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Professional self regulation

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https://www.readbyqxmd.com/read/28225701/the-case-of-dr-oz-ethics-evidence-and-does-professional-self-regulation-work
#1
Jon C Tilburt, Megan Allyse, Frederic W Hafferty
Dr. Mehmet Oz is widely known not just as a successful media personality donning the title "America's Doctor(®)," but, we suggest, also as a physician visibly out of step with his profession. A recent, unsuccessful attempt to censure Dr. Oz raises the issue of whether the medical profession can effectively self-regulate at all. It also raises concern that the medical profession's self-regulation might be selectively activated, perhaps only when the subject of professional censure has achieved a level of public visibility...
February 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28188945/assessment-of-clinical-teachers-professionalism-in-iran-from-residents-and-fellowships-perspective
#2
Sima Garshasbi, Hamidollah Bahador, Nahid Fakhraei, Abolfazl Farbod, Maryam Mohammadi, Soleiman Ahmady, Seyed Hassan Emami Razavi
In the present study, professional conduct of clinical teachers in Tehran University of Medical Sciences in Iran was assessed by their residents (n=292) and fellowships (n=48) using a standard questioner called self-reported measurement equipment. This evaluation was a descriptive cross-sectional study. Professionalism was questioned in four domains including clinical teacher-patient, clinical teacher-student, inter-professional and clinical teacher-self relationships. Accordingly, mean scores of the teachers in cases of clinical teacher-patient; clinical teacher-student, inter-professional (teamwork) and clinical teacher-self relations were 61%, 62...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28187021/on-the-road-to-professionalism
#3
David H Chestnut
Many observers have concluded that we have a crisis of professionalism in the practice of medicine. In this essay, the author identifies and discusses personal attributes and commitments important in the development and maintenance of physician professionalism: humility, servant leadership, self-awareness, kindness, altruism, attention to personal well-being, responsibility and concern for patient safety, lifelong learning, self-regulation, and honesty and integrity. Professionalism requires character, but character alone is not enough...
February 10, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28186077/designing-a-surveillance-system-in-canada-to-detect-adverse-interactions-between-traditional-chinese-medicine-and-western-medicine-issues-and-considerations
#4
Jingfei Zhang, Kendall Ho
The use of Chinese medicinal materials (CMM) in the context of Traditional Chinese Medicine (TCM) is increasingly prevalent in Canada and worldwide. Self-medication with CMM and concurrent usage with Western medicine are also common. While taking CMM carries recognized risk of adverse effects on their own, their interactions with Western medicine can further generate additional adverse effects but are largely underestimated and undetected due to under-reporting. This is especially true in Canada and other Western countries where CMM is regulated as natural products...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28183316/medical-students-situational-motivation-to-participate-in-simulation-based-team-training-is-predicted-by-attitudes-to-patient-safety
#5
Cecilia Escher, Johan Creutzfeldt, Lisbet Meurling, Leif Hedman, Ann Kjellin, Li Felländer-Tsai
BACKGROUND: Patient safety education, as well as the safety climate at clinical rotations, has an impact on students' attitudes. We explored medical students' self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training. METHODS: In a prospective cohort study we explored Swedish medical students' attitudes to patient safety, their motivation to participate in SBTT and how motivation was affected by the training...
February 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28177957/proposing-a-model-of-co-regulated-learning-for-graduate-medical-education
#6
Jessica V Rich
Primarily grounded in Zimmerman's social cognitive model of self-regulation, graduate medical education is guided by principles that self-regulated learning takes place within social context and influence, and that the social context and physical environment reciprocally influence persons and their cognition, behavior, and development. However, contemporary perspectives on self-regulation are moving beyond Zimmerman's triadic reciprocal orientation to models that consider social transactions as the central core of regulated learning...
February 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28146002/development-of-the-ibd-disk-a-visual-self-administered-tool-for-assessing-disability-in-inflammatory-bowel-diseases
#7
Subrata Ghosh, Edouard Louis, Laurent Beaugerie, Peter Bossuyt, Guillaume Bouguen, Arnaud Bourreille, Marc Ferrante, Denis Franchimont, Karen Frost, Xavier Hebuterne, John K Marshall, Ciara OʼShea, Greg Rosenfeld, Chadwick Williams, Laurent Peyrin-Biroulet
BACKGROUND: The Inflammatory bowel disease (IBD) Disability Index is a validated tool that evaluates functional status; however, it is used mainly in the clinical trial setting. We describe the use of an iterative Delphi consensus process to develop the IBD Disk-a shortened, self-administered adaption of the validated IBD Disability Index-to give immediate visual representation of patient-reported IBD-related disability. METHODS: In the preparatory phase, the IBD CONNECT group (30 health care professionals) ranked IBD Disability Index items in the perceived order of importance...
January 31, 2017: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/28125722/antimicrobial-use-and-veterinary-care-among-agro-pastoralists-in-northern-tanzania
#8
Mark A Caudell, Marsha B Quinlan, Murugan Subbiah, Douglas R Call, Casey J Roulette, Jennifer W Roulette, Adam Roth, Louise Matthews, Robert J Quinlan
Frequent and unregulated use of antimicrobials (AM) in livestock requires public health attention as a likely selection pressure for resistant bacteria. Studies among small-holders, who own a large percentage of the world's livestock, are vital for understanding how practices involving AM use might influence resistance. We present a cultural-ecological mixed-methods analysis to explore sectors of veterinary care, loosely regulated AM use, and human exposure to AMs through meat and milk consumption across three rural to peri-urban Tanzanian ethnic groups (N = 415 households)...
2017: PloS One
https://www.readbyqxmd.com/read/28124465/motivations-for-adolescent-self-harm-and-the-implications-for-mental-health-nurses
#9
L Doyle, A Sheridan, M P Treacy
: WHAT IS KNOWN ON THE SUBJECT?: Self-harm is a relatively common occurrence in adolescents; however, there remains a lack of understanding about the motivations behind adolescent self-harm, and this poor understanding can have a negative impact on how mental health professionals respond to young people who self-harm. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This paper identifies the reasons for self-harm in a community sample of young people and finds that the functions of self-harm differ for different people and that there may be multiple reasons for self-harm...
January 25, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28101790/perspectives-of-people-with-a-chronic-disease-on-participating-in-work-a-focus-group-study
#10
Marloes Vooijs, Monique C J Leensen, Jan L Hoving, Haije Wind, Monique H W Frings-Dresen
Purpose To explore solutions that people with a chronic disease use to overcome difficulties they experience regarding participating in work, and the support they require to identify or implement these solutions. Methods Focus groups were held to explore solutions and support requirements of people with a chronic disease. Participants were recruited through a research institution's patient panel, a patient federation and personal networks. Analysis was conducted by means of open and selective coding, using the MAXQDA software package...
January 18, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/28087100/-improving-prevention-integrative-model-and-recommendations-intended-for-public-health-professionals
#11
REVIEW
G Broc, A Edjolo
Public health policies aim to diminish people's exposure to negative factors, behaviors or determinants of health. Despite awareness-raising campaigns, health recommendations are still not sufficiently followed. First, the article wondered the reasons behind this observation. In order to do this, we present a theoretical model incorporating: (a) the motivational theories of communication processing; (b) the theories of motivation and volition; (c) self-regulation and self-determination theories. In a second part, the paper describes five principles for improving communication...
January 10, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28001334/coping-strategies-of-taiwanese-children-with-autism-spectrum-disorders
#12
Wei-Chih Chin, Kuo-Yu Chao, Hsueh-Ling Chang, Hsin-Mei Li, Sue-Hsien Chen
AIMS AND OBJECTIVES: To explore and describe the coping experiences of children with autism spectrum disorders in Taiwan. BACKGROUND: Children with autism spectrum disorders are faced with daily social and living challenges, which can cause stress. Chinese culture emphasises discipline and obedience, which may influence coping strategies of children with autism spectrum disorders in Taiwan. DESIGN: This qualitative study employed an exploratory descriptive design...
December 21, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27996921/prenatal-whole-genome-sequencing-an-argument-for-professional-self-regulation
#13
Benjamin E Berkman, Michelle Bayefsky
No abstract text is available yet for this article.
January 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27993164/fostering-effective-early-learning-feel-through-a-professional-development-programme-for-early-childhood-educators-to-improve-professional-practice-and-child-outcomes-in-the-year-before-formal-schooling-study-protocol-for-a-cluster-randomised-controlled-trial
#14
Edward Melhuish, Steven J Howard, Iram Siraj, Cathrine Neilsen-Hewett, Denise Kingston, Marc de Rosnay, Elisabeth Duursma, Betty Luu
BACKGROUND: A substantial research base documents the benefits of attendance at high-quality early childhood education and care (ECEC) for positive behavioural and learning outcomes. Research has also found that the quality of many young children's experiences and opportunities in ECEC depends on the skills, dispositions and understandings of the early childhood adult educators. Increasingly, research has shown that the quality of children's interactions with educators and their peers, more than any other programme feature, influence what children learn and how they feel about learning...
December 19, 2016: Trials
https://www.readbyqxmd.com/read/27982786/reorienting-hypnosis-education
#15
David S Alter, Laurence Irwin Sugarman
The legacy model of professional clinical hypnosis training presents a restrictive frame increasingly incompatible with our evolving understanding of psychobiology, health, and care. Emerging science recognizes human experience not as disease and diagnosis, but as manifestations of individual, uniquely-endowed, adaptively self-regulating systems. Hypnosis is a particularly well-suited discipline for effecting beneficial change in this paradigm. Training in clinical hypnosis must progress from the current linearly-structured, diagnosis-based, reductionist model toward a more responsive, naturalistic, and client-centered curriculum in order to remain relevant and accessible to clinicians beginning to integrate it into their practices...
January 2017: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/27969068/psychological-characteristics-of-self-harming-behavior-in-korean-adolescents
#16
Woo Kyeong Lee
Recently, self-injury is drawing the attention of researchers and clinicians. The purpose of this study was to investigate the prevalence and psychological characteristics of adolescents who engage in self-harm and to examine the risk factors for engaging in this harmful behavior among Korean mid-adolescents. Participants were 784 adolescents aged 13-15 years. They completed self-report questionnaires that assessed (1) Non-Suicidal Self-Injury: the Self-Harm Questionnaire, Toronto Alexithymia Scale; (2) depression: Children's Depression Inventory; (3) adolescent-parent relationship: Parental Bonding Instrument; (4) peer attachment: Inventory of Parent and Peer Attachment; and (5) academic stress...
October 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27968914/massive-misuse-of-antibiotics-by-university-students-in-china-a-cross-sectional-survey
#17
Xiao-Min Wang, Xu-Dong Zhou, Therese Hesketh
BACKGROUND: Antimicrobial resistance is one of the greatest threats to global population health this century, and is a major contributor to rising healthcare costs worldwide. The primary cause of this resistance is antibiotic misuse, especially routine inappropriate use of antibiotics for self-limiting illnesses. In China, over prescribing of antibiotics is pervasive leading to very high and increasing rates of antimicrobial resistance in both hospital-acquired and community-acquired infections...
2016: Lancet
https://www.readbyqxmd.com/read/27957671/medical-student-resilience-strategies-a%C3%A2-content-analysis-of-medical-students-portfolios
#18
Richard A Prayson, S Beth Bierer, Elaine F Dannefer
INTRODUCTION: Stress and burnout among medical students is a well-recognized concern. A student's ability to employ resilience strategies to self-regulate behaviour is critical to the student's future career as a physician. METHODS: We retrospectively reviewed a sampling of year 1, 2 and 5 portfolio essays focused on the Personal Development competency and performance milestones, written by 49 students from three different classes in a 5-year programme devoted to training physician investigators...
February 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/27932316/evaluation-of-diet-related-infographics-on-pinterest-for-use-of-behavior-change-theories-a-content-analysis
#19
Jessica L Wilkinson, Kate Strickling, Hannah E Payne, Kayla C Jensen, Joshua H West
BACKGROUND: There is increasing interest in Pinterest as a method of disseminating health information. However, it is unclear whether the health information promoted on Pinterest is evidence-based or incorporates behavior change theory. OBJECTIVES: The objective of the study was to determine the presence of health behavior theory (HBT) constructs in pins found on Pinterest and assess the relationship between various pin characteristics and the likelihood of inclusion of HBT...
December 8, 2016: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/27928198/how-health-professionals-regulate-their-learning-in-massive-open-online-courses
#20
Colin Milligan, Allison Littlejohn
Massive Open Online Courses (MOOCs) are typically designed around a self-guided format that assumes learners can regulate their own learning, rather than relying on tutor guidance. However, MOOCs attract a diverse spectrum of learners, who differ in their ability and motivation to manage their own learning. This study addresses the research question 'How do professionals self-regulate their learning in a MOOC?' The study examined the 'Fundamentals of Clinical Trials' MOOC offered by edX, and presents narrative descriptions of learning drawn from interviews with 35 course participants...
October 2016: Internet and Higher Education
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