Affiliation: University of Toronto
- Team communications in the operating room: talk patterns, sites of tension, and implications for novicesLorelei 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...
- Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefingsLorelei Lingard
Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada
J Interprof Care 20:471-83. 2006....
- The rhetorical 'turn' in medical education: what have we learned and where are we going?Lorelei Lingard
Wilson Centre for Research in Education and Department of Paediatrics, University of Toronto, 200 Elizabeth Street, Eaton South 1 565 Toronto, ON, Canada, M5G 2C4
Adv Health Sci Educ Theory Pract 12:121-33. 2007....
- Qualitative research in the RIME community: critical reflections and future directionsLorelei Lingard
The Wilson Centre for Research in Education, 200 Elizabeth Street, Eaton South 1-565, Toronto, ON, Canada, M5G 2C4
Acad Med 82:S129-30. 2007
- Interprofessional information work: innovations in the use of the chart on internal medicine teamsLorelei Lingard
Department of Paediatrics, Wilson Centre for Research in Education, University of Toronto, Ontario, Canada
J Interprof Care 21:657-67. 2007....
- Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communicationLorelei Lingard
University of Toronto, 200 Elizabeth St, Eaton South 1 565, Toronto ON M5G 2C4, Canada
Arch Surg 143:12-7; discussion 18. 2008..To assess whether structured team briefings improve operating room communication. Design, Setting, and..
- A qualitative study examining tensions in interdoctor telephone consultationsAnupma 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...
- To report or not to report: a descriptive study exploring ICU nurses' perceptions of error and error reportingSherry 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...
- Communication channels in general internal medicine: a description of baseline patterns for improved interprofessional collaborationLesley Gotlib Conn
Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada
Qual Health Res 19:943-53. 2009....
- Perceptions of operating room tension across professions: building generalizable evidence and educational resourcesLorelei 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...
- Conflicting messages: examining the dynamics of leadership on interprofessional teamsLorelei 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...
- The rules of the game: interprofessional collaboration on the intensive care unit teamLorelei 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...
- Slowing down to stay out of trouble in the operating room: remaining attentive in automaticityCarol 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...
- Catalyzing and sustaining communities of collaboration around interprofessional care: an evaluation of four educational programsEileen Egan-Lee
Centre for Faculty Development at St. Michael's Hospital, Toronto, Ontario, Canada
J Interprof Care 22:317-9. 2008
- Before the white coat: perceptions of professional lapses in the pre-clerkshipShiphra Ginsburg
Department of Medicine, University of Toronto, Ontario, Canada
Med Educ 39:12-9. 2005....
- Understanding responses to feedback: the potential and limitations of regulatory focus theoryChristopher 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...
- Engaged at the extremes: residents' perspectives on clinical teaching assessmentKathryn 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....
- A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliabilityLorelei 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...
- Structuring communication relationships for interprofessional teamwork (SCRIPT): a Canadian initiative aimed at improving patient-centred careScott Reeves
University of Toronto, Ontarion, Canada
J Interprof Care 21:111-4. 2007
- Perceptions of the role of the registered nurse in an urban interprofessional academic family practice settingJennifer Akeroyd
Women s College Hospital, University of Toronto, Toronto, ON, Canada
Nurs Leadersh (Tor Ont) 22:73-84. 2009..Optimal utilization of the family practice RN requires leadership in clarifying the RN's role in IPC, and why and how trust among IPC members is cultivated and nurtured...
- 'Is that normal?' Pre-clerkship students' approaches to professional dilemmasShiphra 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...
- Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosureSherry 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...
- 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...
- Catching and correcting near misses: the collective vigilance and individual accountability trade-offLianne 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...
- Factors influencing perioperative nurses' error reporting preferencesSherry 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...
- Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosuresLianne 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...
- The rhetoric of patient voice: reported talk with patients in referral and consultation lettersMarlee 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...
- The sum of the parts detracts from the intended whole: competencies and in-training assessmentsElaine 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...
- Routine and adaptive expert strategies for resolving ICT mediated communication problems in the team settingLara 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)...
- Representing complexity well: a story about teamwork, with implications for how we teach collaborationLorelei 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)...
- Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussionsMark 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...
- Exploring the gap between knowledge and behavior: a qualitative study of clinician action following an educational interventionTara 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...
- Measuring educational workload: a pilot study of paper-based and PDA toolsSusan Tallett
University of Toronto, Canada
Med Teach 30:296-301. 2008..Careful delineation of educational workload is needed to foster and reward teaching efforts, and to facilitate equitable allocation of resources...
- Learning from clinical work: the roles of learning cues and credibility judgementsChristopher 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...
- The disavowed curriculum: understanding student's reasoning in professionally challenging situationsShiphra 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...
- Know when to rock the boat: how faculty rationalize students' behaviorsShiphra 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)...
- Preserving professional credibility: grounded theory study of medical trainees' requests for clinical supportTara J T Kennedy
Wilson Centre for Research in Education, Toronto, ON, Canada
BMJ 338:b128. 2009..To develop a conceptual framework of the influences on medical trainees' decisions regarding requests for clinical support from a supervisor...
- Basing the evaluation of professionalism on observable behaviors: a cautionary taleShiphra Ginsburg
Mount Sinai Hospital, Toronto, ON, Canada
Acad Med 79:S1-4. 2004..The evaluation of professionalism often relies on the observation and interpretation of students' behaviors; however, little research is available regarding faculty's interpretations of these behaviors...
- Grounded theory, mixed methods, and action researchLorelei Lingard
SickKids Learning Institute and Department of Paediatrics and Wilson Centre for Research in Education, University of Toronto, 200 Elizabeth Street, Eaton South 1-565, Toronto, ON, Canada M5G 2C4
BMJ 337:a567. 2008
- Point-of-care assessment of medical trainee competence for independent clinical workTara J T Kennedy
Stan Cassidy Centre for Rehabilitation, 800 Priestman St, Fredericton, NB, E3B 0C7, Canada
Acad Med 83:S89-92. 2008..This study explored context-specific assessments of trainees' competence for independent clinical work...
- Clinical oversight: conceptualizing the relationship between supervision and safetyTara J T Kennedy
Bloorview Kids Rehab, Toronto, ON, Canada
J Gen Intern Med 22:1080-5. 2007..The effects of increased supervision on patient care and trainee education are not known, primarily because the current multifacted and poorly operationalized concept of clinical supervision limits the potential for evaluation...
- To be and not to be: the paradox of the emerging professional stanceShiphra 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...
- What healthcare students do with what they don't know: the socializing power of 'uncertainty' in the case presentationMarlee 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...
- Junior faculty experiences with informal mentoringKaren 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...
- Biomedical scientists' perception of the social sciences in health researchMathieu 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...
- Operating from the other side of the table: control dynamics and the surgeon educatorCarol anne Moulton
Department of Surgery, University of Toronto, Wilson Centre, Toronto, ON, Canada
J Am Coll Surg 210:79-86. 2010..quot; Using this framework, this study explored how academic surgeons manage and balance the often competing responsibilities of patient safety and education during the slowing-down moments...
- A medical student's perspective of participation in an interprofessional education placement: an autoethnographyJennifer 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...
- A qualitative study of interphysician telephone consultations: extending the opinion leader theoryAnupma 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...
- 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...
- The anatomy of the professional lapse: bridging the gap between traditional frameworks and students' perceptionsShiphra Ginsburg
Department of Surgery, University of Toronto, Mount Sinai Hospital, ON M5G 1X5, Canada
Acad Med 77:516-22. 2002..This incongruence suggested that the development of effective curricula in this domain must bridge the gap between traditional taxonomies and students' perceptions of professionalism...
- Childhood immunization. How knowledgeable are we?Helen Heurter
Division of Infectious Diseases, Department of Pediatrics, Hospital for Sick Children, Toronto, Ontario
Can Nurse 99:27-31. 2003
- Expert and trainee determinations of rhetorical relevance in referral and consultation lettersLorelei Lingard
Centre for Research in Education, University Health Network, University of Toronto, 200 Elizabeth Street, Eaton South I 605, Toronto, Ontario, Canada M5G 2C4
Med Educ 38:168-76. 2004..Our study examined how "relevance" is signalled and decoded in these letters, from the perspective of both experts and trainees in three clinical specialties...
- Error and surgery: can we do better?John M A Bohnen
Division of General Surgery, St Michael s Hospital, and University of Toronto, Toronto, Ont
Can J Surg 46:327-9. 2003
- Tensions in the field: teaching standards of practice in optometry case presentationsMarlee M Spafford
School of Optometry, University of Waterloo, Waterloo, Canada
Optom Vis Sci 81:800-6. 2004..Professional identity formation and its relationship to case presentations were studied in an optometry school's onsite clinic...
- Technical skills in paediatrics: a qualitative study of acquisition, attitudes and assumptions in the neonatal intensive care unitSusan 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...
- Critically appraising qualitative researchAyelet Kuper
Department of Medicine, Sunnybrook Health Sciences Centre, and Wilson Centre for Research in Education, University of Toronto, 2075 Bayview Avenue, Room HG 08, Toronto, ON, Canada M4N 3M5
BMJ 337:a1035. 2008
- Surgeons managing conflict: a framework for understanding the challengeDavid A Rogers
Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794, USA
J Am Coll Surg 203:568-74. 2006
- What's next? A guiding question for educators engaged in educational researchKevin W Eva
Med Educ 42:752-4. 2008
- Working off the record: physicians' and nurses' transformations of electronic patient record-based patient informationLara Varpio
Acad Med 81:S35-9. 2006..The study addresses the socializing implications of these activities, and highlights their educational potential...