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feedback and medical education

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https://www.readbyqxmd.com/read/29341815/development-and-validation-of-simulated-virtual-patients-to-impart-early-clinical-exposure-in-endocrine-physiology
#1
Akriti Gupta, Satendra Singh, Farah Khaliq, Upreet Dhaliwal, S V Madhu
In the country presently, preclinical medical students are not routinely exposed to real patients. Thus, when they start clinical postings, they are found to have poor clinical reasoning skills. Simulated virtual patients (SVPs) can improve clinical skills without endangering real patients. This pilot study describes the development of two SVPs in endocrine physiology and their validation in terms of acquisition of clinical knowledge and student engagement. Two SVPs, Nandini Sharma (unintentional weight gain) and Sunil Yadav (polyuria), were created and published on the i-Human Patients platform through an iterative, interdisciplinary, and transdisciplinary collaborative process using the conceptual framework of Kim et al...
March 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29334631/acceptability-of-intervention-materials-to-decrease-risk-for-alcohol-and-medication-interactions-among-older-adults
#2
Faika Zanjani, Hannah Allen, Nancy Schoenberg, Catherine Martin, Richard Clayton
BACKGROUND: The majority of older adults take prescription or over-the-counter medications and about half consume alcohol regularly. Despite high risk for alcohol medication interactions (AMI), few community-level interventions exist to prevent AMI. The current study assessed the acceptability of educational materials created for use in a brief intervention to prevent AMI among older adults. METHODS: Older adults from two senior centers reviewed intervention materials (poster, patient and pharmacist brochures, and public service announcement) and participated in a pre and post-test to provide feedback and to assess changes in AMI-related awareness and intentions...
December 24, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29334259/development-of-three-dimensional-brain-arteriovenous-malformation-model-for-patient-communication-and-young-neurosurgeon-education
#3
Mengqi Dong, Guangzhong Chen, Kun Qin, Xiaowen Ding, Dong Zhou, Chao Peng, Shaojian Zeng, Xianming Deng
PURPOSE: Rapid prototyping technology is used to fabricate three-dimensional (3D) brain arteriovenous malformation (AVM) models and facilitate presurgical patient communication and medical education for young surgeons. METHODS: Two intracranial AVM cases were selected for this study. Using 3D CT angiography or 3D rotational angiography images, the brain AVM models were reconstructed on personal computer and the rapid prototyping process was completed using a 3D printer...
January 15, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29326407/-the-effects-of-smart-program-for-patients-who-underwent-percutaneous-coronary-intervention-sp-pci-on-disease-related-knowledge-health-behavior-and-quality-of-life-a-non-randomized-controlled-trial
#4
Jueun Lee, Haejung Lee
PURPOSE: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. METHODS: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week)...
December 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29325913/efficacy-of-a-web-based-oral-case-presentation-instruction-module-a-multi-center-randomized-controlled-trial
#5
Colin M Sox, Rebecca Tenney-Soeiro, Linda O Lewin, Jeanine Ronan, Mary Brown, Marta King, Rachel Thompson, Michelle Noelck, Jamie S Sutherell, Michael Silverstein, Howard J Cabral, Michael Dell
OBJECTIVE: Effective self-directed educational tools are invaluable. Our objective was to determine whether a self-directed, web-based oral case presentation module would 1) improve medical students' oral case presentations compared to usual curriculum 2) with similar efficacy as structured oral presentation faculty feedback sessions. METHODS: We conducted a pragmatic multi-center cluster randomized controlled trial among medical students rotating in pediatric clerkships at seven U...
January 8, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29318736/junior-doctor-teaching-delivered-by-near-peers
#6
Oluwaseun Anyiam, Victoria Ware, Maria McKenna, John Hanley
BACKGROUND: Near-peer teaching - trainees teaching more junior trainee colleagues - has been widely described in undergraduate medical education. Several benefits have been reported, including a more comfortable learning environment for learners and the development of tutors' teaching skills. Near-peer teaching programmes in postgraduate training are less commonly described in the existing literature, however. This article outlines a pilot study of a postgraduate near-peer teaching programme implemented at the Royal Victoria Infirmary, Newcastle, UK...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29304791/medical-school-clinical-placements-the-optimal-method-for-assessing-the-clinical-educational-environment-from-a-graduate-entry-perspective
#7
Sarah Hyde, Ailish Hannigan, Tim Dornan, Deirdre McGrath
BACKGROUND: Educational environment is a strong determinant of student satisfaction and achievement. The learning environments of medical students on clinical placements are busy workplaces, composed of many variables. There is no universally accepted method of evaluating the clinical learning environment, nor is there consensus on what concepts or aspects should be measured. The aims of this study were to compare the Dundee ready educational environment measure (DREEM - the current de facto standard) and the more recently developed Manchester clinical placement index (MCPI) for the assessment of the clinical learning environment in a graduate entry medical student cohort by correlating the scores of each and analysing free text comments...
January 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29303063/coaching-experts-applications-to-surgeons-and-continuing-professional-development
#8
Assad Zahid, Jonathan Hong, Christopher J Young
Surgery is a science and an art, which is mastered through years of training and refined by the accumulation of individual experience and preference. Continuing professional development (CPD) is a concept that emphasizes a self-directed approach to education. Coaching is a process that leads to increased utilization of a person's current skills and resources without counselling or advising. Coaching in surgery could be used to facilitate and optimize feedback and reflection, thus enhancing performance and outcomes through elite performance of an operative procedure...
January 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29301919/a-randomised-clinical-trial-of-feedback-on-inhaler-adherence-and-technique-in-patients-with-severe-uncontrolled-asthma
#9
Imran Sulaiman, Garrett Greene, Elaine MacHale, Jansen Seheult, Matshediso Mokoka, Shona D'Arcy, Terence Taylor, Desmond M Murphy, Eoin Hunt, Stephen J Lane, Gregory B Diette, J Mark FitzGerald, Fiona Boland, Aoife Sartini Bhreathnach, Breda Cushen, Richard B Reilly, Frank Doyle, Richard W Costello
In severe asthma, poor control could reflect issues of medication adherence or inhaler technique, or that the condition is refractory. This study aimed to determine if an intervention with (bio)feedback on the features of inhaler use would identify refractory asthma and enhance inhaler technique and adherence.Patients with severe uncontrolled asthma were subjected to a stratified-by-site random block design. The intensive education group received repeated training in inhaler use, adherence and disease management...
January 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29285857/update-on-research-and-application-of-problem-based-learning-in-medical-science-education
#10
Chuifeng Fan, Biying Jiang, Xiuying Shi, Enhua Wang, Qingchang Li
Problem-based learning (PBL) is a unique form of pedagogy dedicated to developing students' self-learning and clinical practice skills. After several decades of development, although applications vary, PBL has been recognized all over the world and implemented by many medical schools. This review summarizes and updates the application and study of PBL in medical education through the literature published between 1993 and early 2017. It focuses on understanding real medical PBL courses and ways to improve PBL to achieve better learning outcomes...
December 29, 2017: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/29280298/emotions-as-student-feedback
#11
Karin Belch, Susan Law
BACKGROUND: Student feedback is often sought by educators in order to inform future developments in teaching or curriculum development. A lack of engagement with current feedback tools is thought, partly, to result from students perceiving no gain from the activity. The emotional adjective feedback tool (EAFT) is designed around the concept of emotional intelligence, where students feed back to tutors, after clinical teaching, by selecting and elaborating on emotional adjectives that describe their learning experiences...
December 26, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29280168/resident-accuracy-of-musculoskeletal-palpation-with-ultrasound-verification
#12
Priyesh Mehta, Ethan B Rand, Christopher J Visco, James Wyss
OBJECTIVES: The purpose of this observational study was to determine the accuracy of musculoskeletal palpation of the medial joint line of the knee, medial patellar tendon, and posterior tibialis tendon verified by ultrasound imaging among physical medicine and rehabilitation residents. METHODS: Eighteen physical medicine and rehabilitation resident physicians at a single specialized institution were asked to identify the medial joint line of the knee, medial patellar tendon, and posterior tibialis tendon on 2 separate standardized patient models during a single data collection...
December 27, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29262417/antibiotic-and-analgesic-prescription-pattern-among-dentists-or-management-of-dental-pain-and-infection-during-endodontic-treatment
#13
Manal Maslamani, Faraj Sedeqi
OBJECTIVE: The aim of this study was to determine prescription patterns of antibiotic and analgesic among dentists in the management of dental pain and infection for medically-healthy patients undergoing endodontic management. MATERIALS AND METHODS: This was a descriptive cross-sectional survey based on a structured questionnaire. The questionnaire collected data on age, gender, years of experience and the qualifications of dentists. Feedback on prescribing patterns for antibiotics and analgesics for a number of clinical scenarios was collected...
December 20, 2017: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29247530/appropriateness-vs-value-echocardiography-in-primary-care
#14
Amy Bethge, Oana Penciu, Salma Baksh, Swapnil Parve, Jessika Lobraico, Andrew M Keller
BACKGROUND: Despite efforts targeting the growth of healthcare spending within the United States, the current increase in expenditures remains a widespread systemic issue. The overuse of healthcare testing has previously been identified as a modifiable contributing factor. One such test, echocardiography, has seen a continuous increase in its rate of use. This test is frequently ordered by primary-care physicians. HYPOTHESIS: In the setting of a low likelihood of disease, echocardiography does not substantially change cardiac therapy, even if appropriately ordered...
December 16, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/29243052/motivation-and-emotion-predict-medical-students-attention-to-computer-based-feedback
#15
Laura M Naismith, Susanne P Lajoie
Students cannot learn from feedback unless they pay attention to it. This study investigated relationships between the personal factors of achievement goal orientations, achievement emotions, and attention to feedback in BioWorld, a computer environment for learning clinical reasoning. Novice medical students (N = 28) completed questionnaires to measure their achievement goal orientations and then thought aloud while solving three endocrinology patient cases and reviewing corresponding expert solutions. Questionnaires administered after each case measured participants' experiences of five feedback emotions: pride, relief, joy, shame, and anger...
December 14, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29241434/clinical-consensus-recommendations-for-urine-testing-of-adherence-to-antipsychotics-among-people-with-serious-mental-illness
#16
Amy N Cohen, Gretchen Collins, Frederick Charles Nucifora, Roddy Strobel, David B Wait, Alexander S Young
OBJECTIVE: This study developed clinical recommendations for the use of proven urine testing technologies to assess antipsychotic medication adherence among people with serious mental illness. METHODS: Guided by the RAND/UCLA Appropriateness Method, researchers conducted a literature review and semistructured interviews and convened an expert panel to develop clinical consensus recommendations for the use of urine monitoring to assess antipsychotic medication adherence...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29240456/trainees-perceptions-of-feedback-validity-evidence-for-two-feedme-feedback-in-medical-education-instruments
#17
Robert Bing-You, Saradha Ramesh, Victoria Hayes, Kalli Varaklis, Denham Ward, Maria Blanco
Construct: Medical educators consider feedback a core component of the educational process. Effective feedback allows learners to acquire new skills, knowledge, and attitudes. Learners' perceptions of feedback are an important aspect to assess with valid methods in order to improve the feedback skills of educators and the feedback culture. BACKGROUND: Although guidelines for delivering effective feedback have existed for several decades, medical students and residents often indicate that they receive little feedback...
December 14, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29238478/exploring-the-challenges-of-the-iranian-parliament-about-passing-laws-for-resource-allocation-in-healthcare-a-qualitative-study
#18
Seyed Ramezan Mohsenpour, Mohammad Arab, Seyed Hasan Emami Razavi, Ali Akbari Sari
Background: Awareness about the process of law making and the factors that affect the legislative process have an important role in improving legislations that are approved by parliaments. Objective: This study aimed to explore and analyze the process of development and enactment of law in Iran's parliament, and factors that might affect the enactment of laws that are related to the allocation and distribution of health sector resources in Iran. Methods: In this case study, data were collected through review of literature and national documents, and experts' interviews...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29235419/an-observational-study-of-patient-handover-communications-among-nurses-on-an-oncology-critical-care-unit
#19
Jennifer L Milesky, Diana-Lyn Baptiste, Brenda K Shelton
Aim/Objectives: The purpose of this quality improvement project was to evaluate the feasibility and utilization of evidence-based recommendations for nurse-to-nurse shift handover on an oncology critical care unit. BACKGROUND: Breakdown in communication is the most common cause of medical errors in hospitals. DESIGN: Observational study. METHODS: Nurses were provided education that integrated evidence-based recommendations for handover of care...
December 13, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/29231234/feasibility-acceptability-and-effectiveness-of-integrated-care-for-copd-patients-a-mixed-methods-evaluation-of-a-pilot-community-based-programme
#20
Tania Carron, Pierre-Olivier Bridevaux, Karin Lörvall, Rachel Parmentier, Jean-Bernard Moix, Vincent Beytrison, Raymond Pernet, Constance Rey, Pierre-Yves Roberfroid, Prashant N Chhajed, Thomas Dieterle, Ladina Joos Zellweger, Malcolm Kohler, Sabrina Maier, David Miedinger, Robert Thurnheer, Pascal Urwyler, Jean-Marie Tschopp, Emilie Zuercher, Jörg Daniel Leuppi, Bernard Burnand, Isabelle Peytremann-Bridevaux
QUESTION UNDER STUDY: The aim of this study was to assess the feasibility, acceptability and effectiveness of a pilot COPD integrated care programme implemented in Valais, Switzerland. METHODS: The programme was adapted from the self-management programme Living Well with COPD, and included the following elements: self-management patient-education group sessions, telephone and medical follow-ups, multidisciplinary teams, training of healthcare professionals, and evidence-based COPD care...
December 12, 2017: Swiss Medical Weekly
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