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https://www.readbyqxmd.com/read/28209077/using-gp-trainees-as-role-players-as-a-teaching-training-tool-for-established-gp-trainers
#1
Kim Emerson, Penny Moore, Jill Edwards
This work aimed to evaluate the effectiveness of using GP trainees in place of professional actors, to role-play trainees with 'difficulties' or various challenging characteristics, as an educational tool for skills development of experienced GP trainers. The context was a residential experienced GP trainers' course and the role players were local ST3 GP trainees. Professional actors have been used for this purpose for many years in medical education at all levels, particularly in teaching communication and consultation skills in the Thames Valley area of the UK...
February 16, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28199127/development-of-rad-score-a-tool-to-assess-the-procedural-competence-of-diagnostic-radiology-residents
#2
Inga Isupov, Matthew D F McInnes, Stan J Hamstra, Geoffrey Doherty, Ashish Gupta, Susan Peddle, Zaid Jibri, Kawan Rakhra, Rebecca M Hibbert
OBJECTIVE: The purpose of this study is to develop a tool to assess the procedural competence of radiology trainees, with sources of evidence gathered from five categories to support the construct validity of tool: content, response process, internal structure, relations to other variables, and consequences. SUBJECTS AND METHODS: A pilot form for assessing procedural competence among radiology residents, known as the RAD-Score tool, was developed by evaluating published literature and using a modified Delphi procedure involving a group of local content experts...
February 15, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28168520/creating-vascular-models-by-postprocessing-computed-tomography-angiography-images-a-guide-for-anatomical-education
#3
Figen Govsa, Mehmet Asim Ozer, Suzan Sirinturk, Cenk Eraslan, Ahmet Kemal Alagoz
BACKGROUND: A new application of teaching anatomy includes the use of computed tomography angiography (CTA) images to create clinically relevant three-dimensional (3D) printed models. The purpose of this article is to review recent innovations on the process and the application of 3D printed models as a tool for using under and post-graduate medical education. METHODS: Images of aortic arch pattern received by CTA were converted into 3D images using the Google SketchUp free software and were saved in stereolithography format...
February 6, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28164441/practice-transition-in-graduate-medical-education
#4
Robyn Shaffer, Nancy Piro, Laurence Katznelson, Melanie Hayden Gephart
BACKGROUND: Debt repayment, professional negotiation and practice management skills are vital to a successful medical practice, yet are undervalued and seldom taught in graduate medical education. Medical residents need additional training to confidently transition to independent practice, requiring the development of novel curricula. Medical residents need additional training to confidently transition to independent practice METHODS: We developed a trial practice management curriculum to educate senior residents and fellows through voluntary workshops...
February 6, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28159950/implementation-of-a-mini-clinical-evaluation-exercise-mini-cex-program-to-assess-the-clinical-competencies-of-postgraduate-trainees-in-pediatrics
#5
Sumaira Khalil, Anurag Aggarwal, Devendra Mishra
OBJECTIVE: To implement Mini-CEX, a Workplace-based assessment tool, for formative assessment of clinical skills of final year pediatric post-graduate residents. METHODS: All final-year postgraduate residents at the Department of Pediatrics of a public medical college in India underwent mini-CEX assessment by rotation among six faculty members. Outcome was assessed by an anonymous questionnaire-based feedback from the participating students and faculty members collected after the completion of all the mini-CEX encounters...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159436/quality-initiative-program-in-its-sixth-year-has-it-become-part-of-our-radiology-culture
#6
Heather Ritchie, Ania Z Kielar, Fraser Hill, Joseph P O'Sullivan
PURPOSE: The study sought to determine if the Quality Initiative Program (QUIP) has become part of the radiology culture at our institution. METHODS: After Research Ethics approval, QUIPs from January 2009 to December 2014 were assessed. We evaluated the response rates of radiologists receiving QUIPs to ensure they reviewed them. We performed a survey of radiologists and trainees to gain feedback regarding their perception of QUIPs in February 2014 and in June 2015...
January 31, 2017: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
https://www.readbyqxmd.com/read/28157389/critical-thinking-in-critical-care-five-strategies-to-improve-teaching-and-learning-in-the-intensive-care-unit
#7
Margaret M Hayes, Souvik Chatterjee, Richard M Schwartzstein
Critical thinking, the capacity to be deliberate about thinking, is increasingly the focus of undergraduate medical education, but is not commonly addressed in graduate medical education. Without critical thinking, physicians, particularly residents, are prone to cognitive errors, which can lead to diagnostic errors, especially in a high stakes environment such as the intensive care unit. Although challenging, critical thinking skills can be taught. Currently there is a paucity of data to support an educational gold standard for teaching critical thinking, but we believe that five strategies, routed in cognitive theory and our personal teaching experiences, provide an effective framework to teach critical thinking in the intensive care unit...
February 3, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28143942/bridging-the-education-action-gap-a-near-peer-case-based-undergraduate-ethics-teaching-programme
#8
Wing May Kong, Selena Knight
Undergraduate ethics teaching has made significant progress in the past decade, with evidence showing that students and trainee doctors feel more confident in identifying and analysing ethical issues. There is general consensus that ethics education should enable students and doctors to take ethically appropriate actions, and nurture moral integrity. However, the literature reports that doctors continue to find it difficult to take action when faced with perceived unethical behaviour. This has been evident in recent healthcare scandals, in which care has fallen below acceptable ethical standards, despite the presence of professional ethical guidelines and competencies...
January 31, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28130100/smart-phone-learning-experience-among-vascular-trainees-using-a-response-system-application
#9
Wissam Al-Jundi, Ahmed Kayssi, Giuseppe Papia, Andrew Dueck
OBJECTIVES: Smartphones have become the most important personal technological device. M-learning is learning through mobile device educational technology. We aim to assess the acceptability of a smartphone learning experience among the vascular trainees and determine if results could inform formal teaching efforts. METHODS: A survey of the vascular trainees at a single center was conducted following a trial of smartphone learning experience. A vascular fellow used a smartphone response system application (Polltogo, Inspirapps Inc...
January 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28116956/the-validity-of-the-annual-review-of-competence-progression-a-qualitative-interview-study-of-the-perceptions-of-junior-doctors-and-their-trainers
#10
Rowena Viney, Antonia Rich, Sarah Needleman, Ann Griffin, Katherine Woolf
Objective To investigate trainee doctors' and trainers' perceptions of the validity of the Annual Review of Competence Progression (ARCP) using Messick's conceptualisation of construct validity. Design Qualitative semi-structured focus groups and interviews with trainees and trainers. Setting Postgraduate medical training in London, Kent Surrey and Sussex, Yorkshire and Humber, and Wales in November/December 2015. Part of a larger study about the fairness of postgraduate medical training. Participants Ninety-six trainees and 41 trainers, comprising UK and international medical graduates from Foundation, General Practice, Medicine, Obstetrics and Gynaecology, Psychiatry, Radiology, and Surgery, at all levels of training...
January 1, 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28104293/debriefing-decreases-mental-workload-in-surgical-crisis-a-randomized-controlled-trial
#11
Sylvain Boet, Bharat Sharma, Ashlee-Ann Pigford, Emily Hladkowicz, Neil Rittenhouse, Teodor Grantcharov
BACKGROUND: Mental workload is the amount of mental effort involved in performing a particular task. Crisis situations may increase mental workload, which can subsequently negatively impact operative performance and patient safety. This study aims to measure the impact of learning through debriefing and a systematic approach to crisis on trainees' mental workload in a simulated surgical crisis. METHODS: Twenty junior surgical residents participated in a high-fidelity, simulated, postoperative crisis in a surgical ward environment (pretest)...
January 16, 2017: Surgery
https://www.readbyqxmd.com/read/28074570/development-of-the-sbirt-checklist-for-observation-in-real-time-score
#12
Janice A Vendetti, Bonnie G McRee, Frances K Del Boca
BACKGROUND AND AIMS: Screening, Brief Intervention and Referral to Treatment (SBIRT) programs have been implemented widely in medical settings, with little attention focused on how well providers adhere to evidence-based service delivery in everyday practice. The purposes of this paper were to: (1) introduce a flexible, relatively simple methodology, the SBIRT Checklist for Observation in Real-time (SCORe), to assess adherence to evidence-based practice and provide preliminary evidence supporting its criterion validity; and (2) illustrate the feasibility and potential utility of the SCORe by analyzing observations of providers within four large-scale SBIRT programs in the United States...
February 2017: Addiction
https://www.readbyqxmd.com/read/28073670/simulation-based-training-platforms-for-arthroscopy-a-randomized-comparison-of-virtual-reality-learning-to-benchtop-learning
#13
Robert M Middleton, Abtin Alvand, Patrick Garfjeld Roberts, Caroline Hargrove, Georgina Kirby, Jonathan L Rees
PURPOSE: To determine whether a virtual reality (VR) arthroscopy simulator or benchtop (BT) arthroscopy simulator showed superiority as a training tool. METHODS: Arthroscopic novices were randomized to a training program on a BT or a VR knee arthroscopy simulator. The VR simulator provided user performance feedback. Individuals performed a diagnostic arthroscopy on both simulators before and after the training program. Performance was assessed using wireless objective motion analysis and a global rating scale...
January 7, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28050222/validity-reliability-and-acceptability-of-the-team-standardized-assessment-of-clinical-encounter-report
#14
Camilla L Wong, Mireille Norris, Samir S Sinha, Maria L Zorzitto, Sushma Madala, Jemila S Hamid
BACKGROUND: The Team Standardized Assessment of a Clinical Encounter Report (StACER) was designed for use in Geriatric Medicine residency programs to evaluate Communicator and Collaborator competencies. METHODS: The Team StACER was completed by two geriatricians and interdisciplinary team members based on observations during a geriatric medicine team meeting. Postgraduate trainees were recruited from July 2010-November 2013. Inter-rater reliability between two geriatricians and between all team members was determined...
December 2016: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28044250/web-based-oncology-educational-tool-for-medical-trainees-on-oncology-rotation-results-of-a-pilot-study
#15
Rashida Haq, Benjamin Li, Aleksandra Jovicic, Daisy Dastur, Martina Trinkaus, Amy Kong
Oncology education for post-graduate medical trainees is mostly clinic-based with didactic lectures. However, a 3-4-week rotation lacks full exposure to the vast field of oncology, resulting in an educational gap. We felt there is a need for a standard curriculum to educate trainees on common oncology topics and encourage self-directed learning. This study aims to improve knowledge of oncology in trainees through the use of an oncology educational tool (consisting of a handbook and website) that we developed and evaluated...
January 3, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28042074/a-communications-bundle-to-improve-satisfaction-for-critically-ill-patients-and-their-families-a-prospective-cohort-pilot-study
#16
Rana L Awdish, Dana Buick, Maria Kokas, Hanan Berlin, Catherine Jackman, Cari Williamson, Michael P Mendez, Kristen Chasteen
CONTEXT: Communication skills training with simulated patients is used by many academic centers, but how to translate skills learned in simulated settings to improve communication in real encounters has not been described. OBJECTIVE: We developed a communications bundle to facilitate skill transfer from simulation to real encounters and improve patient and/or family satisfaction with physician communication. We tested the feasibility of its use in our hospital's medical intensive care unit (MICU)...
December 29, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28030422/factors-influencing-mini-cex-rater-judgments-and-their-practical-implications-a-systematic-literature-review
#17
Victor Lee, Keira Brain, Jenepher Martin
PURPOSE: At present, little is known about how mini-clinical evaluation exercise (mini-CEX) raters translate their observations into judgments and ratings. The authors of this systematic literature review aim both to identify the factors influencing mini-CEX rater judgments in the medical education setting and to translate these findings into practical implications for clinician assessors. METHOD: The authors searched for internal and external factors influencing mini-CEX rater judgments in the medical education setting from 1980 to 2015 using the Ovid MEDLINE, PsycINFO, ERIC, PubMed, and Scopus databases...
December 27, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28029684/the-effectiveness-of-interventions-to-enhance-self-management-support-competencies-in-the-nursing-profession-a-systematic-review
#18
REVIEW
Veerle Duprez, Tina Vandecasteele, Sofie Verhaeghe, Dimitri Beeckman, Ann Van Hecke
AIM: The aim of this study was to explore the effectiveness and effective components of training interventions to enhance nurses' competencies in self-management support in chronic care. BACKGROUND: The growing burden of chronic diseases puts an increasing focus on nurses' self-management support of people living with a chronic illness. The most effective method to train nurses' competencies in self-management support remains unclear. DESIGN: Systematic literature review...
December 28, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28026107/a-hierarchical-task-analysis-of-shoulder-arthroscopy-for-a-virtual-arthroscopic-tear-diagnosis-and-evaluation-platform-vatdep
#19
Doga Demirel, Alexander Yu, Seth Cooper-Baer, Aditya Dendukuri, Tansel Halic, Sinan Kockara, Nizamettin Kockara, Shahryar Ahmadi
BACKGROUND: Shoulder arthroscopy is a minimally invasive surgical procedure for diagnosis and treatment of a shoulder pathology. The procedure is performed with a fiber optic camera, called arthroscope, and instruments inserted through very tiny incisions made around the shoulder. The confined shoulder space, unintuitive camera orientation and constrained instrument motions complicates the procedure. Therefore, surgical competence in arthroscopy entails extensive training especially for psychomotor skills development...
December 27, 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28025062/a-randomized-controlled-trial-to-compare-e-feedback-versus-standard-face-to-face-verbal-feedback-to-improve-the-acquisition-of-procedural-skill
#20
Wissam Al-Jundi, Mohamed Elsharif, Melanie Anderson, Phillip Chan, Jonathan Beard, Shah Nawaz
BACKGROUND: Constructive feedback plays an important role in learning during surgical training. Standard feedback is usually given verbally following direct observation of the procedure by a trained assessor. However, such feedback requires the physical presence of expert faculty members who are usually busy and time-constrained by clinical commitments. We aim to evaluate electronic feedback (e-feedback) after video observation of surgical suturing in comparison with standard face-to-face verbal feedback...
December 23, 2016: Journal of Surgical Education
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