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https://www.readbyqxmd.com/read/29474285/incidence-of-obstetric-anal-sphincter-injuries-after-training-to-protect-the-perineum
#1
Jennifer Yeung, Anna Stecher, Catrina C Crisp, Donna Mazloomdoost, Benjamin Smith, Steven D Kleeman, Rachel N Pauls
OBJECTIVES: Obstetric anal sphincter injuries (OASISs) are a devastating postpartum complication; reducing rates is paramount to improving quality of care. In Norway, implementation of a perineal protection program decreased the incidence of OASIS by 48%. We sought to assess impact on OASIS rates following a similar program. METHODS: This institutional review board-approved, retrospective cohort study was performed in an academic hospital system. The periods of analysis were November 2014 through October 2015 for the preintervention arm and November 2015 through October 2016 for the postintervention arm...
March 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29471849/implementing-alcohol-misuse-sbirt-in-a-national-cohort-of-pediatric-trauma-centers-a-type-iii-hybrid-effectiveness-implementation-trial
#2
Michael J Mello, Sara J Becker, Julie Bromberg, Janette Baird, Mark R Zonfrillo, Anthony Spirito
BACKGROUND: The American College of Surgeons mandates universal screening for alcohol misuse and delivery of an intervention for those screening positive as a requirement for certification as a level 1 trauma center. Though this requirement has been mandated for over a decade, its implementation has been challenging. Our research team completed an implementation study supporting seven pediatric trauma centers' compliance with the requirement by developing and implementing an institutional alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) policy for adolescent trauma patients...
February 22, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29471457/improving-anatomic-pathology-in-sub-saharan-africa-to-support-cancer-care
#3
Michael L Wilson, Stephanie Ayers, Daniel Berney, Alexia Eslan, Jeannette Guarner, Susan Lester, Ricard Masia, Zahir Moloo, Angela Mutuku, Drucilla Roberts, Jennifer Stall, Shahin Sayed
Objectives: Cancer care requires both accurate pathologic diagnosis as well as pathologic cancer staging. We evaluated three approaches to training pathologists in sub-Saharan Africa to perform pathologic cancer staging of breast, cervix, prostate, and colorectal cancers. Methods: One of three training methods was used at each workshop: didactic, case-based testing (CBT), or a blended approach. The project involved 52 participants from 16 pathology departments in 11 countries in East, Central, and Southern Africa...
February 19, 2018: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/29471175/midwifery-education-in-the-u-s-certified-nurse-midwife-certified-midwife-and-certified-professional-midwife
#4
Penny R Marzalik, Karen Johnson Feltham, Karen Jefferson, Kim Pekin
US midwifery education is provided through graduate education for the CNM/CM and didactic education with apprenticeship for the CPM. Clinical practice varies throughout the country depending on the credential held and current state legislation. A lack of clinical sites for midwifery education is a significant challenge to all programs and a barrier to meeting the national maternity care provider shortage.
February 5, 2018: Midwifery
https://www.readbyqxmd.com/read/29464740/the-current-state-of-ultrasound-training-in-obstetrics-and-gynecology-residency-programs
#5
Layan Alrahmani, Elisabeth Codsi, Kristi S Borowski
OBJECTIVES: We evaluated the current state of ultrasound training in obstetrics and gynecology (OB-GYN) residency programs across the United States. METHODS: An electronic survey was sent to OB-GYN residency program directors and OB-GYN residents. Responses were obtained in September 2016. Program directors and residents were asked to reflect on their current ultrasound curriculum. RESULTS: A total of 93 program directors and 437 residents responded...
February 21, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29464455/-and-then-break-the-clich%C3%A3-understanding-and-addressing-hiv-vulnerability-through-development-of-an-hiv-prevention-telenovela-with-men-who-have-sex-with-men-and-transwomen-in-lima-peru
#6
Jonathan Garcia, Amaya G Perez-Brumer, Robinson Cabello, Jesse L Clark
HIV and other sexually transmitted infections (STIs) continue to affect men who have sex with men (MSM) and transgender women (TW) in Peru at disproportionately high rates. The ineffectiveness of traditional prevention strategies may be due to the disconnect between health promotion messages and community-level understandings of sexual cultures. We conducted 15 workshops with MSM and TW to develop a community-based sexual health intervention. Intervention development consisted of focus groups and scenic improvisation to identify sexual scripts for an HIV prevention telenovela, or Spanish soap opera...
February 20, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29462913/working-towards-more-effective-implementation-dissemination-and-scale-up-of-lower-limb-injury-prevention-programs-insights-from-community-australian-football-coaches
#7
Angela McGlashan, Glenda Verrinder, Evert Verhagen
Disseminating lower-limb injury-prevention exercise programs (LL-IPEPs) with strategies that effectively reach coaches across sporting environments is a way of preventing lower-limb injuries (LLIs) and ensuring safe and sustainable sport participation. The aim of this study was to explore community-Australian Football (community-AF) coaches' perspectives on the strategies they believed would enhance the dissemination and scale-up of LL-IPEPs. Using a qualitative multiple case study design, semi-structured interviews with community-AF coaches in Victoria, Australia, were conducted...
February 16, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29456075/qualitative-analysis-of-a-cultural-dexterity-program-for-surgeons-feasible-impactful-and-necessary
#8
Rhea Udyavar, Douglas S Smink, John T Mullen, Tara S Kent, A Green, Alyssa F Harlow, Manuel Castillo-Angeles, Alexandra B Columbus, Adil H Haider
OBJECTIVES: Ineffective cross-cultural communication contributes to adverse outcomes for minority patients. To address this, the authors developed a novel curriculum for surgical residents built on the principle of cultural dexterity, emphasizing adaptability to clinical and sociocultural circumstances to tailor care to the needs of the individual patient. This study's objective was to evaluate the feasibility, acceptability, and perception of this program upon conclusion of its first year...
February 15, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29455698/stop-the-bleed-the-effect-of-hemorrhage-control-education-on-laypersons-willingness-to-respond-during-a-traumatic-medical-emergency
#9
Elliot M Ross, Theodore T Redman, Julian G Mapp, Derek J Brown, Kaori Tanaka, Craig W Cooley, Chetan U Kharod, David A Wampler
BACKGROUND: The "Stop the Bleed" campaign advocates for non-medical personnel to be trained in basic hemorrhage control. However, it is not clear what type of education or the duration of instruction needed to meet that requirement. The objective of this study was to determine the impact of a brief hemorrhage control educational curriculum on the willingness of laypersons to respond during a traumatic emergency. METHODS: This "Stop the Bleed" education initiative was conducted by the University of Texas Health San Antonio Office of the Medical Director (San Antonio, Texas USA) between September 2016 and March 2017...
February 19, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29455253/incorporation-of-the-fluoroless-c-arm-trainer-at-the-american-urological-association-hands-on-training-percutaneous-renal-access
#10
Yasser A Noureldin, David M Hoenig, Philip Zhao, Sammy E Elsamra, Joshua Stern, Geoffrey Gaunay, Piruz Motamedinia, Zeph Okeke, Ardeshir R Rastinehad, Robert M Sweet
OBJECTIVES: To assess for usefulness and validity evidence for incorporating the C-Arm Trainer (CAT) simulator into the annual AUA hands on course for training percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS: The course started with a didactic session followed by four stations for training the "bull's eye" technique using the CAT simulator. Each station included a pre-test, 30-min practice on the simulator, and post-test. All participants were assessed using a 4-item checklist...
February 17, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29449292/cost-effectiveness-of-a-community-delivered-multicomponent-intervention-compared-with-enhanced-standard-care-of-obese-adolescents-cost-utility-analysis-alongside-a-randomised-controlled-trial-the-help-trial
#11
Monica Panca, Deborah Christie, Tim J Cole, Silvia Costa, John Gregson, Rebecca Holt, Lee D Hudson, Anthony S Kessel, Sanjay Kinra, Anne Mathiot, Irwin Nazareth, Jay Wataranan, Ian Chi Kei Wong, Russell M Viner, Stephen Morris
OBJECTIVE: To undertake a cost-utility analysis of a motivational multicomponent lifestyle-modification intervention in a community setting (the Healthy Eating Lifestyle Programme (HELP)) compared with enhanced standard care. DESIGN: Cost-utility analysis alongside a randomised controlled trial. SETTING: Community settings in Greater London, England. PARTICIPANTS: 174 young people with obesity aged 12-19 years. INTERVENTIONS: Intervention participants received 12 one-to-one sessions across 6 months, addressing lifestyle behaviours and focusing on motivation to change and self-esteem rather than weight change, delivered by trained graduate health workers in community settings...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29445310/training-in-emerging-advances-in-chronic-hepatitis-c-infection-in-pakistan-the-teach-pak-project
#12
Faisal W Ismail, Shahab Abid, Minaz Mawani, Wasim Jafri, Saeed S Hamid
Purpose: Viral hepatitis B and C represent the primary health challenge confronting Asia and Pakistan. With direct-acting antiviral therapy for hepatitis C, patients will be treated by general physicians (GPs) and will need training through continuing medical education (CME). Blended learning is a combination of didactic teaching with online, self-paced learning, and it has not been evaluated as a CME tool for general physicians. We aimed to compare the change in physician's knowledge about chronic viral hepatitis following a blended learning educational program...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29442242/fuse-certification-enhances-performance-on-a-virtual-computer-based-simulator-for-dispersive-electrode-placement
#13
Michael Dombek, Carlos A Lopez, Zhongqing Han, Alyssa Lungarini, Nicole Santos, Steven Schwaitzberg, Caroline Cao, Daniel B Jones, Suvranu De, Jaisa Olasky
BACKGROUND: The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has developed the fundamental use of surgical energy (FUSE) didactic curriculum in order to further understanding of the safe use of surgical energy. The virtual electrosurgical skill trainer (VEST) is being developed as a complementary simulation-based curriculum, with several modules already existing. Subsequently, a new VEST module has been developed about dispersive electrode placement. The purpose of this study is to assess knowledge about dispersive electrode placement in surgeons and surgical trainees in addition to describing a new VEST module...
February 13, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29438792/the-first-neurosurgery-boot-camp-in-southeast-asia-evaluating-impact-on-knowledge-and-regional-collaboration-in-yangon-myanmar
#14
Jack Rock, Roberta Glick, Isabelle M Germano, Robert Dempsey, John Zervos, Tyler Prentiss, Matthew Davis, Ernest Wright, Kyi Hlaing, Myat Thu, Zaw Wai Soe, Win Myaing
BACKGROUND: For the first time in Southeast Asia, a Fundamentals of Neurosurgery Boot Camp was held at the University of Medicine 1 in Yangon, Myanmar, February 24-26, 2017. The aim of this course was to teach and train fundamental skills to neurosurgery residents. METHODS: The Myanmar Neurosurgical Society, the Foundation for International Education in Neurosurgery, the Society for Neurological Surgeons, The University of Medicine 1 in Yangon, Myanmar and the Henry Ford Department of Neurosurgery developed a two-day resident training course...
February 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29433996/gelatin-thoracic-paravertebral-teaching-model-for-placement-of-a-continuous-infusion-catheter-in-the-extrathoracic-paravertebral-space
#15
Shruti Sevak, Ashley Woodfin, Zachary Hothem, Rose Callahan, James Robbins, Kathryn Ziegler
OBJECTIVE: Our aim was to develop an ultrasound-guided training curriculum for continuous infusion catheter placement in the paravertebral space and to create a gelatin thoracic spine-rib model for use in this training. We sought to create a model that was inexpensive and reusable such that multiple participants could use one model during training. DESIGN: The model was prepared by embedding a firm foam thoracic spine replica with bilateral attached ribs into an opaque gelatin mixture...
February 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29432624/same-content-different-methods-comparing-lecture-engaged-classroom-and-simulation
#16
Meghan F Raleigh, Garland Anthony Wilson, David Alan Moss, Kristen A Reineke-Piper, Jeffrey Walden, Daniel J Fisher, Tracy Williams, Christienne Alexander, Brock Niceler, Anthony J Viera, Todd Zakrajsek
BACKGROUND AND OBJECTIVES: There is a push to use classroom technology and active teaching methods to replace didactic lectures as the most prevalent format for resident education. This multisite collaborative cohort study involving nine residency programs across the United States compared a standard slide-based didactic lecture, a facilitated group discussion via an engaged classroom, and a high-fidelity, hands-on simulation scenario for teaching the topic of acute dyspnea. The primary outcome was knowledge retention at 2 to 4 weeks...
February 2018: Family Medicine
https://www.readbyqxmd.com/read/29432081/retention-of-student-pharmacists-knowledge-and-skills-regarding-overdose-management-with-naloxone
#17
Anita N Jacobson, Jeffrey P Bratberg, Miranda Monk, John Ferrentino
BACKGROUND: Overdose education and naloxone training was recently implemented into the required curriculum of the College of Pharmacy at the University of Rhode Island. The objective of this study was to compare the retention of knowledge between student pharmacists who received a didactic lecture only versus student pharmacists who received the same lecture plus a skills-based objective structured clinical examination (OSCE) with a standardized patient actor. METHODS: Students in their first-professional year (P1) of the Doctor of Pharmacy program (n = 129) and students in their second-professional (P2) year (n = 123) attended a required lecture on opioid overdose, including detailed naloxone training...
February 12, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29432074/an-opioid-overdose-curriculum-for-medical-residents-impact-on-naloxone-prescribing-knowledge-and-attitudes
#18
Jessica Lee Taylor, Alison B Rapoport, Christopher F Rowley, Kenneth J Mukamal, Wendy Stead
BACKGROUND: Despite escalating opioid overdose death rates, addiction medicine is underrepresented in residency curricula. Providing naloxone to at-risk patients, relatives, and first responders reduces overdose deaths, but rates of naloxone prescribing remain low. The goal of this study is to examine the impact of a brief curricular intervention for internal medicine residents on naloxone prescribing rates, knowledge, and attitudes. METHODS: Internal medicine residents (n = 160) at an urban, tertiary care medical center received two one-hour didactic sessions addressing overdose prevention, including intranasal naloxone...
February 12, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29428453/us-military-dietetic-internship-and-graduate-program-retrospective-analysis-of-selection-criteria-and-student-success
#19
Heidi L Clark, Renee E Cole, LesLee K Funderburk
BACKGROUND: The US Military-Baylor Graduate Program in Nutrition (GPN) has a 10% 7-year attrition rate representing wasted military resources. Evidence-based selection criteria for dietetics masters of science (MS) programs do not exist, nor does descriptive information of successful students. OBJECTIVE: Identify GPN student characteristics predicting program success in the didactic and internship phases. DESIGN: Retrospective study using demographic, academic, and nonacademic data extracted from existing files...
February 7, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29424408/-concept-frame-for-curricular-innovation-in-health-care-schools
#20
Gustavo Hawes, Ana María Rojas-Serey, Mónica Espinoza, Sandra Oyarzo, Silvana Castillo-Parra, Manuel Castillo, Luis Romero
We herein describe the conceptual dimension of the curricular innovation process carried out in the Faculty of Medicine of the University of Chile. We describe the context of innovation. The theoretical pertinence and relevance of a competence driven curriculum for health care professionals is discussed. The epistemological, ontological and didactic dimensions of the curricular innovation are examined. A main issue is the notion of competence and its significance in professional training. The curriculum is essentially considered as a moral endeavor, especially for health care professionals and their quest to improve the quality of life of the population...
September 2017: Revista Médica de Chile
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