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https://www.readbyqxmd.com/read/28717721/evaluation-of-a-smartphone-based-training-strategy-among-health-care-workers-screening-for-cervical-cancer-in-northern-tanzania-the-kilimanjaro-method
#1
Karen E Yeates, Jessica Sleeth, Wilma Hopman, Ophira Ginsburg, Katharine Heus, Linda Andrews, Mary Rose Giattas, Safina Yuma, Godwin Macheku, Aziz Msuya, Olola Oneko
PURPOSE: Almost nine of 10 deaths resulting from cervical cancer occur in low-income countries. Visual inspection under acetic acid (VIA) is an evidence-based, cost-effective approach to cervical cancer screening (CCS), but challenges to effective implementation include health provider training costs, provider turnover, and skills retention. We hypothesized that a smartphone camera and use of cervical image transfer for real-time mentorship by experts located distantly across a closed user group through a commercially available smartphone application would be both feasible and effective in enhancing VIA skills among CCS providers in Tanzania...
December 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28713801/an-evaluation-of-a-train-the-trainer-workshop-for-social-service-workers-to-develop-community-based-family-interventions
#2
Agnes Y Lai, Sunita M Stewart, Moses W Mui, Alice Wan, Carol Yew, Tai Hing Lam, Sophia S Chan
INTRODUCTION: Evaluation studies on train-the-trainer workshops (TTTs) to develop family well-being interventions are limited in the literature. The Logic Model offers a framework to place some important concepts and tools of intervention science in the hands of frontline service providers. This paper reports on the evaluation of a TTT for a large community-based program to enhance family well-being in Hong Kong. METHODS: The 2-day TTT introduced positive psychology themes (relevant to the programs that the trainees would deliver) and the Logic Model (which provides a framework to guide intervention development and evaluation) for social service workers to guide their community-based family interventions...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28712902/design-based-comparison-of-spine-surgery-simulators-optimizing-educational-features-of-surgical-simulators
#3
Won Hyung A Ryu, Ahmed E Mostafa, Navjit Dharampal, Ehud Sharlin, Gail Kopp, W Bradley Jacobs, R John Hurlbert, Sonny Chan, Garnette R Sutherland
BACKGROUND: Simulation-based education has made its entry into surgical residency training, particularly as an adjunct to hands-on clinical experience. However, one of the ongoing challenges to wide adoption is the capacity of simulators to incorporate educational features required for effective learning. The aim of this study was to identify strengths and limitations of spine simulators to characterize design elements that are essential in enhancing resident education. METHODS: We performed a mixed qualitative and quantitative cohort study with focused survey and interviews of stakeholders in spine surgery pertaining to their experiences on three spine simulators...
July 13, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28709518/developing-a-state-wide-infrastructure-for-safe-sleep-promotion
#4
Carolyn R Ahlers-Schmidt, Christy Schunn, Stephanie Kuhlmann, Zachary Kuhlmann, Matthew Engel
OBJECTIVES: Sleep-related deaths are the third leading cause of infant death in Kansas. This manuscript describes implementation of an infrastructure of regional trainers to educate on the American Academy of Pediatrics safe sleep recommendations. DESIGN: Prospective evaluation of training program on knowledge transfer. SETTING: Instructors were recruited from throughout the state of Kansas and trained to provide safe sleep education in their communities...
August 2017: Sleep Health
https://www.readbyqxmd.com/read/28701324/40-4-40-educational-and-economic-outcomes-of-a-free-international-surgical-training-event
#5
James Glasbey, Piriyah Sinclair, Helen Mohan, Rhiannon Harries
PURPOSE OF STUDY: To demonstrate a model for delivery of an international surgical training event, and demonstrate its educational and economic outcomes. STUDY DESIGN: The Association of Surgeons in Training (ASiT) ran a course series on 16 January 2016 across the UK and Ireland. A mandatory, self-reported, online questionnaire collected delegate feedback, using 5-point Likert Scales, and a NetPromoter feedback tool. Precourse and postcourse matched questionnaires were collected for 'Foundation Skills in Surgery' (FSS) courses...
July 12, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28696853/rsna-diagnosis-live-a-novel-web-based-audience-response-tool-to-promote-evidence-based-learning
#6
Omer A Awan, Faiq Shaikh, Brian Kalbfleisch, Eliot L Siegel, Paul Chang
Audience response systems have become more commonplace in radiology residency programs in the last 10 years, as a means to engage learners and promote improved learning and retention. A variety of systems are currently in use. RSNA Diagnosis Live™ provides unique features that are innovative, particularly for radiology resident education. One specific example is the ability to annotate questions with subspecialty tags, which allows resident performance to be tracked over time. In addition, deficiencies in learning can be monitored for each trainee and analytics can be provided, allowing documentation of resident performance improvement...
July 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28695970/web-based-video-assessments-of-operative-performance-for-remote-telementoring
#7
Alexandra M Moore, Nicholas H Carter, Justin P Wagner, Charles J Filipi, David C Chen
INTRODUCTION: Performance-based feedback is critical to surgical skills acquisition. Barriers of geography and time limit trainees' access to expert mentorship. In this study, we hypothesized that telementoring using an asynchronous, web-based video interface would allow trainees to receive systematic feedback from expert mentors despite these barriers. MATERIALS AND METHODS: Between October 2014 and October 2016, 18 surgeons in Brazil, Dominican Republic, Haiti, and Paraguay underwent in-person training in Lichtenstein for hernioplasty or laparoscopic total extraperitoneal inguinal hernia repair...
July 11, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28678096/the-graduate-medical-education-scholars-track-developing-residents-as-clinician-educators-during-clinical-training-via-a-longitudinal-multimodal-and-multidisciplinary-track
#8
James Ahn, Shannon K Martin, Jeanne M Farnan, H Barrett Fromme
PROBLEM: Residency clinician-educator tracks have been created; however, they have generally been limited to a single discipline or program and experienced some challenges. The Graduate Medical Education Scholars Track (GMEST), an embedded longitudinal, multimodal, multidisciplinary clinician-educator track for residents, was piloted at the Pritzker School of Medicine, University of Chicago, in academic year 2014-2015. APPROACH: The GMEST is a two-year experience completed during residency training...
July 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28675095/development-and-pilot-testing-of-an-objective-structured-clinical-examination-for-obstructive-sleep-apnea
#9
Nasir I Bhatti, Muhammad Abbas Abid, C Matthew Stewart, Carol Fleishman, Niall Jefferson, Stacey L Ishman
Objective Our aim was (1) to develop an objective structured clinical examination (OSCE) for obstructive sleep apnea (OSA) and (2) to test the reliability and evaluate the feasibility of this OSCE while assessing residents' clinical skills in multiple core competencies via the standardized patient methodology. Study Design Development of assessment tool. Setting Johns Hopkins Medicine Simulation Center. Subjects and Methods Residents of the Department of Otolaryngology-Head and Neck Surgery at The Johns Hopkins University School of Medicine were invited to participate...
June 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28668549/design-and-implementation-of-a-robotic-surgery-training-experience-logging-system
#10
Kristin G Baldea, Ryan Thorwarth, Petar Bajic, Marcus L Quek, Gopal N Gupta
PURPOSE: Residents currently log robotic cases in the ACGME system as a "surgeon" if they performed any critical step of the procedure on the surgeon console. There is no standardization as to which steps or how much of the procedure should be performed by the resident. It was our objective to establish a tool for logging the true operative experience in robotic surgery to aid in assessing surgical competency as well as curriculum development. MATERIALS AND METHODS: We propose a tool to log surgical skill progression, experience, and feedback for robotic cases...
June 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28664678/radiation-oncology-directors-of-training-survey-2016-perspectives-and-challenges
#11
John Leung, Margot Lehman
INTRODUCTION: This paper reports the key findings of the first survey of Australian and New Zealand Radiation Oncology Directors of Training (DoTs) dealing with their perspectives, experiences and challenges. METHODS: The survey was conducted in September 2016 using a 34-question instrument. It was emailed to all radiation oncology DoTs listed on the Royal Australian and New Zealand College of Radiologists (RANZCR) database. The questions related to demographics, protected time, weekly activities, support, the value of curriculum assessments, challenges and suggested improvements...
June 30, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28662920/seven-year-review-of-dental-foundation-year-2-senior-house-officer-training-at-the-oral-and-maxillofacial-surgery-unit-in-oxford
#12
M Garg, L Wong, D Dhariwal
The dental senior house officer (SHO)/dental foundation year 2 (DF2) posts in Oxford have provided hospital-based training for dentists, but in 2013 the Oral and Maxillofacial Surgery (OMFS) Unit withdrew from DF2 training because persistent negative feedback from the dental deanery varied from that obtained internally. We sent questionnaires to a consecutive group of 62 dentists who had worked at the John Radcliffe Hospital, Oxford, between 2006 and 2013 to find out about their experience of the posts. Forty responded (65% response rate)...
June 26, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28652959/surgical-supervisor-feedback-affects-performance-a-blinded-randomized-study
#13
Assad Zahid, Jonathan Hong, Christopher J Young
While performing a simple task of following: a suture while closing a surgical wound in a simulated environment, we hypothesized that negative reinforcement results in increased procedural errors, longer operating time and poorer trainee satisfaction. We aimed to measure the effect on participant performance and the perception of the instructor, following positive or negative supervisor feedback during the task. A blinded randomized study was conducted assessing positive and negative supervisor feedback styles on participant performance in a simulated operation room...
May 25, 2017: Curēus
https://www.readbyqxmd.com/read/28652951/current-practices-in-assessing-professionalism-in-united-states-and-canadian-allopathic-medical-students-and-residents
#14
REVIEW
Nandini Nittur, Jonathan Kibble
Professionalism is a critically important competency that must be evaluated in medical trainees but is a complex construct that is hard to assess. A systematic review was undertaken to give insight into the current best practices for assessment of professionalism in medical trainees and to identify new research priorities in the field. A search was conducted on PubMed for behavioral assessments of medical students and residents among the United States and Canadian allopathic schools in the last 15 years. An initial search yielded 594 results, 28 of which met our inclusion criteria...
May 22, 2017: Curēus
https://www.readbyqxmd.com/read/28640031/identifying-gaps-in-the-performance-of-pediatric-trainees-who-receive-marginal-unsatisfactory-ratings
#15
Su-Ting T Li, Daniel J Tancredi, Alan Schwartz, Ann Guillot, Ann Burke, R Franklin Trimm, Susan Guralnick, John D Mahan, Kimberly A Gifford
PURPOSE: To perform a derivation study to determine in which subcompetencies marginal/unsatisfactory pediatric residents had the greatest deficits compared with their satisfactorily performing peers and which subcompetencies best discriminated between marginal/unsatisfactory and satisfactorily performing residents. METHOD: Multi-institutional cohort study of all 21 milestones (rated on four or five levels) reported to the Accreditation Council for Graduate Medical Education, and global marginal/unsatisfactory versus satisfactory performance reported to the American Board of Pediatrics...
June 20, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28638518/automated-reporting-of-trainee-metrics-using-electronic-clinical-systems
#16
Jonathan C Levin, Jonathan Hron
BACKGROUND: The Accreditation Council for Graduate Medical Education has called for increased emphasis on reporting objective performance measures to trainees and programs. However, reporting of objective measures, including clinical volume, is largely omitted from training programs. OBJECTIVE: To use automated electronic medical systems at a tertiary pediatric care hospital to create a dashboard that reports objective trainee and program metrics, including clinical volume and diagnoses in a pediatrics residency...
June 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28631143/post-operative-3d-ct-feedback-improves-accuracy-and-precision-in-the-learning-curve-of-anatomic-acl-femoral-tunnel-placement
#17
Luigi Sirleo, Massimo Innocenti, Matteo Innocenti, Roberto Civinini, Christian Carulli, Fabrizio Matassi
PURPOSE: To evaluate the feedback from post-operative three-dimensional computed tomography (3D-CT) on femoral tunnel placement in the learning process, to obtain an anatomic anterior cruciate ligament (ACL) reconstruction. METHODS: A series of 60 consecutive patients undergoing primary ACL reconstruction using autologous hamstrings single-bundle outside-in technique were prospectively included in the study. ACL reconstructions were performed by the same trainee-surgeon during his learning phase of anatomic ACL femoral tunnel placement...
June 19, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28626258/formative-research-for-the-nationwide-promotion-of-a-multidisciplinary-community-based-educational-program-on-end-of-life-care
#18
Yoshihisa Hirakawa, Chifa Chiang, Esayas Haregot Hilawe, Hideaki Andoh, Kazumasa Uemura, Atsuko Aoyama
Although one of the most important missions of end-of-life education is to ensure proper inter-professional education (IPE), in Japan, end-of-life care IPE has not been given enough attention especially in community settings. This study aims at developing an effective workshop facilitator training program on end-of-life care IPE and acquiring the know-how to set up and efficiently run administrative offices. We first developed a tentative facilitation training program and conducted it in five cities nationwide...
February 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28625816/a-prospective-multicenter-study-evaluating-learning-curves-and-competence-in-endoscopic-ultrasound-and-endoscopic-retrograde-cholangiopancreatography-among-advanced-endoscopy-trainees-the-rapid-assessment-of-trainee-endoscopy-skills-rates-study
#19
Sachin Wani, Rajesh Keswani, Matt Hall, Samuel Han, Meer Akbar Ali, Brian Brauer, Linda Carlin, Amitabh Chak, Dan Collins, Gregory A Cote, David L Diehl, Christopher J DiMaio, Andrew Dries, Ihab El-Hajj, Swan Ellert, Kimberley Fairley, Ashley Faulx, Larissa Fujii-Lau, Srinivas Gaddam, Seng-Ian Gan, Jonathan P Gaspar, Chitiki Gautamy, Stuart Gordon, Cynthia Harris, Sarah Hyder, Ross Jones, Stephen Kim, Srinadh Komanduri, Ryan Law, Linda Lee, Rawad Mounzer, Daniel Mullady, V Raman Muthusamy, Mojtaba Olyaee, Patrick Pfau, Shreyas Saligram, Cyrus Piraka, Amit Rastogi, Laura Rosenkranz, Fadi Rzouq, Aditi Saxena, Raj J Shah, Violette C Simon, Aaron Small, Jayaprakash Sreenarasimhaiah, Andrew Walker, Andrew Y Wang, Rabindra R Watson, Robert H Wilson, Patrick Yachimski, Dennis Yang, Steven Edmundowicz, Dayna S Early
BACKGROUND AND AIMS: Based on the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. METHODS: ASGE recognized training programs were invited to participate and AETs were graded on ERCP and EUS exams using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion...
June 15, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28609314/feedback-simulation-for-acupressure-training-and-skill-assessment
#20
Eric Noll, Jamie Romeiser, Shivam Shodhan, Maria Cecilia Madariaga, Xiaojun Guo, Sabeen Rizwan, Ehab Al-Bizri, Elliott Bennett-Guerrero
INTRODUCTION: Previous acupressure studies have yielded varying results. This could be due to differences in the amount of pressure applied to the acupressure point (acupoint) by study personnel within a study as well as between studies. Standardizing the level of pressure applied at an acupoint could improve clinical care and future research. METHODS: As part of an ongoing randomized clinical trial of postoperative acupressure, five trainees were asked to perform 2 minutes of acupressure and light touch sessions on a simulator...
June 12, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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