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"Clinical supervision"

Sarah Mahoney, Paul Worley, Helen Parry, Sally Clarke
BACKGROUND: In 2009, Flinders University established an urban, community-based, longitudinal integrated program providing medical students extended placements that offered continuities of patient care, clinical supervision and peer group. OBJECTIVE: The aim of this research was to analyse academic outcomes of the new placement program. METHODS: The results of all students undertaking Year 3 exams from 2011 to 2014 were collected and analysed...
October 2016: Australian Family Physician
Alicia Castro, Eugenia Carrillo, Juan V San Martín, Laura Botana, Laura Molina, Belén Matía, Laura Fernandez, Luis Horrillo, Ana Ibarra-Meneses, Carmen Sanchez, Jose M Ruiz-Giardin, Javier Moreno
The introduction of HAART resulted in the decrease of Leishmania/HIV co-infection cases; nevertheless, the number of relapses remains high and secondary prophylaxis is recommended. However, secondary prophylaxis is not necessary in all patients, and presents a high risk of toxicity and an elevated cost. Our aim was to study whether specific cellular response to Leishmania infantum (measured by cell proliferation response after stimulation with soluble Leishmania antigen (SLA)), could be a useful tool to attempt a secondary prophylaxis withdrawal...
September 28, 2016: Acta Tropica
Laurence P Kenney, Ben W Heller, Anthony T Barker, Mark L Reeves, Jamie Healey, Timothy R Good, Glen Cooper, Ning Sha, Sarah Prenton, Anmin Liu, David Howard
Functional electrical stimulation has been shown to be a safe and effective means of correcting foot drop of central neurological origin. Current surface-based devices typically consist of a single channel stimulator, a sensor for determining gait phase and a cuff, within which is housed the anode and cathode. The cuff-mounted electrode design reduces the likelihood of large errors in electrode placement, but the user is still fully responsible for selecting the correct stimulation level each time the system is donned...
September 14, 2016: Medical Engineering & Physics
Paul Worley, Ian Couper, Roger Strasser, Lisa Graves, Beth-Ann Cummings, Richard Woodman, Pamela Stagg, David Hirsh
CONTEXT: Longitudinal integrated clerkships (LICs) represent a model of the structural redesign of clinical education that is growing in the USA, Canada, Australia and South Africa. By contrast with time-limited traditional block rotations, medical students in LICs provide comprehensive care of patients and populations in continuing learning relationships over time and across disciplines and venues. The evidence base for LICs reveals transformational professional and workforce outcomes derived from a number of small institution-specific studies...
September 2016: Medical Education
Julia Blitz, Jill Edwards, Bob Mash, Steve Mowle
CONTEXT: The Royal College of General Practitioners in partnership with the South African Academy of Family Physicians obtained funding to run a series of 'Training the Trainers' courses for trainers of family medicine registrars, with a view to strengthening clinical supervision of postgraduate registrars. The authors wanted to establish whether it was worthwhile for the course to be provided on an ongoing basis after the funded project was completed. INTERVENTION: Development of a pilot tool for evaluation visits after a faculty development course...
September 2016: Education for Primary Care
Adele Mott, Susan Kafka, Adam Sutherland
AIMS: To pilot a novel approach to providing pharmaceutical care to paediatric inpatients using structured referral and assessment tools. Using standardised referral criteria to ensure patients are assessed by appropriately skilled pharmacists. METHOD: Three wards of varying acuity and specialism were selected in a tertiary children's hospital in England - General Paediatric Ward (GPW), High Dependency Unit (HDU) and Haematology/Oncology Ward (HOW). The project ran for three months...
September 2016: Archives of Disease in Childhood
Andrew Taylor, Adam Sutherland
INTRODUCTION: Clinical supervision is defined by Barber and Norman as having four main functions: educational, supportive, managerial and development of self-awareness.1 It is common practice within initial pharmacy education for clinical supervision to take place at undergraduate, pre-registration and foundation level pharmacist stages. But what about the specialist trainees? It is probably a fair observation that the amount of clinical supervision provided for pharmacists undergoing their advanced level practice drops vividly...
September 2016: Archives of Disease in Childhood
Mélanie Couture, Sarita Israël, Maryse Soulières, Martin Sasseville
Home care professionals are well positioned to witness or prevent older adult mistreatment in the community. Screening efforts are important because most victims will not easily come forth. Two Canadian local community service centers implemented a systematic screening procedure within preexisting individual clinical supervision sessions to support social workers and improve detection of mistreatment. The aim of this pilot project was to assess fidelity, acceptability, and feasibility of the new procedure. Qualitative data was collected using individual interviews with two clinical supervisors, one focus group with eight social workers and content transcribed from 15 supervision sessions...
August 9, 2016: Journal of Interpersonal Violence
Liz Westcott
AIMS AND OBJECTIVES: The aim of this study was to explore empirically the role that coaching plays in the development of nurse managers in order to inform further research and policy makers about the potential utility and value of this means of development. BACKGROUND: There is evidence of the importance of the role of nurse managers who are first line managers of a team of nurses within any health sector. However, there appears to be little understanding of the United Kingdom wide scope of nurse manager development across the United Kingdom and the means to increase its effectiveness...
September 2016: Journal of Clinical Nursing
Anand Lakhani, Elliot Lass, William K Silverstein, Karen B Born, Wendy Levinson, Brian M Wong
PROBLEM: Physician behaviors that promote overuse of health care resources develop early in training, and the medical education environment helps foster such behaviors. The authors describe the development of a Choosing Wisely list for medical students aimed at helping to curb overuse. APPROACH: The list was developed in 2015 by Choosing Wisely Canada (CWC) in partnership with the Canadian Federation of Medical Students and the Fédération médicale étudiante du Québec, which together represent all medical students in Canada...
October 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Priyank Patel
INTRODUCTION: Globally, clinical supervision has been widely adopted and studied. But in the UK, another variant of supervision has developed in the form of educational supervision. The quality of supervision remains highly variable and inadequate time, investment and guidance hinders its ability to actually benefit trainees. Therefore, undertaking a detailed study of the patterns and practices in educational supervision to inform developments in supervisory practice would be extremely beneficial...
August 2016: Perspectives on Medical Education
Priya Martin, Saravana Kumar, Lucylynn Lizarondo, Zephanie Tyack
BACKGROUND/AIM: Clinical supervision is important for effective health service delivery, professional development and practice. Despite its importance there is a lack of evidence regarding the factors that improve its quality. This study aimed to investigate the factors that influence the quality of clinical supervision of occupational therapists employed in a large public sector health service covering mental health, paediatrics, adult physical and other practice areas. METHODS: A mixed method, sequential explanatory study design was used consisting of two phases...
October 2016: Australian Occupational Therapy Journal
Rachel E Cowan
To support rehabilitation health care professionals' efforts to increase physical activity levels among their outpatient rehabilitation and postdischarge patients, we review the Exercise is Medicine (EIM) initiative. The EIM initiative was launched in 2007 jointly by the American College of Sports Medicine and American Medical Association. Three principles underlie the EIM initiative. First, physical activity should be monitored as a vital sign; second, physical activity is an effective medical modality and should be prescribed; and third, success of their vision requires top down and bottom up efforts by 3 key stakeholder groups: health care providers, exercise professionals, and the community...
September 2016: Archives of Physical Medicine and Rehabilitation
Steve Martino, Manuel Paris, Luis Añez, Charla Nich, Monica Canning-Ball, Karen Hunkele, Todd A Olmstead, Kathleen M Carroll
The effectiveness of a competency-based supervision approach called Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA: STEP) was compared to supervision-as-usual (SAU) for increasing clinicians' motivational interviewing (MI) adherence and competence and client retention and primary substance abstinence in a multisite hybrid type 2 effectiveness-implementation randomized controlled trial. Participants were 66 clinicians and 450 clients within one of eleven outpatient substance abuse programs...
September 2016: Journal of Substance Abuse Treatment
Jessica D Todd, Catherine S McCarroll, Anita M Nucci
OBJECTIVE: This study examined the effect of high-fidelity patient simulation (HPS) on dietetics students' self-efficacy before supervised clinical practice. METHODS: This repeated-measures study was conducted during the 2012-2013 academic year. All students in a masters coordinated program cohort (n = 19) participated in an interprofessional HPS experience before clinical supervised practice. The students completed a 4-point self-efficacy scale in which 0 = not at all confident and 3 = fully confident, at 3 time points: before and after the simulation experience and 2 weeks after beginning clinical supervised practice...
September 2016: Journal of Nutrition Education and Behavior
Roger Strasser
Ensuring access to high quality health care in remote and rural settings is particularly challenging. Remote and rural communities require health service models that are designed in and for these settings, and care provided by health practitioners with the requisite knowledge and skills responsive to people's health needs. Studies in many countries have shown that the three factors most strongly associated with entering rural practice are (1) a rural upbringing, (2) positive clinical and educational experiences in rural settings as part of undergraduate medical education and (3) targeted training for rural practice at the postgraduate level...
April 2016: Rural and Remote Health
K Jones, H Popat, I G Johnson
INTRODUCTION: Professional regulatory bodies in the UK and Europe state that dental graduates should be able to manage orthodontic emergency patients. Therefore, the aim of this study was to explore dental student experiences of treating orthodontic emergencies within a teaching institution. MATERIALS AND METHOD: This study was designed as a single-centre evaluation of teaching based in a UK university orthodontic department. The participants were fourth-year dental students who treated orthodontic emergency patients under clinical supervision as part of the undergraduate curriculum...
August 2016: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
J E Tetzlaf, W Maurer, J Munis
Because of the increasing expansion of the practice of anesthesiology beyond the borders of the operating room, there is attention being paid to Perioperative Medicine (PM) within anesthesiology training programs. With the elements of PM incorporated into the newest requirements for anesthesiology residency programs by the Residency Review Committee (RRC) for Anesthesiology of the American College of Graduate Medical Education (ACGME), programs are obliged to develop PM curriculum. At the Cleveland Clinic, a PM curriculum was created from existing, diverse elements of the clinical practice...
September 1999: Journal of Education in Perioperative Medicine: JEPM
(no author information available yet)
Yvonne Dexter, writing in Nursing Children and Young People, discusses the use of storyboarding and its use as a reflective practice aid. As children's nurses are among the child health professionals most directly affected by childhood death, storyboarding can provide nursing students with a safe environment to reflect on their feelings about the death of a child. Ms Dexter considers the potential for its use in practice, for example in clinical supervision and classroom settings, to manage grief.
July 6, 2016: Nursing Standard
Dawn Freshwater, Liz Walsh, Les Storey
CLINICAL SUPERVISION has been high on the nursing practice agenda in recent years ( UKCC 1996 ). While implementation in some specialist areas is more advanced, there is growing evidence to suggest that clinical supervision is now well established in many areas of nursing practice ( Bishop and Freshwater 2000, Butterworth et al 1998, Farrington 1995 ). Much of the success of the strategy The New NHS: Modern, Dependable ( DoH 1997 ), and the supporting strategies described in the documents A First Class Service ( DoH 1998a ) and Working Together ( DoH 1998b ), depends upon the ability of key players, and identified clinical leaders, to take forward the clinical supervision agenda...
January 1, 2002: Nursing Management (Harrow)
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