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https://www.readbyqxmd.com/read/29777463/considerations-that-will-determine-if-competency-based-assessment-is-a-sustainable-innovation
#1
W Dale Dauphinee, John R Boulet, John J Norcini
Educational assessment for the health professions has seen a major attempt to introduce competency based frameworks. As high level policy developments, the changes were intended to improve outcomes by supporting learning and skills development. However, we argue that previous experiences with major innovations in assessment offer an important road map for developing and refining assessment innovations, including careful piloting and analyses of their measurement qualities and impacts. Based on the literature, numerous assessment workshops, personal interactions with potential users, and our 40 years of experience in implementing assessment change, we lament the lack of a coordinated approach to clarify and improve measurement qualities and functionality of competency based assessment (CBA)...
May 18, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29771814/using-technology-to-enhance-teaching-of-patient-centered-interviewing-for-early-medical-students
#2
Stacey Kaltman, Nicholas Talisman, Susan Pennestri, Eleri Syverson, Paige Arthur, Yianna Vovides
INTRODUCTION: Effective strategies for teaching communication skills to health professions students are needed. This article describes the design and evaluation of immersive and interactive video simulations for medical students to practice basic communication skills. METHODS: Three simulations were developed, focusing on patient-centered interviewing techniques such as using open-ended questions, reflections, and empathic responses while assessing a patient's history of present illness...
May 15, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29763443/understanding-how-patients-perceive-physician-wellness-and-its-links-to-patient-care-a-qualitative-study
#3
Jane B Lemaire, Darby Ewashina, Alicia J Polachek, Jaya Dixit, Verna Yiu
Despite increased interest in physician wellness, little is known about patients' views on the topic. We explore patients' perceptions of physician wellness and how it links to patient care. This exploratory, qualitative study employed semi-structured interviews with a convenience sample of 20 patients from outpatient care settings in a western Canadian city. Using inductive thematic analysis, interview transcripts were independently coded by two authors and then discussed to ensure consensus and to abstract into higher-level themes...
2018: PloS One
https://www.readbyqxmd.com/read/29763396/the-evolving-surgeon-image
#4
Heather J Logghe, Tyler Rouse, Alec Beekley, Rajesh Aggarwal
The stereotype of the abrasive, technically gifted white male surgeon is ubiquitous among members of the public and the medical profession. Yet modern surgeons are far more diverse and socially adept than the stereotype suggests. While the stereotype is largely a relic of days gone by, it continues to influence patients' expectations and surgeons' interactions with their clinical colleagues. The #ILookLikeASurgeon movement and subsequent #NYerORCoverChallenge demonstrate the changing face of surgery and the roles of social media in resisting the social and cultural force of long-standing stereotypes...
May 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29762799/integrated-behavioral-health-care-in-family-medicine-residencies-a-cera-survey
#5
Christine Jacobs, Jay A Brieler, Joanne Salas, Renée M Betancourt, Peter F Cronholm
BACKGROUND AND OBJECTIVES: Behavioral health integration (BHI) in primary care settings is critical to mental health care in the United States. Family medicine resident experience in BHI in family medicine residency (FMR) continuity clinics is essential preparation for practice. We surveyed FMR program directors to characterize the status of BHI in FMR training. METHODS: Using the Council of Academic Family Medicine Educational Research Alliance (CERA) 2017 survey, FMR program directors (n=478, 261 respondents, 54...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29761255/considering-axiological-integrity-a-methodological-analysis-of-qualitative-evidence-syntheses-and-its-implications-for-health-professions-education
#6
REVIEW
Martina Kelly, Rachel H Ellaway, Helen Reid, Heather Ganshorn, Sarah Yardley, Deirdre Bennett, Tim Dornan
Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative reviews in HPE remains underdeveloped...
May 14, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29760032/white-privilege-in-a-white-coat-how-racism-shaped-my-medical-education
#7
Max J Romano
In this essay, I reflect on some of the ways racial privilege influenced my experience as a white physician in training. While white Americans often think of "racism" as a social construct primarily affecting people of color, "racism" is a system of both racial disadvantage as well as reciprocal racial advantage. Medical professionals are increasingly aware of how social determinants of health lead to important health disparities, however white physicians seldom ask how their own racial privilege reinforces a white supremacist culture and what effects this may have on our patients' health...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29755753/mental-disorders-among-workers-in-the-healthcare-industry-2014-national-health-insurance-data
#8
Min-Seok Kim, Taeshik Kim, Dongwook Lee, Ji-Hoo Yook, Yun-Chul Hong, Seung-Yup Lee, Jin-Ha Yoon, Mo-Yeol Kang
Background: Numerous studies have shown that healthcare professionals are exposed to psychological distress. However, since most of these studies assessed psychological distress using self-reporting questionnaires, the magnitude of the problem is largely unknown. We evaluated the risks of mood disorders, anxiety disorders, sleep disorders, and any psychiatric disorders in workers in healthcare industry using Korea National Health Insurance (NHI) claims data from 2014, which are based on actual diagnoses instead of self-evaluation...
2018: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29754583/validity-evidence-for-the-hamburg-multiple-mini-interview
#9
Mirjana Knorr, Anja Schwibbe, Maren Ehrhardt, Janina Lackamp, Stefan Zimmermann, Wolfgang Hampe
BACKGROUND: Multiple mini-interviews (MMI) become increasingly popular for the selection of medical students. In this work, we examine the validity evidence for the Hamburg MMI. METHODS: We conducted three follow-up studies for the 2014 cohort of applicants to medical school over the course of two years. We calculated Spearman's rank correlation (ρ) between MMI results and (1) emotional intelligence measured by the Trait Emotional Intelligence Questionnaire (TEIQue-SF) and the Situational Test of Emotion Management (STEM), (2) supervisors' and practice team members' evaluations of psychosocial competencies and suitability for the medical profession after a one-week 1:1 teaching in a general practice (GP) and (3) objective structured clinical examination (OSCE) scores...
May 14, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29752859/shifts-in-nursing-and-medical-student-s-attitudes-beliefs-and-behaviours-about-interprofessional-work-an-interprofessional-placement-in-ambulatory-care
#10
Karla Seaman, Rosemary Saunders, Helen Dugmore, Claire Tobin, Rachel Singer, Fiona Lake
AIM AND OBJECTIVES: To examine students' beliefs, behaviours and attitudes in relation to interprofessional socialisation, and their expectations and experience, before and after a two-week clinical placement in ambulatory care. BACKGROUND: Interprofessional clinical placements for students are important for developing an understanding of interprofessional collaboration and identity, for the benefit of patient care. Ambulatory care environment involves collaborative management of complex chronic problems...
May 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29752835/documentation-of-psychotropic-prn-medication-administration-an-evaluation-of-electronic-health-records-compared-with-paper-charts-and-verbal-reports
#11
Krystle Martin, Elke Ham, Zoe Hilton
AIMS AND OBJECTIVES: To describe the documentation of pro re nata (PRN) medication for anxiety, and to compare documentation at two hospitals providing similar psychiatric services, one that used paper charts and another that used an electronic health record (EHR). We also assessed congruence between nursing documentation and verbal reports from staff about the PRN administration process. BACKGROUND: The ability to accurately document patients' symptoms and the care given is considered a core competency of the nursing profession (Wilkinson, 2007); however, researchers have found poor concordance between nursing notes and verbal reports or observations of events (e...
May 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29752397/after-bawa-garba-what-the-future-holds-for-a-medical-profession-feeling-let-down-by-its-regulator
#12
Zosia Kmietowicz
No abstract text is available yet for this article.
May 11, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29747627/what-can-organisational-theory-offer-knowledge-translation-in-healthcare-a-thematic-and-lexical-analysis
#13
Ann Dadich, Navin Doloswala
BACKGROUND: Despite the relative abundance of frameworks and models to guide implementation science, the explicit use of theory is limited. Bringing together two seemingly disparate fields of research, this article asks, what can organisational theory offer implementation science? This is examined by applying a theoretical lens that incorporates agency, institutional, and situated change theories to understand the implementation of healthcare knowledge into practice. METHODS: Interviews were conducted with 20 general practitioners (GPs) before and after using a resource to facilitate evidence-based sexual healthcare...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29743150/differences-in-online-consumer-ratings-of-health-care-providers-across-medical-surgical-and-allied-health-specialties-observational-study-of-212-933-providers
#14
Timothy Daskivich, Michael Luu, Benjamin Noah, Garth Fuller, Jennifer Anger, Brennan Spiegel
BACKGROUND: Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. OBJECTIVE: The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings...
May 9, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29741426/yoga-therapy-in-the-german-healthcare-system
#15
Holger Cramer
An estimated 15.7 million Germans are currently practicing yoga or are at least interested in starting to practice, and they often perceive yoga as a therapeutic approach. From a healthcare system perspective, the situation is less clear. Here, yoga is only recognized as a recreational or preventive activity. When yoga teachers fulfill specific qualifications, their preventive yoga classes are covered by the statutory health insurances. Only those with additional qualifications in medicine or psychotherapy, however, can independently use and promote "yoga therapy...
May 9, 2018: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29733096/does-familiarity-with-cdc-guidelines-continuing-education-and-provider-characteristics-influence-adherence-to-chronic-pain-management-practices-and-opioid-prescribing
#16
Jean C McCalmont, Kim D Jones, Robert M Bennett, Ronald Friend
OBJECTIVES: (1) To assess providers' experience and knowledge of chronic noncancer pain (CNCP) management. (2) To assess providers' utilization of the Centers for Disease Control and Prevention (CDC) 2016 Guideline for Prescribing Opioids for Chronic Pain. (3) To assess the influence of the 2016 CDC guideline on provider confidence in managing CNCP and adherence to the CDC recommendations. METHODS: A cross-sectional, web-based survey conducted with 417 Oregon prescribing providers, divided into three continuing medical education (CME) groups composed of minimal (0-3), moderate (4-10), and high (≥11) hours of training...
March 2018: Journal of Opioid Management
https://www.readbyqxmd.com/read/29732897/shifting-the-hiv-paradigm-from-care-to-cure-proceedings-from-the-caribbean-expert-summit-in-barbados-august-2017
#17
Robert Clive Landis, Emannuel Akinola Abayomi, Brendan Bain, Edward Greene, George Janossy, Patrice Joseph, Deanna Kerrigan, J Philip McCoy, Cesar Antonio Nunez, Maurice O'Gorman, Alexander Pastoors, Bharat Parekh, Kim Quimby, Thomas C Quinn, Kevin Robertson, Rejean Thomas, Eric van Gorp, Sten H Vermund, Valerie Wilson
The CCAS EXPERT SUMMIT convened an array of international experts in Barbados on August 27-31 2017 under the theme "From Care to Cure - Shifting the HIV Paradigm". The Caribbean Cytometry & Analytical Society (CCAS) partnered with the Joint United Nations Programme on HIV/AIDS (UNAIDS) to deliver a program that reviewed the advances in antiretroviral therapy and the public health benefits accruing from treatment as prevention. Particular emphasis was placed on re-examining stigma and discrimination through a critical appraisal of whether public health messaging and advocacy had kept pace with the advances in medicine...
May 5, 2018: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/29732677/creation-and-implementation-of-a-flipped-jigsaw-activity-to-stimulate-interest-in-biochemistry-among-medical-students
#18
Charlene Williams, Susan Perlis, John Gaughan, Sangita Phadtare
Learner-centered pedagogical methods that are based on clinical application of basic science concepts through active learning and problem solving are shown to be effective for improving knowledge retention. As the clinical relevance of biochemistry is not always apparent to health-profession students, effective teaching of medical biochemistry should highlight the implications of biochemical concepts in pathology, minimize memorization, and make the concepts memorable for long-term retention. Here, we report the creation and successful implementation of a flipped jigsaw activity that was developed to stimulate interest in learning biochemistry among medical students...
May 6, 2018: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/29730648/metrological-traceability-and-harmonization-of-medical-tests-a-quantum-leap-forward-is-needed-to-keep-pace-with-globalization-and-stringent-ivd-regulations-in-the-21st-century
#19
Christa Cobbaert, Nico Smit, Philippe Gillery
In our efforts to advance the profession and practice of clinical laboratory medicine, strong coordination and collaboration are needed more than ever before. At the dawn of the 21st century, medical laboratories are facing many unmet clinical needs, a technological revolution promising a plethora of better biomarkers, financial constraints, a growing scarcity of well-trained laboratory technicians and a sharply increasing number of International Organization for Standardization guidelines and new regulations to which medical laboratories should comply in order to guarantee safety and effectiveness of medical test results...
May 7, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/29728090/what-can-we-learn-from-problem-based-learning-tutors-at-a-graduate-entry-medical-school-a-mixed-method-approach
#20
Diane O Doherty, Helena Mc Keague, Sarah Harney, Gerard Browne, Deirdre McGrath
Problem-based learning (PBL) has been adopted by many medical schools as an innovative method to deliver an integrated medical curriculum since its inception at McMaster University (Dornan et al., Med Educ 39(2):163-170, 2005; Finucane et al., Med Educ 35(1):56-61, 2001; Barrows, Tutorials in problem-based learning: A new direction in teaching the health professions, 1984). The student experience in PBL has been explored in detail (Merriam, New Directions for Adult and Continuing Education 89: 3-13, 2001; Azer, Kaohsiung J Med Sci 25(5): 240-249, 2009; Boelens et al...
May 4, 2018: BMC Medical Education
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