experience from one generation to another, and in the same time, motivate and aspire students to develop leadership skills.

          • eMERG was developed in a financial crisis environment with promising research outputs and positive students' feedback.

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          Most cited references25

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          Acceptability and Effectiveness of a Long-Term Educational Intervention to Reduce Physicians' Stress-Related Conditions.

          This study aimed to test the acceptability and effectiveness of a two-phase mindfulness-based stress reduction program (8-week initial treatment plus a 10-month maintenance phase) in alleviating work stress-related symptoms (i.e., burnout, heart rate [HR], and blood pressure [BP]) in a sample of 42 physicians.
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            A rapid review of the rate of attrition from the health workforce

            Background Attrition or losses from the health workforce exacerbate critical shortages of health workers and can be a barrier to countries reaching their universal health coverage and equity goals. Despite the importance of accurate estimates of the attrition rate (and in particular the voluntary attrition rate) to conduct effective workforce planning, there is a dearth of an agreed definition, information and studies on this topic. Methods We conducted a rapid review of studies published since 2005 on attrition rates of health workers from the workforce in different regions and settings; 1782 studies were identified, of which 51 were included in the study. In addition, we analysed data from the State of the World’s Midwifery (SoWMy) 2014 survey and associated regional survey for the Arab states on the annual voluntary attrition rate for sexual, reproductive, maternal and newborn health workers (mainly midwives, doctors and nurses) in the 79 participating countries. Results There is a diversity of definitions of attrition and barely any studies distinguish between total and voluntary attrition (i.e. choosing to leave the workforce). Attrition rate estimates were provided for different periods of time, ranging from 3 months to 12 years, using different calculations and data collection systems. Overall, the total annual attrition rate varied between 3 and 44% while the voluntary annual attrition rate varied between 0.3 to 28%. In the SoWMy analysis, 49 countries provided some data on voluntary attrition rates of their SRMNH cadres. The average annual voluntary attrition rate was 6.8% across all cadres. Conclusion Attrition, and particularly voluntary attrition, is under-recorded and understudied. The lack of internationally comparable definitions and guidelines for measuring attrition from the health workforce makes it very difficult for countries to identify the main causes of attrition and to develop and test strategies for reducing it. Standardized definitions and methods of measuring attrition are required. Electronic supplementary material The online version of this article (doi:10.1186/s12960-017-0195-2) contains supplementary material, which is available to authorized users.
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              Impact of an intercalated BSc on medical student performance and careers: a BEME systematic review: BEME Guide No. 28.

              Intercalated BScs (iBScs) are an optional part of undergraduate (UG) medicine courses in UK, Eire, Australia, New Zealand, the West Indies, Hong Kong, South Africa and Canada, consisting of advanced study into a particular field of medicine, often combined with research. They potentially improve students' skills and allow exploration of specific areas of interest. They are, however, expensive for institutions and students and delay workforce entry. There is conflicting evidence about their impact.
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                Author and article information

                Contributors
                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                Annals of Medicine and Surgery
                Elsevier
                2049-0801
                26 May 2018
                July 2018
                26 May 2018
                : 31
                : 6-10
                Affiliations
                [a ]esmsc Medical Education Research Group (eMERG Collaboration), Experimental Research Center ELPEN, Greece
                [b ]Queen Mary University of London, Yvonne Carter Building, London E1 2AB, United Kingdom
                [c ]King's College London, Faculty of Life Sciences and Medicine, Strand, London WC2R 2LS, United Kingdom
                [d ]Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece
                [e ]Royal London Hospital, Bartshealth NHS Trust, United Kingdom
                [f ]Experimental Research Centre ELPEN, Athens, Greece
                [g ]PPA-International Medical, Denmark
                [h ]National and Kapodistrian University of Athens, Athens, 115 27, Greece
                [i ]Imperial College London, London SW7 2AZ, United Kingdom
                Author notes
                []Corresponding author. Women's Health Research Unit, Queen Mary University of London (QMUL), Yvonne Carter Building, 58 Turner Street, E1 2AB, London, United Kingdom. m.sideris@ 123456qmul.ac.uk
                [1]

                Equal contributors.

                Article
                S2049-0801(18)30110-9
                10.1016/j.amsu.2018.05.008
                6004769
                4dce0c8e-b884-4959-8d66-9e9de3f014aa
                © 2018 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 11 March 2018
                : 16 May 2018
                : 23 May 2018
                Categories
                Original Research

                medical education,esmsc,undergraduate surgical education,research network,emerg

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