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https://www.readbyqxmd.com/read/29163982/individual-differences-in-schizophrenia
#1
Edmund T Rolls, Wenlian Lu, Lin Wan, Hao Yan, Chuanyue Wang, Fude Yang, Yunlong Tan, Lingjiang Li, Hao Yu, Peter F Liddle, Lena Palaniyappan, Dai Zhang, Weihua Yue, Jianfeng Feng
Background: Whether there are distinct subtypes of schizophrenia is an important issue to advance understanding and treatment of schizophrenia. Aims: To understand and treat individuals with schizophrenia, the aim was to advance understanding of differences between individuals, whether there are discrete subtypes, and how first-episode patients (FEP) may differ from multiple episode patients (MEP). Method: These issues were analysed in 687 FEP and 1880 MEP with schizophrenia using the Positive and Negative Syndrome Scale for (PANSS) schizophrenia before and after antipsychotic medication for 6 weeks...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29140917/medical-trainees-experiences-of-treating-people-with-chronic-pain-a-lost-opportunity-for-medical-education
#2
Kathleen Rice, Jae Eun Ryu, Cynthia Whitehead, Joel Katz, Fiona Webster
PURPOSE: Evidence suggests that physicians' opinions about chronic pain patients become progressively negative over the course of medical training, leading to a decline in empathy for these patients. Few qualitative studies have focused on this issue and thus the experiences shaping this process remain unexplored. This study addressed how medical trainees learn about chronic pain management through informal and formal curricula. METHOD: This study adopted a descriptive qualitative interview-based approach informed by the theoretical lens of the hidden curriculum...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29130399/recent-trends-in-publications-of-us-vascular-surgery-program-directors
#3
Afsha Aurshina, Anil Hingorani, Amrit Hingorani, Ayisha Zainab, Natalie Marks, Sheila Blumberg, Enrico Ascher
Objective In order to examine the academic productivity of US vascular surgery program directors, the number of vascular publications listed in PubMed from 2001 to 2015 for US vascular surgery program directors was reviewed. We suggest that this can be used as a benchmark for academic productivity. Methods The names of the program directors were taken from the Accreditation Council for Graduate Medical Education (ACGME) website at two time points: December 2009 (Independent Programs) and December 2015 (Independent‚ÄČ+‚ÄČIntegrated)...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/29113565/using-learning-analytics-to-evaluate-a-video-based-lecture-series
#4
K H Vincent Lau, Pue Farooque, Gary Leydon, Michael L Schwartz, R Mark Sadler, Jeremy J Moeller
BACKGROUND: The video-based lecture (VBL), an important component of the flipped classroom (FC) and massive open online course (MOOC) approaches to medical education, has primarily been evaluated through direct learner feedback. Evaluation may be enhanced through learner analytics (LA) - analysis of quantitative audience usage data generated by video-sharing platforms. METHODS AND RESULTS: We applied LA to an experimental series of ten VBLs on electroencephalography (EEG) interpretation, uploaded to YouTube in the model of a publicly accessible MOOC...
November 7, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29091235/predicting-trans-inclusive-attitudes-of-undergraduate-nursing-students
#5
Chris Brown, Chad J Keller, Jenna M Brownfield, Rebekah Lee
BACKGROUND: Research informs that transgender individuals experience harsh and negative experiences when accessing medical care. As a person of contact, nurses serve a key role in providing a sense of emotional safety for transgender patients. METHOD: Undergraduate nursing students (N = 265) completed an online survey assessing transprejudice attitudes and other individual-difference variables (e.g., openness to experience, attribution of cause for being transgender, and empathic concern)...
November 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29089291/comparison-of-the-impact-of-wikipedia-uptodate-and-a-digital-textbook-on-short-term-knowledge-acquisition-among-medical-students-randomized-controlled-trial-of-three-web-based-resources
#6
Michael A Scaffidi, Rishad Khan, Christopher Wang, Daniela Keren, Cindy Tsui, Ankit Garg, Simarjeet Brar, Kamesha Valoo, Michael Bonert, Jacob F de Wolff, James Heilman, Samir C Grover
BACKGROUND: Web-based resources are commonly used by medical students to supplement curricular material. Three commonly used resources are UpToDate (Wolters Kluwer Inc), digital textbooks, and Wikipedia; there are concerns, however, regarding Wikipedia's reliability and accuracy. OBJECTIVE: The aim of this study was to evaluate the impact of Wikipedia use on medical students' short-term knowledge acquisition compared with UpToDate and a digital textbook. METHODS: This was a prospective, nonblinded, three-arm randomized trial...
October 31, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/29076970/improving-the-clinical-skills-performance-of-graduating-medical-students-using-wise-oncall-a-multimedia-educational-module
#7
Demian Szyld, Kristen Uquillas, Brad R Green, Steven D Yavner, Hyuksoon Song, Michael W Nick, Grace M Ng, Martin V Pusic, Thomas S Riles, Adina Kalet
INTRODUCTION: Transitions to residency programs are designed to maximize quality and safety of patient care, as medical students become residents. However, best instructional or readiness assessment practices are not yet established. We sought to study the impact of a screen-based interactive curriculum designed to prepare interns to address common clinical coverage issues (WISE OnCall) on the clinical skills demonstrated in simulation and hypothesize that performance would improve after completing the module...
October 25, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29054933/social-media-enabled-learning-in-emergency-medicine-a-case-study-of-the-growth-engagement-and-impact-of-a-free-open-access-medical-education-blog
#8
Simon Carley, Iain Beardsell, Natalie May, Liz Crowe, Janos Baombe, Alan Grayson, Richard Carden, Ashley Liebig, Chris Gray, Ross Fisher, Daniel Horner, Laura Howard, Richard Body
BACKGROUND: Clinicians are increasingly using social media for professional development and education. In 2012, we developed the St.Emlyn's blog, an open access resource dedicated to providing free education in the field of emergency medicine. OBJECTIVE: To describe the development and growth of this international emergency medicine blog. METHOD: We present a narrative description of the development of St.Emlyn's blog. Data on scope, impact and engagement were extracted from WordPress, Twitter and Google Analytics...
October 20, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29045273/oneflorida-clinical-research-consortium-linking-a-clinical-and-translational-science-institute-with-a-community-based-distributive-medical-education-model
#9
Elizabeth Shenkman, Myra Hurt, William Hogan, Olveen Carrasquillo, Steven Smith, Andrew Brickman, David Nelson
PROBLEM: Developing a national pragmatic clinical trial infrastructure is central to understanding the effectiveness of interventions applied under usual conditions and where people receive health care. To address this challenge, three Florida universities- the University of Florida Clinical and Translational Science Institute, Florida State University (with its community-based distributive medical education model), and the University of Miami-created (2010-2013) a statewide consortium, the OneFlorida Clinical Research Consortium, to support the conduct of pragmatic clinical trials and provide mentored research experiences for medical and graduate students in real-world practice settings...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29028755/finding-resolution-for-the-responsible-transparency-of-economic-models-in-health-and-medicine
#10
William V Padula, Robert Brett McQueen, Peter J Pronovost
The Second Panel on Cost-Effectiveness in Health and Medicine recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses has a number of questions unanswered with respect to the implementation of transparent, open source code interface for economic models. The possibility of making economic model source code could be positive and progressive for the field; however, several unintended consequences of this system should be first considered before complete implementation of this model...
November 2017: Medical Care
https://www.readbyqxmd.com/read/29025838/association-between-childhood-allergic-diseases-educational-attainment-and-occupational-status-in-later-life-systematic-review-protocol
#11
Laura Beate von Kobyletzki, Linda Beckman, Liam Smeeth, Martin McKee, Jennifer K Quint, Katrina Abuabara, Sinead Langan
INTRODUCTION: Childhood allergic diseases may prevent affected children from achieving their academic potential. Potential mechanisms include absence from school due to illness and medical appointments. Experience of symptoms in classes or leisure time, and stigma associated with visible signs and symptoms, including skin disease, requirements for medication during school time or the need for specific diets, may also contribute to reduced educational attainment. Studies have investigated the association between specific allergic diseases and educational attainment...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28991846/a-multi-institutional-longitudinal-faculty-development-program-in-humanism-supports-the-professional-development-of-faculty-teachers
#12
William T Branch, Richard M Frankel, Janet P Hafler, Amy B Weil, MaryAnn C Gilligan, Debra K Litzelman, Margaret Plews-Ogan, Elizabeth A Rider, Lars G Osterberg, Dana Dunne, Natalie B May, Arthur R Derse
The authors describe the first 11 academic years (2005-2006 through 2016-2017) of a longitudinal, small-group faculty development program for strengthening humanistic teaching and role modeling at 30 U.S. and Canadian medical schools that continues today. During the yearlong program, small groups of participating faculty met twice monthly with a local facilitator for exercises in humanistic teaching, role modeling, and related topics that combined narrative reflection with skills training using experiential learning techniques...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28959452/predicting-early-transition-from-sub-syndromal-presentations-to-major-mental-disorders
#13
Shane P M Cross, Jan Scott, Ian B Hickie
BACKGROUND: Transition from at-risk state to full syndromal mental disorders is underexplored for unipolar and bipolar disorders compared with psychosis. AIMS: Prospective, trans-diagnostic study of rates and predictors of early transition from sub-threshold to full syndromal mental disorder. METHOD: One-year outcome of 243 consenting youth aged 15-25 years with a sub-syndromal presentation of a potentially severe mental disorder. Survival analysis and odds ratio (OR) for predictors of transition identified from baseline clinical and demographic ratings...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28956300/chronic-disease-and-self-injection-ethnographic-investigations-into-the-patient-experience-during-treatment
#14
Michael Schiff, Shane Saunderson, Irina Mountian, Paul Hartley
INTRODUCTION: Drug administration by self-injection provides an option to treat chronic inflammatory diseases such as rheumatoid arthritis (RA) and Crohn's disease (CD). However, a negative self-injection experience for patients may reduce patient adherence to the recommended treatment regimen. In this study, a holistic approach was used to identify common themes along the treatment pathway and at self-injection that, if changed, could improve patient experience and treatment outcomes...
December 2017: Rheumatology and Therapy
https://www.readbyqxmd.com/read/28902768/economic-and-clinical-outcomes-resulting-from-the-stage-4-chronic-kidney-disease-case-management-quality-improvement-initiative
#15
Beverly Everett, Liana D Castel, Matthew McGinnis, Amy Beresky, Rudolph C Cane, Tasha Cooper, Rajesh K Davda, Donna Farmer, Stella M John, Denise L Sollars, John F Rausch
PURPOSE OF STUDY: Chronic kidney disease (CKD) is a costly and burdensome public health concern. The goal of this study was to evaluate the impact on outcomes and utilization of a pilot program to identify and engage beneficiaries with CKD at risk for progression from Stage 4 to Stage 5. PRIMARY PRACTICE SETTINGS: A quality improvement initiative was conducted to assess the impact of case management on costs and outcomes among 7,720 Cigna commercial medical beneficiaries with Stage 4 CKD enrolled in the United States between January 2012 and October 2012...
November 2017: Professional Case Management
https://www.readbyqxmd.com/read/28893344/four-strategies-to-find-evaluate-and-engage-with-online-resources-in-emergency-medicine
#16
Andrea Lo, Eric Shappell, Hans Rosenberg, Brent Thoma, James Ahn, N Seth Trueger, Teresa M Chan
Despite the rapid expansion of online educational resources for emergency medicine, barriers remain to their effective use by emergency physicians and trainees. This article expands on previous descriptions of techniques to aggregate online educational resources, outlining four strategies to help learners navigate, evaluate, and contribute online. These strategies include 1) cultivating digital mentors, 2) browsing the most popular free open access medical education (FOAM) websites, 3) using critical appraisal tools developed for FOAM, and 4) contributing new online content...
September 12, 2017: CJEM
https://www.readbyqxmd.com/read/28890797/defining-patient-centricity-with-patients-for-patients-and-caregivers-a-collaborative-endeavour
#17
Guy Yeoman, Patricia Furlong, Michael Seres, Helena Binder, Helena Chung, Vincenzo Garzya, Rachel Rm Jones
BACKGROUND: Patient engagement is an essential aspect in the research/development of biopharmaceutical products and disease management. Improving the lives of patients requires a deep understanding of their medical conditions, experiences, needs and priorities. However, a consistent definition of patient centricity is lacking. A series of initiatives was conducted to define patient centricity and its important principles impacting the biopharmaceutical industry. METHODS: Interviews, questionnaires and literature reviews were conducted involving key stakeholders to initially identify issues of importance to patients, healthcare providers and payers...
April 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28870567/tele-neurology-in-sub-saharan-africa-a-systematic-review-of-the-literature
#18
REVIEW
Fred S Sarfo, Sheila Adamu, Dominic Awuah, Bruce Ovbiagele
BACKGROUND: The rapid advancement in telecommunications on the African continent has opened up avenues for improving medical care to underserved populations. Although the greatest burden of neurological disorders is borne by Low-and-Middle Income Countries (LMICs) including sub-Saharan Africa (SSA), there is a profound paucity of neurologists to serve the population. Telemedicine presents a promising avenue for effective mobilization and utilization of the few neurologists in Africa. OBJECTIVE: To systematically review the published literature on the use of telemedicine for improved care and outcomes for patients with neurological disorders in SSA...
September 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28862788/factors-related-to-diagnostic-delay-of-oral-squamous-cell-carcinoma-in-southern-thailand-revisited
#19
Duangporn Kerdpon, Kitti Jantharapattana, Hutcha Sriplung
OBJECTIVES: To evaluate the impact of more open access to health services by Thailand's universal health coverage (UHC) on diagnostic delay of oral squamous cell carcinomas (OSCC) by comparing results with our previous study prior to the UHC. Reasons for delay in attending health care professionals (HCPs) consultation were also investigated. METHODS: A structure questionnaire was employed to interview 154 OSCC consecutive patients. Variables were included for Cox proportional regression models to conclude the hazard ratio of each delay...
September 1, 2017: Oral Diseases
https://www.readbyqxmd.com/read/28860891/advances-in-medical-education-and-practice-role-of-massive-open-online-courses
#20
REVIEW
Lynette R Goldberg, Leonard A Crocombe
Massive open online courses (MOOCs) are increasingly available in the area of health and medicine. These MOOCs are offered through various commercial and noncommercial online platforms. When offered through reputable institutions, they can provide valuable access to reliable information without the constraints of time, geographical location, or level of education. Most current courses appear introductory in nature. In its drive for quality health care, the National Academy of Medicine has prioritized a focus on known chronic care conditions...
2017: Advances in Medical Education and Practice
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