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https://www.readbyqxmd.com/read/28317582/robotic-right-hemicolectomy-analysis-of-108-consecutive-procedures-and-multidimensional-assessment-of-the-learning-curve
#1
Amilcare Parisi, Luca Scrucca, Jacopo Desiderio, Alessandro Gemini, Salvatore Guarino, Francesco Ricci, Roberto Cirocchi, Giorgio Palazzini, Vito D'Andrea, Liliana Minelli, Stefano Trastulli
PURPOSE: Surgeons tend to view the robotic right colectomy (RRC) as an ideal beginning procedure to gain proficiency in robotic general and colorectal surgery. Nevertheless, oncological RRC, especially if performed with intracorporeal ileocolic anastomosis confectioning, cannot be considered a technically easier procedure. The aim of this study was to assess the learning curve of the RRC performed for oncological purposes and to evaluate its safety and efficacy investigating the perioperative and pathology outcomes in the different learning phases...
March 2017: Surgical Oncology
https://www.readbyqxmd.com/read/28304000/outcome-based-approach-to-medical-education-towards-academic-programmes-accreditation-a-review-article
#2
Abdelmarouf H Mohieldein
The rapid change worldwide, as a consequence of advances in science and technology, necessitates the graduation of well-qualified graduates who have the appropriate knowledge and skills to fulfill specific work requirements. Hence, redesigning academic models by focusing on educational outcomes became the target and priority for universities around the world. In this systematic review we collected and retrieved literature using a selection of electronic databases. The objectives of this report is to: 1) provide an overview of the evolution of outcome-based education (OBE), (2) illustrate the philosophy and principle of OBE, (3) list the OBE advantages and benefits, (4) describe the assessment strategies used in OBE, and (5) discuss the role of teachers and students as key elements...
March 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28284205/usage-of-3d-models-of-tetralogy-of-fallot-for-medical-education-impact-on-learning-congenital-heart-disease
#3
Yue-Hin Loke, Ashraf S Harahsheh, Axel Krieger, Laura J Olivieri
BACKGROUND: Congenital heart disease (CHD) is the most common human birth defect, and clinicians need to understand the anatomy to effectively care for patients with CHD. However, standard two-dimensional (2D) display methods do not adequately carry the critical spatial information to reflect CHD anatomy. Three-dimensional (3D) models may be useful in improving the understanding of CHD, without requiring a mastery of cardiac imaging. The study aimed to evaluate the impact of 3D models on how pediatric residents understand and learn about tetralogy of Fallot following a teaching session...
March 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28276577/former-patients-experiences-of-recovery-from-self-harm-as-an-individual-prolonged-learning-process-a-phenomenological-hermeneutical-study
#4
Randi Tofthagen, Anne Grethe Talseth, Lisbeth Maria Fagerstøm
AIM: To explore, describe and understand former patients' experiences of recovery from self-harm. BACKGROUND: Previous research shows that a person's development towards a more secure self-image, mastery of their emotions, an understanding of what triggers self-harm and mastery of new ways to cope with problems are central to recovery. Recovery from self-harm is still a relatively new field of research. DESIGN: A phenomenological hermeneutical approach...
March 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28264551/digital-lectures-for-learning-gross-anatomy-a-study-of-their-efficacy
#5
Anudeep Singh, Aung Ko Ko Min
PURPOSE: The current study investigates the level of students' learning and attitudes towards the teaching and learning process when using digital lectures to teach gross anatomy to year 1 medical students. METHODS: The study sampled year 1 medical students of cohorts 2013 and 2014. The year 1 medical students in 2013 were taught gross anatomy of the heart by didactic classroom lectures while those in 2014 were taught with digital lectures using the same content...
March 2017: Korean Journal of Medical Education
https://www.readbyqxmd.com/read/28238974/why-american-sign-language-gloss-must-matter
#6
Samuel J Supalla, Jody H Cripps, Andrew P Byrne
Responding to an article by Grushkin on how deaf children best learn to read, published, along with the present article, in an American Annals of the Deaf special issue, the authors review American Sign Language gloss. Topics include how ASL gloss enables deaf children to learn to read in their own language and simultaneously experience a transition to written English, and what gloss looks like and how it underlines deaf children's learning and mastery of English literacy through ASL. Rebuttal of Grushkin's argument includes data describing a deaf child's engagement in reading aloud (entirely in ASL) with a gloss text, which occurred without the breakdown implied by Grushkin...
2017: American Annals of the Deaf
https://www.readbyqxmd.com/read/28236015/impact-of-continuous-training-through-distributed-practice-for-acquisition-of-minimally-invasive-surgical-skills
#7
Bruce Negrello Nakata, Worens Cavalini, Eduardo A Bonin, Paolo R Salvalaggio, Marcelo P Loureiro
BACKGROUND: Minimally invasive surgery (MIS) requires the mastery of manual skills and a specific training is required. Apart from residencies and fellowships in MIS, other learning opportunities utilize massive training, mainly with use of simulators in short courses. A long-term postgraduate course represents an opportunity to learn through training using distributed practice. OBJECTIVE: The objective of this study is to assess the use of distributed practice for acquisition of basic minimally invasive skills in surgeons who participated in a long-term MIS postgraduate course...
February 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28230663/mastery-in-bariatric-surgery-the-long-term-surgeon-learning-curve-of-roux-en-y-gastric-bypass
#8
Aristithes G Doumouras, Fady Saleh, Sama Anvari, Scott Gmora, Mehran Anvari, Dennis Hong
OBJECTIVE: To determine the effect of cumulative volume on all-cause morbidity and operative time. BACKGROUND: Gastric bypass is an important public health procedure, but it is difficult to master with little data about how surgeon cumulative volume affects outcomes longitudinally. METHODS: This was a longitudinal study of 29 surgeons during the first 6 years of performing bariatric surgery in a high-volume, regionalized center of excellence system...
February 22, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28218554/the-scandcleft-randomised-trials-of-primary-surgery-for-unilateral-cleft-lip-and-palate-11-what-next
#9
William Shaw, Gunvor Semb
BACKGROUND AND AIMS: Longstanding uncertainty surrounds the selection of surgical protocols for unilateral cleft lip and palate (UCLP), and randomised trials have only occasionally been performed. The Scandcleft Project consists of three trials initiated in 1997. The results at age 5 have been published in the series of reports that precede this manuscript, which aims to distill some of the issues that future trialists may need to address. METHOD: The shared experience of this group of trials is reviewed with reference to the current literature on trial management and, more specifically, trials of surgical technique and timing...
February 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28211048/the-assessment-of-knowledge-and-learning-in-competence-spaces-the-gain-loss-model-for-dependent-skills
#10
Pasquale Anselmi, Luca Stefanutti, Debora de Chiusole, Egidio Robusto
The gain-loss model (GaLoM) is a formal model for assessing knowledge and learning. In its original formulation, the GaLoM assumes independence among the skills. Such an assumption is not reasonable in several domains, in which some preliminary knowledge is the foundation for other knowledge. This paper presents an extension of the GaLoM to the case in which the skills are not independent, and the dependence relation among them is described by a well-graded competence space. The probability of mastering skill s at the pretest is conditional on the presence of all skills on which s depends...
February 17, 2017: British Journal of Mathematical and Statistical Psychology
https://www.readbyqxmd.com/read/28205108/water-assisted-colonoscopy
#11
REVIEW
Sergio Cadoni, Felix W Leung
The current review will attempt to describe the important lessons learned from published randomized controlled trials (RCT) comparing water immersion (WI) or water exchange (WE) techniques with gas insufflation colonoscopy. Air insufflation (AI) to distend the colon to permit visualization and passage through the lumen was developed for diagnostic colonoscopy. When screening colonoscopy was adopted, the same AI method was used. Interval cancers, diagnosed within 3 to 5 years after an index screening colonoscopy, appeared to be linked to low adenoma detection rate (ADR)...
March 2017: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/28199052/the-flipped-classroom-approach-stimulating-positive-learning-attitudes-and-improving-mastery-of-histology-among-medical-students
#12
Xin Cheng, Kenneth Ka Ho Lee, Eric Y Chang, Xuesong Yang
Traditional medical education methodologies have been dramatically impacted by the introduction of new teaching approaches over the past few decades. In particular, the "flipped classroom" format has drawn a great deal of attention. However, evidence regarding the effectiveness of the flipped model remains limited due to a lack of outcome-based studies. In the present study, a pilot histology curriculum of the organ systems was implemented among 24 Traditional Chinese Medicine (TCM) students in a flipped classroom format at Jinan University...
November 4, 2016: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28190914/neuroanatomy-of-handwriting-and-related-reading-and-writing-skills-in-adults-and-children-with-and-without-learning-disabilities-french-american-connections
#13
Marieke Longcamp, Todd L Richards, Jean-Luc Velay, Virginia W Berninger
In this article, we present recent neuroimaging studies performed to identify the neural network involved in handwriting. These studies, carried out in adults and in children, suggest that the mastery of handwriting is based on the involvement of a network of brain structures whose involvement and inter-connection are specific to writing alphabet characters. This network is built upon the joint learning of writing and reading and depends on the level of expertise of the writer. In addition, a part of this graphomotor network is also brought into play during the identification letters during visual reading...
December 2016: Pratiques
https://www.readbyqxmd.com/read/28190709/training-in-minimally-invasive-pancreatic-resections-a-paradigm-shift-away-from-see-one-do-one-teach-one
#14
Melissa E Hogg, Marc G Besselink, Pierre-Alain Clavien, Abe Fingerhut, D Rohan Jeyarajah, David A Kooby, A James Moser, Henry A Pitt, Oliver A Varban, Charles M Vollmer, Herbert J Zeh, Paul Hansen
BACKGROUND: Increased incorporation of minimally invasive pancreatic resections (MIPR) has emerged into hepato-pancreato-biliary practice, however, no standardization exists for its safe adoption. Novel strategies are presented for dissemination of safe MIPR. METHODS: An international State-of-the-Art conference evaluating multiple aspects of MIPR was conducted by a panel of pancreas experts in Sao Paulo, Brazil on April 20, 2016. Training and education issues were discussed regarding the introduction of novel strategies for safe dissemination of MIPR...
February 9, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/28185812/assessment-of-nutrition-competency-of-graduating-agriculture-students-in-ethiopia-a%C3%A2-cross-sectional-study
#15
Mesfin G Abebe, Mebit K Tariku, Tadele B Yitaferu, Ephrem D Shiferaw, Firew A Desta, Endris M Yimer, Kefyalew M Akassa, Elizabeth C Thompson
OBJECTIVE: To assess the level of nutrition-sensitive agriculture competencies of graduating midlevel animal and plant sciences students in Ethiopia and identify factors associated with the attainment of competencies. DESIGN: A cross-sectional study design using structured skills observation checklists, objective written questions, and structured questionnaires was employed. SETTING: Two agriculture technical vocational education and training colleges in the 2 regions of Ethiopia...
February 6, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/28183417/simulation-mastery-learning-and-healthcare
#16
William Dunn, Yue Dong, Benjamin Zendejas, Raaj Ruparel, David Farley
Healthcare organizations, becoming increasingly complex, need to use simulation techniques as a tool to provide consistently safe care. Mastery learning techniques minimize variation in learner outcome, thus improving the consistency and cost-effectiveness of care. Today׳s organizations (and their teams of decision makers) exist within varying states of transformation. These transformational times afford opportunities to use mastery learning concepts at an organizational level and to affect necessary change(s)...
February 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28180130/empowering-education-a-new-model-for-in-service-training-of-nursing-staff
#17
Mahmud Chaghari, Mohsen Saffari, Abbas Ebadi, Ahmad Ameryoun
INTRODUCTION: In-service training of nurses plays an indispensable role in improving the quality of inpatient care. Need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. This study attempted to design a new optimal model for in-service training of nurses. METHODS: This qualitative study was conducted in two stages during 2015-2016. In the first stage, the Grounded Theory was adopted to explore the process of training 35 participating nurses...
January 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28179175/-to-operate-versus-not-to-operate-in-low-resource-settings-an-example-of-aneurysm-surgery-in-rural-iran-and-the-impact-of-mastery-of-neurosurgical-anatomy
#18
Dylan Griswold, Arnau Benet, Halima Tabani, Michael T Lawton, Ali Tayebi Meybodi
Subarachnoid hemorrhage (SAH) has a global incidence of 9/100,000. In low-resource settings, where neurosurgical capacity is diminished through fewer human and technological resources, neurosurgeons may not be prepared to operate on aneurysmal SAH. Through a case illustration of an Iranian neurosurgeon faced with a decision to operate on a patient presenting with aneurysmal SAH in a low-resource setting, we highlight the importance of mastery of neurosurgical anatomy, which was critical in achieving a favorable patient outcome...
February 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28178641/does-team-based-learning-improve-performance-in-an-infectious-diseases-course-in-a-preclinical-curriculum
#19
Kathryn C Behling, Rose Kim, Matthew Gentile, Osvaldo Lopez
Objectives: To examine whether introduction of Team-based Learning (TBL) improves student learning resulting in improved performance on final examination questions and decreased failures in an infectious diseases course. Methods: To improve mastery of course content, we designed an intervention, which provided weekly TBL exercises in study years 2 and 3 to review concepts presented during didactic lectures and laboratory exercises.  The remaining course structure and content was essentially unchanged...
February 8, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28118085/the-role-of-simulation-in-surgical-education
#20
Ben Schwab, Eric Hungness, Katherine Ann Barsness, William Craig McGaghie
The current healthcare environment demands optimization of patient outcomes in addition to maximal cost efficiency. Restrictions on resident work hours have placed limitations on the amount of time that trainee physicians can spend on patient care. For the surgery resident, the consequence is less time spent in the operating room under the supervision of a senior surgeon, the cornerstone of Halsted's approach to resident surgeon education. The use of simulation in graduate medical education has gained significant traction as a way to provide trainees with exposure to various techniques and procedures before use on the general patient population...
January 24, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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