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https://www.readbyqxmd.com/read/28803073/leadership-development-initiative-growing-global-leaders%C3%A2-advancing-palliative-care
#1
Frank D Ferris, Shannon Y Moore, Mary V Callaway, Kathleen M Foley
The International Palliative Care Leadership Development Initiative (LDI) is a model demonstration project that aimed to expand the global network of palliative care leaders in low and moderate-resource countries who are well positioned to apply their new leadership skills. Thirty-nine palliative medicine physicians from 25 countries successfully completed the 2-year curriculum that included three thematic residential courses, mentorship and site visits by senior global palliative care leaders, and personal projects to apply their new leadership skills...
August 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28764720/setting-performance-based-financing-in-the-health-sector-agenda-a-case-study-in-cameroon
#2
Isidore Sieleunou, Anne-Marie Turcotte-Tremblay, Jean-Claude Taptué Fotso, Denise Magne Tamga, Habakkuk Azinyui Yumo, Estelle Kouokam, Valery Ridde
BACKGROUND: More than 30 countries in sub-Saharan Africa have introduced performance-based financing (PBF) in their healthcare systems. Yet, there has been little research on the process by which PBF was put on the national policy agenda in Africa. This study examines the policy process behind the introduction of PBF program in Cameroon. METHODS: The research is an explanatory case study using the Kingdon multiple streams framework. We conducted a document review and 25 interviews with various types of actors involved in the policy process...
August 1, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28754260/learning-curve-of-tonsillectomy
#3
Pei-Yin Wei, Chia-Huei Chu, Mao-Che Wang
OBJECTIVE: To determine the time required to sufficiently educate a well-trained surgeon to perform tonsillectomy. MATERIAL AND METHODS: From July 1, 2000 to June 30, 2008, we analyzed 110 patients who underwent bilateral tonsillectomy. All the procedures were performed by 16 ENT surgeons trained in the same tertiary referral medical center during their residency. This training included a 4-year training program before 2002, and a 5-year training program thereafter...
July 25, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28748738/barriers-and-facilitators-to-healthy-eating-and-disease-self-management-among-older-adults-residing-in-subsidized-housing
#4
Katherine Petroka, Rania Campbell-Bussiere, Dan K Dychtwald, Brandy-Joe Milliron
BACKGROUND: As adults transition into older ages, meeting age-specific dietary recommendations can become increasingly challenging, especially for low-income seniors who reside in publicly subsidized rental housing. AIM: The primary objectives of this study were to: 1) identify barriers and facilitators to healthy eating and self-management of nutrition-related chronic illnesses experienced by low-income seniors residing in a subsidized housing setting; and 2) assess the interest in community nutrition programming among low-income seniors residing in a subsidized housing setting...
January 1, 2017: Nutrition and Health
https://www.readbyqxmd.com/read/28734995/senior-oral-and-maxillofacial-surgery-resident-confidence-in-performing-invasive-temporomandibular-joint-procedures
#5
Mohmedvasim Momin, Michael Miloro, Louis G Mercuri, Alexander Munaretto, Michael R Markiewicz
PURPOSE: The purpose of this study was to evaluate the level of confidence that senior-level oral and maxillofacial surgery (OMS) residents have in the management of temporomandibular joint (TMJ) disorders, determine their exposure to various invasive TMJ procedures during training, and assess their confidence in performing those procedures on completion of residency. MATERIALS AND METHODS: A questionnaire was designed, and a link to a University of Illinois at Chicago Qualtrics Survey platform (Qualtrics, Provo, UT) was e-mailed to all program directors at Commission on Dental Accreditation-accredited OMS training programs in the United States...
June 30, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28727639/effects-of-12-week-resistance-exercise-on-electroencephalogram-patterns-and-cognitive-function-in-the-elderly-with-mild-cognitive-impairment-a-randomized-controlled-trial
#6
Soon-Gook Hong, June-Hong Kim, Tae-Won Jun
OBJECTIVE: To investigate the effects of a 12-week resistance exercise program with an elastic band on electroencephalogram (EEG) patterns and cognitive function in elderly patients with mild cognitive impairment (MCI). DESIGN: Randomized controlled trial. SETTING: Community center. PARTICIPANTS: Twenty-two subjects with MCI and 25 healthy volunteer subjects were randomly assigned to 1 of 4 groups: subjects with MCI who undertook the exercise program (MCI-EX; n = 10), an MCI control group (MCI-Con; n = 12), a healthy volunteer exercise group (NG-EX; n = 12), and a healthy volunteer control group (NG-Con; n = 13)...
July 14, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28709464/developing-mentorship-in-a-resource-limited-context-a-qualitative-research-study-of-the-experiences-and-perceptions-of-the-makerere-university-student-and-faculty-mentorship-programme
#7
Andrew S Ssemata, Sophia Gladding, Chandy C John, Sarah Kiguli
BACKGROUND: The aim of mentorship is to build the mentees capacity, enhance their skills and improve their ability to produce desired outcomes. However, the mentoring relationship is vulnerable to a number of challenges that may undermine its effectiveness and sustainability. We aimed to explore the experiences and perceptions of student and junior faculty mentees and senior faculty mentors at the Makerere University College of Health Sciences and identify the key factors defined by mentees and mentors as necessary for a successful mentorship program...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28708414/feasibility-and-acceptability-of-qigong-exercise-in-community-dwelling-older-adults-in-the-united-states
#8
Pei-Shiun Chang, M Tish Knobf, Marjorie Funk, Byeongsang Oh
OBJECTIVES: Qigong exercise has been shown to improve physical and psychological well-being in adults with chronic conditions, but little is known about the feasibility and acceptability of engaging in a qigong exercise program in community-dwelling older adults in the United States. The purpose of this study was to explore the feasibility, acceptance, and adherence to an 8-week qigong exercise intervention in community-dwelling American older adults. DESIGN: An exploratory study design...
July 14, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#9
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28690941/a-simulation-based-quality-improvement-approach-to-improve-pediatric-resident-competency-with-required-procedures
#10
Michelle Starr, Taylor Sawyer, Maya Jones, Maneesh Batra, Heather McPhillips
INTRODUCTION: Pediatric residents report a lack of confidence and competence with procedural skills at graduation. Training programs could benefit from improved approaches to target these needs. Using the Institute for Healthcare Improvement (IHI) Model for Improvement and three Plan-Do-Study-Act (PDSA) cycles, we examined the impact of a procedure simulation boot camp on self-reported procedural confidence and competence as well as the longitudinal impacts of these sequential interventions on Accreditation Council for Graduate Medical Education (ACGME) Graduating Resident Survey (GRS) results...
June 3, 2017: Curēus
https://www.readbyqxmd.com/read/28685046/comprehensive-review-of-the-evidence-regarding-the-effectiveness-of-community-based-primary-health-care-in-improving-maternal-neonatal-and-child-health-8-summary-and-recommendations-of-the-expert-panel
#11
Robert E Black, Carl E Taylor, Shobha Arole, Abhay Bang, Zulfiqar A Bhutta, A Mushtaque R Chowdhury, Betty R Kirkwood, Nazo Kureshy, Claudio F Lanata, James F Phillips, Mary Taylor, Cesar G Victora, Zonghan Zhu, Henry B Perry
BACKGROUND: The contributions that community-based primary health care (CBPHC) and engaging with communities as valued partners can make to the improvement of maternal, neonatal and child health (MNCH) is not widely appreciated. This unfortunate reality is one of the reasons why so few priority countries failed to achieve the health-related Millennium Development Goals by 2015. This article provides a summary of a series of articles about the effectiveness of CBPHC in improving MNCH and offers recommendations from an Expert Panel for strengthening CBPHC that were formulated in 2008 and have been updated on the basis of more recent evidence...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28683503/focal-breast-lesions-in-clinical-ct-examinations-of-the-chest-a-retrospective-analysis
#12
Kathrin Barbara Krug, Christian Houbois, Olga Grinstein, Jan Borggrefe, Michael Puesken, Bettina Hanstein, Wolfram Malter, David Maintz, Martin Hellmich
Purpose Based on radiological reports, the percentage of breast cancers visualized as incidental findings in routine CT examinations is estimated at ≤ 2 %. In view of the rising number of CT examinations and the high prevalence of breast cancer, it was the goal of the present study to verify the frequency and image morphology of false-negative senological CT findings. Materials and Methods All first contrast-enhanced CT examinations of the chest in adult female patients carried out in 2012 were retrospectively included...
July 6, 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/28658967/bridging-the-ocean-kiribati-australia-alliance-in-mental-health
#13
Brigid Ryan, Manrenga Viane, Fran Timmins, Alex Smith, Claire Anstey
OBJECTIVE: The objective of this study was to demonstrate the benefits of collaboration between Australia and Kiribati, a Pacific island nation, to enhance Kiribati's mental health system. METHOD: The collaboration involved a training program for a Kiribati senior mental health leader in Melbourne, Australia, and service planning including prioritisation of key areas for development. RESULTS: As well as receiving general training in community-based mental health, the Kiribati mental health leader gained skills in modification of the inpatient environment, with plans for implementation in Kiribati within the current limited resources...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28641444/toward-mentoring-in-palliative-social-work-a-narrative-review-of-mentoring-programs-in-social-work
#14
Ying Pin Toh, R Karthik, Chia Chia Teo, Sarasvathy Suppiah, Siew Li Cheung, Lalit Krishna
BACKGROUND: Mentoring by an experienced practitioner enhances professional well-being, promotes resilience, and provides a means of addressing poor job satisfaction and high burnout rates among medical social workers. This is a crucial source of support for social workers working in fields with high risk of compassion fatigue and burnout like palliative care. Implementing such a program, however, is hindered by differences in understanding and application of mentoring practice. AIM: This narrative review of mentoring practice in social work seeks to identify key elements and common approaches within successful mentoring programs in social work that could be adapted to guide the design of new mentoring programs in medical social work...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28633502/promoting-seniors-health-with-home-care-aides-a-pilot
#15
Naoko Muramatsu, Lijuan Yin, Michael L Berbaum, David X Marquez, Donald A Jurivich, Joseph P Zanoni, Katya Y Cruz Madrid, Surrey M Walton
Purpose: Regular physical activity (PA) benefits older adults. However, frail older adults lack opportunities to be physically active. This pilot study aimed to test and enhance the feasibility of a PA program delivered by home care aides (HCAs) for community-dwelling older adults in a Medicaid-funded home care setting and to generate preliminary efficacy and cost data. Design and Methods: HCAs were trained to deliver a brief motivational enhancement and three chair-bound movements to motivate their older clients to do PA daily and to help maintain their independence in the community...
June 17, 2017: Gerontologist
https://www.readbyqxmd.com/read/28624060/speed-dating-for-mentors-a-novel-approach-to-mentor-mentee-pairing-in-surgical-residency
#16
Akia D Caine, Jacob Schwartzman, Anastasia Kunac
BACKGROUND: Resident-resident mentoring offers significant benefits. Previous works have shown that the quality of the mentorship pairing is important, but techniques of pairing have seldom been described. We describe a system for mentor-mentee pairing that we call "Speed Dating for Mentors" (SDM). METHODS: The SDM activity took place in an academic general surgery residency program in the Northeast. Senior residents met with junior residents (JR) in 90-second intervals...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28607940/orthopaedic-resident-preparation-and-confidence-in-treating-on-field-injuries
#17
Jonathan D Hodax, Andrew D Sobel, Steven DeFroda, Alison B Chambers, Michael J Hulstyn
BACKGROUND: Orthopaedic surgery residents may cover athletic events, although the training provided to prepare residents for this role and oversight from attending physicians during these activities is not well understood. PURPOSE: To survey orthopaedic residents about the training provided by their residency program for on-field athletic coverage and to understand their levels of preparation for this role and confidence in treating commonly encountered on-field conditions...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28549928/speed-mentoring-an-innovative-method-to-meet-the-needs-of-the-young-surgeon
#18
Rebecca C Britt, Amy N Hildreth, Shannon N Acker, Nicolas J Mouawad, Joshua Mammen, Jacob Moalem
OBJECTIVE: Speed mentoring has recently been used by several medical organizations as a strategy to establish mentoring relationships, which are felt to be critically important in the development of the surgeon. This study assesses a surgical speed-mentoring program at the 2015 American College of Surgeons (ACS) Clinical Congress. DESIGN: A steering committee designed the speed-mentoring program to match 60 ACS Resident and Associate Society mentees with a mix of junior and senior leadership of ACS...
May 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28535792/caught-between-a-rock-and-a-hard-place-mental-health-of-migrant-live-in-caregivers-in-canada
#19
Mandana Vahabi, Josephine Pui-Hing Wong
BACKGROUND: Canada depends on Temporary Foreign Workers (TFWs), also known as migrant workers, to fill labour shortage in agriculture, hospitality, construction, child/senior care, and other low-skilled occupations. Evidence shows that TFWs, especially women live-in caregivers (LC), constitute a vulnerable population. Their health is compromised by the precarious and harsh working and living conditions they encounter. There is a paucity of research on the mental health of LCs, their support systems and access to mental health services...
May 23, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28505477/knowledge-behavioral-practices-and-experiences-of-outdoor-fallers-implications-for-prevention-programs
#20
Tracy Chippendale, Victoria Raveis
OBJECTIVE: Although the epidemiology and prevention of falls has been well studied, the focus has been on indoor rather than outdoor falls. Older adults' knowledge of outdoor risk factors and their outdoor fall prevention practices have not been examined. To fill this gap, and to inform the development of a prevention program, we sought to explore the experiences and fall prevention knowledge and practices of older adults who had sustained an outdoor fall. METHODS: A cross-sectional study using random digit telephone dialing was used to survey community dwelling seniors (N=120) across the five boroughs of New York City...
September 2017: Archives of Gerontology and Geriatrics
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