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https://www.readbyqxmd.com/read/27918336/resident-physicians-improve-nontechnical-skills-when-on-operating-room-management-and-leadership-rotation
#1
Devon C Cole, Christopher R Giordano, Terrie Vasilopoulos, Brenda G Fahy
BACKGROUND: Anesthesiology residency primarily emphasizes the development of medical knowledge and technical skills. Yet, nontechnical skills (NTS) are also vital to successful clinical practice. Elements of NTS are communication, teamwork, situational awareness, and decision making. METHODS: The first 10 consecutive senior residents who chose to participate in this 2-week elective rotation of operating room (OR) management and leadership training were enrolled in this study, which spanned from March 2013 to March 2015...
December 1, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27917376/evaluation-of-an-intervention-to-improve-essential-obstetric-and-newborn-care-access-and-quality-in-cotopaxi-ecuador
#2
Edward Broughton, Jorge Hermida, Kathleen Hill, Nancy Sloan, Mario Chavez, Daniel Gonzalez, Juana Maria Freire, Ximena Gudino
BACKGROUND: Despite improvements in health-care utilization, disadvantages persist among rural, less educated, and indigenous populations in Ecuador. The United States Agency for International Development-funded Cotopaxi Project created a provincial-level network of health services, including community agents to improve access, quality, and coordination of essential obstetric and newborn care. We evaluated changes in participating facilities compared to non-participating controls. METHODS: The 21 poorest parishes (third-level administrative unit) in Cotopaxi were targeted from 2010 to 2013 for a collaborative health system performance improvement...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27863530/performances-of-low-level-hospital-health-caregivers-after-a-neonatal-resuscitation-course
#3
Giuseppe De Bernardo, Desirée Sordino, Francesco Cavallin, Veronica Mardegan, Nicoletta Doglioni, Maria Luisa Tataranno, Daniele Trevisanuto
BACKGROUND: High fidelity simulation has been executed to allow the evaluation of technical and non-technical skills of health caregivers. Our objective was to assess technical and non-technical performances of low level hospitals health caregivers who attended a Neonatal Resuscitation course using high fidelity simulation in a standard-setting scenario. METHODS: Twenty-three volunteers were asked to manage a simple scenario (infant with secondary apnea) after the course...
November 18, 2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/27862175/epistemology-culture-justice-and-power-non-bioscientific-knowledge-for-medical-training
#4
Ayelet Kuper, Paula Veinot, Jennifer Leavitt, Sarah Levitt, Amanda Li, Jeannette Goguen, Martin Schreiber, Lisa Richardson, Cynthia R Whitehead
CONTEXT: While medical curricula were traditionally almost entirely comprised of bioscientific knowledge, widely accepted competency frameworks now make clear that physicians must be competent in far more than biomedical knowledge and technical skills. For example, of the influential CanMEDS roles, six are conceptually based in the social sciences and humanities (SSH). Educators frequently express uncertainty about what to teach in this area. This study concretely identifies the knowledge beyond bioscience needed to support the training of physicians competent in the six non-Medical Expert CanMEDS roles...
November 15, 2016: Medical Education
https://www.readbyqxmd.com/read/27860194/description-and-student-self-evaluation-of-a-pilot-small-group-learning-and-integrated-simulation-program-for-medical-students-in-the-first-clinical-year
#5
M R Levinson, D Kelly, K Zahariou, M Johnson, C Jackman, Sara Mackenzie
INTRODUCTION: Contemporary education for medical students should be student centered, integrated and contextualized. Small group learning promotes clinical reasoning and skills for lifelong learning. Simulation can provide experiential learning in a safe and controlled environment. We developed a weekly integrated problem based learning and simulation program (IPS) over two semesters in the first clinical year to augment clinical placement experience and contextualize theory into work relevant practice...
November 17, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27849424/learning-by-viewing-versus-learning-by-doing-a-comparative-study-of-observer-and-participant-experiences-during-an-interprofessional-simulation-training
#6
Marit Hegg Reime, Tone Johnsgaard, Fred Ivan Kvam, Morten Aarflot, Janecke Merethe Engeberg, Marit Breivik, Guttorm Brattebø
Larger student groups and pressure on limited faculty time have raised the question of the learning value of merely observing simulation training in emergency medicine, instead of active team participation. The purpose of this study was to examine observers and hands-on participants' self-reported learning outcomes during simulation-based interprofessional team training regarding non-technical skills. In addition, we compared the learning outcomes for different professions and investigated team performance relative to the number of simulations in which they participated...
November 16, 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27804116/the-impact-of-critical-event-checklists-on-medical-management-and-teamwork-during-simulated-crises-in-a-surgical-daycare-facility
#7
T C Everett, P J Morgan, R Brydges, M Kurrek, D Tregunno, L Cunningham, A Chan, D Forde, J Tarshis
Although the incidence of major adverse events in surgical daycare centres is low, these critical events may not be managed optimally due to the absence of resources that exist in larger hospitals. We aimed to study the impact of operating theatre critical event checklists on medical management and teamwork during whole-team operating theatre crisis simulations staged in a surgical daycare facility. We studied 56 simulation encounters (without and with a checklist available) divided between an initial session and then a retention session several months later...
November 2, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27803631/assessment-of-technical-skills-in-young-soccer-goalkeepers-reliability-and-validity-of-two-goalkeeper-specific-tests
#8
Ricardo Rebelo-Gonçalves, António J Figueiredo, Manuel J Coelho-E-Silva, Antonio Tessitore
The purpose of this study was to evaluate the reproducibility and validity of two new tests designed to examine goalkeeper-specific technique. Twenty-six goalkeepers (14.49 ± 2.52 years old) completed two trial sessions, each separated by one week, to evaluate the reproducibility of the Sprint-Keeper Test (S-Keeper) and the Lateral Shuffle-Keeper Test (LS-Keeper). Construct validity was assessed among forty goalkeepers (14.49 ± 1.71 years old) by competitive level (elite versus non-elite), after controlling for chronological age...
September 2016: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/27769018/simulated-settings-powerful-arenas-for-learning-patient-safety-practices-and-facilitating-transference-to-clinical-practice-a-mixed-method-study
#9
Marit Hegg Reime, Tone Johnsgaard, Fred Ivan Kvam, Morten Aarflot, Marit Breivik, Janecke Merethe Engeberg, Guttorm Brattebø
Poor teamwork is an important factor in the occurrence of critical incidents because of a lack of non-technical skills. Team training can be a key to prevent these incidents. The purpose of this study was to explore the experience of nursing and medical students after a simulation-based interprofessional team training (SBITT) course and its impact on professional and patient safety practices, using a concurrent mixed-method design. The participants (n = 262) were organized into 44 interprofessional teams...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27754613/otolaryngology-residency-education-a-scoping-review-on-the-shift-towards-competency-based-medical-education
#10
N Wagner, C Fahim, K Dunn, D Reid, R R Sonnadara
BACKGROUND: Residency training programmes worldwide are experiencing a shift from the traditional time-based curriculum to competency-based medical education (CBME), due to changes in the healthcare system that have impacted clinical learning opportunities. Otolaryngology-Head and Neck Surgery (OTL-HNS) programmes are one of the first North American surgical specialties to adopt the new CBME curriculum. OBJECTIVE OF REVIEW: The purpose of this scoping review is to examine the literature pertaining to CBME in OTL-HNS programmes worldwide, to identify the tools that have been developed and identify potential barriers to the implementation of CBME...
October 18, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27754541/kognitiva-och-sociala-f%C3%A3-rdigheter-n%C3%A3-dv%C3%A3-ndiga-f%C3%A3-r-s%C3%A3-kert-teamarbete
#11
Karin Pukk Härenstam, Drew Gaffney
Most safety-critical enterprises have programs for teaching and training non-technical skills to their employees. These skills must complement pure technical skills. Programs for teaching and introducing these skills (communication, leadership, teamwork, decision-making, handling of conflicts and feed-back) are developing also in health-care. It is important that non-technical skills in combination with technical skills are seen as the foundation when developing new and safer ways to do the daily work with patients...
October 17, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27753648/setting-performance-standards-for-technical-and-nontechnical-competence-in-general-surgery
#12
Peter Szasz, Esther M Bonrath, Marisa Louridas, Andras B Fecso, Brett Howe, Adam Fehr, Michael Ott, Lloyd A Mack, Kenneth A Harris, Teodor P Grantcharov
OBJECTIVES: The objectives of this study were to (1) create a technical and nontechnical performance standard for the laparoscopic cholecystectomy, (2) assess the classification accuracy and (3) credibility of these standards, (4) determine a trainees' ability to meet both standards concurrently, and (5) delineate factors that predict standard acquisition. BACKGROUND: Scores on performance assessments are difficult to interpret in the absence of established standards...
July 28, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27753575/measuring-intangibles-defining-predictors-of-non-technical-skills-in-critical-care-air-transport-team-trainees
#13
Peter L Jernigan, Matthew C Wallace, Christine S Novak, Travis W Gerlach, Dennis J Hanseman, Timothy A Pritts, Bradley R Davis
BACKGROUND: Critical Care Air Transport Teams (CCATTs) are integral to the U.S. Air Force aeromedical evacuation paradigm. The current study was conducted to evaluate predictors of nontechnical skills (NOTECHS) in CCATT trainees. METHODS: Sixteen CCATTs were studied over a 6-month period. Team members completed a biographical survey and teams were videotaped during a simulated CCATT mission. Teams and individuals were assigned a "red flag score" using a validated assessment tool for NOTECHS...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27741069/implementation-of-a-2-day-simulation-based-course-to-prepare-medical-graduates-on-their-first-year-of-residency
#14
Isabelle Bragard, Marie-Christine Seghaye, Nesrine Farhat, Marie Solowianiuk, Mariane Saliba, Anne-Marie Etienne, Katharina Schumacher
OBJECTIVES: Residents beginning their specialization in pediatrics and emergency medicine (EM) are rapidly involved in oncall duties. Early acquisition of crisis resource management by novice residents is essential for patient safety, but traditional training may be insufficient. Our aim was to investigate the impact of a 2-day simulation-based course on residents to manage pediatric and neonatal patients. METHODS: First year residents participated in the course...
October 6, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27730252/the-effect-of-video-assisted-oral-feedback-versus-oral-feedback-on-surgical-communicative-competences-in-undergraduate-training
#15
M Ruesseler, J Sterz, B Bender, S Hoefer, F Walcher
PURPOSE: Feedback can significantly improve future performance. Reviewing one's performance by video is discussed as useful adjunct to debriefing, particularly for non-technical skills. Communicative competencies are an essential part of daily clinical practice; thus should be taught and assessed during undergraduate training. The aim of this study was to compare the educational value of video-assisted feedback versus oral feedback in communicative competencies in the surgical context...
October 11, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27726906/the-factors-that-influence-junior-doctors-capacity-to-recognise-respond-and-manage-patient-deterioration-in-an-acute-ward-setting-an-integrative-review
#16
Adele Callaghan, Leigh Kinsman, Simon Cooper, Natalie Radomski
OBJECTIVES: Junior doctors are frequently the first doctor to be called by a nurse to review patients whose clinical status has declined in hospital wards, yet little is known about how well prepared they are to deal with this situation. This paper aims to identify the factors that influence junior doctors' early recognition and management of patient deterioration in an acute ward settings. METHOD: Integrative review methodology was used to allow for the inclusion of broad research designs, summarising current knowledge from existing research and identify gaps in the literature...
October 7, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/27720994/non-invasive-epicutaneous-vaccine-against-respiratory-syncytial-virus-preclinical-proof-of-concept
#17
Pierre-Louis Hervé, Delphyne Descamps, Charlotte Deloizy, Véronique Dhelft, Daphné Laubreton, Edwige Bouguyon, Abdelhak Boukadiri, Catherine Dubuquoy, Thibaut Larcher, Pierre-Henri Benhamou, Jean-François Eléouët, Nicolas Bertho, Lucie Mondoulet, Sabine Riffault
To put a Respiratory Syncytial Virus (RSV) vaccine onto the market, new vaccination strategies combining scientific and technical innovations need to be explored. Such a vaccine would also need to be adapted to the vaccination of young children that are the principal victims of acute RSV infection. In the present project, we describe the development and the preclinical evaluation of an original epicutaneous RSV vaccine that combines two technologies: Viaskin® epicutaneous patches as a delivery platform and RSV N-nanorings (N) as a subunit antigen...
October 6, 2016: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/27713988/magnetic-adhesive-based-valves-for-microfluidic-devices-used-in-low-resource-settings
#18
Jason C Harper, Jenna M Andrews, Candice Ben, Andrew C Hunt, Jaclyn K Murton, Bryan D Carson, George D Bachand, Julie A Lovchik, William D Arndt, Melissa R Finley, Thayne L Edwards
Since the introduction of micro total analytical systems (μTASs), significant advances have been made toward development of lab-on-a-chip platforms capable of performing complex biological assays that can revolutionize public health, among other applications. However, use of these platforms in low-resource environments (e.g. developing countries) has yet to be realized as the majority of technologies used to control microfluidic flow rely on off-device hardware with non-negligible size, cost, power requirements and skill/training to operate...
October 18, 2016: Lab on a Chip
https://www.readbyqxmd.com/read/27700477/building-a-learning-health-system-using-clinical-registers-a-non-technical-introduction
#19
John Ovretveit, Eugene Nelson, Brent James
Purpose The purpose of this paper is to describe how clinical registers were designed and used to serve multiple purposes in three health systems, in order to contribute practical experience for building learning healthcare systems. Design/methodology/approach Case description and comparison of the development and use of clinical registries, drawing on participants' experience and published and unpublished research. Findings Clinical registers and new software systems enable fact-based decisions by patients, clinicians, and managers about better care, as well as new and more economical research...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27689600/important-skills-for-biomedical-services-the-perspectives-of-malaysian-employers-and-employees
#20
Yahya Buntat, Muhammad Sukri Saud, Mahani Mokhtar, Yusri Kamin, Lim Set Feh
BACKGROUND: Increase in the occurrence of existing diseases, continual emergence of new or exotic diseases and re-emergence of old diseases have placed increasing demands on biomedical services in Malaysia. Biomedical technicians play an important role in operating biomedical instruments. However, there are no clear specifications about characteristics and traits for these semi-professional employees. Employers in a few studies claimed that biomedical graduates are not ready to enter and face challenges in the job market...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
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