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https://www.readbyqxmd.com/read/29226235/entrustable-professional-activities-in-post-licensure-training-in-primary-care-pediatrics-necessity-development-and-implementation-of-a-competency-based-post-graduate-curriculum
#1
Folkert Fehr, Christoph Weiß-Becker, Hera Becker, Thomas Opladen
There is an absence of broad-based and binding curricular requirements for structured competency-based post-graduate medical training in Germany, and thus no basis for comparing the competencies of physicians undergoing training in a medical specialty (Ärzte im Weiterbildung). In response, the German Society of Primary Care Pediatrics' working group on post-graduate education (DGAAP) has identified realistic entrustable professional activities (EPAs) in primary care, defined their number, scope and content, selected competency domains, specified required knowledge and skills, and described appropriate assessment methods...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29221534/on-becoming-a-global-citizen-transformative-learning-through-global-health-experiences
#2
Debra K Litzelman, Adrian Gardner, Robert M Einterz, Philip Owiti, Charity Wambui, Jordan C Huskins, Kathleen M Schmitt-Wendholt, Geren S Stone, Paul O Ayuo, Thomas S Inui, Rachel A Umoren
BACKGROUND: Globalization has increased the demand for international experiences in medical education. International experiences improve medical knowledge, clinical skills, and self-development; influence career objectives; and provide insights on ethical and societal issues. However, global health rotations can end up being no more than tourism if not structured to foster personal transformation and global citizenship. OBJECTIVE: We conducted a qualitative assessment of trainee-reported critical incidents to more deeply understand the impact of our global health experience on trainees...
May 2017: Annals of Global Health
https://www.readbyqxmd.com/read/29209996/understanding-ownership-of-patient-care-a%C3%A2-dual-site-qualitative-study-of-faculty-and-residents-from-medicine-and-psychiatry
#3
Deborah S Cowley, Jesse D Markman, Jennifer A Best, Erica L Greenberg, Michael J Grodesky, Suzanne B Murray, Kelli A Corning, Mitchell R Levy, William E Greenberg
INTRODUCTION: With changes in duty hours and supervision requirements, educators have raised concerns about erosion of patient care ownership by resident physicians. However, the definition of ownership is unclear. This qualitative study investigated definitions of ownership in medicine and psychiatry faculty and residents. METHODS: The authors distributed an anonymous online survey regarding definitions of ownership to faculty and residents at the psychiatry and internal medicine residency programs at the University of Washington and the Harvard Longwood psychiatry residency and conducted a qualitative analysis of free-text responses to identify emergent themes...
December 5, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29208032/junior-rounds-an-educational-initiative-to-improve-role-transitions-for-junior-residents
#4
Richard Dunbar-Yaffe, Wayne L Gold, Peter E Wu
OBJECTIVE: At our institution, Morning Report focuses mostly on diagnostic reasoning. This makes it a challenge for first-year residents to learn to manage common on-call emergencies, such as hyperkalemia. We sought to improve their preparedness for the transitions they would encounter: from medical student to physician at the beginning of the academic year, and from junior resident to senior resident toward the end. In response to feedback, we developed the Junior Rounds curriculum: a weekly session focused on the approach to commonly encountered on-call emergencies and internal medicine referrals...
December 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29198161/teaching-to-varied-disciplines-and-educational-levels-simultaneously-an-innovative-approach-in-a-neonatal-follow-up-clinic
#5
Mary L O'Connor Leppert, Vera J Burton, Rebecca A German, Maura B Gentner, Doris P Yimgang, Belinda Y Chen
PURPOSE: Across various health conditions and geographic regions, there remains a dearth of clinicians with the expertise and confidence to identify and manage children with disabilities. At the front line of this crisis are clinician-educators, who are tasked with caring for these unique patients and with training the future workforce. Balancing patient care and clinical instruction responsibilities is particularly challenging when trainees of varied educational levels and specialties report simultaneously...
December 3, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29193501/subspecialty-preferences-among-neurologists-of-the-future
#6
Panagiotis Zis, Antonella Macerollo, Anna Sauerbier, Viktoria Papp, Lisa Klingelhoefer, Hannah R Cock
INTRODUCTION: In the era of neurological subspecialization, most neurologists will have a field of specialist interest. The aim of this cross-sectional multi-national study was to identify the key areas of interest among trainees or junior specialists, assess the potential influence of an interest in research, and consider the results in light of population needs. METHODS: A total of 300 residents and junior neurologists who received a bursary to attend the European Academy of Neurology conference were invited to participate in this study...
November 28, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29191365/trainee-knowledge-of-imaging-appropriateness-and-safety-results-of-a-series-of-surveys-from-a-large-academic-medical-center
#7
Thaddeus D Hollingsworth, Richard Duszak, Arvind Vijayasarathi, Rondi B Gelbard, Mark E Mullins
OBJECTIVE: In order to provide high quality care to their patients and utilize imaging most judiciously, physician trainees should possess a working knowledge of appropriate use, radiation dose, and safety. Prior work has suggested knowledge gaps in similar areas. We aimed to evaluate the knowledge of imaging appropriateness, radiation dose, and MRI and contrast safety of physician trainees across a variety of specialties. METHODS: Between May 2016 and January 2017, three online surveys were distributed to all interns, residents, and fellows in ACGME accredited training programs at a large academic institution over two academic years...
October 31, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29190306/letter-to-the-editor-the-authors-reply-what-can-be-done-to-maintain-positive-patient-experience-and-improve-residents-satisfaction-and-vstandardized-attending-rounds-to-improve-the-patient-experience-a-pragmatic-cluster-randomized-controlled-trial
#8
Bradley Monash, Margaret C Fang, James Harrison
We thank Talrai et al. for their comments in response to our randomized controlled trial evaluating the impact of standardized rounds on patient, attending, and trainee satisfaction. We agree that many factors beyond rounding structure contribute to resident satisfaction, including those highlighted by the authors, and would enthusiastically welcome additional research in this realm.
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29185029/european-status-on-temporal-bone-training-a-questionnaire-study
#9
Andreas Frithioff, Mads Sølvsten Sørensen, Steven Arild Wuyts Andersen
PURPOSE: In otorhinolaryngology training, introduction to temporal bone surgery through hands-on practice on cadaveric human temporal bones is the gold-standard training method before commencing supervised surgery. During the recent decades, the availability of such specimens and the necessary laboratory facilities for training seems to be decreasing. Alternatives to traditional training can consist of drilling artificial models made of plaster or plastic but also virtual reality (VR) simulation...
November 28, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29183502/surgical-trainees-confidence-in-the-operating-room-improves-over-time-with-a-corresponding-increase-in-responsibility
#10
Juyeon Park, Sarah H Parker, Shawn Safford
No abstract text is available yet for this article.
November 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29181874/using-a-statewide-survey-methodology-to-prioritize-pediatric-cardiology-core-content
#11
Ashley E Neal, Elizabeth Lehto, Karen Hughes Miller, Craig Ziegler, Erin Davis
OBJECTIVE: Although pediatrician-reported relevance of Canadian cardiology-specific objectives has been studied, similar data are not available for the 2016 American Board of Pediatrics (ABP) cardiology-specific objectives. This study asked Kentucky trainees, pediatricians, and pediatric cardiologists to identify "most important" content within these objectives. DESIGN, METHODS, OUTCOME MEASURES: This cross-sectional study used an original, online survey instrument based on the 2016 ABP cardiology-specific objectives...
November 27, 2017: Congenital Heart Disease
https://www.readbyqxmd.com/read/29180207/residents-response-to-bleeding-during-a-simulated-robotic-surgery-task
#12
Jessica L Walker, Jay N Nathwani, Hossein Mohamadipanah, Shlomi Laufer, Frank F Jocewicz, Eran Gwillim, Carla M Pugh
BACKGROUND: The aim of this study was to assess performance measurement validity of our newly developed robotic surgery task trainer. We hypothesized that residents would exhibit wide variations in their intercohort performance as well as a measurable difference compared to surgeons in fellowship training. MATERIALS AND METHODS: Our laboratory synthesized a model of a pelvic tumor that simulates unexpected bleeding. Surgical residents and fellows of varying specialties completed a demographic survey and were allowed 20 minutes to resect the tumor using the da Vinci robot and achieve hemostasis...
December 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29174497/antioxidant-action-of-grape-seed-polyphenols-and-aerobic-exercise-in-improving-neuronal-number-in-the-hippocampus-is-associated-with-decrease-in-lipid-peroxidation-and-hydrogen-peroxide-in-adult-and-middle-aged-rats
#13
S Abhijit, Sunil Jamuna Tripathi, V Bhagya, B S Shankaranarayana Rao, Muthangi V Subramanyam, S Asha Devi
The present study explored the effects of swimming training and grape seed proanthocyanidin extract (GSPE) on neuronal survival in the hippocampus (HC) of middle-aged rats along with oxidative stress (OS) parameters. Further, the bioavailability of the GSPE, catechin, epicatechin and gallic acid were measured in the HC and plasma. Male Wistar rats were grouped into: sedentary control, SE-C; swimming trained, SW-T; SE-C, supplemented sedentary, SE-C(PA) and swimming trainees, SW-T(PA). The supplement was a daily dose of 400mg GSPE/kg body weight...
November 22, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/29168414/knowledge-competencies-and-attitudes-regarding-external-post-mortem-physical-examination-a-survey-among-german-post-graduate-trainees-in-general-practice
#14
Jan Valentini, Katja Goetz, Kathrin Yen, Joachim Szecsenyi, Andrea Dettling, Stefanie Joos, Jost Steinhaeuser, Elisabeth Flum
BACKGROUND: The external post-mortem examination (EPME) is an important medical, legal and socio-economic task with far-reaching relevance; however, due to discrepancies between findings from EPMEs and actual cause of death, improvements in accuracy and quality are needed. OBJECTIVES: To investigate knowledge, competencies and attitudes regarding EPME in general practitioner (GP) post-graduate trainees. METHODS: Before four post-graduate training courses on the EPME for general practitioner trainees, organized in 2014 in the German federal state of Baden-Wuerttemberg, a questionnaire on the EPME was distributed by the lecturer, completed by the GP post-graduate trainees and returned to the lecturer...
November 23, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29162327/e-learning-teaches-attendings-how-to-objectively-assess-pediatric-urology-trainees-surgery-skills-for-orchiopexy
#15
Nicolas Fernandez, Max Maizels, Walid Farhat, Edwin Smith, Dennis Liu, Michael Chua, Yasin Bhanji
INTRODUCTION: Established methods to train pediatric urology surgery by residency training programs require updating in response to administrative changes such as new, reduced trainee duty hours. Therefore, new objective methods must be developed to teach trainees. We approached this need by creating e-learning to teach attendings objective assessment of trainee skills using the Zwisch scale, an established assessment tool. The aim of this study was to identify whether or not e-learning is an appropriate platform for effective teaching of this assessment tool, by assessing inter-rater correlation of assessments made by the attendings after participation in the e-learning...
November 9, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29162090/assessment-of-motivational-interviewing-a-qualitative-study-of-response-process-validity-content-validity-and-feasibility-of-the-motivational-interviewing-target-scheme-mits-in-general-practice
#16
Riëtta Oberink, Saskia M Boom, Nynke van Dijk, Mechteld R M Visser
BACKGROUND: The Motivational Interviewing target Scheme (MITS) is an instrument to assess competency in Motivational Interviewing (MI) and can be used to assess MI in long and brief consultations. In this qualitative study we examined two sources of the Unified Model of Validity, the current standard of assessment validation, in the context of General Practice. We collected evidence concerning response process validity and content validity of the MITS in general practice. Furthermore, we investigated its feasibility...
November 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29156100/doctoral-training-in-clinical-psychology-across-23-years-continuity-and-change
#17
John C Norcross, Michael A Sayette, Andrew M Pomerantz
OBJECTIVE: Doctoral training in clinical psychology has undergone substantial changes in recent decades, especially with the increasing heterogeneity of training models and graduate students. To document these changes, we analyzed program, student, and faculty characteristics of American Psychological Association (APA)-accredited clinical psychology programs over a 23-year span. METHOD: We surveyed directors of clinical training about their doctoral programs every 2 years from 1991 to 2013, securing 90%-98% response rates...
November 20, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29155658/building-global-epidemiology-and-response-capacity-with-field-epidemiology-training-programs
#18
Donna S Jones, Richard C Dicker, Robert E Fontaine, Amy L Boore, Jared O Omolo, Rana J Ashgar, Henry C Baggett
More than ever, competent field epidemiologists are needed worldwide. As known, new, and resurgent communicable diseases increase their global impact, the International Health Regulations and the Global Health Security Agenda call for sufficient field epidemiologic capacity in every country to rapidly detect, respond to, and contain public health emergencies, thereby ensuring global health security. To build this capacity, for >35 years the US Centers for Disease Control and Prevention has worked with countries around the globe to develop Field Epidemiology Training Programs (FETPs)...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29146646/cross-sectional-study-of-the-financial-cost-of-training-to-the-surgical-trainee-in-the-uk-and-ireland
#19
John O'Callaghan, Helen M Mohan, Anna Sharrock, Vimal Gokani, J Edward Fitzgerald, Adam P Williams, Rhiannon L Harries
OBJECTIVES: Applications for surgical training have declined over the last decade, and anecdotally the costs of training at the expense of the surgical trainee are rising. We aimed to quantify the costs surgical trainees are expected to cover for postgraduate training. DESIGN: Prospective, cross-sectional, questionnaire-based study. SETTING/PARTICIPANTS: A non-mandatory online questionnaire for UK-based trainees was distributed nationally...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29137656/how-brunei-trainee-teachers-cope-with-distress-counseling-implications
#20
Lawrence Mundia
OBJECTIVE: This study investigated the strategies used by student teachers when dealing with distress during training. Specifically, this study addressed the following research goals: (1) identify Ways of Coping that predict achievement on a quantitative reasoning test; (2) determine participants' coping differences per sex, age, and ability in quantitative reasoning; and (3) reveal coping strategies that work best for each and both sexes in fostering academic achievement in quantitative reasoning...
November 14, 2017: BMC Research Notes
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