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https://www.readbyqxmd.com/read/29452002/conditions-based-learning-theory-as-a-framework-for-comparative-effectiveness-reviews-a-worked-example
#1
Liam Rourke, Jessica Leong, Patricia Chatterly
Phenomenon: An evidence-informed era of medical education encourages the generation and use of comparative-effectiveness reviews, yet the reviews often conclude, curiously, that all instructional approaches are equally effective. APPROACH: We used a conditions-based learning theory to structure a review of the comparative-effectiveness literature on electrocardiogram instruction. We searched MEDLINE, EMBASE (Ovid), ERIC (Ovid), PsycINFO (Ovid), and CINAHL (EBSCO) from inception to June 2016...
February 16, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29440141/how-can-positive-and-negative-trainer-feedback-in-the-operating-theatre-impact-a-surgical-trainee-s-confidence-and-well-being-a-qualitative-study-in-the-north-of-england
#2
Dariush Kamali, Jan Illing
OBJECTIVE: To identify the perception of positive feedback (PF) and negative feedback (NF) provided by trainers in the operating theatre on surgical trainees' confidence and well-being. DESIGN: Narrative interview study. SETTING: Twelve hospitals that form part of one deanery within the UK. PARTICIPANTS: Maximum variation sampling of 15 higher general surgical trainees provided insight into how PF and NF from trainers in the operating theatre affect confidence and well-being...
February 12, 2018: BMJ Open
https://www.readbyqxmd.com/read/29437509/3d-printed-models-of-cleft-lip-and-palate-for-surgical-training-and-patient-education
#3
Pang-Yun Chou, Rami R Hallac, Ellen Shih, Jenny Trieu, Anjani Penumatcha, Priyanka Das, Clark A Meyer, James R Seaward, Alex A Kane
BACKGROUND: Sculpted physical models and castings of the anatomy of cleft lip and palate are used for parent, patient, and trainee education of cleft lip and palate conditions. In this study, we designed a suite of digital 3-dimensional (3D) models of cleft lip and palate anatomy with additive manufacturing techniques for patient education. METHODS: CT scans of subjects with isolated cleft palate, unilateral and bilateral cleft lip and palate, and a control were obtained...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29409553/diagnostic-errors-in-paediatric-cardiac-intensive-care
#4
Priya N Bhat, John M Costello, Ranjit Aiyagari, Paul J Sharek, Claudia A Algaze, Mjaye L Mazwi, Stephen J Roth, Andrew Y Shin
Introduction Diagnostic errors cause significant patient harm and increase costs. Data characterising such errors in the paediatric cardiac intensive care population are limited. We sought to understand the perceived frequency and types of diagnostic errors in the paediatric cardiac ICU. METHODS: Paediatric cardiac ICU practitioners including attending and trainee physicians, nurse practitioners, physician assistants, and registered nurses at three North American tertiary cardiac centres were surveyed between October 2014 and January 2015...
February 7, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29404733/a-model-for-predicting-the-gears-score-from-virtual-reality-surgical-simulator-metrics
#5
Ariel Kate Dubin, Danielle Julian, Alyssa Tanaka, Patricia Mattingly, Roger Smith
BACKGROUND: Surgical education relies heavily upon simulation. Assessment tools include robotic simulator assessments and Global Evaluative Assessment of Robotic Skills (GEARS) metrics, which have been validated. Training programs use GEARS for proficiency testing; however, it requires a trained human evaluator. Due to limited time, learners are reliant on surgical simulator feedback to improve their skills. GEARS and simulator scores have been shown to be correlated but in what capacity is unknown...
February 5, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29395554/fundamentals-of-arthroscopic-surgery-training-program-improves-knee-arthroscopy-simulator-performance-in-arthroscopic-trainees
#6
Chris C Cychosz, Josef N Tofte, Alyssa Johnson, Yubo Gao, Phinit Phisitkul
PURPOSE: To determine the effectiveness of a nonanatomic simulator in developing basic arthroscopy motor skills transferable to an anatomic model. METHODS: Forty-three arthroscopy novice individuals currently enrolled in medical school were recruited to perform a diagnostic knee arthroscopy using a high-fidelity virtual reality arthroscopic simulator providing haptic feedback after viewing a video of an expert performing an identical procedure. Students were then randomized into an experimental or control group...
January 23, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29383079/interprofessional-emergency-training-leads-to-changes-in-the-workplace
#7
Dorothea Eisenmann, Fabian Stroben, Jan D Gerken, Aristomenis K Exadaktylos, Mareen Machner, Wolf E Hautz
Introduction: Preventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED) is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29381588/three-dimensional-printed-pediatric-airway-model-improves-novice-learners-flexible-bronchoscopy-skills-with-minimal-direct-teaching-from-faculty
#8
Emily M DeBoer, Jennifer Wagner, Miranda E Kroehl, Joseph Albietz, Robin Shandas, Robin R Deterding, Matthew J Rustici
INTRODUCTION: Training in pediatric flexible bronchoscopy (FB) is predominantly completed on patients. Early trainees are less accurate and slower than experienced bronchoscopists. This report describes the development of a three-dimensional printed airway model and describes how the model was used to teach learners basic FB skills. METHODS: Postgraduate year two (PGY2) pediatric residents completing a 1-month pediatric pulmonology rotation with minimal previous exposure to FB were randomized into a simulation trainee group (n = 18) or a control resident group (n = 9)...
January 29, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29370860/colonoscopy-procedure-simulation-virtual-reality-training-based-on-a-real-time-computational-approach
#9
Tingxi Wen, David Medveczky, Jackie Wu, Jianhuang Wu
BACKGROUND: Colonoscopy plays an important role in the clinical screening and management of colorectal cancer. The traditional 'see one, do one, teach one' training style for such invasive procedure is resource intensive and ineffective. Given that colonoscopy is difficult, and time-consuming to master, the use of virtual reality simulators to train gastroenterologists in colonoscopy operations offers a promising alternative. METHODS: In this paper, a realistic and real-time interactive simulator for training colonoscopy procedure is presented, which can even include polypectomy simulation...
January 25, 2018: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29364732/improving-practice-guideline-adherence-through-peer-feedback-impact-of-an-ambulatory-cardiology-curriculum
#10
Karl M Richardson, Jai Singh, Dan Muñoz, Julie B Damp, Lisa A Mendes
PROBLEM: Graduate medical trainees must be prepared to practice in a quality-driven system that values adherence to and documentation of evidence-based care. Few validated approaches exist to teach these skills. Our objective was to develop, implement, and evaluate an ambulatory practice improvement curriculum capitalizing on peer feedback aimed at improving cardiology fellow guideline knowledge, adherence, and chart documentation. INTERVENTION: Four outpatient topics were reviewed in dedicated 1-hour sessions: stable ischemic heart disease, heart failure, atrial fibrillation, and aortic valvular disease...
January 24, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29361861/twelve-tips-for-teaching-the-informed-consent-conversation
#11
Asha Anandaiah, Laura Rock
Obtaining informed consent has been traditionally viewed as a mundane task, learned on the job and often relegated to an inexperienced member of the healthcare team. In reality, the process of obtaining informed consent is complex, challenging, and warrants focused teaching, observation and feedback. There are few published standards for what should be included in a high-quality informed consent conversation, and little or no guidance regarding how to best teach the process of conducting this type of shared decision-making conversation...
January 23, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29361507/dr-congeniality-understanding-the-importance-of-surgeons-nontechnical-skills-through-360%C3%A2-feedback
#12
Julie J Lanz, Paul J Gregory, Mariano E Menendez, Larry Harmon
OBJECTIVE: Physician performance is a complex construct that is broadly defined by technical and nontechnical components. The primary aim of this study was to identify which Big Five personality traits (openness, conscientiousness, extraversion, agreeableness, and emotional stability) in surgeons were related to patient satisfaction and teamwork performance in a surgical setting. A secondary aim of this study was to examine the specific perceptions of physician behavior related to patient satisfaction and teamwork performance...
January 17, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29354201/evaluating-pediatrics-residents-ethics-learning-needs-using-multisource-interprofessional-feedback
#13
Peter MacPherson, Julie Emberley
Background: Ethics education is a required component of pediatric residency training. Limited instructional time requires educators to identify and prioritize learning needs. This is the first study to identify pediatric residents' ethics learning needs using a multisource (360 degree) assessment. We hypothesized that pediatricians or allied health care professionals would identify unperceived ethics learning needs. Methods: Pediatric residents, pediatricians, respiratory therapists (RTs), and registered nurses (RNs) working at a university children's hospital rated the importance of twelve ethics themes as learning needs for trainees using a Likert-type scale...
December 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29346179/avstick-an-intravenous-catheter-insertion-simulator-for-use-with-standardized-patients
#14
Andrew Devenny, Danielle Lord, Joshua Matthews, Julia Tuhacek, Jennifer Vitlip, Mingxu Zhang, Amy C Bucha, Liyun Wang, Jenni M Buckley, Amy Cowperthwait
An overwhelming majority of hospitalized patients undergo intravenous (IV) catheter insertion in order to receive hydration and necessary medication. Current IV insertion training techniques include manikins that are unable to react or give feedback to the trainee. The Avstick® is a realistic training device that can be worn by an actor, allowing a nurse trainee to perform an IV catheter insertion on a live patient without causing the person harm. The purpose of this study is to demonstrate the effectiveness of the Avstick in nursing education to increase nurse-patient communication and trainee self-efficacy...
January 17, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29344572/expert-led-didactic-versus-self-directed-audiovisual-training-of-confocal-laser-endomicroscopy-in-evaluation-of-mucosal-barrier-defects
#15
Roy Huynh, Matthew Ip, Jeff Chang, Craig Haifer, Rupert W Leong
Background and study aims:  Confocal laser endomicroscopy (CLE) allows mucosal barrier defects along the intestinal epithelium to be visualized in vivo during endoscopy. Training in CLE interpretation can be achieved didactically or through self-directed learning. This study aimed to compare the effectiveness of expert-led didactic with self-directed audiovisual teaching for training inexperienced analysts on how to recognize mucosal barrier defects on endoscope-based CLE (eCLE). Materials and methods:  This randomized controlled study involved trainee analysts who were taught how to recognize mucosal barrier defects on eCLE either didactically or through an audiovisual clip...
January 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29343150/eight-year-outcomes-of-a-competency-based-residency-training-program-in-orthopedic-surgery
#16
Markku T Nousiainen, Polina Mironova, Melissa Hynes, Susan Glover Takahashi, Richard Reznick, William Kraemer, Benjamin Alman, Peter Ferguson
BACKGROUND: The Division of Orthopaedic Surgery at the University of Toronto implemented a pilot residency training program that used a competency-based framework in July of 2009. The competency-based curriculum (CBC) deployed an innovative, modularized approach that dramatically intensified both the structured learning elements and the assessment processes. METHODS: This paper discusses the initial curriculum design of the CBC pilot program; the refinement of the curriculum using curriculum mapping that allowed for efficiencies in educational delivery; details of evaluating resident competence; feedback from external reviews by accrediting bodies; and trainee and program outcomes for the first eight years of the program's implementation...
January 18, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29328844/cost-awareness-of-disposable-surgical-equipment-and-strategies-for-improvement-cross-sectional-survey-and-literature-review
#17
James Wf Kynaston, Thomas Smith, Jeremy Batt
A significant healthcare funding gap has been predicted over the coming years. NHS England has made transparency and cost efficiency a key priority. Healthcare technology accounts for a large portion of healthcare expenditure. The aim of the study was to establish the cost awareness of theatre staff for disposable surgical equipment and to review the current evidence around improving cost awareness. A cross sectional survey was performed. A questionnaire was distributed to consultants, registrars, core surgical trainees and theatre scrub practitioners within an NHS foundation trust and analysed using Microsoft excel 2010...
October 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29318736/junior-doctor-teaching-delivered-by-near-peers
#18
Oluwaseun Anyiam, Victoria Ware, Maria McKenna, John Hanley
BACKGROUND: Near-peer teaching - trainees teaching more junior trainee colleagues - has been widely described in undergraduate medical education. Several benefits have been reported, including a more comfortable learning environment for learners and the development of tutors' teaching skills. Near-peer teaching programmes in postgraduate training are less commonly described in the existing literature, however. This article outlines a pilot study of a postgraduate near-peer teaching programme implemented at the Royal Victoria Infirmary, Newcastle, UK...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29307208/implementation-issues-relevant-to-outpatient-neurology-palliative-care
#19
Benzi M Kluger, Michael J Persenaire, Samantha K Holden, Laura T Palmer, Hannah Redwine, Julie Berk, C Alan Anderson, Christopher M Filley, Jean Kutner, Janis Miyasaki, Julie Carter
BACKGROUND: There is growing interest in the application of palliative care principles to improve care for patients and families affected by neurologic diseases. We developed an interdisciplinary outpatient clinic for patients and families affected by neurologic disorders to better address the problems faced by our highest need patients. We have developed and improved this program over the past three years and share several of our most important lessons as well as ongoing challenges and areas where we see our clinic evolving in the future...
November 29, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29303043/-the-best-laid-schemes-o-mice-an-men-a-workshop-to-teach-the-application-of-evidence-based-medicine-in-low-and-middle-income-countries
#20
Rakesh Narendra Modi, Laura Chapman, Camille Gajria, Eugene Yee Hing Tang
Background Evidence-Based Medicine (EBM) is often an ideal, with beginnings in positivist science. More recent relativism, rights and ethics have challenged a binary view of EBM. Medical volunteering is a paradigm as GPs and trainees often run EBM projects in low- and middle-income countries (LMICs), which require significant contextual adaptation. We created a workshop to enable GPs and GP trainees to reflect on and plan for the factors important in the application of EBM in LMICs. We describe the first running at the 21st WONCA Europe Conference...
January 5, 2018: Education for Primary Care
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