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https://www.readbyqxmd.com/read/28631199/practical-interventions-to-enhance-resident-ownership-of-patient-care
#1
Thomas Soeprono, Jesse Markman, Michael Grodesky, Deborah Cowley
OBJECTIVE: In the modern training environment, some question whether trainees have the opportunity to develop ownership of patient care, which includes concepts such as advocacy, autonomy, commitment, communication, follow-through, knowledge about the patient, responsibility, and teamwork. Despite descriptions of what ownership is, there is little discussion of how to foster ownership during residency. The objective of this study was to solicit psychiatry resident and faculty perspectives on ways to enhance resident ownership in training...
June 19, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28503310/individual-capacity-building-approaches-in-a-global-pharmaceutical-systems-strengthening-program-a-selected-review
#2
Niranjan Konduri, Megan Rauscher, Shiou-Chu Judy Wang, Tanya Malpica-Llanos
BACKGROUND: Medicines use related challenges such as inadequate adherence, high levels of antimicrobial resistance and preventable adverse drug reactions have underscored the need to incorporate pharmaceutical services to help achieve desired treatment outcomes, and protect patients from inappropriate use of medicines. This situation is further constrained by insufficient numbers of pharmaceutical personnel and inappropriate skill mix. Studies have addressed individual capacity building approaches of logistics, supply chain or disease specific interventions but few have documented those involving such pharmacy assistants/professionals, or health workers/professionals charged with improving access and provision of pharmaceutical services...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28475497/a-perspective-on-the-effect-of-the-80-hour-work-week-has-it-changed-the-graduating-orthopaedic-resident
#3
Vincent D Pellegrini
Orthopaedic residency education has changed substantially in recent decades because of the imposition of the 80-hour work week, a decrease in quality and quantity of general surgical education, regulations mandating closer trainee supervision, and an expansion of orthopaedic subspecialty rotations. These factors pose a challenge in efforts to prepare competent, confident, cautious, caring, and communicative orthopaedic residents within the traditional 5-year program. Evidence suggests that contemporary graduates are more intelligent, better balanced in life and work, and more in touch with humanistic aspects of medicine than were earlier graduates...
June 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28161208/acquisition-of-basic-microsurgery-skills-using-home-based-simulation-training-a%C3%A2-randomised-control-study
#4
RANDOMIZED CONTROLLED TRIAL
Mohsan M Malik, Nadine Hachach-Haram, Muaaz Tahir, Musab Al-Musabi, Dhalia Masud, Pari-Naz Mohanna
INTRODUCTION: Acquisition of fine motor skills required in microsurgery can be challenging in the current training system. Therefore, there is an increased demand for novel training and assessment methods to optimise learning outside the clinical setting. Here, we present a randomised control trial of three microsurgical training models, namely laboratory tabletop training microscope (Laboratory Microscope, LM), low-cost jewellers microscope (Home Microscope, HM) and iPad trainer (Home Tablet, HT)...
April 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28101983/working-to-define-professionalism-in-pediatric-anesthesiology-a-qualitative-study-of-domains-of-the-expert-pediatric-anesthesiologist-as-valued-by-interdisciplinary-stakeholders
#5
Justin L Lockman, Alan Jay Schwartz, Peter F Cronholm
BACKGROUND: Unprofessional behavior is a significant problem throughout graduate medical education programs and medical centers. Some authors have suggested that professionalism curricula should be focused toward faculty, not trainees, to interrupt the modeling of unprofessionalism. Developing such curricula requires a needs assessment and is challenging given data indicating that the definition of professionalism varies based on medical specialty. Thus, a specialty-specific definition of professionalism is needed as a first step in any curriculum development...
February 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27779509/the-learning-environment-counts-longitudinal-qualitative-analysis-of-study-strategies-adopted-by-first-year-medical-students-in-a-competency-based-educational-program
#6
S Beth Bierer, Elaine F Dannefer
PURPOSE: The move toward competency-based education will require medical schools and postgraduate training programs to restructure learning environments to motivate trainees to take personal ownership for learning. This qualitative study explores how medical students select and implement study strategies while enrolled in a unique, nontraditional program that emphasizes reflection on performance and competence rather than relying on high-stakes examinations or grades to motivate students to learn and excel...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27338530/prehospital-care-training-in-a-rapidly-developing-economy-a-multi-institutional-study
#7
MULTICENTER STUDY
Dinesh Vyas, Michael Hollis, Rohit Abraham, Neeti Rustagi, Siddharth Chandra, Ajai Malhotra, Vikas Rajpurohit, Harshada Purohit, Ranabir Pal
BACKGROUND: The trauma pandemic is one of the leading causes of death worldwide but especially in rapidly developing economies. Perhaps, a common cause of trauma-related mortality in these settings comes from the rapid expansion of motor vehicle ownership without the corresponding expansion of national prehospital training in developed countries. The resulting road traffic injuries often never make it to the hospital in time for effective treatment, resulting in preventable disability and death...
June 1, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27119322/collaboration-platforms-in-china-for-translational-and-clinical-research-the-partnership-between-peking-university-health-science-center-and-the-university-of-michigan-medical-school
#8
Joseph C Kolars, Weigang Fang, Kai Zheng, Amy Y Huang, Qiudan Sun, Yanfang Wang, James O Woolliscroft, Yang Ke
PROBLEM: Clinical and translational research is increasing in China, attracting faculty-to-faculty collaborations between U.S. and Chinese researchers. However, examples of successful institution-to-institution collaborations to facilitate this research are limited. The authors describe a partnership between Peking University Health Science Center (PUHSC) and the University of Michigan Medical School (UMMS) designed to enable faculty-initiated joint translational and clinical research projects...
March 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26803436/general-practice-trainees-face-practice-ownership-with-fear
#9
Elizabeth Sturgiss, Emily Haesler, Katrina Anderson
Objectives The aim of the present secondary analysis of data collected in a grounded theory study was to explore the perceptions of Registrars and new Fellows to practice ownership and management.Methods Focus groups and interviews with Registrars and recent Fellows were undertaken to explore the desire to become an owner, facilitators and barriers to practice ownership and delivery models for practice ownership education. A secondary thematic analysis was conducted to understand emerging concepts related to perceptions of general practice ownership...
January 25, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/26798456/the-global-nephrology-workforce-emerging-threats-and-potential-solutions
#10
Muhammad U Sharif, Mohamed E Elsayed, Austin G Stack
Amidst the rising tide of chronic kidney disease (CKD) burden, the global nephrology workforce has failed to expand in order to meet the growing healthcare needs of this vulnerable patient population. In truth, this shortage of nephrologists is seen in many parts of the world, including North America, Europe, Australia, New Zealand, Asia and the African continent. Moreover, expert groups on workforce planning as well as national and international professional organizations predict further reductions in the nephrology workforce over the next decade, with potentially serious implications...
February 2016: Clinical Kidney Journal
https://www.readbyqxmd.com/read/26329029/anticipated-and-actual-implementation-of-case-based-learning-by-dental-faculty-members-during-and-after-training
#11
Linda S Behar-Horenstein, Frank A Catalanotto, Marcelle M Nascimento
The aims of this study were to describe the processes used to train dental faculty members in case-based learning (CBL) and to determine their beliefs about the anticipated implementation of CBL and perceptions of actual implementation following use of the CBL approach. Participants were dental faculty members at the University of Florida who received a four-day intensive training course in the use of CBL. Two focus groups were conducted. The first occurred during training to assess how the participants anticipated using CBL...
September 2015: Journal of Dental Education
https://www.readbyqxmd.com/read/25662618/fostering-mentorship-for-clinician-investigator-trainees-overview-and-recommendations
#12
Enoch Ng, Xin Wang, Jonathan Keow, Ju-Yoon Yoon
PURPOSE: The Clinician Investigator Trainee Association of Canada/ Association des cliniciens-chercheurs en formation du Canada (CITAC/ACCFC) recently published the first survey to assess factors contributing to trainee satisfaction. One key finding is that increased level of mentorship strongly correlates with overall satisfaction; however, while 98% of respondents reported mentorship as important to success, more than 60% expressed some dissatisfaction with the mentorship received. To help address this discrepancy, we reviewed mentorship in academic medicine, focusing on clinician-investigator trainees, and distilled a set of recommendations for mentors, mentees and institutions...
2015: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/25439159/pediatric-residency-program-handover-before-and-after-the-acgme-requirement
#13
Melissa R Held, Georgine S Burke, Edwin Zalneraitis
OBJECTIVE: To determine what changes occurred in pediatric residency programs with regards to handover education and assessment before and after the Accreditation Council for Graduate Medical Education (ACGME) requirement mandating monitoring safe handover practices in July 2011. METHODS: We sent surveys at 2 time periods to all pediatric program directors in the United States, as identified from a list provided by the Association of Pediatric Program Directors...
November 2014: Academic Pediatrics
https://www.readbyqxmd.com/read/25367224/the-rise-of-medical-training-in-portuguese-speaking-african-countries
#14
MULTICENTER STUDY
Inês Fronteira, Mohsin Sidat, Mário Fresta, Maria do Rosário Sambo, Celso Belo, Cezaltina Kahuli, Maria Alexandra Rodrigues, Paulo Ferrinho
BACKGROUND: Medical training has shown to be strategic for strengthening health systems, especially in those countries identified to have critical shortage of human resources for health. In the past few years, several studies have been conducted to characterize and identify major challenges faced by medical schools worldwide, and particularly in Africa. Nevertheless, none has previously addressed medical training issues in Portuguese Speaking African Countries (PSAC). The aim of this study was to establish baseline knowledge of the PSAC's medical schools in terms of creation and ownership, programmes offered, applicants and registered students, barriers to increased intake of students, teaching workforce and available resources...
2014: Human Resources for Health
https://www.readbyqxmd.com/read/25301144/how-we-developed-a-trainee-led-book-group-as-a-supplementary-education-tool-for-psychiatric-training-in-the-21st-century
#15
Carol Kan, Simon Harrison, Benjamin Robinson, Anna Barnes, Margaret S Chisolm, Lisa Conlan
BACKGROUND: Postgraduate medical education has, in recent years, become a dynamic field with the increasing availability of innovative and interactive teaching techniques. Anecdotal evidence suggests that the current focus of psychiatric training on the acquisition of scientific and clinical knowledge is inadequate to address the multidimensional nature of psychiatry. Supplementary teaching tools may be usefully applied to address this need. METHODS: A group of trainees at the Maudsley Hospital and Institute of Psychiatry (UK) pioneered the use of a book group as an innovative teaching tool to enhance the psychiatric training experience by, amongst other aspects, facilitating dialogue between peers on fundamental epistemological issues raised by critical engagement with seminal psychiatric texts...
2015: Medical Teacher
https://www.readbyqxmd.com/read/25199700/the-use-of-smartphone-applications-by-urology-trainees
#16
G J Nason, M J Burke, A Aslam, M E Kelly, C M Akram, S K Giri, H D Flood
OBJECTIVE: Mobile phone technology is continuously advancing- the smartphone allows users instant access to information via the internet. Downloadable applications (apps) are becoming widespread across medical specialities. The aim of this study was to assess the use of smartphone apps among urology trainees in Ireland. METHODS: An anonymous electronic survey was distributed via Survey Monkey(®) to all urology trainees in Ireland assessing their ownership and use of smartphones and downloadable apps...
October 2015: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/24979292/enhancing-formal-educational-and-in-service-training-programs-in-rural-rwanda-a-partnership-among-the-public-sector-a-nongovernmental-organization-and-academia
#17
Corrado Cancedda, Paul E Farmer, Patrick Kyamanywa, Robert Riviello, Joseph Rhatigan, Claire M Wagner, Fidele Ngabo, Manzi Anatole, Peter C Drobac, Tharcisse Mpunga, Cameron T Nutt, Jean Baptiste Kakoma, Joia Mukherjee, Chadi Cortas, Jeanine Condo, Fabien Ntaganda, Gene Bukhman, Agnes Binagwaho
Global disparities in the distribution, specialization, diversity, and competency of the health workforce are striking. Countries with fewer health professionals have poorer health outcomes compared with countries that have more. Despite major gains in health indicators, Rwanda still suffers from a severe shortage of health professionals.This article describes a partnership launched in 2005 by Rwanda's Ministry of Health with the U.S. nongovernmental organization Partners In Health and with Harvard Medical School and Brigham and Women's Hospital...
August 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24886546/how-to-set-up-and-manage-a-trainee-led-research-collaborative
#18
George Dowswell, David C Bartlett, Kaori Futaba, Lisa Whisker, Thomas D Pinkney
BACKGROUND: Ensuring that doctors in training acquire sufficient knowledge, experience and understanding of medical research is a universal and longstanding issue which has been brought into sharper focus by the growth of evidence based medicine. All healthcare systems preparing doctors in training for practice have to balance the acquisition of specific clinical attitudes, knowledge and skills with the wider need to ensure doctors are equipped to remain professionally competent as medical science advances...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/24052213/pick-up-a-book-or-google-it-a-survey-of-radiologist-and-trainee-preferred-references-and-resources
#19
Blake D Niederhauser, Kevin Liaw, Robert J McDonald, Kristen B Thomas, Kathleen T Hudson, David F Kallmes
The purpose of this study was to investigate radiologist and trainee-preferred sources for solving imaging questions. The institutional review board determined this study to be exempt from informed consent requirements. Web-based surveys were distributed to radiology staff and trainees at 16 academic institutions. Surveys queried ownership and use of tablet computers and habits of utilization of various electronic and hardcopy resources for general reference. For investigating specific cases, respondents identified a single primary resource...
February 2014: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/24022436/general-surgery-residency-inadequately-prepares-trainees-for-fellowship-results-of-a-survey-of-fellowship-program-directors
#20
Samer G Mattar, Adnan A Alseidi, Daniel B Jones, D Rohan Jeyarajah, Lee L Swanstrom, Ralph W Aye, Steven D Wexner, José M Martinez, Sharona B Ross, Michael M Awad, Morris E Franklin, Maurice E Arregui, Bruce D Schirmer, Rebecca M Minter
OBJECTIVE: To assess readiness of general surgery graduate trainees entering accredited surgical subspecialty fellowships in North America. METHODS: A multidomain, global assessment survey designed by the Fellowship Council research committee was electronically sent to all subspecialty program directors. Respondents spanned minimally invasive surgery, bariatric, colorectal, hepatobiliary, and thoracic specialties. There were 46 quantitative questions distributed across 5 domains and 1 or more reflective qualitative questions/domains...
September 2013: Annals of Surgery
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