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https://www.readbyqxmd.com/read/28928184/how-novice-skilled-and-advanced-clinical-researchers-include-variables-in-a-case-report-form-for-clinical-research-a-qualitative-study
#1
Hongling Chu, Lin Zeng, Micheal D Fetters, Nan Li, Liyuan Tao, Yanyan Shi, Hua Zhang, Xiaoxiao Wang, Fengwei Li, Yiming Zhao
OBJECTIVES: Despite varying degrees in research training, most academic clinicians are expected to conduct clinical research. The objective of this research was to understand how clinical researchers of different skill levels include variables in a case report form for their clinical research. SETTING: The setting for this research was a major academic institution in Beijing, China. PARTICIPANTS: The target population was clinical researchers with three levels of experience, namely, limited clinical research experience, clinicians with rich clinical research experience and clinical research experts...
September 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28864265/effect-of-continuous-motion-parameter-feedback-on-laparoscopic-simulation-training-a-prospective-randomized-controlled-trial-on-skill-acquisition-and-retention
#2
Julian Frederik Buescher, Anne-Sophie Mehdorn, Philipp-Alexander Neumann, Felix Becker, Ann-Kathrin Eichelmann, Ulrich Pankratius, Ralf Bahde, Daniel Foell, Norbert Senninger, Emile Rijcken
OBJECTIVE: To investigate the effect of motion parameter feedback on laparoscopic basic skill acquisition and retention during a standardized box training curriculum. DESIGN: A Lap-X Hybrid laparoscopic simulator was designed to provide individual and continuous motion parameter feedback in a dry box trainer setting. In a prospective controlled trial, surgical novices were randomized into 2 groups (regular box group, n = 18, and Hybrid group, n = 18) to undergo an identical 5-day training program...
August 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28832460/impact-of-simulation-enhanced-pharmacology-education-in-prelicensure-nursing-education
#3
Jill Steiner Sanko, Mary Mckay
Student and novice nurses are susceptible to committing medication errors related to lack of experience. To address medication safety, a quasi-experimental design (N = 120) was used to test the effect of adding simulation to an undergraduate nursing pharmacology course on students' confidence and competence, medication adverse events, and observed medication administration practices. Students who received simulation-enhanced pharmacology demonstrated important improvements in medication administration safety...
September 2017: Nurse Educator
https://www.readbyqxmd.com/read/28831858/intuition-in-clinical-decision-making-differences-among-practicing-nurses
#4
Elizabeth M Miller, Pamela D Hill
PURPOSE: To examine the relationships and differences in the use of intuition among three categories of practicing nurses from various clinical units at a medical center in the Midwest. DESIGN: Descriptive, correlational, cross-sectional, prospective design. METHOD: Three categories of nurses were based on the clinical unit: medical/surgical nurses ( n = 42), step-down/progressive care nurses ( n = 32), and critical care nurses ( n = 24). Participants were e-mailed the Rew Intuitive Judgment Scale (RIJS) via their employee e-mail to measure intuition in clinical practice...
August 1, 2017: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/28803883/the-provision-of-emergency-contraception-in-kinshasa-s-private-sector-pharmacies-experiences-of-mystery-clients
#5
Julie H Hernandez, Muanda Fidèle Mbadu, Mélissa Garcia, Annie Glover
OBJECTIVES: Recent programmatic and research efforts on addressing gaps in health systems of low-income countries increasingly see task shifting, i.e. the provision of healthcare by non-medically trained personnel, as a possible solution to increase the availability of specific services and commodities. In Kinshasa, private-sector pharmacies are the primary and preferred provider of family planning (FP) methods, and thus constitute a potential resource for expanding access to specific contraceptives...
August 10, 2017: Contraception
https://www.readbyqxmd.com/read/28797723/left-ventricular-global-strain-analysis-by-two-dimensional-speckle-tracking-echocardiography-the-learning-curve
#6
Jonathan Chan, Kenji Shiino, Nchafatso G Obonyo, Joseph Hanna, Robert Chamberlain, Andrew Small, Isabel G Scalia, William Scalia, Akira Yamada, Christian R Hamilton-Craig, Gregory M Scalia, Jose Luis Zamorano
BACKGROUND: The application of left ventricular (LV) global strain by speckle-tracking is becoming more widespread, with the potential for incorporation into routine clinical echocardiography in selected patients. There are no guidelines or recommendations for the training requirements to achieve competency. The aim of this study was to determine the learning curve for global strain analysis and determine the number of studies that are required for independent reporting. METHODS: Three groups of novice observers (cardiology fellows, cardiac sonographers, medical students) received the same standardized training module prior to undertaking retrospective global strain analysis on 100 patients over a period of 3 months...
August 7, 2017: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/28792791/differences-in-outcomes-between-the-joybar-control-and-standard-wheelchair-joystick-control-on-two-maneuverability-tasks-a-pilot-study
#7
Emma M Smith, Danelle Fuller, Hina Mahmood, William C Miller
PURPOSE: To determine if older adult, novice wheelchair users who drive a power wheelchair with a JoyBar control complete maneuverability tasks in less time and with less error than those who drive a power wheelchair with a standard joystick control. MATERIALS AND METHODS: A parallel randomized controlled trial design conducted at a medical rehabilitation and research centre with ambulatory older adults aged 60 and above (n = 27). The intervention was the JoyBar alternative wheelchair control...
August 9, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28766028/a-hybrid-2d-3d-user-interface-for-radiological-diagnosis
#8
Veera Bhadra Harish Mandalika, Alexander I Chernoglazov, Mark Billinghurst, Christoph Bartneck, Michael A Hurrell, Niels de Ruiter, Anthony P H Butler, Philip H Butler
This paper presents a novel 2D/3D desktop virtual reality hybrid user interface for radiology that focuses on improving 3D manipulation required in some diagnostic tasks. An evaluation of our system revealed that our hybrid interface is more efficient for novice users and more accurate for both novice and experienced users when compared to traditional 2D only interfaces. This is a significant finding because it indicates, as the techniques mature, that hybrid interfaces can provide significant benefit to image evaluation...
August 1, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/28761721/preventing-running-related-injuries-using-evidence-based-online-advice-the-design-of-a-randomised-controlled-trial
#9
Tryntsje Fokkema, Robert-Jan de Vos, John M van Ochten, Jan An Verhaar, Irene S Davis, Patrick Je Bindels, Sita Ma Bierma-Zeinstra, Marienke van Middelkoop
INTRODUCTION: Running-related injuries (RRIs) are frequent and can lead to cessation of health promoting activities. Several risk factors for RRIs have been identified. However, no successful injury prevention programme has been developed so far. Therefore, the aim of the present study is to investigate the effect of an evidence-based online injury prevention programme on the number of RRIs. METHODS AND ANALYSIS: The INSPIRE trial is a randomised-controlled trial with a 3-month follow-up...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/28734971/robotic-assistance-confers-ambidexterity-to-laparoscopic-surgeons
#10
Souzana Choussein, Serene S Srouji, Leslie V Farland, Ashley Wietsma, Stacey A Missmer, Michael Hollis, Richard N Yu, Charles N Pozner, Antonio R Gargiulo
STUDY OBJECTIVE: To examine whether a robotic surgical platform can complement the fine motor skills of the non-dominant hand, compensating for the innate difference in dexterity between the surgeon's hands, thereby conferring virtual ambidexterity. DESIGN: Crossover intervention study. DESIGN CLASSIFICATION: Level II-1 evidence. SETTING: Centers for medical simulation of two tertiary care hospitals of Harvard Medical School...
July 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28719482/teaching-incision-and-drainage-perceived-educational-value-of-abscess-models
#11
Cynthia M Adams, Lise E Nigrovic, Gavin Hayes, Peter H Weinstock, Joshua Nagler
OBJECTIVES: Incision and drainage (I&D) of skin abscesses is an important procedural skill for pediatric emergency medicine providers. Practical skills training using simulation provides an opportunity to learn and gain confidence with this invasive procedure. Our objective was to assess the perceived educational value of 2 versions of an abscess model as part of an educational workshop for teaching I&D. METHODS: A combined didactic and practical skills workshop was developed for use at 2 national conferences...
July 17, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28716383/nonspecialist-raters-can-provide-reliable-assessments-of-procedural-skills
#12
Oria Mahmood, Julia Dagnæs, Sarah Bube, Malene Rohrsted, Lars Konge
BACKGROUND: Competency-based learning has become a crucial component in medical education. Despite the advantages of competency-based learning, there are still challenges that need to be addressed. Currently, the common perception is that specialist assessment is needed for evaluating procedural skills which is difficult owing to the limited availability of faculty time. The aim of this study was to explore the validity of assessments of video recorded procedures performed by nonspecialist raters...
July 14, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28704187/striving-for-better-medical-education-the-simulation-approach
#13
REVIEW
Boris E Sakakushev, Blagoi I Marinov, Penka P Stefanova, Stefan St Kostianev, Evangelos K Georgiou
Medical simulation is a rapidly expanding area within medical education due to advances in technology, significant reduction in training hours and increased procedural complexity. Simulation training aims to enhance patient safety through improved technical competency and eliminating human factors in a risk free environment. It is particularly applicable to a practical, procedure-orientated specialties. Simulation can be useful for novice trainees, experienced clinicians (e.g. for revalidation) and team building...
June 1, 2017: Folia Medica
https://www.readbyqxmd.com/read/28701200/assessing-colonoscopic-inspection-skill-using-a-virtual-withdrawal-simulation-a-preliminary-validation-of-performance-metrics
#14
Christine M Zupanc, Guy M Wallis, Andrew Hill, Robin Burgess-Limerick, Stephan Riek, Annaliese M Plooy, Mark S Horswill, Marcus O Watson, Hans de Visser, David Conlan, David G Hewett
BACKGROUND: The effectiveness of colonoscopy for diagnosing and preventing colon cancer is largely dependent on the ability of endoscopists to fully inspect the colonic mucosa, which they achieve primarily through skilled manipulation of the colonoscope during withdrawal. Performance assessment during live procedures is problematic. However, a virtual withdrawal simulation can help identify and parameterise actions linked to successful inspection, and offer standardised assessments for trainees...
July 12, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28692591/development-and-validation-of-a-modular-endoscopic-ear-surgery-skills-trainer
#15
Matthew M Dedmon, Brendan P O'Connell, Elliott D Kozin, Aaron K Remenschneider, Samuel R Barber, Daniel J Lee, Robert F Labadie, Alejandro Rivas
OBJECTIVE: Endoscopic ear surgery (EES) is an emerging technique requiring single-handed dissection with limited depth perception. Current options for EES simulation and training are limited. Herein, we introduce a versatile, low-cost surgical skills trainer that aims to improve the fine motor control necessary for EES. STUDY DESIGN: Prospective validation study. SETTING: Surgical simulation laboratory. PARTICIPANTS: Seven subjects ranging in experience from medical students ("Novices") to experienced ear surgeons ("Experts") participated in the validation study...
September 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28677051/development-of-a-reliable-simulation-based-test-for-diagnostic-abdominal-ultrasound-with-a-pass-fail-standard-usable-for-mastery-learning
#16
Mia L Østergaard, Kristina R Nielsen, Elisabeth Albrecht-Beste, Lars Konge, Michael B Nielsen
BACKGROUND: This study aimed to develop a test with validity evidence for abdominal diagnostic ultrasound with a pass/fail-standard to facilitate mastery learning. METHOD: The simulator had 150 real-life patient abdominal scans of which 15 cases with 44 findings were selected, representing level 1 from The European Federation of Societies for Ultrasound in Medicine and Biology. Four groups of experience levels were constructed: Novices (medical students), trainees (first-year radiology residents), intermediates (third- to fourth-year radiology residents) and advanced (physicians with ultrasound fellowship)...
July 4, 2017: European Radiology
https://www.readbyqxmd.com/read/28676200/cigar-box-arthroscopy-a-randomized-controlled-trial-validates-nonanatomic-simulation-training-of-novice-arthroscopy-skills
#17
Rory P Sandberg, Nathan C Sherman, L Daniel Latt, Jolene C Hardy
PURPOSE: The goal of this study was to validate the cigar box arthroscopy trainer (CBAT) as a training tool and then compare its effectiveness to didactic training and to another previously validated low-fidelity but anatomic model, the anatomic knee arthroscopy trainer (AKAT). METHODS: A nonanatomic knee arthroscopy training module was developed at our institution. Twenty-four medical students with no prior arthroscopic or laparoscopic experience were enrolled as subjects...
July 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28669460/boot-camps-preparing-for-residency
#18
REVIEW
David H Yeh, Kevin Fung, Sonya Malekzadeh
Simulation-based boot camps are growing in popularity and are effective in onboarding novice residents with new knowledge, skills, and behaviors. These intensive and immersive courses may be used to train residents and allied health professionals in specific procedures, teamwork, and management of rare clinical scenarios. A needs assessment of learners determines the course curriculum. Boot camps are designed to encourage active and hands-on participation with deliberate practice and immediate feedback. As surgical education shifts toward competency-based medical education, there may be an even greater role for simulation-based boot camps as a training and assessment tool...
June 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28667589/design-and-evaluation-of-safety-operation-vr-training-system-for-robotic-catheter-surgery
#19
Yu Wang, Shuxiang Guo, Yaxin Li, Takashi Tamiya, Yu Song
A number of remote robotic catheter systems have been developed to protect physicians from X-ray exposure in endovascular surgery. However, the teleoperation prevents the physicians sensing the force directly which may easily result in healthy vessels injured. To realize the safe operation, a tissue protection-based VR training system has been developed in this paper to prevent collateral damage by collision. The integrated VR simulator cannot only remind the novice possible collisions by visual signs, but also cooperate with the newly designed tissue protection mechanism to remit collision trauma beforehand...
June 30, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/28651976/observational-learning-during-simulation-based-training-in-arthroscopy-is-it-useful-to-novices
#20
Marie-Eve LeBel, John Haverstock, Sayra Cristancho, Lucia van Eimeren, Gavin Buckingham
OBJECTIVE: Observing experts constitutes an important and common learning experience for surgical residents before operating under direct guidance. However, studies suggest that exclusively observing experts may induce suboptimal motor learning, and watching errors from non-experts performing simple motor tasks may generate better performance. We investigated whether observational learning is transferrable to arthroscopy learning using virtual reality (VR) simulation. SETTING/DESIGN: In our surgical simulation laboratory, we compared students learning basic skills on a VR arthroscopy simulator after watching an expert video demonstration of VR arthroscopy tasks or a non-expert video demonstration of the same tasks to a Control group without video demonstration...
June 23, 2017: Journal of Surgical Education
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