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https://www.readbyqxmd.com/read/29666797/development-and-implementation-of-a-perianesthetic-safety-checklist-in-a-veterinary-university-small-animal-teaching-hospital
#1
Gwennaëlle Menoud, Shannon Axiak Flammer, Claudia Spadavecchia, Mathieu Raillard
Introduction: The use of a surgical safety checklist is recommended by the World Health Organization and is associated with advantages: improved communication and reduced complications and mortality. Adapting checklists to the environment in which they are used improves their efficiency, but their implementation can be challenging. The aim of this study was to develop and implement a perianesthetic safety checklist for a small animal hospital. Materials and methods: A panel of eight anesthesia diplomates and seven residents and doctoral students were gathered...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29648944/parents-concerns-regarding-the-growth-characteristics-of-their-adolescents-a-qualitative-inquiry-in-iran
#2
Mohammad Ali Cheraghi, Parvaneh Rezasoltani, AbouAli Vedadhir, Ziba Taghizadeh, Seyyed Hossein Samadanifard
In recent times, parents have become increasingly concerned, both subjectively and objectively, about their adolescents' body height/weight growth. Parent-adolescent interactions about this issue and the potential socio-psychological consequences of such interactions should be considered as an important influencing factor on the future of adolescents' sexual and reproductive health. To achieve a greater understanding of such concerns, it is necessary to further elucidate parents' experiences on this topic, so as to expand the existing literature...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29551697/comprehensive-multicenter-graduate-surgical-education-initiative-incorporating-entrustable-professional-activities-continuous-quality-improvement-cycles-and-a-web-based-platform-to-enhance-teaching-and-learning
#3
Cheryl I Anderson, Marc D Basson, Muhammad Ali, Alan T Davis, Robert L Osmer, Michael K McLeod, Pam S Haan, Robert G Molnar, Andi N Peshkepija, John C Hardaway, Karen A Chojnacki, Christopher C Pfeifer, Jeffrey M Gauvin, Mark W Jones, M Ashraf Mansour
BACKGROUND: It is increasingly important for faculty to teach deliberately and provide timely, detailed and formative feedback on surgical trainee performance. We initiated a multicenter study to improve resident evaluative processes and enhance teaching and learning behaviors while engaging residents in their education. METHODS: Faculty from seven U.S. postgraduate training programs rated resident operative performances using the perioperative briefing, intraoperative teaching, debriefing model (BID) and rated patient visits/academic performances using the entrustable professional activities (EPAs) model via a web-based platform...
March 15, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29550077/the-european-urology-residents-education-programme-hands-on-training-format-4-years-of-hands-on-training-improvements-from-the-european-school-of-urology
#4
Bhaskar K Somani, Ben Van Cleynenbreugel, Ali Gozen, Jaun Palou, Sas Barmoshe, Shekhar Biyani, Josep M Gaya, Giles Hellawell, Gio Pini, Faba R Oscar, Rafael Sanchez Salas, Petr Macek, Andreas Skolarikos, Christian Wagner, Viktor Eret, Stephen Haensel, Giampaolo Siena, Marek Schmidt, Max Klitsch, Stepan Vesely, Achilles Ploumidis, Silvia Proietti, Guido Kamphuis, Theodore Tokas, Rob Geraghty, Dominico Veneziano
BACKGROUND: The European School of Urology (ESU) started the European Urology Residents Education Programme (EUREP) in 2003 for final year urology residents, with hands-on training (HOT) added later in 2007. OBJECTIVE: To assess the geographical reach of EUREP, trainee demographics, and individual quality feedback in relation to annual methodology improvements in HOT. DESIGN, SETTING, AND PARTICIPANTS: From September 2014 to October 2017 (four EUREP courses) several new features have been applied to the HOT format of the EUREP course: 1:1 training sessions (2015), fixed 60-min time slots (2016), and standardised teaching methodology (2017)...
March 14, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29540877/postgraduate-residents-perception-of-the-clinical-learning-environment-use-of-postgraduate-hospital-educational-environment-measure-pheem-in-pakistani-context
#5
Attia Bari, Rehan Ahmed Khan, Ahsan Waheed Rathore
OBJECTIVE: To evaluate the perception of postgraduate residents about the clinical educational environment and to investigate the association of their perception with different specialities and years of residency. METHODS: The study was conducted in August 2016 at The Children's Hospital, Lahore, Pakistan, and comprised postgraduate residents who were asked to complete postgraduate hospital educational environment measure questionnaire. The residents' individual perception scores were calculated and the means of both individual domain and global score of the questionnaire were compared by different specialities and different levels of residency training year...
March 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29537478/characteristics-of-graduating-family-medicine-residents-who-intend-to-practice-maternity-care
#6
Sebastian T Tong, Camille J Hochheimer, Wendy B Barr, Matteo Leveroni-Calvi, Nicholas M Lefevre, Jordyn T Wallenborn, Lars E Peterson
BACKGROUND AND OBJECTIVES: Prior research found that 24% of graduating family medicine residents intend to provide obstetrical deliveries, but only 9% of family physicians 1 to 10 years into practice are doing so. Our study aims to describe the individual and residency program characteristics associated with intention to provide obstetrical deliveries and prenatal care. METHODS: Cross-sectional data on 2014-2016 graduating residents were obtained from the American Board of Family Medicine certification examination demographic questionnaire that asked about intended provision of specific clinical activities...
March 8, 2018: Family Medicine
https://www.readbyqxmd.com/read/29475389/remediation-in-canadian-medical-residency-programs-established-and-emerging-best-practices
#7
Cindy Shearer, Mark Bosma, Fiona Bergin, Joan Sargeant, Andrew Warren
BACKGROUND: Policies to guide remediation in postgraduate medical education exist in all Canadian medical schools. This study examines concordance between these policies and processes, and published "best practices" in remediation. METHOD: We conducted a literature review to identify best practices in the area of remediation. We then reviewed remediation policies from all 13 English medical schools in Canada other than our own and conducted interviews with key informants from each institution...
February 23, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29452056/promoting-addiction-medicine-teaching-through-functional-mentoring-by-co-training-generalist-chief-residents-with-faculty-mentors
#8
Daniel P Alford, Brittany L Carney, Angela H Jackson, Belle Brett, Carly Bridden, Michael Winter, Jeffrey H Samet
BACKGROUND: Generalist physicians should play a vital role in identifying and managing individuals with substance use but are inadequately trained to do so. METHODS: This 5 year (2008-2012) controlled educational study assessed whether internal medicine and family medicine chief residents' (CRs) addiction medicine teaching increased by co-training with faculty mentors at a Chief Resident Immersion Training (CRIT) program in addiction medicine. All CRIT CR attendees identified a residency program faculty mentor to support addiction medicine teaching after CRIT through functional mentoring with a focus on developing and implementing an Addiction Medicine Teaching Project ("Teaching Project")...
February 16, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29401078/teaching-medical-students-clinical-anesthesia
#9
Saundra E Curry
There are many reasons for evaluating our approach and improving our teaching of America's future doctors, whether they become anesthesiologists (recruitment) or participate in patient management in the perioperative period (general patient care). Teaching medical students the seminal aspects of any medical specialty is a continual challenge. Although no definitive curricula or single clinical approach has been defined, certain key features can be ascertained from clinical experience and the literature. A survey was conducted among US anesthesiology teaching programs regarding the teaching content and approaches currently used to teach US medical students clinical anesthesia...
February 2, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29397357/using-technological-advances-to-improve-surgery-curriculum-experience-with-a-mobile-application
#10
Courtney A Green, Edward H Kim, Patricia S O'Sullivan, Hueylan Chern
OBJECTIVE: Our previous home-video basic surgical skills curriculum required substantial faculty time and resources, and was limited by delayed feedback and technical difficulties. Consequently, we integrated that curriculum with a mobile application platform. Our purpose is to describe this application and learner satisfaction. MATERIALS AND METHODS: The mobile platform incorporates a patented pedagogical design based on Ericsson's deliberate practice and Bandura's social learning theory...
January 31, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29379973/reducing-patient-no-shows-an-initiative-at-an-integrated-care-teaching-health-center
#11
Ashwin Mehra, Claire J Hoogendoorn, Greg Haggerty, Jessica Engelthaler, Stephen Gooden, Michelle Joseph, Shannon Carroll, Peter A Guiney
Background: Patient no-shows impede the effectiveness and efficiency of health care services delivery. Objective: To evaluate a 2-phase intervention to reduce no-show rates at an integrated care community health center that incorporates a teaching program for osteopathic family medicine residents. Methods: The Elmont Teaching Health Center (ETHC) is 1 of 5 community-based health centers comprising the Long Island Federally Qualified Health Centers...
February 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29374505/an-environmental-scan-of-academic-pediatric-emergency-medicine-at-canadian-medical-schools-identifying-variability-across-canada
#12
Jennifer D Artz, Garth Meckler, Niran Argintaru, Roderick Lim, Ian G Stiell
OBJECTIVE: To complement our environmental scan of academic emergency medicine departments, we conducted a similar environmental scan of the academic pediatric emergency medicine programs offered by the Canadian medical schools. METHODS: We developed an 88-question form, which was distributed to pediatric academic leaders at each medical school. The responses were validated via email to ensure that the questions were answered completely and consistently. RESULTS: Fourteen of the 17 Canadian medical schools have some type of pediatric emergency medicine academic program...
January 28, 2018: CJEM
https://www.readbyqxmd.com/read/29357679/area-deprivation-index-predicts-readmission-risk-at-an-urban-teaching-hospital
#13
Jianhui Hu, Amy J H Kind, David Nerenz
A growing body of evidence has shown that neighborhood characteristics have significant effects on quality metrics that evaluate health plans or health care providers. Using a data set of an urban teaching hospital patient discharges, this study aimed to determine whether a significant effect of neighborhood characteristics, measured by the Area Deprivation Index, could be observed on patients' readmission risk, independent of patient-level clinical and demographic factors. This study found that patients residing in more disadvantaged neighborhoods had significantly higher 30-day readmission risks compared to those living in less disadvantaged neighborhoods, even after accounting for individual-level factors...
January 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29354200/perceptions-practice-and-ownership-experiences-in-continuity-of-the-patient-doctor-relationship-in-a-family-medicine-residency
#14
Ann Lee, Sandra Kennett, Sheny Khera, Shelley Ross
Background: The objective of this mixed-methods study was to determine interpersonal continuity (the ongoing therapeutic relationship between patient and health care provider) experiences of family medicine residents and preceptors, and explore their perceptions of interpersonal continuity. Methods: Quantitative data on resident and preceptor encounters were extracted from the electronic medical record (EMR). Opportunities for developing interpersonal continuity were determined using the Usual Provider Continuity (UPC) Index...
December 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29298717/experiences-of-pressure-to-conform-in-postgraduate-medical-education
#15
Jan Grendar, Tanya Beran, Elizabeth Oddone-Paolucci
BACKGROUND: Perception of pressure to conform prevents learners from actively participating in educational encounters. We expected that residents would report experiencing different amounts of pressure to conform in a variety of educational settings. METHODS: A total of 166 residents completed questionnaires about the frequency of conformity pressure they experience across 14 teaching and clinical settings. We examined many individual characteristics such as their age, sex, international student status, level of education, and tolerance of ambiguity; and situational characteristics such as residency program, type of learning session, status of group members, and type of rotation to determine when conformity pressure is most likely to occur...
January 3, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29279637/an-interventional-quality-improvement-study-to-assess-the-compliance-to-cardiopulmonary-resuscitation-documentation-in-an-indian-teaching-hospital
#16
Viraj Nevrekar, Prasan Kumar Panda, Naveet Wig, R M Pandey, Praveen Agarwal, Ashutosh Biswas
Background: Cardiopulmonary resuscitation (CPR) should be performed as per the international guidelines; however, compliance to these guidelines is difficult to assess. This study was conducted to determine the compliance to American Heart Association (2010) guideline on CPR documentation by among resident physicians before and after resident training (two arms). Methods: This pre-postinterventional quality improvement study was conducted in a referral center, North India...
November 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29235909/the-role-of-balint-group-training-in-the-professional-and-personal-development-of-family-medicine-residents
#17
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 2018: 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
#18
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
#19
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
#20
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
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