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https://www.readbyqxmd.com/read/27906041/implementation-of-the-better-2-program-a-qualitative-study-exploring-barriers-and-facilitators-of-a-novel-way-to-improve-chronic-disease-prevention-and-screening-in-primary-care
#1
Nicolette Sopcak, Carolina Aguilar, Mary Ann O'Brien, Candace Nykiforuk, Kris Aubrey-Bassler, Richard Cullen, Eva Grunfeld, Donna Patricia Manca
BACKGROUND: BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) is a patient-based intervention to improve chronic disease prevention and screening (CDPS) for cardiovascular disease, diabetes, cancer, and associated lifestyle factors in patients aged 40 to 65. The key component of BETTER is a prevention practitioner (PP), a health care professional with specialized skills in CDPS who meets with patients to develop a personalized prevention prescription, using the BETTER toolkit and Brief Action Planning...
December 1, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27885711/the-importance-of-research-and-scholarly-activity-in-pharmacy-training
#2
Eli N Deal, Paul M Stranges, Whitney D Maxwell, Jennifer Bacci, Emily J Ashjian, David L DeRemer, Sandra L Kane-Gill, Nicholas B Norgard, Lauren Dombrowski, Robert B Parker
Regardless of practice setting, it is imperative that pharmacists be able to either participate in generating new knowledge or use the ever-expanding body of literature to guide patient care. However, competing priorities in Pharm.D. curricula and residency training programs have resulted in limited emphasis on acquiring research and scholarly skills. Factors likely contributing to this reduced focus include the lack of curricular and postgraduate training standards emphasizing the development of research skills, time to commit to scholarly activity, and accessibility to experienced mentors...
November 25, 2016: Pharmacotherapy
https://www.readbyqxmd.com/read/27842918/qualitative-assessment-of-simulation-based-training-for-pediatric-trauma-resuscitation
#3
Rita V Burke, Natalie E Demeter, Catherine J Goodhue, Heather Roesly, Alyssa Rake, L Caulette Young, Todd P Chang, Elizabeth Cleek, Inge Morton, Jeffrey S Upperman, Aaron R Jensen
BACKGROUND: Effective teamwork is critical in the trauma bay, although there is a lack of consensus related to optimal training for these skills. We implemented in situ trauma simulations with debriefing as a possible training methodology to improve team-oriented skills. METHODS: Focus groups were conducted with multidisciplinary clinicians who respond to trauma activations. The focus group questions were intended to elicit discussion on the clinicians' experiences during trauma activations and simulations with an emphasis on confidence, leadership, cooperation, communication, and opportunities for improvement...
November 11, 2016: Surgery
https://www.readbyqxmd.com/read/27824638/autism-spectrum-disorder-and-avoidant-restrictive-food-intake-disorder
#4
Jennifer Lucarelli, Demetra Pappas, Leah Welchons, Marilyn Augustyn
Kendra is a 4-year-old girl with autism spectrum disorder (ASD) who presents for follow-up of feeding problems to her pediatric clinician. She is an only child in a family where both parents are scientists. Feeding concerns date to infancy, when she was diagnosed with Gastroesophageal Reflux Disease (GERD) associated with persistent bottle refusal and the acceptance of few pureed foods. At 13 months, milk and peanut allergies were diagnosed. Following a feeding clinic evaluation at 24 months, she was prescribed a soy milk supplement and an H2 blocker...
November 4, 2016: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/27820786/self-directed-learning-in-physician-assistant-education-learning-portfolios-in-physician-assistant-programs
#5
Jeremy H Neal, Laura D M Neal
Self-directed learning (SDL) portfolios are underused in the educational process and should be considered by physician assistant (PA) programs. Clinicians such as PAs are responsible for self-identifying their learning needs, competencies, and ongoing educational requirements. This article introduces an outline for SDL in the PA profession, for direct use by learners and indirect use by educators. Without a plan, many professionals may lack the insight, motivation, and knowledge needed to improve their skill set and establish goals for individual lifelong learning...
December 2016: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/27813688/the-health-professions-education-pathway-preparing-students-residents-and-fellows-to-become-future-educators
#6
H Carrie Chen, Maria A Wamsley, Amin Azzam, Katherine Julian, David M Irby, Patricia S O'Sullivan
PROBLEM: Training the next generation of health professionals requires leaders, innovators, and scholars in education. Although many medical schools and residencies offer education electives or tracks focused on developing teaching skills, these programs often omit educational innovation, scholarship, and leadership and are narrowly targeted to one level of learner. INTERVENTION: The University of California San Francisco created the Health Professions Education Pathway for medical students, residents, and fellows as well as learners from other health professional schools...
November 4, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27808556/parent-adherence-in-two-behavioral-treatment-strategies-for-the-predominantly-inattentive-presentation-of-adhd
#7
Mary Rooney, Stephen Hinshaw, Keith McBurnett, Linda Pfiffner
We examined the effects of parent adherence on child outcomes in two treatment strategies for the Predominantly Inattentive Presentation of attention deficit/hyperactivity disorder (ADHD-I): behavioral parent training adapted for ADHD-I (Parent-Focused Therapy [PFT]) and a multicomponent intervention that combined PFT, a child life skills group, and a classroom intervention (Child Life and Attention Skills Program [CLAS]). In a 2-site randomized controlled trial, 199 children (7-11 years of age) were randomized to PFT (n = 74), CLAS (n = 74), or treatment as usual (n = 51)...
November 3, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27771761/being-prepared-to-work-in-gynecology-medicine-evaluation-of-an-intervention-to-promote-junior-gynecologists-professionalism-mental-health-and-job-satisfaction
#8
Stefanie Mache, Lisa Baresi, Monika Bernburg, Karin Vitzthum, David Groneberg
BACKGROUND: Dealing with work-related stress is highly prevalent for employees in Gynecology Medicine. Junior physicians, in particular, have to face high working demands and challenges while starting their medical career after graduation. Job resources (i.e., social support) and personal resources (coping skills) might reduce job strain. The evidence for supportive and effective mental health interventions for clinicians is limited. Offering psychosocial skill training for entrants in Gynecology Medicine is expected to be highly beneficial...
October 22, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27735973/skills-versus-pills-psychosocial-treatments-for-adhd-in-childhood-and-adolescence
#9
Erin N Schoenfelder, Tyler Sasser
Although side effects and family concerns are common and long-term medication adherence is low, stimulant medications are a front-line treatment for attention-deficit/hyperactivity disorder (ADHD). Psychosocial treatments include classroom, family, and child-focused interventions that teach caregivers and teachers how to implement contingencies to shape behavior and provide children with skills to compensate for ADHD deficits. Such programs have a growing evidence-base and can be implemented alone or in conjunction with pharmacological treatments...
October 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27696341/veterans-affairs-geriatric-scholars-program-enhancing-existing-primary-care-clinician-skills-in-caring-for-older-veterans
#10
B Josea Kramer, Beth Creekmur, Judith L Howe, Scott Trudeau, Joseph R Douglas, Kimberly Garner, Connie Bales, Carol Callaway-Lane, Steven Barczi
The Veterans Affairs Geriatric Scholars Program (GSP) is a continuing professional development program to integrate geriatrics into the clinical practices of primary care providers and select associated health professions that support primary care teams. GSP uses a blended program educational format, and the minimal requirements are to attend an intensive course in geriatrics, participate in an interactive workshop on quality improvement (QI), and initiate a local QI project to demonstrate application of new knowledge to benefit older veterans...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27689608/enhanced-medical-rehabilitation-effectiveness-of-a-clinical-training-model
#11
Marghuretta D Bland, Rebecca L Birkenmeier, Peggy Barco, Emily Lenard, Catherine E Lang, Eric J Lenze
BACKGROUND: Patient engagement in medical rehabilitation can be greatly influenced by their provider during therapy sessions. We developed Enhanced Medical Rehabilitation (EMR), a set of provider skills grounded in theories of behavior change. EMR utilizes 18 motivational techniques focused on providing frequent feedback to patients on their effort and progress and linking these to patient goals. OBJECTIVE: To examine the effectiveness of a clinical training protocol for clinicians to do EMR, as measured by clinician adherence...
September 27, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27688249/implementation-evaluation-of-the-telephone-lifestyle-coaching-tlc-program-organizational-factors-associated-with-successful-implementation
#12
Laura J Damschroder, Caitlin M Reardon, Nina Sperber, Claire H Robinson, Jacqueline J Fickel, Eugene Z Oddone
The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation...
September 29, 2016: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/27687285/interpreter-training-for-medical-students-pilot-implementation-and-assessment-in-a-student-run-clinic
#13
Jennifer E L Diaz, Nydia Ekasumara, Nikhil R Menon, Edwin Homan, Prashanth Rajarajan, Andrés Ramírez Zamudio, Annie J Kim, Jason Gruener, Edward Poliandro, David C Thomas, Yasmin S Meah, Rainier P Soriano
BACKGROUND: Trained medical interpreters are instrumental to patient satisfaction and quality of care. They are especially important in student-run clinics, where many patients have limited English proficiency. Because student-run clinics have ties to their medical schools, they have access to bilingual students who may volunteer to interpret, but are not necessarily formally trained. METHODS: To study the feasibility and efficacy of leveraging medical student volunteers to improve interpretation services, we performed a pilot study at the student-run clinic at the Icahn School of Medicine at Mount Sinai...
September 29, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27676909/effectiveness-of-power-wheelchair-simulator-training-delivered-at-home-on-wheelchair-driving-skills
#14
Philippe Archambault, Dany Gagnon, François Routhier, William Miller
OBJECTIVE: Use of a power wheelchair (PW) can improve quality of life and participation in individuals with mobility impairments. PW skills training is generally seen as insufficient by both clinicians and PW users. A virtual reality (VR) simulator may be helpful in improving PW driving skills, when used in addition to regular training. In previous work, challenging PW driving activities have been identified through interviews with expert clinicians and PW users and were then integrated in the McGill immersive wheelchair simulator (miWe)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27662046/can-frontline-clinicians-in-public-psychiatry-settings-provide-effective-psychotherapy-for-psychosis
#15
Sally E Riggs, Michael Garrett, Kyle Arnold, Erik Colon, Elise N Feldman, Pongsak Huangthaisong, Beatrice Hyacinthe, Heather-Ayn Indelicato, Eunkyung Lee
This report consists of the personal reflections of seven frontline clinicians who participated in a formal training program for the psychotherapy of psychosis implemented in a large public clinic setting. The training was part of a quality improvement initiative, consisting of 12 hours of didactic presentation followed by 30 hours of weekly peer-group supervision. The clinicians comment on ways of working with patients prior to the training, and how their views and techniques changed as a result of the training...
2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/27645689/effectiveness-of-a-critical-care-ultrasonography-course
#16
Yonatan Y Greenstein, Ross Littauer, Mangala Narasimhan, Paul H Mayo, Seth J Koenig
BACKGROUND: Widespread use of critical care ultrasonography (CCUS) for the management of patients in the intensive care unit requires an effective training program. The effectiveness of national and regional CCUS training courses is not known. This study describes a national level, simulation-based, three day CCUS training program and evaluates its effectiveness. METHODS: Five consecutive CCUS courses, with a total of 363 people, were studied. The three day CCUS training program consisted of didactic lectures, ultrasonography interpretation sessions, and hands-on modules with live models...
September 16, 2016: Chest
https://www.readbyqxmd.com/read/27643986/old-habits-die-hard-a-case-study-on-how-new-ways-of-teaching-colonoscopy-affect-the-habitus-of-experienced-clinicians
#17
Ole Lund, Berit Andersen, Mette K Christensen
Objectives: The purpose of this study is to explore the habitual constraints and opportunities that affect how experienced clinicians learn new skills and, in particular, how new ways of teaching can influence these. Methods:   We conducted a case study based on a specialized training program for colonoscopy services in Denmark. Data was obtained from a short-term ethnographic fieldwork and in-depth interviews during this program. Participants were 12 experienced colonoscopists and three expert colonoscopy trainers from Denmark and UK...
2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27632211/implementation-of-a-new-model-of-clinical-education-for-regional-occupational-therapy-student-clinical-placements
#18
Linda Furness, Alison C Pighills, Wendy Ducat, Anna Tynan
Expansion of occupational therapy education programs has resulted in increased student numbers and demand on clinicians to host clinical placements while also maintaining the delivery of high-quality, safe clinical services to patients. Much of the research about innovative placement models, including student contributions to service delivery, has been conducted in metropolitan areas. Therefore, there is a need to develop models that are suited to regional settings that face diversity of caseload, more generalised occupational therapy roles and variations in patient flow...
September 16, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27619400/md-phd-training-in-canada-results-from-a-national-trainee-and-program-director-review
#19
Andrea A Jones, Enoch Ng, Marc-Olivier Deguise, Lauren Mak, Ben Ouyang, Milani Sivapragasam, Ian A S MacNairn, Siddharth Narth, Matthew G K Benesch, Laura Forrest, Xin Wang
PURPOSE: There has been limited examination of clinician scientist training in Canada, particularly regarding training integration and funding. This study assessed program structure, funding, tuition and mentorship structures available at Canadian MD/PhD programs. METHODS: Clinician Investigator Trainee Association of Canada administered an anonymous survey to current trainees and program directors that captured program structure, trainee funding, tuition and mentorship opportunities and needs across institutions...
2016: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/27610029/the-development-of-a-critical-care-resident-research-curriculum-a-needs-assessment
#20
Sangeeta Jain, Kusum Menon, Dominique Piquette, Ronald Gottesman, James Hutchison, Elaine Gilfoyle, Canadian Critical Care Trials Group
Background. Conducting research is expected from many clinicians' professional profile, yet many do not have advanced research degrees. Research training during residency is variable amongst institutions and research education needs of trainees are not well understood. Objective. To understand needs of critical care trainees regarding research education. Methods. Canadian critical care trainees, new critical care faculty, program directors, and research coordinators were surveyed regarding research training, research expectations, and support within their programs...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
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