The Wright table of the cardiac cycle: a stand-alone supplement to the Wiggers diagram.

The Wright table is introduced as a novel tool for teaching and learning the cardiac cycle. It supplements the nearly 100-yr-old Wiggers diagram, which is information rich but difficult for many students to learn. The Wright table offers a compact presentation of information, viewable both in terms of how 1) each compartment's pressures and flows change over time; and 2) the heart works as a pump, first filling and then emptying the ventricles, thereby moving blood from low-pressure venous to high-pressure arterial compartments. This new four-by-four display of interrelated aspects of cardiac cycle events offers a more integrated view of the phases of ventricular filling and emptying than can be easily observed in the Wiggers diagram. It also shows how ECG-related waves of depolarization and repolarization drive the events of each subsequent phase. The Wright table is a stand-alone teaching aid; however, it is designed such that weaknesses of the Wiggers diagram are complemented by strengths of the Wright table, and vice versa. Results of an anonymous student survey support the utility of the Wright table in medical education. Three modifications of the Wright table, each modeling specific cardiac conditions (i.e., paradoxical split S2 in left bundle branch block, mild aortic stenosis, and moderate aortic stenosis), are included to illustrate how the Wright table might be used in clinical training and research. In summary, the Wright table of the cardiac cycle provides new perspectives for visualization of the cardiac cycle in health and disease.

Practical Tips for Successful Implementation of Educational Innovations: Project Management Tools for Health Professional Educators.

This article was migrated. The article was marked as recommended. Background: Growing demands from health professional educators lead to expectations for smooth implementation of high-stake endeavors such as developing and successfully launching educational innovations ranging from curricular sessions to new programs under time constraints. Usually, multiple requirements, resources, and processes need to be identified, evaluated, and effectively utilized, making the process difficult and confusing. Personnel and operations must be aligned to create momentum for a successful workflow, which requires planning and negotiation with stakeholders. Increasingly, project management strategies and skills have been recommended to medical educators for accomplishing these goals; however, to-date no practical tools or templates have been provided to support and guide educational implementation processes in a practical fashion. Aim: Adjusted to the needs of medical educators across all healthcare professions, we provide interactive templates and tools in the appendix, which walk readers through the implementation of a complete educational project from start to finish. Methods: Using project management guidelines established by the Project Management Institute (PMI), the global credentialing body for the project management profession, the tools and templates follow best practices that were aligned with standards of curriculum development (six-step approach) as published by Kern and colleagues ( Thomas, Kern, Hughes & Chen (Eds.), 2016). Results: We identified a practical workflow for implementing educational innovations and developed interactive tools and templates as guides for tracking and presenting progress for the launch of educational projects of any scale, large or small. Conclusions/summary statement: Developing and implementing complex, multistep endeavors such as collaborative educational sessions or programs can be mastered successfully using project management tools and templates. Based on international project management guidelines and best practices, the authors outline how project management tools and templates allow medical educators to streamline successful systematic planning, engage in creative-problem solving and establish consensus under time constraints.

Fun, collaboration and formative assessment: skinquizition, a class wide gaming competition in a medical school with a large class.

BACKGROUND: Formative assessments are tools for assessing content retention, providing valuable feedback to students and teachers. In medical education, information technology-supported games can accommodate large classes divided into student teams while fostering active engagement. AIM: To establish an innovative stimulating approach to formative assessments for large classes furthering collaborative skills that promotes learning and student engagement linked to improvement of academic performance. METHODS AND RESULTS: Using audience response technology, a fast-paced, competitive, interactive quiz game involving dermatology was developed. This stimulating setting, provided on the last day of class, prepares students for high-stakes exams to continue their medical education while training collaborative skills as supported by survey outcomes and average class scores. SUMMARY AND CONCLUSIONS: Educational game competitions provide formative assessments and feedback for students and faculty alike, enhancing learning and teaching processes. In this study, we show an innovative approach to accommodate a large class divided into competing teams furthering collaborative skills reflected by academic performance.