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https://www.readbyqxmd.com/read/28633542/deciphering-participation-an-interpretive-synthesis-of-its-meaning-and-application-in-rehabilitation
#1
Alison M Cogan, Mike Carlson
PURPOSE: Participation is widely recognized as an important outcome for rehabilitation. However, it lacks a universally accepted definition. The purpose of this review is to synthesize the literature about participation in rehabilitation in order to clarify the term and increase its usefulness for rehabilitation providers and researchers. METHODS: We undertook an interpretive synthesis of the literature, drawing from a broad and varied selection of the vast number of publications on the subject of participation...
June 21, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28633171/examining-accuracy-of-self-assessment-of-in-training-examination-performance-in-a-context-of-guided-self-assessment
#2
Oksana Babenko, Denise Campbell-Scherer, Shirley Schipper, John Chmelicek, Tanya Barber, Kimberley Duerksen, Shelley Ross
BACKGROUND AND OBJECTIVES: In our family medicine residency program, we have established a culture of guided self-assessment through a systematic approach of direct observation of residents and documentation of formative feedback. We have observed that our residents have become more accurate in self-assessing their clinical performance. The objective of this study was to examine whether this improved accuracy extended to residents' self-assessment of their medical knowledge and clinical reasoning on the In-Training Examination (ITE)...
June 2017: Family Medicine
https://www.readbyqxmd.com/read/28627840/teaching-clinical-reasoning-is-more-like-detective-work-than-you-might-imagine
#3
Marie-Claude Audétat, Arabelle Rieder, Johanna Sommer
When supervising a medical student or a doctor in training, it is useful to know the different stages of clinical reasoning in order to identify at what stage the learner encounters a difficulty in making the right decision. Is he having trouble characterizing the clinical problem ? Is he generating the right hypotheses that are adapted to the data collection ? Is it a problem of verification of assumptions ? Of interpreting the data ? Of presumptive diagnosis or a poor choice of an intervention plan ? By making a pedagogical diagnosis, the supervisor will be more effective in adapting his recommendations in a more targeted way to the specific difficulties of the student or young colleague...
May 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28624364/decision-making-in-swiss-home-like-childbirth-a-grounded-theory-study
#4
Yvonne Meyer, Franziska Frank, Franziska Schläppy Muntwyler, Valerie Fleming, Jessica Pehlke-Milde
BACKGROUND: Decision-making in midwifery, including a claim for shared decision-making between midwives and women, is of major significance for the health of mother and child. Midwives have little information about how to share decision-making responsibilities with women, especially when complications arise during birth. AIM: To increase understanding of decision-making in complex home-like birth settings by exploring midwives' and women's perspectives and to develop a dynamic model integrating participatory processes for making shared decisions...
June 14, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28623408/plexiform-neurofibroma-causing-an-ossifying-subperiosteal-haematoma-a-rare-case-in-the-tibia-of-an-11-year-old-girl
#5
Anton Lavell, Christopher W Jones, Daniel Wong, Peter Counsel, Richard Carey-Smith
Ossifying subperiosteal haematoma is an exceedingly rare manifestation of Neurofibromatosis type 1 (NF-1). We report an interesting case of plexiform neurofibroma causing a rapidly growing tibial mass as a result of subperiosteal haemorrhage, in an 11-year-old girl with previously undiagnosed NF-1. This reflects a precursor of the more mature periosteal ossification seen in cases traditionally termed "subperiosteal cysts". A previously well young girl was referred by her general practitioner with an increasingly large, mildly tender, soft lump on the anterior aspect of her right tibia...
June 16, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28607144/clinical-reasoning-acute-onset-facial-droop-in-a-36-year-old-pregnant-woman
#6
Ilena C George, Teddy S Youn, Evie G Marcolini, David M Greer
No abstract text is available yet for this article.
June 13, 2017: Neurology
https://www.readbyqxmd.com/read/28601262/medical-students-communication-skills-in-clinical-education-results-from-a-cohort-study
#7
Cadja Bachmann, Silke Roschlaub, Sigrid Harendza, Rebecca Keim, Martin Scherer
OBJECTIVE: To assess students' communication skills during clinical medical education and at graduation. METHODS: We conducted an observational cohort study from 2007 to 2011 with 26 voluntary undergraduate medical students at Hamburg University based on video-taped consultations in year four and at graduation. 176 consultations were analyzed quantitatively with validated and non-validated context-independent communication observation instruments (interrater reliability ≥0...
May 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28588036/brown-fat-depots-in-adult-humans-remain-static-in-their-locations-on-pet-ct-despite-changes-in-seasonality
#8
Terence A Jones, Narendra L Reddy, Sarah C Wayte, Oludolapo Adesanya, Georgios K Dimitriadis, Charles E Hutchinson, Thomas M Barber
Active brown adipose tissue (BAT) in humans has been demonstrated through use of positron emission tomography with 2-deoxy-2-(fluorine-18) fluoro-D-glucose integrated with computed tomography ((18)F-FDG PET/CT) scans. The aim of our study was to determine whether active human BAT depots shown on (18)F-FDG PET/CT scans remain static in their location over time. This was a retrospective study. Adult human subjects (n = 15) who had had (18)F-FDG PET/CT imaging (n = 38 scans in total) for clinical reasons were included on the basis of (18)F-FDG uptake patterns consistent with BAT activity...
June 2017: Physiological Reports
https://www.readbyqxmd.com/read/28587534/diagnosis-and-management-of-clinical-reasoning-difficulties-part-i-clinical-reasoning-supervision-and-educational-diagnosis
#9
Marie-Claude Audétat, Suzanne Laurin, Valérie Dory, Bernard Charlin, Mathieu R Nendaz
There are many obstacles to the timely identification of clinical reasoning difficulties in health professions education. This guide aims to provide readers with a framework for supervising clinical reasoning and identifying the potential difficulties as they may occur at each step of the reasoning process.
June 7, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28587511/diagnosis-and-management-of-clinical-reasoning-difficulties-part-ii-clinical-reasoning-difficulties-management-and-remediation-strategies
#10
Marie-Claude Audétat, Suzanne Laurin, Valérie Dory, Bernard Charlin, Mathieu R Nendaz
Part II of this AMEE Guide provides a detailed overview of the main difficulties in clinical reasoning, including the cues to look out for in clinical supervision, the root causes of each difficulty and targeted remediation strategies. Specific challenges and issues related to the management of clinical reasoning difficulties will also be discussed.
June 7, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28586416/bridging-the-gap-between-reproducibility-and-translation-data-resources-and-approaches
#11
Caroline J Zeiss, Linda K Johnson
Animal research has constituted a fundamental means to achieve groundbreaking therapies for human disease. However, for complex diseases, promising preclinical results have failed to translate to the clinic. Reasons for this disparity are multifactorial. These include the challenges inherent in modeling complex disease in animals, as well issues of study design, reproducibility and operational norms within the biomedical research enterprise. In this issue, we explore the range of information resources available for the comparative study of disease, as well as challenges to the ultimate translation of preclinical findings...
June 6, 2017: ILAR Journal
https://www.readbyqxmd.com/read/28585351/representation-scaffolds-improve-diagnostic-efficiency-in-medical-students
#12
Leah T Braun, Jan M Zottmann, Christian Adolf, Christian Lottspeich, Cornelia Then, Stefan Wirth, Martin R Fischer, Ralf Schmidmaier
CONTEXT: Diagnostic efficiency is important in daily clinical practice as doctors have to face problems within a limited time frame. To foster the clinical reasoning of students is a major challenge in medical education research. Little is known about students' diagnostic efficiency. On the basis of current theories, scaffolds for case representation (statement of the case as far as it is summarised in the mind) could be a promising approach to make the diagnostic reasoning of intermediate medical students more efficient...
June 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28583938/clinical-reasoning-a-16-year-old-girl-with-subacute-weakness-and-sensory-loss
#13
Carlos Quintanilla-Bordás, Bardia Nourbakhsh, Jonathan Strober, Corey Raffel, Emmanuelle Waubant
No abstract text is available yet for this article.
June 6, 2017: Neurology
https://www.readbyqxmd.com/read/28583937/clinical-reasoning-a-10-year-old-boy-with-bilateral-vision-loss
#14
Zachary Bulwa, Jeffrey Nichols, Nitasha Gupta
No abstract text is available yet for this article.
June 6, 2017: Neurology
https://www.readbyqxmd.com/read/28580814/evolutions-in-clinical-reasoning-assessment-the-evolving-script-concordance-test
#15
Suzette Cooke, Jean-François Lemay, Tanya Beran
INTRODUCTION: Script concordance testing (SCT) is a method of assessment of clinical reasoning. We developed a new type of SCT case design, the evolving SCT (E-SCT), whereby the patient's clinical story is "evolving" and with thoughtful integration of new information at each stage, decisions related to clinical decision-making become increasingly clear. OBJECTIVES: We aimed to: (1) determine whether an E-SCT could differentiate clinical reasoning ability among junior residents (JR), senior residents (SR), and pediatricians, (2) evaluate the reliability of an E-SCT, and (3) obtain qualitative feedback from participants to help inform the potential acceptability of the E-SCT...
June 5, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28577644/tides-within-ourselves-how-posture-can-affect-blood-volume-blood-cells-and-clinical-reasoning
#16
Erich Vinicius De Paula
No abstract text is available yet for this article.
April 2017: Revista Brasileira de Hematologia e Hemoterapia
https://www.readbyqxmd.com/read/28562818/clinical-reasoning-in-nursing-teaching-strategies-and-assessment-tools
#17
Emília Campos de Carvalho, Ana Railka de Souza Oliveira-Kumakura, Sheila Coelho Ramalho Vasconcelos Morais
Objective: To present the concept and development of teaching strategies and the assessment tools regarding clinical reasoning for accurate practice. Method: This is a theoretical reflection based on scientific studies. Results: Comprehension of the essential concepts of the thought process and its articulation with the different teaching strategies and the assessment tools which has allowed presenting ways to improve the process of diagnostic or therapeutic clinical reasoning...
May 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28562801/cancellation-of-elective-surgeries-in-a-brazilian-public-hospital-reasons-and-estimated-reduction
#18
Gisele Aparecida Alves Corral Dos Santos, Silvia Cristina Mangini Bocchi
Objective: To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index. Method: Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database. Results: Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6...
May 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28562501/collaborative-clinical-reasoning-a-systematic-review-of-empirical-studies
#19
Jan Kiesewetter, Frank Fischer, Martin R Fischer
INTRODUCTION: Health care delivery involves multiple health professions, and increasingly, diagnostic and therapeutic decisions are made through interprofessional teamwork. We define collaborative clinical reasoning (CCR) as the process in which two or more health care team members negotiate diagnostic, therapeutic, or prognostic issues of an individual patient resulting in an illness or treatment plan (and to reduce uncertainty). In a systematic review, we aimed to answer the following research question: Which empirically observable factors are considered crucial influences on performance in CCR in current empirical research? METHODS: A systematic literature review was conducted...
April 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28561868/improving-critical-thinking-using-a-web-based-tutorial-environment
#20
Stephen M Wiesner, J D Walker, Craig R Creeger
With a broad range of subject matter, students often struggle recognizing relationships between content in different subject areas. A scenario-based learning environment (SaBLE) has been developed to enhancing clinical reasoning and critical thinking among undergraduate students in a medical laboratory science program and help them integrate their new knowledge. SaBLE incorporates aspects of both cognitive theory and instructional design, including reduction of extraneous cognitive load, goal-based learning, feedback timing, and game theory...
2017: Journal of Allied Health
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