Lorelei Lingard

Summary

Affiliation: University of Western Ontario
Country: Canada

Publications

  1. doi Understanding palliative care on the heart failure care team: an innovative research methodology
    Lorelei A Lingard
    Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    J Pain Symptom Manage 45:901-11. 2013
  2. doi Conflicting messages: examining the dynamics of leadership on interprofessional teams
    Lorelei Lingard
    Department of Medicine, and Director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Acad Med 87:1762-7. 2012
  3. doi Representing complexity well: a story about teamwork, with implications for how we teach collaboration
    Lorelei Lingard
    Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 46:869-77. 2012
  4. doi Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice
    Lorelei Lingard
    Centre for Education Research and Innovation, Health Sciences Addition, University of Western Ontario, London, Canada
    BMJ Qual Saf 20:475-82. 2011
  5. ncbi Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings
    Lorelei Lingard
    Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada
    J Interprof Care 20:471-83. 2006
  6. doi An exploration of faculty perspectives on the in-training evaluation of residents
    Christopher J Watling
    Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada
    Acad Med 85:1157-62. 2010
  7. doi To report or not to report: a descriptive study exploring ICU nurses' perceptions of error and error reporting
    Sherry Espin
    Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, Ontario, Canada
    Intensive Crit Care Nurs 26:1-9. 2010
  8. doi Beyond individualism: professional culture and its influence on feedback
    Christopher Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 47:585-94. 2013
  9. ncbi Perceptions of operating room tension across professions: building generalizable evidence and educational resources
    Lorelei Lingard
    Wilson Centre for Research in Education, 200 Elizabeth Street, Eaton South 1 605, Toronto, Ontario, Canada
    Acad Med 80:S75-9. 2005
  10. pmc The rules of the game: interprofessional collaboration on the intensive care unit team
    Lorelei Lingard
    Department of Pediatrics and The Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
    Crit Care 8:R403-8. 2004

Detail Information

Publications54

  1. doi Understanding palliative care on the heart failure care team: an innovative research methodology
    Lorelei A Lingard
    Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    J Pain Symptom Manage 45:901-11. 2013
    ..Research methods are urgently required to support systematic exploration of the experiences of patients with HF, family caregivers, and health care providers as they interact as a care team...
  2. doi Conflicting messages: examining the dynamics of leadership on interprofessional teams
    Lorelei Lingard
    Department of Medicine, and Director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Acad Med 87:1762-7. 2012
    ..The literature emphasizes a collaborative approach of shared leadership, but this may be challenging for clinicians working within the traditionally hierarchical health care system...
  3. doi Representing complexity well: a story about teamwork, with implications for how we teach collaboration
    Lorelei Lingard
    Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 46:869-77. 2012
    ..We employed the theoretical lenses of activity theory to better understand the nature of collaborative complexity and its implications for current approaches to interprofessional collaboration (IPC) and interprofessional education (IPE)...
  4. doi Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice
    Lorelei Lingard
    Centre for Education Research and Innovation, Health Sciences Addition, University of Western Ontario, London, Canada
    BMJ Qual Saf 20:475-82. 2011
    ..Based on the results, recommendations to enhance timely antibiotic therapy are provided...
  5. ncbi Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings
    Lorelei Lingard
    Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada
    J Interprof Care 20:471-83. 2006
    ....
  6. doi An exploration of faculty perspectives on the in-training evaluation of residents
    Christopher J Watling
    Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada
    Acad Med 85:1157-62. 2010
    ..The authors studied faculty supervisors' experiences and perceptions of the ITER process to gain insight into the factors that influence faculty engagement...
  7. doi To report or not to report: a descriptive study exploring ICU nurses' perceptions of error and error reporting
    Sherry Espin
    Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, Ontario, Canada
    Intensive Crit Care Nurs 26:1-9. 2010
    ..To explore the emergent factors influencing nurses' error reporting preferences, scenarios were developed to probe reporting situations in the intensive care unit...
  8. doi Beyond individualism: professional culture and its influence on feedback
    Christopher Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 47:585-94. 2013
    ..In this study, we explored how feedback is handled within different professional cultures, and how the characteristics and values of a profession shape learners' responses to feedback...
  9. ncbi Perceptions of operating room tension across professions: building generalizable evidence and educational resources
    Lorelei Lingard
    Wilson Centre for Research in Education, 200 Elizabeth Street, Eaton South 1 605, Toronto, Ontario, Canada
    Acad Med 80:S75-9. 2005
    ..Replication of these naturalistic findings in a controlled, video-based format could provide a basis for formal curricula...
  10. pmc The rules of the game: interprofessional collaboration on the intensive care unit team
    Lorelei Lingard
    Department of Pediatrics and The Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
    Crit Care 8:R403-8. 2004
    ..This study explored how team members in the ICU interact to achieve daily clinical goals, delineate professional boundaries and negotiate complex systems issues...
  11. ncbi Communication channels in general internal medicine: a description of baseline patterns for improved interprofessional collaboration
    Lesley Gotlib Conn
    Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada
    Qual Health Res 19:943-53. 2009
    ....
  12. ncbi A qualitative study examining tensions in interdoctor telephone consultations
    Anupma Wadhwa
    Wilson Centre for Research in Education and Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada
    Med Educ 40:759-67. 2006
    ..This study sought to clarify the communication issues that can occur during interdoctor telephone consultations in order to inform future educational initiatives in this domain...
  13. doi Music lessons: revealing medicine's learning culture through a comparison with that of music
    Christopher Watling
    Department of Clinic Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 47:842-50. 2013
    ..In this study, we undertook a comparative examination of two learning cultures - those of music and medicine - in order to unearth assumptions about learning that are taken for granted within the medical culture...
  14. doi Understanding responses to feedback: the potential and limitations of regulatory focus theory
    Christopher Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 46:593-603. 2012
    ..We aimed to explore this link between regulatory focus theory and response to feedback using data collected in a naturalistic setting...
  15. doi Understanding clinical uncertainty: what is going on when experienced surgeons are not sure what to do?
    Sayra M Cristancho
    Dr Cristancho is assistant professor, Department of Surgery, Department of Medical Biophysics, and Scientist, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Mr Apramian is research associate, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Dr Vanstone is assistant professor, Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada Dr Lingard is professor, Department of Medicine, and Director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Dr Ott is assistant professor, Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Dr Novick is professor, Division of Cardiac Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Acad Med 88:1516-21. 2013
    ..This study explored how experienced surgeons perceived and handled uncertainty during challenging intraoperative situations, to develop a theoretical language supporting both education and research...
  16. doi The sum of the parts detracts from the intended whole: competencies and in-training assessments
    Elaine M Zibrowski
    Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 43:741-8. 2009
    ..Using data collected during the study of ITA, we explored residents' perceptions of these competencies...
  17. ncbi Routine and adaptive expert strategies for resolving ICT mediated communication problems in the team setting
    Lara Varpio
    Academy for Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ontario, Canada
    Med Educ 43:680-7. 2009
    ..This study explores the interprofessional communication strategies of nurses and doctors (trainees and experts) when their communications were mediated by a specific ICT: an electronic patient record (EPR)...
  18. doi 'Is that normal?' Pre-clerkship students' approaches to professional dilemmas
    Shiphra Ginsburg
    Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    Med Educ 45:362-71. 2011
    ..The purpose of this study, which builds on previous research involving clinical clerks, was to explore the decision-making processes of pre-clerkship medical students in the face of standardised professional dilemmas...
  19. ncbi Engaged at the extremes: residents' perspectives on clinical teaching assessment
    Kathryn Myers
    Division of General Internal Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Acad Med 87:1397-400. 2012
    ....
  20. ncbi Tensions influencing operating room team function: does institutional context make a difference?
    Lorelei Lingard
    Centre for Research in Education at the University Health Network, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
    Med Educ 38:691-9. 2004
    ..To determine to what extent these findings were transferable to other institutional contexts, we conducted a validation study in 2 small, academic hospitals in a mid-size city...
  21. doi Catalyzing and sustaining communities of collaboration around interprofessional care: an evaluation of four educational programs
    Eileen Egan-Lee
    Centre for Faculty Development at St Michael s Hospital, Toronto, Ontario, Canada
    J Interprof Care 22:317-9. 2008
  22. ncbi Team communications in the operating room: talk patterns, sites of tension, and implications for novices
    Lorelei Lingard
    Department of Pediatrics, University of Toronto, Ontario, Canada
    Acad Med 77:232-7. 2002
    ..This study explored the nature of communications among operating room (OR) team members from surgery, nursing, and anesthesia to identify common communicative patterns, sites of tension, and their impact on novices...
  23. ncbi Factors influencing perioperative nurses' error reporting preferences
    Sherry Espin
    Ryerson University School of Nursing, Faculty of Community Services, Toronto, Ontario, Canada
    AORN J 85:527-43. 2007
    ..Selective error reporting and the reasons for selective reporting have negative implications for patient safety...
  24. doi Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity
    Carol anne Moulton
    Department of Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
    Acad Med 85:1571-7. 2010
    ..In this study, the authors identified and characterized the manifestations of the phenomenon of "slowing down when you should" to stay out of trouble in operative practice...
  25. doi Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures
    Lianne Jeffs
    St Michael s Hospital, Toronto, Ontario, Canada
    J Nurs Care Qual 26:320-7. 2011
    ..Study findings point to multilevel strategies including cultural, structural, and educational approaches to enhancing the key roles that nurses need to play in error disclosure to patients and families...
  26. doi Catching and correcting near misses: the collective vigilance and individual accountability trade-off
    Lianne Patricia Jeffs
    St Michael s Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada
    J Interprof Care 26:121-6. 2012
    ..Further research is needed to explore in more depth the trade-offs between collective vigilance and individual accountability by relying on others to catch and correct the potentially harmful errors and avert negative outcomes...
  27. pmc A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability
    Lorelei Lingard
    Wilson Centre for Research in Education, University of Toronto, Eaton South, Toronto, Ontario, Canada
    Qual Saf Health Care 15:422-6. 2006
    ..Breakdown in communication among members of the healthcare team threatens the effective delivery of health services, and raises the risk of errors and adverse events...
  28. ncbi Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure
    Sherry Espin
    Donald R Wilson Centre for Research in Education, University Health Network, Toronto, Ontario, Canada
    Surgery 139:6-14. 2006
    ..In this study, we describe and compare operative team members' and patients' perceptions of error, reporting of error, and disclosure of error...
  29. ncbi Before the white coat: perceptions of professional lapses in the pre-clerkship
    Shiphra Ginsburg
    Department of Medicine, University of Toronto, Ontario, Canada
    Med Educ 39:12-9. 2005
    ....
  30. doi To stay or not to stay? A grounded theory study of residents' postcall behaviors and their rationalizations for those behaviors
    Taryn S Taylor
    Dr Taylor is a resident, Department of Obstetrics and Gynaecology, and Research Fellow, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada Dr Nisker is professor, Department of Obstetrics and Gynaecology, Schulich School of Medicine and Dentistry, and Scientist, Children s Health Research Institute, Western University, London, Ontario, Canada Dr Lingard is professor of medicine and adjunct professor, Department of Family Medicine, senior scientist and director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, and Professor, Faculty of Education, Western University, London, Ontario, Canada
    Acad Med 88:1529-33. 2013
    ..The authors sought to describe residents' postcall behaviors and understand the dominant rationalizations underpinning their decisions to stay or not to stay after a 24-hour shift...
  31. doi When surgeons face intraoperative challenges: a naturalistic model of surgical decision making
    Sayra M Cristancho
    Department of Surgery, Department of Medical Biophysics, Centre for Education Research and Innovation, Western University, London, ON, Canada
    Am J Surg 205:156-62. 2013
    ..This feature has necessitated a shift in surgical decision-making research. The present study explores the processes by which surgeons assess and respond to nonroutine challenges in the operating room...
  32. ncbi Being a hospice volunteer influenced medical students' comfort with dying and death: a pilot study
    Will Stecho
    Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, 339 Windermere Road, UH B10 123, London, Ontario, Canada N6A 5A5
    J Palliat Care 28:149-56. 2012
    ..This pilot project provides insight into the medical students' experiential learning as they participate in our hospice volunteer program...
  33. ncbi Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions
    Mark Goldszmidt
    Division of General Internal Medicine, Department of Medicine, University of Western Ontario, Schulich School of Medicine and Dentistry, London, Ontario, Canada
    Acad Med 87:1382-8. 2012
    ..However, research on the effects of the case review on patient care is limited. Informed by rhetorical genre theory, the authors explored the impact of team's communication practices on the comprehensiveness of the case review...
  34. ncbi The rhetoric of patient voice: reported talk with patients in referral and consultation letters
    Marlee M Spafford
    School of Optometry, University of Waterloo, Waterloo, Ontario, Canada
    Commun Med 5:183-94. 2008
    ..These letter strategies reflect professional attitudes about patients and their care...
  35. pmc The disavowed curriculum: understanding student's reasoning in professionally challenging situations
    Shiphra Ginsburg
    Department of Medicine, Faculty of Medicine, Center for Research in Education, University of Toronto, Toronto, Canada
    J Gen Intern Med 18:1015-22. 2003
    ..Understanding students' perceptions of and responses to lapses in professionalism is important to shaping students' professional development...
  36. ncbi Technical skills in paediatrics: a qualitative study of acquisition, attitudes and assumptions in the neonatal intensive care unit
    Susan L Bannister
    Department of Paediatrics, Children s Hospital of Western Ontario and University of Western Ontario, London, Canada
    Med Educ 37:1082-90. 2003
    ..This study sought to describe and theorise the variables influencing technical skills acquisition in a tertiary care neonatal intensive care unit (NICU) inpatient setting...
  37. pmc Know when to rock the boat: how faculty rationalize students' behaviors
    Shiphra Ginsburg
    Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
    J Gen Intern Med 23:942-7. 2008
    ..When faculty evaluate medical students' professionalism, they make judgments based on the observation of behaviors. However, we lack an understanding of why they feel certain behaviors are appropriate (or not)...
  38. ncbi Junior faculty experiences with informal mentoring
    Karen Leslie
    Wilson Centre for Research in Education, Toronto, Ontario, Canada
    Med Teach 27:693-8. 2005
    ..Junior faculty identify some relationships from which they receive guidance; however, limitations in these relationships result in a lack of mentorship on career direction and on balancing career with personal life...
  39. ncbi What healthcare students do with what they don't know: the socializing power of 'uncertainty' in the case presentation
    Marlee M Spafford
    University of Waterloo, School of Optometry, Waterloo, Ontario, Canada
    Commun Med 3:81-92. 2006
    ..More explicit discussions regarding uncertainty may help the novice unlock the code of contextual forces that cue the savvy member of the community to sanctioned discursive strategies...
  40. doi Learning from clinical work: the roles of learning cues and credibility judgements
    Christopher Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 46:192-200. 2012
    ..How learners interpret their clinical experiences to create meaningful learning has not been well studied. We explored experiences considered by doctors to be influential in their learning in order to better understand this process...
  41. doi Toward meaningful evaluation of medical trainees: the influence of participants' perceptions of the process
    Christopher J Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada
    Adv Health Sci Educ Theory Pract 17:183-94. 2012
    ....
  42. ncbi Learning culture and feedback: an international study of medical athletes and musicians
    Christopher Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada
    Med Educ 48:713-23. 2014
    ....
  43. ncbi A qualitative study of interphysician telephone consultations: extending the opinion leader theory
    Anupma Wadhwa
    Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    J Contin Educ Health Prof 25:98-104. 2005
    ..We studied the interphysician telephone consultation, a situation in medical practice in which we see opinion leaders at work, to generate a grounded theory of opinion leader activity...
  44. ncbi To be and not to be: the paradox of the emerging professional stance
    Shiphra Ginsburg
    Mount Sinai Hospital, Toronto, Ontario, Canada
    Med Educ 37:350-7. 2003
    ..The purpose of this study was to refine an existing coding structure of rationalizations of student behaviour, and to further our understanding of students' reasoning strategies in the face of perceived professional lapses...
  45. doi Biomedical scientists' perception of the social sciences in health research
    Mathieu Albert
    University of Toronto, Wilson Centre, Toronto General Hospital, Toronto, Ontario, Canada
    Soc Sci Med 66:2520-31. 2008
    ..Based on the biomedical scientists' limited receptiveness, we can anticipate that the growth of the social sciences will continue to meet obstacles within the health research field in the near future in Canada...
  46. ncbi Interprofessional information work: innovations in the use of the chart on internal medicine teams
    Lorelei Lingard
    Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
    J Interprof Care 21:657-67. 2007
    ....
  47. doi A mixed-methods analysis of residents' written comments regarding their clinical supervisors
    Kathryn A Myers
    Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, St Joseph s Health Care, 268 Grosvenor Street, London, Ontario N6A 4V2
    Acad Med 86:S21-4. 2011
    ..Although written comments submitted by residents on clinical teaching assessments (CTAs) are potentially a rich source of feedback, little is known about their information quality...
  48. doi Are we all on the same page? A discourse analysis of interprofessional collaboration
    Wael Haddara
    Dr Haddara is assistant professor, Division of Critical Care Medicine and Division of Endocrinology and Metabolism, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada Dr Lingard is director, Centre for Education Research and Innovation, and Professor, Department of Medicine, Schulich School of Medicine and Dentistry and Faculty of Education at Western University, London, Ontario, Canada
    Acad Med 88:1509-15. 2013
    ..This study examined the published literature to explore whether a shared IPC discourse underpins these current efforts...
  49. doi Grounded theory in medical education research: AMEE Guide No. 70
    Christopher J Watling
    Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
    Med Teach 34:850-61. 2012
    ....
  50. doi Language matters: towards an understanding of silence and humour in medical education
    Lorelei Lingard
    Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
    Med Educ 47:40-8. 2013
    ..Silence and humour pervade clinical training settings, although we rarely attend explicitly to them...
  51. doi A medical student's perspective of participation in an interprofessional education placement: an autoethnography
    Jennifer Gallé
    Medical Student, University of Toronto, Ontario, Canada
    J Interprof Care 24:722-33. 2010
    ..e., journaling and interviewing) to enhance the students' appreciation and understanding of roles, responsibilities and professional perspectives, and to promote critical thinking and professional growth...
  52. ncbi Exploring the gap between knowledge and behavior: a qualitative study of clinician action following an educational intervention
    Tara Kennedy
    Bloorview MacMillan Children s Centre, and Department of Pediatrics, University of Toronto, Ontario, Canada
    Acad Med 79:386-93. 2004
    ..The authors exposed this knowledge-behavior gap through standardized clinical interactions, thus allowing in-depth exploration of the contributing factors...
  53. ncbi Progressive collaborative refinement on teams: implications for communication practices
    Mark Goldszmidt
    Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
    Med Educ 48:301-14. 2014
    ..The purpose of this study was to explore how these genres influence the team's ability to collectively care for patients...
  54. doi Old news: why the 90-year crisis in medical elder care?
    Laura L Diachun
    Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
    J Am Geriatr Soc 60:1357-60. 2012
    ..This disconcerting sense of paralysis is presented as an opportunity to advance important questions aimed at stimulating a more-comprehensive research agenda for addressing the future of medical elder care...