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Sarah N Bowe, Michael E McCormick
Beyond educational and institutional requirements, there is a need for trainees (residents and fellows) to learn patient safety and quality improvement skills in order to achieve the ultimate goal of providing better patient care. Key steps to engagement include creating a safety and quality culture, supporting faculty development, and selecting appropriate curricular resources. Efforts to align the goals and processes of the graduate medical education institution and teaching hospital can foster a unified mission...
September 18, 2018: Otolaryngologic Clinics of North America
Teresa Santiago, Caleb Hayes, Ana Concepción Polanco, Lisa Miranda, Argelia Aybar, Belkis Gomero, Elizabeth Orellana, Fabienne Anglade, Mázlova Luxely Toledo González, Eduviges Ruiz, Moisés Espino-Durán, Carlos Rodriguez-Galindo, Monika L Metzger
Accessibility to immunohistochemistry (IHC) is invaluable to proper diagnosis and treatment of pediatric patients with malignant neoplasms. Whereas IHC is widely available in anatomic pathology laboratories in high-income countries, access to it in anatomic pathology laboratories of low- and middle-income countries remains a struggle, with many limitations. To advance the quality of the pathology service offered to children with cancer in areas with limited resources, a 5-day pathology training workshop was offered to pathologists and histotechnologists from various countries of the Central American and Caribbean region...
September 2018: Journal of Global Oncology
Raymond B Mailhot Vega, Omar F Ishaq, Inaya Ahmed, Luis Rene, Beatriz E Amendola, Kenneth S Hu
PURPOSE: The International Lymphoma Radiation Oncology Group (ILROG) published consensus guidelines on the management of Hodgkin disease (HD) and nodal non-Hodgkin lymphoma (NHL), which became the most downloaded articles from International Journal of Radiation Oncology, Biology, and Physics. E-contouring workshops allow for interactive didactic sessions, allowing participants to see case-based contouring in real time. A pilot 1-hour curriculum was developed with the objective of reviewing ILROG guidelines for HD and NHL management with incorporation of e-contouring tools...
September 2018: Journal of Global Oncology
Harold C Sullivan, Sean R Stowell, Erin K Meyer, Alexander D Duncan, Jeannette Guarner
Objectives: Knowledge of transfusion medicine by medical students is limited. Transfusion medicine physicians developed, implemented, and evaluated a half-day elective on transfusion medicine for fourth-year medical students. Methods: The course included a didactic lecture with integrated audience response questions and role-playing, as well as a "Jeopardy"-style game to review the material. The same 10-question knowledge quiz was administered before and after the elective...
September 18, 2018: American Journal of Clinical Pathology
Gleb Slobodin, Haya Hussein, Itzhak Rosner, Iris Eshed
Sacroiliitis, inflammation of the sacroiliac joint (SIJ), may be associated with many rheumatic and nonrheumatic disorders. The diagnosis of sacroiliitis may be difficult in many patients, and awareness of its typical manifestations along with recognition of its diverse presentations and cognizance of the limitations of today's imaging modalities are critical to good clinical practice. This review presents the didactic approach to the early diagnosis of sacroiliitis in patients with suspected axial spondyloarthritis and other nosologic entities, discussing also differential interpretation of information acquired from patients' histories, physical examination, and imaging...
2018: Journal of Inflammation Research
Winfried Amoaku, Konstantinos Balaskas, Tomas Cudrnak, Louise Downey, Markus Groppe, Sajjad Mahmood, Hemal Mehta, Quresh Mohamed, Bushra Mushtaq, Philip Severn, Athanasios Vardarinos, Yit Yang, Saad Younis
The treatment of neovascular (wet) age-related macular degeneration (AMD) with ranibizumab is now very well established in terms of efficacy and safety. Recent clinical trials and real-world studies have demonstrated the advantages of a Treat-and-Extend (T&E) regimen, and many hospital departments are now in the process of adopting this new regimen in favor of the pro re nata regimen for initiating and continuing ranibizumab therapy for patients with wet AMD. The comprehensive spectrum of issues related to implementation of the regimen is covered qualitatively in ten didactic topics provided by a group of clinicians with direct experience of this regimen in their department...
2018: Clinical Ophthalmology
Marina Kawaguchi-Suzuki, David G Fuentes, Ryan S Gibbard, Danielle Backus, Kristine Marcus
BACKGROUND AND PURPOSE: Project aim was to examine the feasibility and logistics of mentored self-directed learning (MSDL) through group and individual presentations in an accelerated modified block curriculum. Perspectives of students and faculty members toward the incorporation of MSDL were also explored. EDUCATIONAL ACTIVITY AND SETTING: During a two-week pharmacotherapy block, students made group presentations requiring two elements: a case presentation on curricular content (Element-1) and an inclusion of "novel" information students did not receive didactically (Element-2)...
July 2018: Currents in Pharmacy Teaching & Learning
Catherine E O'Brien, Rachel Stafford, Amy M Franks
BACKGROUND AND PURPOSE: Patient-centered communication (PCC) skills are critical to the practice of pharmacy. A gap analysis of the communication content of our curriculum revealed inadequate coverage of several competencies recommended by a National Association of Chain Drug Stores Foundation - National Community Pharmacy Association - Accreditation Council for Pharmacy Education joint task force report: "support patient behavior change through skills such as motivational interviewing", "demonstrate compassion and empathy for patients", and "solve adherence challenges created by low health literacy"...
July 2018: Currents in Pharmacy Teaching & Learning
Morgan S Herring, Emily A Beckett, Chayla A Stanton-Robinson, Matthew J Witry
BACKGROUND AND PURPOSE: Didactic approaches for instructing students about diabetes nutrition and self-management have been described previously in the pharmacy education literature. There is a need for diabetes nutrition active learning approaches that can be incorporated into the advanced pharmacy practice experience (APPE) setting so students can apply previous didactic learning in a real world setting. The goal was to add to students' knowledge of diabetes nutrition thereby increasing their comfort in discussing nutrition with patients...
July 2018: Currents in Pharmacy Teaching & Learning
David T Wong, Arpan Mehta, Kawal P Singh, Siaw M Leong, Alister Ooi, Ahtsham Niazi, Eric You-Ten, Allan Okrainec, Rajesh Patel, Mandeep Singh, Jean Wong
BACKGROUND: The use of a flexible optical bronchoscopic (FOB) for intubation is an essential airway management skill. OBJECTIVE(S): Our primary objective was to compare the effects of simulator training (ORSIM high-fidelity simulator) with no simulation training on the performance of FOB intubation in anaesthetised patients. DESIGN: Randomised controlled trial. SETTING: Single-centre tertiary hospital; trial conducted between April 2015 to May 2016...
September 17, 2018: European Journal of Anaesthesiology
Shelby C White, Jennifer Sedler, Trahern W Jones, Michael Seckeler
OBJECTIVE: Applications of three-dimensional (3D) printed models in medicine include preprocedure planning, patient education, and clinical training. Reproducing complex anatomy as a 3D printed model can be useful for understanding congenital heart defects (CHD). We hypothesized that using 3D printed models during didactic sessions with resident physicians will improve trainees' understanding of CHD. DESIGN AND INTERVENTION: We performed a prospective, randomized educational intervention for teaching pediatric and pediatric/emergency medicine residents about simple (ventricular septal defect [VSD]) and moderately complex (tetralogy of Fallot [ToF]) CHD...
September 19, 2018: Congenital Heart Disease
Michele Gerdes
Students who actively engage in reflection and receive guidance from faculty may assume accountability for learning and adjust study habits based on academic performance. The literature supports a need for nurse educators to develop theory-based strategies to integrate reflection and meaningful feedback in large didactic courses. The author in this paper describes the use of King's goal attainment theory and debriefing best practice guidelines to develop an asynchronous post-exam reflection teaching-learning strategy to promote student success in an undergraduate nursing pathophysiology course...
October 2018: Nursing Science Quarterly
Carole R Myers, Karen Lasater, Katherine Morgan
In the current healthcare environment, the healthcare industry has become increasingly focused on population health concerns. While advanced practice registered nurses (APRNs) are well prepared to contribute to population health by delivering holistic healthcare to individuals, families, groups, communities, and populations, they are not engaged in initiatives to improve population health commensurate with their numbers, education, training, experience, and role as primary care providers and essential healthcare team leaders and members...
September 13, 2018: International Journal of Nursing Education Scholarship
Melissa E Dichter, Anne Teitelman, Heather Klusaritz, Douglas M Maurer, Peter F Cronholm, Chyke A Doubeni
BACKGROUND AND OBJECTIVES: Experiences of psychological trauma are common among primary care patient populations, and adversely affect patients' health and health care utilization. Trauma-informed care (TIC) is a framework for identifying and responding to patients' experiences of psychological trauma to avoid retraumatization. The purpose of this study was to evaluate the current state of TIC training in family medicine residency programs in the United States in order to identify opportunities for and barriers to TIC training...
September 2018: Family Medicine
Amy Levi, Suzan Goodman, Tracy Weitz, Roula AbiSamra, Kristin Nobel, Sheila Desai, Molly Battistelli, Diana Taylor
BACKGROUND: Studies in multiple countries have found that the provision of aspiration abortion care by trained nurses, midwives, and other front-line health care workers is safe and acceptable to women. In the United States, most state abortion laws restrict the provision of abortion to physicians; nurse practitioners, nurse-midwives, and physician assistants, can legally perform medication abortion in only twelve states and aspiration abortion in five. Expansion of abortion care by these providers, consistent with their scopes of practice, could help alleviate the increasing difficulty of accessing abortion care in many states...
August 13, 2018: International Journal of Nursing Studies
Shu-Fei Yang, Virginia Schmied, Elaine Burns, Yenna Salamonson
BACKGROUND: Optimal nutrition during the first year of life is critical to infants' healthy growth and development. Hence, it is vital that undergraduate health professional curricula provide good quality learning environments to enable students to acquire the necessary knowledge and skills to support breastfeeding mothers. AIMS: To examine the change in knowledge and attitude in Taiwanese nursing students following theoretical and clinical learning experiences on breastfeeding...
September 5, 2018: Women and Birth: Journal of the Australian College of Midwives
Lisa L Dorsey, Patrick V Kelly, Patrick B Luetkemeyer, Jeanne M Lojovich
BACKGROUND: Professional socialization is the period in which a professional acquires the specialized skills, knowledge, and attitude of the profession. Professional socialization of physical therapy students begins day one in the classroom and continues through the transition to the clinic. To promote professional socialization among Doctor of Physical Therapy (DPT) students, an Academic Professional Behavior Assessment (APBA) and advising plan were developed to identify, quantify, and improve professional behaviors...
2018: Journal of Allied Health
Karen Mueller, Roberta Prins, Hendrik D de Heer
Health professions students often experience burnout and loss of empathy that worsens as they progress through their education. This study explored the impact of an evidence-based online course on physical therapy student empathy, resilience, and work engagement during their clinical internships. Participants included 36 doctoral physical therapy students who were beginning a sequence of three consecutive internships following their didactic coursework. Participants were randomly assigned to an immediate or delayed intervention group and received the online course during the first or second of the three internships...
2018: Journal of Allied Health
Laura L Harris, Katherine A Kelley, Tonya L Apke, Dennis Cleary, Sarah L Varekojis, Sarah E White
Students enrolled in professional education programs preparing for a career in a healthcare need to learn knowledge, skills, and a wide range of professional attributes. However, the nature of clinical and didactic curricula germane to allied health professional programs makes it difficult to find accurate and useful means of measuring knowledge of and the skills associated with professional behaviors. As allied health educators, it is critically important to identify a reliable and effective instrument that can assess professional attributes of students in terms of their knowledge and skill...
2018: Journal of Allied Health
Sara Paul, Karol Harshaw-Ellis
Objective, noninvasive, clinical assessment of patients with heart failure can be made using biomarker measurements, including natriuretic peptides, cardiac troponins, soluble suppression of tumorigenicity-2, and galectin-3. The aim of this review is to provide clinicians with guidance on the use of heart failure biomarkers in clinical practice. The authors provide a didactic narrative based on current literature, an exemplary case study, and their clinical experience.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4...
September 5, 2018: Cardiology in Review
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