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https://www.readbyqxmd.com/read/28104385/an-evidence-based-approach-to-surgical-teaching-in-ophthalmology
#1
Alice C Lorch, Carolyn E Kloek
An apprenticeship model has traditionally been used in procedural and surgical teaching. As the pressures of work hours and patient outcome monitoring increase, surgical teachers need a more flexible plan for teaching procedural skills. We attempt to delineate a program of pre-, intra-, and post- procedural teaching that can be used in the field of ophthalmology to maximize a resident's skill acquisition in a constructive learning environment.We review the literature on surgical teaching from within ophthalmology as well as other surgical fields and combine this with teaching experience in an ophthalmic surgical training program to produce a collection of procedural teaching guidelines...
January 16, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28058947/the-learning-curve-for-veterinary-surgery-residents-performing-hemilaminectomy-surgeries-in-dogs
#2
Owen T Fink, Raymond C Boston, Tracy Wu, Dorothy Cimino Brown, Jeffrey J Runge
OBJECTIVE To describe the learning curve for veterinary surgery residents performing hemilaminectomy surgeries in dogs. DESIGN Retrospective case review and learning curve evaluation. SAMPLE 13 individuals who completed a 3-year surgery residency program at a university teaching hospital and who had no prior experience performing hemilaminectomies. PROCEDURES The 13 residents performed hemilaminectomies on 399 dogs between July 2006 and July 2013. Medical records were reviewed, and operative time was recorded...
January 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28027928/dengue-virus-non-structural-protein-1-expression-and-associated-risk-factors-among-febrile-patients-attending-university-of-abuja-teaching-hospital-nigeria
#3
Idris Abdullahi Nasir, Olubunmi Olajide Agbede, Amos Dangana, Marycelin Baba, Abubakar Shehu Haruna
BACKGROUND: Dengue is a mosquito-borne and neglected tropical viral disease that has been reported to be hyper-endemic in Nigeria. However, this is the first dengue study in Abuja. OBJECTIVE: This hospital-based cross-sectional study investigated the prevalence of Dengue virus (DENV) non-structural protein-1 (NS1) antigenaemia, anti-Dengue virus IgG and their associated risk factors among febrile patients attending the University of Abuja Teaching Hospital (UATH), Nigeria...
December 24, 2016: Virus Research
https://www.readbyqxmd.com/read/28018540/development-of-a-comprehensive-communication-skills-curriculum-for-pediatrics-residents
#4
Eleanor B Peterson, Kimberly A Boland, Kristina A Bryant, Tara F McKinley, Melissa B Porter, Katherine E Potter, Aaron W Calhoun
BACKGROUND : Effective communication is an essential element of medical care and a priority of medical education. Specific interventions to teach communication skills are at the discretion of individual residency programs. OBJECTIVE : We developed the Resident Communication Skills Curriculum (RCSC), a formal curriculum designed to teach trainees the communication skills essential for high-quality practice. METHODS : A multidisciplinary working group contributed to the development of the RCSC, guided by an institutional needs assessment, literature review, and the Accreditation Council for Graduate Medical Education core competencies...
December 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28018539/promoting-resident-autonomy-during-family-centered-rounds-a-qualitative-study-of-resident-hospitalist-and-subspecialty-physicians
#5
Jimmy Beck, Terry Kind, Rebecca Meyer, Priti Bhansali
BACKGROUND : Family-centered rounds (FCR) have become a leading model for pediatric inpatient rounding. Several studies have examined effective teaching strategies during FCR, but none have focused on promoting resident autonomy. OBJECTIVE : The aim of this study was to identify strategies used by attending physicians to promote resident autonomy during FCR. METHODS : We conducted a qualitative study of attending physicians and residents between December 2012 and February 2013 at an academic children's hospital, where FCR is the standard model for inpatient rounds...
December 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28001436/teaching-resident-self-assessment-through-triangulation-of-faculty-and-patient-feedback
#6
Drew M Keister, Susan E Hansen, Julie Dostal
PROBLEM: To accurately determine one's ability in any clinical competency, an individual must be able to self-assess performance and identify personal limitations. Existing research demonstrates that physicians of all levels are unreliable self-assessors. This poses a concern in medical practice, which requires continuous updates to clinical competencies and awareness of personal limitations. Few published studies examine graduate medical education curricula designed to develop self-assessment skills...
December 21, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27973648/complementing-operating-room-teaching-with-video-based-coaching
#7
Yue-Yung Hu, Laura M Mazer, Steven J Yule, Alexander F Arriaga, Caprice C Greenberg, Stuart R Lipsitz, Atul A Gawande, Douglas S Smink
Importance: Surgical expertise demands technical and nontechnical skills. Traditionally, surgical trainees acquired these skills in the operating room; however, operative time for residents has decreased with duty hour restrictions. As in other professions, video analysis may help maximize the learning experience. Objective: To develop and evaluate a postoperative video-based coaching intervention for residents. Design, Setting, and Participants: In this mixed methods analysis, 10 senior (postgraduate year 4 and 5) residents were videorecorded operating with an attending surgeon at an academic tertiary care hospital...
December 14, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27832043/construct-validity-for-a-cost-effective-arthroscopic-surgery-simulator-for-resident-education
#8
Gregory Lopez, David F Martin, Rick Wright, James Jung, Peter Hahn, Nickul Jain, Daniel N Bracey, Ranjan Gupta
INTRODUCTION: Arthroscopy is one of the most challenging surgical skills to assess and teach. Although basic psychomotor arthroscopic skills, such as triangulation and object manipulation, are incorporated into many simulation exercises, they are not always individually taught or objectively evaluated. In addition, arthroscopic instruments, arthroscopy cameras, and the cadaver or joint models necessary for practice are costly. METHODS: A low-cost arthroscopic simulator was created to practice triangulation, probing, horizon changes, suture management, and object manipulation...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27790362/evaluation-of-sex-and-gender-based-medicine-training-in-post-graduate-medical-education-a-cross-sectional-survey-study
#9
Juliana M Kling, Steven H Rose, Lisa N Kransdorf, Thomas R Viggiano, Virginia M Miller
BACKGROUND: Addressing healthcare disparities is a national priority for initiatives in precision and individualized medicine. An essential component of precision medicine is the understanding that sex and gender influence health and disease. Whether these issues are addressed in post-graduate medical education curricula is unknown. METHODS: A questionnaire was designed and administered to residents across the Mayo Clinic enterprise to assess current knowledge of sex and gender medicine in a large program of post-graduate medical education and to identify barriers and preferred teaching methods for addressing sex and gender issues in health and disease...
2016: Biology of Sex Differences
https://www.readbyqxmd.com/read/27788923/evaluating-handoffs-in-the-context-of-a-communication-framework
#10
Hani Hasan, Fadwa Ali, Paul Barker, Robert Treat, Jacob Peschman, Matthew Mohorek, Philip Redlich, Travis Webb
BACKGROUND: The implementation of mandated restrictions in resident duty hours has led to increased handoffs for patient care and thus more opportunities for errors during transitions of care. Much of the current handoff literature is empiric, with experts recommending the study of handoffs within an established framework. METHODS: A prospective, single-institution study was conducted evaluating the process of handoffs for the care of surgical patients in the context of a published communication framework...
October 24, 2016: Surgery
https://www.readbyqxmd.com/read/27774617/rural-young-adults-lay-theories-of-intimate-partner-violence-a-qualitative-examination
#11
Katie M Edwards, Victoria L Banyard, Elizabeth A Moschella, Katherine M Seavey
This study qualitatively examined rural emerging adults' ways of thinking (i.e., lay theories) about the causes of intimate partner violence (IPV) and ideas on how to prevent IPV most effectively. Participants were 74 individuals (majority Caucasian, heterosexual, low income) between the ages of 18 and 24 who resided in one of 16 rural communities. Participants' perceptions of the causes of IPV included (a) individual-level pathology, stress, and lack of education; (b) intergenerational transmission of violence and early-life factors; (c) relationship stressors and challenges; and (d) community factors...
December 2016: American Journal of Community Psychology
https://www.readbyqxmd.com/read/27770264/the-benefits-of-utilising-geo-mapping-for-visualising-the-vitamin-d-status-of-dublin-city-and-the-surrounding-urban-districts
#12
E Laird, T Shannon, V E F Crowley, M Healy
CONTEXT: There have been few published reports of visualising vitamin D status at a micro level, i.e., within large individual urban centres of countries. OBJECTIVE: To produce a visual map of the vitamin D status [25-hydroxy vitamin D-25(OH)D] of a large urban centre (n > 350,000) incorporating the regions of Dublin city that constitute the general practitioner catchment area of a large academic teaching adult hospital. DESIGN, SETTING AND PARTICIPANTS: An observational investigation of 5287 free living Irish adults (>18 years)...
October 21, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27746056/evaluating-surgical-residents-quickly-and-easily-against-the-milestones-using-electronic-formative-feedback
#13
Thomas H Hartranft, Kurt Yandle, Tim Graham, Charles Holden, Lowell W Chambers
OBJECTIVE: This study was conducted to assess the effectiveness of a newly implemented electronic web-based review system created at our institution for evaluating resident performance relative to established milestones. DESIGN: Retrospective review of data collected from a survey of general surgery faculty and residents. SETTING: Tertiary care teaching hospital system and independent academic medical center. PARTICIPANTS: A total of 12 general surgery faculty and 17 general surgery residents participated in this study...
October 13, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27740899/teaching-legal-competencies-through-an-individualized-elective-in-medicine-and-law
#14
Marshall B Kapp
Medical education, including education intended to prepare future physicians to care to older individuals, should include development and implementation of competencies relating to a physician's ability to understand and interact with the legal environment and legal actors who will impact the practice of medicine. The wisdom of integrating legal knowledge into the medical curriculum has been documented and literature discusses the content and methods of teaching medical students and residents about law and the legal system...
October 14, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27738128/does-the-social-gradient-remain-in-the-dietary-habits-of-a-health-conscious-population-a-study-of-seventh-day-adventists-in-west-malaysia
#15
Min Min Tan, Carina K Y Chan, Daniel D Reidpath
BACKGROUND: Socioeconomic status (SES) is a strong predictor of health, and individuals with higher SES generally have better health than those with lower SES. One of the pathways that SES influences health is through health behaviors, such as dietary intake, and a higher SES has been associated with a better diet. The purpose of this study was to determine whether there was a social gradient in dietary habits among the Seventh-Day Adventists, a group of conservative Christians, where healthy eating is part of the doctrinal teaching...
October 13, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27697471/utility-of-retrograde-ureterocelogram-in-management-of-complex-ureterocele
#16
M K Arevalo, J C Prieto, N Cost, G Nuss, B J Brown, L A Baker
INTRODUCTION: Symptomatic pediatric ureterocele has diverse manifestations, making evidence-based management impractical. Thus, detailed visualization of ureterocele anatomy prior to first surgical incision is invaluable. Retrograde ureterocelogram (RUC) is a simple, underutilized radiologic technique that can be performed during cystoscopy. This study sought to determine whether RUC changes surgical management by more accurately depicting the complex ureteral and ureterocele anatomy, compared with renal ultrasound (US) and voiding cystourethrography (VCUG)...
September 17, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27672739/-teaching-in-perspective-how-medical-students-assess-their-practical-clinical-training-in-surgery
#17
M Rüsseler, A Schill, P Kalozoumi-Paisi, C Ganzert, L Arheilger, J Sterz, T Kollewe, S H Hoefer, F Adili
Introduction: Practical clinical expertise is a crucial part of medical professionalism. Several studies have shown that medical students are poorly trained in practical skills during their undergraduate training. Even the students rated their own expertise in practical skills as poor. The amendments to the German Regulating Licenses in Practical Medicine are intended to strengthen practical clinical training. The aim of the present study is to use focus groups to analyse practical clinical training with respect to organisation, difficulties and problems from the learners' perspective...
September 27, 2016: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/27664087/current-roles-and-perceived-needs-of-pediatric-hospital-medicine-fellowship-graduates
#18
Jennifer M Oshimura, Benjamin D Bauer, Neha Shah, Eugene Nguyen, Jennifer Maniscalco
OBJECTIVES: Pediatric hospitalists report the need for additional training in clinical and nonclinical domains. Pediatric hospital medicine (PHM) fellowships seek to provide this training and produce leaders in the field. Our objective is to describe current roles and perceived training needs of PHM fellowship graduates. METHODS: In 2014, all PHM fellowship graduates were asked to complete a Web-based survey. Survey questions addressed demographics, past training, current roles, and training needs in clinical care, research, education, and administration...
October 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27637785/the-auckland-cataract-study-assessing-preoperative-risk-stratification-systems-for-phacoemulsification-surgery-in-a-teaching-hospital
#19
Bia Z Kim, Dipika V Patel, Trevor Sherwin, Charles N J McGhee
PURPOSE: To evaluate 2 preoperative risk stratification systems for assessing the risk of complications in phacoemulsification cataract surgery, performed by residents, fellows, and attending physicians in a public teaching hospital. DESIGN: Cohort study. METHODS: One observer assessed the clinical data of 500 consecutive cases, prior to phacoemulsification cataract surgery performed between April and June 2015 at Greenlane Clinical Centre, Auckland, New Zealand...
November 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27619354/an-educational-and-administrative-intervention-to-promote-rational-laboratory-test-ordering-on-an-academic-general-medicine-service
#20
Bradley M Wertheim, Andrew J Aguirre, Roby P Bhattacharyya, John Chorba, Ashutosh P Jadhav, Vanessa B Kerry, Eric A Macklin, Gabriela Motyckova, Shveta Raju, Kent Lewandrowski, Daniel P Hunt, Douglas E Wright
BACKGROUND: Overuse of clinical laboratory testing in the inpatient setting is a common problem. The objective of this project was to develop an inexpensive and easily implemented intervention to promote rational laboratory use without compromising resident education or patient care. METHODS: The study comprised of a cluster-randomized, controlled trial to assess the impact of a multifaceted intervention of education, guideline development, elimination of recurring laboratory orders, unbundling of laboratory panels, and redesign of the daily progress note on laboratory test ordering...
January 2017: American Journal of Medicine
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