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https://www.readbyqxmd.com/read/29141086/use-of-entrustable-professional-activities-in-the-assessment-of-surgical-resident-competency
#1
Justin P Wagner, Catherine E Lewis, Areti Tillou, Vatche G Agopian, Chi Quach, Timothy R Donahue, O Joe Hines
Importance: Competency-based assessments of surgical resident performance require metrics of entrustable autonomy. Objectives: To designate entrustable professional activities (EPAs) in global performance and in specific operations, and to identify differences in perceived capability, autonomy, and expectations between surgical faculty and residents. Design, Setting, and Participants: This survey study was conducted from August 9, 2016, through August 24, 2016, in the Department of Surgery at the UCLA David Geffen School of Medicine...
November 15, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29138614/development-of-a-health-care-systems-curriculum
#2
Zachary Pruitt, Rahul Mhaskar, Bryan G Kane, Robert D Barraco, Deborah J DeWaay, Alex M Rosenau, Kristin A Bresnan, Marna Rayl Greenberg
Background: There is currently no gold standard for delivery of systems-based practice in medical education, and it is challenging to incorporate into medical education. Health systems competence requires physicians to understand patient care within the broader health care system and is vital to improving the quality of care clinicians provide. We describe a health systems curriculum that utilizes problem-based learning across 4 years of systems-based practice medical education at a single institution...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29134028/a-new-species-of-physoctonus-mello-leit%C3%A3-o-1934-from-the-campos-formations-of-southern-amazonia-scorpiones-buthidae
#3
Wilson R Lourenço
Further studies on new specimens of the rare genus Physoctonus Mello-Leitão, 1934, lead to the description of a third new species. Until now only Physoctonus debilis (C. L. Koch, 1840) and Physoctonus striatus Esposito et al., 2017, were known from sites located in the caatingas of the north-east region of Brazil. The new species of Physoctonus was collected by the French arachnologist J. Vellard in the Campos do Pará during his field trips back to the 1920/1930, and entrusted to the author in the early 1980s...
2017: ZooKeys
https://www.readbyqxmd.com/read/29128100/improving-the-feasibility-and-utility-of-optrust-a-tool-assessing-intraoperative-entrustment
#4
Vahagn C Nikolian, Danielle C Sutzko, Patrick E Georgoff, Niki Matusko, Anna Boniakowski, Kaustubh Prabhu, Joseph T Church, Julie Thompson-Burdine, Rebecca M Minter, Gurjit Sandhu
BACKGROUND: Changes in the surgical training landscape have sparked an interest in developing new educational models anchored on entrustment assessment. We sought to optimize the validated OpTrust entrustment assessment tool by comparing ratings from short-course video reviews to previously validated intraoperative assessments. METHODS: Entrustment assessment scores for video-based and 1-h (short-course) observations were compared to previously validated intraoperative assessment scores...
November 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29121897/differences-between-medical-student-and-faculty-perceptions-of-the-competencies-needed-for-the-first-year-of-residency
#5
Sophie Fürstenberg, Sigrid Harendza
BACKGROUND: Different guidelines and frameworks like the CanMEDs model or entrustable professional activities (EPAs) describe competencies required for successful and professional work of residents. Not all competencies are of equal importance for graduates when they start their residency. The aim of this study was to evaluate the relevance of different competencies for a first year resident from the perspective of physicians and medical students. METHODS: In an online study, 178 of 475 surgeons and internists including residents and attendings and 102 of 728 first and last year undergraduate medical students from the University Medical Center Hamburg-Eppendorf ranked 25 competencies according to their relevance for entrustment decisions in first year residents...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29119582/emotions-and-assessment-considerations-for-rater-based-judgements-of-entrustment
#6
Carlos Gomez-Garibello, Meredith Young
CONTEXT: Assessment is subject to increasing scrutiny as medical education transitions towards a competency-based medical education (CBME) model. Traditional perspectives on the roles of assessment emphasise high-stakes, summative assessment, whereas CBME argues for formative assessment. Revisiting conceptualisations about the roles and formats of assessment in medical education provides opportunities to examine understandings and expectations of the assessment of learners. The act of the rater generating scores might be considered as an exclusively cognitive exercise; however, current literature has drawn attention to the notion of raters as measurement instruments, thereby attributing additional factors to their decision-making processes, such as social considerations and intuition...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29112432/force-field-parametrization-of-metal-ions-from-statistical-learning-techniques
#7
Francesco Fracchia, Gianluca Del Frate, Giordano Mancini, Walter Rocchia, Vincenzo Barone
A novel statistical procedure has been developed to optimize the parameters of non-bonded force fields of metal ions in soft matter. The criterion for the optimization is the minimization of the deviations from ab initio forces and energies calculated for model systems. The method exploits the combination of the linear ridge regression and the cross-validation techniques with the differential evolution algorithm. Wide freedom in the choice of the functional form of the force fields is allowed since both linear and non-linear parameters can be optimized...
November 7, 2017: Journal of Chemical Theory and Computation
https://www.readbyqxmd.com/read/29110909/radiologists-are-actually-well-positioned-to-innovate-in-patient-experience
#8
REVIEW
Ravi V Gottumukkala, Thang Q Le, Richard Duszak, Anand M Prabhakar
Patient experience is becoming increasingly prioritized, most notably as a component of recently passed health care legislation that aims to link physician reimbursement to quality of care and cost-effectiveness. For several reasons, radiologists are better positioned to seize opportunities to enhance patient experience than is readily apparent. We propose that discrete components along the imaging value chain can be evaluated specifically for their effect on patient experience and improved to this end. We also emphasize that the field of radiology has traditionally been the earliest adopter and a serial innovator in health information technology, and we suggest possible ways to leverage the newest technological tools to improve patient experience...
October 2, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29102087/availability-cost-and-prescription-patterns-of-antihypertensive-medications-in-primary-health-care-in-china-a-nationwide-cross-sectional-survey
#9
Meng Su, Qiuli Zhang, Xueke Bai, Chaoqun Wu, Yetong Li, Elias Mossialos, George A Mensah, Frederick A Masoudi, Jiapeng Lu, Xi Li, Sebastian Salas-Vega, Anwen Zhang, Yuan Lu, Khurram Nasir, Harlan M Krumholz, Lixin Jiang
BACKGROUND: Around 200 million adults in China have hypertension, but few are treated or achieve adequate control of their blood pressure. Available and affordable medications are important for successfully controlling hypertension, but little is known about current patterns of access to, and use of, antihypertensive medications in Chinese primary health care. METHODS: We used data from a nationwide cross-sectional survey (the China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project primary health care survey), which was undertaken between November, 2016 and May, 2017, to assess the availability, cost, and prescription patterns of 62 antihypertensive medications at primary health-care sites across 31 Chinese provinces...
October 25, 2017: Lancet
https://www.readbyqxmd.com/read/29098049/the-development-of-national-entrustable-professional-activities-to-inform-the-training-and-assessment-of-public-health-and-preventative-medicine-residents
#10
Brent Moloughney, Kieran Moore, Damon Dagnone, David Strong
Background: Entrustable Professional Activities (EPAs) have emerged to bridge the gap between the learning of individual competencies and competence in real world practice. EPAs capture the critical core work of a discipline integrating competencies from multiple domains. This report describes the development of a set of EPAs for specialty training in Public Health and Preventive Medicine (PHPM) in Canada. Methods: The PHPM EPAs were developed using multiple existing sources...
June 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29084324/entrustable-professional-activities-for-entering-residency-establishing-common-osteopathic-performance-standards-in-the-transition-from-medical-school-to-residency
#11
Pamela M Basehore, Luke H Mortensen, Emmanuel Katsaros, Machelle Linsenmeyer, Elizabeth K McClain, Patricia S Sexton, Nicole Wadsworth
Entrustable professional activities (EPAs) are measurable units of observable professional practice that can be entrusted to an unsupervised trainee. They were first introduced as a method of operationalizing competency-based medical education in graduate medical education. The American Association of Medical Colleges subsequently used EPAs to establish the core skills that medical students must be able to perform before they enter residency training. A recently published guide provides descriptions, guidelines, and rationale for implementing and assessing the core EPAs from an osteopathic approach...
November 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29076583/-health-literacy-among-caregivers-of-patients-with-heart-failure-a-multicenter-cross-sectional-survey
#12
Carlo Della Pelle, Vincenzo Orsatti, Francesco Cipollone, Giancarlo Cicolini
AIMS AND OBJECTIVE: To assess the levels of Health Literacy of Italian caregivers of patients with heart failure. BACKGROUND: Health Literacy is related to patients' health outcomes. Low Health Literacy has been found in elderly people with Heart Failure, less is known on the Health Literacy of caregivers whose patients are suffering from Heart Failure. DESIGN: Observational, multicenter, cross-sectional study. METHODS: From July 2015 to May 2016, caregivers' were recruited in five hospitals from Central and Southern Italy...
October 27, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29075378/core-entrustable-professional-activities-for-entry-into-residency-curricular-gap-or-unrealistic-expectations
#13
Susan Guralnick, Jamie Yedowitz-Freeman
No abstract text is available yet for this article.
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29075377/program-director-perceptions-of-proficiency-in-the-core-entrustable-professional-activities
#14
R Ellen Pearlman, Melissa Pawelczak, Andrew C Yacht, Salaahuddin Akbar, Gino A Farina
BACKGROUND : The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29065031/equal-a-novel-rubric-to-evaluate-entrustable-professional-activities-for-quality-and-structure
#15
David R Taylor, Yoon Soo Park, Rylan Egan, Ming-Ka Chan, Jolanta Karpinski, Claire Touchie, Linda S Snell, Ara Tekian
PURPOSE: Entrustable professional activities (EPAs) have become a cornerstone of assessment in competency-based medical education (CBME). Increasingly, EPAs are being adopted that do not conform to EPA standards. This study aimed to develop and validate a scoring rubric to evaluate EPAs for alignment with their purpose, and to identify substandard EPAs. METHOD: The EQual rubric was developed and revised by a team of education scholars with expertise in EPAs. It was then applied by four residency program directors/CBME leads (PDs) and four nonclinician support staff to 31 stage-specific EPAs developed for internal medicine in the Royal College of Physicians and Surgeons of Canada's Competency by Design framework...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29063669/-it-is-an-entrustment-broad-consent-for-genomic-research-and-biobanks-in-sub-saharan-africa
#16
Paulina Tindana, Sassy Molyneux, Susan Bull, Michael Parker
In recent years, there has been an increase in the establishment of biobanks for genetic and genomic studies around the globe. One example of this is the Human Heredity and Health in Africa Initiative (H3Africa), which has established biobanks in the sub-region to facilitate future indigenous genomic studies. The concept of 'broad consent' has been proposed as a mechanism to enable potential research participants in biobanks to give permission for their samples to be used in future research studies. However, questions remain about the acceptability of this model of consent...
October 23, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/29061075/ethical-issues-in-health-philanthropy
#17
Lynette Reid
Health leaders in Canada face a myriad of challenges with healthcare philanthropy-not just the practical question of how to be successful but also ethical questions. Is fundraising in partnership with companies that are implicated in the so-called lifestyle diseases appropriate? When does appropriate recognition for donors or volunteers cross the line into facilitating preferential access to care? Ethical decision-making in health philanthropy considers appropriate recognition or partnership in donor relations in the context of the public good with which healthcare institutions are entrusted and the fiduciary responsibilities of hospitals and clinicians to patients...
November 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/29020522/teaching-learning-and-performance-in-the-surgical-workplace-insights-from-the-examination-of-intraoperative-interactions
#18
Gary Sutkin, Eliza Beth Littleton, Steven L Kanter, Anna T Cianciolo, Xiaodong Phoenix Chen, Alexandra Cope, Timothy Koschmann
This Conversations Starter article presents a selected research abstract from the 2017 Association of American Medical Colleges Central Region Group on Educational Affairs annual spring meeting. The abstract is paired with the integrative commentary of three experts who shared their thoughts stimulated by the study. These thoughts explore the value of examining intraoperative interactions among attending surgeons and residents for enhancing instructional scaffolding; entrustment decision making; and distinguishing teaching, learning, and performance in the workplace...
October 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28991844/criterion-based-assessment-in-a-norm-based-world-how-can-we-move-past-grades
#19
Anne G Pereira, Majka Woods, Andrew P J Olson, Suzanne van den Hoogenhof, Briar L Duffy, Robert Englander
In the United States, the medical education community has begun a shift from the Flexnerian time-based model to a competency-based medical education model. The graduate medical education (GME) community is substantially farther along in this transition than is the undergraduate medical education (UME) community.GME has largely adopted the use of competencies and their attendant milestones and increasingly is employing the framework of entrustable professional activities (EPAs) to assess trainee competence. The UME community faces several challenges to successfully navigating a similar transition...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28984863/tributes-for-animals-and-the-dedicated-people-entrusted-with-their-care-a-practical-how-to-guide
#20
Heather L Narver, Shelley Hoogstraten-Miller, Jan Linkenhoker, Robert H Weichbrod
No abstract text is available yet for this article.
October 6, 2017: Lab Animal
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