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Resident teaching

C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
Thomas Bodenheimer, Margae Knox, Sara Syer
In this issue, Brandt and colleagues and Uhlig and colleagues highlight barriers faced by health professional schools implementing interprofessional education and describe how clinical learning environments can overcome those obstacles. Primary care residency teaching clinics provide an excellent opportunity for interprofessional education and patient care, with teachers and learners from various professions caring for patients together. This Invited Commentary offers three interprofessional education strategies used by five "bright spot" family medicine teaching clinics: (1) separate clinics for patients with complex healthcare needs during which learners from various professions see patients together; (2) interprofessional interactions in day-to-day patient care; and (3) case conferences across professions to discuss patients...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Jeffrey Bortman, Yanick Baribeau, Jelliffe Jeganathan, Yannis Amador, Faraz Mahmood, Marc Shnider, Muneeb Ahmed, Philip Hess, Robina Matyal
BACKGROUND AND OBJECTIVES: Advanced haptic simulators for neuraxial training are expensive, have a finite life, and are not patient specific. We sought to demonstrate the feasibility of developing a custom-made, low-cost, 3-dimensionally printed thoracic spine simulator model from patient computed tomographic scan data. This study assessed the model's practicality, efficiency as a teaching tool, and the transfer of skill set into patient care. METHODS: A high-fidelity, patient-specific thoracic spine model was used for the study...
June 11, 2018: Regional Anesthesia and Pain Medicine
Linghong Linda Zhou, Gordon Tait, Sharron Sandhu, Amanda Steiman, Shirley Lake
BACKGROUND: As health care costs rise, medical education must focus on high-value clinical decision making. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed to simulate real patient encounters to increase price transparency and reinforce cost consciousness. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed METHODS: The VIC modules were distributed to a sample of medical students and internal medicine residents, who were required to assess patients, order appropriate investigations, develop differential diagnoses and formulate management plans...
June 11, 2018: Clinical Teacher
Haider Ghazanfar, Sannah Rashid, Ashraf Hussain, Madiha Ghazanfar, Ali Ghazanfar, Arshad Javaid
Objective The objective of our study was to determine whether cadaveric dissection is a necessity in medical education. Another purpose of our study was to assess the attitude and perception of consultants, residents, and fellows about cadaveric dissection and whether it helped them in their medical practices. Method We performed an analytical cross-sectional study among consultants, fellows, and residents of different specialty areas practicing in Punjab. A self-constructed questionnaire compromising of 41 items was used to assess the perception of doctors about cadaveric dissection and other alternative anatomy teaching methods...
April 3, 2018: Curēus
Asif Sandhu, Naeem Liaqat, Khadija Waheed, Sara Ejaz, Amna Khanum, Ambreen Butt, Fawad Ahmad Randhawa, Sajid Hameed Dar
The objective of this study was to determine the level of educational environment among residents working in our hospital using Post graduate hospital educational environment measure (PHEEM). This cross-sectional study was conducted at services hospital, Lahore. All the Post-graduate residents (PGR's) working at Services hospital, Lahore were asked to fill a proforma having 2 parts: Bio-data and PHEEM. Out of 110 PGR's, 87 completed questionnaires, of which majority labelled education environment into level 3 (71%)...
May 2018: JPMA. the Journal of the Pakistan Medical Association
Samer Shamout, Sero Andonian, Hani Kabbara, Jacques Corcos, Lysanne Campeau
AIMS: Considering the growing role of urodynamic studies (UDS) in urology, we aimed to determine the most effective teaching method with objective evaluation for urodynamic skills, to improve training and patient care. METHODS: Urology residents (n = 20) post-graduate years 3-5 were randomized to receive either a UDS video training module or a standard UDS teaching document one week prior to an objective structured clinical examination (OSCE). The OSCE was a validated visual recognition exam with interpretation of 12 UDS tracing scenarios...
June 8, 2018: Neurourology and Urodynamics
Francisco M Olmos-Vega, Diana Hjm Dolmans, Carlos Guzmán-Quintero, Renée E Stalmeijer, Pim W Teunissen
CONTEXT: Successful engagement between residents and supervisors lies at the core of workplace learning, a process that is not exempt from challenge. Clinical encounters have unique learning potential as they offer opportunities to achieve a shared understanding between the resident and supervisor of how to accomplish a common goal. How residents and supervisors develop such a mutual understanding is an issue that has received limited attention in the literature. We used the 'intersubjectivity' concept as a novel conceptual framework to analyse this issue...
July 2018: Medical Education
Hansen Bow, Le He, Muhammad Aanish Raees, Sumit Pruthi, Rohan Chitale
BACKGROUND: External ventricular drain (EVD) placement is one of the most commonly performed procedures in neurosurgery, frequently by the junior neurosurgery resident. Simulators for EVD placement are often costly, time-intensive to create, and complicated to set up. OBJECTIVE: To describe creation of a simulator that is inexpensive, time-efficient, and simple to set up. METHODS: This simulator involves printing a hollow head using a desktop 3-dimensional (3D) printer...
June 5, 2018: Operative Neurosurgery (Hagerstown, Md.)
Kathleen M Finn, Joshua P Metlay, Yuchiao Chang, Amulya Nagarur, Shaun Yang, Christopher P Landrigan, Christiana Iyasere
Importance: While the relationship between resident work hours and patient safety has been extensively studied, little research has evaluated the role of attending physician supervision on patient safety. Objective: To determine the effect of increased attending physician supervision on an inpatient resident general medical service on patient safety and educational outcomes. Design, Setting, and Participants: This 9-month randomized clinical trial performed on an inpatient general medical service of a large academic medical center used a crossover design...
June 4, 2018: JAMA Internal Medicine
Sachin Gupta, Aravind Haripriya, S Ashok Vardhan, Thulasiraj Ravilla, Ravilla D Ravindran
PURPOSE: The goal of this study was to document the resident learning curve for manual small-incision cataract surgery (MSICS) and to identify implications for the design of ophthalmology residency programs aimed to train surgeons for developing countries. DESIGN: Hospital-based retrospective cohort study. PARTICIPANTS: All 38 residents entering 2 postgraduate residency programs at Aravind Eye Hospital, Madurai, in 2012 and 2013. METHODS: Surgical complications and reoperations for all MSICSs performed by residents during the residency training period were evaluated using a computerized patient database...
May 31, 2018: Ophthalmology
Dustin Costescu, Édith Guilbert
OBJECTIVE: This guideline reviews evidence relating to the provision of surgical induced abortion (IA) and second trimester medical abortion, including pre- and post-procedural care. INTENDED USERS: Gynaecologists, family physicians, nurses, midwives, residents, and other health care providers who currently or intend to provide and/or teach IAs. TARGET POPULATION: Women with an unintended or abnormal first or second trimester pregnancy. EVIDENCE: PubMed, Medline, and the Cochrane Database were searched using the key words: first-trimester surgical abortion, second-trimester surgical abortion, second-trimester medical abortion, dilation and evacuation, induction abortion, feticide, cervical preparation, cervical dilation, abortion complications...
June 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Maravillas Torrecilla-Abril, Ana Patricia Crespo-Mateos, Esther Cartagena-Martínez, Milagros Oyarzabal-Arocena, Clara Isabel Pérez-Ortiz
OBJECTIVE: To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. METHOD: We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3theoretical modules...
May 30, 2018: Enfermería Clínica
Paula Ravitz, Andrea Lawson, Mark Fefergrad, Sian Rawkins, William Lancee, Robert Maunder, Molyn Leszcz, Dennis M Kivlighan
OBJECTIVE: Psychiatry residents train in Psychodynamic Psychotherapy and Cognitive Behavioral Therapy (CBT), evidence-supported treatments used in mental health care that can facilitate clinical reasoning, foster therapeutic alliances, and improve clinical outcomes. However, empirically derived milestones are needed to evaluate competency. This exploratory pilot examined changes over 1 year of training in junior psychiatry residents' competency milestone elements in Psychodynamic Psychotherapy and CBT...
June 1, 2018: Academic Psychiatry
Paul A Bergl, Allison C Taylor, Jennifer Klumb, Kerrie Quirk, Martin D Muntz, Kathlyn E Fletcher
Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during the internal medicine clerkship. We conducted a prospective mixed-methods study at a single academic center. Data were gathered by a student researcher who directly observed inpatient teams over 3 months...
June 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Gianina Salton Mattevi, Ana Lúcia Schaefer Ferreira de Mello, Frank Andrew Scannapieco, Daniela Lemos Carcereri
The aim of this study was to develop a theoretical model to describe the role that the dentist plays in Brazilian hospital settings. This qualitative study was based on the grounded theory research method. Participants were a total of 27 individuals in three groups: dentists and general practice and oral and maxillofacial surgery residents; faculty; and other health professionals who interacted with dental patients in the hospital setting during the 2012-13 year. Data were collected in three teaching hospitals in the state of Santa Catarina, Brazil, through scripted interviews using open-ended questions...
June 2018: Journal of Dental Education
Yumiko Nakamura, Yukie Majima, Kaori Fukayama
Globalization has brought an increase of non-Japanese residents in Japan; it has been urgent for nurses to improve conversational skills. We designed and developed an e-learning system for nurses to learn medical English and Chinese conversation. The teaching materials were created as a video including conversations in a hospital in English and in Chinese between a patient and a nurse. Subtitles are shown and read out twice in English and Chinese and once in Japanese.
2018: Studies in Health Technology and Informatics
Riccardo Pravisani, Luca Seriau, Matteo Faion, Marina Pighin, Andrea Risaliti, Vittorio Bresadola
OBJECTIVE: The informed consent process is a fundamental element of best practice in the surgical patient's care. The aim of the present study is to investigate the value of informed consent from the patient's perspective in a Teaching Hospital. In particular, the role of the Residents within this process is analyzed to compare their performance with that of Consultants. DESIGN: This is a prospective observational study based on a consecutive cohort of patients who were offered an elective surgical procedure during the period April 2015 - September 2015...
2018: Annali Italiani di Chirurgia
Hilary Shipley, Alonso Guedes, Lynelle Graham, Elizabeth Goudie-DeAngelis, Erin Wendt-Hornickle
Objectives The objective of this study was to determine the inter-rater reliability and convergent validity of the Colorado State University Feline Acute Pain Scale (CSU-FAPS) in a preliminary appraisal of its performance in a clinical teaching setting. Methods Sixty-eight female cats were assessed for pain after ovariohysterectomy. A cohort of 21 cats was examined independently by four raters (two board-certified anesthesiologists and two anesthesia residents) with the CSU-FAPS, and intra-class correlation coefficient (ICC) was used to determine inter-rater reliability...
May 1, 2018: Journal of Feline Medicine and Surgery
B Corbett Walsh, Raj Karia, Kenneth Egol, Joeseph D Zuckerman, Donna Phillips
INTRODUCTION: To aid implementing an ethics curriculum in an orthopaedic residency program, the American Academy of Orthopaedic Surgeons (AAOS) created 14 ethics scenarios. Because delivery of this curriculum could be burdensome, an online module-based curriculum might be optimal. METHODS: Two cohorts of orthopaedic residents participated: cohort I completed 14 online ethics modules converted from the 14 AAOS ethics scenarios. For each module, we gave a multiple-choice assessment immediately before the module, immediately afterward, and 3 months afterward...
May 28, 2018: Journal of the American Academy of Orthopaedic Surgeons
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