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Procedural skills teaching

Michael T Spooner, John E Alex, Joy A Greer, Donald R Delorey, Rebecca A Kiser, Carl Petersen, Travis Polk, Kim Gunzelman
Introduction: A standardized training curriculum designed for general medical officers (GMO) titled Simulation Training for Operational Medicine Providers (STOMP) was recently developed to educate and improve GMOs' procedural skills through directed feedback prior to assuming duties in an operational environment. This study aimed to determine the impact this novel curriculum had on GMOs'confidence levels in 21 core privileges covering eight different subspecialties while stationed at Naval Medical Center Portsmouth (NMCP)...
December 4, 2018: Military Medicine
John Brochorst Christensen, Erika Nodin, Diana Zetner Bach, Anja Fabrin, Ebbe Thingaard
INTRODUCTION: Fewer open surgical procedures are performed, and thus a need to learn open surgical techniques outside the operating room has emerged. Simulation training offers the possibility to train in a safe environment before operating on patients. The purpose of this study is to evaluate the effect of a simulation-based course in basic open surgical skills and to describe its pedagogical foundation, content and organisation. METHODS: Surgical trainees at the beginning of their surgical career participated in a basic open surgical skills course and were assessed before the course, after the course and during a one-day course operating on live sedated pigs using the Objective Structures Assessment of Technical Skills (OSATS) instrument...
December 2018: Danish Medical Journal
H Ferreira, Y van Belle, V Tanos, B Rabischong, G Grimbizis, A Di Spiezio Sardo, R Campo
In order to offer our patients, the "state of the art" treatment in gynaecology, we need a structured teaching program for trainees concerning the gynaecological skills. In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologists who perform endoscopic surgery without proper training of the specific psychomotor skills, are at higher risk to increased patient morbidity and mortality. The traditional apprentice-tutor model is no longer valid for developing all skills necessary in gynaecological surgery, particularly in endoscopy...
March 2018: Facts, Views & Vision in ObGyn
Sandra Barteit, Albrecht Jahn, Annel Bowa, Sigrid Lüders, Gregory Malunga, Clemence Marimo, Sigrid Wolter, Florian Neuhann
BACKGROUND: Zambia faces a severe shortage of health workers, particularly in rural areas. To tackle this shortage, the Medical Licentiate program was initiated at Chainama College of Health Sciences in the capital, Lusaka, in 2002. The objective of the program was to alleviate the shortage of human resources in curative care. On-the-job training is conducted in decentralized teaching hospitals throughout Zambia. However, the program faces significant challenges such as shortages of senior medical instructors and learning materials...
November 27, 2018: JMIR Medical Education
Dawn M LaPorte, Paul Tornetta, J Lawrence Marsh
Orthopaedic resident educators confront many important issues. This may be the most challenging time yet for orthopaedic education. A survey of program directors and chairs aimed to identify the major challenges in orthopaedic education. Many issues were identified, and the following four major themes emerged: (1) loss of professionalism, (2) too much emphasis on procedures, (3) lack of clinical experience, and (4) challenges with external oversight. Professionalism in taking care of patients may be compromised by work-hour limitations and affected by generational differences...
November 21, 2018: Journal of the American Academy of Orthopaedic Surgeons
Eduardo Alcaraz-Mateos, Xiaoyin Sara Jiang, Ahmed Abdelraheem Reda Mohammed, Iva Turic, Laura Hernández-Sabater, Fuensanta Caballero-Alemán, Manuel José Párraga-Ramírez, Enrique Poblet
OBJECTIVES: Fine needle aspiration (FNA) is an invaluable diagnostic procedure for evaluation of lesions; however, acquisition of diagnostic material is dependent on the skill of the practitioner. We report a novel patient simulator for teaching the FNA procedure and structured assessment tools for educators and learners. METHODS: We created a novel simulator model for FNA training, employed a standardized teaching module, and assessed procedure utility in medical students...
November 25, 2018: Diagnostic Cytopathology
Kate E Hughes, David Biffar, Eze O Ahanonu, Thomas M Cahir, Allan Hamilton, John C Sakles
Objectives Emergency medicine (EM) residents are required to perform a cricothyrotomy during training as per the Accreditation Council for Graduate Medical Education (ACGME) guidelines. Cricothyrotomy is a rare procedure, comprising 0.45% of emergency department airway management procedures. Procedural competence in utilizing a realistic trainer is of utmost importance. We have developed a cricothyrotomy trainer using a fused deposition modeling (FDM) three-dimensional (3D) printer and innovative bleeding tissue to enhance fidelity...
September 18, 2018: Curēus
Fernanda Welsh, Adel C Najdowski, Danielle Strauss, Lindabeth Gallegos, Jesse A Fullen
We evaluated procedures for teaching three children diagnosed with autism spectrum disorder the perspective-taking component skill of tacting what others are sensing across all five senses: see, taste, feel, hear, and smell. Using a multiple baseline across participants design, we evaluated a training package consisting of multiple exemplar training, reinforcement, and error correction. The treatment package was implemented in the natural environment and was effective for teaching participants to tact what others sensed...
November 21, 2018: Journal of Applied Behavior Analysis
Grace Wanjiku, Hannah Janeway, John Foggle, Robert Partridge, Yvonne Wang, Alexis Kearney, Adam C Levine, Jane Carter, John S Tabu
Introduction: Ninety percent of all injury-related deaths occur in low- and middle-income countries. The WHO recommends short, resource-specific trauma courses for healthcare providers. Studies show that teaching trauma courses to medical students in developed countries leads to significant increases in knowledge and skill. High costs hinder widespread and sustained teaching of these courses in low-income countries. Methods: A two-day trauma course was designed for students at Moi College of Health Sciences in Eldoret, Kenya...
December 2017: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
Aaron C Lentz, Dayron Rodríguez, Leah G Davis, Michel Apoj, B Price Kerfoot, Paul Perito, Gerard Henry, LeRoy Jones, Rafael Carrion, John J Mulcahy, Ricardo Munarriz
INTRODUCTION: Constraints on surgical resident training (work-hour mandates, shorter training programs, etc.) and availability of expert surgical educators may limit the acquisition of prosthetic surgical skills. As a result, training courses are being conducted to augment the prosthetic surgery learning experience. AIM: To evaluate the impact of a hands-on cadaver-based teaching program on resident procedural knowledge and procedural confidence with placement of a penile prosthesis...
December 2018: Sexual Medicine
Thomas Hormenu, John Elvis Hagan Jnr, Thomas Schack
BACKGROUND AND PURPOSE: Despite a recent shift in school going adolescents' engagement in health compromising behaviours and their related socio-economic implications on developing societies, it is surprising that baseline information for planned interventions is sparse. The purpose of this study was to investigate the prevalence of alcohol drinking and related behaviours among in-school adolescents in the Junior High Schools (JHS) in the Central Region of Ghana. METHODS AND RESULTS: Descriptive cross-sectional design was employed with multistage sampling procedures to sample 1400 school going adolescents in JHS in the Central Region...
2018: PloS One
Andrea C Lörwald, Felicitas-Maria Lahner, Bettina Mooser, Martin Perrig, Matthias K Widmer, Robert Greif, Sören Huwendiek
INTRODUCTION: In order for Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) to actually have a positive effect on trainees' learning, the way in which the tools are implemented is of key importance. However, there are many factors influencing their implementation. In this study, we aim to develop a comprehensive model of such factors. METHODS: Using a constructivist grounded theory approach, we performed eight focus groups...
October 28, 2018: Medical Teacher
Jacqueline A Pachis, Kimberley L M Zonneveld
The Internet and information and communications technologies (ICTs) have been found to produce meaningful social interactions and greater social support among older adults (White et al., ). Despite these benefits, the Internet and ICTs are not widely used among the older-adult population (Cresci, Yarandi, & Morrell, ). The purpose of the current study was to compare the effectiveness and efficiency of video prompting and text-based instructions on the acquisition of three tablet-based tasks: emailing, video calling (FaceTime® application), and searching for a YouTube™ video...
October 26, 2018: Journal of Applied Behavior Analysis
Kevin Bowles, Harjit S Sehgal, Lynn Santelmann, Edward P Pham, Richie Kohli
It is very crucial that dental students who comprise our future dental workforce are adequately trained in communication skills. This training is especially important because of the increasing population of English as Second Language (ESL) patients in our community health centers, dental offices, and dental schools. The objective of this exploratory pilot study was to analyze dental student conversations about patient treatment plans to native English and ESL patients. The study recruited four dental students who spoke English as their first language and four patients, two with English as their native language and two with English as their second language from Oregon Health & Science University School of Dentistry...
October 25, 2018: Health Communication
Nina Tusa, Erkko Sointu, Helena Kastarinen, Teemu Valtonen, Anna Kaasinen, Laura Hirsto, Markku Saarelainen, Kati Mäkitalo, Pekka Mäntyselkä
BACKGROUND: Finnish permanent residents are covered by social security insurance administered by the Social Insurance Institution of Finland. The procedure of insurance is initiated with medical certificate written by the treating doctor. Thus, the doctor must have certificate writing skills accompanied with the knowledge of the content and goals for insurance. Quality certificates are important part of doctors' professional skills worldwide and most effective teaching methods for learning these should be investigated...
October 24, 2018: BMC Medical Education
Emmanuel Kusi Achampong, Gabriel Keney, Nathaniel Ofori Attah
Background: Information technology has become an inevitable, constitutive element of the healthcare institution as well as health education. This study investigates the effects of mobile phone use in clinical practice at the Cape Coast Teaching Hospital. The use of mobile phones to access health information by health professionals has the potential to improve the provision of health service to the population. In addition, primary care physicians can use mobile phones to communicate with their patients before and after they are discharged, thereby improving the health of individual patients and the population at large...
2018: Online Journal of Public Health Informatics
Ciara O'Toole, Alice S-Y Lee, Fiona E Gibbon, Anne K van Bysterveldt, Nicola J Hart
BACKGROUND: Communication and language development are areas of particular weakness for young children with Down syndrome. Caregivers' interaction with children influences language development, so many early interventions involve training parents how best to respond to their children and provide appropriate language stimulation. Thus, these interventions are mediated through parents, who in turn are trained and coached in the implementation of interventions by clinicians. As the interventions involve a considerable commitment from clinicians and families, we undertook this review to synthesise the evidence of their effectiveness...
October 15, 2018: Cochrane Database of Systematic Reviews
J Kevin Dorsey, Austin M Beason, Steven J Verhulst
PROBLEM: The traditional clerkship model of brief encounters between faculty and students results in reduced meaningful learning opportunities due to the lack of a relationship that enables repeated observation, supervisor feedback, trust formation, and growth. INTERVENTION: Clinical clerkships at our institution were restructured to decrease fragmentation of supervision and foster an educational alliance between faculty and student. A mixed-methods approach was used to study the impact of this curriculum reform on the student experience in the obstetrics and gynecology clerkship...
October 15, 2018: Teaching and Learning in Medicine
Young Park, Hitoshi Yokoyama
Dr. William Halsted started residency-based surgical training at Johns Hopkins University in 1889. On the job training(OnJT) conducted there is an in-hospital training that residents imitate what senior doctors are doing with their patients. [ See one, do one, teach one] is the word briefly expressing this traditional training. Since then all surgeons learned surgery from the mentors and senior doctors in this way. In this OnJT, surgeons spent many years and years and accumulated experience and tried to crime up step by step from beginners to experts...
September 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Michael N Young, Roshanak Markley, Troy Leo, Samuel Coffin, Mario A Davidson, Joseph Salloum, Lisa A Mendes, Julie B Damp
Background: Simulation-based training has been used in medical training environments to facilitate the learning of surgical and minimally invasive techniques. We hypothesized that integration of a procedural simulation curriculum into a cardiology fellowship program may be educationally beneficial. Methods: We conducted an 18-month prospective study of cardiology trainees at Vanderbilt University Medical Center. Two consecutive classes of first-year fellows (n = 17) underwent a teaching protocol facilitated by simulated cases and equipment...
January 2018: Journal of Medical Education and Curricular Development
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