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Mohamed Salah Jarrar, Faten Letaief, Houssem Fadhl, Ameni Beizig, Mohamed Mahjoub, Mohamed Habib Ben Hadj Khalifa, Amine Elghali, Fehmi Hamila, Rached Letaief
INTRODUCTION: Digital rectal examination (DRE) is a simple gesture, used for diagnosis of several diseases. However, some general practitioners (GPs) are practicing it less and less often. AIM: To estimate the rate of unrealized DRE and to analyze the factors preventing threir achievement. METHODS: This is a prospective observational study conducted among 105 GPs practicing in Sousse. We used a pre-established pre-tested and self-administered questionnaire...
May 2017: La Tunisie Médicale
Caroline R Paul, Meg G Keeley, Gregory S Rebella, John Frohna
OBJECTIVES: To evaluate a pediatric otoscopy curriculum with use of outcome measures that included assessment of skills with real patients. METHODS: Thirty-three residents in an intervention group from two institutions received the curriculum. In the prior year, 21 residents in a non-intervention group did not receive the curriculum. Both groups were evaluated at the beginning and end of their internship year with the same outcome assessments: 1) a written test 2) an Objective Standardized Clinical Examination (OSCE), and 3) direct observation of skills in real patients using a checklist with established validity...
February 27, 2018: Academic Pediatrics
Eduardo de Almeida Guimarães Nogueira, Vitor Martinez de Carvalho, Marcos Vinicius de Queiroz, Gleysson Rodrigues Rosa, Yara Dadalti Fragoso
Augusta Marie Déjerine-Klumpke (1859-1927) was a formidable neurologist, neuroanatomist and researcher in France. One of the first women to be accepted for medical internship, externship and research in Paris, Augusta made her name studying and teaching anatomy, histology and dissection, attending clinical activities in neurology, obstetrics, pediatrics and neurologic trauma, performing necropsies, and writing scientific papers and book chapters. Her main research in neurology awarded her an eponym for the avulsion of the lowest root of the brachial plexus (Klumpke's palsy)...
February 2018: Arquivos de Neuro-psiquiatria
Sarah Singh, Katharina Kovacs Burns, Jennifer Rees, Deanna Picklyk, Jessica Spence, Nancy Marlett
Engaging patients and families in research and the design of quality improvement is an essential component of Patient and Family Centred Care (PFCC). Alberta Health Services (AHS) has been engaging patients and families to promote a cultural shift towards PFCC. The AHS trains patient and family advisors to share their experiences and encourages staff to work with advisors to co-design improvements in care. This article briefly describes the role and growth of patient and family advisors, advisory groups, and the participation of advisors in research initiatives through AHS' Strategic Clinical NetworksTM ...
March 2018: Healthcare Management Forum
Olle Ten Cate, Jan Borleffs, Marijke van Dijk, Tineke Westerveld
AIM: The aim of this report, written for the 40th anniversary issue of Medical Teacher, is to document 20 years of development of the Utrecht undergraduate medical curriculum, as both to exhibit accountability and to inform the community of the process and choices that can be made in long-term curriculum development. METHODS: We used the SPICES model, created by Medical Teacher's Editor Ronald Harden and colleagues in 1984. RESULTS: The Utrecht six-year program, now called "CRU+", has many distinct features that were introduced, most of which are well documented...
February 22, 2018: Medical Teacher
Rachel Bacon, Jane Kellett, Janeane Dart, Cathy Knight-Agarwal, Rebecca Mete, Susan Ash, Claire Palermo
AIM: The aim of this research was to evaluate a Consensus Model for competency-based assessment. METHODS: An evaluative case study was used to allow a holistic examination of a constructivist-interpretivist programmatic model of assessment. Using a modified Delphi process, the competence of all 29 students enrolled in their final year of a Master of Nutrition and Dietetics course was assessed by a panel (with expertise in competency-based assessment; industry and academic representation) from a course e-portfolio (that included the judgements of student performance made by worksite educators) and a panel interview...
February 21, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
Heather L Yeo, Jonathan S Abelson, Matthew M Symer, Jialin Mao, Fabrizio Michelassi, Richard Bell, Art Sedrakyan, Julie A Sosa
Importance: Attrition in general surgery residency remains high, and attrition that occurs in the later years is the most worrisome. Although several studies have retrospectively investigated the timing of attrition, no study to date has prospectively evaluated a national cohort of residents to understand which residents are at risk for attrition and at what point during residency. Objective: To prospectively evaluate individual resident and programmatic factors associated with the timing of attrition during general surgery residency...
February 21, 2018: JAMA Surgery
Sabina Abou Malham, Nassera Touati, Lara Maillet, Mylaine Breton
BACKGROUND: The advanced access (AA) model is a highly recommended innovation to improve timely access to primary healthcare. Despite that many studies have shown positive impacts for healthcare professionals, and for patients, implementing this model in clinics with a teaching mission for family medicine residents poses specific challenges. OBJECTIVE: To identify these challenges within these clinics, as well as potential strategies to address them. DESIGN: The authors adopted a qualitative multiple case study design, collected data in 2016 using semi-structured interviews (N = 40) with healthcare professionals and clerical staff in four family medicine units in Quebec, and performed a thematic analysis...
December 2018: Medical Education Online
Alexandra M Schnoes, Anne Caliendo, Janice Morand, Teresa Dillinger, Michelle Naffziger-Hirsch, Bruce Moses, Jeffery C Gibeling, Keith R Yamamoto, Bill Lindstaedt, Richard McGee, Theresa C O'Brien
The Graduate Student Internships for Career Exploration (GSICE) program at the University of California, San Francisco (UCSF), offers structured training and hands-on experience through internships for a broad range of PhD-level careers. The GSICE program model was successfully replicated at the University of California, Davis (UC Davis). Here, we present outcome data for a total of 217 PhD students participating in the UCSF and UC Davis programs from 2010 to 2015 and 2014 to 2015, respectively. The internship programs at the two sites demonstrated comparable participation, internship completion rates, and overall outcomes...
2018: CBE Life Sciences Education
Heidi L Clark, Renee E Cole, LesLee K Funderburk
BACKGROUND: The US Military-Baylor Graduate Program in Nutrition (GPN) has a 10% 7-year attrition rate representing wasted military resources. Evidence-based selection criteria for dietetics masters of science (MS) programs do not exist, nor does descriptive information of successful students. OBJECTIVE: Identify GPN student characteristics predicting program success in the didactic and internship phases. DESIGN: Retrospective study using demographic, academic, and nonacademic data extracted from existing files...
February 7, 2018: Journal of the Academy of Nutrition and Dietetics
Dorota Purzycka-Bohdan, Roman J Nowicki
No abstract text is available yet for this article.
December 2017: Postȩpy Dermatologii i Alergologii
Munetsugu Kota, Hiroyuki Kudo, Kazuhiko Okita
[Purpose] The purpose of this study is to reveal the relationships between physical therapy students' motives to become physical therapists and their academic performance. This was investigated by their experience of delayed or non-delayed graduation, and their perceptions of learning in school and internship. [Subjects and Methods] Subjects were 245 physical therapists participating in a newcomer orientation by the Hiroshima Prefectural Physical Therapy Association in May, 2017. Subjects' basic attributes and their responses to specially created questionnaires were investigated...
January 2018: Journal of Physical Therapy Science
Brad L Roper, Cady K Block, Katie Osborn, Rebecca E Ready
The increasing importance of integrated care necessitates that education and training experiences prepare clinical neuropsychologists for competent practice in integrated care settings, which includes (a) general competence related to an integrated/interdisciplinary approach and (b) competence specific to the setting. Formal neuropsychology training prepares neuropsychologists with a wide range of knowledge and skills in assessment, intervention, teaching/supervision, and research that are relevant to such settings...
February 2, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
D Muralidharan, S Pocha, A Paul
OBJECTIVES: For effective utilisation of topical fluorides in caries prevention, dental professionals should have adequate knowledge regarding its appropriate use. The decision regarding preventive treatments like topical fluorides is influenced by knowledge acquired during undergraduate training. The aim of this study was to assess the knowledge, attitudes and practices of undergraduate dental students in the use of topical fluorides. METHODOLOGY: A descriptive cross-sectional questionnaire study was conducted from June to August 2015 following ethical clearance...
February 3, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
Ming Lee, Michelle Vermillion
BACKGROUND: Multiple undergraduate achievements have been used for graduate admission consideration. Their relative values in the prediction of residency performance are not clear. This study compared the contributions of major undergraduate assessments to the prediction of internship performance. METHODS: Internship performance ratings of the graduates of a medical school were collected from 2012 to 2015. Hierarchical multiple regression analyses were used to examine the predictive values of undergraduate measures assessing basic and clinical sciences knowledge and clinical performances, after controlling for differences in the Medical College Admission Test (MCAT)...
February 1, 2018: Medical Teacher
Golnaz Fallah, Sussan Moudi, Angela Hamidia, Ali Bijani
Background: Stimulant pharmaceuticals are abused among academic students to elevate mood, improve studying, intellectual capacity, memory and concentration, and increase wakefulness. This study was designed to evaluate the current situation of stimulant use among medical students and residents of Babol University of Medical Sciences. Methods: This cross-sectional study was conducted among 560 medical students and clinical residents of Babol University of Medical Sciences during the academic year 2014-2015...
2018: Caspian Journal of Internal Medicine
Belinda G O'Sullivan, Matthew R McGrail, Deborah Russell, Helen Chambers, Laura Major
BACKGROUND: A key strategy for increasing the supply of rural doctors is rurally located medical education. In 2000, Australia introduced a national policy to increase rural immersion for undergraduate medical students. This study aims to describe the characteristics and outcomes of the rural immersion programs that were implemented in Australian medical schools. METHODS: Information about 19 immersion programs was sourced in 2016 via the grey and published literature...
January 31, 2018: Human Resources for Health
Casanova Ludovic, Ringa Virginie, Chatelard Sophia, Paquet Sylvain, Pendola-Luchel Isabelle, Panjo Henri, Bideau Camille, Deflesselle Eric, Delpech Raphaëlle, Bloy Géraldine, Rigal Laurent
Background: GPs need to consider assorted relevant non-medical factors, such as family or work situations or health insurance coverage, to determine appropriate patient care. If GPs' knowledge of these factors varies according to patients' social position, less advantaged patients might receive poorer care, resulting in the perpetuation of social inequalities in health. Objective: To assess social disparities in GPs' knowledge of non-medical factors relevant to patient care...
January 29, 2018: Family Practice
Sarah I Sheikh
Sarah Isabel Sheikh speaks to Laura Dormer, Commissioning Editor: Sarah I Sheikh, MD, MSc, MRCP, is a Senior Medical Director in Late Stage Clinical Development at Biogen. Her current focus is on developing therapies for multiple sclerosis/neuroinflammation, remyelination and neuro-repair. Prior to Biogen, Dr Sheikh was an attending in Neurology at Brigham and Women's Hospital. She completed her internship at Massachusetts General Hospital and residency in Neurology and Neuromuscular fellowship at Massachusetts General Hospital and Brigham and Women's Hospital...
January 31, 2018: Neurodegenerative Disease Management
Sevgisun Kapucu, Hulya Deniz Bulut
Objective: The objective of this study was to examine the experiences of student nurses who have provided care to cancer patients. Methods: A mixed method approach consisting of semistructured focus groups (n = 61) and a survey questionnaire (n = 129) was used in the study. Student nurses were first interviewed, and then, a questionnaire was developed for them to answer. Following the content analysis, three themes and 19 subthemes were identified. Frequency and percent were used for qualitative data...
January 2018: Asia-Pacific Journal of Oncology Nursing
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