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https://www.readbyqxmd.com/read/29589478/advantages-and-disadvantages-of-interdisciplinary-consultation-in-the-prescription-of-assistive-technologies-for-mobility-limitations
#1
Fred A de Laat, Bart van Heerebeek, Jaap J van Netten
PURPOSE: To explore the advantages and disadvantages experienced by professionals in interdisciplinary consultation involving the user, prescriber and technician in the prescription of assistive technologies for mobility limitations. METHOD: Cross-sectional study. Prescribers (N = 39) and orthopaedic technicians (N = 50), who were regularly involved in an interdisciplinary consultation completed a questionnaire about advantages and disadvantages of the interdisciplinary consultation...
March 28, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29540204/peer-assisted-debriefing-of-multisource-feedback-an-exploratory-qualitative-study
#2
Jose Francois, Jeffrey Sisler, Stephanie Mowat
BACKGROUND: The Manitoba Physician Achievement Review (MPAR) is a 360-degree feedback assessment that physicians undergo every 7 years to retain licensure. Deliberate reflection on feedback has been demonstrated to encourage practice change. The MPAR Reflection Exercise (RE), a peer-assisted debriefing tool, was developed whereby the physician selects a peer with whom to review and reflect on feedback, committing to change. This qualitative study explores how physicians who had undergone the MPAR used the RE, what areas of change are identified and committed to, and what they perceived as the role of reflection in the MPAR process...
March 14, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29524987/creation-of-an-educational-quality-improvement-program-for-radiation-oncology-residents
#3
Catherine A Pembroke, Joanne Alfieri, Alain Biron, Carolyn Freeman, Tarek Hijal
PURPOSE: Quality improvement (QI) is a pillar of good clinical governance and is at the center of modern health care. The Royal College of Physicians and Surgeons of Canada mandated, in CanMeds 2015, that QI should be taught and the competencies assessed in all postgraduate residency programs. The objective is to report on the feasibility and impact of teaching QI to radiation oncology residents at a single institution. METHODS AND MATERIALS: A QI team consisting of a clinical fellow, 3 staff physicians, and an expert in QI methods was created within our Department of Radiation Oncology...
March 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29479259/tiered-curriculum-in-global-child-health-a-novel-canmeds-based-multidisciplinary-educational-program
#4
REVIEW
Virginie Clavel, Jennifer Turnbull, Gillian Morantz, Robert Sternszus
Despite the importance of Global Child Health to the practice of 21st century paediatricians, formal comprehensive outcomes-based curricula in this area are lacking. This article describes the development and implementation of a novel, tiered, CanMEDs-based and multidisciplinary curriculum in Global Child Health that was based on a thorough review of the literature. In addition to detailing the steps and results of our literature review, we discuss the three tiers of our curriculum (General Track, Advanced Curriculum and Elective Track) as well as the evidence-informed curricular topics and learning outcomes associated with each tier...
November 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29340856/core-point-of-care-ultrasound-curriculum-what-does-every-anesthesiologist-need-to-know
#5
REVIEW
Massimiliano Meineri, Gregory L Bryson, Ramiro Arellano, Nikolaos Skubas
Point-of-care ultrasound (POCUS) is becoming an integral part of anesthesia practice throughout the world. Despite the growing interest in POCUS among trainees and faculty, POCUS training is variable among universities across Canada. This suggests a need for curriculum development and standardization. International guidelines for Emergency Medicine and Critical Care have common frameworks and may be used as a reference to model anesthesia-specific curricula. The Royal College of Anaesthetists of the United Kingdom currently offers the only nationally approved POCUS curriculum for anesthesia and critical care trainees...
April 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29329147/multisource-feedback-and-narrative-comments-polarity-specificity-actionability-and-canmeds-roles
#6
Jocelyn M Lockyer, Joan Sargeant, Suzanne H Richards, John L Campbell, Laura A Rivera
INTRODUCTION: Multisource feedback is a questionnaire-based assessment tool that provides physicians with data about workplace behaviors and may combine numeric and narrative (free-text) comments. Little attention has been paid to wording of requests for comments, potentially limiting its utility to support physician performance. This study tested the phrasing of two different sets of questions. METHODS: Two sets of questions were tested with family physicians, medical and surgical specialists, and their medical colleague and coworker respondents...
January 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29319476/canmeds-scholars-a-national-survey-on-urology-residents-attitudes-towards-research-during-training
#7
Ogi Solaja, Thomas A A Skinner, Thomas B Mcgregor, D Robert Siemens
INTRODUCTION: Participation in scholarly activity is an important tenet of residency training and is firmly entrenched in Canada since the introduction of CANMEDS roles by the Royal College of Physicians and Surgeons. As Canadian residency programs transition to competency-based training, it will remain important to understand how to best implement and encourage scholarly pursuits among resident trainees. The objective of this study was to understand the experiences, attitudes, and barriers that surgical residents face when pursuing research during their training...
December 22, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29241472/-health-advocacy-in-medical-student-education
#8
R A M J Damoiseaux, M B M Soethout
The introduction of the CanMEDS method to qualify training and ongoing education for healthcare providers in terms of competencies has provided a clear framework for medical schools' curricula. Different roles are outlined, and one of these is health advocacy. Physicians are accountable to society to use their knowledge and expertise to improve health. Even before the introduction of CanMEDS, physicians took responsibility for improving health by tackling issues in society that negatively affected the health of many; one obvious example is the provision of clean water and sewage systems to prevent epidemics of infectious diseases such as cholera...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29226229/subspecialisation-in-emergency-radiology-proposal-for-a-harmonised-european-curriculum
#9
M G Wagner, M R Fischer, M Scaglione, U Linsenmaier, G Schueller, F H Berger, E Dick, R Basilico, M Stajgis, C Calli, S Vaidya, Stefan Wirth
Introduction: Radiology plays a crucial role in the emergency care setting by delivering early and precise diagnoses under pressure of time, right at the beginning of patient treatment. Although there is a need for postgraduate education in emergency radiology, most of the national bodies responsible do not offer it in a uniform fashion and a general proof of qualification is missing in Europe. Therefore, the European Society of Radiology (ESR) has founded the (Sub-)Society of Emergency Radiology (ESER), prompting them to develop a European curriculum...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29190140/validity-evidence-for-a-residency-admissions-standardized-assessment-letter-for-pediatrics
#10
Nadia M Bajwa, Rachel Yudkowsky, Dominique Belli, Nu Viet Vu, Yoon Soo Park
Construct: This study aims to provide validity evidence for the standardized Assessment Letter for Pediatrics as a measure of competencies expected of a 1st-year pediatrics resident as part of a pediatric residency admissions process. BACKGROUND: The Narrative Letter of Recommendation is a frequently used tool in the residency admissions process even though it has poor interrater reliability, lacks pertinent content, and does not correlate with residency performance. A newer tool, the Standardized Letter, has shown validity evidence for content and interrater reliability in other specialties...
November 30, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29121897/differences-between-medical-student-and-faculty-perceptions-of-the-competencies-needed-for-the-first-year-of-residency
#11
Sophie Fürstenberg, Sigrid Harendza
BACKGROUND: Different guidelines and frameworks like the CanMEDs model or entrustable professional activities (EPAs) describe competencies required for successful and professional work of residents. Not all competencies are of equal importance for graduates when they start their residency. The aim of this study was to evaluate the relevance of different competencies for a first year resident from the perspective of physicians and medical students. METHODS: In an online study, 178 of 475 surgeons and internists including residents and attendings and 102 of 728 first and last year undergraduate medical students from the University Medical Center Hamburg-Eppendorf ranked 25 competencies according to their relevance for entrustment decisions in first year residents...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29098053/watering-canmeds-flowers
#12
Sarah Voll, Taufik A Valiante
We expand on the discourse related to nature surrounding Canadian medical training and the CanMEDS flower. We advance the notion that a major contributor to burnout is the increasing complexity and segregation of not only the medical profession, but society as a whole, leading to choice overload and an overemphasis on complex, data driven, rational decision making. We then propose that the key to watering CanMEDS flowers and preventing physician burnout lies in getting back to the basics of human behaviour.
June 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29076231/competency-based-medical-education-the-discourse-of-infallibility
#13
Victoria A Boyd, Cynthia R Whitehead, Patricia Thille, Shiphra Ginsburg, Ryan Brydges, Ayelet Kuper
BACKGROUND: Over the last two decades, competency-based frameworks have been internationally adopted as the primary educational approach in medicine. Yet competency-based medical education (CBME) remains contested in the academic literature. We look broadly at the nature of this debate to explore how it may shape scholars' understanding of CBME, and its implications for medical education research and practice. In doing so, we deconstruct unarticulated discourses and assumptions embedded in the CBME literature...
January 2018: Medical Education
https://www.readbyqxmd.com/read/29074340/evaluation-of-clinical-teaching-quality-in-competency-based-residency-training-in-lithuania
#14
Eglė Vaižgėlienė, Žilvinas Padaiga, Daiva Rastenytė, Algimantas Tamelis, Kęstutis Petrikonis, Cornelia Fluit
BACKGROUND AND AIM: In 2013, all residency programs at the Lithuanian University of Health Sciences were renewed into the competency-based medical education curriculum (CBME). In 2015, we implemented the validated EFFECT questionnaire together with the EFFECT-System for quality assessment of clinical teaching in residency training. The aim of this study was to investigate the influence of characteristics of the resident (year of training) and clinical teacher (gender, age, and type of academic position) on teaching quality, as well as to assess areas for teaching quality improvement...
December 2017: Medicina
https://www.readbyqxmd.com/read/28882189/competencies-for-first-year-residents-physicians-views-from-medical-schools-with-different-undergraduate-curricula
#15
Sophie Fürstenberg, Kristina Schick, Jana Deppermann, Sarah Prediger, Pascal O Berberat, Martina Kadmon, Sigrid Harendza
BACKGROUND: Frameworks like the CanMEDS model depicting professional roles and specific professional activities provide guidelines for postgraduate education. When medical graduates start their residency, they should possess certain competencies related to communication, management and professionalism while other competencies will be refined during postgraduate training. Our study aimed to evaluate the relevance of different competencies for a first year resident required for entrustment decision from the perspective of physicians from medical faculties with different undergraduate medical curricula...
September 7, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28864686/epidemiology-of-competence-a-scoping-review-to-understand-the-risks-and-supports-to-competence-of-four-health-professions
#16
Susan Glover Takahashi, Marla Nayer, Lisa Michelle Marie St Amant
OBJECTIVES: This study examined the risks and supports to competence discussed in the literature related to occupational therapists, pharmacists, physical therapists and physicians, using epidemiology as a conceptual model. DESIGN: Articles from a scoping literature review, published from 1975 to 2014 inclusive, were included if they were about a risk or support to the professional or clinical competence of one of four health professions. Descriptive and regression analyses identified potential associations between risks and supports to competence and the location of study, type of health profession, competence life-cycle and the domain(s) of competence (organised around the CanMEDS framework)...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28706765/trauma-and-hypothermia-in-antarctica-an-emergency-medicine-marine-simulation-scenario
#17
Chrystal Horwood, Kerry-Lynn Williams, Tate Skinner, Robert Brown, Tia Renouf, Adam Dubrowski
Simulation has been shown to improve both learner knowledge and patient outcomes. Many emergency medicine training programs incorporate simulation into their curricula to provide learners with experiences that are rare to encounter in practice, yet performance with a high degree of competence is critical. One rare encounter, which is depicted in the report, is the management of a trauma patient who was hypothermic after falling from an expedition vessel into the cold Southern Ocean. The unique scenario presented in this technical report incorporates CanMEDS learning objectives including the communicator, health advocate, and collaborator roles...
June 12, 2017: Curēus
https://www.readbyqxmd.com/read/28650843/can-canmeds-competencies-be-developed-in-medical-school-anatomy-laboratories-a-literature-review
#18
REVIEW
Joshua Hefler, Christopher J Ramnanan
Objectives: The purpose of this literature review was to identify potential ways in which undergraduate medical anatomy education may be relevant to the CanMEDS Roles, a competency-based framework used throughout Canadian medical training. Methods: A scoping review of medical education literature was conducted in March 2017 for English language publications that included key words related to anatomy education and to key competencies formally described for each of the Roles in the CanMEDS 2015 framework...
June 16, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28640027/exploring-integration-in-action-competencies-as-building-blocks-of-expertise
#19
Maria Mylopoulos, Debaroti Tina Borschel, Tara O'Brien, Sofia Martimianakis, Nicole N Woods
PURPOSE: Competency frameworks such as the CanMEDS roles and the ACGME core competencies may lead to the implicit assumption that physicians can learn and practice individual competencies in isolation. In contrast, models of adaptive expertise suggest that the integration of competencies reflects the capabilities of an expert physician. Thus, educational programming aimed at teaching discrete roles or competencies might overlook expert physician capabilities that are central to patient care...
December 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28584873/visions-and-reality-the-idea-of-competence-oriented-assessment-for-german-medical-students-is-not-yet-realised-in-licensing-examinations
#20
Markus Huber-Lang, Annette Palmer, Claudia Grab, Anja Boeckers, Tobias Maria Boeckers, Wolfgang Oechsner
Objective: Competence orientation, often based on the CanMEDS model, has become an important goal for modern curricula in medical education. The National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) has been adopted in Germany. However, it is currently unknown whether the vision of competence orientation has also reached the licensing examination procedures. Methods: Therefore, a prospective, descriptive, single-centre, exemplary study design was applied to evaluate 4051 questions/tasks (from 28 examiners at 7 two-day licensing oral-practical exams) for undergraduate medical students at the University of Ulm...
2017: GMS Journal for Medical Education
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