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https://www.readbyqxmd.com/read/29147876/objective-differences-in-colonoscopy-technique-between-trainee-and-expert-endoscopists-using-the-colonoscopy-force-monitor
#1
Alexander R Ende, Piet De Groen, Bryan L Balmadrid, Joo Ha Hwang, John Inadomi, Tomasz Wojtera, Vladimir Egorov, Noune Sarvazyan, Louis Korman
BACKGROUND: Learning to perform colonoscopy safely and effectively is central to gastroenterology fellowship programs. The application of force to the colonoscope is an important part of colonoscopy technique. AIMS: We compared force application during colonoscopy between novice and expert endoscopists using a novel device to determine differences in colonoscopy technique. METHODS: This is an observational cohort study designed to compare force application during colonoscopy between novice and experienced trainees, made up of gastroenterology fellows from two training programs, and expert endoscopists from both academic and private practice settings...
November 17, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29141073/forces-of-tool-tissue-interaction-to-assess-surgical-skill-level
#2
Taku Sugiyama, Sanju Lama, Liu Shi Gan, Yaser Maddahi, Kourosh Zareinia, Garnette R Sutherland
Importance: The application of optimal forces between surgical instruments and tissue is fundamental to surgical performance and learning. To date, this force has not been measured clinically during the performance of microsurgery. Objectives: To establish a normative catalog of force profiles during the performance of surgery, to compare force variables among surgeons with different skill levels, and to evaluate whether such a force-based metric determines or differentiates skill level...
November 15, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29141046/the-effect-of-observing-novice-and-expert-performance-on-acquisition-of-surgical-skills-on-a-robotic-platform
#3
David J Harris, Samuel J Vine, Mark R Wilson, John S McGrath, Marie-Eve LeBel, Gavin Buckingham
BACKGROUND: Observational learning plays an important role in surgical skills training, following the traditional model of learning from expertise. Recent findings have, however, highlighted the benefit of observing not only expert performance but also error-strewn performance. The aim of this study was to determine which model (novice vs. expert) would lead to the greatest benefits when learning robotically assisted surgical skills. METHODS: 120 medical students with no prior experience of robotically-assisted surgery completed a ring-carrying training task on three occasions; baseline, post-intervention and at one-week follow-up...
2017: PloS One
https://www.readbyqxmd.com/read/29130491/teaching-learning-tips-2-cognitive-load-theory
#4
Jasmine Rana, Susan Burgin
Challenge: Dermatology trainees include medical students, residents, and fellows. Variability in level of experience and background knowledge can make clinical teaching challenging. Research also shows novices have different ways of thinking than experts, which must be acknowledged in the preceptor-trainee interaction for optimal teaching and learning to occur. Herein we explore how "cognitive load" varies with learner level and how reducing cognitive load can enhance learning, especially for novice learners...
December 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/29117091/the-application-of-observational-practice-and-educational-networking-in-simulation-based-and-distributed-medical-education-contexts
#5
Arthur Welsher, David Rojas, Zain Khan, Laura VanderBeek, Bill Kapralos, Lawrence E M Grierson
INTRODUCTION: Research has revealed that individuals can improve technical skill performance by viewing demonstrations modeled by either expert or novice performers. These findings support the development of video-based observational practice communities that augment simulation-based skill education and connect geographically distributed learners. This study explores the experimental replicability of the observational learning effect when demonstrations are sampled from a community of distributed learners and serves as a context for understanding learner experiences within this type of training protocol...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29117089/simulation-in-interprofessional-clinical-education-exploring-validated-nontechnical-skills-measurement-tools
#6
Carl Eugene Alexander von Wendt, Leila Niemi-Murola
The research literature regarding interprofessional simulation-based medical education has grown substantially and continues to explore new aspects of this educational modality. The aim of this study was to explore the validation evidence of tools used to assess teamwork and nontechnical skills in interprofessional simulation-based clinical education. This systematic review included original studies that assessed participants' teamwork and nontechnical skills, using a measurement tool, in an interprofessional simulated setting...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29084322/inappropriate-use-of-homeostasis-model-assessment-cutoff-values-for-diagnosing-insulin-resistance-in-pediatric-studies
#7
Carrie Fox, Lourdes Bernardino, Jill Cochran, Mary Essig, Kristie Grove Bridges
Background: Assessing pediatric patients for insulin resistance is one way to identify those who are at a high risk of developing type 2 diabetes mellitus. The homoeostasis model assessment (HOMA) is a measure of insulin resistance based on fasting blood glucose and insulin levels. Although this measure is widely used in research, cutoff values for pediatric populations have not been established. Objective: To assess the validity of HOMA cutoff values used in pediatric studies published in peer-reviewed journals...
November 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29078887/a-training-tool-to-assess-laparoscopic-image-navigation-task-performance-in-novice-camera-assistants
#8
Mahbub Alam, Michael S J Wilson, Benjie Tang, Iain S Tait, Afshin Alijani
BACKGROUND: A number of tools for assessing task performance of the laparoscopic camera assistant have been described, but few focus on the acquisition and assessment of the attainment of proficiency in novice laparoscopic camera assistants. Our aim was to develop a simulated objective assessment tool for a novice camera assistant. MATERIALS AND METHODS: A 10-cycle image navigation task tool was developed. This involved a series of 360° clockwise and anticlockwise rotation maneuvers of a 30° laparoscope along its shaft, focusing on a predefined geometric target on a 45° fixed slope in a laparoscopic box trainer...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29076584/beginners-in-prescribing-practice-experiences-and-perceptions-of-nurses-and-doctors
#9
Anecita Gigi Lm, Nicola North, John Shaw
AIMS AND OBJECTIVES: The aim of this study was to investigate and compare the experiences and perceptions of nurses and doctors in becoming prescribers. BACKGROUND: The development of core skills, knowledge, and attitudes as a prescriber is among the present foci of current medical education, and the requirements for ongoing mentorship, support and education for novice medical prescribers have been identified as important training components. However, little is known of the prescribing practices of other health professionals who are also new to prescribing, for example, nurse prescribers...
October 27, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29054262/evaluation-of-robotic-surgery-skills-using-dynamic-time-warping
#10
Jingyu Jiang, Yuan Xing, Shuxin Wang, Ke Liang
BACKGROUND AND OBJECTIVE: accompanied with the wide acceptance of robot assisted minimally invasive surgery (RMIS), the demand for efficient and objective surgical skills evaluation method is increased. Recently, with the development of medical engineering technology, several evaluation methods have been proposed. Among them, kinematic analysis, an unsupervised and data-based method, has been accepted by many researchers. However, this method is still limited by the number of metrics and unconvinced scoring system...
December 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29042219/accurate-classification-of-diminutive-colorectal-polyps-using-computer-aided-analysis
#11
Peng-Jen Chen, Meng-Chiung Lin, Mei-Ju Lai, Jung-Chun Lin, Henry Horng-Shing Lu, Vincent S Tseng
BACKGROUND & AIMS: Narrow-band imaging (NBI) is an image-enhanced form of endoscopy used to observed microstructures and capillaries of the mucosal epithelium that allows for real-time prediction of histologic features of colorectal polyps. However, NBI expertise is required to differentiate hyperplastic from neoplastic polyps with high levels of accuracy. We developed and tested a system of computer-aided diagnosis with a deep neural network (DNN-CAD) to analyze narrow-band images of diminutive colorectal polyps...
October 14, 2017: Gastroenterology
https://www.readbyqxmd.com/read/29037821/validation-of-a-novel-inverted-peg-transfer-task-advancing-beyond-the-regular-peg-transfer-task-for-surgical-simulation-based-assessment
#12
Amro M Abdelrahman, Denny Yu, Bethany R Lowndes, EeeLN H Buckarma, Becca L Gas, David R Farley, Juliane Bingener, M Susan Hallbeck
OBJECTIVE: To evaluate the validity of a novel inverted peg transfer (iPT) task for assessing laparoscopic skills of novices and experts and compare iPT to the regular PT (rPT) task to ensure surgical trainee acquisition of an adequate advanced laparoscopic skills level for safe laparoscopic practice in the operating room. DESIGN: Prospective crossover study. SETTING: Multidisciplinary simulation center and motion analysis laboratory, Mayo Clinic...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29035605/a-two-staged-approach-to-developing-and-evaluating-an-ontology-for-delivering-personalized-education-to-diabetic-patients
#13
Susan Quinn, Raymond Bond, Chris Nugent
Ontologies are often used in biomedical and health domains to provide a concise and consistent means of attributing meaning to medical terminology. While they are novices in terms of ontology engineering, the evaluation of an ontology by domain specialists provides an opportunity to enhance its objectivity, accuracy, and coverage of the domain itself. This paper provides an evaluation of the viability of using ontology engineering novices to evaluate and enrich an ontology that can be used for personalized diabetic patient education...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29019802/design-and-evaluation-of-a-low-cost-speculum-examination-training-model
#14
James E Benson, Allix M Hillebrand, Tamika Auguste
INTRODUCTION: Learning how to perform a speculum examination is a key component of the medical student curriculum, yet there is a paucity of data on the validity of available speculum examination models. This purpose of this study is to design, evaluate, and improve a low-cost speculum examination model. METHODS: A speculum examination training model was created using low-cost or recycled materials from other simulators. A total of 54 medical students, residents, and faculty in the obstetrics and gynecology department of a single academic institution performed speculum examinations on the model...
October 10, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29018643/case-reports-case-series-from-clinical-practice-to-evidence-based-medicine-in-graduate-medical-education
#15
EDITORIAL
Jerry W Sayre, Hale Z Toklu, Fan Ye, Joseph Mazza, Steven Yale
Case reports and case series or case study research are descriptive studies that are prepared for illustrating novel, unusual, or atypical features identified in patients in medical practice, and they potentially generate new research questions. They are empirical inquiries or investigations of a patient or a group of patients in a natural, real-world clinical setting. Case study research is a method that focuses on the contextual analysis of a number of events or conditions and their relationships. There is disagreement among physicians on the value of case studies in the medical literature, particularly for educators focused on teaching evidence-based medicine (EBM) for student learners in graduate medical education...
August 7, 2017: Curēus
https://www.readbyqxmd.com/read/28994720/augmented-reality-as-a-telemedicine-platform-for-remote-procedural-training
#16
Shiyao Wang, Michael Parsons, Jordan Stone-McLean, Peter Rogers, Sarah Boyd, Kristopher Hoover, Oscar Meruvia-Pastor, Minglun Gong, Andrew Smith
Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training...
October 10, 2017: Sensors
https://www.readbyqxmd.com/read/28989953/individual-differences-in-perceptual-abilities-in-medical-imaging-the-vanderbilt-chest-radiograph-test
#17
Mackenzie A Sunday, Edwin Donnelly, Isabel Gauthier
Radiologists make many important decisions when detecting nodules on chest radiographs. While training can result in high levels of performance of this task, there could be individual differences in relevant perceptual abilities that are present pre-training. A pre-requisite to address this question is a valid and reliable measure of such abilities. The present work introduces a new measure, the Vanderbilt Chest Radiograph Test (VCRT), which aims to quantify individual differences in perceptual abilities for radiograph-related decision-making in novices...
2017: Cognitive Research: Principles and Implications
https://www.readbyqxmd.com/read/28975071/an-assessment-of-intubation-skill-training-in-novice-anesthesiology-residents-of-tehran-university-of-medical-sciences-with-the-use-of-mannequins
#18
Farhad Etezadi, Atabak Najafi, Pejman Pourfakhr, Reza Shariat Moharari, Mohammad Reza Khajavi, Farsad Imani, Gilda Barzin
BACKGROUND: The goal of this study was to evaluate the impact of intubation skill training involving the use of mannequins on novice anesthesiology residents in a knowledge, attitudes, and practices designed study in which three different types of evaluation were implemented. METHODS: All first-year anesthesiology residents (24) of Sina Hospital, affiliated to the Tehran University of Medical Sciences, were invited to participate in an intubating skills training course...
December 2016: Anesthesiology and Pain Medicine
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
#19
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
#20
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
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