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https://www.readbyqxmd.com/read/28433962/ten-minute-snapshots-a-team-approach-to-teaching-postgraduates-about-professional-dilemmas
#1
Prabha S Chandra, G Ragesh, Santosh K Chaturvedi
As medical professionals, most of us face professional dilemmas that catch us unawares and are not discussed in medical training. One often learns about these dilemmas on one's own and deals with them with a common sense approach, rather than reflection. The professional dilemmas may concern receiving gifts from patients, handling issues of confidentiality or dealing with personal questions. There is seldom any formal instruction in competencies related to professionalism, especially in India. We adopted a team approach to provide training in these issues to postgraduate trainees in mental health and to engage them in discussion, using team feedback on snapshots of real-life professional situations, which were simulated through role play...
April 12, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28432039/simulation-training-evaluating-the-instructor-s-contribution-to-a-wizard-of-oz-simulator-in-obstetrics-and-gynecology-ultrasound-training
#2
Aric Katz, Ronnie Tepper, Avraham Shtub
BACKGROUND: Workplaces today demand graduates who are prepared with field-specific knowledge, advanced social skills, problem-solving skills, and integration capabilities. Meeting these goals with didactic learning (DL) is becoming increasingly difficult. Enhanced training methods that would better prepare tomorrow's graduates must be more engaging and game-like, such as feedback based e-learning or simulation-based training, while saving time. Empirical evidence regarding the effectiveness of advanced learning methods is lacking...
April 21, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28424804/acute-medicine-finishing-school-preparing-for-the-next-step
#3
Tehmeena Khan, Nicholas Murch
The transition from registrar to consultant in medicine is one that trainees feel ill prepared for and can be extremely stressful. We devised the concept of an Acute Medicine "Finishing School" for senior trainees in London training programmes and ran sessions on CV writing, a simulated consultant interview, consultant job planning, responding to complaints and an out of hospital emergency scenario. Our feedback survey indicated that our delegates' confidence levels in all of the above aspects increased following the sessions...
2017: Acute Medicine
https://www.readbyqxmd.com/read/28406552/auckland-regional-emergency-medicine-trainee-mentoring-uptake-survey
#4
Gordon Michael Mike Nicholls, Emma Lawrey, Peter Jones
OBJECTIVE: The primary objective of this study is to quantify how many Auckland region emergency medicine (EM) trainees would like a formal mentoring programme. The secondary objectives were to quantify how many Auckland region EM trainees would like to participate in a formal mentoring programme; to determine trainees' current understanding of mentoring; how trainees prefer mentors to be allocated; why trainees may want a mentor; what mentees perceive would be good qualities in a mentor; and trainees' prior experience with mentoring...
April 12, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28405926/the-use-of-theatre-in-medical-education-in-the-emergency-cases-school-an-appealing-and-widely-accessible-way-of-learning
#5
Christodoulos Keskinis, Vasileios Bafitis, Panagiota Karailidou, Christina Pagonidou, Panteleimon Pantelidis, Alexandros Rampotas, Michail Sideris, Georgios Tsoulfas, Dimitrios Stakos
INTRODUCTION: Theatre models in medical education have been used worldwide in order to train medical students and graduates in managing various situations. However, the literature reports little regarding its appeal to trainees. We conducted a medical seminar, entitled Emergency Cases School, which employed such techniques. Actors simulated the actions of doctors and patients involved in various emergency cases, in front of a large audience, in a specially modified theatre hall which resembled the emergency room environment...
April 12, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28401695/case-based-discussion-perceptions-of-feedback
#6
Aruchuna Mohanaruban, Lucy Flanders, Huw Rees
BACKGROUND: Over recent years there has been a trend towards developing high-quality assessments to assess a doctor's performance in the workplace. Case-based discussion (CbD) is a form of workplace-based assessment that has the potential to provide feedback to trainees on their performance or management of a specific case. The aim of this study was to explore how CbDs are perceived and implemented in practice amongst a UK cohort of medical trainees. METHODS: This study involved 78 medical trainees at a UK hospital completing a questionnaire rating their last CbD experience, including the duration spent receiving feedback, whether it was pre-planned or ad hoc and how they responded to the feedback received...
April 12, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28400971/the-mini-pat-as-a-multi-source-feedback-tool-for-trainees-in-child-and-adolescent-psychiatry-assessing-whether-it-is-fit-for-purpose
#7
Gill Salmon, Lesley Pugsley
This paper discusses the research supporting the use of multi-source feedback (MSF) for doctors and describes the mini-Peer Assessment Tool (mini-PAT), the MSF instrument currently used to assess trainees in child and adolescent psychiatry. The relevance of issues raised in the literature about MSF tools in general is examined in relation to trainees in child and adolescent psychiatry as well as the appropriateness of the mini-PAT for this group. Suggestions for change including modifications to existing MSF tools or the development of a specialty-specific MSF instrument are offered...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28399716/the-lgbtqi-health-forum-an-innovative-interprofessional-initiative-to-support-curriculum-reform
#8
Hannan M Braun, David Ramirez, Greg J Zahner, Eva Mae Gillis-Buck, Heather Sheriff, Marcus Ferrone
Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) individuals continue to face barriers to accessing appropriate and comprehensive healthcare. Compounding this problem, healthcare trainees report few training opportunities and low levels of preparedness to care for LGBTQI patients. In 2009, an interprofessional group of students and a faculty advisor at the University of California, San Francisco, developed a novel student-organized LGBTQI Health Forum for medical, dental, pharmacy, nursing, and physical therapy students to deliver LGBTQI health content that was otherwise absent from the formal curriculum...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28399690/peer-assessment-in-the-objective-structured-clinical-examination-a-scoping-review
#9
Rishad Khan, Michael W C Payne, Saad Chahine
BACKGROUND: The objective structured clinical examination (OSCE), originally designed with experts assessing trainees' competence, is more frequently employed with an element of peer assessment and feedback. Although peer assessment in higher education has been studied, its role in OSCEs has not reviewed. AIMS: The aim of this study is to conduct a scoping review and explore the role of peer assessment and feedback in the OSCE. METHODS: Electronic database and hand searching yielded 507 articles...
April 11, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28392267/what-is-known-about-the-attributes-of-a-successful-surgical-trainer-a-systematic-review
#10
Ben Dean, Luke Jones, Patrick Garfjeld Roberts, Jonathan Rees
BACKGROUND: Surgical training has been subject to significant upheaval in recent years with an increasingly rigorous assessment regimen for trainees. The assessment of surgical trainers is less well evolved by comparison. Recent proposals from the Royal College of Surgeons of England recommend "professionalising the trainers." However, they do not suggest any accepted or validated methods of trainer assessment, nor do they indicate how these might be implemented and monitored in a real-world training program to determine their effect on trainee outcomes...
April 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28386393/what-are-the-associations-between-the-quantity-of-faculty-evaluations-and-residents-perception-of-quality-feedback
#11
Joseph M Blankush, Brijen J Shah, Scott H Barnett, Gaber Badran, Amanda Mercado, Reena Karani, David Muller, I Michael Leitman
OBJECTIVES: To determine if there is a correlation between the numbers of evaluations submitted by faculty and the perception of the quality of feedback reported by trainees on a yearly survey. METHOD: 147 ACGME-accredited training programs sponsored by a single medical school were included in the analysis. Eighty-seven programs (49 core residency programs and 38 advanced training programs) with 4 or more trainees received ACGME survey summary data for academic year 2013-2014...
April 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28385488/what-are-the-training-gaps-for-acquiring-laparoscopic-suturing-skills
#12
Ghada Enani, Yusuke Watanabe, Katherine M McKendy, Elif Bilgic, Liane S Feldman, Gerald M Fried, Melina C Vassiliou
INTRODUCTION: Advanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill. METHODS: A qualitative methodology using semistructured interviews and field observations was used. Data were analyzed using a Grounded Theory approach. Participants were general surgery residents and surgeons with advanced minimally invasive surgery (MIS) experience...
April 3, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28382752/general-practitioners-teaching-new-surgical-trainees-about-clinic-letter-writing
#13
James Seddon
BACKGROUND: Clinic letter writing is an important communication tool in the hospital out-patient setting, serving as a record of the consultation for the hospital, confirming the information gathered and the agreed outcome with the patient, and communicating progress to the general practitioner. It is a skill, and is often poorly performed. There has traditionally been a paucity of formal teaching on the subject. CONTEXT: Classroom sessions during a regional surgical trainee year-1 'boot camp' induction, preparing new specialist trainees for the practical functions of their new roles...
April 5, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28379901/the-utility-of-teleultrasound-to-guide-acute-patient-management
#14
Christian Becker, Mario Fusaro, Dhruv Patel, Isaac Shalom, William H Frishman, Corey Scurlock
Ultrasound has evolved into a core bedside tool for diagnostic and management purposes for all subsets of adult and pediatric critically-ill patients. Teleintensive care unit coverage has undergone a similar rapid expansion period throughout the United States. Round-the-clock access to ultrasound equipment is very common in today's intensive care unit, but 24/7 coverage with staff trained to acquire and interpret point-of-care ultrasound in real time is lagging behind equipment availability. Medical trainees and physician extenders require attending level supervision to ensure consistent image acquisition and accurate interpretation...
May 2017: Cardiology in Review
https://www.readbyqxmd.com/read/28379668/towards-development-and-validation-of-an-intraoperative-assessment-tool-for-robot-assisted-radical-prostatectomy-training-results-of-a-delphi-study
#15
Christopher Morris, Jen Hoogenes, Bobby Shayegan, Edward D Matsumoto
INTRODUCTION: As urology training shifts toward competency-based frameworks, the need for tools for high stakes assessment of trainees is crucial. Validated assessment metrics are lacking for many robot-assisted radical prostatectomy (RARP). As it is quickly becoming the gold standard for treatment of localized prostate cancer, the development and validation of a RARP assessment tool for training is timely. MATERIALS AND METHODS: We recruited 13 expert RARP surgeons from the United States and Canada to serve as our Delphi panel...
April 6, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28366440/progressive-learning-in-endoscopy-simulation-training-improves-clinical-performance-a-blinded-randomized-trial
#16
Samir C Grover, Michael A Scaffidi, Rishad Khan, Ankit Garg, Ahmed Al-Mazroui, Tareq Alomani, Jeffrey J Yu, Ian S Plener, Mohamed Al-Awamy, Elaine L Yong, Maria Cino, Nikila C Ravindran, Mark Zasowski, Teodor P Grantcharov, Catharine M Walsh
BACKGROUND AND AIMS: A structured comprehensive curriculum (SCC) using simulation-based training (SBT) can improve clinical colonoscopy performance. This curriculum may be enhanced through the application of progressive learning, a training strategy centered on incrementally challenging learners. We aimed to determine whether a progressive learning-based curriculum (PLC) would lead to superior clinical performance compared with an SCC. METHODS: This was a single-blinded randomized controlled trial conducted at a single academic center...
March 30, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28362964/commentary-an-introduction-to-leadership-self-assessment-at-the-society-of-neurological-surgeons-post-graduate-year-1-boot-camp-observations-and-commentary
#17
Matthew A Hunt, Carl B Heilman, Max Shutran, Julian K Wu
Recent trends in graduate medical education have emphasized the mastery of nontechnical skills, especially leadership, for neurosurgical trainees. Accordingly, we introduced leadership development and self-awareness training to interns attending the Society of Neurological Surgeons Post-Graduate Year 1 Boot Camp in the Northeast (New England/New York/New Jersey) region in 2015. Feedback about the session was collected from interns. While neurosurgical interns conveyed a desire to receive more information on improving their leadership skills, most indicated that guidance seemed to be lacking in this critical area...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28347629/the-effect-of-experience-simulator-training-and-biometric-feedback-on-manual-ventilation-technique
#18
Rebecca Lewis, Cerrie A Sherfield, Christopher R Fellows, Rachel Burrow, Iain Young, Alex Dugdale
OBJECTIVE: To determine the frequency of provision and main providers (veterinary surgeons, nurses or trainees) of manual ventilation in UK veterinary practices. Furthermore, to determine the variation in peak inspiratory (inflation) pressure (PIP), applied to a lung model during manual ventilation, by three different groups of operators (inexperienced, experienced and specialist), before and after training. STUDY DESIGN: Questionnaire survey, lung model simulator development and prospective testing...
January 11, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/28332224/monitoring-and-regulation-of-learning-in-medical-education-the-need-for-predictive-cues
#19
Anique B H de Bruin, John Dunlosky, Rodrigo B Cavalcanti
CONTEXT: Being able to accurately monitor learning activities is a key element in self-regulated learning in all settings, including medical schools. Yet students' ability to monitor their progress is often limited, leading to inefficient use of study time. Interventions that improve the accuracy of students' monitoring can optimise self-regulated learning, leading to higher achievement. This paper reviews findings from cognitive psychology and explores potential applications in medical education, as well as areas for future research...
March 23, 2017: Medical Education
https://www.readbyqxmd.com/read/28330521/can-trainees-design-and-deliver-a-national-audit-of-epistaxis-management-a-pilot-of-a-secure-web-based-audit-tool-and-research-trainee-collaboratives
#20
N Mehta, R J Williams, M E Smith, A Hall, J C Hardman, L Cheung, M P Ellis, J M Fussey, R Lakhani, O McLaren, P C Nankivell, N Sharma, W Yeung, S Carrie, C Hopkins
OBJECTIVE: To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data. METHODS: Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires...
March 23, 2017: Journal of Laryngology and Otology
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