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Open access medical education

Andrew Grock, William Paolo
No abstract text is available yet for this article.
September 2016: Clin Exp Emerg Med
Laura E Edsberg, Joyce M Black, Margaret Goldberg, Laurie McNichol, Lynn Moore, Mary Sieggreen
Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world...
October 4, 2016: Journal of Wound, Ostomy, and Continence Nursing
Sarah Amador, Claire Goodman, Louise Robinson, Elizabeth L Sampson
BACKGROUND: People living and dying with non-cancer diagnoses, including dementia, have poorer access to generalist and specialist palliative care than people with cancer, and experience worse outcomes in terms of pain and symptom control, and quality and experience of care. In the UK, the National Council for Palliative Care (NCPC) ran a national survey of services for end-of-life care for people with dementia (2008) in which 16 services were identified, and reported on case studies and examples of good practice...
October 14, 2016: BMJ Supportive & Palliative Care
David J T Campbell, Marcello Tonelli, Brenda Hemmelgarn, Chad Mitchell, Ross Tsuyuki, Noah Ivers, Tavis Campbell, Raj Pannu, Eric Verkerke, Scott Klarenbach, Kathryn King-Shier, Peter Faris, Derek Exner, Vikas Chaubey, Braden Manns
BACKGROUND: Chronic diseases result in significant morbidity and costs. Although medications and lifestyle changes are effective for improving outcomes in chronic diseases, many patients do not receive these treatments, in part because of financial barriers, patient and provider-level knowledge gaps, and low patient motivation. The Assessing outcomes of enhanced chronic disease care through patient education and a value-based formulary study (ACCESS) will determine the impact of two interventions: (1) a value-based formulary which eliminates copayment for high-value preventive medications; and (2) a comprehensive self-management support program aimed at promoting health behavior change and medication adherence, combined with relay of information on medication use to healthcare providers, on cardiovascular events and/or mortality in low-income seniors with elevated cardiovascular risk...
September 26, 2016: Implementation Science: IS
Charlotte Gardair, Guilhem Bousquet, Jacqueline Lehmann-Che, Cédric de Bazelaire, Patricia de Cremoux, Jeanne Tran Van Nhieu, Marie Sockeel, Maxime Battistella, Julien Calvani, Jocelyne Gervais, Yohann Pottier, Laurent Prévaut, Karima Sekri, Philippe Bertheau
Massive open online course (or MOOC) is a new online and open access teaching approach aimed at unlimited participation and providing interactions among students and teaching staff. These academic courses, often still free, lead to the delivery of a certificate of attendance and could soon also deliver a diploma. The MOOC "Stratégies diagnostiques des cancers" will be hosted in autumn 2016 on the platform "France Université Numérique" and will have two levels of learners: students in the field of health and biology and the general public...
October 2016: Annales de Pathologie
Amin Azzam, David Bresler, Armando Leon, Lauren Maggio, Evans Whitaker, James Heilman, Jake Orlowitz, Valerie Swisher, Lane Rasberry, Kingsley Otoide, Fred Trotter, Will Ross, Jack D McCue
PROBLEM: Most medical students use Wikipedia as an information source, yet medical schools do not train students to improve Wikipedia or use it critically. APPROACH: Between November 2013 and November 2015, the authors offered fourth-year medical students a credit-bearing course to edit Wikipedia. The course was designed, delivered, and evaluated by faculty, medical librarians, and personnel from WikiProject Medicine, Wikipedia Education Foundation, and Translators Without Borders...
September 13, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Bhakti Hansoti, Mark I Langdorf, Linda S Murphy
INTRODUCTION: Open access (OA) medical publishing is growing rapidly. While subscription-based publishing does not charge the author, OA does. This opens the door for "predatory" publishers who take authors' money but provide no substantial peer review or indexing to truly disseminate research findings. Discriminating between predatory and legitimate OA publishers is difficult. METHODS: We searched a number of library indexing databases that were available to us through the University of California, Irvine Libraries for journals in the field of emergency medicine (EM)...
September 2016: Western Journal of Emergency Medicine
D Leguay
This article attempts to identify and put into perspective the different approaches that could globally prevent the suffering induced by schizophrenia, from the detection of early psychosis to the impact on individual and family functioning and emotional health. Schizophrenia causes, at the community level, a number of difficult consequences and associated costs, which likely could be reduced if specific strategies, already known and documented internationally, were applied. Two areas not explored in this article: the role of medication and the issue of suicide prevention...
September 9, 2016: L'Encéphale
Dominik A Ettlin, Isabelle Sommer, Ben Brönnimann, Sergio Maffioletti, Jörg Scheidt, Mei-Yin Hou, Nenad Lukic, Beat Steiger
BACKGROUND: Medical symptoms independent of body location burden individuals to varying degrees and may require care by more than one expert. Various paper and computer-based tools exist that aim to comprehensively capture data for optimal clinical management and research. METHODS: A web-based interdisciplinary symptom evaluation (WISE) was newly designed, constructed, and technically implemented. For worldwide applicability and to avoid copyright infringements, open source software tools and free validated questionnaires available in multiple languages were used...
December 2016: Journal of Headache and Pain
Camilla Stepniak, Brandon Wickens, Murad Husein, Josee Paradis, Hanif M Ladak, Kevin Fung, Sumit K Agrawal
OBJECTIVES/HYPOTHESIS: OtoTrain is a Web-based otoscopy simulator that has previously been shown to have face and content validity. The objective of this study was to evaluate the effectiveness of this Web-based otoscopy simulator in teaching diagnostic otoscopy to novice learners STUDY DESIGN: Prospective, blinded randomized control trial. METHODS: Second-year medical students were invited to participate in the study. A pretest consisted of a series of otoscopy videos followed by an open-answer format assessment pertaining to the characteristics and diagnosis of each video...
August 31, 2016: Laryngoscope
Diane Murray, Cathy Sedgeworth, Moira Kinnear, Lesley Diack
AIM: To gather opinions from doctors and pharmacists to improve the design of the PICU MR form generated by the electronic prescribing and clinical notes system to support transfer of care from PICU to downstream wards that use paper systems. METHOD: A purposive sample of 10 forms covering a comprehensive range of medication information common to PICU patients was selected from practice between March 2014 and May 2014. Pharmacists (n=7) and doctors (n=9) who received these forms on downstream wards were invited to participate in semi-structured one-to-one interviews (n=20) with the PICU pharmacist within 48 hrs of receipt to explore their views about the form...
September 2016: Archives of Disease in Childhood
Timothy Omer
Due to the easier access to information, the availability of low cost technologies and the involvement of well educated, passionate patients, a group of citizen 'Health Hackers', who are building their own medical systems to help them overcome the unmet needs of their conditions, is emerging. This has recently been the case in the type 1 diabetes community, under the movement #WeAreNotWaiting, with innovative use of current medical devices hacked to access data and Open-Source code producing solutions ranging from remote monitoring of diabetic children to producing an Artificial Pancreas System to automate the management and monitoring of a patient's condition...
2016: BMC Medicine
Aaron Fernandez, Kit-Aun Tan, Stephanie Knaak, Boon How Chew, Sazlina Shariff Ghazali
OBJECTIVE: If presented with serious mental illness (SMI), individuals' low help-seeking behaviors and poor adherence to treatment are associated with negative stereotypes and attitudes of healthcare providers. In this study, we examined the effects of a brief psychoeducational program on reducing stigma in pre-clinical medical students. METHODS: One hundred and two pre-clinical medical students (20-23 years old) were randomly assigned to face-to-face contact + educational lecture (n = 51) condition or video-based contact + educational lecture (n = 51) condition...
August 15, 2016: Academic Psychiatry
Robert A Hiatt, Natalie J Engmann, Mushtaq Ahmed, Yasmin Amarsi, William M Macharia, Sarah B Macfarlane, Anthony K Ngugi, Fauziah Rabbani, Gijs Walraven, Robert W Armstrong
Sub-Saharan Africa suffers an inordinate burden of disease and does not have the numbers of suitably trained health care workers to address this challenge. New concepts in health sciences education are needed to offer alternatives to current training approaches.A perspective of integrated training in population health for undergraduate medical and nursing education is advanced, rather than continuing to take separate approaches for clinical and public health education. Population health science educates students in the social and environmental origins of disease, thus complementing disease-specific training and providing opportunities for learners to take the perspective of the community as a critical part of their education...
August 9, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Christine Leong, Silvia Alessi-Severini, Jitender Sareen, Murray W Enns, James Bolton
BACKGROUND: Community pharmacists frequently encounter patients at risk of medication misuse, diversion, and intentional overdose. However, few studies have examined the perspective of the pharmacist on the identification and management of these patients. OBJECTIVE: To understand the perspective of community pharmacists on the dispensing of select medications commonly associated with misuse, diversion, and overdose. METHODS: An online survey was disseminated by electronic mail to community pharmacists listed in the College of Pharmacists of Manitoba directory...
November 9, 2016: Substance Use & Misuse
Maria K Venetis, Erina L MacGeorge, Dadrie F Baptiste, Ashton Mouton, Lorin B Friley, Rebekah Pastor, Kristen Hatten, Janaka Lagoo, Monet W Bowling, Susan E Clare
OBJECTIVES: The rate of contralateral prophylactic mastectomy (CPM) has risen sharply in the past decade. The current study was designed to examine social network, surgeon, and media influence on patients' CPM decision-making, examining not only who influenced the decision, and to what extent, but also the type of influence exerted. METHODS: Patients (N=113) who underwent CPM at 4 Indiana University-affiliated hospitals between 2008 and 2012 completed structured telephone interviews in 2013...
July 26, 2016: American Journal of Clinical Oncology
Anson Nguyen, Trung Ho, Marcin Czerwinski
Orbital fractures are common, accounting for nearly 40% of all facial fractures. Open repair is required to restore preinjury orbital volume and relieve any extra-ocular muscle entrapment. Monitoring for postoperative intraorbital hemorrhage, and its consequent potential for visual impairment, has triggered most surgeons to observe their patients in the hospital overnight postoperatively. The real risk of postoperative hemorrhage in this patient group, however, is uncertain and the need to contain healthcare costs clear...
October 2016: Journal of Craniofacial Surgery
Wei Wei Lee, Maria A Alkureishi, Obioma Ukabiala, Laura Ruth Venable, Samantha S Ngooi, Daina D Staisiunas, Kristen E Wroblewski, Vineet M Arora
BACKGROUND: While concerns remain regarding Electronic Medical Records (EMR) use impeding doctor-patient communication, resident and faculty patient perspectives post-widespread EMR adoption remain largely unexplored. OBJECTIVE: We aimed to describe patient perspectives of outpatient resident and faculty EMR use and identify positive and negative EMR use examples to promote optimal utilization. DESIGN: This was a prospective mixed-methods study...
July 11, 2016: Journal of General Internal Medicine
Andrew Huff, Toph Allen, Karissa Whiting, Nathan Breit, Brock Arnold
INTRODUCTION:  Beginning in 2015, Zika virus rapidly spread throughout the Americas and has been linked to neurological and autoimmune diseases in adults and babies. Developing accurate tools to anticipate Zika spread is one of the first steps to mitigate further spread of the disease. When combined, air traffic data and network simulations can be used to create tools to predict where infectious disease may spread to and aid in the prevention of infectious diseases. Specific goals were to: 1) predict where travelers infected with the Zika Virus would arrive in the U...
2016: PLoS Currents
Barry A Cohen, Mark J Courtney, Louise M Moist, James Barton
BACKGROUND: A critical feature of any continuing medical education (CME) program is the inclusion of a needs assessment for its target audience. This assessment must identify both perceived and unperceived needs, so as to best capture the entire spectrum of learning opportunities for the group. OBJECTIVE: We describe the process developed by the Canadian Society of Nephrology (CSN) to enhance the educational effectiveness of its Annual General Meeting program. DESIGN: The design of this study is the analysis of a survey questionnaire and of the Canadian Organ Replacement Registry (CORR) database...
2016: Canadian Journal of Kidney Health and Disease
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