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https://www.readbyqxmd.com/read/29324597/internal-podalic-version-and-breech-extraction-enhancing-realistic-sensations-in-a-simulation-model
#1
Jérôme M J Cornette, Jan S Erkamp
BACKGROUND: Experience with internal podalic version and breech extraction is diminishing, especially in the younger generation of obstetricians. Simulation training is essential to teach and maintain these skills. INSTRUMENT: We present a mannequin-based simulation method that enhances realistic sensations during training. EXPERIENCE: By positioning the fetal mannequin into a thin plastic bag filled with water, the impression of palpating, grabbing, and pulling the fetal feet through the plastic bag is similar to reaching feet through intact membranes...
January 9, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29322707/knowledge-attitudes-beliefs-and-practices-of-physicians-regarding-idiopathic-pulmonary-fibrosis-and-the-impact-of-a-continuing-medical-education-program
#2
Sahajal Dhooria, Inderpaul Singh Sehgal, Ritesh Agarwal, Ashutosh Nath Aggarwal, Digambar Behera
Background: Significant deficiencies have been identified previously in the knowledge of physicians regarding the current diagnosis and management of idiopathic pulmonary fibrosis (IPF). Whether a continuing medical education (CME) program helps in overcoming these deficiencies has never been studied. Methods: This was a questionnaire-based study performed to assess the knowledge, attitudes, beliefs and practices of physicians regarding IPF before and after attending a CME program at a tertiary care teaching Institute in northern India...
November 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/29322357/community-peer-led-falls-prevention-presentations-what-do-the-experts-suggest
#3
Linda A M Khong, Richard G Berlach, Keith D Hill, Anne-Marie Hill
Falls among older adults are a major problem. Despite considerable progress in falls prevention research, older adults often show low motivation to engage in recommended preventive strategies. Peer-led falls prevention education for older adults may have potential for bridging the research evidence-practice gap, thereby promoting the uptake of falls prevention strategies. We evaluated peer educators' presentations of falls prevention education to community-dwelling older adults in regard to established criteria that were consistent with adult learning principles, the framework of health behaviour change, falls prevention guidelines, and recommendations for providing falls prevention information...
January 10, 2018: Journal of Primary Prevention
https://www.readbyqxmd.com/read/29319380/a-short-structured-skills-training-course-for-critical-care-physiotherapists-in-a-lower-middle-income-country
#4
Sanjeewa Tunpattu, Victoria Newey, Chathurani Sigera, Pubudu De Silva, Amal Goonarathna, Iranga Aluthge, Pasan Thambavita, Rohan Perera, Amila Meegahawatte, Ilhaam Isaam, Arjen M Dondorp, Rashan Haniffa
OBJECTIVES: The aim of this article is to describe the delivery and acceptability of a short, structured training course for critical care physiotherapy and its effects on the knowledge and skills of the participants in Sri Lanka, a lower-middle income country. METHODS: The two-day program combining short didactic sessions with small group workshops and skills stations was developed and delivered by local facilitators in partnership with an overseas specialist physiotherapist trainer...
January 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29305018/multilevel-analysis-of-individual-heterogeneity-and-discriminatory-accuracy-maihda-within-an-intersectional-framework
#5
Juan Merlo
BACKGROUND: Analyzing Body Mass Index as a didactical example, the study by Evans, Williams, Onnela, and Subramanian (EWOS study) introduce a novel methodology for the investigation of socioeconomic disparities in health. By using multilevel analysis to model health inequalities within and between strata defined by the intersection of multiple social and demographic dimensions, the authors provide a better understanding of the health heterogeneity existing in the population. Their innovative methodology allows for gathering inductive information on a large number of stratum-specific interactions of effects and, simultaneously, informs on the discriminatory accuracy of such strata for predicting individual health...
December 26, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29283669/systems-thinking-and-systems-based-practice-across-the-health-professions-an-inquiry-into-definitions-teaching-practices-and-assessment
#6
Margaret M Plack, Ellen F Goldman, Andrea R Scott, Christine Pintz, Debra Herrmann, Kathleen Kline, Tracey Thompson, Shelley B Brundage
Phenomenon: Systems thinking is the cornerstone of systems-based practice (SBP) and a core competency in medicine and health sciences. Literature regarding how to teach or apply systems thinking in practice is limited. This study aimed to understand how educators in medicine, physical therapy, physician assistant, nursing, and speech-language pathology education programs teach and assess systems thinking and SBP. APPROACH: Twenty-six educators from seven different degree programs across the five professions were interviewed and program descriptions and relevant course syllabi were reviewed...
December 28, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29282167/pediatric-dental-resident-s-education-on-children-with-special-health-care-needs-in-the-united-states
#7
Suher Baker, Marc Thomas
PURPOSE: To describe pediatric dental residents education as it pertains to children with special healthcare needs (CSHCN). METHODS: A web-based survey was administered to 80 program directors of pediatric dental residencies recognized by the American Academy of Pediatric Dentistry (AAPD). The survey identified demographic data and education and training methods pertaining to CSHCN. RESULTS: Forty surveys (50 percent) were received from programs in all six AAPD regions...
September 15, 2017: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/29282109/simulated-patient-encounters-to-improve-adolescent-retention-in-hiv-care-in-kenya-study-protocol-of-a-stepped-wedge-randomized-controlled-trial
#8
Kate S Wilson, Cyrus Mugo, David Bukusi, Irene Inwani, Anjuli D Wagner, Helen Moraa, Tamara Owens, Joseph B Babigumira, Barbra A Richardson, Grace C John-Stewart, Jennifer A Slyker, Dalton C Wamalwa, Pamela K Kohler
BACKGROUND: Adolescent-friendly policies aim to tailor HIV services for adolescents and young adults aged 10-24 years (AYA) to promote health outcomes and improve retention in HIV care and treatment. However, few interventions focus on improving healthcare worker (HCW) competencies and skills for provision of high-quality adolescent care. Standardized patients (SPs) are trained actors who work with HCWs in mock clinical encounters to improve clinical assessment, communication, and empathy skills...
December 28, 2017: Trials
https://www.readbyqxmd.com/read/29282086/mental-health-care-for-youth-with-rheumatologic-diseases-bridging-the-gap
#9
REVIEW
Alaina M Davis, Tamar B Rubinstein, Martha Rodriguez, Andrea M Knight
Youth with rheumatologic diseases have a high prevalence of comorbid mental health disorders. Individuals with comorbid mental health disorders are at increased risk for adverse outcomes related to mental health as well as their underlying rheumatologic disease. Early identification and treatment of mental health disorders has been shown to improve outcomes, but current systems of care fall short in providing adequate mental health services to those in need. Pediatric rheumatologists are uniquely positioned to provide mental health screening and intervention for youth with rheumatologic diseases due to the frequency of patient encounters and ongoing therapeutic relationship with patients and families...
December 28, 2017: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/29280875/teaching-palatoplasty-using-a-high-fidelity-cleft-palate-simulator
#10
Homan Cheng, Dale J Podolsky, David M Fisher, Karen W Wong, H Peter Lorenz, Rohit K Khosla, James M Drake, Christopher R Forrest
BACKGROUND: Cleft palate repair is a challenging procedure for cleft surgeons to teach. A novel high-fidelity cleft palate simulator has been described for surgeon training. This study evaluates the simulator's effect on surgeon procedural confidence and palatoplasty knowledge among learners. METHODS: Plastic surgery trainees attended a palatoplasty workshop consisting of a didactic session on cleft palate anatomy and repair followed by a simulation session. Participants completed a procedural confidence questionnaire and palatoplasty knowledge test immediately before and after the workshop...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29279828/rare-finding-of-eustachian-tube-calcifications-with-cone-beam-computed-tomography
#11
Ali Z Syed, Anna Hawkins, Leela Subashini Alluri, Buthainah Jadallah, Kiran Shahid, Michael Landers, Hussein M Assaf
Soft tissue calcification is a pathological condition in which calcium and phosphate salts are deposited in the soft tissue organic matrix. This study presents an unusual calcification noted in the cartilaginous portion of the Eustachian tube. A 67-year-old woman presented for dental treatment, specifically for implant placement, and cone-beam computed tomography (CBCT) was performed. The CBCT scan was reviewed by a board-certified oral and maxillofacial radiologist and revealed incidental findings of 2 distinct calcifications in the cartilaginous portion of the Eustachian tube...
December 2017: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/29273474/an-assessment-of-radiology-residency-program-websites
#12
David R Hansberry, Jonathan Bornstein, Nitin Agarwal, Kristen E McClure, Sandeep P Deshmukh, Suzanne Long
PURPOSE: When prospective radiology residents decide where to apply to residency, many will use the Internet as a resource to garner information. Therefore, it is important for residency programs to produce and maintain an informative and comprehensive website. Here, we review 179 radiology residency program websites for 19 criteria including various aspects related to the residency application process, benefits, didactics, research, clinical training, and faculty leadership. METHODS: We evaluated 179 radiology residency program websites for the inclusion of 19 different criteria...
December 19, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29273028/implementation-of-a-novel-population-panel-management-curriculum-among-interprofessional-health-care-trainees
#13
Catherine P Kaminetzky, Lauren A Beste, Anne P Poppe, Daniel B Doan, Howard K Mun, Nancy Fugate Woods, Joyce E Wipf
BACKGROUND: Gaps in chronic disease management have led to calls for novel methods of interprofessional, team-based care. Population panel management (PPM), the process of continuous quality improvement across groups of patients, is rarely included in health professions training for physicians, nurses, or pharmacists. The feasibility and acceptance of such training across different healthcare professions is unknown. We developed and implemented a novel, interprofessional PPM curriculum targeted to diverse health professions trainees...
December 22, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29261776/calculating-the-malliavin-derivative-of-some-stochastic-mechanics-problems
#14
Paul Hauseux, Jack S Hale, Stéphane P A Bordas
The Malliavin calculus is an extension of the classical calculus of variations from deterministic functions to stochastic processes. In this paper we aim to show in a practical and didactic way how to calculate the Malliavin derivative, the derivative of the expectation of a quantity of interest of a model with respect to its underlying stochastic parameters, for four problems found in mechanics. The non-intrusive approach uses the Malliavin Weight Sampling (MWS) method in conjunction with a standard Monte Carlo method...
2017: PloS One
https://www.readbyqxmd.com/read/29260267/-responsibilities-and-concepts-for-undergraduate-and-postgraduate-medical-education-in-germany-a%C3%A2-plea-for-a%C3%A2-reorientation
#15
REVIEW
Hendrik van den Bussche, Detlef Niemann, Bernt-Peter Robra, Udo Schagen, Beate Schücking, Nobert Schmacke, Claudia Spies, Alf Trojan, Uwe Koch-Gromus
BACKGROUND: Undergraduate medical education in Germany takes place in the medical faculties of universities, whereas postgraduate medical education takes place in nearly all hospitals under the aegis of medical associations. Both phases of the medical qualification process live on their own; the communication between the two responsible bodies is negligible. Previous reforms have always tackled undergraduate education only, whereas postgraduate education takes place without public attention...
December 19, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29251834/impact-and-educational-outcomes-of-a-small-group-self-directed-teaching-strategy-in-a-clinical-neuroscience-curriculum
#16
Thomas I Nathaniel, Jordan C Gainey, Jessica A Williams, Bianca L Stewart, Michael C Hood, Leanne E Brechtel, Rakiya V Faulkner, Jasmine S Pendergrass, Leigh-Ann Black, Scott K Griffin, Christopher E Troup, Jayne S Reuben, Asa C Black
The complexity of the material being taught in clinical neuroscience within the medical school curriculum requires creative pedagogies to teach medical students effectively. Many clinical teaching strategies have been developed and are well described to address these challenges. However, only a few have been evaluated to determine their impact on the performance of students studying clinical neuroscience. Interactive, 2-hour, self-directed small-group interactive clinical case-based learning sessions were conducted weekly for 4 weeks to integrate concepts learned in the corresponding didactic lectures...
December 18, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29251831/a-longitudinal-study-in-learning-preferences-and-academic-performance-in-first-year-medical-school
#17
Yenya Hu, Hong Gao, Marcia M Wofford, Claudio Violato
This is a longitudinal study of first year medical students that investigates the relationship between the pattern change of the learning preferences and academic performance. Using the visual, auditory, reading-writing, and kinesthetic inventory at the beginning of the first and second year for the same class, it was found that within the first year, 36% of the class remained unimodal (single) modality learners (SS), 14% changed from unimodal to multimodality learners (SM), 27% changed from multimodality to unimodal modality learners (MS) and 21% remained as multimodality learners (MM)...
December 18, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29250585/evaluation-of-a-novel-hybrid-model-mumbai-eus-ii-for-stepwise-teaching-and-training-in-eus-guided-biliary-drainage-and-rendezvous-procedures
#18
Vinay Dhir, Takao Itoi, Nonthalee Pausawasdi, Mouen A Khashab, Manuel Perez-Miranda, Siyu Sun, Do Hyun Park, Takuji Iwashita, Anthony Y B Teoh, Amit P Maydeo, Khek Yu Ho
Background and aims:  EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validate a model for stepwise learning of EUS-BD and EUS-RV, which replicates the actual EUS-BD procedures...
November 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29249616/using-simulation-to-enhance-education-regarding-epidural-analgesia-for-registered-nurses
#19
Monakshi Sawhney, Michelle Wong, Marian Luctkar-Flude, Linda Jussaume, Catherine Eadie, Richard Bowry, Rosemary Wilson
Registered nurses (RNs) receive didactic training regarding caring for patients receiving epidural analgesia. Although RNs are tested on their knowledge after this training, their ability to critically think through adverse events has not been assessed at our institution. The aim of this study was to examine the feasibility and effectiveness of simulation education for RNs regarding the assessment and management of patients receiving epidural analgesia. The study included an education intervention, which consisted of a 4-hour workshop...
December 14, 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29246258/palliative-care-and-the-arts-vehicles-to-introduce-medical-students-to-patient-centred-decision-making-and-the-art-of-caring
#20
Carlos Centeno, Carole Robinson, Antonio Noguera-Tejedor, María Arantzamendi, Fernando Echarri, José Pereira
BACKGROUND: Medical Schools are challenged to improve palliative care education and to find ways to introduce and nurture attitudes and behaviours such as empathy, patient-centred care and wholistic care. This paper describes the curriculum and evaluation results of a unique course centred on palliative care decision-making but aimed at introducing these other important competencies as well. METHODS: The 20 h-long optional course, presented in an art museum, combined different learning methods, including reflections on art, case studies, didactic sessions, personal experiences of faculty, reflective trigger videos and group discussions...
December 16, 2017: BMC Medical Education
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