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https://www.readbyqxmd.com/read/28919831/flipped-classroom-model-for-learning-evidence-based-medicine
#1
Sydney Y Rucker, Zulfukar Ozdogan, Morhaf Al Achkar
Journal club (JC), as a pedagogical strategy, has long been used in graduate medical education (GME). As evidence-based medicine (EBM) becomes a mainstay in GME, traditional models of JC present a number of insufficiencies and call for novel models of instruction. A flipped classroom model appears to be an ideal strategy to meet the demands to connect evidence to practice while creating engaged, culturally competent, and technologically literate physicians. In this article, we describe a novel model of flipped classroom in JC...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28919148/creation-and-dissemination-of-a-multispecialty-gme-curriculum-in-pediatric-and-adolescent-gynecology-the-naspag-resident-education-committee-experiences
#2
Carol Wheeler, K J Browner-Elhanan, Yolanda Evans, Nathalie Fleming, Patricia S Huguelet, Nicole W Karjane, Meredith Loveless, Hina J Talib, Paritosh Kaul
OBJECTIVE: The goal was to develop a multispecialty committee to address deficiencies in pediatric and adolescent gynecology resident education through curricular development under the auspices of the North American Society for Pediatric and Adolescent Gynecology. DESIGN: A multispecialty North American committee was organized to develop both short and long curricula in pediatric and adolescent gynecology (PAG) through a combination of conference calls and face-to-face meetings...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28890224/comparison-of-hip-muscle-volume-between-fit-and-fill-stem-and-tapered-wedge-stem-after-total-hip-arthroplasty-using-the-anterolateral-approach
#3
Dongmin Xu, Hiroshi Koyama, Hiroki Furuhashi, Shoichi Nishikino, Hironobu Hoshino, Yukihiro Matsuyama
BACKGROUND: In total hip arthroplasty (THA) surgery, hip muscle preservation is important in strengthening the stability of the hip and improving the activities of the patient. However, whether the type of femoral stem affects the recovery of the hip muscles remains unknown. The aim of this study was to compare the postoperative hip muscle recovery among femoral stem varieties after THA. METHODS: The computed tomography (CT) images of 44 patients (44 hips) who underwent THA using an anterolateral approach were reviewed...
September 7, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28871157/gdp-d-mannose-epimerase-regulates-male-gametophyte-development-plant-growth-and-leaf-senescence-in-arabidopsis
#4
Tiancong Qi, Zhipeng Liu, Meng Fan, Yan Chen, Haixia Tian, Dewei Wu, Hua Gao, Chunmei Ren, Susheng Song, Daoxin Xie
Plant GDP-D-mannose epimerase (GME) converts GDP-D-mannose to GDP-L-galactose, a precursor of both L-ascorbate (vitamin C) and cell wall polysaccharides. However, the genetic functions of GME in Arabidopsis are unclear. In this study, we found that mutations in Arabidopsis GME affect pollen germination, pollen tube elongation, and transmission and development of the male gametophyte through analysis of the heterozygous GME/gme plants and the homozygous gme plants. Arabidopsis gme mutants also exhibit severe growth defects and early leaf senescence...
September 4, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28857426/cit-9-a-fault-free-gmelinite-zeolite
#5
Michiel Dusselier, Jong Hun Kang, Dan Xie, Mark Edward Davis
A synthetic, fault-free gmelinite (GME) zeolite is prepared using a specific organic structure-directing agent (OSDA); cis-3,5-dimethylpiperidinium. The cis-isomers align in the main 12-membered ring (MR) channel of GME. Trans-isomer OSDA leads to the small-pore zeolite SSZ-39 with the OSDA in its cages. Data from N2-physisorption and rotation electron diffraction provide evidence for the openness of the 12 MR channel in the GME 12x8x8 pore architecture and the absence of stacking faults, respectively. CIT-9 is hydrothermally stable when K+-exchanged, while in the absence of exchange, the material transforms into an aluminous AFI-zeolite...
August 30, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28831969/statistical-properties-of-proportional-residual-energy-intake-as-a-new-measure-of-energetic-efficiency
#6
Pouya Zamani
Traditional ratio measures of efficiency, including feed conversion ratio (FCR), gross milk efficiency (GME), gross energy efficiency (GEE) and net energy efficiency (NEE) may have some statistical problems including high correlations with milk yield. Residual energy intake (REI) or residual feed intake (RFI) is another criterion, proposed to overcome the problems attributed to the traditional ratio criteria, but it does not account for production or intake levels. For example, the same REI value could be considerable for low producing and negligible for high producing cows...
August 2017: Journal of Dairy Research
https://www.readbyqxmd.com/read/28766987/optical-verification-and-in-vitro-characterization-of-two-commercially-available-acoustic-bubble-counters-for-cardiopulmonary-bypass-systems
#7
Tim Segers, Marco C Stehouwer, Filip M J J de Somer, Bastian A de Mol, Michel Versluis
INTRODUCTION: Gaseous microemboli (GME) introduced during cardiac surgery are considered as a potential source of morbidity, which has driven the development of the first bubble counters. Two new generation bubble counters, introduced in the early 2000s, claim correct sizing and counting of GME. This in-vitro study aims to validate the accuracy of two bubble counters using monodisperse bubbles in a highly controlled setting at low GME concentrations. METHODS: Monodisperse GME with a radius of 43 µm were produced in a microfluidic chip...
August 1, 2017: Perfusion
https://www.readbyqxmd.com/read/28762297/the-association-of-usmle-step-1-and-step-2-ck-scores-with-residency-match-specialty-and-location
#8
Jacqueline L Gauer, J Brooks Jackson
BACKGROUND: For future physicians, residency programs offer necessary extended training in specific medical specialties. Medical schools benefit from an understanding of factors that lead their students to match into certain residency specialties. One such factor, often used during the residency application process, is scores on the USA Medical Licensing Exam (USMLE). OBJECTIVES: To determine the relationship between USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores and students' residency specialty match, and the association between both USMLE scores and state of legal residency (Minnesota) at the time of admission with students staying in-state or leaving the state for residency program...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28751062/model-for-prioritization-of-graduate-medical-education-funding-at-a-university-setting-engagement-of-gme-committee-with-the-clinical-enterprise
#9
Chandrakanth Are, Melissa Suh, Lauren Carpenter, Hugh Stoddard, Vicki Hamm, Matthew DeVries, Whitney Goldner, Kimberly Jarzynka, Jennifer Parker, Jean Simonson, Geoffrey Talmon, Chad Vokoun, Jeffrey Gold, David Mercer, Michael Wadman
BACKGROUND: Funding for graduate medical education (GME) is becoming scarce and is likely to worsen. There is a higher degree of accountability and return on investment demanded from public funds dedicated to GME. Academic centers (AC) partnered with clinical enterprises (CE) are finding it increasingly difficult to retain sustainable funding streams for GME activities. METHODS: To develop and implement a novel algorithmic funding model at one AC in symbiotic partnership with the CE for all 50 GME programs with nearly 500 residents...
July 19, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28751061/parental-leave-policies-in-graduate-medical-education-a-systematic-review
#10
Laura S Humphries, Sarah Lyon, Rebecca Garza, Daniel R Butz, Benjamin Lemelman, Julie E Park
BACKGROUND: A thorough understanding of attitudes toward and program policies for parenthood in graduate medical education (GME) is essential for establishing fair and achievable parental leave policies and fostering a culture of support for trainees during GME. METHODS: A systematic review of the literature was completed. Non-cohort studies, studies completed or published outside of the United States, and studies not published in English were excluded. Studies that addressed the existence of parental leave policies in GME were identified and were the focus of this study...
June 30, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28742556/perspectives-on-the-single-gme-accreditation-system
#11
Stephen C Shannon
No abstract text is available yet for this article.
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28742555/perspectives-on-the-single-gme-accreditation-system
#12
Boyd R Buser
No abstract text is available yet for this article.
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28734364/improved-variable-reduction-in-partial-least-squares-modelling-by-global-minimum-error-uninformative-variable-elimination
#13
Jan P M Andries, Yvan Vander Heyden, Lutgarde M C Buydens
The calibration performance of Partial Least Squares regression (PLS) can be improved by eliminating uninformative variables. For PLS, many variable elimination methods have been developed. One is the Uninformative-Variable Elimination for PLS (UVE-PLS). However, the number of variables retained by UVE-PLS is usually still large. In UVE-PLS, variable elimination is repeated as long as the root mean squared error of cross validation (RMSECV) is decreasing. The set of variables in this first local minimum is retained...
August 22, 2017: Analytica Chimica Acta
https://www.readbyqxmd.com/read/28724152/cost-of-incremental-expansion-of-an-existing-family-medicine-residency-program
#14
Evan A Ashkin, Warren P Newton, Brian Toomey, Ronald Lingley, Cristen P Page
BACKGROUND AND OBJECTIVES: Expanding residency training programs to address shortages in the primary care workforce is challenged by the present graduate medical education (GME) environment. The Medicare funding cap on new GME positions and reductions in the Health Resources and Services Administration (HRSA) Teaching Health Center (THC) GME program require innovative solutions to support primary care residency expansion. Sparse literature exists to assist in predicting the actual cost of incremental expansion of a family medicine residency program without federal or state GME support...
July 2017: Family Medicine
https://www.readbyqxmd.com/read/28723255/combining-efforts-for-positive-progress-in-the-graduate-medical-education-match-process
#15
Heath D White, Bobbie Ann Adair White, Shekhar Ghamande, Alejandro C Arroliga
No abstract text is available yet for this article.
August 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28723246/reply-combining-efforts-for-positive-progress-in-the-graduate-medical-education-match-process
#16
Gabriel T Bosslet, John D Buckley
No abstract text is available yet for this article.
August 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28723245/reply-combining-efforts-for-positive-progress-in-the-graduate-medical-education-match-process
#17
Geneva Tatem, Maria Kokas, Cathy L Smith, Bruno DiGiovine
No abstract text is available yet for this article.
August 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28720635/increased-public-accountability-for-hospital-nonprofit-status-potential-impacts-on-residency-positions
#18
Melanie C Raffoul, Robert L Phillips
BACKGROUND: The Institute of Medicine recently called for greater graduate medical education (GME) accountability for meeting the workforce needs of the nation. The Affordable Care Act expanded community health needs assessment (CHNA) requirements for nonprofit and tax-exempt hospitals to include community assessment, intervention, and evaluation every 3 years but did not specify details about workforce. Texas receives relatively little federal GME funding but has used Medicaid waivers to support GME expansion...
July 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28699935/use-of-simulation-to-assess-incoming-interns-recognition-of-opportunities-to-choose-wisely
#19
Kathleen Wiest, Jeanne Farnan, Ellen Byrne, Lukas Matern, Melissa Cappaert, Kristen Hirsch, Vineet Arora
BACKGROUND: Despite increasing healthcare costs, training on cost-consciousness is lacking in graduate medical education (GME). Medical centers must consider how best to incorporate value-based training into their GME curricula. OBJECTIVE: To incorporate low-value principles into an existing GME simulation exercise and assess incoming interns' recognition of low-value care. METHODS: Choosing Wisely™ lists were reviewed to identify 4 low-value hazards to be embedded into a simulated hospital room in addition to the 8 patient safety hazards used previously...
July 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28657554/meeting-acgme-standards-under-a-unified-accreditation-system-challenges-for-osteopathic-graduate-medical-education-programs
#20
Mark Cummings
In 2014, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine signed a memorandum of understanding (MOU) with the Accreditation Council for Graduate Medical Education (ACGME) to create a unified accreditation system for graduate medical education (GME) under the ACGME. The AOA will cease to accredit GME programs on June 30, 2020. By then, AOA-accredited programs need to apply for and achieve ACGME initial accreditation. The terms of the MOU also made it advantageous for some formerly nonteaching hospitals to establish AOA programs, chiefly in primary care, as a step toward future ACGME accreditation...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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