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https://www.readbyqxmd.com/read/28726534/an-occupational-therapy-and-teaching-partnership-applying-a-scholarship-of-practice-model
#1
Brian Fitzgerald, Siobhán MacCobb
Occupational therapists must generate knowledge and evidence that relates specifically to their practice context especially when there is a paucity of literature for emerging areas of practice. This paper describes the process of adopting a scholarship of practice approach with other professionals to generate evidence for practice in mainstream post primary school settings with students with social, emotional and behavioral difficulties (SEBD). Scholarship of practice and clinical reasoning are closely intertwined as therapists generate evidence on their practice to make informed decisions and judgments...
July 20, 2017: Occupational Therapy in Health Care
https://www.readbyqxmd.com/read/28720302/clinical-reasoning-in-feline-epilepsy-which-combination-of-clinical-information-is-useful
#2
Gabriela-Dumitrita Stanciu, Rowena Mary Anne Packer, Akos Pakozdy, Gheorghe Solcan, Holger Andreas Volk
We sought to identify the association between clinical risk factors and the diagnosis of idiopathic epilepsy (IE) or structural epilepsy (SE) in cats, using statistical models to identify combinations of discrete parameters from the patient signalment, history and neurological examination findings that could suggest the most likely diagnosis. Data for 138 cats with recurrent seizures were reviewed, of which 110 were valid for inclusion. Seizure aetiology was classified as IE in 57% and SE in 43% of cats. Binomial logistic regression analyses demonstrated that pedigree status, older age at seizure onset (particularly >7years old), abnormal neurological examinations, and ictal vocalisation were associated with a diagnosis of SE compared to IE, and that ictal salivation was more likely to be associated with a diagnosis of IE than SE...
July 2017: Veterinary Journal
https://www.readbyqxmd.com/read/28713807/the-development-of-a-postgraduate-orthopaedic-manual-therapy-residency-program-in-nairobi-kenya
#3
Shala Cunningham, Richard Jackson, Daniel Kangutu Muli, Joni McFelea
INTRODUCTION: There are very few opportunities for long-term, comprehensive postgraduate education in developing countries because of fiscal and human resource constraints. Therefore, physiotherapists have little opportunity following graduation to advance their skills through the improvement of clinical reasoning and treatment planning and application. BACKGROUND: To address the need for sustainable advanced instruction in physiotherapy within the country, a postgraduate Residency program was initiated in Nairobi, Kenya in 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28712305/from-donor-to-recipient-considerations-for-blood-transfusion-outcomes-research
#4
Allison R Jones, Michelle R Brown, David E Vance
Donated blood can be broken down into blood components for use in patient care. This article focuses primarily on packed red blood cells (PRBCs), as they experience breakdown during storage that may adversely impact patient outcomes. Patients require PRBC transfusions for a number of clinical reasons. Although transfusions of PRBCs provide some clinical benefit, they are also associated with increased morbidity and mortality across multiple patient populations, albeit the mechanisms underlying this relationship remain unclear...
January 1, 2017: Biological Research for Nursing
https://www.readbyqxmd.com/read/28707634/mobile-learning-app-a-novel-method-to-teach-clinical-decision-making-in-prosthodontics
#5
Saee Deshpande, Jaishree Chahande, Akhil Rathi
BACKGROUND: Prosthodontics involves replacing lost dentofacial structures using artificial substitutes. Due to availability of many materials and techniques, clinician's clinical decision-making regarding appropriate selection of prosthesis requires critical thinking abilities and is demanding. Especially during graduate training years, learners do not receive the exposure to a variety of cases, thus their clinical reasoning skills are not developed optimally. Therefore, using the trend of incorporating technology in education, we developed a mobile learning app for this purpose...
January 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28705402/-development-of-an-objective-structured-clinical-examination-osce-for-evaluating-clinical-competence-in-vascular-medicine
#6
J Risse, T Busato, V Dufrost, M Perri, S Zuily, D Wahl
OBJECTIVES: Vascular medicine is now a clinical specialty in France. During their studies, students will acquire clinical reasoning in addition to technical skills. An Objective Structured Clinical Examination (OSCE) is considered as the gold standard for evaluating clinical competence. Our main objective was to evaluate the feasibility and acceptability of OSCE for the evaluation of students, secondarily their performance. METHODS: Three representative clinical cases of the specialty were developed...
May 2017: J Med Vasc
https://www.readbyqxmd.com/read/28705246/effects-of-additional-team-based-learning-on-students-clinical-reasoning-skills-a-pilot-study
#7
Meike Jost, Peter Brüstle, Marianne Giesler, Michel Rijntjes, Jochen Brich
BACKGROUND: In the field of Neurology good clinical reasoning skills are essential for successful diagnosing and treatment. Team-based learning (TBL), an active learning and small group instructional strategy, is a promising method for fostering these skills. The aim of this pilot study was to examine the effects of a supplementary TBL-class on students' clinical decision-making skills. METHODS: Fourth- and fifth-year medical students participated in this pilot study (static-group comparison design)...
July 14, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28704623/process-of-change-in-pain-related-fear-clinical-insights-from-a-single-case-of-persistent-back-pain-managed-with-cognitive-functional-therapy
#8
J P Caneiro, Anne Smith, Martin Rabey, G Lorimer Moseley, Peter O'Sullivan
Study Design Single-case report with repeated measures over 18 months. Background Management of persistent low back pain (PLBP) associated with high pain-related fear is complex. This single-case report aims to provide clinicians with an insight to the process of change in a person with PLBP and high bending-related fear, managed with an individualized behavioral approach - Cognitive Functional Therapy (CFT). Case Description A retired manual worker with PLBP believed that his spine was degenerating, that bending would hurt him and avoidance was the only form of pain control...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704290/developing-a-conversational-virtual-standardized-patient-to-enable-students-to-practice-history-taking-skills
#9
Kellen Maicher, Douglas Danforth, Alan Price, Laura Zimmerman, Bruce Wilcox, Beth Liston, Holly Cronau, Laurie Belknap, Cynthia Ledford, David Way, Doug Post, Allison Macerollo, Milisa Rizer
INTRODUCTION: Although traditional virtual patient simulations are designed to teach and assess clinical reasoning skills, few employ conversational dialogue with the patients. The virtual standardized patients (VSPs) described herein represent standardized patients that students interview using natural language. Students take histories and develop differential diagnoses of the VSPs as much as they would with standardized or actual patients. The student-VSP interactions are recorded, creating a comprehensive record of questions and the order in which they were asked, which can be analyzed to assess information-gathering skills...
April 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28701497/teaching-neurology-to-medical-students-with-a-simplified-version-of-team-based-learning
#10
Jochen Brich, Meike Jost, Peter Brüstle, Marianne Giesler, Michel Rijntjes
OBJECTIVE: To compare the effect of a simplified version of team-based learning (sTBL), an active learning/small group instructional strategy, with that of the traditionally used small group interactive seminars on the acquisition of knowledge and clinical reasoning (CR) skills. METHODS: Third- and fourth-year medical students (n = 122) were randomly distributed into 2 groups. A crossover design was used in which 2 neurologic topics were taught by sTBL and 2 by small group interactive seminars...
July 12, 2017: Neurology
https://www.readbyqxmd.com/read/28701055/perspectives-of-dutch-health-professionals-regarding-auditory-processing-disorders-a-focus-group-study
#11
Karin Neijenhuis, Ellen de Wit, Margreet Luinge
OBJECTIVE: This study investigated the perspectives of professionals from the Dutch audiological centres on the definition and care pathways of children with suspected auditory processing disorders (susAPD). DESIGN: focus group interviews. STUDY SAMPLE: In total, 45 professionals from 6 disciplines, representing 22 different audiological centres and one ambulatory service, participated in five parallel focus group interviews. Participants had a variety of experience in diagnosing and advising children with suspected APD...
July 13, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28700460/a-novel-pediatric-residency-coaching-program-outcomes-after-one-year
#12
Caroline E Rassbach, Rebecca Blankenburg
PROBLEM: The ACGME requires all residency programs to assess residents on specialty-specific milestones. Optimal assessment of competence is through direct observation of performance in clinical settings, which is challenging to implement. APPROACH: The authors developed the Stanford Pediatric Residency Coaching Program to improve residents' clinical skill development, reflective practice, feedback, and goal setting, and to improve learner assessment. All residents are assigned a dedicated faculty coach who coaches them throughout their training in various settings in an iterative process...
July 11, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28696937/clinical-reasoning-a-54-year-old-woman-with-dementia-myoclonus-and-ataxia
#13
Farwa Ali, Joseph A Murray, Andrea C Adams, Eoin P Flanagan
No abstract text is available yet for this article.
July 11, 2017: Neurology
https://www.readbyqxmd.com/read/28696625/-examination-of-the-abdomen-let-s-train-again
#14
Sylvie Piqueres, Philippe Staeger, Olivier Pasche
This article describes the main clinical gestures to perform when a patient complains of acute abdominal pain. It summarizes the knowledge in general medicine by integrating whenever possible clinical reasoning with likelihood ratios. This chapter does not address complex situations.
November 2, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28696220/prevention-of-sudden-cardiac-death-in-adults-with-congenital-heart-disease-do-the-guidelines-fall-short
#15
Jim T Vehmeijer, Zeliha Koyak, Werner Budts, Louise Harris, Candice K Silversides, Erwin N Oechslin, Berto J Bouma, Aeilko H Zwinderman, Barbara J M Mulder, Joris R de Groot
BACKGROUND: Sudden cardiac death (SCD) is a major cause of mortality in adult congenital heart disease (ACHD) patients. SCD may be prevented by implantable cardioverter-defibrillator (ICD) implantation, but patient stratification remains troublesome. The 2014 Consensus Statement on Arrhythmias in ACHD patients and the 2015 European Society of Cardiology Guidelines specified recommendations for ICD implantation in ACHD patients for the first time. We assess the discriminative ability of these ICD recommendations for SCD in ACHD patients...
July 2017: Circulation. Arrhythmia and Electrophysiology
https://www.readbyqxmd.com/read/28694712/creating-physicians-of-the-21st-century-assessment-of-the-clinical-years
#16
Allison A Vanderbilt, Sara Q Perkins, Moriah K Muscaro, Thomas J Papadimos, Reginald F Baugh
Medical education has been under a constant state of revision for the past several years. The overarching theme of the curriculum revisions for medical schools across the USA has been creating better physicians for the 21st century, with the same end result: graduating medical students at the optimal performance level when entering residency. We propose a robust, thorough assessment process that will address the needs of clerkships, residents, students, and, most importantly, medical schools to best measure and improve clinical reasoning skills that are required for the learning outcomes of our future physicians...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28692355/teaching-clinical-reasoning-to-medical-students
#17
Lisa Amey, Kenneth J Donald, Andrew Teodorczuk
Clinical reasoning is often not explicitly addressed in the early medical school curriculum. As a result, students observe the process while on clinical placements with little or no understanding of the complex processes underlying it. Clinical reasoning has significant implications for patient safety. Medical errors as a consequence of faulty reasoning contribute to patient morbidity and mortality. Educating medical students at an early stage about the processes of clinical reasoning and strategies to avoid associated errors can have positive impacts upon patient safety...
July 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28677174/a-qualitative-study-exploring-how-pharmacist-and-nurse-independent-prescribers-make-clinical-decisions
#18
Aseel S Abuzour, Penny J Lewis, Mary P Tully
AIM: To explore how secondary care pharmacist and nurse independent prescribers clinically reason when making prescribing decisions. BACKGROUND: Clinical reasoning is a central component of prescribers' competence and professional autonomy when reaching a clinically appropriate decision. Like doctors, pharmacist and nurse independent prescribers in the United Kingdom have extensive prescribing rights, but little is known about their clinical reasoning. DESIGN: A qualitative approach using a think-aloud methodology and semi-structured interviews...
July 5, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28676048/how-clinicians-analyze-movement-quality-in-patients-with-non-specific-low-back-pain-a-cross-sectional-survey-study-with-dutch-allied-health-care-professionals
#19
Margriet van Dijk, Nienke Smorenburg, Bart Visser, Yvonne F Heerkens, Maria W G Nijhuis-van der Sanden
BACKGROUND: Observation of movement quality (MQ) is an indelible element in the process of clinical reasoning for patients with non-specific low back pain (NS-LBP). However, the observation and evaluation of MQ in common daily activities are not standardized within allied health care. This study aims to describe how Dutch allied health care professionals (AHCPs) observe and assess MQ in patients with NS-LBP and whether AHCPs feel the need to have a specific outcome measure for assessing MQ in patients with NS-LBP...
July 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28674301/the-development-of-a-new-ipe-program-for-family-pharmacists
#20
Tetsuhiro Maeno
 Due to the rapid aging of the population, it has become important to ensure the provision of primary health care services. To respond to this challenge, it will be insufficient to offer services only at medical institutions; indeed, there are extremely high expectations for pharmacists because they work in close contact with the population at drugstores and pharmacies. Moreover, the Japanese government intends to promote family pharmacies (pharmacists) that not only prepare drugs but also give advice on health issues...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
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