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https://www.readbyqxmd.com/read/28422816/why-not-wait-eight-institutions-share-their-experiences-moving-united-states-medical-licensing-examination-step-1-after-core-clinical-clerkships
#1
Michelle Daniel, Amy Fleming, Colleen O'Conner Grochowski, Vicky Harnik, Sibel Klimstra, Gail Morrison, Arnyce Pock, Michael L Schwartz, Sally Santen
The majority of medical students complete the United States Medical Licensing Examination Step 1 after their foundational sciences; however, there are compelling reasons to examine this practice. This article provides the perspectives of eight MD-granting medical schools that have moved Step 1 after the core clerkships, describing their rationale, logistics of the change, outcomes, and lessons learned. The primary reasons these institutions cite for moving Step 1 after clerkships are to foster more enduring and integrated basic science learning connected to clinical care and to better prepare students for the increasingly clinical focus of Step 1...
April 18, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28416418/current-progress-toward-a-better-understanding-of-drug-disposition-within-the-lungs-summary-proceedings-of-the-1-st-workshop-on-drug-transporters-in-the-lungs
#2
REVIEW
Carsten Ehrhardt, Per Bäckman, William Couet, Chris Edwards, Ben Forbes, Markus Fridén, Mark Gumbleton, Ken-Ichi Hosoya, Yukio Kato, Takeo Nakanishi, Mikihisa Takano, Tetsuya Terasaki, Ryoko Yumoto
The School of Pharmacy and Pharmaceutical Sciences at Trinity College Dublin hosted the 1(st)Workshop on Drug Transporters in the Lungs in September 2016 to discuss the impact of transporters on pulmonary drug disposition and their roles as drug targets in lung disease. The workshop brought together about 30 scientists from academia and pharmaceutical industry from Europe and Japan and addressed the primary questions: What do we know today, and what do we need to know tomorrow about transporters in the lung? The three themes of the workshop were: (1) techniques to study drug transporter expression and actions in the lungs; (2) drug transporter effects on pulmonary pharmacokinetics - case studies; and (3) transporters as drug targets in lung disease...
April 14, 2017: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28409171/determinants-of-social-accountability-in-iranian-nursing-and-midwifery-schools-a-delphi-study
#3
Amir Reza Salehmoghaddam, Seyed Reza Mazloom, Mohammad Sharafkhani, Hassan Gholami, Amir Emami Zeydi, Fatemeh Khorashadizadeh, Ali Emadzadeh
BACKGROUND: Revising the medical education programs to meet the needs of society has become both a necessity and an important priority due to the considerable increase of population, changing patterns of diseases, and new health priorities. While this necessity has been highlighted in Iran's Fifth Development Plan as well as its National 2025 Vision Plan, the determinants of social accountability have not been explained yet. This study aimed to develop determinants of social accountability in the Iranian Nursing and Midwifery Schools...
April 2017: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/28377916/empowering-the-physiotherapy-profession-in-ethiopia-through-leadership-development-within-the-doctoring-process
#4
Cheryl Burditt Footer, Hailu Seifu Tsegaye, Tesfaye Asnake Yitnagashaw, Wintana Mekonnen, Tizita Destaw Shiferaw, Endashaw Abera, Alice Davis
Ethiopia recently introduced the Doctor of Physiotherapy (DPT) degree at Addis Ababa University as a mechanism to increase the work force capacity of primary care providers in the health sector. The DPT program was supported by an international academic partnership and was designed to empower physiotherapists as leaders to move the profession forward. The curriculum was framed by core pedagogical principles and strategies and was phased into two programs. First, the 4-year Advanced Standing DPT program focused on developing registered Ethiopian physiotherapists with Bachelor of Science degrees as academic faculty...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28376969/a-systematic-review-of-rural-theory-based-physical-activity-interventions
#5
Shana M Walsh, M Renée Umstattd Meyer, Abigail Gamble, Megan S Patterson, Justin B Moore
OBJECTIVES: This systematic review synthesized the scientific literature on theory-based physical activity (PA) interventions in rural populations. METHODS: PubMed, PsycINFO, and Web of Science databases were searched to identify studies with a rural study sample, PA as a primary outcome, use of a behavioral theory or model, randomized or quasi-experimental research design, and application at the primary and/or secondary level of prevention. RESULTS: Thirty-one studies met our inclusion criteria...
May 1, 2017: American Journal of Health Behavior
https://www.readbyqxmd.com/read/28348187/protocol-for-systematic-review-of-school-based-interventions-to-prevent-and-control-obesity-in-african-learners
#6
Theodosia Adom, Thandi Puoane, Anniza De Villiers, André Pascal Kengne
INTRODUCTION: The increasing prevalence of obesity and overweight in childhood in developing countries is a public health concern to many governments. Schools play a significant role in the obesity epidemic as well as provide favourable environments for change in behaviours in childhood which can be carried on into adulthood. There is dearth of information on intervention studies in poor-resource settings. This review will summarise the available evidence on school-based interventions that focused on promoting healthy eating and physical activity among learners aged 6-15 years in Africa and to identify factors that lead to successful interventions or potential barriers to success of these programmes within the African context...
March 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28333598/achieving-health-equity-through-community-engagement-in-translating-evidence-to-policy-the-san-francisco-health-improvement-partnership-2010-2016
#7
Kevin Grumbach, Roberto A Vargas, Paula Fleisher, Tomás J Aragón, Lisa Chung, Colleen Chawla, Abbie Yant, Estela R Garcia, Amor Santiago, Perry L Lang, Paula Jones, Wylie Liu, Laura A Schmidt
BACKGROUND: The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors. COMMUNITY CONTEXT: We report on 3 SFHIP prevention initiatives: reducing consumption of sugar sweetened beverages (SSBs), regulating retail alcohol sales, and eliminating disparities in children's oral health...
March 23, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28316578/attractor-states-in-teaching-and-learning-processes-a-study-of-out-of-school-science-education
#8
Carla H Geveke, Henderien W Steenbeek, Jeannette M Doornenbal, Paul L C Van Geert
In order for out-of-school science activities that take place during school hours but outside the school context to be successful, instructors must have sufficient pedagogical content knowledge (PCK) to guarantee high-quality teaching and learning. We argue that PCK is a quality of the instructor-pupil system that is constructed in real-time interaction. When PCK is evident in real-time interaction, we define it as Expressed Pedagogical Content Knowledge (EPCK). The aim of this study is to empirically explore whether EPCK shows a systematic pattern of variation, and if so whether the pattern occurs in recurrent and temporary stable attractor states as predicted in the complex dynamic systems theory...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28300956/hearing-and-speech-sciences-in-educational-environment-mapping-in-brazil-education-work-and-professional-experience
#9
Letícia Corrêa Celeste, Graziela Zanoni, Bianca Queiroga, Luciana Mendonça Alves
Purpose: To map the profile of Brazilian Speech Therapists who report acting in Educational Speech Therapy, with regard to aspects related to training, performance and professional experience. Methods: Retrospective study, based on secondary database analysis of the Federal Council of Hearing and Speech Sciences on the questionnaires reporting acting with Educational Environment. Results: 312 questionnaires were completed, of which 93.3% by women aged 30-39 years...
March 9, 2017: CoDAS
https://www.readbyqxmd.com/read/28235753/testing-and-evaluation-the-present-and-future-of-the-assessment-of-medical-professionals
#10
REVIEW
Steven A Haist, Agata P Butler, Miguel A Paniagua
The aim of this review is to highlight recent and potential future enhancements to the United States Licensing Examination (USMLE) program. The USMLE program is co-owned by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards. The USMLE includes four examinations: Step 1, Step 2 Clinical Knowledge, Step 2 Clinical Skills, and Step 3; every graduate of Liaison Committee on Medical Education-accredited allopathic medical schools and all international medical graduates must pass this examination series to practice medicine in the United States...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28143819/performing-international-outreach-phun-week-in-an-australian-primary-school
#11
Patricia A Halpin
Physiology Understanding (PhUn) Week is an annual science outreach program sponsored by the American Physiological Society in which K-12 students learn about physiology through meeting a physiologist and performing an experiment. Performing PhUn Week at an Australian private primary school during a family vacation in 2014 enabled me to receive a fellowship to return the following year for further implementation. To set up the outreach, I contacted the assistant principal of a public primary school, and she connected me with the physical education (PE) teacher...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28141718/attention-deficit-hyperactivity-disorder-behavior-regulation-and-virtual-school-support
#12
Claire Wallace, Carolyn E Ievers-Landis, Catherine Scherer, Nancy Roizen, Marilyn Augustyn
Tony is a 6-year-old multiracial boy diagnosed as having attention-deficit/hyperactivity disorder-combined type who is followed in your primary care practice and has started on a stimulant medication. Tony continues to have difficulty with emotion regulation and impulse control both at home and at school. He was asked to leave his private school soon after beginning first grade because of physical fighting, emotional outbursts, and arguing with teachers.His mother made the decision to enroll Tony in online virtual schooling for the remainder of the academic year, with the plan to transition back to traditional school for the next academic year...
February 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28121649/borrow-or-serve-an-economic-analysis-of-options-for-financing-a-medical-school-education
#13
Mircea I Marcu, Arthur L Kellermann, Christine Hunter, Jerri Curtis, Charles Rice, Gail R Wilensky
PURPOSE: To understand the long-term economic implications of key pathways for financing a medical school education. METHOD: The authors calculated the net present value (NPV) of cash flow over a 30-year career for a 2013 matriculant associated with (1) self-financing, (2) federally guaranteed loans, (3) the Public Service Loan Forgiveness program, (4) the National Health Service Corps, (5) the Armed Forces Health Professions Scholarship Program, and (6) matriculation at the Uniformed Services University of the Health Sciences...
January 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28120296/lower-rates-of-promotion-of-generalists-in-academic-medicine-a-follow-up-to-the-national-faculty-survey
#14
Deborah Blazey-Martin, Phyllis L Carr, Norma Terrin, Janis L Breeze, Carolyn Luk, Anita Raj, Karen M Freund
BACKGROUND: Prior cross-sectional research has found that generalists have lower rates of academic advancement than specialists and basic science faculty. OBJECTIVE: Our objective was to examine generalists relative to other medical faculty in advancement and academic productivity. DESIGN: In 2012, we conducted a follow-up survey (n = 607) of 1214 participants in the 1995 National Faculty Survey cohort and supplemented survey responses with publicly available data...
January 24, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28118680/surgical-wisdom-and-genghis-khan-s-pax-mongolica
#15
Jakob Köstenbauer
BACKGROUND: The unrivalled conquests of Genghis Khan (CE c.1162-1227) led to the establishment of the Greater Mongolian Empire. By 1279, the Mongol dynasty controlled a vast Empire which, for the first time in history, unified Europe and China via the famous Silk Road. The ensuing century of peace and stability is referred to by historians as the Pax Mongolica, which facilitated Europe's renaissance and remarkably contributed to the rise of modern medicine and surgery. METHODS: Secondary sources from published literature, primary sources from manuscripts and illustrations courtesy of universities, museum libraries and archives...
March 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28095886/the-dynamics-of-hiv-transmission-in-out-of-school-young-heterosexual-men-in-south-africa-a-systematic-scoping-review-protocol
#16
Nonzwakazi Ntombela, Tivani P Mashamba-Thompson, Andile Mtshali, Anna Voce, Ayesha B M Kharsany
BACKGROUND: In South Africa, gender inequality dominated by males and heterosexual HIV epidemic are associated with high HIV infection. Underlying epidemiological and social determinants driving HIV acquisition and transmission are critical to understand the extent and complexity of sexual networks as primary mechanisms through which HIV is likely to spread. The aim of the study is to provide an overview of empiric evidence that links the complex interaction of risk of HIV infection in men...
January 17, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28087553/prevalence-of-obesity-and-overweight-in-african-learners-a-protocol-for-systematic-review-and-meta-analysis
#17
Theodosia Adom, Thandi Puoane, Anniza De Villiers, André Pascal Kengne
INTRODUCTION: Obesity and overweight are an emerging problem in Africa. Obese children are at increased risk of developing hypertension, high cholesterol, orthopaedic problems and type 2 diabetes as well as increased risk of adult obesity. Prevention of childhood overweight and obesity therefore needs high priority. The review approach is particularly useful in establishing whether research findings are consistent and can be generalised across populations and settings. This systematic review aims to assess the magnitude and distribution of overweight and obesity among primary school learners within populations in Africa...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28034448/preparing-nursing-students-for-enhanced-roles-in-primary-care-the-current-state-of-prelicensure-and-rn-to-bsn-education
#18
Danuta M Wojnar, Ellen Marie Whelan
BACKGROUND: With the current emphasis on including registered nurses (RNs) on the primary care teams, it is essential that nursing programs prepare students for employment in these settings. PURPOSE: This study explored the current state of prelicensure and RN-to-Bachelor of Science in Nursing (BSN) online education regarding the implementation of primary care content in the curricula. SAMPLE/METHODS: A sample of 1,409 schools and/or colleges from across the United States was invited to participate in an online survey...
November 9, 2016: Nursing Outlook
https://www.readbyqxmd.com/read/28026877/school-based-education-programmes-for-the-prevention-of-unintentional-injuries-in-children-and-young-people
#19
REVIEW
Elizabeth Orton, Jessica Whitehead, Jacqueline Mhizha-Murira, Mandy Clarkson, Michael C Watson, Caroline A Mulvaney, Joy Ul Staniforth, Munish Bhuchar, Denise Kendrick
BACKGROUND: Unintentional injuries are the leading cause of death in children aged four to 18 years and are a major cause of ill health. The school setting offers the opportunity to deliver preventive interventions to a large number of children and has been used to address a range of public health problems. However, the effectiveness of the school setting for the prevention of different injury mechanisms in school-aged children is not well understood. OBJECTIVES: To assess the effects of school-based educational programmes for the prevention of injuries in children and evaluate their impact on improving children's safety skills, behaviour and practices, and knowledge, and assess their cost-effectiveness...
December 27, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28000640/prevalence-and-pattern-of-amblyopia-among-primary-school-pupils-in-kosofe-town-lagos-state-nigeria
#20
Segun Joseph Ikuomenisan, Kareem Olatunbosun Musa, Olufisayo Tade Aribaba, Adeola Olukorede Onakoya
OBJECTIVE: The objective of this study was to determine the prevalence and pattern of amblyopia in primary school pupils in Kosofe town of Lagos State with a view to providing baseline data that may facilitate the establishment of routine school eye screening programs in primary schools in Lagos State. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted among pupils from public and private primary schools in Kosofe town. The pupils underwent visual acuity assessment with the HOTV charts, detailed ocular examinations and cycloplegic refractions...
October 2016: Nigerian Postgraduate Medical Journal
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