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https://www.readbyqxmd.com/read/28508741/caep-2016-academic-symposium-on-education-scholarship-training-our-future-clinician-educators-in-emergency-medicine
#1
Robert A Woods, Jennifer D Artz, Benoit Carrière, Simon Field, James Huffman, Sandy L Dong, Farhan Bhanji, Stella Yiu, Sheila Smith, Rose Mengual, Chris Hicks, Jason Frank
OBJECTIVE: To develop consensus recommendations for training future clinician educators (CEs) in emergency medicine (EM). METHODS: A panel of EM education leaders was assembled from across Canada and met regularly by teleconference over the course of 1 year. Recommendations for CE training were drafted based on the panel's experience, a literature review, and a survey of current and past EM education leaders in Canada. Feedback was sought from attendees at the Canadian Association of Emergency Physicians (CAEP) annual academic symposium...
May 2017: CJEM
https://www.readbyqxmd.com/read/28435505/inter-rater-agreement-of-end-of-shift-evaluations-based-on-a-single-encounter
#2
Steven Warrington, Michael Beeson, Amber Bradford
INTRODUCTION: End-of-shift evaluation (ESE) forms, also known as daily encounter cards, represent a subset of encounter-based assessment forms. Encounter cards have become prevalent for formative evaluation, with some suggesting a potential for summative evaluation. Our objective was to evaluate the inter-rater agreement of ESE forms using a single scripted encounter at a conference of emergency medicine (EM) educators. METHODS: Following institutional review board exemption, we created a scripted video simulating an encounter between an intern and a patient with an ankle injury...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28380158/leadership-practices-in-hospital-nursing-a-self-of-manager-nurses
#3
Vânea Lúcia Dos Santos Silva, Silvia Helena Henriques Camelo, Mirelle Inácio Soares, Zélia Marilda Rodrigues Resck, Lucieli Dias Pedreschi Chaves, Fabiana Cristina Dos Santos, Laura Andrian Leal
OBJECTIVE: To assess the frequency of the leadership practices performed by the manager nurses of hospital institutions and their association with the variables of the socioprofessional profile. METHOD: Cross-sectional, descriptive, correlational study conducted in four hospitals in a city of the state of São Paulo. A sociodemographic questionnaire and the instrument Leadership Practices Inventory were used. Data collection and analysis were based on an exemplary Leadership Practices Model...
April 3, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28258874/ondrej-krivanek-s-early-scientific-research
#4
John C H Spence
In 1806, Humphrey Davey said that "nothing promotes the advancement of science so much as a new instrument". This paper reviews some of the lesser-known achievements of Ondrej's early career, and reminds us of the level of performance of instruments in those days, in order to appreciate how great has been the progress in instrumentation, much of it due to Ondrej and his leadership, since then. Some new results in the field of EELS are described, including extraction of the time-dependence of the dielectric response (with better time resolution than an X-ray free electron laser (XFEL)) from Nion EELS data...
February 3, 2017: Ultramicroscopy
https://www.readbyqxmd.com/read/28224346/dedication-increases-productivity-an-analysis-of-the-implementation-of-a-dedicated-medical-team-in-the-emergency-department
#5
Pedro Ramos, José Artur Paiva
BACKGROUND: In several European countries, emergency departments (EDs) now employ a dedicated team of full-time emergency medicine (EM) physicians, with a distinct leadership and bed-side emergency training, in all similar to other hospital departments. In Portugal, however, there are still two very different models for staffing EDs: a classic model, where EDs are mostly staffed with young inexperienced physicians from different medical departments who take turns in the ED in 12-h shifts and a dedicated model, recently implemented in some hospitals, where the ED is staffed by a team of doctors with specific medical competencies in emergency medicine that work full-time in the ED...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28146177/advanced-practice-nursing-a-strategy-for-achieving-universal-health-coverage-and-universal-access-to-health
#6
Denise Bryant-Lukosius, Ruta Valaitis, Ruth Martin-Misener, Faith Donald, Laura Morán Peña, Linda Brousseau
Objective: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28146176/exploration-of-priority-actions-for-strengthening-the-role-of-nurses-in-achieving-universal-health-coverage
#7
Rowaida Al Maaitah, Raeda Fawzi AbuAlRub
Objective: to explore priority actions for strengthening the role of Advanced Practice Nurses (APNs) towards the achievement of Universal Health Converge (UHC) as perceived by health key informants in Jordan. Methods: an exploratory qualitative design, using a semi-structured survey, was utilized. A purposive sample of seventeen key informants from various nursing and health care sectors was recruited for the purpose of the study. Content analysis utilizing the five-stage framework approach was used for data analysis...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28116031/exploring-scholarship-and-the-emergency-medicine-educator-a-workforce-study
#8
Jaime Jordan, Wendy C Coates, Samuel Clarke, Daniel P Runde, Emilie Fowlkes, Jacqueline Kurth, Lalena M Yarris
INTRODUCTION: Recent literature calls for initiatives to improve the quality of education studies and support faculty in approaching educational problems in a scholarly manner. Understanding the emergency medicine (EM) educator workforce is a crucial precursor to developing policies to support educators and promote education scholarship in EM. This study aims to illuminate the current workforce model for the academic EM educator. METHODS: Program leadership at EM training programs completed an online survey consisting of multiple choice, completion, and free-response type items...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28116024/demographics-and-fellowship-training-of-residency-leadership-in-em-a-descriptive-analysis
#9
Josh Greenstein, Ross Hardy, Jerel Chacko, Abbas Husain
INTRODUCTION: Emergency medicine (EM) fellowships are becoming increasingly numerous, and there is a growing trend among EM residents to pursue postgraduate fellowship training. Scant data have been published on the prevalence of postgraduate training among emergency physicians. We aimed to describe the prevalence and regional variation of fellowships among EM residency leadership. METHODS: We conducted an online anonymous survey that was sent to the Council of EM Residency Directors (CORD) membership in October 2014...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28116011/supplemental-milestones-for-emergency-medicine-residency-programs-a-validation-study
#10
Andrew R Ketterer, David H Salzman, Jeremy B Branzetti, Michael A Gisondi
INTRODUCTION: Emergency medicine (EM) residency programs may be 36 or 48 months in length. The Residency Review Committee for EM requires that 48-month programs provide educational justification for the additional 12 months. We developed additional milestones that EM training programs might use to assess outcomes in domains that meet this accreditation requirement. This study aims to assess for content validity of these supplemental milestones using a similar methodology to that of the original EM Milestones validation study...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27680057/analyzing-the-concept-of-disruptive-behavior-in-healthcare-work-an-integrative-review
#11
REVIEW
Roberta Meneses Oliveira, Lucilane Maria Sales da Silva, Maria Vilani Cavalcante Guedes, Adriana Catarina de Souza Oliveira, Rosario Gómez Sánchez, Raimundo Augusto Martins Torres
OBJECTIVE: To analyze the concept of disruptive behavior in healthcare work. METHOD: An integrative review carried out in the theoretical phase of a qualitative research substantiated by the theoretical framework of the Hybrid Model of Concept Development. The search for articles was conducted in the CINAHL, LILACS, PsycINFO, PubMed and SciVerse Scopus databases in 2013. RESULTS: 70 scientific articles answered the guiding question and lead to attributes of disruptive behavior, being: incivility, psychological violence and physical/sexual violence; with their main antecedents (intrapersonal, interpersonal and organizational) being: personality characteristics, stress and work overload; and consequences of: workers' moral/mental distress, compromised patient safety, labor loss, and disruption of communication, collaboration and teamwork...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27286760/the-development-of-best-practice-recommendations-to-support-the-hiring-recruitment-and-advancement-of-women-physicians-in-emergency-medicine
#12
Esther K Choo, Dara Kass, Mary Westergaard, Susan H Watts, Nicole Berwald, Linda Regan, Susan B Promes, Kathleen J Clem, Sandra M Schneider, Gloria J Kuhn, Stephanie Abbuhl, Flavia Nobay
BACKGROUND: Women in medicine continue to experience disparities in earnings, promotion, and leadership roles. There are few guidelines in place defining organization-level factors that promote a supportive workplace environment beneficial to women in emergency medicine (EM). We assembled a working group with the goal of developing specific and feasible recommendations to support women's professional development in both community and academic EM settings. METHODS: We formed a working group from the leadership of two EM women's organizations, the Academy of Women in Academic Emergency Medicine (AWAEM) and the American Association of Women Emergency Physicians (AAWEP)...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27268952/intensive-care-unit-structure-variation-and-implications-for-early-mobilization-practices-an-international-survey
#13
Rita N Bakhru, David J McWilliams, Douglas J Wiebe, Vicki J Spuhler, William D Schweickert
RATIONALE: Early mobilization (EM) improves outcomes for mechanically ventilated patients. Variation in structure and organizational characteristics may affect implementation of EM practices. OBJECTIVES: We queried intensive care unit (ICU) environment and standardized ICU practices to evaluate organizational characteristics that enable EM practice. METHODS: We recruited 151 ICUs in France, 150 in Germany, 150 in the United Kingdom, and 500 in the United States by telephone...
September 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27093509/simulation-based-mastery-learning-improves-medical-student-performance-and-retention-of-core-clinical-skills
#14
Trent Reed, Matthew Pirotte, Mary McHugh, Laura Oh, Shannon Lovett, Amy E Hoyt, Donna Quinones, William Adams, Gregory Gruener, William C McGaghie
INTRODUCTION: Simulation-based mastery learning (SBML) improves procedural skills among medical trainees. We employed an SBML method that includes an asynchronous knowledge acquisition portion and a hands-on skill acquisition portion with simulation to assess senior medical student performance and retention of the following 6 core clinical skills: (a) ultrasound-guided peripheral intravenous placement, (b) basic skin laceration repair, (c) chest compressions, (d) bag-valve mask ventilation, (e) defibrillator management, and (f) code leadership...
June 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/26961226/caep-2015-academic-symposium-current-state-and-recommendations-to-achieve-adequate-and-sustainable-funding-for-emergency-medicine-academic-units
#15
Eddy S Lang, Jennifer D Artz, Ryan D Wilkie, Ian G Stiell, Claude Topping, François P Belanger, Marc Afilalo, Tia Renouf, Anthony Crocco, Kelly Wyatt, Jim Christenson
OBJECTIVES: To describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding. METHODS: A panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium...
May 2016: CJEM
https://www.readbyqxmd.com/read/26947971/caep-2015-academic-symposium-leadership-within-the-emergency-medicine-academic-community-and-beyond
#16
Doug Sinclair, James R Worthington, Gary Joubert, Brian R Holroyd, James Stempien, Eric Letovsky, Tim Rutledge, Constance LeBlanc, Carrol Pitters, Andrew McCallum, Brendan Carr, Rocco Gerace, Ian G Stiell, Jennifer D Artz, Jim Christenson
OBJECTIVES: A panel of emergency medicine (EM) leaders endeavoured to define the key elements of leadership and its models, as well as to formulate consensus recommendations to build and strengthen academic leadership in the Canadian EM community in the areas of mentorship, education, and resources. METHODS: The expert panel comprised EM leaders from across Canada and met regularly by teleconference over the course of 9 months. From the breadth of backgrounds and experience, as well as a literature review and the development of a leadership video series, broad themes for recommendations around the building and strengthening of EM leadership were presented at the CAEP 2015 Academic Symposium held in Edmonton, Alberta...
May 2016: CJEM
https://www.readbyqxmd.com/read/26594293/emergency-medicine-residents-consistently-rate-themselves-higher-than-attending-assessments-on-acgme-milestones
#17
COMPARATIVE STUDY
Katja Goldflam, Jessica Bod, David Della-Giustina, Alina Tsyrulnik
INTRODUCTION: In 2012 the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which implemented milestones to assess the competency of residents and fellows. While attending evaluation and feedback is crucial for resident development, perhaps equally important is a resident's self-assessment. If a resident does not accurately self-assess, clinical and professional progress may be compromised. The objective of our study was to compare emergency medicine (EM) resident milestone evaluation by EM faculty with the same resident's self-assessment...
November 2015: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26242925/predictors-of-a-top-performer-during-emergency-medicine-residency
#18
MULTICENTER STUDY
Rahul Bhat, Katrin Takenaka, Brian Levine, Nikhil Goyal, Manish Garg, Annette Visconti, Leslie Oyama, Edward Castillo, Joshua Broder, Rodney Omron, Stephen Hayden
BACKGROUND: Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency. OBJECTIVE: To evaluate which pre-residency variables best correlated with an applicant's performance during residency. METHODS: This was a retrospective multicenter sample of all residents in the three most recent graduating classes from nine participating EM residency programs...
October 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26207148/the-role-of-short-term-volunteers-in-a-global-health-capacity-building-effort-the-project-hope-gemc-experience
#19
Sarah D Rominski, Jamila Yakubu, Rockefeller A Oteng, Matt Peterson, Nadia Tagoe, Sue Anne Bell
BACKGROUND: Increasingly, medical students and practicing clinicians are showing interest in traveling to low-income settings to conduct research and engage in clinical rotations. While global health activities have the potential to benefit both the individual and the host, there can be challenges. We describe one way to harmonize the desire of volunteers to have a meaningful impact on the health care delivery system in a developing country with the needs of that country. METHODS: The Project Health Opportunities for People Everywhere (HOPE)-Ghana Emergency Medicine Collaborative (GEMC) Partnership has successfully integrated short-term volunteer physicians and nurses to facilitate the training of emergency medicine (EM) residents and specialist nurses in Kumasi, Ghana...
2015: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25927254/administration-and-leadership-competencies-establishment-of-a-national-consensus-for-emergency-medicine
#20
MULTICENTER STUDY
Brent Thoma, Julien Poitras, Rick Penciner, Jonathan Sherbino, Brian R Holroyd, Robert A Woods
INTRODUCTION: The Royal College of Physicians and Surgeons of Canada requires emergency medicine (EM) residency programs to meet training objectives relating to administration and leadership. The purpose of this study was to establish a national consensus on the competencies for inclusion in an EM administration and leadership curriculum. METHODS: A modified Delphi process involving two iterative rounds of an electronic survey was used to achieve consensus on competencies for inclusion in an EM administration and leadership curriculum...
March 2015: CJEM
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