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https://www.readbyqxmd.com/read/28736733/a-model-for-mhealth-skills-training-for-clinicians-meeting-the-future-now
#1
Donna J Slovensky, Donna M Malvey, Alexis R Neigel
We describe the current state of mHealth skills acquisition, education, and training available to clinical professionals in educational programs. We discuss how telemedicine experienced exponential growth due in large part to the ubiquity of the mobile phone. An outcome of this unprecedented growth has been the emergence of the need for technology skills training programs for clinicians that address extant curricula gaps. We propose a model to guide the development of future training programs that incorporate effective training strategies across five domains: (I) digital communication skills; (II) technology literacy and usage skills; (III) deploying telehealth products and services; (VI) regulatory and compliance issues; and (V) telehealth business case...
2017: MHealth
https://www.readbyqxmd.com/read/28734557/-conversational-advice-a-mixed-methods-analysis-of-medical-residents-experiences-co-managing-primary-care-patients-with-behavioral-health-providers
#2
Patrick Hemming, R B Levine, Joseph J Gallo
OBJECTIVE: When integrated behavioral health clinicians (IBHCs) and residents co-manage patients, residents may learn new approaches. We aimed to understand the effect of co-management on residents' behavioral health (BH) management learning. METHODS: Residents completed a web-based survey enquiring: whether co-management included a shared visit and/or face-to-face meeting with an IBHC, whether residents received feedback from the IBHC, and what they learned. Qualitative responses were coded thematically using a constant comparative method...
July 14, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28716769/web-based-therapist-training-in-interpersonal-psychotherapy-for-depression-pilot-study
#3
Kenneth A Kobak, Joshua D Lipsitz, John C Markowitz, Kathryn L Bleiberg
BACKGROUND: Training mental health professionals to deliver evidence-based therapy (EBT) is now required by most academic accreditation bodies, and evaluating the effectiveness of such training is imperative. However, shortages of time, money, and trained EBT clinician teachers make these challenges daunting. New technologies may help. The authors have developed the first empirically evaluated comprehensive Internet therapist training program for interpersonal psychotherapy (IPT). OBJECTIVE: The aim of this study was to examine whether (1) the training protocol would increase clinicians' knowledge of IPT concepts and skills and (2) clinicians would deem the training feasible as measured by satisfaction and utility ratings...
July 17, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28714835/interventions-to-support-and-develop-clinician-researcher-leadership-in-one-health-district
#4
Margaret Fry, Anthony Dombkins
Purpose Clinical leadership, researcher capacity and a culture of clinical inquiry are needed in the clinical workforce. The purpose of this paper is to report on a program which was used to develop and support clinicians to explore practice, implement innovation, translate evidence and build researcher capacity. Design/methodology/approach This pragmatic paper presents a case study of a nursing and midwifery clinician-researcher development program. The multi-site, multi-modal program focused on education, mentoring and support, communication networks, and clinician-university partnerships strategies to build workforce capacity and leadership...
July 10, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28709380/the-clinical-quality-fellowship-program-developing-clinical-quality-leadership-in-the-greater-new-york-region
#5
Rohit Bhalla, Hillary S Jalon, Lorraine Ryan
The Institute of Medicine has noted that a key factor underlying patient safety problems in the United States is a paucity of quality and safety training programs for clinicians. The Greater New York Hospital Association and United Hospital Fund created the Clinical Quality Fellowship Program (CQFP) to develop quality improvement leaders in the New York region. The goals of this article are to describe the CQFP's structure and curriculum, program participants' perceived value, improvement projects, and career paths...
July 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28708354/-training-in-communication-medicine-and-its-discontents
#6
Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. In this first article, we discuss the increasing unease we experience with regard to the way clinical communication is trained on the postgraduate level and we make specific suggestions of how to rethink the so-called communication skills training...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28688787/retrospective-analysis-of-predictors-of-proficient-power-mobility-in-young-children-with-severe-motor-impairments
#7
Shelley R H Mockler, Irene R McEwen, Maria A Jones
OBJECTIVE: The primary objective was to determine if (a) child characteristics, (b) maternal education, (c) intervention parameters, (d) type of wheelchair control mechanism, or a combination of these variables, were associated with proficient power mobility skills in children with severe motor impairments aged 14 to 30 months. The secondary purpose was to determine if performance on the Wheelchair Skills Checklist (WSC) was associated with performance on the Powered Mobility Program (PMP)...
July 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28687056/the-efficacy-of-treadmill-training-on-balance-dysfunction-in-individuals-with-chronic-stroke-a-systematic-review
#8
Zachary Tally, Laura Boetefuer, Courtney Kauk, Gabriela Perez, Lorraine Schrand, Jeffrey Hoder
BACKGROUND: Physical activity and exercise interventions are useful in facilitating the functional recovery of those with chronic stroke and, routinely, are gait-specific. While treadmill training has proven useful in gait performance recovery post-stroke, its efficacy on balance dysfunction has not been  systematically reviewed. OBJECTIVES: The purpose of this systematic review was to determine the effect of treadmill training (TT) interventions on balance dysfunction in individuals with chronic stroke...
July 7, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28683806/evaluating-the-effect-of-the-helping-mothers-survive-bleeding-after-birth-hms-bab-training-in-tanzania-and-uganda-study-protocol-for-a-randomised-controlled-trial
#9
Claudia Hanson, Andrea B Pembe, Fadhlun Alwy, Susan Atuhairwe, Sebalda Leshabari, Jessica Morris, Frank Kaharuza, Gaetano Marrone
BACKGROUND: Postpartum haemorrhage complicates approximately 10% of all deliveries and contributes to at least a quarter of all maternal deaths worldwide. The competency-based Helping Mothers Survive Bleeding after Birth (HMS BAB) training was developed to support evidence-based management of postpartum haemorrhage. This one-day training includes low-cost MamaNatalie® birthing simulators and addresses both prevention and first-line treatment of haemorrhage. While evidence is accumulating that the training improves health provider's knowledge, skills and confidence, evidence is missing as to whether this translates into improved practices and reduced maternal morbidity and mortality...
July 6, 2017: Trials
https://www.readbyqxmd.com/read/28670215/using-scenario-based-training-to-promote-information-literacy-among-on-call-consultant-pediatricians
#10
Jonas Pettersson, Emil Bjorkander, Sirpa Bark, Daniel Holmgren, Per Wekell
BACKGROUND: Traditionally, teaching hospital staff to search for medical information relies heavily on educator-defined search methods. In contrast, the authors describe our experiences using real-time scenarios to teach on-call consultant pediatricians information literacy skills as part of a two-year continuing professional development program. CASE PRESENTATION: Two information-searching workshops were held at Sahlgrenska University Hospital in Gothenburg, Sweden...
July 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28651461/-actor-as-a-simulated-patient-in-medical-education-at-the-university-of-p%C3%A3-cs
#11
Ágnes Koppán, Katalin Eklicsné Lepenye, Renáta Halász, Judit Sebők, Eszter Szemán, Zsuzsanna Németh, Szilárd Rendeki
INTRODUCTION: Medical training in the 21st century faces simulation-based education as one of the challenges that efficiently contributes to clinical skills development while moderating the burden on the clinicians and patients alike. AIM: The University of Pécs, Medical School has launched a simulation program in the MediSkillsLab based on history taking with actors to improve patient interviewing communication skills. METHOD: This new program was inspired by experiences gathered in previous medical language teaching and integrates the method of the "Standardized Patient Program"...
July 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28642213/development-of-a-web-based-intervention-for-addressing-distress-in-caregivers-of-patients-receiving-stem-cell-transplants-formative-evaluation-with-stakeholder-interviews-and-focus-groups
#12
Nicole Amoyal Pensak, Tanisha Joshi, Teresa Simoneau, Kristin Kilbourn, Alaina Carr, Jean Kutner, Mark L Laudenslager
BACKGROUND: Caregivers of cancer patients experience significant burden and distress including depression and anxiety. We previously demonstrated the efficacy of an eight session, in-person, one-on-one stress management intervention to reduce distress in caregivers of patients receiving allogeneic hematopoietic stem cell transplants (allo-HSCT). OBJECTIVE: The objective of this study was to adapt and enhance the in-person caregiver stress management intervention to a mobilized website (eg, tablet, smartphone, or computer-based) for self-delivery in order to enhance dissemination to caregiver populations most in need...
June 22, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28619410/an-international-collaboration-for-the-training-of-medical-chief-residents-in-rwanda
#13
Tim Walker, Vincent Dusabejambo, Janet J Ho, Claudine Karigire, Bradley Richards, Andre N Sofair
BACKGROUND: The year-long position of chief medical resident is a time-honored tradition in the United States that serves to provide the trainee with an opportunity to gain further skills as a clinician, leader, teacher, liaison, and administrator. However, in most training programs in the developing world, this role does not exist. OBJECTIVES: We sought to develop a collaborative program to train the first medical chief residents for the University of Rwanda and to assess the impact of the new chief residency on residency training, using questionnaires and qualitative interviews with Rwandan faculty, chief residents, and residents...
March 2017: Annals of Global Health
https://www.readbyqxmd.com/read/28612657/improving-care-for-advanced-copd-through-practice-change-experiences-of-participation-in-a-canadian-spread-collaborative
#14
Jennifer Y Verma, Claudia Amar, Shannon Sibbald, Graeme M Rocker
Chronic obstructive pulmonary disease (COPD) is a leading cause of death, morbidity, and health-care spending. The Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ has proved highly beneficial for patients and the health-care system. With direct investment of <$1-million CAD, a pan-Canadian quality improvement collaborative (QIC) supported the spread of INSPIRED to 19 teams in the 10 Canadian provinces contingent upon participation in evaluation. The collaborative evaluation followed a mixed-methods summative approach relying on collated quantitative data, team documents, and surveys sent to core members of the 19 teams...
January 1, 2017: Chronic Respiratory Disease
https://www.readbyqxmd.com/read/28611894/academic-primer-series-key-papers-about-peer-review
#15
Lalena M Yarris, Michael Gottlieb, Kevin Scott, Christopher Sampson, Emily Rose, Teresa M Chan, Jonathan Ilgen
INTRODUCTION: Peer review, a cornerstone of academia, promotes rigor and relevance in scientific publishing. As educators are encouraged to adopt a more scholarly approach to medical education, peer review is becoming increasingly important. Junior educators both receive the reviews of their peers, and are also asked to participate as reviewers themselves. As such, it is imperative for junior clinician educators to be well-versed in the art of peer reviewing their colleagues' work. In this article, our goal was to identify and summarize key papers that may be helpful for faculty members interested in learning more about the peer-review process and how to improve their reviewing skills...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28596909/developing-a-scalable-training-model-in-global-mental-health-pilot-study-of-a-video-assisted-training-program-for-generalist-clinicians-in-rural-nepal
#16
B Acharya, J Tenpa, M Basnet, S Hirachan, P Rimal, N Choudhury, P Thapa, D Citrin, S Halliday, S B Swar, C van Dyke, B Gauchan, B Sharma, E Hung, M Ekstrand
BACKGROUND: In low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists. METHODS: We implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital...
2017: Global Mental Health
https://www.readbyqxmd.com/read/28588534/cognitive-effects-of-thinkrx-cognitive-rehabilitation-training-for-eleven-soldiers-with-brain-injury-a-retrospective-chart-review
#17
Christina Ledbetter, Amy Lawson Moore, Tanya Mitchell
Cognitive rehabilitation training is a promising technique for remediating the cognitive deficits associated with brain injury. Extant research is dominated by computer-based interventions with varied results. Results from clinician-delivered cognitive rehabilitation are notably lacking in the literature. The current study examined the cognitive outcomes following ThinkRx, a clinician-delivered cognitive rehabilitation training program for soldiers recovering from traumatic brain injury and acquired brain injury...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28584734/teens-engaged-in-collaborative-health-the-feasibility-and-acceptability-of-an-online-skill-building-intervention-for-adolescents-at-risk-for-depression
#18
Emily G Lattie, Joyce Ho, Elizabeth Sargent, Kathryn N Tomasino, J D Smith, C Hendricks Brown, David C Mohr
BACKGROUND: There is an ongoing need for effective and accessible preventive interventions for adolescent depression and substance abuse. This paper reports on a field trial of an online indicated preventive intervention, ProjectTECH, which is based on cognitive-behavioral therapy (CBT) techniques. The study aims to gather information about the feasibility and acceptability of this program. Secondary aims of this study were to examine the impact of the program on depression symptoms, perceived stress, positive affect, and substance use and to compare differences between groups that were led by a peer versus those that were led by a licensed clinician...
June 2017: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
https://www.readbyqxmd.com/read/28561649/mastering-resilience-in-oncology-learn-to-thrive-in-the-face-of-burnout
#19
Fay J Hlubocky, Miko Rose, Ronald M Epstein
Oncology clinician burnout has become a noteworthy issue in medical oncology directly affecting the quality of patient care, patient satisfaction, and overall organizational success. Due to the increasing demands on clinical time, productivity, and the evolving medical landscape, the oncology clinician is at significant risk for burnout. Long hours in direct care with seriously ill patients/families, limited control over daily responsibilities, and endless electronic documentation, place considerable professional and personal demands on the oncologist...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28551043/improving-transitions-to-post-acute-care-for-elderly-patients-using-a-novel-video-conferencing-program-echo-care-transitions
#20
Amber B Moore, J Elyse Krupp, Alyssa B Dufour, Mousumi Sircar, Thomas G Travison, Alan Abrams, Grace Farris, Melissa L P Mattison, Lewis A Lipsitz
PURPOSE: Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization and high-cost healthcare. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities, reduces patient mortality, hospital readmission, skilled nursing facility length of stay and 30-day health care costs...
May 24, 2017: American Journal of Medicine
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