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https://www.readbyqxmd.com/read/29053223/the-utility-of-adaptive-elearning-in-cervical-cytopathology-education
#1
T Danielle Samulski, Laura A Taylor, Teresa La, Chelsea R Mehr, Cindy M McGrath, Roseann I Wu
BACKGROUND: Adaptive eLearning allows students to experience a self-paced, individualized curriculum based on prior knowledge and learning ability. METHODS: The authors investigated the effectiveness of adaptive online modules in teaching cervical cytopathology. eLearning modules were created that covered basic concepts in cervical cytopathology, including artifacts and infections, squamous lesions (SL), and glandular lesions (GL). The modules used student responses to individualize the educational curriculum and provide real-time feedback...
October 20, 2017: Cancer
https://www.readbyqxmd.com/read/29049425/comparison-of-internal-medicine-and-general-surgery-residents-assessments-of-risk-of-postsurgical-complications-in-surgically-complex-patients
#2
James M Healy, Kimberly A Davis, Kevin Y Pei
Importance: Anticipating postsurgical complications is a vital physician skill, particularly when counseling surgically complex patients on their risks of intervention. Although internists and surgeons both counsel patients on surgical risks, it is uncertain who is better equipped to accurately anticipate surgical complications. Objective: To examine how internal medicine and general surgery trainees compare in their assessment of risk of surgically complex patients...
October 11, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29045057/proper-training-in-laparoscopic-hernia-repair-is-necessary-to-minimize-the-rising-recurrence-rate-in-japan
#3
Sumio Matsumoto, Tetsushi Hayakawa, Yoh Kawarada, Kazunori Uchida, Tohru Eguchi, Hidetoshi Wada, Nozomi Ueno, Hitoshi Idani, Kanyu Nakano, Yoshiyuki Oomomo
INTRODUCTION: The Japan Society for Endoscopic Surgery reported that the recurrence rate for inguinal hernia repair in Japan was less than 1% in 2010. However, its 2012 survey found that the recurrence rate had increased to 4% for the transabdominal preperitoneal procedure and 5% for the totally extraperitoneal procedure. We held 14 hernia repair training courses from 2011 to 2016 with help from Covidien. This study aimed to determine the effect of this training on the recurrence rate...
October 17, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29044675/-oh-my-god-i-can-t-handle-this-trainees-emotional-responses-to-complex-situations
#4
Esther Helmich, Laura Diachun, Radha Joseph, Kori LaDonna, Nelleke Noeverman-Poel, Lorelei Lingard, Sayra Cristancho
CONTEXT: Dealing with emotions is critical for medical trainees' professional development. Taking a sociocultural and narrative approach to understanding emotions, we studied complex clinical situations as a specific context in which emotions are evoked and influenced by the social environment. We sought to understand how medical trainees respond to emotions that arise in those situations. METHODS: In an international constructivist grounded theory study, 29 trainees drew two rich pictures of complex clinical situations, one exciting and one frustrating...
October 16, 2017: Medical Education
https://www.readbyqxmd.com/read/29042389/what-s-up-doc-a-national-cross-sectional-study-of-psychological-wellbeing-of-hospital-doctors-in-ireland
#5
Blánaid Hayes, Lucia Prihodova, Gillian Walsh, Frank Doyle, Sally Doherty
OBJECTIVES: To measure levels of psychological distress, psychological wellbeing and self-stigma in hospital doctors in Ireland. DESIGN: National cross-sectional study of randomised sample of hospital doctors. Participants provided sociodemographic data (age, sex, marital status), work grade (consultant, higher/basic specialist trainee), specialty and work hours and completed well-being questionnaires (the Depression Anxiety Stress Scale, WHO Well-being Index, General Health Questionnaire) and single-item scales on self-rated health and self-stigma...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29033149/management-of-cervicofacial-infections-a-survey-of-current-practice-in-maxillofacial-units-in-the-uk
#6
C McDonald, A Hennedige, A Henry, B Dawoud, R Kulkarni, K Gilbert, P Kyzas, R Morrison, J A McCaul
Cervicofacial infections are common emergency presentations to maxillofacial departments in the UK, there is no consensus about their management and, in particular, the role of corticosteroids is not clear. Our aim was to find out the current practice of UK maxillofacial surgeons in managing these infections using a multicentre questionnaire study. The questionnaire was designed, piloted, and revised before distribution, and questions were asked to assess preoperative, operative, and postoperative management...
October 12, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29023700/teaching-learning-tips-1-teaching-perspectives-an-introduction
#7
Jasmine Rana, Susan Burgin
Challenge: Clinical and research responsibilities often leave little or no time to plan thoughtful teaching encounters with trainees. This "Teaching & Learning Tips" series is designed to be an accessible guide for dermatologists who want to improve their teaching skills. It is comprised of 12 articles about how to enhance teaching in various settings informed by research about how people learn and expert-derived or data-driven best practices for teaching. The series begins with a review of principles to optimize learning in any setting, including cognitive load theory, active learning strategies, and the impact of motivation and emotion on learning...
November 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/29019800/academic-medical-support-to-the-ebola-virus-disease-outbreak-in-liberia
#8
Patricia A McQuilkin, Michelle Niescierenko, Ann Marie Beddoe, Jarod Goentzel, Elinor A Graham, Patricia C Henwood, Lise Rehwaldt, Sisay Teklu, Janis Tupesis, Roseda Marshall
During the Ebola Virus Disease (EVD) epidemic in West Africa (2014-2016), many faculty, staff, and trainees from U.S. academic medical centers (i.e., teaching hospitals and their affiliated medical schools; AMCs) wished to contribute to the response to the outbreak, but many barriers prevented their participation. Here, the authors describe a successful long-term academic collaboration in Liberia that facilitated participation in the EVD response. This Perspective outlines the role the authors played in the response (providing equipment and training, supporting the return of medical education), the barriers they faced (logistical and financial), and elements that contributed to their success (partnering and coordinating their response with both U...
October 10, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28993489/civilian-and-military-doctors-knowledge-of-tranexamic-acid-txa-use-in-major-trauma-a-comparison-study
#9
Jonathan Blair Thomas Herron, R French, A D Gilliam
INTRODUCTION: Tranexamic acid (TXA) administration within the recommended time of 3 hours has been demonstrated to improve outcomes following trauma. The aim of this study was to identify potential knowledge gaps in the administration of TXA in order to target further educational training in those doctors responsible for the management of acute trauma. METHODS: 104 military and 852 civilian doctors were invited to complete a four-item web-based questionnaire pertaining to the indications, dose, side effects and evidence base for TXA administration in trauma...
October 9, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28987833/training-of-intra-axial-brain-tumor-resection-using-a-self-made-simple-device-with-agar-and-gelatin
#10
Toshihiro Mashiko, Hirohumi Oguma, Takehiko Konno, Akira Gomi, Takashi Yamaguchi, Rie Nagayama, Makoto Sato, Ryo Iwase, Kensuke Kawai
Self-made devices composed of agar and gelatin gel have been used for resident training of intra-axial brain tumor resection. The mixture gel of agar and gelatin is retractable and can be suctioned. Hardness of the gel depends on the concentration of the solution. Therefore, by changing the concentration, it is easy to make gels of various hardness. In this study, a mass of gel that looked like a tumor was put into another gel that looked like the brain. A part of the "brain" was regarded as the eloquent area...
October 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28985884/gender-differences-in-academic-surgery-work-life-balance-and-satisfaction
#11
Dadrie Baptiste, Alison M Fecher, Scott C Dolejs, Joseph Yoder, C Maximillian Schmidt, Marion E Couch, DuyKhanh P Ceppa
BACKGROUND: An increasing number of women are pursuing a career in surgery. Concurrently, the percentage of surgeons in dual-profession partnerships is increasing. We sought to evaluate the gender differences in professional advancement, work-life balance, and satisfaction at a large academic center. MATERIALS AND METHODS: All surgical trainees and faculty at a single academic medical center were surveyed. Collected variables included gender, academic rank, marital status, family size, division of household responsibilities, and career satisfaction...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28982349/critical-care-rotation-impact-on-pediatric-resident-mental-health-and-burnout
#12
Katie K Wolfe, Sharon M Unti
BACKGROUND: Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. METHODS: Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28979635/mozambique-field-epidemiology-and-laboratory-training-program-a-pathway-for-strengthening-human-resources-in-applied-epidemiology
#13
Cynthia Semá Baltazar, Cátia Taibo, Jahit Sacarlal, Lorna Gujral, Cristolde Salomão, Timothy Doyle
INTRODUCTION: In the last decades, Mozambique has been undergoing demographic, epidemiological, economic and social transitions, which have all had a notable impact on the National Health System. New challenges have emerged, causing a need to expand the preparation and response to emerging disease threats and public health emergencies. METHODS: We describe the structure and function of the Mozambique Field Epidemiology Training Program (MZ-FELTP) and the main outputs achieved during the first 6 years of program implementation (consisting of 3 cohorts)...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28979555/the-research-needs-of-an-icm-trainee-the-raft-national-survey-results-and-initiatives-to-improve-trainee-research-opportunities
#14
Michelle Shaw, Benjamin Harris, Stephen Bonner
Research is key to intensive care practice but it is not certain whether trainees get the research experience they want to prepare them for clinical practice as consultants. We distributed a survey via Research & Audit Federation of Trainees to 478 current intensive care medicine trainees to establish their views. We restricted analysis to regions with an 80% or greater response rate (n = 235 responses) to reduce self-selection bias. Our results indicated that the desire for research activities was high but multiple barriers exist...
May 2017: J Intensive Care Soc
https://www.readbyqxmd.com/read/28970031/x-y-scheduling-models-in-internal-medicine-residency-programs-a-national-survey-of-program-directors-perspectives
#15
Craig Noronha, Saima Chaudhry, Karen Chacko, Kelly McGarry, Anoop Agrawal, Gopal Yadavalli, Marc Shalaby
• The X+Y scheduling model is utilized by many internal medicine residency programs. • 44% of programs utilize an X+Y scheduling model. • X+Y programs are often larger with 53% of them having more than 75 residents. • Most program directors perceive that X+Y models reduce trainee burnout and tension between patient care responsibilities. • 90% of programs utilizing an X+Y scheduling model are somewhat satisfied or very satisfied with their system.
September 29, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28969897/current-status-of-endovascular-training-for-cardiothoracic-surgery-residents-in-the-united-states
#16
Panos N Vardas, Ada C Stefanescu Schmidt, Xiaoying Lou, Andrew B Goldstone, Gregory Pattakos, Amy G Fiedler, Elizabeth H Stephens, Vakhtang Tchantchaleishvili
BACKGROUND: Endovascular interventions for cardiovascular pathology are becoming increasingly relevant to cardiothoracic surgery. This study assessed the perceived prevalence and efficacy of endovascular skills training and identified differences among training paradigms. METHODS: Trainee responses to questions in the 2016 In-Service Training Examination survey regarding endovascular training were analyzed based on the four different cardiothoracic surgery training pathways: traditional 2- and 3-year thoracic, integrated 6-year, and combined 4+3 general and thoracic residency programs...
September 29, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28956303/experiences-with-the-child-and-adolescent-psychiatry-milestones-results-of-two-nationwide-surveys
#17
Shannon W Simmons, Christopher K Varley, Jeffrey Hunt
OBJECTIVES: Child and Adolescent Psychiatry began using milestones in 2015 as a way to document observable progress through training. The study is the first assessment of Child and Adolescent Psychiatry (CAP) faculty and fellows' experience with the milestones. METHODS: This study presents findings from two surveys conducted one year apart. The first electronic survey polled CAP fellows and faculty nationwide using five opinion questions; demographic data and comments were also gathered...
September 27, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28953813/survey-on-the-knowledge-and-expectations-of-psychiatry-of-intellectual-disability-id-in-junior-doctors-joining-a-nhs-mental-health-trust
#18
Madhusudan Deepak Thalitaya, Claire Reynolds
BACKGROUND: Nationally, there is a drive to rotate more Foundation and GP Trainee Doctors through Psychiatry posts. In East London Foundation Trust (ELFT) in Bedfordshire, doctors from Core Psychiatry, Foundation and GP training programmes come to train in Psychiatry. Many will not have worked in Psychiatry before and have little experience of patients with ID. The prevalence of people with ID is increasing with improved life expectancy. They are a complex and vulnerable group with considerable wider legal, ethical and social issues...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28952671/a-survey-of-clinical-uncertainty-from-the-paediatric-basic-specialist-trainee-perspective
#19
M B O'Neill, Z A Sarani, A J Nicholson, M Elbadry, A M Deasy
This study was undertaken to evaluate uncertainty from the Basic Specialist Trainee perspective. The survey of trainees explored 1) factors in decision making, 2) the personal impact of uncertainty, 3) the responses to both clinical errors and challenges to their decision making and 4) the potential strategies to address uncertainty. Forty-one (93%) of trainees surveyed responded. Important factors in decision making were clinical knowledge and senior colleague's opinion. Sixty percent experienced significant anxiety post call as a consequence of their uncertainty...
June 9, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28949894/the-use-of-an-online-comment-system-in-clinical-ethics-consultation
#20
Katrina Hauschildt, Trisha K Paul, Raymond De Vries, Lauren B Smith, Christian J Vercler, Andrew G Shuman
BACKGROUND: Although a mechanism for resolving ethical issues in patient care is required for accreditation of American hospitals, there are no formal qualifications for providing clinical ethics consultation (CEC), and there remains great variability in the composition of ethics committees and consult services. Consequently, the quality of CEC also varies depending on the qualifications of those performing CEC services and the format of CEC utilized at an institution. Our institution implemented an online CEC comment system to build upon existing practices to promote consistency and broad consensus in CEC services and enable quality assurance...
July 2017: AJOB Empirical Bioethics
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