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https://www.readbyqxmd.com/read/29235909/the-role-of-balint-group-training-in-the-professional-and-personal-development-of-family-medicine-residents
#1
Marty Player, John R Freedy, Vanessa Diaz, Clive Brock, Alexander Chessman, Carolyn Thiedke, Alan Johnson
This paper presents a study based on the participation of PGY2 and PGY3 family medicine residents in Balint seminars that occurred twice monthly for 24 months. Balint groups were cofacilitated by leader pairs experienced with the Balint method. Prior to residency graduation, 18 of 19 eligible resident physicians (94.5%) completed 30- to 60-min semistructured interviews conducted by a research assistant. Resident physicians were told that these individual interviews concerned "…how we teach communication in residency...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29177177/does-intradisciplinary-conflict-influence-to-outcomes-of-emergency-medicine-residency-program-a-mixed-methods-study
#2
Mohammadreza Maleki, Seyyed Meysam Mousavi, Mina Anjomshoa, Nasrin Shaarbafchizadeh, Zeinab Naimi Taleghani
Objective: To explore impact of emergency medicine residency program on patient waiting times in emergency department (ED) and determine the associated factors. Methods: A two-phased sequential exploratory mixed-methods approach was used. The first phase was comprised of retrospective before-after design of ED encounters for a 3-month period, six months before and six months after the introduction of an emergency medicine residency program in an Iranian teaching hospital...
October 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29171329/defining-curricular-priorities-for-student-as-teacher-programs-a-national-delphi-study
#3
Jasmine Rana, Amy Sullivan, Molly Brett, Amy R Weinstein, Katharyn M Atkins
BACKGROUND: "Student-as-Teacher" (SaT) programs have been growing in number to prepare medical students for their teaching roles in residency and beyond, but it remains unknown what content areas should be covered in SaT curricula. AIM: To determine five to ten "essential" content areas for inclusion in SaT curricula using expert opinion. METHODS: Using a three-round Delphi process, moderators iteratively surveyed a panel of 28 medical educators (25 academy directors and three individuals identified as having expertise in undergraduate medical education) representing 25 medical schools in the United States...
November 24, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29166352/more-learners-finite-resources-and-the-changing-landscape-of-procedural-training-at-the-bedside
#4
Michael A Gisondi, Linda Regan, Jeremy Branzetti, Laura R Hopson
There is growing competition for non-operative, procedural training in teaching hospitals, due to an increased number of individuals seeking to learn procedures from a finite number of appropriate teaching cases. Procedural training is required by students, post-graduate learners, and practicing providers who must maintain their skills. These learner groups are growing in size as the number of medical schools increase and advance practice providers expand their skills to include complex procedures. These various learner needs occur against a background of advancing therapeutic techniques that improve patient care, but also act to reduce the overall numbers of procedures available to learners...
November 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29161471/peer-to-peer-mentoring-for-african-american-women-with-lupus-a-feasibility-pilot
#5
Edith M Williams, J Madison Hyer, Ramakrishnan Viswanathan, Trevor D Faith, Delia Voronca, Mulugeta Gebregzaibher, Jim C Oates, Leonard Egede
OBJECTIVE: To examine the feasibility and potential benefits of peer mentoring to improve the disease self-management and quality of life of individuals with systemic lupus erythematosus (SLE). METHODS: Peer mentors were trained and paired with up to three mentees to receive self-management education and support by telephone over 12 weeks. This study took place at an academic teaching hospital in Charleston, South Carolina. Seven quads consisting of one peer mentor and three mentees were matched based on factors such as age, area of residence, marital and work status...
November 21, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29159555/use-of-a-hands-free-instantaneous-closed-loop-communication-device-improves-perception-of-communication-and-workflow-integration-in-an-academic-teaching-hospital-a-pilot-study
#6
Daniel Z Fang, Teja Patil, Ilana Belitskaya-Levy, Marianne Yeung, Keith Posley, Nazima Allaudeen
Efficient and effective communication between providers is critical to quality patient care within a hospital system. Hands free communication devices (HFCD) allow instantaneous, closed-loop communication between physicians and other members of a multidisciplinary team, providing a communication advantage over traditional pager systems. HFCD have been shown to decrease emergency room interruptions, improve nursing communication, improve speed of information flow, and eliminate health care waste. We evaluated the integration of an HFCD with an existing alphanumeric paging system on an acute inpatient medicine service...
November 17, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29131307/breastfeeding-weaning-and-dietary-practices-during-the-western-zhou-dynasty-1122-771-bc-at-boyangcheng-anhui-province-china
#7
Yang Xia, Jinglei Zhang, Fei Yu, Hui Zhang, Tingting Wang, Yaowu Hu, Benjamin T Fuller
OBJECTIVES: Here we investigate breastfeeding and weaning practices and adult dietary habits at the Western Zhou Dynasty (1122-771 BC) site of Boyangcheng () located in Anhui Province, China. In addition, we utilize the differences in bone collagen turnover rates between rib and long bones from the same individual to examine past life histories, such as changes in diet or residence. MATERIALS AND METHODS: Bone collagen from both the rib and long bones (either femora or humeri) of 42 individuals was measured for stable isotope ratios of carbon (δ(13) C) and nitrogen (δ(15) N)...
November 13, 2017: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/29126405/electronic-portfolio-use-in-pediatric-residency-and-perceived-efficacy-as-a-tool-for-teaching-lifelong-learning
#8
Annabel Frank, Kimberly Gifford
BACKGROUND: Residency programs use electronic portfolios (efolios) to organize data, track resident performance, and sometimes teach and assess lifelong learning (LLL) skills. Published studies on efolios in graduate medical education are mostly descriptions of implementation at individual institutions. METHODS: An anonymous online survey was sent to 199 pediatric residency program directors across the United States. Efolio usage patterns were described and compared between program directors that perceived efolios effective at fostering LLL and those that did not...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29113107/redesigning-journal-clubs-to-staying-current-with-the-literature
#9
Roland N Dickerson, G Christopher Wood, Joseph M Swanson, Rex O Brown
Staying current with the literature is of paramount importance to the pharmacist engaged in an evidence-based clinical practice. Given the expanding roles and responsibilities of today's pharmacists combined with exponential growth in new medical and health sciences literature, staying current has become an extremely daunting task. Traditional journal clubs have focused upon their role as a training vehicle for teaching critical reading skills to residents. However, schools of pharmacy are now required to provide instruction in biostatistics, research design, and interpretation...
November 6, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29111102/quantitative-assessment-of-the-learning-curve-for-cleft-lip-repair-using-lc-cusum
#10
E Segna, J-B Caruhel, P Corre, A Picard, D Biau, R H Khonsari
The first step in cleft lip repair is the precise positioning of anatomical landmarks and tracing of the incisions on the patient's lip at the beginning of the procedure. The aim of this study was to evaluate progress made in learning cleft lip repair tracing using a quantitative assessment of learning curves: LC-CUSUM (learning curve - cumulative sum). Eight surgical residents were enrolled and asked to trace lip repair incisions on five cases of unilateral left cleft lip over 5 consecutive weeks. Results were compared to a reference tracing based on the positioning of nine anatomical landmarks and assessed using LC-CUSUM...
October 27, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29103366/incorporating-the-human-touch-piloting-a-curriculum-for-patient-centered-electronic-health-record-use
#11
Wei Wei Lee, Maria L Alkureishi, Kristen E Wroblewski, Jeanne M Farnan, Vineet M Arora
BACKGROUND: Integrating electronic health records (EHRs) into clinical care can prevent physicians from focusing on patients. Despite rapid EHR adoption, few curricula teach communication skills and best practices for patient-centered EHR use. OBJECTIVE: We piloted a 'Patient-centered EHR use' curriculum, consisting of a lecture and group-observed structured clinical examination (GOSCE) for second-year students (MS2s). DESIGN: During the lecture, students watched a trigger tape video, engaged in a reflective observation exercise, and learned best practices...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29071804/contributions-of-academic-emergency-medicine-programs-to-u-s-health-care-summary-of-the-aaaem-aacem-benchmarking-data
#12
Martin A Reznek, James J Scheulen, Cathi A Harbertson, Kevin A Kotkowski, Gabor D Kelen, Gregory A Volturo
OBJECTIVES: The societal contribution of emergency care in the United States has been described. The role and impact of academic emergency departments (EDs) has been less clear. Our report summarizes the results of a benchmarking effort specifically focused on academic emergency medicine (EM) practices. METHODS: From October through December 2016, the Academy of Academic Administrators of Emergency Medicine (AAAEM) and the Association of Academic Chairs of Emergency Medicine (AACEM) jointly administered a benchmarking survey to allopathic, academic departments and divisions of emergency medicine...
October 26, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29067929/comparison-of-stress-and-burnout-among-anesthesia-and-surgical-residents-in-a-tertiary-care-teaching-hospital-in-north-india
#13
K Gandhi, N Sahni, S K Padhy, P J Mathew
OBJECTIVE: The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. MATERIALS AND METHODS: A comparative, observational study was conducted in a tertiary care teaching hospital in North India...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29064072/physicians-professional-performance-an-occupational-health-psychology-perspective
#14
Renée A Scheepers
INTRODUCTION: Physician work engagement is considered to benefit physicians' professional performance in clinical teaching practice. Following an occupational health psychology perspective, this PhD report presents research on how physicians' professional performance in both doctor and teacher roles can be facilitated by work engagement and how work engagement is facilitated by job resources and personality traits. METHODS: First, we conducted a systematic review on the impact of physician work engagement and related constructs (e...
October 24, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29026759/quality-of-life-among-elderly-population-residing-in-urban-field-practice-area-of-a-tertiary-care-institute-of-ahmedabad-city-gujarat
#15
Venu R Shah, Donald S Christian, Arpit C Prajapati, Mansi M Patel, K N Sonaliya
INTRODUCTION: Overall improvement in the living standards of country's population is leading to longer life expectancy. To emphasize the medical and psychological difficulties faced by geriatric people is essential to know status of their quality of life (QOL). METHODOLOGY: A community-based cross-sectional study was carried out at urban field practice area of one of the teaching institutes of Ahmedabad, Gujarat. Considering the prevalence of about 7.5% of 60 years and above people sample size of 250 was calculated...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28989798/how-to-train-radiology-residents-to-diagnose-pulmonary-embolism-using-a-dedicated-mri-protocol
#16
Anna Nordgren Rogberg, Sven Nyrén, Eli Westerlund, Peter Lindholm
BACKGROUND: In recent years, magnetic resonance imaging (MRI) has been suggested as an alternative to computed tomography angiography (CTA) to diagnose pulmonary embolism (PE). In previous studies, only senior radiologists have been evaluated as reviewers. PURPOSE: To investigate if radiology residents can be trained to review MRI regarding PE and to determine the learning curve effects. MATERIAL AND METHODS: Four residents independently went through a training program consisting of 70 participants that had undergone steady-state free precession MRI...
September 2017: Acta Radiologica Open
https://www.readbyqxmd.com/read/28947361/a-research-coding-method-to-evaluate-a-smoking-cessation-model-for-training-residents-a-preliminary-report
#17
Katelyn A Grayson-Sneed, Robert C Smith
OBJECTIVE: Develop a reliable coding method of a cigarette cessation model used to train residents - a preliminary report. METHODS: Two trained (30h) undergraduates coded videotaped interviews from 161 resident-simulated patient (SP) interactions. To establish reliability, coders coded 33 (20%) of 161 study set tapes for the BHTM. Cohen's Kappa and percent of agreement were used to measure coders' reliability in unitizing and coding residents' skills for eliciting 5 variables: Educating, Informing, and Motivating (3 items); Commitment and Goals (3 items); Negotiate Plan (7 items); Patient-Centered Skills (9 items); Emotional Skills (6 items)...
September 19, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28942693/training-to-reduce-behavioral-health-disparities-how-do-we-optimally-prepare-family-medicine-residents-for-practice-in-rural-communities
#18
Jennifer S Robohm
Family physicians are a critical part of the healthcare system in rural areas, but little is known about the training they need to more effectively address behavioral health disparities. Practicing family physicians in Montana were surveyed about the behavioral health needs of their patients, the behavioral resources at their disposal, their prioritization of a number of behavioral skills and interventions in the training of family physicians, factors that limit their own use of behavioral skills, and the extent of their behavioral science training...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28922878/development-and-validation-of-a-mobile-device-based-external-ventricular-drain-simulator
#19
Peter J Morone, Kimon Bekelis, Brandon K Root, Robert J Singer
BACKGROUND: Multiple external ventricular drain (EVD) simulators have been created, yet their cost, bulky size, and nonreusable components limit their accessibility to residency programs. OBJECTIVE: To create and validate an animated EVD simulator that is accessible on a mobile device. METHODS: We developed a mobile-based EVD simulator that is compatible with iOS (Apple Inc., Cupertino, California) and Android-based devices (Google, Mountain View, California) and can be downloaded from the Apple App and Google Play Store...
October 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28869808/pediatric-emergency-in-brazil-the-consolidation-of-an-area-in-the-pediatric-field
#20
REVIEW
Jefferson P Piva, Patrícia M Lago, Pedro Celiny R Garcia
OBJECTIVE: The aim of this study was to present a review on the evolution, development, and consolidation of the pediatric emergency abroad and in Brazil, as well as to discuss the residency program in this key area for pediatricians. DATA SOURCES: This was a narrative review, in which the authors used pre-selected documents utilized as the minimum requirements for the Residency Program in Pediatric Emergency Medicine and articles selected by interest for the theme development, at the SciELO and Medline databases, between 2000 and 2017...
September 1, 2017: Jornal de Pediatria
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