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"clinical reasoning"

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https://www.readbyqxmd.com/read/28194689/exploring-physician-perspectives-of-residency-holdover-handoffs-a-qualitative-study-to-understand-an-increasingly-important-type-of-handoff
#1
Jonathan A Duong, Trevor P Jensen, Sasha Morduchowicz, Michelle Mourad, James D Harrison, Sumant R Ranji
BACKGROUND: The term "holdover admissions" refers to patients admitted by an overnight physician and whose care is then transferred to a new primary team the next morning. Descriptions of the holdover process in internal medicine are sparse. OBJECTIVE: To identify important factors affecting the quality of holdover handoffs at an internal medicine (IM) residency program and to compare them to previously identified factors for other handoffs. DESIGN: We undertook a qualitative study using structured focus groups and interviews...
February 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28187760/case-report-subacute-tetraplegia-in-an-immunocompromised-patient
#2
Daniel Zeller, Anke Heidemeier, Götz Ulrich Grigoleit, Wolfgang Müllges
BACKGROUND: Clinical reasoning in Neurology is based on general associations which help to deduce the site of the lesion. However, even "golden principles" may occasionally be deceptive. Here, we describe the case of subacute flaccid tetraparesis due to motor cortical lesions. To our knowledge, this is the first report to include an impressive illustration of nearly symmetric motor cortical involvement of encephalitis on brain MRI. CASE PRESENTATION: A 51 year old immunocompromized man developed a high-grade pure motor flaccid tetraparesis over few days...
February 10, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28186932/descriptive-analysis-of-a-1-1-physiotherapy-outpatient-intervention-post-primary-lumbar-discectomy-one-arm-of-a-small-scale-parallel-randomised-controlled-trial-across-two-uk-sites
#3
A Rushton, A Calcutt, N Heneghan, A Heap, L White, M Calvert, P Goodwin
OBJECTIVE: There is a lack of high-quality evidence for physiotherapy post lumbar discectomy. Substantial heterogeneity in treatment effects may be explained by variation in quality, administration and components of interventions. An optimised physiotherapy intervention may reduce heterogeneity and improve patient benefit. The objective was to describe, analyse and evaluate an optimised 1:1 physiotherapy outpatient intervention for patients following primary lumbar discectomy, to provide preliminary insights...
November 9, 2016: BMJ Open
https://www.readbyqxmd.com/read/28184087/learning-to-look-from-different-perspectives-what-can-dental-undergraduates-learn-from-an-arts-and-humanities-based-teaching-approach
#4
F Smyth Zahra, K Dunton
By its nature, clinical teaching involves supporting small groups of dental students at the chairside as they treat their own patients. Scaffolding their learning in this way enables observation at close quarters of the various stages of development from early novice, just commencing clinical treatment of patients, to those approaching qualification. The students' main concerns throughout are not primarily with the technical skills required, which they have already been taught in the clinical skills laboratories, but dealing with the complex realities and ambiguities of clinical practice; the 'hidden curriculum' of decision making, judgement calls, issues of communication and what it actually means to be professional...
February 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28183427/the-educational-psychology-of-clinical-training
#5
Jessica H Bailey, Brian Rutledge
Clinical training is paramount to the educational experience of learners, and the purpose of this training can be categorized into the following 4 categories of learning taxonomies: socialization, clinical reasoning, medical management of patient care and attitudinal change. This article investigates the educational psychology that provides the foundation of the categories of learning that take place in the clinical environment. Understanding this is critically important to create an opportunity for learners to activate their knowledge repertoire at the precise time of appropriate application...
February 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28176890/contextualizing-the-relevance-of-basic-sciences-small-group-simulation-with-debrief-for-first-and-second-year-medical-students-in-an-integrated-curriculum
#6
Samara B Ginzburg, Judith Brenner, Michael Cassara, Thomas Kwiatkowski, Joanne M Willey
AIM: There has been a call for increased integration of basic and clinical sciences during preclinical years of undergraduate medical education. Despite the recognition that clinical simulation is an effective pedagogical tool, little has been reported on its use to demonstrate the relevance of basic science principles to the practice of clinical medicine. We hypothesized that simulation with an integrated science and clinical debrief used with early learners would illustrate the importance of basic science principles in clinical diagnosis and management of patients...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28173928/the-role-of-physiotherapy-in-the-european-space-agency-strategy-for-preparation-and-reconditioning-of-astronauts-before-and-after-long-duration-space-flight
#7
Gunda Lambrecht, Nora Petersen, Guillaume Weerts, Casey Pruett, Simon Evetts, Maria Stokes, Julie Hides
Spaceflight and exposure to microgravity have wide-ranging effects on many systems of the human body. At the European Space Agency (ESA), a physiotherapist plays a key role in the multidisciplinary ESA team responsible for astronaut health, with a focus on the neuro-musculoskeletal system. In conjunction with a sports scientist, the physiotherapist prepares the astronaut for spaceflight, monitors their exercise performance whilst on the International Space Station (ISS), and reconditions the astronaut when they return to Earth...
January 2017: Musculoskelet Sci Pract
https://www.readbyqxmd.com/read/28167657/from-concept-to-practice-is-multidimensional-care-the-leading-principle-in-hospice-care-an-exploratory-mixed-method-study
#8
Everlien de Graaf, Merel van Klinken, Danielle Zweers, Saskia Teunissen
BACKGROUND: Hospice care (HC) aims to optimise the quality of life of patients and their families by relief and prevention of multidimensional suffering. The aim of this study is to gain insight into multidimensional care (MC) provided to hospice inpatients by a multiprofessional team (MT) and identify facilitators, to ameliorate multidimensional HC. METHODS: This exploratory mixed-method study with a sequential quantitative-qualitative design was conducted from January to December 2015...
February 6, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28167626/clinical-reasoning-a-74-year-old-woman-with-bilateral-foot-pain-and-a-palmar-rash
#9
DonRaphael P Wynn, Jessica M Donigan, Aleksander Tkach
No abstract text is available yet for this article.
February 7, 2017: Neurology
https://www.readbyqxmd.com/read/28145944/transforming-medical-assessment-integrating-uncertainty-into-the-evaluation-of-clinical-reasoning-in-medical-education
#10
Suzette Cooke, Jean-Francois Lemay
In an age where practicing physicians have access to an overwhelming volume of clinical information and are faced with increasingly complex medical decisions, the ability to execute sound clinical reasoning is essential to optimal patient care. The authors propose two concepts that are philosophically paramount to the future assessment of clinical reasoning in medicine: assessment in the context of "uncertainty" (when, despite all of the information that is available, there is still significant doubt as to the best diagnosis, investigation, or treatment), and acknowledging that it is entirely possible (and reasonable) to have more than "one correct answer...
January 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28144797/the-effect-of-self-explanation-of-pathophysiological-mechanisms-of-diseases-on-medical-students-diagnostic-performance
#11
José Maria Peixoto, Sílvia Mamede, Rosa Malena Delbone de Faria, Alexandre Sampaio de Moura, Silvana Maria Elói Santos, Henk G Schmidt
Self-explanation while diagnosing clinical cases fosters medical students' diagnostic performance. In previous studies on self-explanation, students were free to self-explain any aspect of the case, and mostly clinical knowledge was used. Elaboration on knowledge of pathophysiological mechanisms of diseases has been largely unexplored in studies of strategies for teaching clinical reasoning. The purpose of this two-phase experiment was to investigate the effect of self-explanation of pathophysiology during practice with clinical cases on students' diagnostic performance...
January 31, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28138170/comparison-of-two-interactive-tutorial-methods-results-from-a-medical-college-in-karachi
#12
Rabiya Rehan, Lubna Farooqi, Hira Khan, Rehana Rehman
OBJECTIVE: To compare perception of students on usefulness of interactive tutorials and clinically-oriented problem-solving tutorials. METHODS: The cross-sectional study was carried out from January 2012 to November 2013 at Bahria University Medical and Dental College, Karachi. The perception of medical students on usefulness of interactive tutorials and clinically-oriented problem-solving tutorials was acquired through a questionnaire distributed to medical students having completed the first two years of studies...
February 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28138086/clinical-reasoning-a-35-year-old-woman-with-hyperstartling-stiffness-and-accidental-falls-a-startling-diagnosis
#13
Silvia Paola Russo, Barbara Fossati, Mauro Toffetti, Jacopo Lanzone, Rosanna Cardani, Giovanni Meola
No abstract text is available yet for this article.
January 31, 2017: Neurology
https://www.readbyqxmd.com/read/28130976/clinical-teaching-and-learning-within-a-preceptorship-model-in-an-acute-care-hospital-in-ireland-a-qualitative-study
#14
Edel McSharry, Judith Lathlean
BACKGROUND: A preceptorship model of clinical teaching was introduced to support the new all-graduate nurse education programme in Ireland in 2002. Little is known about how this model impacts upon the pedagogical practices of the preceptor or student learning in clinical practice leading to question what constitutes effective teaching and learning in clinical practice at undergraduate level. AIM: This study aimed to explore the clinical teaching and learning within a preceptorship model in an acute care hospital in Ireland and identify when best practice, based on current theoretical professional and educational principles occurred...
January 17, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28123481/effect-of-telmisartan-and-enalapril-on-ventricular-remodeling-and-kidney-prognosis-of-patients-with-coronary-artery-disease-complicated-with-diabetic-nephropathy
#15
Yuyan Hou, Fucheng Zhang, Zhiqiang Liu, Shuhong Su, Xiao Wu, Zhifang Wang
The aim of the present study was to compare the value of telmisartan and enalapril on ventricular remodeling and kidney prognosis of patients with coronary artery disease complicated with diabetic nephropathy, and provide discussion on clinical reasonably chosen medicine. A total of 60 cases of coronary artery disease complicated with diabetic nephropathy were randomly divided for telmisartan (80 mg/day) treatment (n=32), enalapril (10 mg/day) treatment (n=28), while the rest of the therapy was kept the same...
January 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28115999/clinical-reasoning-defining-it-teaching-it-assessing-it-studying-it
#16
EDITORIAL
Larry D Gruppen
No abstract text is available yet for this article.
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28104901/reliability-of-a-clinical-reasoning-viva-assessment-in-an-australian-pre-professional-osteopathy-program-based-on-generalizability-theory
#17
Brett Vaughan, Paul Orrock, Sandra Grace
Clinical reasoning is situation-dependent and case-specific therefore assessment across different patient presentations is warranted. The present study aims to know if reliability of multi-station case-based viva assessment of clinical reasoning in an Australian pre-registration osteopathy program based on generalizability theory. Students (year 4 and 5) and examiners were recruited from the osteopathy program at Southern Cross University, Lismore, Australia. The study took place on a single day in the student teaching clinic...
January 20, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28094591/algo-used-by-homecare-nonoccupational-therapists-selecting-bathing-assistive-technology-enhancing-standardization-by-exploring-clinical-reasoning
#18
Mélanie Ruest, Annick Bourget, Nathalie Delli-Colli, Manon Guay
Algo is a clinical decision algorithm developed to support nonoccupational therapists in establishing assistive technology recommendations to enable physically disabled adults to perform their hygiene at home. This study aimed to explore the in-depth clinical reasoning of nonoccupational therapists using Algo to pinpoint the items leading to disagreements regarding recommendations. A multiple-case study was conducted with eight nonoccupational therapists trained to use Algo and filmed while using it with six standardized clients...
January 17, 2017: Occupational Therapy in Health Care
https://www.readbyqxmd.com/read/28093518/clinical-reasoning-sudden-onset-pulsatile-headache-in-a-previously-healthy-young-man
#19
Chuan Qin, Chu Pan, Dai-Shi Tian
No abstract text is available yet for this article.
January 17, 2017: Neurology
https://www.readbyqxmd.com/read/28090099/first-year-pharmacy-students-views-on-their-chosen-professional-career
#20
Lezley-Anne Hanna, Fergal Askin, Maurice Hall
Objective. To investigate what factors influenced students to study pharmacy and determine in which sector they hoped to gain employment, both in the short and longer term. Methods. First-year pharmacy students (n=124) were invited to complete a paper-based, self-administered questionnaire consisting of 4 sections. Descriptive statistics and nonparametric tests were conducted. Results. One hundred (96.8% response rate) students completed the questionnaire (22.5% male; 77.5% female). Key influential factors for choosing pharmacy included: enjoyment of science at school, a desire to improve people's health and wellbeing, and to work in health care...
November 25, 2016: American Journal of Pharmaceutical Education
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