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Professionalism in Emergency Medicine

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https://www.readbyqxmd.com/read/29437305/adjustment-of-antidiabetic-treatment-regimens-on-discharge-from-the-emergency-department-effect-on-90-day-outcomes-in-patients-admitted-to-a-short-stay-unit
#1
Rafael Cuervo Pinto, Sol Hernández López, Nerea Aguirre Juaristi, David Chaparro Pardo, Juan Jorge González Armengol, Francisco Javier Martín-Sánchez
OBJECTIVES: To measure cervical spine movement during removal of a motorcycle helmet by health care professionals. MATERIAL AND METHODS: Observational study using biomechanical inertial sensors to detect movement in the spinal column during removal of helmets. RESULTS: Thirty-four emergency medicine specialists and nurses participated. The mean (SD) rotation was 1.14° (0.82°) to the left and 3.30° (1.69°) to the right (P<.001). Mean flexion was 9...
February 2018: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29431584/horizon-scanning-how-will-metabolomics-applications-transform-food-science-bioengineering-and-medical-innovation-in-the-current-era-of-foodomics
#2
Mustafa Bayram, Çağlar Gökırmaklı
Food and engineering sciences have tended to neglect the importance of human nutrition sciences and clinical study of new molecules discovered by food engineering community, and vice versa. Yet, the value of systems thinking and use of omics technologies in food engineering are rapidly emerging. Foodomics is a new concept and practice to bring about "precision nutrition" and integrative bioengineering studies of food composition, quality, and safety, and applications to improve health of humans, animals, and other living organisms on the planet...
February 12, 2018: Omics: a Journal of Integrative Biology
https://www.readbyqxmd.com/read/29428368/leaders-growing-leaders-designing-a-tier-based-leadership-program-for-surgeons
#3
Laura Torbeck, Grace Rozycki, Gary Dunnington
BACKGROUND: Leadership has emerged as a crucial component of professional development for physicians in academic medicine. Most leadership skills can be learned and therefore best practices of delivering leadership development are in high demand. For practicing surgeons, specific strategies to teach leadership have been lacking. OBJECTIVE: The purpose of this paper is to describe the structure of a tier-based leadership development program called Leaders Growing Leaders, to identify the major curricular components to each tier including measures and outcomes, and to share lessons learned for those who may want to begin a similar leadership development program...
February 7, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29427988/emerging-concepts-in-evidence-based-asthma-management
#4
Helen K Reddel
Asthma management is in an intriguing phase, with acceptance of asthma as a heterogeneous condition with different phenotypes and underlying mechanisms and the potential for personalized asthma care, in parallel with increasing evidence about the population-level impact of basic strategies to increase access to medicines and improve inhaler technique and adherence. These changes have been facilitated by a more comprehensive view of evidence, including both randomized controlled trials with high internal validity and pragmatic and observational studies with high generalizability to patients in clinical practice...
February 2018: Seminars in Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29422373/international-commission-for-mountain-emergency-medicine-consensus-guidelines-for-on-site-management-and-transport-of-patients-in-canyoning-incidents
#5
REVIEW
Giacomo Strapazzon, Oliver Reisten, Fabien Argenone, Ken Zafren, Greg Zen-Ruffinen, Gordon L Larsen, Inigo Soteras
Canyoning is a recreational activity that has increased in popularity in the last decade in Europe and North America, resulting in up to 40% of the total search and rescue costs in some geographic locations. The International Commission for Mountain Emergency Medicine convened an expert panel to develop recommendations for on-site management and transport of patients in canyoning incidents. The goal of the current review is to provide guidance to healthcare providers and canyoning rescue professionals about best practices for rescue and medical treatment through the evaluation of the existing best evidence, focusing on the unique combination of remoteness, water exposure, limited on-site patient management options, and technically challenging terrain...
February 5, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29411254/challenges-faced-by-family-physicians-providing-advanced-maternity-care
#6
Aimee R Eden, Lars E Peterson
Introduction Maldistribution of maternity care (MC) providers in the U.S. limits access to full spectrum MC services. Obstetricians are concentrated in urban areas with many rural areas reliant on family physicians (FP) to provide MC, yet fewer FPs are providing MC. The objective of this study was to understand the challenges FPs face in gaining skills in and providing advanced MC. Methods We conducted qualitative semi-structured interviews with 51 purposively sampled key stakeholders in family medicine MC (21 family medicine-OB fellowship directors, 19 past fellows, and 10 family medicine residency directors of programs with advanced MC training)...
February 6, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29395903/pharmacists-views-on-the-development-of-asthma-pharmaceutical-care-model-in-indonesia-a-needs-analysis-study
#7
Aris Widayati, Dita Maria Virginia, Christianus Heru Setiawan, Fenty Fenty, Maria Wisnu Donowati, Putu Dyana Christasani, Titien Siwi Hartayu, Rita Suhadi, Bandana Saini, Carol Armour
BACKGROUND: Over recent years the pharmacy profession in Indonesia has adopted a stance of pharmaceutical care to expand their scope of practice. Asthma management presents a key opportunity for pharmacists to test expanded roles in health service provision. There is however no exploratory work on the willingness, experience or future practice needs of Indonesian pharmacists in the realm of specialised asthma service provision. OBJECTIVES: The objectives of this study were to explore Indonesian pharmacists' experiences, perspectives, and needs regarding the provision of pharmaceutical care for asthma patients in Indonesia...
January 30, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29395693/disaster-training-in-24-hours-evaluation-of-a-novel-medical-student-curriculum-in-disaster-medicine
#8
Lauren Wiesner, Shane Kappler, Alex Shuster, Michael DeLuca, James Ott, Eric Glasser
BACKGROUND: Over a decade ago, the Association of American Medical Colleges called for incorporation of disaster medicine training into the education of medical students in the United States. Despite this recommendation, similar suggestions by other professional organizations, and significant interest from medical students and educators, few medical schools explicitly include robust disaster training in their curricula. OBJECTIVES: This study describes the results of the implementation of a novel medical student curriculum in disaster response at an allopathic U...
January 23, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29387943/life-threatening-complications-post-liposuction
#9
Hiba Ezzeddine, Ahmad Husari, Hussein Nassar, Mariam Kanso, Ghina El Nounou, Mohamad Khalife, Walid Faraj
BACKGROUND: Liposuction is one of the most commonly performed aesthetic procedures. It is performed worldwide as an outpatient procedure. However, the complications are underestimated and underreported by caregivers. We present a case of delayed diagnosis of bilothorax secondary to liver and gallbladder injury after tumescent liposuction. METHODS: A 26-year-old female patient was transferred to our emergency department from an aesthetic clinic with worsening dyspnea, tachypnea and fatigue...
January 31, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29385437/international-definition-of-a-point-of-care-test-in-family-practice-a-modified-e-delphi-procedure
#10
Angel M R Schols, Geert-Jan Dinant, Rogier Hopstaken, Christopher P Price, Ron Kusters, Jochen W L Cals
Background: The use of point-of-care tests (POCTs) in family practice is increasing, and the term POCT is often used in medical literature and clinical practice. Yet, no widely supported definition by several professional fields exists. Objective: To reach consensus on an international definition of a POCT in family practice. Methods: We performed a modified international e-Delphi procedure of four rounds among expert panel members from different professional backgrounds-family practitioners, laboratory specialists, policymakers, researchers and manufacturers...
January 29, 2018: Family Practice
https://www.readbyqxmd.com/read/29383592/prayer-a-helpful-aid-in-recovery-from-depression
#11
Kirk A Johnson
Depression is a growing issue within the field of medicine. It negatively impacts individuals' lives and the people they are most connected to. For decades, medical professionals have been searching for solutions to assist those who are suffering from this illness. The use of drugs has not been a sufficient means of treatment to alleviate depression and its symptoms. There is a dire need to expand therapeutic interventions that can attribute meaningful recovery for victims of depression. One means of positive treatment is the use of prayer...
January 30, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29383083/preparing-emergency-medicine-residents-to-disclose-medical-error-using-standardized-patients
#12
Carmen N Spalding, Sherri L Rudinsky
Introduction: Emergency Medicine (EM) is a unique clinical learning environment. The American College of Graduate Medical Education Clinical Learning Environment Review Pathways to Excellence calls for "hands-on training" of disclosure of medical error (DME) during residency. Training and practicing key elements of DME using standardized patients (SP) may enhance preparedness among EM residents in performing this crucial skill in a clinical setting. Methods: This training was developed to improve resident preparedness in DME in the clinical setting...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383073/using-medical-student-quality-improvement-projects-to-promote-evidence-based-care-in-the-emergency-department
#13
Michael W Manning, Eric W Bean, Andrew C Miller, Suzanne J Templer, Richard S Mackenzie, David M Richardson, Kristin A Bresnan, Marna R Greenberg
Introduction: The Association of American Medical Colleges' (AAMC) initiative for Core Entrustable Professional Activities for Entering Residency includes as an element of Entrustable Professional Activity 13 to "identify system failures and contribute to a culture of safety and improvement." We set out to determine the feasibility of using medical students' action learning projects (ALPs) to expedite implementation of evidence-based pathways for three common patient diagnoses in the emergency department (ED) setting (Atrial fibrillation, congestive heart failure, and pulmonary embolism)...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383056/acgme-clinical-and-educational-work-hour-standards-perspectives-and-recommendations-from-emergency-medicine-educators
#14
Stephen J Wolf, Saadia Akhtar, Eric Gross, David Barnes, Michael Epter, Jonathan Fisher, Maria Moreira, Michael Smith, Hans House
Introduction: The American College of Emergency Physicians (ACEP) and the Council of Emergency Medicine Residency Directors (CORD) were invited to contribute to the 2016 Accreditation Council for Graduate Medical Education's (ACGME) Second Resident Duty Hours in the Learning and Working Environment Congress. We describe the joint process used by ACEP and CORD to capture the opinions of emergency medicine (EM) educators on the ACGME clinical and educational work hour standards, formulate recommendations, and inform subsequent congressional testimony...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383054/self-vs-other-focus-predicting-professionalism-remediation-of-emergency-medicine-residents
#15
Robert E Thaxton, Woodson S Jones, Fred W Hafferty, Carolyn W April, Michael D April
Introduction: Unprofessionalism is a major reason for resident dismissal from training. Because of the high stakes involved, residents and educators alike would benefit from information predicting whether they might experience challenges related to this competency. Our objective was to correlate the outcome of professionalism-related remedial actions during residency with the predictor variable of resident response to a standardized interview question: "Why is Medicine important to you?" Methods: We conducted a professional development quality improvement (QI) initiative to improve resident education and mentorship by achieving a better understanding of each resident's reasons for valuing a career in medicine...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383051/tracking-student-mistreatment-data-to-improve-the-emergency-medicine-clerkship-learning-environment
#16
Joseph B House, Max C Griffith, Michelle D Kappy, Elizabeth Holman, Sally A Santen
Introduction: Medical student mistreatment is a prevalent and significant challenge for medical schools across the country, associated with negative emotional and professional consequences for students. The Association of American Medical Colleges and Liaison Committee on Medical Education have increasingly emphasized the issue of mistreatment in recent years, and medical schools are tasked with creating a positive learning climate. Methods: The authors describe the efforts of an emergency department (ED) to improve its clerkship learning environment, using a multifaceted approach for collecting mistreatment data and relaying them to educators and clerkship leadership...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29373220/core-content-for-wilderness-medicine-training-development-of-a-wilderness-medicine-track-within-an-emergency-medicine-residency
#17
Walter A Schrading, Nicole Battaglioli, Jonathan Drew, Sarah Frances McClure
Wilderness medicine training has become increasingly popular among medical professionals with numerous educational opportunities nationwide. Curricula for fellowship programs and for medical student education have previously been developed and published, but a specific curriculum for wilderness medicine education during emergency medicine (EM) residency has not. The objective of this study is to create a longitudinal wilderness medicine curriculum that can be incorporated into an EM residency program. Interest-specific tracks are becoming increasingly common in EM training...
January 16, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29346354/compassion-from-a-palliative-care-perspective
#18
Antonio Fernando, Conor Rea, Phillipa J Malpas
BACKGROUND: Compassion is a core virtue in medicine and lies at the heart of good medical care. It connects us to each other and reflects our need for relationships with others. AIM: Our aim is to explore how palliative care patients perceive, understand and experience compassion from health professionals, and to inform clinical practice. METHODS: Seven hospice managers in the North Island of New Zealand were contacted and invited to join the study...
January 19, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29344455/qualitative-assessment-of-learning-strategies-among-medical-students-using-focus-group-discussions-and-in-depth-interviews
#19
Anuradha Sujai Joshi, Jaishree Deepak Ganjiwale, Jagdish Varma, Praveen Singh, Jyoti Nath Modi, Tejinder Singh
Background: Globally, students with top academic performance and high intellectual capacity usually opt to study medicine. However, once students get enrolled, their academic performance varies widely. Such variations appear to be determined by various factors, one of them being types of learning strategies adopted by students. The learning strategies utilized by the students with better academic performance are likely to be more effective learning strategies. Aims and Objectives: The objective is to identify effective learning strategies used by medical students...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29325162/an-analysis-of-adverse-events-in-the-rehabilitation-department-using-the-veterans-affairs-root-cause-analysis-system
#20
Gregory W Hagley, Peter D Mills, Brian Shiner, Robin R Hemphill
Background: Root cause analyses (RCA) are often completed in health care settings to determine causes of adverse events (AEs). RCAs result in action plans designed to mitigate future patient harm. National reviews of RCA reports have assessed the safety of numerous health care settings and suggested opportunities for improvement. However, few studies have assessed the safety of receiving care from physical therapists, occupational therapists, or speech and language pathology pathologists...
January 9, 2018: Physical Therapy
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