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https://www.readbyqxmd.com/read/28239219/higher-quality-and-lower-cost-from-improving-hospital-discharge-decision-making
#1
James C Cox, Vjollca Sadiraj, Kurt E Schnier, John F Sweeney
This paper reports research on improving decisions about hospital discharges - decisions that are now made by physicians based on mainly subjective evaluations of patients' discharge status. We report an experiment on uptake of our clinical decision support software (CDSS) which presents physicians with evidence-based discharge criteria that can be effectively utilized at the point of care where the discharge decision is made. One experimental treatment we report prompts physician attentiveness to the CDSS by replacing the default option of universal "opt in" to patient discharge with the alternative default option of "opt out" from the CDSS recommendations to discharge or not to discharge the patient on each day of hospital stay...
November 2016: Journal of Economic Behavior & Organization
https://www.readbyqxmd.com/read/28239002/racial-dynamics-and-cultural-competence-training-in-medical-and-pharmacy-education
#2
Margarita Echeverri, Theresa Dise
Using the Self-Assessment of Perceived Level of Cultural Competence (SAPLCC) questionnaire, frequencies, means, and ANOVAS were determined to create medical and pharmacy student profiles of cultural competence. Profiles were used to identify needs for training and underscore critical issues that should be given priority in the curriculum. Significant differences were found in several domains of cultural competence (knowledge, skills, attitudes, and abilities); they may be explained by differences in the implementation of a pilot curriculum, the racial composition of students in both programs, and other characteristics...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28239001/the-role-of-historically-black-college-and-university-medical-schools-in-academic-medicine
#3
José E Rodríguez, Ivette A López, Kendall M Campbell, Matthew Dutton
INTRODUCTION: Although less than 3% of medical schools are considered Historically Black Colleges and Universities (HBCU), they have played a significant role in the education of Black physicians. METHODS: The Association of American Medical Colleges (AAMC) databases were used to obtain faculty and student demographic data from 2003-2013. We analyzed racial distributions of faculty and students at HBCU medical schools compared with all other medical schools and calculated correlations between rates of Black chairs, faculty, and students...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238990/factorial-invariance-and-convergent-validity-of-the-group-based-medical-mistrust-scale-across-gender-and-ethnoracial-identity
#4
Christopher W Wheldon, Stephanie K Kolar, Natalie D Hernandez, Ellen M Daley
The objective of this study was to assess the factorial invariance and convergent validity of the Group-Based Medical Mistrust Scale (GBMMS) across gender (male and female) and ethnoracial identity (Latino and Black). Minority students (N = 686) attending a southeastern university were surveyed in the fall of 2011. Psychometric analysis of the GBMMS was performed. A three-factor solution fit the data after the omission of two problematic items. This revised version of the GBMMS exhibited sufficient configural, metric, and scalar invariance...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238981/academic-community-partnership-for-medical-missions-lessons-learned-and-practical-guidance-for-global-health-service-learning-experiences
#5
Yen H Dang, Frank J Nice, Hoai-An Truong
To facilitate an academic-community partnership for sustainable medical mis-sions, a 12-step process was created for an interprofessional, global health educational, and service-learning experience for students and faculty in a school of pharmacy and health professions. Lessons learned and practical guidance are provided to implement similar global health opportunities.
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238704/effectiveness-of-a-perioperative-transthoracic-ultrasound-training-program-for-students-and-residents
#6
Juliet June Ray, Jonathan P Meizoso, Valerie Hart, Davis Horkan, Vicente Behrens, Krishnamurti A Rao, Charles A Karcutskie, Joshua Lenchus, Carl I Schulman, Roman Dudaryk
OBJECTIVE: Focused ultrasound (US) is being incorporated across all levels of medical education. Although many comprehensive US courses exist, their scope is broad, requiring expert instructors, access to simulation, and extensive time commitment by the learner. We aim to compare learning across levels of training and specialties using a goal-directed, web-based course without live skills training. DESIGN: A prospective observational study of students and residents from medicine, surgery, and anesthesiology...
February 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28237977/accuracy-of-script-concordance-tests-in-fourth-year-medical-students
#7
Saad Nseir, Ahmed Elkalioubie, Philippe Deruelle, Dominique Lacroix, Didier Gosset
Objectives: This investigation aimed to determine the validity of script concordance test (SCT), compared with clinical-case-related short-answer management problems (SAMP), in fourth-year medical students. Methods: This retrospective study was conducted at the Medical School of Lille University. Cardiology and gynecology examinations both included 3 SCT and 2 clinical-case-related SAMP.  Final score did not include SCT results, and was out of 20 points. The passing score was ≥10/20...
February 25, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28237636/vaccine-education-of-medical-students-a-nationwide-cross-sectional-survey
#8
Solen Kernéis, Caroline Jacquet, Aurélie Bannay, Thierry May, Odile Launay, Pierre Verger, Céline Pulcini, Pierre Abgueguen, Séverine Ansart, Firouzé Bani-Sadr, Aurélie Bannay, Louis Bernard, Elisabeth Botelho-Nevers, David Boutoille, Nadim Cassir, Charles Cazanave, Elisa Demonchy, Olivier Epaulard, Manuel Etienne, Emmanuel Faure, Caroline Jacquet, Odile Launay, Vincent Le Moing, Xavier Lescure, Zoha Maakaroun-Vermesse, Guillaume Martin-Blondel, Thierry May, Frédéric Méchai, Guillaume Mellon, Marie-Caroline Meyohas, Lionel Piroth, Céline Pulcini, France Roblot, Jean-Luc Schmit, Albert Sotto, Pierre Tattevin, Renaud Verdon, Pierre Verger, Benjamin Wyplosz
Physicians play a primary role in vaccination of the population. Strong initial training of medical students is therefore essential to enable them to fulfill this role. This cross-sectional nationwide online survey conducted between September 2015 and January 2016 obtained 2,118 completed surveys from 6,690 eligible respondents (response rate, 32%) at 27 of 32 medical schools in France regarding their education about vaccination. The data were analyzed in April-June 2016. The survey covered their knowledge, attitudes, practices, and perceptions, and assessed their level of perceived preparedness for their future practice as interns...
February 22, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28237408/why-teaching-empathy-is-important-for-the-medical-degree
#9
N Díez-Goñi, M C Rodríguez-Díez
Empathy is a basic skill in the exercise of medicine and increases patient and physician satisfaction and improves clinical results. However, the teaching of empathy is poorly covered in the teaching plans. A number of studies have observed a reduction in empathy during the final training courses. The reasons for this decline include, the students' excessive academic workload, the prioritisation of acquiring medical expertise over humanistic knowledge, the patient load in hospitals and health centres and the physicians' need to distance themselves from their patients...
February 23, 2017: Revista Clínica Española
https://www.readbyqxmd.com/read/28237045/are-the-kids-alright-review-books-and-the-internet-as-the-most-common-study-resources-for-the-general-surgery-clerkship
#10
Janice A Taylor, Christiana M Shaw, Sanda A Tan, John L Falcone
BACKGROUND: To define resources deemed most important to medical students on their general surgery clerkship, we evaluated their material utilization. METHODS: A prospective study was conducted amongst third-year medical students using a 20-item survey. Descriptive statistics were performed on the demographics. Kruskal-Wallis and Mann-Whitney analyses were performed on the Likert responses (α = 0.05). RESULTS: Survey response was 69.2%...
January 30, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28236158/evaluation-of-a-cross-cultural-curriculum-changing-knowledge-attitudes-and-skills-in-pediatric-residents
#11
Susan Horky, Joseph Andreola, Erik Black, Michele Lossius
Objectives The purpose of this study was to evaluate the effectiveness of six online modules, the Cross Cultural Case Stories, designed to teach healthcare professionals and trainees to provide culturally competent care to children with chronic respiratory conditions and their families. Modules increase provider awareness of the types of factors that may vary between cultures. This study assessed learner change in the three domains of knowledge, attitudes and self-reported skills. Improving on earlier studies, this evaluation included a control group for comparison...
February 24, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28236123/influence-of-socioeconomic-factors-on-self-reported-prevalence-of-allergic-diseases-among-female-university-students
#12
K Kliś, M Żurawiecka, A Suder, I Teul, B Borowska-Strugińska, E Suliga, I Wronka
Until recently, most studies report an increasing prevalence of allergy and asthma. The research suggests that the increase may have to do with changes in lifestyle and living conditions. This study seeks to determine the prevalence and changes in allergic diseases in relation to socioeconomic status (SES) 6 years apart. The research material consisted of data collected in two cross-sectional surveys conducted among university female students in 2009 and 2015 (respectively, 702 and 1305 subjects). The surveys evaluated the incidence of allergic conditions and socio-economic status...
February 25, 2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28236053/almost-psychiatry-the-impact-of-teaching-child-and-adolescent-mental-health-studies-to-undergraduate-college-students
#13
Ursula Diamond, Christina A Di Bartolo, Emily Badin, Jess P Shatkin
OBJECTIVE: The Child and Adolescent Mental Health Studies (CAMS) program is housed in a Liberal Arts undergraduate college of a large research university. Psychiatrists, clinical psychologists, and social workers at the university's medical center teach the courses. The purpose of this study is to evaluate the extent to which CAMS encourages graduates of the program to pursue a career in child and adolescent mental health (CAMH). METHODS: In 2015-2016, graduates of the CAMS program were invited to participate in a mixed methods study...
February 24, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28235793/a-mixed-method-multiperspective-evaluation-of-a-near-peer-teaching-programme
#14
Sinéad Lydon, Paul O'Connor, Orla Mongan, Miroslawa Gorecka, Lyle McVicker, Aiden Stankard, Dara Byrne
PURPOSE OF STUDY: Peer teaching (PT) has become increasingly popular. PT may offer benefits for students, tutors and institutions. Although resistance to PT has been identified among faculty, research has typically focused on students' experiences and perceptions, rather than those of the peer tutors or senior doctors/medical faculty. The current study comprised of a comprehensive, multiperspective evaluation of a near PT programme delivered by interns to final-year medical students in the Republic of Ireland...
February 24, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28235753/testing-and-evaluation-the-present-and-future-of-the-assessment-of-medical-professionals
#15
REVIEW
Steven A Haist, Agata P Butler, Miguel A Paniagua
The aim of this review is to highlight recent and potential future enhancements to the United States Licensing Examination (USMLE) program. The USMLE program is co-owned by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards. The USMLE includes four examinations: Step 1, Step 2 Clinical Knowledge, Step 2 Clinical Skills, and Step 3; every graduate of Liaison Committee on Medical Education-accredited allopathic medical schools and all international medical graduates must pass this examination series to practice medicine in the United States...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28235352/in-reply-to-medical-student-recruitment-into-neurosurgery-maximizing-the-pool-of-talent
#16
Scott L Zuckerman, Akshitkumar Mistry, Michael C Dewan, Peter J Morone, Allen K Sills, John C Wellons, Reid C Thompson
No abstract text is available yet for this article.
February 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28235351/recruitment-of-medical-students-in-neurosurgery
#17
Phillip A Bonney, Tatsuhiro Fujii, Gabriel Zada
No abstract text is available yet for this article.
February 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28235088/fostering-better-policy-adoption-and-inter-disciplinary-communication-in-healthcare-a-qualitative-analysis-of-practicing-physicians-common-interests
#18
Eric J Keller, Megan Crowley-Matoka, Jeremy D Collins, Howard B Chrisman, Magdy P Milad, Robert L Vogelzang
PURPOSE: In response to limited physician adoption of various healthcare initiatives, we sought to propose and assess a novel approach to policy development where one first characterizes diverse physician groups' common interests, using a medical student and constructivist grounded theory. METHODS: In 6 months, a medical student completed 36 semi-structured interviews with interventional radiologists, gynecologists, and vascular surgeons that were systematically analyzed according to constructivist grounded theory to identifying common themes...
2017: PloS One
https://www.readbyqxmd.com/read/28234694/using-the-health-physics-student-volunteer-program-for-a-research-project-sponsored-by-the-medical-section-of-the-health-physics-society
#19
Joseph Steiner, Penny Leinwander
The Health Physics Society (HPS) Medical Health Physics Section (MHPS) received a request to research data on radiation safety guidance related to the death of patients who have recently received therapeutic doses of sealed or unsealed therapy sources. The MHPS elected to use student volunteers to perform this research. The purpose of this manuscript is to describe and provide a template for the process used by the MHPS to develop a student volunteer program. To implement the student volunteer program, the MHPS collaborated with the HPS Student Support Committee to develop a research proposal and a student volunteer selection process...
April 2017: Health Physics
https://www.readbyqxmd.com/read/28234592/why-wait-until-residency-competency-based-education-in-longitudinal-integrated-clerkships
#20
John Quinn Gentles
This essay was selected as the winner of the 2015 Canadian Undergraduate Surgical Education Committee student essay competition. It was written in response to the prompt: "How is your school preparing you for residency - be it surgical or medical?".
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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