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Continous medical education

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https://www.readbyqxmd.com/read/29672772/key-barriers-to-gout-care-a-systematic-review-and-thematic-synthesis-of-qualitative-studies
#1
Sharan K Rai, Hyon K Choi, Sally H J Choi, Anne F Townsend, Kam Shojania, Mary A De Vera
Objectives: Gout care remains highly suboptimal, contributing to an increased global disease burden. To understand barriers to gout care, our aim was to provide a systematic review and thematic synthesis of qualitative studies worldwide reporting provider and patient perspectives and experiences with management. Methods: We conducted a mapped search of MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, and Social Sciences Citation Index databases and selected qualitative studies of provider and patient perspectives on gout management...
April 17, 2018: Rheumatology
https://www.readbyqxmd.com/read/29628018/barriers-and-facilitators-affecting-the-implementation-of-substance-use-screening-in-primary-care-clinics-a-qualitative-study-of-patients-providers-and-staff
#2
Jennifer McNeely, Pritika C Kumar, Traci Rieckmann, Erica Sedlander, Sarah Farkas, Christine Chollak, Joseph L Kannry, Aida Vega, Eva A Waite, Lauren A Peccoralo, Richard N Rosenthal, Dennis McCarty, John Rotrosen
BACKGROUND: Alcohol and drug use are leading causes of morbidity and mortality that frequently go unidentified in medical settings. As part of a multi-phase study to implement electronic health record-integrated substance use screening in primary care clinics, we interviewed key clinical stakeholders to identify current substance use screening practices, barriers to screening, and recommendations for its implementation. METHODS: Focus groups and individual interviews were conducted with 67 stakeholders, including patients, primary care providers (faculty and resident physicians), nurses, and medical assistants, in two urban academic health systems...
April 9, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29596702/evaluating-the-influence-of-a-standardized-bedside-handoff-process-in-a-medical-surgical-unit
#3
Ronnita Usher, Sherill Nones Cronin, Nancy L York
BACKGROUND: Patient safety is a national and global concern. In the United States, medical errors result in more than 50,000 unnecessary patient deaths annually and contribute to billions of dollars in health care costs. The purpose of this project was to evaluate a standardized bedside handoff process and its influence in a medical-surgical unit. METHOD: A quality improvement project was performed in a medical-surgical unit and consisted of development, implementation, and evaluation of a standardized bedside handoff...
April 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29588216/bladder-management-and-continence-outcomes-in-adults-with-spina-bifida-results-from-the-national-spina-bifida-patient-registry-2009-to-2015
#4
John S Wiener, Kristina D Suson, Jonathan Castillo, Jonathan C Routh, Stacy Tanaka, Tiebin Liu, Elisabeth Ward, Judy Thibadeau, David Joseph
PURPOSE: Most children with spina bifida now survive into adulthood, although most have neuropathic bladder with potential complications of incontinence, infection, renal damage and diminished quality of life. In this study we sought to 1) describe contemporary bladder management and continence outcomes of adults with spina bifida, 2) describe differences from younger individuals and 3) assess for association with socioeconomic factors. MATERIALS AND METHODS: We analyzed data on bladder management and outcomes in adults with spina bifida from the National Spina Bifida Patient Registry...
March 26, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29565110/white-book-on-physical-and-rehabilitation-medicine-prm-in-europe-chapter-9-education-and-continuous-professional-development-shaping-the-future-of-prm
#5
(no author information available yet)
In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of adequate duration. In fact they are required to develop not only medical knowledge, but also competence in patient care, specific procedural skills, and attitudes towards interpersonal relationship and communication, profound understanding of the main principles of medical ethics and public health, ability to apply policies of care and prevention for disabled people, capacity to master strategies for reintegration of disabled people into society, apply principles of quality assurance and promote a practice-based continuous professional development...
April 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29561275/bodies-for-anatomy-education-in-medical-schools-an-overview-of-the-sources-of-cadavers-worldwide
#6
Juri L Habicht, Claudia Kiessling, Andreas Winkelmann
The International Federation of Associations of Anatomists (IFAA) recommended in 2012 that only donated bodies be used for anatomy teaching and research. However, in many countries around the world, anatomists still depend on bodies that do not stem from voluntary donations by the deceased, but rather are "unclaimed." A broad search of the literature was conducted to produce a baseline overview of the sources of cadavers used for anatomy teaching in undergraduate medical curricula on a global scale...
March 20, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29540882/culture-and-ethics-in-medical-education-the-asian-perspective
#7
Muhammad Shahid Shamim, Lubna Baig, Adrienne Torda, Chinthaka Balasooriya
The world is geographically divided into hemispheres, continents and countries, with varying cultures in different regions. Asia, the largest of continents, has a variety of philosophically distinctive cultures and lifestyles, informing the norms of societies that are much different from cultures in other continents. These complexities in the societal norms in Asian cultures have created unique issues in development of ethics education in the region. This paper looks in to the distinctions in what is generally referred to as the "non-western" Asian culture, the importance of cultural context and how it influences the ethics curriculum in the region...
March 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29519645/a-bibliometric-analysis-assessing-temporal-changes-in-publication-and-authorship-characteristics-in-the-knee-from-1996-to-2016
#8
REVIEW
G Sheridan, E Wisken, C B Hing, T O Smith
BACKGROUND: Evidence-based practice is a foundation to clinical excellence. However there remains little evidence on the characteristics of authors who contribute to the evidence-base and whether these have changed over time. The purpose of this study was to explore these characteristics by undertaking a bibliometric analysis to explore publication and authorship characteristics in a leading sub-speciality orthopaedic journal (The Knee) over a 20-year period. METHODS: All articles published in The Knee in 1996, 2006 and 2016 were identified...
March 2018: Knee
https://www.readbyqxmd.com/read/29498399/peer-review-competency-assessment-engages-staff-and-influences-patient-outcomes
#9
Kara Mangold, Brenda Tyler, Lyda Velez, Constance Clark
BACKGROUND: Nurse educators must guide competency assessment in a way that influences safe patient care. The goal of this innovative competency assessment was for RNs to demonstrate performance of sound practice related to anticoagulation medication, pressure injuries, and pain management using a peer-review format. METHOD: The process was initiated through the unit-based team. The clinical RN was required to bring forth the information that he or she had met the competency requirements...
March 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29384583/using-evidence-to-prepare-non-oncology-nurses-for-cancer-survivor-care
#10
Joan Such Lockhart, Melinda G Oberleitner, Toni L Felice, Anna Vioral
BACKGROUND: Growing increases in current and projected cancer survivors demands a workforce that can safely meet their health care needs spanning a lifetime. The literature lacks sufficient evidence regarding the knowledge needed by non-oncology nurses who care for cancer survivors in settings not designated for cancer care. This study identified this oncology knowledge and perceived barriers. METHOD: The Cancer Nursing Curriculum Survey was completed by a national pool of 302 oncology and 313 medical-surgical nurses who rated the depth and importance of 33 cancer concepts needed by non-oncology nurses for cancer survivor care...
January 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29246406/general-surgery-education-across-three-continents
#11
REVIEW
Craig McIlhenny, Yo Kurashima, Carlos Chan, Satoshi Hirano, Ismael Domínguez-Rosado, Dimitrios Stefanidis
Surgical education has seen tremendous changes in the US over the past decade. The Halstedian training model of see one, do one, teach one that governed surgical training for almost 100 years has been replaced by the achievement of the ACGME competencies, milestones, entrustable professional activities (EPAs), and acquisition of surgical skill outside the operating room on simulators. Several of these changes in American medical education have been influenced by educators and training paradigms abroad. In this paper, we review the training paradigms for surgeons in the UK, Japan, and Mexico to allow comparisons with the US training paradigm and promote the exchange of ideas...
February 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29177527/lessons-learned-from-a-theory-of-planned-behavior-derived-study-on-educational-interventions-inspired-by-the-affective-domain
#12
Kathleen A Russell-Babin
BACKGROUND: A paucity of literature exists on use of the affective domain to improve adherence to pressure injury prevention. The purpose of this study was to assess the use of emphasizing the cognitive domain versus education based on combination of the affective and cognitive domains focusing on medical-surgical nurses' behavioral intent to use evidence-based practices to prevent pressure injury. METHOD: A cluster randomized, controlled design was used to compare differences between groups...
December 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29125526/bowel-management-and-continence-in-adults-with-spina-bifida-results-from-the-national-spina-bifida-patient-registry-2009-15
#13
John S Wiener, Kristina D Suson, Jonathan Castillo, Jonathan C Routh, Stacy Tanaka, Tiebin Liu, Elisabeth Ward, Judy Thibadeau, David Joseph, National Spina Bifida Patient Registry
INTRODUCTION: Advances in care have allowed most children with spina bifida (SB) to live to adulthood. The majority have neuropathic bowel dysfunction (NBD), resulting in constipation, incontinence, and diminished quality of life. We sought to 1) describe contemporary NBD management and continence outcomes of adults with SB; 2) describe differences from younger patients; and 3) assess for association with socio-economic factors. METHODS: We analyzed data on NBD management and continence from the National Spina Bifida Patient Registry (NSBPR)...
December 11, 2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/29064892/a-novel-method-of-setting-performance-standards-in-surgery-using-patient-outcomes
#14
Mitchell G Goldenberg, Teodor P Grantcharov
OBJECTIVE: To describe a novel, outcome-based method of standard setting that differentiates between clinical outcomes rather than arbitrary educational goals. BACKGROUND: Standard setting methods used in assessments of procedural skill are currently not evidence-driven or outcome-based. This represents a potential obstacle for the broad implementation of these evaluations in summative assessments such as certification and credentialing. METHODS: The concept is based on deriving a receiver operating characteristic curve from a regression model that incorporates measures of intraoperative surgeon performance and confounding patient characteristics...
October 23, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28972242/disability-in-the-individual-adl-iadl-and-mobility-among-older-adults-a-prospective-cohort-study
#15
N Bleijenberg, N P A Zuithoff, A K Smith, N J de Wit, M J Schuurmans
OBJECTIVES: To examine the risk of disability in 15 individual ADL, IADL, and mobility in older adults by age; and to assess the association of multimorbidity, gender, and education with disability. DESIGN AND SETTING: A prospective cohort study. The sample included 805 community-dwelling older people aged 60+ living in the Netherlands. MEASUREMENTS: Disability was assessed using the Katz-15 Index of Independence in Basic Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and one mobility item...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28954180/an-interprofessional-approach-to-continuing-education-with-mass-casualty-simulation-planning-and-execution
#16
Deborah A Saber, Kelley Strout, Lisa Swanson Caruso, Charlene Ingwell-Spolan, Aiden Koplovsky
Many natural and man-made disasters require the assistance from teams of health care professionals. Knowing that continuing education about disaster simulation training is essential to nursing students, nurses, and emergency first responders (e.g., emergency medical technicians, firefighters, police officers), a university in the northeastern United States planned and implemented an interprofessional mass casualty incident (MCI) disaster simulation using the Project Management Body of Knowledge (PMBOK) management framework...
October 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28870567/tele-neurology-in-sub-saharan-africa-a-systematic-review-of-the-literature
#17
REVIEW
Fred S Sarfo, Sheila Adamu, Dominic Awuah, Bruce Ovbiagele
BACKGROUND: The rapid advancement in telecommunications on the African continent has opened up avenues for improving medical care to underserved populations. Although the greatest burden of neurological disorders is borne by Low-and-Middle Income Countries (LMICs) including sub-Saharan Africa (SSA), there is a profound paucity of neurologists to serve the population. Telemedicine presents a promising avenue for effective mobilization and utilization of the few neurologists in Africa. OBJECTIVE: To systematically review the published literature on the use of telemedicine for improved care and outcomes for patients with neurological disorders in SSA...
September 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28794012/surgeon-major-thomas-heazle-parke-1857-1893-irish-doctor-soldier-and-explorer
#18
EDITORIAL
Andrew Parke
Surgeon Major Thomas Heazle Parke (1857-1893) was a doctor from Drumsna, County Roscommon, who after completing his education at the Royal College of Surgeons in Ireland joined the British army as a medical officer. After several years of serving in Ireland and Egypt, he volunteered to be medical officer of the Emin Pasha Relief Expedition of 1887-1889. This was to become Henry Morton Stanley's largest, longest and most controversial African expedition. The epic journey saw Stanley, his eight European officers and 800 African porters take almost 3 years to cross the African continent from West to East via the Congo River, Southern Sudan and Uganda...
August 8, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28783529/creed-study-hypoglycaemia-during-ramadan-in-individuals-with-type-2-diabetes-mellitus-from-three-continents
#19
MULTICENTER STUDY
Abdul Jabbar, Mohamed Hassanein, Salem A Beshyah, Kristina S Boye, Maria Yu, Steven M Babineaux
AIMS: To describe diabetes treatment and hypoglycaemia in individuals with Type 2 diabetes mellitus during Ramadan. METHODS: A multi-country, retrospective, observational study with data captured before, during, and after Ramadan. We report on a cohort of people (N=3250) with Type 2 diabetes mellitus in four culturally distinct regions: Asia, North Africa, Europe, and the Middle East. RESULTS: During Ramadan, the proportion of participants on oral anti-diabetic medication alone ranged from 68...
October 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28759693/development-and-implementation-of-an-educational-module-to-increase-nurses-comfort-with-spiritual-care-in-an-inpatient-setting
#20
Sara L Hubbell, Elaine Kauschinger, Marilyn Oermann
Increasing focus is being placed on providing spiritual care for patients as a component of holistic nursing care. Studies indicate that patients whose spiritual needs are met report higher quality of and satisfaction with their care. However, nurses are not including spiritual assessment and care into their practice. One barrier cited by nurses is that they lack educational preparation. A 2-hour, face-to-face educational module about the provision of spiritual care was implemented for inpatient nursing staff at a large academic medical center...
August 1, 2017: Journal of Continuing Education in Nursing
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