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https://www.readbyqxmd.com/read/29663275/a-multiple-perspective-approach-for-the-assessment-and-learning-of-ultrasound-skills
#1
Martin Grønnebæk Tolsgaard
Ultrasound has become a core skill in many specialties. We evaluated the learning and assessment of ultrasound skills in Obstetrics-Gynaecology in a series of eight studies. In the clinical setting, we found that trainees as well as experienced clinicians struggle with technical aspects of performance such as image optimization. We examined how to improve these aspects of performance in the simulated setting by determining mastery learning levels and exploring learning curves for novices. We then examined how to improve the efficiency of training as well as transfer of learning through the use of dyad practice as compared with single practice...
April 16, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29622313/the-american-association-of-oral-and-maxillofacial-surgeons-simulation-program
#2
REVIEW
David W Todd, John J Schaefer
Patient safety in dental anesthesia has been called into question in recent years. Simulation training has been proposed and developed as one possibility for increasing preparedness and training in cases of adverse events in dental anesthesia. This article presents an overview of the challenges of patient safety in dental anesthesia and how to address them with simulation training. The American Association of Oral and Maxillofacial Surgeons simulation program is unique in its potential to become a standardized, validated competency course with objective grading criteria, mastery-based cooperative learning model, and low facilitator-to-participant ratio, leading to a practical delivery cost structure...
May 2018: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/29603003/validity-evidence-for-procedural-competency-in-virtual-reality-robotic-simulation-establishing-a-credible-pass-fail-standard-for-the-vaginal-cuff-closure-procedure
#3
Lisette Hvid Hovgaard, Steven Arild Wuyts Andersen, Lars Konge, Torur Dalsgaard, Christian Rifbjerg Larsen
BACKGROUND: The use of robotic surgery for minimally invasive procedures has increased considerably over the last decade. Robotic surgery has potential advantages compared to laparoscopic surgery but also requires new skills. Using virtual reality (VR) simulation to facilitate the acquisition of these new skills could potentially benefit training of robotic surgical skills and also be a crucial step in developing a robotic surgical training curriculum. The study's objective was to establish validity evidence for a simulation-based test for procedural competency for the vaginal cuff closure procedure that can be used in a future simulation-based, mastery learning training curriculum...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29587531/learning-curves-and-timing-of-surgical-trials-robotic-kidney-transplantation-with-regional-hypothermia
#4
Rajesh Ahlawat, Volkan Tugcu, Sohrab Arora, Philip Wong, Akshay Sood, Wooju Jeong, Mahendra Bhandari, Mani Menon
PURPOSE: Outcomes of surgical procedures can be affected by multiple factors including surgical skill and learning curve. These factors need to be considered for optimal timing of surgical trials. We used the learning curve cumulative summation (CUSUM) method to describe the case numbers associated with competency of a single surgeon learning the technique of robotic kidney transplantation (RKT). METHODS: Thirty-three patients underwent Vattikuti Urology Institute technique of RKT at a center which recently adopted this procedure (study group)...
March 27, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29573591/facilitation-of-an-end-of-life-care-programme-into-practice-within-uk-nursing-care-homes-a-mixed-methods-study
#5
Julie Kinley, Nancy Preston, Katherine Froggatt
BACKGROUND: The predicted demographic changes internationally have implications for the nature of care that older people receive and place of care as they age. Healthcare policy now promotes the implementation of end-of-life care interventions to improve care delivery within different settings. The Gold Standards Framework in Care Homes (GSFCH) programme is one end-of-life care initiative recommended by the English Department of Health. Only a small number of care homes that start the programme complete it, which raises questions about the implementation process...
February 24, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29567014/simulation-in-paediatric-urology-and-surgery-part-1-an-overview-of-educational-theory
#6
REVIEW
Ramesh M Nataraja, Nathalie Webb, Pedro-Jose Lopez
Surgical training has changed radically in the last few decades. The traditional Halstedian model of time-bound apprenticeship has been replaced with competency-based training. Advanced understanding of mastery learning principles has vastly altered educational methodology in surgical training, in terms of instructional design, delivery of educational content, assessment of learning, and programmatic evaluation. As part of this educational revolution, fundamentals of simulation-based education have been adopted into all levels and aspects of surgical training, requiring an understanding of concepts of fidelity and realism and the impact they have on learning...
March 1, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29558330/integrating-information-literacy-and-evidence-based-medicine-content-within-a-new-school-of-medicine-curriculum-process-and-outcome
#7
Joanne M Muellenbach, Kathryn M Houk, Dana E Thimons, Bredny Rodriguez
This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery curriculum...
April 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29543666/barriers-and-facilitators-to-central-venous-catheter-insertion-a-qualitative-study
#8
Kenzie A Cameron, Elaine R Cohen, Joelle R Hertz, Diane B Wayne, Debi Mitra, Jeffrey H Barsuk
OBJECTIVES: The aims of the study were to identify perceived barriers and facilitators to central venous catheter (CVC) insertion among healthcare providers and to understand the extent to which an existing Simulation-Based Mastery Learning (SBML) program may address barriers and leverage facilitators. METHODS: Providers participating in a CVC insertion SBML train-the-trainer program, in addition to intensive care unit nurse managers, were purposively sampled from Veterans Administration Medical Centers located in geographically diverse areas...
March 14, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29542375/client-perceptions-of-task-oriented-training-at-home-i-forgot-i-was-sick
#9
Veronica T Rowe, Marsha Neville
Task-oriented training is a contemporary intervention based on behavioral neuroscience and recent models of motor learning. It can logically be guided by the theory of occupational adaptation. This report presents the perceptions of four participants who underwent task-oriented training at home (TOTE Home) for upper extremity hemiparesis following a stroke. Guided by principles of motor learning and the theory of occupational adaptation, a directed content analysis was used with field notes recorded during the TOTE Home...
March 1, 2018: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/29534339/update-on-the-health-services-research-doctoral-core-competencies
#10
James F Burgess, Nir Menachemi, Matthew L Maciejewski
OBJECTIVE: To present revised core competencies for doctoral programs in health services research (HSR), modalities to deliver these competencies, and suggested methods for assessing mastery of these competencies. DATA SOURCES AND DATA COLLECTION: Core competencies were originally developed in 2005, updated (but unpublished) in 2008, modestly updated for a 2016 HSR workforce conference, and revised based on feedback from attendees. Additional feedback was obtained from doctoral program directors, employer/workforce experts and attendees of presentation on these competencies at the AcademyHealth's June 2017 Annual Research Meeting...
March 13, 2018: Health Services Research
https://www.readbyqxmd.com/read/29525440/learning-curve-for-the-management-of-tyrosine-kinase-inhibitors-as-the-first-line-of-treatment-for-patients-with-metastatic-renal-cancer
#11
G Lendínez-Cano, I Osman García, C B Congregado Ruiz, J M Conde Sánchez, R A Medina López
OBJECTIVES: To analyse the learning curve for the management of tyrosine kinase inhibitors as the first line of treatment for patients with metastatic renal cancer. MATERIAL AND METHODS: We evaluated 32 consecutive patients treated in our department for metastatic renal cancer with tyrosine kinase inhibitors (pazopanib or sunitinib) as first-line treatment between September 2012 and November 2015. We retrospectively analysed this sample. We measured the time to the withdrawal of the first-line treatment, the time to progression and overall survival using Kaplan-Meier curves...
March 7, 2018: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/29524775/achieving-competency-in-vaginal-examinations-the-challenge-of-balancing-student-learning-needs-with-best-practice-in-maternity-care
#12
Lee Roosevelt, Megan Diebel, Ruth E Zielinski
Assessment of labor progress through vaginal digital examination (VE) remains one of the most challenging skills for midwifery students. As VE during labor has become a less frequent occurrence there are less opportunities for student midwives to gain mastery of the skill. Best practices for teaching and evaluating VE involve a step-wise, multi modal approach. More research is needed on how to standardize teaching for this essential skill.
February 23, 2018: Midwifery
https://www.readbyqxmd.com/read/29517251/how-high-can-you-count-probing-the-limits-of-children-s-counting
#13
Tasha Posid, Sara Cordes
While much research has focused on understanding the process by which young children learn to count, little work has explored the effects of direct instruction on this process. In the current study, we explored the impacts of training children in an explicit counting procedure on two distinct cardinality tasks. Two- to 5-year-old children first participated in a Give-N task in which counting proficiency was assessed, and then participated in a short instruction session where explicit counting was modeled and encouraged...
March 8, 2018: Developmental Psychology
https://www.readbyqxmd.com/read/29497566/prioritization-in-medical-school-simulation-curriculum-development-using-survey-tools-and-desirability-function-a-pilot-experiment
#14
Pier Luigi Ingrassia, Ludovico Giovanni Barozza, Jeffrey Michael Franc
Background: In Italy, there is no framework of procedural skills that all medical students should be able to perform autonomously at graduation. The study aims at identifying (1) a set of essential procedural skills and (2) which abilities could be potentially taught with simulation. Desirability score was calculated for each procedure to determine the most effective manner to proceed with simulation curriculum development. Methods: A web poll was conducted at the School of Medicine in Novara, looking at the level of expected and self-perceived competency for common medical procedures...
2018: Advances in Simulation
https://www.readbyqxmd.com/read/29493363/the-roles-of-basic-psychological-needs-self-compassion-and-self-efficacy-in-the-development-of-mastery-goals-among-medical-students
#15
Oksana Babenko, Anna Oswald
AIM: Competency-based medical education aims to foster mastery goals in learners. We examined medical students' mastery approach (beneficial) and mastery avoidance (maladaptive) goals and their associations with students' basic psychological needs, self-compassion, and self-efficacy. METHODS: This was a cross-sectional study employing an online questionnaire. Two hundred medical students in all four years of the medical program completed the questionnaire, containing measures of mastery goals, basic psychological needs (autonomy, competence, relatedness), self-compassion, and self-efficacy...
March 1, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29485480/time-variable-training-in-medicine-theoretical-considerations
#16
Olle Ten Cate, Larry D Gruppen, Jennifer R Kogan, Lorelei A Lingard, Pim W Teunissen
The introduction of competency-based medical education has shifted thinking from a fixed-time model to one stressing attained competencies, independent of the time needed to arrive at those competencies. In this article, the authors explore theoretical and conceptual issues related to time variability in medical training, starting with the Carroll model from the 1960s that put time in the equation of learning. They discuss mastery learning, deliberate practice, and learning curves.While such behaviorist theories apply well to structured courses and highly structured training settings, learning in the clinical workplace is not well captured in such theories or in the model that Carroll proposed...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29465449/a-comparison-of-approaches-for-mastery-learning-standard-setting
#17
Jeffrey H Barsuk, Elaine R Cohen, Diane B Wayne, William C McGaghie, Rachel Yudkowsky
PURPOSE: Defensible minimum passing standards (MPSs) must be used to evaluate learner performance outcomes in health professions education. In this study, the authors compared the results of traditional Angoff and Hofstee standard-setting exercises with the Mastery Angoff and Patient-Safety approaches for central venous catheter (CVC) insertion skills examinations. The authors also evaluated how these standards affected evaluation of the historical performance of residents who participated in a simulation-based mastery learning (SBML) curriculum for CVC insertion skills...
February 20, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29453189/evaluating-the-care4carer-blended-care-intervention-for-partners-of-patients-with-acquired-brain-injury-protocol-for-a-randomized-controlled-trial
#18
Vincent Cm Cox, Vera Pm Schepers, Marjolijn Ketelaar, Caroline M van Heugten, Johanna Ma Visser-Meily
BACKGROUND: Support programs for partners of patients with acquired brain injury are necessary since these partners experience several unfavorable consequences of caregiving, such as a high burden, emotional distress, and poor quality of life. Evidence-based support strategies that can be included in these support programs are psychoeducation, skill building, problem solving, and improving feelings of mastery. A promising approach would seem to be to combine web-based support with face-to-face consultations, creating a blended care intervention...
February 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29451862/neonatal-resuscitation-experience-curves-simulation-based-mastery-learning-booster-sessions-and-skill-decay-patterns-among-pediatric-residents
#19
Heideh H Matterson, Demian Szyld, Brad R Green, Heather B Howell, Martin V Pusic, Pradeep V Mally, Sean M Bailey
BACKGROUND: Following neonatal resuscitation program (NRP) training, decay in clinical skills can occur. Simulation-based deliberate practice (SBDP) has been shown to maintain NRP skills to a variable extent. Our study objectives were (a) to determine whether a single 30 min simulation-based intervention that incorporates SBDP and mastery learning (ML) can effectively restore skills and prevent skill decay and (b) to compare different timing options. METHODS: Following NRP certification, pediatric residents were randomly assigned to receive a video-recorded baseline assessment plus SBDP-ML refresher education at between 6 and 9 months (early) or between 9 and 12 months (late)...
February 16, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29450688/capsule-commentary-on-robinson-et-al-a-randomized-trial-on-the-efficacy-of-mastery-learning-on-primary-care-providers-melanoma-opportunistic-screening-skills-and-practice
#20
Ambarish M Athavale
No abstract text is available yet for this article.
February 15, 2018: Journal of General Internal Medicine
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