Bridget C OʼBrien
Biographic Data
| ID | 7721213 |
|---|---|
| NAME | Bridget C OʼBrien |
| GIVEN NAMES | Bridget C |
| FAMILY NAME | OʼBrien |
| SIGNATURE | OʼBRIEN B C |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0001-9591-5243 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
How supervisors leverage stress to facilitate trainee learning in clinical settings
Qualitative research interviews for health professions education
Research interviews are widely used in qualitative health professions education (HPE) research. However, producing rich interview data that address a researcher's aims is no easy feat. Based on methodological guidance from multiple disciplines and our own experience as qualitative researchers, educators, and mentors in HPE, this AMEE guide discusses the purpose of and approach to qualitative research interviews and provides comprehensive guidance…
The illusion of academic freedom and the promise of the undercommons
What if academic freedom was never truly free? This Commentary explores how the undercommons offers a radical reimagining of intellectual liberation beyond institutional constraints. #MedEd
Can Stress Be Good for Learning? Pediatric Resident Perspectives on the Beneficial Influence of Stress on Learning and the Role of the Supervisor
Building on Strengths
Although U.S. medical education has continued to place increased emphasis on defining competency standards and ensuring accountability to the public, health care inequities have persisted, several basic health outcomes have worsened, public trust in the health care system has eroded, and moral distress, burnout, and attrition among practicing physicians have escalated. These opposing trends beg the question of how the “good doctor” concept may be…
Is There a Problem With Evidence in Health Professions Education
What constitutes evidence, what value evidence has, and how the needs of knowledge producers and those who consume this knowledge might be better aligned are questions that continue to challenge the health sciences. In health professions education (HPE), debates on these questions have ebbed and flowed with little sense of resolution or progress. In this article, the authors explore whether there is a problem with evidence in HPE using thought ex…
The Contributions of Rime in Furthering Medical Education Scholarship
Editor’s note: The opinions expressed in this editorial do not necessarily reflect the opinions of the AAMC or its members. This issue of Academic Medicine is devoted to an exciting set of research reports, reviews, and commentaries selected for publication from more than 60 submissions as part of our ongoing collaboration with the Research In Medical Education (RIME) program.1–17 The topics are wide-ranging—experiences of moral distress among tr…
How Teachers Can Promote Assessment for Learning During All Phases of Learning
Assessment for Learning (AFL) includes all educational activities designed to improve teaching and learning through gathering, sharing, and acting on information. AFL expands on the concept of formative assessment—which focuses mainly on an in-the-moment assessment activity—to include all processes that facilitate teachers and learners actively seeking and interpreting evidence to guide learning. AFL involves teachers and learners as partners and…
Development of Health Professions Education Competencies for a National Fellowship Program
Health professions educators need knowledge, skills, and attitudes to provide high-quality education within dynamic clinical learning environments. Although postgraduate training opportunities in health professions education (HPE) have increased significantly, no shared competencies exist across the field. This article describes the systematic development of postgraduate HPE competencies for the Health Professions Education, Evaluation, and Resea…
Researching lived experience in health professional education
Using a boundary crossing lens to understand basic science educator and clinical educator collaboration in instructional design
PURPOSE: Collaborations between basic science educators (BE) and clinical educators (CE) in medical education are common and necessary to create integrated learning materials. However, few studies describe experiences of or processes used by educators engaged in interdisciplinary teamwork. We use the lens of boundary crossing to explore processes described by BE and CE that support the co-creation of integrated learning materials, and the impact …
Learning Together
Academic Olympism and Authorship
On August 1, 2021, the world witnessed an act of true collegiality as 2 athletes, Mutaz Essa Barshim and Gianmarco Tamberi, shared the podium for the gold medal in the high jump at the 2020 summer Olympic games. 1 When the 2 longtime friends and rivals reached the limit of their performance at the same height, an official proposed a jump-off to break the tie. Barshim asked if 2 gold medals were an option and the official promptly replied, “It’s p…
Beyond Checking Boxes
PURPOSE: To understand the role of a workplace-based assessment (WBA) tool in facilitating feedback for medical students, this study explored changes and tensions in a clerkship feedback activity system through the lens of cultural historical activity theory (CHAT) over 2 years of tool implementation. METHOD: This qualitative study uses CHAT to explore WBA use in core clerkships by identifying feedback activity system elements (e.g., community, t…
“Finding My Piece in That Puzzle”
PURPOSE: Health systems science (HSS) curricula equip future physicians to improve patient, population, and health systems outcomes (i.e., to become "systems citizens"), but the degree to which medical students internalize this conception of the physician role remains unclear. This study aimed to explore how students envision their future professional identity in relation to the system and identify experiences relevant to this aspect of identity …
Autonomy and developing physicians
In this article, we address the question, ‘What is the role of autonomy in physician development?’ Medical education is a developmental process, and autonomy plays a motivational role in physician development. Calls for increased supervision of residents have raised concerns that the resulting decreased autonomy might interfere with resident development, leading the authors to explore the relationship between supervision and autonomy. The medical…
I , we and they
Selecting Instruments for Measuring the Clinical Learning Environment of Medical Education
Learning environments shape the experiences of learners and practitioners, making them an important component of program evaluation. However, educators find it challenging to decide whether to measure clinical learning environments with existing instruments or to design their own new instrument and, if using an existing instrument, which to choose. To assist educators with these decisions, the authors compared clinical learning environment instru…
Using Activity Theory to Explore How Changes in a Work-Based Assessment Tool Can Alter Feedback Systems in Clerkships
To address medical students’ need for actionable feedback, institutions have designed and implemented work-based assessment (WBA) tools for formative assessment of students’ clinical performance. 1 However, WBA tools are often misused or underused due to poor user buy-in, misconception of purpose, and inadequate user training. 2 Improving use of WBA tools requires understanding of their role within the system in which they are situated. Cultural …
The applicability of generalisability and bias to health professions education's research
When I say…attitude
Valbuena et al. use social psychology to refine conceptualizations of “attitude” and argue that attitudes influence our attention and processing of information, thereby ultimately impacting our behaviors
Exploring how physician educators approach politically charged topics with learners
Pause, Persist, Pivot
When extreme events occur, some research becomes a clear priority, but what becomes of all other research? Does it stop indefinitely, or can it be paused with plans to resume, persist with modifications, or pivot to address new priorities? Facing this dilemma and witnessing it among their fellow health professions education researchers, the authors recognized a need for guidance. This Invited Commentary presents a framework, organized as key ques…
Rime Foreword
What constitutes science in educational research? This question is not as straightforward to answer given the diversity of disciplines represented in health professions education.1 As researchers, we engage in scientific study to advance our field; we are also an applied field, with goals to produce knowledge that can translate into practice and change. Our field has roots in multiple disciplines, including education, psychology, sociology, biome…
On the Use and Value of Reporting Guidelines in Health Professions Education Research
Conversations about the use and value of reporting guidelines in research publications often elicit polarized views. Such views signal a need for more information and thoughtful consideration. As an example from our own field of health professions education, the editors’ panel discussion at the 2019 meeting of the Association for Medical Education in Europe in Vienna, Austria, entitled Controversies and Challenges in Publishing Health Professions…
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The Longitudinal Integrated Clerkship
Longitudinal integrated clerkships intend to correct documented erosion in medical student compassion and patient-centeredness. Virtual Mentor is a monthly bioethics journal published by the American Medical Association
Calls for Reform of Medical Education by the Carnegie Foundation for the Advancement of Teaching
The Carnegie Foundation for the Advancement of Teaching, which in 1910 helped stimulate the transformation of North American medical education with the publication of the Flexner Report, has a venerated place in the history of American medical education. Within a decade following Flexner's report, a strong scientifically oriented and rigorous form of medical education became well established; its structures and processes have changed relatively l…
Faculty verbal evaluations reveal strategies used to promote medical student performance
These results depict preceptors' perceptions of LIC students' developmental continuum and illustrate how multidisciplinary preceptors can use a common evaluation framework to identify strategies to improve performance and follow students' performance longitudinally
Shedding the cobra effect
CONTEXT: Qualitative research is widely accepted as a legitimate approach to inquiry in health professions education (HPE). To secure this status, qualitative researchers have developed a variety of strategies (e.g. reliance on post-positivist qualitative methodologies, use of different rhetorical techniques, etc.) to facilitate the acceptance of their research methodologies and methods by the HPE community. Although these strategies have support…
Improving clerkship preparedness
A&P: Assessment and plan; H&P: History and physical; ILP: Individual learning plan
Pause, Persist, Pivot
When extreme events occur, some research becomes a clear priority, but what becomes of all other research? Does it stop indefinitely, or can it be paused with plans to resume, persist with modifications, or pivot to address new priorities? Facing this dilemma and witnessing it among their fellow health professions education researchers, the authors recognized a need for guidance. This Invited Commentary presents a framework, organized as key ques…
Rime Foreword
What constitutes science in educational research? This question is not as straightforward to answer given the diversity of disciplines represented in health professions education.1 As researchers, we engage in scientific study to advance our field; we are also an applied field, with goals to produce knowledge that can translate into practice and change. Our field has roots in multiple disciplines, including education, psychology, sociology, biome…
On the Use and Value of Reporting Guidelines in Health Professions Education Research
Conversations about the use and value of reporting guidelines in research publications often elicit polarized views. Such views signal a need for more information and thoughtful consideration. As an example from our own field of health professions education, the editors’ panel discussion at the 2019 meeting of the Association for Medical Education in Europe in Vienna, Austria, entitled Controversies and Challenges in Publishing Health Professions…
The USMLE Step 1 Examination
On February 12, 2020, the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME) announced that the United States Medical Licensing Examination (USMLE) Step 1 will transition to pass/fail results reporting in 2022. This examination is one of several tests from the USMLE that must be passed to practice medicine in the United States. Performance on Step 1 is one of many factors considered in the selection of ca…
“Getting Out of That Siloed Mentality Early”
PURPOSE: Although descriptions of interprofessional education often focus on interactions among students from multiple professions, embedding students from 1 profession in clinical settings may also provide rich opportunities for interprofessional learning (IPL). This study examines affordances and barriers to medical students' interactions with and opportunities to learn from health care professionals while learning health systems science in cli…
Following the Script
PURPOSE: Physicians frequently prescribe antimicrobials inappropriately, leading to an increase in the rate of resistance, which in turn, harms patients. To better understand why physicians prescribe specific antimicrobials in particular cases, the authors investigated the decision-making processes underlying physicians' antimicrobial choice (i.e., their antimicrobial reasoning). METHOD: Applying a clinical reasoning framework, the authors conduc…
“A Friendly Place to Grow as an Educator”
PURPOSE: The rise of coaching programs in medical education sparks questions about ways to support physician coaches in learning new educational practices specific to coaching. How coaches learn from one another is of particular interest considering the potential value of social learning. Using communities of practice as a conceptual framework, the authors examine the sense of community and relationships among coaches in a new medical student coa…
Years Later
PURPOSE: Internationally, health professions education scholarship units (HPESUs) are often developed to promote engagement in educational scholarship, yet little is known about how HPESUs change over time or what factors support their longevity. In hopes of helping HPESUs thrive, this study explored factors that shaped the evolution of 8 HPESUs over the past 14 years. METHOD: This study involved retrospective case-study analysis of the 8 America…
Medical trainees as job crafters
Trying to understand how professional identity evolves through training transitions? The concept of job crafting provides a useful lens for analysis
Implementing an established musculoskeletal educational curriculum in a new context
Background : Musculoskeletal (MSK) problems are common, yet many primary care (PC) providers feel inadequately trained to manage these conditions. Previous studies describe successful MSK educational innovations at single sites, but none have reported on subsequent attempts to replicate or adapt these innovations to new contexts. This article presents a study of a national Veterans Affairs MSK training program modified to fit an existing PC educa…
Selecting Instruments for Measuring the Clinical Learning Environment of Medical Education
Learning environments shape the experiences of learners and practitioners, making them an important component of program evaluation. However, educators find it challenging to decide whether to measure clinical learning environments with existing instruments or to design their own new instrument and, if using an existing instrument, which to choose. To assist educators with these decisions, the authors compared clinical learning environment instru…
Using Activity Theory to Explore How Changes in a Work-Based Assessment Tool Can Alter Feedback Systems in Clerkships
To address medical students’ need for actionable feedback, institutions have designed and implemented work-based assessment (WBA) tools for formative assessment of students’ clinical performance. 1 However, WBA tools are often misused or underused due to poor user buy-in, misconception of purpose, and inadequate user training. 2 Improving use of WBA tools requires understanding of their role within the system in which they are situated. Cultural …
The applicability of generalisability and bias to health professions education's research
When I say…attitude
Valbuena et al. use social psychology to refine conceptualizations of “attitude” and argue that attitudes influence our attention and processing of information, thereby ultimately impacting our behaviors
Exploring how physician educators approach politically charged topics with learners
Academic Olympism and Authorship
On August 1, 2021, the world witnessed an act of true collegiality as 2 athletes, Mutaz Essa Barshim and Gianmarco Tamberi, shared the podium for the gold medal in the high jump at the 2020 summer Olympic games. 1 When the 2 longtime friends and rivals reached the limit of their performance at the same height, an official proposed a jump-off to break the tie. Barshim asked if 2 gold medals were an option and the official promptly replied, “It’s p…
Beyond Checking Boxes
PURPOSE: To understand the role of a workplace-based assessment (WBA) tool in facilitating feedback for medical students, this study explored changes and tensions in a clerkship feedback activity system through the lens of cultural historical activity theory (CHAT) over 2 years of tool implementation. METHOD: This qualitative study uses CHAT to explore WBA use in core clerkships by identifying feedback activity system elements (e.g., community, t…
“Finding My Piece in That Puzzle”
PURPOSE: Health systems science (HSS) curricula equip future physicians to improve patient, population, and health systems outcomes (i.e., to become "systems citizens"), but the degree to which medical students internalize this conception of the physician role remains unclear. This study aimed to explore how students envision their future professional identity in relation to the system and identify experiences relevant to this aspect of identity …
Autonomy and developing physicians
In this article, we address the question, ‘What is the role of autonomy in physician development?’ Medical education is a developmental process, and autonomy plays a motivational role in physician development. Calls for increased supervision of residents have raised concerns that the resulting decreased autonomy might interfere with resident development, leading the authors to explore the relationship between supervision and autonomy. The medical…
I , we and they
Psychology (32 works) · Innovations in Medical Education (30 works) · Medicine (27 works) · Medical education (26 works) · Political science (15 works) · Sociology (15 works) · Pedagogy (13 works) · Computer Science (10 works) · Qualitative research (9 works) · Social science (8 works)