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Distributed medical education

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https://www.readbyqxmd.com/read/29344523/clinical-skills-temporal-degradation-assessment-in-undergraduate-medical-education
#1
Joseph Fisher, Rebecca Viscusi, Adam Ratesic, Cameron Johnstone, Ross Kelley, Angela M Tegethoff, Jessica Bates, Elaine H Situ-Lacasse, William J Adamas-Rappaport, Richard Amini
Introduction: Medical students' ability to learn clinical procedures and competently apply these skills is an essential component of medical education. Complex skills with limited opportunity for practice have been shown to degrade without continued refresher training. To our knowledge there is no evidence that objectively evaluates temporal degradation of clinical skills in undergraduate medical education. The purpose of this study was to evaluate temporal retention of clinical skills among third year medical students...
January 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29344376/effectiveness-of-pharmacist-s-intervention-in-the-management-of-cardiovascular-diseases
#2
REVIEW
Stefano Omboni, Marina Caserini
The pharmacist may play a relevant role in primary and secondary prevention of cardiovascular diseases, mainly through patient education and counselling, drug safety management, medication review, monitoring and reconciliation, detection and control of specific cardiovascular risk factors (eg, blood pressure, blood glucose, serum lipids) and clinical outcomes. Systematic reviews of randomised controlled and observational studies have documented an improved control of hypertension, dyslipidaemia or diabetes, smoking cessation and reduced hospitalisation in patients with heart failure, following a pharmacist's intervention...
2018: Open Heart
https://www.readbyqxmd.com/read/29339939/library-instruction-in-medical-education-a-survey-of-current-practices-in-the-united-states-and-canada
#3
Amanda M Nevius, A'Llyn Ettien, Alissa P Link, Laura Y Sobel
Objective: The most recent survey on instruction practices in libraries affiliated with accredited medical institutions in the United States was conducted in 1996. The present study sought to update these data, while expanding to include Canadian libraries. Additional analysis was undertaken to test for statistically significant differences between library instruction in the United States and Canada and between libraries affiliated with highly ranked and unranked institutions. Methods: A twenty-eight-question survey was distributed to libraries affiliated with accredited US and Canadian medical schools to assess what and how often librarians teach, as well as how librarians are involved in the curriculum committee and if they are satisfied with their contact with students and faculty...
January 2018: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/29339932/computerized-versus-hand-scored-health-literacy-tools-a-comparison-of-simple-measure-of-gobbledygook-smog-and-flesch-kincaid-in-printed-patient-education-materials
#4
Kelsey Leonard Grabeel, Jennifer Russomanno, Sandy Oelschlegel, Emily Tester, Robert Eric Heidel
Objective: The research compared and contrasted hand-scoring and computerized methods of evaluating the grade level of patient education materials that are distributed at an academic medical center in east Tennessee and sought to determine if these materials adhered to the American Medical Association's (AMA's) recommended reading level of sixth grade. Methods: Librarians at an academic medical center located in the heart of Appalachian Tennessee initiated the assessment of 150 of the most used printed patient education materials...
January 2018: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/29334444/pregnancy-and-parenthood-during-medical-school
#5
Emma M Bye, Brody W Brisk, Suzanne D Reuter, Keith A Hansen, Mary D Nettleman
PURPOSE: The stress of pregnancy and parenthood during the intense educational experience of medical school could increase the risk of student burnout. Because 9.2 percent of U.S. medical students are parents by graduation, it would seem prudent to include this topic in wellness programs and policies. The purpose of this study was to determine the effects of pregnancy and parenthood on medical students. METHOD: This was a cross-sectional, internet survey distributed to all four classes of medical students at the University of South Dakota Sanford School of Medicine during the 2016-2017 academic year...
December 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/29334306/learning-science-as-a-potential-new-source-of-understanding-and-improvement-for-continuing-education-and-continuing-professional-development
#6
Thomas J Van Hoof, Terrence J Doyle
Learning science is an emerging interdisciplinary field that offers educators key insights about what happens in the brain when learning occurs. In addition to explanations about the learning process, which includes memory and involves different parts of the brain, learning science offers effective strategies to inform the planning and implementation of activities and programs in continuing education and continuing professional development. This article provides a brief description of learning, including the three key steps of encoding, consolidation and retrieval...
January 15, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29325708/promising-roles-for-pharmacists-in-addressing-the-u-s-opioid-crisis
#7
Wilson M Compton, Christopher M Jones, Jack B Stein, Eric M Wargo
Overdoses of prescription or illicit opioids claimed the lives of 116 Americans each day in 2016, and the crisis continues to escalate. As healthcare systems evolve to address the crisis, the potential of pharmacists to make a positive difference is significant. In addition to utilizing available prescription drug monitoring programs to help prevent diversion of opioids, practicing pharmacists can be alert for signs of opioid misuse by patients (e.g., multiple prescriptions from different physicians) as well as inappropriate prescribing or hazardous drug combinations that physicians may not be aware of (e...
December 31, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29325307/-the-clinical-characteristics-diagnosis-and-treatment-of-patients-with-gout-in-china
#8
H Luo, W G Fang, X X Zuo, R Wu, X X Li, J W Chen, J G Zhou, J Yang, H Song, X J Duan, X F Lin, X W Zeng, H Zeng
Objective: To investigate the demographic characteristics, clinical features, diagnosis and treatment of patients with gout in China. Methods: Clinical data of 6 814 patients with gout from 100 hospitals in 27 provinces, municipalities or autonomous regions in China were collected and analyzed. Results: (1) The ratio of male to female in patients with gout was 14.7∶1. The mean age of onset was (48.8±15.1) years old. Mean serum urate level was (526.7±132.3) μmol/L. Patients' education background was of U-shaped distribution; (2) Hypertension was the most common comorbidity [15...
January 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://www.readbyqxmd.com/read/29322054/spatial-distribution-of-medically-important-scorpions-in-north-west-of-iran
#9
Mulood Mohammadi Bavani, Javad Rafinejad, Ahmad Ali Hanafi-Bojd, Mohammad Ali Oshaghi, Shahrokh Navidpour, Farrokh Dabiri, Mehdi Badakhshan, Esmaeil Ghorbani, Masoomeh Bagheri
Background: Scorpions are one of the most important medical arthropods in Iran. This study aimed to determine the fauna, spatial distribution and some morphological characteristics of these venomous arthropods in the study area. Methods: Scorpions were collected using Ultra Violet light, rock rolling and digging methods in West Azerbaijan, East Azerbaijan, and Ardabil Provinces during 2015-2016. The specimens were preserved in 75% ethyl alcohol and transferred to the laboratory for species identification and morphological studies...
September 2017: Journal of Arthropod-borne Diseases
https://www.readbyqxmd.com/read/29318355/an-enhanced-recovery-after-surgery-eras-protocol-for-ambulatory-anorectal-surgery-reduced-postoperative-pain-and-unplanned-returns-to-care-after-discharge
#10
Aaron B Parrish, Sean M O'Neill, Steven R Crain, Tara A Russell, Deepak K Sonthalia, Vu T Nguyen, Armen Aboulian
BACKGROUND: Ambulatory surgery for anorectal procedures has been proven to be safe and effective. Specific perioperative pathways combining multiple interventions have been shown to optimize recovery and outcomes associated with inpatient colorectal surgery. However, there are no major studies describing and evaluating a standardized protocol for ambulatory anorectal surgery. The purpose of this study was to evaluate the outcomes of a modified enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery...
January 9, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29318165/orthopaedic-sports-medicine-fellowship-interviews-structure-and-organization-of-the-interview-day
#11
Brett D Haislup, Matthew J Kraeutler, Rishi Baweja, Eric C McCarty, Mary K Mulcahey
Background: Over the past few decades, there has been a trend toward an increasing subspecialization in orthopaedic surgery, with orthopaedic sports medicine being one of the most competitive subspecialties. Information regarding the application and interview process for sports medicine fellowships is currently lacking. Purpose: To survey orthopaedic sports medicine fellowship program directors (PDs) to better define the structure of the sports medicine fellowship interview and to highlight important factors that PDs consider in selecting fellows...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29308763/-distribution-and-epidemiological-characteristics-of-disease-spectrum-in-patients-with-pre-hospital-care-in-hohhot-in-2016-a-case-analysis-in-28-325-patients
#12
Shuqing Huang, da Man, Tejin Ba, Qier Mu
OBJECTIVE: To analyze the distribution and epidemiological characteristics of patients in pre-hospital emergency in Hohhot. METHODS: The data of 28 325 pre-hospital emergency patients in 7 first-aid stations in Hohhot from January 1st to December 31st in 2016 were analyzed retrospectively. The gender, age, call time, disease spectrum of patients served as investigation elements, the data were collected into Excel 2010 form, and statistical analysis was carried out...
January 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29308535/general-practitioners-and-bariatric-surgery-in-france-are-they-ready-to-face-the-challenge
#13
Francesco Martini, Andrea Lazzati, Sylvie Fritsch, Arnaud Liagre, Antonio Iannelli, Luca Paolino
PURPOSE: The epidemic of obesity has determined an important rise in popularity for bariatric surgery (BS) in France. The role of general practitioners (GPs) in the decision-making process of candidates to BS as well as in their life-long follow-up after surgery is therefore destined to grow up. The aim of this survey was to provide a picture of the actual knowledge of GPs about BS. METHODS: The link to an e-questionnaire composed of 20 multiple choice questions was sent to all the 101 Departmental Councils of the French Medical Board, accompanied by a letter explaining the objectives of the study...
January 8, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29308386/space-time-analysis-of-breast-cancer-and-its-late-stage-cases-among-iranian-women
#14
Meysam Olfatifar, Manoochehr Karami, Seyed Mehdi Hosseini, Masoud Parvin, Abbas Moghimbeigi, Ahmad Kousha, Ali Motlagh, Mansoureh Abdolahi, Elham Partovipour
Background: Spatial scan statistic has been shown as a useful tool to investigate spatial patterns and detecting the spatial clusters of cancer. This study conducted to study spatial analysis of breast cancer and its late-stage cases, one of the most common women cancers in Iran and the world. Methods: We used space-time and purely spatial scan statistic implemented in SaTScan software to detect clusters of breast cancer and late-stage cases, at city level by applying Poisson and Bernoulli distribution...
October 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29305048/the-current-state-of-knowledge-perception-and-practice-in-diabetes-management-during-fasting-in-ramadan-by-healthcare-professionals
#15
Sueziani B Zainudin, Aslena B Hussain
AIMS: Obligatory Ramadan fasting is challenging in the management of Muslims with diabetes due to increased risk of complications from altered meals and activities. This study aimed to evaluate the knowledge, perception and practice of healthcare professionals in diabetes management during fasting and the outcome of education on management. MATERIALS AND METHODS: We surveyed healthcare professionals enrolled in pre-Ramadan education involving an endocrinologist, diabetes specialized nurse and dietician...
December 28, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29304796/referral-gynecological-ambulatory-clinic-principal-diagnosis-and-distribution-in-health-services
#16
Adna Thaysa Marcial da Silva, Camila Lohmann Menezes, Edige Felipe de Sousa Santos, Paulo Francisco Ramos Margarido, José Maria Soares, Edmund Chada Baracat, Luiz Carlos de Abreu, Isabel Cristina Esposito Sorpreso
BACKGROUND: The association between gynecological diagnoses and their distribution in the health sectors provides benefits in the field of women's health promotion and in medical and interdisciplinary education, along with rationalization according to level of care complexity. Thus, the objective is analyze the clinical-demographic characteristics, main diagnoses in gynecological ambulatory care, and their distribution in health services. METHOD: This is a research project of retrospective audit study design with a chart review of data from 428 women treated at University Ambulatory Clinic of Women's Health, the facility in gynecology and training for Family and Community Medical Residents, São Paulo, Brazil, from 2012 to 2014...
January 5, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29300982/gender-and-schooling-inequalities-in-risk-and-protective-factors-for-chronic-diseases-among-brazilian-adults
#17
Carla C Enes, Luciana B Nucci
Background: There is consistent evidence showing that low socioeconomic level, both at the individual and contextual levels, is an important predictor of morbidity and mortality due to noncommunicable diseases. Objective: To identify gender and schooling inequalities in the distribution of risk and protective factors for chronic diseases among Brazilian adults. Methods: This study included data from 97 468 individuals interviewed in 2012 and 2013 from the Surveillance System of Risk and Protective Factors for Chronic Diseases (VIGITEL)...
December 29, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/29300819/labour-market-segregation-and-gender-differences-in-sickness-absence-trends-in-2005-2013-in-finland
#18
Taina Leinonen, Eira Viikari-Juntura, Kirsti Husgafvel-Pursiainen, Lauri J Virta, Mikko Laaksonen, Ilona Autti-Rämö, Svetlana Solovieva
Objectives: Women have higher sickness absence rate than men, but less is known of changes in this difference over time. We examined gender differences in sickness absence trends focusing on gender segregation in the labour market. Methods: We used large nationwide register data on Finnish wage earners aged 25-59 and generalized estimation equations based on repeated logistic regression to estimate the annual risk of sickness absence lasting at least 2 weeks. Results: Between 2005 and 2013, the age-adjusted proportion (%) of employees with all-cause sickness absence decreased from the initial levels of 10...
December 29, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29299213/prevalence-of-substance-abuse-among-students-of-tehran-university-of-medical-sciences-iran
#19
Rosanna Mozafarinia, Mehrdad Assarian, Ahmad Ziaaddini
Background: The present study aimed to evaluate the prevalence of substance abuse among students of selected schools of Tehran University of Medical Sciences, Iran. Methods: This was a cross-sectional study among students in five schools of Tehran University of Medical Sciences in 2014. Data collection was conducted using a questionnaire which was designed by the researcher. Questionnaires were distributed among participants selected using stratified random sampling...
April 2017: Addiction & Health
https://www.readbyqxmd.com/read/29299003/impact-of-pharmacists-in-a-community-based-home-care-service-a-pilot-program
#20
Ashley N Walus, Donna M M Woloschuk
Background: Historically, pharmacists have not been included on home care teams, despite the fact that home care patients frequently experience medication errors. Literature describing Canadian models of pharmacy practice in home care settings is limited. The optimal service delivery model and distribution of clinical activities for home care pharmacists remain unclear. Objectives: The primary objective was to describe the impact of a pharmacist based at a community home care office and providing home visits, group education, and telephone consultations...
November 2017: Canadian Journal of Hospital Pharmacy
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