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https://www.readbyqxmd.com/read/29770102/rolling-out-hiv-antiretroviral-therapy-in-sub-saharan-africa-2003-2017
#1
G Taylor
Multiple issues need to be addressed in order to control the HIV pandemic in sub-Saharan Africa. Combination antiretroviral therapy (cART) is key to reducing morbidity and mortality among people living with HIV and has a role in preventing HIV transmission. However, access to cART is very unevenly distributed globally, especially in sub-Saharan Africa. Although cost of cART is no longer a major barrier as effective treatment can be had for under US$100 per year, HIV management is compromised by the inadequate number of trained clinicians, the lack of clinical and laboratory infrastructure and the increased prevalence of co-morbidities (e...
February 1, 2018: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29767213/teaching-medical-educators-how-to-teach-communication-skills-more-than-a-decade-of-experience
#2
Carla L Spagnoletti, Sarah Merriam, Laurel Milberg, William I Cohen, Robert M Arnold
OBJECTIVES: Although opportunities exist for medical educators to gain additional training in teaching, literature that describes how to teach educators to teach communication skills to trainees is limited. The authors developed and evaluated a faculty development course that uses didactics, demonstration, drills, and role-play in a small-group format. METHODS: The course has been offered through the Institute for Clinical Research Education at the University of Pittsburgh for almost 15 years...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29751858/precision-radiology-residency-training-special-distinction-tracks-for-noninterpretative-professional-development
#3
Elizabeth Snyder, Lilja Solnes, Karen M Horton, Pamela T Johnson
RATIONALE AND OBJECTIVES: The role of a radiologist has expanded beyond the tripartite mission of patient care, education, and research to include cross-specialty consultation for patient management, innovative solutions to improve health-care quality and safety, device design, and policy advocacy. As such, radiology residency programs should incorporate formalized training to prepare residents for these various professional roles. MATERIALS AND METHODS: Since the 2015-2016 academic year, five training tracks focused on noninterpretative skills have been integrated into our residency training program: Clinician Educator, Quality Improvement, Entrepreneurship/Innovation, Health Policy Advocacy, and High-Value Care...
June 2018: Academic Radiology
https://www.readbyqxmd.com/read/29746185/an-argument-for-competency-based-training-in-pelvic-floor-physiotherapy-practice
#4
Helena C Frawley, Patricia Neumann, Clare Delany
Pelvic floor dysfunction has been described as "a silent epidemic," affecting many people in the community yet under-recognized and insufficiently managed. There is evidence that pelvic floor physiotherapy can manage many of these disorders, however a competency framework to guide and inform pelvic floor physiotherapy training and practice is lacking. The assessment and management of the pelvic floor complex is not addressed as a core component of most entry-to-practice physiotherapy programs despite being within the scope of physiotherapy practice which is in contrast with the knowledge and skills that physiotherapists graduate with in core areas of clinical practice...
May 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29741968/pedestrian-navigation-and-public-transit-training-interventions-for-youth-with-disabilities-a-systematic-review
#5
Sally Lindsay, De-Lawrence Lamptey
PURPOSE: Being able to travel independently, whether as a pedestrian or by taking public transportation, is a critical element to maintaining quality of life and participation in the community. The objective of this systematic review is to understand the best practices and effective components of pedestrian and public transit training interventions for youth with disabilities. METHOD: Systematic searches of seven international databases identified 29 studies meeting our inclusion criteria...
May 9, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29740967/role-of-the-ultrasonographic-whirlpool-sign-in-intestinal-volvulus-a-systematic-review-and-meta-analysis
#6
REVIEW
Callistus O A Enyuma, Ahmed Adam, Sunday J Aigbodion, Jared McDowall, Louis Gerber, Sean Buchanan, Abdullah E Laher
BACKGROUND: Intestinal volvulus is a potentially life-threatening condition that occurs when loops of bowel twist around its supporting mesentery and associated vasculature. Clinicians often rely on various radiological investigations for prompt diagnosis to avoid complications such as bowel infarction. This review assesses the clinical reliability of the ultrasonographic whirlpool sign (WS) in the diagnosis of intestinal volvulus. METHODS: In adherence with the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-analyses) statement, a systematic search of BMJ Best Practice, Cochrane Database of Systematic Reviews, EMBASE, Google Scholar, PubMed, Scopus and Web of Science databases was performed (August 2017), using relevant search terms...
May 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29726294/a-systematic-review-of-post-secondary-transition-interventions-for-youth-with-disabilities
#7
Sally Lindsay, De-Lawrence Lamptey, Elaine Cagliostro, Dilakshan Srikanthan, Neda Mortaji, Leora Karon
PURPOSE: Youth with disabilities have lower rates of enrollment and completion of post-secondary education compared with youth without disabilities. The objective of this systematic review is to understand the best practices and components of post-secondary transition programs for youth with disabilities. METHOD: Systematic searches of six international databases identified 18 studies meeting our inclusion criteria (youth with a disability, aged 15-30; focusing on post-secondary education program or intervention, published from 1997 to 2017)...
May 4, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29691756/prospective-evaluation-of-cardiac-ultrasound-performance-by-general-internal-medicine-physicians-during-a-6-month-faculty-development-curriculum
#8
Christopher J Smith, Abdulrahman Morad, Christopher Balwanz, Elizabeth Lyden, Tabatha Matthias
BACKGROUND: Point-of-care (POCUS) education is rapidly expanding within medical schools and internal medicine residency programs, but lack of trained faculty is a major barrier. While POCUS training can improve short-term outcomes, knowledge and skills rapidly decay without deliberate practice and feedback. The purpose of this study was to evaluate the performance of focused cardiac ultrasound (FCU) by volunteer general internal medicine (GIM) faculty participating in a longitudinal POCUS curriculum...
April 24, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29682694/the-american-society-of-hematology-ash-medical-educators-institute-a-pilot-faculty-development-project-for-hematology-educators
#9
Jennifer C Kesselheim, Charles P Clayton, Josel Fritz, Roy E Smith, Scott D Gitlin, Erin Reid, Kenneth S Zuckerman, Marc J Kahn
Clinician educators at academic medical centers often lack the community, mentorship, and faculty development to support their missions around education scholarship and teaching. Inadequate support for clinician educators can lead to professional dissatisfaction and slowed academic advancement. In 2014, ASH conducted a needs assessment of medical school hematology course directors, hematology-oncology fellowship program directors, and other ASH members identified as educators to determine this community's desire for faculty development in medical education...
April 22, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29669311/a-new-clinical-model-for-facilitating-the-development-of-pattern-recognition-skills-in-clinical-pain-assessment
#10
David M Walton, James M Elliott
Common, enigmatic musculoskeletal conditions such as whiplash-associated disorder, myofascial pain syndrome, low back pain, headache, fibromyalgia, osteoarthritis, and rotator cuff pathology, account for significant social, economic, and personal burdens on a global scale. Despite their primacy (and shared sequelae) there remains a paucity of available and effective management options for patients with both acute and chronic conditions. Establishing an accurate prognostic or diagnostic profile on a patient-by-patient basis can challenge the insight of both novice and expert clinicians...
April 9, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29669143/development-and-validation-of-the-foundational-healthcare-leadership-self-assessment
#11
Sonja Van Hala, Susan Cochella, Rachel Jaggi, Caren J Frost, Bernadette Kiraly, Susan Pohl, Lisa Gren
BACKGROUND AND OBJECTIVES: We sought to develop and validate a self-assessment of foundational leadership skills for early-career physicians. METHODS: We developed a leadership self-assessment from a compilation of materials on health care leadership skills. A sequential exploratory study was conducted using qualitative and quantitative analysis for face, content, and construct validity of the self-assessment. First, two focus groups were conducted with leaders in medicine and family medicine residents, to refine the pilot self-assessment...
April 2018: Family Medicine
https://www.readbyqxmd.com/read/29624132/collaboration-in-a-competitive-healthcare-system-negotiation-101-for-clinicians
#12
Robyn Clay-Williams, Andrew Johnson, Paul Lane, Zhicheng Li, Lauren Camilleri, Teresa Winata, Michael Klug
Purpose The purpose of this paper is to evaluate the effectiveness of negotiation training delivered to senior clinicians, managers and executives, by exploring whether staff members implemented negotiation skills in their workplace following the training, and if so, how and when. Design/methodology/approach This is a qualitative study involving face-to-face interviews with 18 senior clinicians, managers and executives who completed a two-day intensive negotiation skills training course. Interviews were transcribed verbatim, and inductive interpretive analysis techniques were used to identify common themes...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29603690/the-2nd-annual-clinical-scientist-trainee-symposium-august-22-2017-london-canada
#13
Charles Yin, Jessica N Blom, James F Lewis
Clinician scientists play a critical role in bridging research and clinical practice. Unfortunately, the neglect of research training in medical schools has created clinicians who are unable to translate evidence from literature to practice. Furthermore, the erosion of research training in medical education has resulted in clinicians who lack the skills required for successful scientific investigation. To counteract this, the Schulich School of Medicine & Dentistry has made an effort to engage trainees, at all levels, in the research process...
March 27, 2018: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/29602433/improving-resident-s-skills-in-the-management-of-circulatory-shock-with-a-knowledge-based-e-learning-tool
#14
David Riaño, Francis Real, Jose Ramon Alonso
BACKGROUND: Correct clinical management of circulatory shock in emergency departments (ER) and intensive care units (ICU) is critical. In this context, the transmission of professional skills by means of the practical supervision of real cases at the point of care entails important issues that can be widely overcome with the use of computer knowledge-based e-learning tools. OBJECTIVE: Shock-Instructor is a web-based e-learning tool implementing the already tested training program model (TPM) that uses a knowledge base about the evidence found in the clinical practice guidelines about seven types of shock...
May 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29596268/characteristics-of-volunteer-coaches-in-a-clinical-process-improvement-program
#15
Katharine E Morley, Constance M Barysauskas, Victoria Carballo, Orinta Kalibatas, Sandhya K Rao, Joseph O Jacobson, Brian M Cummings
INTRODUCTION: The Partners Clinical Process Improvement Leadership Program provides quality improvement training for clinicians and administrators, utilizing graduates as volunteer peer coaches for mentorship. We sought to understand the factors associated with volunteer coach participation and gain insight into how to improve and sustain this program. METHODS: Review of coach characteristics from course database and survey of frequent coaches. RESULTS: Out of 516 Partners Clinical Process Improvement Leadership Program graduates from March 2010 to June 2015, 117 (23%) individuals volunteered as coaches...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29594368/efficacy-of-individualized-social-competence-training-for-children-with-oppositional-defiant-disorders-conduct-disorders-a-randomized-controlled-trial-with-an-active-control-group
#16
Anja Goertz-Dorten, Christina Benesch, Emel Berk-Pawlitzek, Martin Faber, Christopher Hautmann, Martin Hellmich, Timo Lindenschmidt, Lioba Schuh, Rahel Stadermann, Manfred Doepfner
Patient-focused cognitive-behavioral therapy in children with aggressive behavior, which uses group-based social skills training, has resulted in significant reductions in behavioral problems, with effect sizes in the small-to-medium range. However, effects of individually delivered treatments and effects on aggressive behavior and comorbid conditions rated from different perspectives, child functional impairment, child quality of life, parent-child relationship, and parental psychopathology have rarely been assessed...
March 28, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29584523/brain-behavior-mechanisms-for-the-transfer-of-neuromuscular-training-adaptions-to-simulated-sport-initial-findings-from-the-train-the-brain-project
#17
Dustin R Grooms, Adam W Kiefer, Michael A Riley, Jonathan D Ellis, Staci Thomas, Katie Kitchen, Christopher DiCesare, Scott Bonnette, Brooke Gadd, Kim D Barber Foss, Weihong Yuan, Paula Silva, Ryan Galloway, Jed Diekfuss, James Leach, Kate Berz, Gregory D Myer
CONTEXT: A limiting factor for reducing anterior cruciate ligament (ACL) injury risk is ensuring that the movement adaptions made during the prevention program transfer to sport-specific activity. Virtual reality provides a mechanism to assess transferability and neuroimaging provides a means to assay the neural processes allowing for such skill transfer. OBJECTIVE: To determine the neural mechanisms for injury risk reducing biomechanics transfer to sport after ACL injury prevention training...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29583103/the-rural-interdisciplinary-team-training-program-a-workforce-development-workshop-to-increase-geriatrics-knowledge-and-skills-for-rural-providers
#18
Judith L Howe, Joan D Penrod, Eve Gottesman, Andrew Bean, B Josea Kramer
The Rural Interdisciplinary Team Training Program (RITT) is a team-based educational component of the Veterans Health Administration (VHA) Office of Rural Health Geriatric Scholars Program. It is a workforce development program to enhance the geriatrics knowledge and skills of VA primary care clinicians and staff caring for older veterans in rural communities. The RITT workshop, accredited for 6.5 hours, is interactive and multi-modal with didactic mini-lectures, interactive case discussions and role play demonstrations of assessments...
March 27, 2018: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29558221/disability-disclosure-and-workplace-accommodations-among-youth-with-disabilities
#19
Sally Lindsay, Elaine Cagliostro, Joanne Leck, Winny Shen, Jennifer Stinson
PURPOSE: Many youths with disabilities find it challenging to disclose their medical condition and request workplace accommodations. Our objective was to explore when and how young people with disabilities disclose their condition and request workplace accommodations. METHODS: We conducted 17 in-depth interviews (11 females, six males) with youth with disabilities aged 15-34 (mean age 26). We analyzed our data using an interpretive, qualitative, and thematic approach...
March 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29533271/contextual-factors-that-influence-quality-improvement-implementation-in-primary-care-the-role-of-organizations-teams-and-individuals
#20
Christopher M Shea, Kea Turner, Jordan Albritton, Kristin L Reiter
BACKGROUND: Recent emphasis on value-based health care has highlighted the importance of quality improvement (QI) in primary care settings. QI efforts, which require providers and staff to work in cross-functional teams, may be implemented with varying levels of success, with implementation being affected by factors at the organizational, teamwork, and individual levels. PURPOSE: The purpose of our study was to (a) identify contextual factors (organizational, teamwork, and individual) that affect implementation effectiveness of QI interventions in primary care settings and (b) compare perspectives about these factors across roles (health care administrators, physician and nonphysician clinicians, and administrative staff)...
March 12, 2018: Health Care Management Review
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