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https://www.readbyqxmd.com/read/29651321/specialty-training-in-family-medicine-in-montenegro-an-evaluation-of-the-programme-by-the-first-generation-of-trainees
#1
Marija Petek Šter, Ljiljana Cvejanov Kezunović, Milena Cojić, Davorina Petek, Igor Švab
Introduction: One of the aims of health care reform in Montenegro is to strengthen primary care. An important step forward is the implementation of specialty training in family medicine (FM). The aim of this article is to evaluate the implementation of specialty training in family medicine in Montenegro, regarding the content, structure and methods, by the first generation of trainees and the coordinator of the training. Methods: A questionnaire was sent by mail in July and August 2017 to all 26 eligible trainees who started specialty training in 2013...
June 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29628288/assessment-of-evar-competence-validity-of-a-novel-rating-scale-evarate-in-a-simulated-setting
#2
Michael Strøm, Lars Lönn, Lars Konge, Torben V Schroeder, Hans Lindgren, Thomas Nyheim, Maarit Venermo, Bo Bech
OBJECTIVES: The aims of this study were to investigate the validity evidence for a novel procedure specific assessment tool of competence in endovascular aortic repair (EVAR) and to establish a pass/fail level for the assessment. METHODS: Computed tomography angiography data of a 55 mm in diameter infrarenal aortic aneurysm was implemented into an endovascular simulator. Twenty-three physicians with varying EVAR experiences were video-recorded when performing a standard EVAR procedure on the simulator...
April 5, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29628171/-run-through-training-at-specialist-training-year-1-and-uncoupled-core-surgical-training-for-oral-and-maxillofacial-surgery-in-the-united-kingdom-a-snapshot-survey
#3
M Garg, J Collyer, D Dhariwal
Training in oral and maxillofacial surgery (OMFS) in the UK has undergone considerable changes during the last 10years, and "core" surgical training has replaced "basic" surgical training. In 2014 a pilot "run-through" training programme from specialist training year one (ST1)-ST7 was introduced to facilitate early entry into the speciality. Run-through training guarantees that a trainee, after a single competitive selection process and satisfactory progress, will be given training that covers the entire curriculum of the speciality, whereas uncoupled training requires a second stage of competitive recruitment after the first one (for OMFS only) or two years of "core" training to progress to higher specialty training...
April 5, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29619611/self-guided-training-for-deep-brain-stimulation-planning-using-objective-assessment
#4
Matthew S Holden, Yulong Zhao, Claire Haegelen, Caroline Essert, Sara Fernandez-Vidal, Eric Bardinet, Tamas Ungi, Gabor Fichtinger, Pierre Jannin
OBJECTIVE: Deep brain stimulation (DBS) is an increasingly common treatment for neurodegenerative diseases. Neurosurgeons must have thorough procedural, anatomical, and functional knowledge to plan electrode trajectories and thus ensure treatment efficacy and patient safety. Developing this knowledge requires extensive training. We propose a training approach with objective assessment of neurosurgeon proficiency in DBS planning. METHODS: To assess proficiency, we propose analyzing both the viability of the planned trajectory and the manner in which the operator arrived at the trajectory...
April 4, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29614530/-work-and-training-conditions-of-young-german-physicians-in-internal-medicine-results-of-a-second-nationwide-survey-by-young-internists-from-the-german-society-of-internal-medicine-and-the-german-professional-association-of-internists
#5
Matthias Raspe, Anja Vogelgesang, Johannes Fendel, Cornelius Weiß, Kevin Schulte, Thierry Rolling
BACKGROUND:  Medical specialty training is the basis for career development of young internists and it is vital for the delivery of high-quality medical care. In 2014 the young internists of two professional bodies in Germany conducted a survey among their young members and described major factors influencing training and working conditions. We present the results of a follow-up survey to describe changes of these factors over time. An additional focus is set on the difficulties of balancing medical career and family...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29603007/a-novel-assessment-tool-for-evaluating-competence-in-video-assisted-thoracoscopic-surgery-lobectomy
#6
Katrine Jensen, René Horsleben Petersen, Henrik Jessen Hansen, William Walker, Jesper Holst Pedersen, Lars Konge
BACKGROUND: Specific assessment tools can accelerate trainees' learning through structured feedback and ensure that trainees attain the knowledge and skills required to practice as competent, independent surgeons (competency-based surgical education). The objective was to develop an assessment tool for video-assisted thoracoscopic surgery (VATS) lobectomy by achieving consensus within an international group of VATS experts. METHOD: The Delphi method was used as a structured process for collecting and distilling knowledge from a group of internationally recognized VATS experts...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602994/examining-the-impact-of-surgical-coaching-on-trainee-physiologic-response-and-basic-skill-acquisition
#7
Matthew D Timberlake, Dimitrios Stefanidis, Aimee K Gardner
BACKGROUND: We examined how problem-solving coaching impacts trainee skill acquisition and physiologic stress as well as how trainee sensitivity to feedback, known as self-monitoring ability, impacts coaching effectiveness. METHODS: Medical students completed a pre-training demographics questionnaire, a 12-item self-monitoring ability scale (1 = always false, 5 = always true), and baseline FLS Task 5 with physiologic sensors. After watching a laparoscopic suturing instructional video, students practiced the task for 30 min, either with a surgical coach, or alone, depending on condition...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29590483/building-capacity-for-complementary-and-integrative-medicine-through-a-large-cross-agency-acupuncture-training-program-lessons-learned-from-a-military-health-system-and-veterans-health-administration-joint-initiative-project
#8
Richard Niemtzow, John Baxter, Rollin M Gallagher, Arnyce Pock, Kathryn Calabria, David Drake, Kevin Galloway, Joan Walter, Richard Petri, Thomas Piazza, Stephen Burns, Lew Hofmann, John Biery, Chester Buckenmaier
Introduction: Complementary and integrative medicine (CIM) use in the USA continues to expand, including within the Military Health System (MHS) and Veterans Health Administration (VHA). To mitigate the opioid crisis and provide additional non-pharmacological pain management options, a large cross-agency collaborative project sought to develop and implement a systems-wide curriculum, entitled Acupuncture Training Across Clinical Settings (ATACS). Materials and Methods: ATACS curriculum content and structure were created and refined over the course of the project in response to consultations with Subject Matter Experts and provider feedback...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29581688/introducing-in-vivo-dissection-modules-for-undergraduate-level-trainees-what-is-the-actual-benefit-and-how-could-we-make-it-more-efficient
#9
Michail Sideris, Apostolos Papalois, Korina Theodoraki, Georgios Paparoidamis, Nikolaos Staikoglou, Ismini Tsagkaraki, Efstratios Koletsis, Panagiotis Dedeilias, Nikolaos Lymperopoulos, Konstantinos Imprialos, Savvas Papagrigoriadis, Vassilios Papalois, Georgios Zografos, Georgios Tsoulfas
Essential Skills in the Management of Surgical Cases (ESMSC) is an international wet lab simulation course aimed at undergraduate students. It combines basic science workshops, case-based lectures and ex vivo skills modules, as well as in vivo dissections using a swine model. This study aims to evaluate the effectiveness of high-fidelity In Vivo Simulation-Based Learning for undergraduate level trainees. Also our goal was to compare the skill-based performance of final year students vs. more junior-level ones...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29580814/development-and-evaluation-of-a-new-formative-assessment-of-surgical-performance
#10
Ronnie M Davies, Lisa Hadfield-Law, Philip G Turner
BACKGROUND: Formative assessment of operative performance is a mandatory part of surgical training. Engagement with assessment is limited in part by the time-consuming nature and the high perceived stakes of current assessment tools. OBJECTIVES: Our aims were to develop and collect validity evidence for a new operative assessment tool that addresses barriers to assessment that current trainers and trainees experience. METHODS: We developed the Generic Operative Supervised Learning Event (GOSLE)...
March 23, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29573938/teaching-radiology-trainees-from-the-perspective-of-a-millennial
#11
Po-Hao Chen, Mary H Scanlon
The millennial generation consists of today's medical students, radiology residents, fellows, and junior staff. Millennials' comfort with immersive technology, high expectations for success, and desire for constant feedback differentiate them from previous generations. Drawing from an author's experiences through radiology residency and fellowship as a millennial, from published literature, and from the mentorship of a long-time radiology educator, this article explores educational strategies that embrace these characteristics to engage today's youngest generation both in and out of the reading room...
March 21, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29567014/simulation-in-paediatric-urology-and-surgery-part-1-an-overview-of-educational-theory
#12
REVIEW
Ramesh M Nataraja, Nathalie Webb, Pedro-Jose Lopez
Surgical training has changed radically in the last few decades. The traditional Halstedian model of time-bound apprenticeship has been replaced with competency-based training. Advanced understanding of mastery learning principles has vastly altered educational methodology in surgical training, in terms of instructional design, delivery of educational content, assessment of learning, and programmatic evaluation. As part of this educational revolution, fundamentals of simulation-based education have been adopted into all levels and aspects of surgical training, requiring an understanding of concepts of fidelity and realism and the impact they have on learning...
March 1, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29557527/the-college-of-anaesthetists-of-ireland-simulation-training-programme-a-descriptive-report-and-analysis-of-course-participants-feedback
#13
Aine Cafferkey, Elizabeth Coyle, David Greaney, Sinead Harte, Niamh Hayes, Miriam Langdon, Birgitt Straub, Crina Burlacu
BACKGROUND: Simulation-based education is a modern training modality that allows healthcare professionals to develop knowledge and practice skills in a safe learning environment. The College of Anaesthetists of Ireland (CAI) was the first Irish postgraduate medical training body to introduce mandatory simulation training into its curriculum. Extensive quality assurance and improvement data has been collected on all simulation courses to date. AIMS: Describe The College of Anaesthetists of Ireland Simulation Training (CAST) programme and report the analysis of course participants' feedback...
March 20, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29551697/comprehensive-multicenter-graduate-surgical-education-initiative-incorporating-entrustable-professional-activities-continuous-quality-improvement-cycles-and-a-web-based-platform-to-enhance-teaching-and-learning
#14
Cheryl I Anderson, Marc D Basson, Muhammad Ali, Alan T Davis, Robert L Osmer, Michael K McLeod, Pam S Haan, Robert G Molnar, Andi N Peshkepija, John C Hardaway, Karen A Chojnacki, Christopher C Pfeifer, Jeffrey M Gauvin, Mark W Jones, M Ashraf Mansour
BACKGROUND: It is increasingly important for faculty to teach deliberately and provide timely, detailed and formative feedback on surgical trainee performance. We initiated a multicenter study to improve resident evaluative processes and enhance teaching and learning behaviors while engaging residents in their education. METHODS: Faculty from seven U.S. postgraduate training programs rated resident operative performances using the perioperative briefing, intraoperative teaching, debriefing model (BID) and rated patient visits/academic performances using the entrustable professional activities (EPAs) model via a web-based platform...
March 15, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29550077/the-european-urology-residents-education-programme-hands-on-training-format-4-years-of-hands-on-training-improvements-from-the-european-school-of-urology
#15
Bhaskar K Somani, Ben Van Cleynenbreugel, Ali Gozen, Jaun Palou, Sas Barmoshe, Shekhar Biyani, Josep M Gaya, Giles Hellawell, Gio Pini, Faba R Oscar, Rafael Sanchez Salas, Petr Macek, Andreas Skolarikos, Christian Wagner, Viktor Eret, Stephen Haensel, Giampaolo Siena, Marek Schmidt, Max Klitsch, Stepan Vesely, Achilles Ploumidis, Silvia Proietti, Guido Kamphuis, Theodore Tokas, Rob Geraghty, Dominico Veneziano
BACKGROUND: The European School of Urology (ESU) started the European Urology Residents Education Programme (EUREP) in 2003 for final year urology residents, with hands-on training (HOT) added later in 2007. OBJECTIVE: To assess the geographical reach of EUREP, trainee demographics, and individual quality feedback in relation to annual methodology improvements in HOT. DESIGN, SETTING, AND PARTICIPANTS: From September 2014 to October 2017 (four EUREP courses) several new features have been applied to the HOT format of the EUREP course: 1:1 training sessions (2015), fixed 60-min time slots (2016), and standardised teaching methodology (2017)...
March 14, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29549553/automated-surgical-skill-assessment-in-rmis-training
#16
Aneeq Zia, Irfan Essa
PURPOSE: Manual feedback in basic robot-assisted minimally invasive surgery (RMIS) training can consume a significant amount of time from expert surgeons' schedule and is prone to subjectivity. In this paper, we explore the usage of different holistic features for automated skill assessment using only robot kinematic data and propose a weighted feature fusion technique for improving score prediction performance. Moreover, we also propose a method for generating 'task highlights' which can give surgeons a more directed feedback regarding which segments had the most effect on the final skill score...
March 16, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29544474/smartphone-learning-as-an-adjunct-to-vascular-teaching-a-pilot-project
#17
Nadeem A Mughal, Eleanor R Atkins, Darren Morrow, Wissam Al-Jundi
BACKGROUND: M-learning is education using personal mobile electronic devices. Given the prevalence of these in society and amongst healthcare professionals, we aimed to assess their use and feasibility in improving the educational programme of a single vascular institution. METHODS: A weekly vascular departmental teaching programme was initiated with registrars giving 30-min presentations on a defined book chapter. Two multiple-choice questions (MCQ) per session were devised by a supervising consultant utilising the smartphone response system application, Polltogo...
March 15, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29535997/a-discussion-of-virtual-reality-as-a-new-tool-for-training-healthcare-professionals
#18
Caroline Fertleman, Phoebe Aubugeau-Williams, Carmel Sher, Ai-Nee Lim, Sophie Lumley, Sylvie Delacroix, Xueni Pan
Background: Virtual reality technology is an exciting and emerging field with vast applications. Our study sets out the viewpoint that virtual reality software could be a new focus of direction in the development of training tools in medical education. We carried out a panel discussion at the Center for Behavior Change 3rd Annual Conference, prompted by the study, "The Responses of Medical General Practitioners to Unreasonable Patient Demand for Antibiotics--A Study of Medical Ethics Using Immersive Virtual Reality" (1)...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29532346/it-s-all-about-relationships-a-qualitative-study-of-family-physicians-teaching-experiences-in-rural-longitudinal-clerkships
#19
Cary Cuncic, Glenn Regehr, Heather Frost, Joanna Bates
INTRODUCTION: The relationship between preceptor and trainee is becoming recognized as a critical component of teaching, in particular in the negotiation of feedback and in the formation of professional identity. This paper elaborates on the nature of the relationships between preceptor and student that evolve in the context of rural longitudinal integrated clerkships (LICs). METHODS: We drew on constructivist grounded theory for the research approach. We interviewed nine LIC family practice preceptors from three sites at one educational institution...
March 12, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29530444/technology-enhanced-simulation-improves-trainee-readiness-transitioning-to-cardiothoracic-training
#20
Patrick G Chan, Lara W Schaheen, Ernest G Chan, Chris C Cook, James D Luketich, Jonathan D'Cunha
OBJECTIVE: Transitioning from medical school and general surgery training to cardiothoracic (CT) surgical training poses unique challenges for trainees and patient care. We hypothesized that participation in technology-enhanced simulation modules that provided early exposure to urgent/emergent CT patient problems would improve cognitive skills and readiness to manage common urgencies/emergencies. DESIGN: Traditional and integrated cardiothoracic residents at our institution participated in a technology-enhanced simulation curriculum...
March 9, 2018: Journal of Surgical Education
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