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Teaching clinic models

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https://www.readbyqxmd.com/read/29042844/designing-a-care-pathway-model-a-case-study-of-the-outpatient-total-hip-arthroplasty-care-pathway
#1
Robin I Oosterholt, Lianne Wl Simonse, Stella U Boess, Stephan Bw Vehmeijer
INTRODUCTION: Although the clinical attributes of total hip arthroplasty (THA) care pathways have been thoroughly researched, a detailed understanding of the equally important organisational attributes is still lacking. The aim of this article is to contribute with a model of the outpatient THA care pathway that depicts how the care team should be organised to enable patient discharge on the day of surgery. THEORY: The outpatient THA care pathway enables patients to be discharged on the day of surgery, shortening the length of stay and intensifying the provision and organisation of care...
March 9, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29037823/the-development-of-a-novel-perfused-cadaver-model-with-dynamic-vital-sign-regulation-and-real-world-scenarios-to-teach-surgical-skills-and-error-management
#2
Michael Minneti, Craig J Baker, Maura E Sullivan
The landscape of graduate medical education has changed dramatically over the past decade and the traditional apprenticeship model has undergone scrutiny and modifications. The mandate of the 80-hour work-week, the introduction of integrated residency programs, increased global awareness about patient safety along with financial constraints have spurred changes in graduate educational practices. In addition, new technologies, more complex procedures, and a host of external constraints have changed where and how we teach technical and procedural skills...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29026844/an-interprofessional-collaboration-between-medicine-and-pharmacy-schools-designing-and-evaluating-a-teaching-program-on-practical-prescribing
#3
Mohammad Reza Javadi, Mina Khezrian, Anahita Sadeghi, Seyed Hossein Hajimiri, Kaveh Eslami
OBJECTIVE: Medical students need proper education in drug prescription. The aim of the present study is to introduce a course that improves the students' prescribing skills and also promotes an interprofessional collaboration between medicine and pharmacy schools. METHODS: This study was done in a skill laboratory at the pharmacotherapy department of Tehran University of Medical Sciences, Tehran, Iran. The course was an 18-h interactive workshop in 3 days under the supervision of clinical pharmacists...
July 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29019167/hybrid-simulation-in-teaching-clinical-breast-examination-to-medical-students
#4
Joseph Nassif, Abdul-Karim Sleiman, Anwar H Nassar, Sima Naamani, Rana Sharara-Chami
Clinical breast examination (CBE) is traditionally taught to third-year medical students using a lecture and a tabletop breast model. The opportunity to clinically practice CBE depends on patient availability and willingness to be examined by students, especially in culturally sensitive environments. We propose the use of a hybrid simulation model consisting of a standardized patient (SP) wearing a silicone breast simulator jacket and hypothesize that this, compared to traditional teaching methods, would result in improved learning...
October 10, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29016620/the-easi-model-a-first-integrative-computational-approximation-to-the-natural-history-of-copd
#5
Alvar Agustí, Albert Compte, Rosa Faner, Judith Garcia-Aymerich, Guillaume Noell, Borja G Cosio, Robert Rodriguez-Roisin, Bartolomé Celli, Josep Maria Anto
The natural history of chronic obstructive pulmonary disease (COPD) is still not well understood. Traditionally believed to be a self-inflicted disease by smoking, now we know that not all smokers develop COPD, that other inhaled pollutants different from cigarette smoke can also cause it, and that abnormal lung development can also lead to COPD in adulthood. Likewise, the inflammatory response that characterizes COPD varies significantly between patients, and not all of them perceive symptoms (mostly breathlessness) similarly...
2017: PloS One
https://www.readbyqxmd.com/read/28994415/sci-peer-health-coach-influence-on-self-management-with-peers-a-qualitative-analysis
#6
S E Skeels, D Pernigotti, B V Houlihan, T Belliveau, M Brody, J Zazula, S Hasiotis, S Seetharama, D Rosenblum, A Jette
STUDY DESIGN: A process evaluation of a clinical trial. OBJECTIVES: To describe the roles fulfilled by peer health coaches (PHCs) with spinal cord injury (SCI) during a randomized controlled trial research study called 'My Care My Call', a novel telephone-based, peer-led self-management intervention for adults with chronic SCI 1+ years after injury. SETTING: Connecticut and Greater Boston Area, MA, USA. METHODS: Directed content analysis was used to qualitatively examine information from 504 tele-coaching calls, conducted with 42 participants with SCI, by two trained SCI PHCs...
October 10, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28991850/aligning-education-with-health-care-transformation-identifying-a-shared-mental-model-of-new-faculty-competencies-for-academic-faculty
#7
Jed D Gonzalo, Amarpreet Ahluwalia, Maria Hamilton, Heidi Wolf, Daniel R Wolpaw, Britta M Thompson
PURPOSE: To develop a potential competency framework for faculty development programs aligned with the needs of faculty in academic health centers (AHCs). METHOD: In 2014 and 2015, the authors interviewed 23 health system leaders and analyzed transcripts using constant comparative analysis and thematic analysis. They coded competencies and curricular concepts into subcategories. Lead investigators reviewed drafts of the categorization themes and subthemes related to gaps in faculty knowledge and skills, collapsed and combined competency domains, and resolved disagreements via discussion...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28988339/teaching-parents-behavioral-strategies-for-autism-spectrum-disorder-asd-effects-on-stress-strain-and-competence
#8
Suzannah Iadarola, Lynne Levato, Bryan Harrison, Tristram Smith, Luc Lecavalier, Cynthia Johnson, Naomi Swiezy, Karen Bearss, Lawrence Scahill
We report on parent outcomes from a randomized clinical trial of parent training (PT) versus psychoeducation (PEP) in 180 children with autism spectrum disorder (ASD) and disruptive behavior. We compare the impact of PT and PEP on parent outcomes: Parenting Stress Index (PSI), Parent Sense of Competence (PSOC), and Caregiver Strain Questionnaire (CGSQ). Mixed-effects linear models evaluated differences at weeks 12 and 24, controlling for baseline scores. Parents in PT reported greater improvement than PEP on the PSOC (ES = 0...
October 7, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28985689/effect-of-age-period-and-birth-cohort-on-the-frequency-of-glucose-6-phosphate-dehydrogenase-deficiency-in-sardinian-adults
#9
Giovanni M Pes, Alessandra Errigo, Angela Bitti, Maria Pina Dore
BACKGROUND: Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an inherited disorder common in Sardinia. In this study the frequency variation of G6PD-deficiency across age groups and birth cohorts were investigated using Age-Period-Cohort analysis. METHODS: Data were collected from the clinical records of 11,252 patients (6,975 women, age range 17-94 years) who underwent endoscopy between 2000 and 2016 at a teaching hospital (University of Sassari), Italy. G6PD status was assessed by enzymatic assay based on G6PD/6GPD ratio...
October 6, 2017: Annals of Medicine
https://www.readbyqxmd.com/read/28982353/indigenous-health-designing-a-clinical-orientation-program-valued-by-learners
#10
Tania Huria, Suetonia Palmer, Lutz Beckert, Cameron Lacey, Suzanne Pitama
BACKGROUND: Indigenous health programs are seen as a curriculum response to addressing health disparities and social accountability. Several interrelated teaching approaches to cultural competency curricula have been recommended, however evidence of the impact of these on learner outcomes including engagement and self-reported competencies is limited. We aimed to explore undergraduate medical student perspectives of an indigenous health orientation program to inform curriculum strategies that promote learning and development of clinical skills...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28981229/-clinical-care-pathway-for-chronic-kidney-disease-development-and-perspectives
#11
J Nortier, V Plennevaux, A Nolf, J M Hougardy, A D Petit
Because of the significant costs related to the treatment of end-stage kidney disease by dialysis, Belgian Health Care Authorities proposed in June 2009 to launch an early multidisciplinary care plan for chronic kidney disease (CKD) patients in the form of a clinical care pathway (CCP) focusing on a combined follow-up by the general practitioner and the nephrologist. The objective was to increase nephro-protection measures, reduce patient morbidity and mortality, and delay admission on dialysis. Our Nephrology Department at Erasme Hospital took the opportunity of CCP to set up workshops on therapy education which promote CKD patients' compliance and autonomy regarding their treatment (" empowerment ")...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28979915/experiences-of-nursing-students-of-evidence-based-practice-education-according-to-rogers-diffusion-of-innovation-model-a-directed-content-analysis
#12
Shahzad Pashaeypoor, Tahereh Ashktorab, Maryam Rassouli, Hamid Alavi Majd
INTRODUCTION: Evidence based practice (EBP) education is essential in promoting of clinical care, but an effective educational strategy for teaching EBP in nursing faculties is not available. The aim of this study was to explore the experiences of nursing students of EBP Education according to Rogers' Diffusion of Innovation Model. METHODS: This qualitative study was carried out using a directed content analysis method and purposeful sampling. Data were collected until saturation by fourteen semi-structured face-to-face individual interviews and two focus group discussions with nursing students from two nursing faculties in Tehran, Iran...
October 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28979913/learning-style-preferences-a-study-of-pre-clinical-medical-students-in-barbados
#13
Nkemcho Ojeh, Natasha Sobers-Grannum, Uma Gaur, Alaya Udupa, Md Anwarul Azim Majumder
INTRODUCTION: Educators need to be aware of different learning styles to effectively tailor instructional strategies and methods to cater to the students' learning needs and support a conductive learning environment. The VARK [an acronym for visual (V), aural (A), read/write (R) and kinesthetic (K)] instrument is a useful model to assess learning styles. The aim of this study was to use the VARK questionnaire to determine the learning styles of pre-clinical medical students in order to compare the perceived and assessed learning style preferences, assess gender differences in learning style preferences, and determine whether any relationships exists between awareness of learning styles and academic grades, age, gender and learning modality...
October 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28975560/observational-study-of-potential-risk-factors-of-immersion-pulmonary-edema-in-healthy-divers-exercise-intensity-is-the-main-contributor
#14
A Boussuges, K Ayme, G Chaumet, E Albier, M Borgnetta, O Gavarry
BACKGROUND: The risk factors of pulmonary edema induced by diving in healthy subjects are not well known. The aim of the present study was to assess the parameters contributing to the increase in extravascular lung water after diving. METHODS: This study was carried out in a professional diving institute. All divers participating in the teaching program from June 2012 to June 2014 were included in the study. Extravascular lung water was assessed using the detection of ultrasound lung comets (ULC) by chest ultrasonography...
October 3, 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/28970040/-the-private-pediatrician-in-the-clinical-care-pathway-for-children-affected-by-specific-learning-disorders-in-france
#15
T-N Willig, J P Blanc, R Assathiany
The clinical care pathway for children presenting specific learning disorders, including language, motor coordination, and attention disorders is based on different levels of assessment by the professionals involved. In France, a first step of organization was established in 2002 by founding of a network of structures devoted to clinical assessment of complex cases, research, and teaching for the professionals involved. Although this organization proved to contribute an essential service, the demand largely exceeded the availability of access...
September 29, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28967423/implementation-of-a-novel-portfolio-of-structured-curriculum-aligned-simulation-based-cardiothoracic-surgery-training-courses-evolving-the-delivery-of-surgical-education
#16
Narain Moorjani, Michael Lewis, Rajesh Shah, Sion Barnard, Tim Graham, Sridhar Rathinam
OBJECTIVE: The provision of high-quality cardiothoracic surgical training faces many challenges. This has generated an increased interest in simulation-based learning, which can provide a less stressful environment for deliberate practice. We developed a comprehensive, structured program of knowledge and simulation-based learning aligned to the official cardiothoracic surgery curriculum. METHODS: A portfolio of 10 curriculum-aligned training courses was designed for cardiothoracic surgical trainees during their 6-year training program...
August 24, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28966657/how-do-providers-discuss-the-results-of-pediatric-exome-sequencing-with-families
#17
Sarah A Walser, Allison Werner-Lin, Rebecca Mueller, Victoria A Miller, Sawona Biswas, Barbara A Bernhardt
AIM: This study provides preliminary data on the process and content of returning results from exome sequencing offered to children through one of the Clinical Sequencing Exploratory Research (CSER) projects. MATERIALS & METHODS: We recorded 25 sessions where providers returned diagnostic and secondary sequencing results to families. Data interpretation utilized inductive thematic analysis. RESULTS: Typically, providers followed a results report and discussed diagnostic findings using technical genomic and sequencing concepts...
September 2017: Personalized Medicine
https://www.readbyqxmd.com/read/28963913/trends-in-prescribing-systemic-treatment-and-overall-survival-for-non-small-cell-lung-cancer-stage-iiib-iv-in-the-netherlands-2008-2012
#18
Bas J M Peters, Christine M Cramer-Vd Welle, Arthur A J Smit, Franz M N H Schramel, Ewoudt M W van de Garde
BACKGROUND: The present study aims to give a detailed overview of day-to-day practice in the systemic treatment of NSCLC stage IIIB/IV and its clinical outcomes in six large teaching hospitals in the Netherlands in the period 2008-2012. METHODS: A retrospective observational cohort study was conducted in the Care for Outcome registry. Patients diagnosed with stage IIIB/IV NSCLC were included and drug data were collected. Outcomes included percentage of patients treated with systemic treatment, percentage of different first line treatment options, survival, and number and percentage of switches, dose reductions (<80% of the initial dose), and early discontinuation (<4 cycles)...
September 27, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28963297/clinical-examination-critical-care-ultrasonography-and-outcomes-in-the-critically-ill-cohort-profile-of-the-simple-intensive-care-studies-i
#19
Bart Hiemstra, Ruben J Eck, Geert Koster, Jørn Wetterslev, Anders Perner, Ville Pettilä, Harold Snieder, Yoran M Hummel, Renske Wiersema, Anne Marie G A de Smet, Frederik Keus, Iwan C C van der Horst
PURPOSE: In the Simple Intensive Care Studies-I (SICS-I), we aim to unravel the value of clinical and haemodynamic variables obtained by physical examination and critical care ultrasound (CCUS) that currently guide daily practice in critically ill patients. We intend to (1) measure all available clinical and haemodynamic variables, (2) train novices in obtaining values for advanced variables based on CCUS in the intensive care unit (ICU) and (3) create an infrastructure for a registry with the flexibility of temporarily incorporating specific (haemodynamic) research questions and variables...
September 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28961627/physician-assistant-contributions-to-medical-and-higher-education
#20
P Eugene Jones, John C Houchins
Physician assistant (PA) programs were often early adopters or initiators of innovative models of teaching, learning, and assessment. Examples of these influences include interprofessional education, competency-based education, objective-structured clinical examinations, problem-based learning, evidence-based medicine, team-based learning, and the multiple mini-interviews. In addition, the contributions and presence of PAs in the academic health center teaching environment have also fostered appreciation from other health professionals for the skill level and capacity of PAs on the care team...
October 2017: Journal of Physician Assistant Education
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