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Device-based teaching

Richard G Malish
The Army transitioned to a Patient-Centered Medical Home concept for primary care beginning in 2011. In spite of organizational commitment to the paradigm, the transition has not been without pitfalls. This performance improvement project operated under the hypothesis that focusing on the market-based incentives of a capitated system would result in a quantum leap toward the Patient-Centered Medical Home ideal. Utilizing a simple teaching device to repetitively highlight clinic and provider behaviors incentivized in a value-based payment system, a single clinic achieved significant improvements in enrollment, patient satisfaction, and measures associated with prevention while assuming an identity as a "virtual clinic"...
October 2016: Military Medicine
Huihua Cai, Lin Qiao, KaiJing Song, Yuanli He
STUDY OBJECTIVE: To compare the efficacy of an oxidized, regenerated cellulose adhesion barrier (Interceed, Ethicon Inc., Somerville, NJ, USA) combined with intrauterine device (IUD) versus IUD alone for preventing adhesion recurrence following hysteroscopic adhesiolysis for moderate to severe intrauterine adhesions (IUAs). DESIGN: Retrospective case series (Canadian Task Force classification III). SETTING: Tertiary care teaching hospital...
October 11, 2016: Journal of Minimally Invasive Gynecology
Basil Chaballout, Margory Molloy, Jacqueline Vaughn, Raymond Brisson Iii, Ryan Shaw
BACKGROUND: Studies show that students who use fidelity-based simulation technology perform better and have higher retention rates than peers who learn in traditional paper-based training. Augmented reality is increasingly being used as a teaching and learning tool in a continual effort to make simulations more realistic for students. OBJECTIVE: The aim of this project was to assess the feasibility and acceptability of using augmented reality via Google Glass during clinical simulation scenarios for training health science students...
March 7, 2016: JMIR Med Educ
Kaicheng Song, Jie Yi, Wei Liu, Shuang Huang, Yuguang Huang
STUDY OBJECTIVE: We sought to validate ultrasound against other established methods of confirming laryngeal mask airway (LMA) placement. DESIGN: An observational study. SETTING: A university teaching hospital, operating department. PATIENTS: Fifty-eight patients undergoing general anesthesia using an LMA Supreme supraglottic airway device. INTERVENTIONS: The position of the LMA was assessed by ultrasound in 3 planes: the pharynx, the larynx, and along the cranial-caudal axis in the midline...
November 2016: Journal of Clinical Anesthesia
Lisa M Goldthwaite, Jeanelle Sheeder, Stephanie B Teal, Kristina M Tocce
OBJECTIVE: To estimate whether a standardized immediate postpartum intrauterine device (IUD) simulation results in sustained improvement in perceived comfort with procedural skills. METHODS: From November 2013 to April 2015, obstetric health care providers at two teaching hospitals participated in a 30-minute immediate postpartum IUD simulation workshop and program evaluation. We assessed knowledge of indications, insertion technique, safety, and comfort with knowledge and skills preintervention immediately after and 6 months posttraining...
October 2016: Obstetrics and Gynecology
Konstantinos Kyriakoulis, Athina Patelarou, Aggelos Laliotis, Andrew C Wan, Michail Matalliotakis, Chrysoula Tsiou, Evridiki Patelarou
PURPOSE: The aim of this systematic review was to find best teaching strategies for teaching evidence-based practice (EBP) to undergraduate health students that have been adopted over the last years in healthcare institutions worldwide. METHODS: The authors carried out a systematic, comprehensive bibliographic search using Medline database for the years 2005 to March 2015 (updated in March 2016). Search terms used were chosen from the USNLM Institutes of Health list of MeSH (Medical Subject Headings) and free text key terms were used as well...
2016: Journal of Educational Evaluation for Health Professions
Susan Hayes Lane, Reimund Serafica, Carolyn Huffman, Alyssa Cuddy
In the current healthcare environment, nurses must have a basic understanding of research to lead change and implement evidence-based practice. The purpose of this study was to evaluate the effectiveness of an educational intervention formulated on the framework of the Great American Cookie Experiment measuring nurses' research knowledge, attitudes, and practice using mobile device gaming. This multisite quantitative study provides insight into promotion of research and information about best practices on innovative teaching strategies for nurses...
September 2016: Journal for Nurses in Professional Development
Federico Enrique Garcia Cipriano, Livia Arcêncio, Lycio Umeda Dessotte, Alfredo José Rodrigues, Walter Villela de Andrade Vicente, Paulo Roberto Barbosa Évora
BACKGROUND: Describe the characteristics of how the thoracic surgeon uses the 2D/3D medical imaging to perform surgical planning, clinical practice and teaching in thoracic surgery and check the initial choice and the final choice of the Brazilian Thoracic surgeon as the 2D and 3D models pictures before and after acquiring theoretical knowledge on the generation, manipulation and interactive 3D views. METHODS: A descriptive research type Survey cross to data provided by the Brazilian Thoracic Surgeons (members of the Brazilian Society of Thoracic Surgery) who responded to the online questionnaire via the internet on their computers or personal devices...
August 2016: Journal of Thoracic Disease
Francelli Cordeiro Neves, Wanessa T Clemente, Nilton Lincopan, Isabela D Paião, Patrícia R Neves, Roberta M Romanelli, Stella S S Lima, Luciene F Paiva, Paulo Henrique O Mourão, Vandack A Nobre-Junior
BACKGROUND: Carbapenem-resistant Acinetobacter baumannii (CRAb) is an important cause of nosocomial infections especially in intensive care units (ICUs). This study aimed to assess clinical aspects and the genetic background of CRAb among ICU patients at a Brazilian teaching hospital. METHODS: 56 critically ill patients colonized or infected by CRAb, during ICU stay, were prospectively assessed. Based on imipenem MIC≥4μg/mL, 28 CRAB strains were screened for the presence of genes encoding metallo-β-lactamases (MβLs) and OXA-type β-lactamases...
September 9, 2016: Brazilian Journal of Infectious Diseases
S Ryan Greysen, Yimdriuska Magan Mendoza, Jaime Rosenthal, Ronald Jacolbia, Alvin Rajkomar, Herman Lee, Andrew Auerbach
BACKGROUND: Inadequate patient engagement in care is a major barrier to successful transitions from the inpatient setting and can lead to preventable adverse events after discharge, particularly for older adults. While older adults may be less familiar with mobile devices and applications, they may benefit from focused bedside training to engage them in using their Personal Health Record (PHR). Mobile technologies such as tablet computers can be used in the hospital to help bridge this gap in experience by teaching older, hospitalized patients to actively manage their medication list through their PHR during hospitalization and continue to use their PHR for other post-discharge tasks such as scheduling follow-up appointments, viewing test results, and communicating with providers...
September 6, 2016: JMIR Research Protocols
Dawit G Ayele, Temesgen T Zewotir
BACKGROUND: Though the socio-economic situation of the Ethiopian household is improving along with the decrease in under-five child mortality. But, under-five mortality is still one of the major problems. Identification of the risk factors change over time which mismatches with the diminishing rate of under-five mortality is important to address the problems. METHODS: The survey data used for this research was taken from three different Ethiopian Demographic and Health Surveys (2000, 2005 and 2011)...
2016: BMC Public Health
Tobias Münster, Christoph Stosch, Nina Hindrichs, Jeremy Franklin, Jan Matthes
INTRODUCTION: The external chest compression is a very important skill required to maintain a minimum of circulation during cardiac arrest until further medical procedures can be taken. Peyton's 4-Steps-Approach is one method of skill training, the four steps being: Demonstration, Deconstruction, Comprehension and Execution. Based on CPR skill training, this method is widely, allegedly predominantly used, although there are insufficient studies on Peyton's 4-Steps-Approach for skill training in CPR in comparison with other methods of skill training...
2016: GMS Journal for Medical Education
Tsigue Pleah, Yolande Hyjazi, Suzanne Austin, Abdoulaye Diallo, Blami Dao, Rachel Waxman, Priya Karna
A global resurgence of interest in the intrauterine device (IUD) as an effective long-acting reversible contraceptive and in improving access to a wide range of contraceptive methods, as well as an emphasis on encouraging women to give birth in health care facilities, has led programs to introduce postpartum IUD (PPIUD) services into postpartum family planning (PPFP) programs. We describe strategic, organizational, and technical elements that contributed to early successes of a regional initiative in West and Central Africa to train antenatal, maternity, and postnatal care providers in PPFP counseling for the full range of available methods and in PPIUD service delivery...
August 11, 2016: Global Health, Science and Practice
Joseph E Tonna, Nicholas J Johnson, John Greenwood, David F Gaieski, Zachary Shinar, Joseph M Bellezo, Lance Becker, Atman P Shah, Scott T Youngquist, Michael P Mallin, James Franklin Fair, Kyle J Gunnerson, Cindy Weng, Stephen McKellar
PURPOSE: To characterize the current scope and practices of centers performing extracorporeal cardiopulmonary resuscitation (eCPR) on the undifferentiated patient with cardiac arrest in the emergency department. METHODS: We contacted all US centers in January 2016 that had submitted adult eCPR cases to the Extracorporeal Life Support Organization (ELSO) registry and surveyed them, querying for programs that had performed eCPR in the Emergency Department (ED ECMO)...
October 2016: Resuscitation
Dan Meila, Katharina Melber, Dominik Grieb, Collin Jacobs, Heinrich Lanfermann, Friedhelm Brassel
INTRODUCTION: Vein of Galen malformation (VGM), a high-flow intracranial arteriovenous shunt, is among the most severe neurovascular diseases in childhood. In many cases untreated children die or survive only severely disabled. Endovascular embolization is the preferred treatment. OBJECTIVE: To develop a simple fistulous-type VGM phantom model for teaching and training of different endovascular treatment methods and to investigate new treatment options and devices...
August 10, 2016: Journal of Neurointerventional Surgery
Rajiv Kumar Gupta, Sunil Kumar Raina, Aruna Kumari Verma, Tejali Shora
CONTEXT: Emergency contraception (EC) is use of drug or device to prevent pregnancy after unprotected sexual intercourse. Unlike other regular methods of contraception which are taken prior to the sexual act, EC is used after the unprotected sex. AIM: To assess the knowledge and attitude toward use of emergency contraceptives among medical students. SETTING AND DESIGN: A cross-sectional questionnaire based study was conducted among all the medical students in the Government Medical College in North-West India...
July 2016: Journal of Pharmacy & Bioallied Sciences
David Bardell, Eleanor West, J Mark Senior
OBJECTIVES: To determine whether the Enterprise point-of-care blood analysis system (EPOC) produces results in agreement with two other blood gas analysers in regular clinical use (i-STAT and Radiometer ABL77) and to investigate the precision of the new machine when used with equine whole blood. STUDY DESIGN: Prospective, randomized, non-blinded, comparative laboratory analyser study. ANIMALS: Horses admitted to a university teaching hospital requiring arterial or venous blood gas analysis as part of their routine clinical management...
July 7, 2016: Veterinary Anaesthesia and Analgesia
Christianne Micallef, Monsey McLeod, Enrique Castro-Sánchez, Myriam Gharbi, Esmita Charani, Luke Sp Moore, Mark Gilchrist, Fran Husson, Ceire Costelloe, Alison H Holmes
BACKGROUND: Current advances in modern technology have enabled the development and utilization of electronic medical software apps for both mobile and desktop computing devices. A range of apps on a large variety of clinical conditions for patients and the public are available, but very few target antimicrobials or infections. OBJECTIVE: We sought to explore the use of different antimicrobial information resources with a focus on electronic platforms, including apps for portable devices, by outpatients at two large, geographically distinct National Health Service (NHS) teaching hospital trusts in England...
2016: JMIR MHealth and UHealth
J A S Morton, H Bridle
Microfluidics has shown rapid growth in both research and development and offers significant commercialisation potential for biomedical and diagnostic applications in particular. However, there is a lack of awareness of microfluidics outside the field of study, and few dedicated educational programmes are available. While many topics incorporate microfluidics teaching, reported initiatives in the literature have not yet taken a problem based learning (PBL) approach to the delivery of practical sessions. The educational approaches already reported typically focus upon production and testing of pre-determined device designs for specific applications, using a "recipe" style of lab teaching...
May 2016: Biomicrofluidics
Yen-Chiao Angel Lu, Yen-Ju Lin, Lin-Yi Cyu
Taiwan government and health officials had made the new graduate nurses training program a mandatory requirement for all teaching hospitals in order to train new graduate nurse staffs to prepare them for the clinical practice. Mobile devices may provide a feasible and useful tool for the new graduate nurses to learn knowledge/skills, thus, the study researchers proposed to develop a smartphone/tablet based learning system to assist the new graduate nurses in the study hospital ease their transition into the RN roles...
2016: Studies in Health Technology and Informatics
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