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https://www.readbyqxmd.com/read/29349892/-can-the-patient-speak-postcolonialism-and-patient-involvement-in-undergraduate-and-postgraduate-medical-education
#1
Malika Sharma
CONTEXT: Patients are increasingly being engaged in providing feedback and consultation to health care institutions, and in the training of health care professionals. Such involvement has the potential to disrupt traditional doctor-patient power dynamics in significant ways that have not been theorised in the medical literature. Critical theories can help us understand how power flows when patients are engaged in the training of medical students. METHODS: This paper applies postcolonial theory to the involvement of patients in the development and delivery of medical education...
January 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29261541/the-medical-school-admissions-process-and-meeting-the-public-s-health-care-needs-never-the-twain-shall-meet
#2
Jennifer Cleland
Medical schools typically assess how good their selection process is using metrics such as students' assessment performance and the academic success of alumni on later indicators of academic ability and clinical competence, such as Royal College of Physicians or specialty board examinations. To address global issues with the maldistribution of doctors and increasing numbers of new medical school graduates choosing not to work in a clinical context requires different measurements of medical school admissions processes, like those related to graduates' career outcomes (e...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29248011/what-are-they-thinking-facilitating-clinical-reasoning-through-longitudinal-patient-exposure-in-rural-practice
#3
David Campbell, Lucie Walters, Ian Couper, Jane Greacen
INTRODUCTION:   This article reports the findings from an international research workshop, held over 2 days in October 2014 in Bairnsdale, Australia, which brought together 19 clinician teachers and medical educators who work in rural primary care. The objectives of the workshop were to clarify and identify the key aspects of the development of clinical reasoning in students and junior doctors, particularly as a result of longitudinal immersion in rural community practice...
December 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29183265/when-general-practitioners-meet-new-evidence-an-exploratory-ethnographic-study
#4
Ole Olsen
OBJECTIVE: To explore how general practitioners (GPs) think and act when presented with new evidence in relation to planned home birth and a proposal to change information practices. DESIGN: Exploratory ethnographic study of GPs. The GPs were encountered one or more times during a two-year period, 2011-2013, while the author tried to set up formal focus group interviews. Dialogues about the evidence, personal experiences, values and other issues unavoidably occurred...
December 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29069693/-the-image-of-doctors-in-europe-a-comparison-of-countries
#5
Andreas Heinz, Jean Philippe Décieux
Study objective Patients expect a lot from doctors. They expect doctors to be trustworthy and competent, to discuss all treatment options with them, to inform them about mistakes made during the treatment and to put their interests before their own interests. This paper examines how the population of Europe assesses doctors in this respect and whether there are countries where the assessments are similar. Methods In the "International Social Survey Programme - ISSP" the population in 32 countries was asked to assess the doctors in their respective countries...
October 25, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29062529/priority-setting-in-research-user-led-mental-health-research
#6
Marjorie Ghisoni, Christine Ann Wilson, Karen Morgan, Bethan Edwards, Natalie Simon, Emma Langley, Helen Rees, Amanda Wells, Philip John Tyson, Phil Thomas, Allen Meudell, Frank Kitt, Brian Mitchell, Alan Bowen, Jason Celia
PLAIN ENGLISH SUMMARY: Involving people in health research is increasingly recognised as being important to make sure that research is focused more on the needs of people who use health services. At present, ideas about what should be researched most often comes from researchers and/or health professionals like doctors and nurses rather than people with a lived experience of mental illness. In this study, we will talk with this group of people from across Wales to explore what they think research into their health services should focus on...
2017: Res Involv Engagem
https://www.readbyqxmd.com/read/29019476/parenting-a-child-with-juvenile-idiopathic-arthritis-orofacial-pain-and-dysfunction-a-qualitative-study
#7
Eva Leksell, Ulrika Hallberg, AnnaCarin Horne, Malin Ernberg, Britt Hedenberg-Magnusson
AIMS: To deepen knowledge of how parents of children diagnosed with juvenile idiopathic arthritis (JIA) perceive the orofacial manifestations of the disease, its treatments, and their encounters with dental care providers. METHODS: A total of 15 interviews with parents of JIA patients (3 to 16 years old) with orofacial pain were analyzed according to classic grounded theory. RESULTS: The main problem was identified as controlling an unpredictable life situation that includes a child with JIA...
2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28932581/catch-me-if-you-can-how-to-make-the-best-use-of-pleural-effusion
#8
Lianjun Lin, Qian Han, Zhonghui Liu, Huiying Xu, Yanping Wu, Jixin Zhang, Xinmin Liu
Etiology diagnosis of pleural effusion is a commonly encountered yet challenging problem. How to make the best use of pleural effusion evokes thinking. Myelomatous pleural effusion (MPE) is a rare condition and has been reported sporadically. We report an extremely rare case of multiple myeloma (MM) [IgD-lambda (λ) type, stage III B] with MPE as initial presentation and complicated with massive pericardial effusions during the progression of the disease. Cytological identification of malignant plasma cells in pleural effusion is the most direct method to diagnose MPE...
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28924688/the-barrier-to-informed-choice-in-cancer-screening-statistical-illiteracy-in-physicians-and-patients
#9
Odette Wegwarth, Gerd Gigerenzer
An efficient health care requires both informed doctors and patients. Our current healthcare system falls short on both counts. Most doctors and patients do not understand the available medical evidence. To illustrate the extent of the problem in the setting of cancer screening: In a representative sample of some 5000 women in nine European countries, 92% overestimated the reduction of breast cancer mortality by mammography by a factor of 10-200, or did not know. For a similar sample of about 5000 men with respect to PSA screening, this number was 89%...
2018: Recent Results in Cancer Research
https://www.readbyqxmd.com/read/28869501/the-use-of-a-virtual-online-debating-platform-to-facilitate-student-discussion-of-potentially-polarising-topics
#10
Paul D McGreevy, Vicky Tzioumis, Chris Degeling, Jane Johnson, Robert Brown, Mike Sands, Melissa J Starling, Clive J C Phillips
The merits of students exchanging views through the so-called human continuum exercise (HCE) are well established. The current article describes the creation of the virtual human continuum (VHC), an online platform that facilitates the same teaching exercise. It also reports feedback on the VHC from veterinary science students (n = 38). First-year Doctor of Veterinary Medicine students at the University of Sydney, Australia, trialed the platform and provided feedback. Most students agreed or strongly agreed that the VHC offered: a non-threatening environment for discussing emotive and challenging issues; and an opportunity to see how other people form ideas...
September 2, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28820440/medical-students-attitudes-and-beliefs-towards-psychotherapy-a-mixed-research-methods-study
#11
Costas S Constantinou, Maria Georgiou, Maria Perdikogianni
Background: Research findings suggest that attitudes towards psychotherapy predict willingness to seek therapy. However, understanding how medical students think about using and referring their patients for psychotherapy is limited. Aims: The aims of this study are to measure medical students' attitudes towards professional help seeking, and to investigate the reasons for whether or not they would refer their patients to psychotherapy in their future role as doctors. Method: The participants were 127 medical students in their first and second year of the MBBS4 programme at the Cyprus campus of St George's University of London, who completed a self-report measure of attitudes towards psychotherapy and a semi-structured interview...
August 18, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/28796840/yes-research-matters
#12
Mari L Shinohara
My father was diagnosed with stomach cancer recently. Luckily, it was still at an early stage, and endoscopic surgery successfully took care of it. My father was fortunate; since people with stomach cancer do not show clear symptoms in the early stages, the disease is often not diagnosed until it becomes advanced. In his case, the diagnosis started from a suggestion by his doctor to check whether he had a gastric infection with Helicobacter pylori, a bacterial species found in the digestive tract. In Japan, where he lives, a majority of gastric cancer patients (more than 99%) have been infected with H...
August 2017: PLoS Pathogens
https://www.readbyqxmd.com/read/28760685/-leadership-and-management-courses-for-clinicians
#13
Daniel Wichelhaus, Peter Fischer
OBJECTIVES: The aim of the present study was to evaluate the benefit of Leadership and Management Courses for clinicians, specifically which leadership and management contents are beneficial to their daily clinical work and whether these contents support their individual career. METHOD: E-mail invitations to participate in the study were sent to all 543 medical doctors of the University Hospital Hanover, Germany, who had taken part in one of the leadership and management courses offered between June 2005 and June 2015...
August 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28759694/doctorate-of-nursing-practice-students-impressions-of-uses-for-visual-thinking-strategies
#14
Desiree Hensel, Margaret Moorman
Visual Thinking Strategies (VTS) is a structured art-viewing technique designed to teach critical thinking and aesthetic appreciation. Literature on how VTS might be used in nursing is just emerging. This qualitative descriptive study examined written responses to how 14 doctorate of nursing practice students thought they might use VTS in their practice after engaging in a classroom session. Three themes emerged for how nurses might use VTS: Facilitating Interpersonal Relationships, Changing Thinking in Practice, and As a Teaching Tool...
August 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28751283/clinical-pathologists-and-physician-in-france-which-partnership-and-which-future
#15
Lionel Barrand, Xavier Delabranche
Medical biology is a major area of medical specialization in French health care system. It is going through massive changes in public as in private sector since the 2010 Ballereau edict with the merging of laboratories and new quality standards based on accreditation. We have suggested that physicians had a negative feeling about the restructuring of medical biology in recent years. An electronic questionnaire has been sent to physicians so as to find out what they thought about the evolution of medical biology and to get suggestions to improve the taking care of the patient...
August 1, 2017: Annales de Biologie Clinique
https://www.readbyqxmd.com/read/28677174/a-qualitative-study-exploring-how-pharmacist-and-nurse-independent-prescribers-make-clinical-decisions
#16
Aseel S Abuzour, Penny J Lewis, Mary P Tully
AIM: To explore how secondary care pharmacist and nurse independent prescribers clinically reason when making prescribing decisions. BACKGROUND: Clinical reasoning is a central component of prescribers' competence and professional autonomy when reaching a clinically appropriate decision. Like doctors, pharmacist and nurse independent prescribers in the United Kingdom have extensive prescribing rights, but little is known about their clinical reasoning. DESIGN: A qualitative approach using a think-aloud methodology and semi-structured interviews...
July 5, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28471713/a-randomized-controlled-trial-comparing-the-letter-project-advance-directive-to-traditional-advance-directive
#17
Vyjeyanthi S Periyakoil, Eric Neri, Helena Kraemer
BACKGROUND: Simpler alternatives to traditional advance directives that are easy to understand and available in multiple formats and can be initiated by patients and families will help facilitate advance care planning. The goal of this study was to compare the acceptability of the letter advance directive (LAD) to the traditional advance directive (TAD) of the state of California. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS: A web-based, randomized controlled trial was conducted, in which the participants were randomized to one of two types of advance directives (ADs): the LAD (intervention) or the TAD (control)...
May 4, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28418117/articulating-the-ideal-50-years-of-interprofessional-collaboration-in-medical-education
#18
Elise Paradis, Mandy Pipher, Carrie Cartmill, J Cristian Rangel, Cynthia R Whitehead
CONTEXT: Health care delivery and the education of clinicians have changed immensely since the creation of the journal Medical Education. In this project, we seek to answer the following three questions: How has the concept of collaboration changed over the past 50 years in Medical Education? Have the participants involved in collaboration shifted over time? Has the idea of collaboration itself been transformed over the past 50 years? METHODS: Starting from a constructionist view of scientific discourse, we used directed content analysis to sample, code and analyse 144 collaboration-related articles over the 50-year life span of Medical Education...
April 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28379816/improving-family-medicine-with-thoughtful-research
#19
EDITORIAL
Anne Victoria Neale, Marjorie A Bowman, Dean A Seehusen
This issue is about improving primary health care outcomes, from behavioral health to opioid issues to diagnosing hypertension to providing hope for childhood obesity. It includes hints for integrating behavioral health and care managers into family medicine practices. Opiate prescribing practices vary considerably between Japan and the United States, with helpful insights for our opiate abuse epidemic. Suicidality is high among patients taking opiates. Diagnosing hypertension the recommended way is not easily accomplished...
March 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28356489/how-shared-is-shared-decision-making-a-care-ethical-view-on-the-role-of-partner-and-family
#20
Inge van Nistelrooij, Merel Visse, Ankana Spekkink, Jasmijn de Lange
The aim of shared decision-making (SDM) is to provide information to patients in order to enable them to decide autonomously and freely about treatment together with the doctor, without interference, force or coercion by others. Relatives may be considered as hindering or impeding a patient's own decision. Qualitative-empirical research into lived experience of SDM of patients with cancer, however, problematises the patient's autonomy when facing terminal illness and the need to make decisions regarding treatment...
March 29, 2017: Journal of Medical Ethics
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