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https://www.readbyqxmd.com/read/28419451/do-state-continuing-medical-education-requirements-for-physicians-improve-clinical-knowledge
#1
Jonathan L Vandergrift, Bradley M Gray, Weifeng Weng
OBJECTIVE: To evaluate the effect of state continuing medical education (CME) requirements on physician clinical knowledge. DATA SOURCES: Secondary data for 19,563 general internists who took the Internal Medicine Maintenance of Certification (MOC) examination between 2006 and 2013. STUDY DESIGN: We took advantage of a natural experiment resulting from variations in CME requirements across states over time and applied a difference-in-differences methodology to measure associations between changes in CME requirements and physician clinical knowledge...
April 16, 2017: Health Services Research
https://www.readbyqxmd.com/read/28383325/effectiveness-of-written-and-oral-specialty-certification-examinations-to-predict-actions-against-the-medical-licenses-of-anesthesiologists
#2
Yan Zhou, Huaping Sun, Deborah J Culley, Aaron Young, Ann E Harman, David O Warner
BACKGROUND: The American Board of Anesthesiology administers written and oral examinations for its primary certification. This retrospective cohort study tested the hypothesis that the risk of a disciplinary action against a physician's medical license is lower in those who pass both examinations than those who pass only the written examination. METHODS: Physicians who entered anesthesiology training from 1971 to 2011 were followed up to 2014. License actions were ascertained via the Disciplinary Action Notification Service of the Federation of State Medical Boards...
April 6, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28356743/dynamic-balance-in-children-with-attention-deficit-hyperactivity-disorder-and-its-relationship-with-cognitive-functions-and-cerebellum
#3
Michal Goetz, Jaroslava Paulasova Schwabova, Zdenek Hlavka, Radek Ptacek, Craig Bh Surman
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) is linked to the presence of motor deficiencies, including balance deficits. The cerebellum serves as an integrative structure for balance control and is also involved in cognition, including timing and anticipatory regulation. Cerebellar development may be delayed in children and adolescents with ADHD, and inconsistent reaction time is commonly seen in ADHD. We hypothesized that dynamic balance deficits would be present in children with ADHD and they would correlate with attention and cerebellar functions...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28350242/comparison-of-psychopathological-symptoms-in-adolescents-who-experienced-sexual-violence-as-a-victim-and-or-as-a-perpetrator
#4
Jeannine Ohlert, Corinna Seidler, Thea Rau, Jörg Fegert, Marc Allroggen
Research on sexual violence victims and perpetrators indicates that victims in general are found to report higher levels of psychopathological symptoms, especially internalizing behavior, whereas perpetrators often show externalizing behavior. Little is known, however, about the psychopathology of perpetrators of sexual violence who have also experienced sexual victimization (victim-perpetrators). Thus, the aim of the current study was to examine this group within a sample of adolescents living in residential care or federal boarding schools...
March 28, 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28319734/novel-mechanical-impact-simulator-designed-to-generate-clinically-relevant-anterior-cruciate-ligament-ruptures
#5
Nathaniel A Bates, Nathan D Schilaty, Christopher V Nagelli, Aaron J Krych, Timothy E Hewett
BACKGROUND: Over 250,000 anterior cruciate ligament ruptures occur each year; therefore, it is important to understand the underlying mechanisms of these injuries. The objective of the current investigation was to develop and analyze an impact test device that consistently produces anterior cruciate ligament failure in a clinically relevant manner. METHOD: A mechanical impact simulator was developed to simulate the ground reaction force impulse generated from landing in a physiologic and clinically relevant manner...
March 10, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28298965/radiology-education-in-europe-analysis-of-results-from-22-european-countries
#6
Bhavya Rehani, Yi C Zhang, Madan M Rehani, András Palkó, Lawrence Lau, Miriam N Mikhail Lette, William P Dillon
AIM: To assess the state of radiology education across Europe by means of a survey study. METHODS: A comprehensive 23-item radiology survey was distributed via email to the International Society of Radiology members, national radiological societies, radiologists and medical physicists. Reminders to complete the survey were sent and the results were analyzed over a period of 4 mo (January-April 2016). Survey questions include length of medical school and residency training; availability of fellowship and subspecialty training; number of residency programs in each country; accreditation pathways; research training; and medical physics education...
February 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/28292764/adult-and-adolescent-livestock-productive-asset-transfer-programmes-to-improve-mental-health-economic-stability-and-family-and-community-relationships-in-rural-south-kivu-province-democratic-republic-of-congo-a-protocol-of-a-randomised-controlled-trial
#7
Anjalee Kohli, Nancy A Perrin, Mitima Mpanano Remy, Mirindi Bacikenge Alfred, Kajabika Binkurhorhwa Arsene, Mwinja Bufole Nadine, Banyewesize Jean Heri, Mitima Murhula Clovis, Nancy Glass
INTRODUCTION: People living in poverty have limited access to traditional financial institutions. Microfinance programmes are designed to meet this gap and show promise in improving income, economic productivity and health. Our Congolese-US community academic research partnership developed two livestock productive asset transfer programmes, Pigs for Peace (PFP) and Rabbits for Resilience (RFR), to address the interlinked health, social and economic well-being of individuals, their families and communities...
March 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28261395/fourth-year-medical-school-course-load-and-success-as-a-medical-intern
#8
Christopher J Richards, Kenneth J Mukamal, Nikki DeMelo, C Christopher Smith
BACKGROUND : The fourth year of medical school has come under recent scrutiny for its lack of structure, cost- and time-effectiveness, and quality of education it provides. Some have advocated for increasing clinical burden in the fourth year, while others have suggested it be abolished. OBJECTIVE : To assess the relationship between fourth-year course load and success during internship. METHODS : We reviewed transcripts of 78 internal medicine interns from 2011-2013 and compared the number of intensive courses (defined as subinternships, intensive care, surgical clerkships, and emergency medicine rotations) with multi-source performance evaluations from the internship...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28259501/the-role-costs-and-value-for-money-of-external-consultancies-in-the-health-sector-a-study-of-new-zealand-s-district-health-boards
#9
Erin Penno, Robin Gauld
Public spending on external consultancies, particularly within the health sector, is highly controversial in many countries. Yet, despite the apparently large sums of money involved, there is little international analysis surrounding the scope of activities of consultants, meaning there is little understanding of how much is spent, for what purpose and with what result. This paper examines spending on external consultancies in each of New Zealand's 20 District Health Boards (DHB). Using evidence obtained from DHBs, it provides an insight into the cost and activities of consultants within the New Zealand health sector, the policies behind their engagement and the processes in place to ensure value for money...
April 2017: Health Policy
https://www.readbyqxmd.com/read/28254673/cervical-lordosis-the-effect-of-age-and-gender
#10
Ella Been, Sara Shefi, Michalle Soudack
BACKGROUND CONTEXT: The cervical lordosis is of great importance to posture and function. Neck pain and disability is often associated with cervical lordosis malalignment. Surgical procedures involving cervical lordosis stabilization or restoration must take into account age and gender differences in cervical lordosis architecture to avoid further complications. PURPOSE: Therefore, the purpose of the present study was to evaluate differences in the cervical lordosis between males and females from childhood to adulthood...
February 27, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28253419/enhancing-transition-to-practice-using-a-valid-and-reliable-evaluation-tool-progressive-orientation-level-evaluation-pole-tool
#11
Gail K Acuna, Lina H Yoder, Lizely Madrigal-Gonzalez, Patricia S Yoder-Wise
BACKGROUND: Numerous evaluation tools are used to verify nursing competencies, job satisfaction, and leadership qualities separately. One comprehensive tool, the Progressive Orientation Level Evaluation (POLE) tool, measures the increasing complexity of competencies from novice through competent levels. The tool also measures employee satisfaction and engagement to identify potential challenges, stressors, or barriers to transition prior to completion of the post-hiring orientation (on-boarding) process...
March 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28235753/testing-and-evaluation-the-present-and-future-of-the-assessment-of-medical-professionals
#12
REVIEW
Steven A Haist, Agata P Butler, Miguel A Paniagua
The aim of this review is to highlight recent and potential future enhancements to the United States Licensing Examination (USMLE) program. The USMLE program is co-owned by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards. The USMLE includes four examinations: Step 1, Step 2 Clinical Knowledge, Step 2 Clinical Skills, and Step 3; every graduate of Liaison Committee on Medical Education-accredited allopathic medical schools and all international medical graduates must pass this examination series to practice medicine in the United States...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28225462/validity-evidence-from-ratings-of-pediatric-interns-and-subinterns-on-a-subset-of-pediatric-milestones
#13
Teri L Turner, Vasudha L Bhavaraju, Ulana A Luciw-Dubas, Patricia J Hicks, Sara Multerer, Amanda Osta, Jennifer McDonnell, Sue Poynter, Daniel J Schumacher, Rebecca Tenney-Soeiro, Linda Waggoner-Fountain, Alan Schwartz
PURPOSE: To investigate evidence for validity of faculty members' pediatric milestone (PM) ratings of interns (first-year residents) and subinterns (fourth-year medical students) on nine subcompetencies related to readiness to serve as a pediatric intern in the inpatient setting. METHOD: The Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network (APPD LEARN) and the National Board of Medical Examiners collaborated to investigate the utility of assessments of the PMs for trainees' performance...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28208897/a-validation-of-an-examination-protocol-for-cerebral-visual-impairment-among-children-in-a-clinical-population-in-india
#14
Swetha Sara Philip, Sherab Tsherlinga, Maya Mary Thomas, Gordon N Dutton, Richard Bowman
INTRODUCTION: Cerebral Visual Impairment (CVI) is a leading cause of vision impairment in developed and developing countries due to and increased survival of preterm and low birth weight infants. There are few data concerning the validity of protocols available to diagnose CVI. AIM: This study aimed to document the face, content and construct validity of an assessment protocol namely, a 15-domain, Structured Clinical Question Inventory (SCQI), which is based on structured history taking and clinical examination, for the diagnosis of CVI in a clinical population of India...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28192827/the-use-of-mesh-plates-for-difficult-fractures-of-the-patella
#15
David Volgas, Tina K Dreger
Patella fractures present some of the more complicated fracture patterns in orthopaedic trauma care. This is partially due to the small size of the fragments but also the articular nature of each fragment. Fixation methods such as cerclage wiring, excision of smaller fragments, and screw fixation of larger fragments all have their own challenges. Our study examined our Level I trauma center's experience with variable angle locked 2.7 mm titanium plates for treatment of comminuted patella fractures or treatment of patellar nonunion...
March 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/28127127/factors-associated-with-performance-in-an-internal-medicine-clerkship
#16
Colleen Colbert, Tresa McNeal, Maybelline Lezama, Martha Chandler, Lisa Forrester, Austin Metting, Curtis Mirkes, Holly Van Cleave, Sonny Win, John D Myers
The purpose of this retrospective study was to examine the relationship between demographic and educational variables and student performance on an internal medicine (IM) clerkship in order to target areas for educational intervention and potential early remediation. This study examined data associated with third-year medical student performance (N = 505) during the IM clerkship at Baylor Scott & White, Temple/Texas A&M Health Science Center College of Medicine from 2005 to 2011. Multiple regression analysis (N = 341) showed that a model containing the following variables was significantly associated with scores on the National Board of Medical Examiners (NBME) subject exam, accounting for 46...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28126598/reporting-of-data-monitoring-boards-in-publications-of-randomized-clinical-trials-is-often-deficient-acttion-systematic-review
#17
Jennifer S Gewandter, Rachel A Kitt, Matthew R Hunsinger, Joseph Poku, Jacqueline Lozano, Jenna Chaudari, Scott Evans, Robert A Gross, Michael P McDermott, Michael C Rowbotham, Dennis C Turk, Robert H Dworkin
OBJECTIVE: To examine whether primary reports of randomized clinical trials (RCTs) in six high-impact, general medical journals reported (1) whether or not a Data Monitoring Committee/Data and Safety Monitoring Board (DMC/DSMB) was used and (2) the composition of the responsibilities of the reported DSMB/DMCs. STUDY DESIGN AND SETTING: Systematic review of RCTs published in 2014 in Annals of Internal Medicine, BMJ, NEJM, JAMA, JAMA Internal Medicine, and Lancet...
January 23, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28103718/peer-review-improves-psychometric-characteristics-of-multiple-choice-questions
#18
Hani Abozaid, Yoon Soo Park, Ara Tekian
PURPOSE: For new and emerging medical schools, developing a system to peer-review and evaluate the assessment processes through faculty development programs can be a challenge. This study evaluates the impact of peer-review practices on item analysis, reliability, and the standard error of measurement of multiple-choice questions for summative final examinations. METHODS: This study used a retrospective cohort design of two consecutive academic years in 2012 and in 2013...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28069624/external-validation-of-the-revised-cardiac-risk-index-and-update-of-its-renal-variable-to-predict-30-day-risk-of-major-cardiac-complications-after-non-cardiac-surgery-rationale-and-plan-for-analyses-of-the-vision-study
#19
Pavel S Roshanov, Michael Walsh, P J Devereaux, S Danielle MacNeil, Ngan N Lam, Ainslie M Hildebrand, Rey R Acedillo, Marko Mrkobrada, Clara K Chow, Vincent W Lee, Lehana Thabane, Amit X Garg
INTRODUCTION: The Revised Cardiac Risk Index (RCRI) is a popular classification system to estimate patients' risk of postoperative cardiac complications based on preoperative risk factors. Renal impairment, defined as serum creatinine >2.0 mg/dL (177 µmol/L), is a component of the RCRI. The estimated glomerular filtration rate has become accepted as a more accurate indicator of renal function. We will externally validate the RCRI in a modern cohort of patients undergoing non-cardiac surgery and update its renal component...
January 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28063607/do-great-teams-think-alike-an-examination-of-team-mental-models-and-their-impact-on%C3%A2-team%C3%A2-performance
#20
Aimee K Gardner, Daniel J Scott, Kareem R AbdelFattah
BACKGROUND: Team mental models represent the shared understanding of team members within their relevant environment. Thus, team mental models should have a substantial impact on a team's ability to engage in purposeful and coordinated action. We sought to examine the impact of shared team mental models on team performance and to investigate if team mental models increase over time as teams continue to work together. METHODS: New surgery interns were assigned randomly to 1 of 10 teams...
January 4, 2017: Surgery
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