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Simulation based medical education

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https://www.readbyqxmd.com/read/29130876/efficacy-of-arthroscopic-teaching-methods-a-prospective-randomized-controlled-study
#1
Luke Robinson, Jonathon Spanyer, Zachary Yenna, Patrick Burchell, Andrew Garber, John Riehl
Arthroscopic education research recently has been focused on the use of skills labs to facilitate resident education and objective measure development to gauge technical skill. This study evaluates the effectiveness of three different teaching methods. Medical students were randomized into three groups. The first group received only classroom-based lecture. The second group received the same lecture and 28 minutes of lab-based hands-off arthroscopy instruction using a cadaver and arthroscopy setup. The final group received the same lecture and 7 minutes of hands-on arthroscopy instruction in the lab on a cadaver knee...
October 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29122781/simulation-based-inter-professional-education-to-improve-attitudes-towards-collaborative-practice-a-prospective-comparative-pilot-study-in-a-chinese-medical-centre
#2
Ling-Yu Yang, Ying-Ying Yang, Chia-Chang Huang, Jen-Feng Liang, Fa-Yauh Lee, Hao-Min Cheng, Chin-Chou Huang, Shou-Yen Kao
OBJECTIVES: Inter-professional education (IPE) builds inter-professional collaboration (IPC) attitude/skills of health professionals. This interventional IPE programme evaluates whether benchmarking sharing can successfully cultivate seed instructors responsible for improving their team members' IPC attitudes. DESIGN: Prospective, pre-post comparative cross-sectional pilot study. SETTING/PARTICIPANTS: Thirty four physicians, 30 nurses and 24 pharmacists, who volunteered to be trained as seed instructors participated in 3...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29120509/simulation-training-for-medical-emergencies-in-the-dental-setting-using-an-inexpensive-software-application
#3
N Kishimoto, N Mukai, Y Honda, Y Hirata, M Tanaka, Y Momota
INTRODUCTION: Every dental provider needs to be educated about medical emergencies to provide safe dental care. Simulation training is available with simulators such as advanced life support manikins and robot patients. However, the purchase and development costs of these simulators are high. We have developed a simulation training course on medical emergencies using an inexpensive software application. The purpose of this study was to evaluate the educational effectiveness of this course...
November 9, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29117091/the-application-of-observational-practice-and-educational-networking-in-simulation-based-and-distributed-medical-education-contexts
#4
Arthur Welsher, David Rojas, Zain Khan, Laura VanderBeek, Bill Kapralos, Lawrence E M Grierson
INTRODUCTION: Research has revealed that individuals can improve technical skill performance by viewing demonstrations modeled by either expert or novice performers. These findings support the development of video-based observational practice communities that augment simulation-based skill education and connect geographically distributed learners. This study explores the experimental replicability of the observational learning effect when demonstrations are sampled from a community of distributed learners and serves as a context for understanding learner experiences within this type of training protocol...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29117089/simulation-in-interprofessional-clinical-education-exploring-validated-nontechnical-skills-measurement-tools
#5
Carl Eugene Alexander von Wendt, Leila Niemi-Murola
The research literature regarding interprofessional simulation-based medical education has grown substantially and continues to explore new aspects of this educational modality. The aim of this study was to explore the validation evidence of tools used to assess teamwork and nontechnical skills in interprofessional simulation-based clinical education. This systematic review included original studies that assessed participants' teamwork and nontechnical skills, using a measurement tool, in an interprofessional simulated setting...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29110695/unifying-interdisciplinary-education-designing-and-implementing-an-intern-simulation-educational-curriculum-to-increase-confidence-in-critical-care-from-pgy1-to-pgy2
#6
Mark J Bullard, Jo Anna Leuck, Lisa D Howley
BACKGROUND: A longitudinal, multidisciplinary critical care simulation curriculum was developed and implemented within a teaching hospital to address the need for consistent, safe, efficient, and unified critical care training within graduate medical education. Primary goals were to increase learner confidence in critical care topics and procedural skills across all specialties. Secondary goals included improving communication skills and obtaining a high level of learner satisfaction...
November 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29103789/an-in-situ-simulation-based-educational-outreach-project-for-pediatric-trauma-care-in-a-rural-trauma-system
#7
Lilly Bayouth, Sarah Ashley, Jackie Brady, Bryan Lake, Morgan Keeter, David Schiller, Walter C Robey, Stephen Charles, Kari M Beasley, Eric A Toschlog, Shannon W Longshore
BACKGROUND: Outcome disparities between urban and rural pediatric trauma patients persist, despite regionalization of trauma systems. Rural patients are initially transported to the nearest emergency department (ED), where pediatric care is infrequent. We aim to identify educational intervention targets and increase provider experience via pediatric trauma simulation. METHODS: Prospective study of simulation-based pediatric trauma resuscitation was performed at three community EDs...
October 13, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29095704/medical-education-must-move-from-the-information-age-to-the-age-of-artificial-intelligence
#8
Steven A Wartman, C Donald Combs
Changes to the medical profession require medical education reforms that will enable physicians to more effectively enter contemporary practice. Proposals for such reforms abound. Common themes include renewed emphasis on communication, teamwork, risk-management, and patient safety. These reforms are important but insufficient. They do not adequately address the most fundamental change--the practice of medicine is rapidly transitioning from the information age to the age of artificial intelligence. Employers need physicians who: work at the top of their license, have knowledge spanning the health professions and care continuum, effectively leverage data platforms, focus on analyzing outcomes and improving performance, and communicate the meaning of the probabilities generated by massive amounts of data to patients given their unique human complexities...
November 1, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29093376/-development-of-a-new-scholastic-program-for-medication-counseling-practice-in-preclinical-training-constructed-for-junior-students-by-senior-students-based-on-their-experiences-of-on-site-practice
#9
Sayo Suzuki, Izumi Aono, Natsumi Imai, Aki Kuwabara, Yuki Kenda, Minako Matsumoto, Aya Yoshida, Asuka Watanabe, Akinori Takagi, Noriko Kobayashi, Haruko Saeki, Hisakazu Ohtani, Tomonori Nakamura, Junko Kizu
 Long-term practical on-site training, based on the Model Core Curriculum for Pharmaceutical Education, is a core program of the 6-year course of pharmaceutical education, introduced in Japan in 2010. In particular, medication counseling in practical training in 5th-year provides valuable opportunities for communication with real patients rather than simulated patients (SPs). However, it can also cause anxiety in 4th-year students before practical training. To address such concerns, upperclassmen (5th- and 6th-year students), who have already completed practical training, constructed and conducted a new educational program for medication counseling practice in preclinical training based on their experiences...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/29078624/the-role-of-wet-lab-in-thoracic-surgery
#10
REVIEW
Benedetta Bedetti, Philipp Schnorr, Joachim Schmidt, Marco Scarci
During the last three decades, minimally invasive surgery has become common practice in all kinds of surgical disciplines and, in Thoracic Surgery, the minimally invasive approach is recommended as the treatment of choice for early-stage non-small cell lung cancer. Nevertheless, all over the world a large number of lobectomies is still performed by conventional open thoracotomy and not as video-assisted thoracic surgery (VATS), which shows the need of a proper training for this technique. Development and improvement of surgical skills are not only challenging and time-consuming components of the training curriculum for resident or fellow surgeons, but also for more experienced consultants learning new techniques...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29077198/a-systematic-review-on-hand-hygiene-knowledge-and-compliance-in-student-nurses
#11
REVIEW
L J Labrague, D M McEnroe-Petitte, T van de Mortel, A M A Nasirudeen
BACKGROUND: Hand hygiene competence is one of the critical outcomes in nursing education. Ensuring nursing students recognize the what, when and how of hand hygiene is critical in the light of the increasing rates of healthcare-associated infections. AIM: To systematically appraise and synthesize articles on hand hygiene knowledge and compliance among nursing students. METHODS: This is a systematic review of scientific articles published from 2006 to 2016...
October 27, 2017: International Nursing Review
https://www.readbyqxmd.com/read/29076970/improving-the-clinical-skills-performance-of-graduating-medical-students-using-wise-oncall-a-multimedia-educational-module
#12
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/29071767/communicating-value-in-simulation-cost-benefit-analysis-and-return-on-investment
#13
Carl V Asche, Minchul Kim, Alisha Brown, Antoinette Golden, Torrey A Laack, Javier Rosario, Christopher Strother, Vicken Y Totten, Yasuharu Okuda
Value-based health care requires a balancing of medical outcomes with economic value. Administrators need to understand both the clinical and economic effects of potentially expensive simulation programs to rationalize the costs. Given the often-disparate priorities of clinical educators relative to health care administrators, justifying the value of simulation requires the use of economic analyses few physicians have been trained to conduct. Clinical educators need to be able to present thorough economic analyses demonstrating returns on investment and cost effectiveness to effectively communicate with administrators...
October 26, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29068818/simulation-based-mastery-learning-for-thoracentesis-skills-improves-patient-outcomes-a-randomized-trial
#14
Jeffrey H Barsuk, Elaine R Cohen, Mark V Williams, Jordan Scher, Sasha F Jones, Joe Feinglass, William C McGaghie, Kelly O'Hara, Diane B Wayne
PURPOSE: Physicians-in-training often perform bedside thoracenteses in academic medical centers, and complications are more common among less experienced clinicians. Simulation-based mastery learning (SBML) is one potential solution to this problem. This study evaluated the effects of a randomized trial of thoracentesis SBML on patient complications: iatrogenic pneumothorax (IP), hemothorax, and reexpansion pulmonary edema (REPE). METHOD: The authors randomized internal medicine residents to undergo thoracentesis SBML at a tertiary care academic center from December 2012 to May 2016...
October 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29064555/does-simulation-based-training-facilitate-the-integration-of-human-anatomy-with-surgery-a-report-of-a-novel-surgical-anatomy-course
#15
Kamil Torres, Marta Denisow-Pietrzyk, Łukasz Pietrzyk, Ryszard Maciejewski, Anna Torres
Knowledge of gross anatomy, as a basic core subject, is fundamental for medical students and essential to medical practitioners, particularly for those intending a surgical career. However, both medical students and clinical teachers have found a significant gap in teaching basic sciences and the transition into clinical skills. The authors present a Surgical Anatomy Course developed to teach the anatomical basis of surgical procedures with particular emphasis on laparoscopic skills while incorporating medical simulation...
October 24, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/29060130/asthma-academy-developing-educational-technology-to-improve-asthma-medication-adherence-and-intervention-efficiency
#16
Aiswaria S Nair, Karen DeMuth, Chih-Wen Cheng, May D Wang
Asthma is a leading chronic disorder among children and adolescents. Although some children outgrow asthma while transitioning into adulthood, there are others who continue to suffer from life-threatening asthmatic exacerbations. Teenagers tend to have certain misconceptions about their asthmatic condition and treatment which are rarely recognized or addressed in regular clinical consultations. After reviewing the literature in this field, we have identified that improving patient knowledge can be effective in augmenting engagement, and considerably improving their clinical outcomes...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29057187/modelling-and-manufacturing-of-a-3d-printed-trachea-for-cricothyroidotomy-simulation
#17
Gregory Doucet, Stephen Ryan, Michael Bartellas, Michael Parsons, Adam Dubrowski, Tia Renouf
Cricothyroidotomy is a life-saving medical procedure that allows for tracheal intubation. Most current cricothyroidotomy simulation models are either expensive or not anatomically accurate and provide the learner with an unrealistic simulation experience. The goal of this project is to improve current simulation techniques by utilizing rapid prototyping using 3D printing technology and expert opinions to develop inexpensive and anatomically accurate trachea simulators. In doing so, emergency cricothyroidotomy simulation can be made accessible, accurate, cost-effective and reproducible...
August 18, 2017: Curēus
https://www.readbyqxmd.com/read/29056178/root-cause-analysis-of-icu-adverse-events-in-the-veterans-health-administration
#18
Gregory S Corwin, Peter D Mills, Hasan Shanawani, Robin R Hemphill
BACKGROUND: ICUs' provision of complex care for critically ill patients results in an environment with a high potential for adverse events. A study was conducted to characterize adverse events in Veterans Health Administration (VHA) ICUs that underwent root cause analysis (RCA) and to identify the root causes and their recommended actions. METHODS: This retrospective observational study of RCA reports concerned events that occurred in VHA ICUs or as a result of ICU processes from January 1, 2013, through December 31, 2014...
November 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29037823/the-development-of-a-novel-perfused-cadaver-model-with-dynamic-vital-sign-regulation-and-real-world-scenarios-to-teach-surgical-skills-and-error-management
#19
Michael Minneti, Craig J Baker, Maura E Sullivan
The landscape of graduate medical education has changed dramatically over the past decade and the traditional apprenticeship model has undergone scrutiny and modifications. The mandate of the 80-hour work-week, the introduction of integrated residency programs, increased global awareness about patient safety along with financial constraints have spurred changes in graduate educational practices. In addition, new technologies, more complex procedures, and a host of external constraints have changed where and how we teach technical and procedural skills...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29019167/hybrid-simulation-in-teaching-clinical-breast-examination-to-medical-students
#20
Joseph Nassif, Abdul-Karim Sleiman, Anwar H Nassar, Sima Naamani, Rana Sharara-Chami
Clinical breast examination (CBE) is traditionally taught to third-year medical students using a lecture and a tabletop breast model. The opportunity to clinically practice CBE depends on patient availability and willingness to be examined by students, especially in culturally sensitive environments. We propose the use of a hybrid simulation model consisting of a standardized patient (SP) wearing a silicone breast simulator jacket and hypothesize that this, compared to traditional teaching methods, would result in improved learning...
October 10, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
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