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https://www.readbyqxmd.com/read/29140917/medical-trainees-experiences-of-treating-people-with-chronic-pain-a-lost-opportunity-for-medical-education
#1
Kathleen Rice, Jae Eun Ryu, Cynthia Whitehead, Joel Katz, Fiona Webster
PURPOSE: Evidence suggests that physicians' opinions about chronic pain patients become progressively negative over the course of medical training, leading to a decline in empathy for these patients. Few qualitative studies have focused on this issue and thus the experiences shaping this process remain unexplored. This study addressed how medical trainees learn about chronic pain management through informal and formal curricula. METHOD: This study adopted a descriptive qualitative interview-based approach informed by the theoretical lens of the hidden curriculum...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29137836/how-participatory-action-research-changed-our-view-of-the-challenges-of-shared-decision-making-training
#2
Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen
OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training. METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops...
November 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29133435/coordinated-plasticity-of-synapses-and-astrocytes-underlies-practice-driven-functional-vicariation-in-peri-infarct-motor-cortex
#3
Soo Young Kim, J Edward Hsu, Lincoln C Husbands, Jeffrey A Kleim, Theresa A Jones
Motor rehabilitative training after stroke can improve motor function and promote topographical reorganization of remaining motor cortical movement representations, but this reorganization follows behavioral improvements. A more detailed understanding of the neural bases of rehabilitation efficacy is needed to inform therapeutic efforts to improve it. Using a rat model of upper extremity impairments after ischemic stroke, we examined effects of motor rehabilitative training at the ultrastructural level in peri-infarct motor cortex...
November 13, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29131733/the-importance-of-research-literacy-for-yoga-therapists
#4
Steffany Moonaz, Pamela Jeter, Laura Schmalzl
Evidence-Informed Practice (EIP) utilizes the three components of expert opinion, research evidence, and client values. It is a recommended training competency for integrative health practitioners in diverse fields, such as acupuncture and massage therapy. Research Literacy (RL) is a necessary pre-requisite to EIP. Many yoga therapists have limited training in these skills, which negatively impacts inter-professional communication and collaboration, as well as further advancement of yoga therapy research and practice...
November 2017: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29130976/discontinued-information-and-communication-technology-usage-among-older-adults-in-continuing-care-retirement-communities-in-the-united-states
#5
R V Rikard, Ronald W Berkowsky, Shelia R Cotten
BACKGROUND: Older adults are increasingly using information and communication technologies (ICTs). Recent studies show beneficial effects of using ICTs for older adults, particularly in terms of reducing loneliness and depression. However, little is known about the factors that may prevent discontinued ICT use in populations that may be at greater risk, such as those in continuing care retirement communities (CCRCs). OBJECTIVES: The purpose of this study is to examine a range of factors that may influence discontinued (1) ICT use, (2) searching for health information, and (3) searching for general information over time among CCRC residents...
November 9, 2017: Gerontology
https://www.readbyqxmd.com/read/29128295/the-impact-of-peer-mentor-communication-with-older-adults-on-depressive-symptoms-and-working-alliance-a-pilot-study
#6
Jin Hui Joo, Seungyoung Hwang, Joseph J Gallo, Debra L Roter
OBJECTIVE: The objective of this pilot study was to describe peer communication in meetings with depressed elders, associate their relationship with working alliance and depression and assess congruence of communication with training. METHODS: Three peers with a history of depression, in recovery, received 20h of training in peer mentoring for depression as part of an 8-week pilot program for 23 depressed older adults. Each peer-client meeting was recorded; a sample of 69 recorded meetings were chosen across the program period and coded with the Roter Interaction Analysis System, a validated medical interaction analysis system...
October 20, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29126402/using-social-media-to-support-small-group-learning
#7
Duncan Cole, Emma Rengasamy, Shafqat Batchelor, Charles Pope, Stephen Riley, Anne Marie Cunningham
BACKGROUND: Medical curricula are increasingly using small group learning and less didactic lecture-based teaching. This creates new challenges and opportunities in how students are best supported with information technology. We explored how university-supported and external social media could support collaborative small group working on our new undergraduate medical curriculum. METHODS: We made available a curation platform (Scoop.it) and a wiki within our virtual learning environment as part of year 1 Case-Based Learning, and did not discourage the use of other tools such as Facebook...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29125324/communication-training-interventions-for-family-and-professional-carers-of-people-living-with-dementia-a-systematic-review-of-effectiveness-acceptability-and-conceptual-basis
#8
L Morris, M Horne, P McEvoy, T Williamson
OBJECTIVES: To update previous reviews and provide a more detailed overview of the effectiveness, acceptability and conceptual basis of communication training-interventions for carers of people living with dementia. METHOD: We searched CINAHL Plus, MEDLINE and PsycINFO using a specific search and extraction protocol, and PRISMA guidelines. Two authors conducted searches and extracted studies that reported effectiveness, efficacy or acceptability data regarding a communication training-intervention for carers of people living with dementia...
November 10, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29122781/simulation-based-inter-professional-education-to-improve-attitudes-towards-collaborative-practice-a-prospective-comparative-pilot-study-in-a-chinese-medical-centre
#9
Ling-Yu Yang, Ying-Ying Yang, Chia-Chang Huang, Jen-Feng Liang, Fa-Yauh Lee, Hao-Min Cheng, Chin-Chou Huang, Shou-Yen Kao
OBJECTIVES: Inter-professional education (IPE) builds inter-professional collaboration (IPC) attitude/skills of health professionals. This interventional IPE programme evaluates whether benchmarking sharing can successfully cultivate seed instructors responsible for improving their team members' IPC attitudes. DESIGN: Prospective, pre-post comparative cross-sectional pilot study. SETTING/PARTICIPANTS: Thirty four physicians, 30 nurses and 24 pharmacists, who volunteered to be trained as seed instructors participated in 3...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29120559/interpersonal-skills-in-the-practice-of-food-safety-inspections-a-study-of-compliance-assistance
#10
Jennifer Buckely
Conducting food safety inspections requires interpersonal skills and technical expertise. This requirement is particularly important for agencies that adopt a compliance assistance approach by encouraging inspectors to assist industry in finding solutions to violations. This article describes a study of inspections that were conducted by inspectors from the Michigan Department of Agriculture and Rural Development Food and Dairy Division at small-scale processing facilities. Interactions between inspectors and small processors were explored through a qualitative, ethnographic approach using interviews and field observations...
December 2016: Journal of Environmental Health
https://www.readbyqxmd.com/read/29119874/using-helping-skills-with-korean-clients-the-perspectives-of-korean-counselors
#11
Eunsun Joo, Clara E Hill, Young Hwa Kim
OBJECTIVE: The purpose of this study was to investigate how Korean counselors modify the helping skills they learned during training in their work with Korean clients. METHOD: Thirteen practicing Korean therapists who had taken two master's level courses in the Hill helping skills model were interviewed about their experiences in applying the model in their work with clients. Data were analyzed using consensual qualitative research (CQR). RESULTS: Several characteristics were noted of Korean clients that might influence the appropriateness of the helping skills model (e...
November 9, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29118100/-difficult-conversations-evaluation-of-multiprofessional-training
#12
Lisa Jane Brighton, Lucy Ellen Selman, Nicholas Gough, J J Nadicksbernd, Katherine Bristowe, Catherine Millington-Sanders, Jonathan Koffman
OBJECTIVES: Evidence-based communication skills training for health and social care professionals is essential to improve the care of seriously ill patients and their families. We aimed to evaluate the self-reported impact of 'Difficult Conversations', a multidisciplinary half-day interactive workshop, and gain feedback to inform future development and evaluation. METHODS: Service evaluation using questionnaire data collected before and immediately after workshops from February 2015 to August 2016 regarding participant self-assessed confidence, knowledge and skills...
November 8, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29112009/communication-about-chronic-pain-and-opioids-in-primary-care-impact-on-patient-and-physician-visit-experience
#13
Stephen G Henry, Robert A Bell, Joshua J Fenton, Richard L Kravitz
Patients and physicians report that communication about chronic pain and opioids is often challenging, but there is little empirical research on whether patient-physician communication about pain affects patient and physician visit experience. This study video recorded 86 primary care visits involving 49 physicians and 86 patients taking long-term opioids for chronic musculoskeletal pain, systematically coded all pain-related utterances during these visits using a custom-designed coding system, and administered pre- and post-visit questionnaires...
November 3, 2017: Pain
https://www.readbyqxmd.com/read/29111826/integration-of-systematic-clinical-interprofessional-training-in-a-student-faculty-collaborative-primary-care-practice
#14
Amy R Weinstein, Maria C Dolce, Megan Koster, Ravi Parikh, Emily Hamlyn, Elizabeth A McNamara, Alexa Carlson, Margarita V DiVall
The changing healthcare environment and movement toward team-based care are contemporary challenges confronting health professional education. The primary care workforce must be prepared with recent national interprofessional competencies to practice and lead in this changing environment. From 2012 to 2014, the weekly Beth Israel Deaconess Crimson Care Collaborative Student-Faculty Practice collaborated with Northeastern University to develop, implement and evaluate an innovative model that incorporated interprofessional education into primary care practice with the goal of improving student understanding of, and ability to deliver quality, team-based care...
November 7, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29111620/readying-community-water-fluoridation-advocates-through-training-surveillance-and-empowerment
#15
C Veschusio, M K Jones, J Mercer, A B Martin
This paper describes the Community Water Fluoridation Advocacy Training Project that was designed to develop networks of community water fluoridation advocates in rural communities. The South Carolina (SC) Department of Health and Environmental Control Division of Oral Health staff and the SC Dental Association were responsible for developing and facilitating the training sessions for key policy influencers, which included medical and dental providers, early childhood educators, and water system operators and managers...
November 10, 2017: Community Dental Health
https://www.readbyqxmd.com/read/29110738/what-can-we-learn-from-simulation-based-training-to-improve-skills-for-end-of-life-care-insights-from-a-national-project-in-israel
#16
Mayer Brezis, Yael Lahat, Meir Frankel, Alan Rubinov, Davina Bohm, Matan J Cohen, Meni Koslowsky, Orit Shalomson, Charles L Sprung, Henia Perry-Mezare, Rina Yahalom, Amitai Ziv
BACKGROUND: Simulation-based training improves residents' skills for end-of-life (EOL) care. In the field, staff providers play a significant role in handling those situations and in shaping practice by role modeling. We initiated an educational intervention to train healthcare providers for improved communication skills at EOL using simulation of sensitive encounters with patients and families. METHODS: Hospital physicians and nurses (n = 1324) attended simulation-based workshops (n = 100) in a national project to improve EOL care...
November 6, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29110695/unifying-interdisciplinary-education-designing-and-implementing-an-intern-simulation-educational-curriculum-to-increase-confidence-in-critical-care-from-pgy1-to-pgy2
#17
Mark J Bullard, Jo Anna Leuck, Lisa D Howley
BACKGROUND: A longitudinal, multidisciplinary critical care simulation curriculum was developed and implemented within a teaching hospital to address the need for consistent, safe, efficient, and unified critical care training within graduate medical education. Primary goals were to increase learner confidence in critical care topics and procedural skills across all specialties. Secondary goals included improving communication skills and obtaining a high level of learner satisfaction...
November 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29109665/communication-skills-of-physicians-and-patients-satisfaction
#18
Mohammad-Hossein Biglu, Farnaz Nateq, Morteza Ghojazadeh, Ali Asgharzadeh
Background: The communication skills of physicians is an effective step of making effective relationship between doctor and patient. It plays essential role through diagnosis and treatment processes. This current study was performed to investigate the impact of communication skillfulness of physicians on patients' satisfaction. Methods: A cross-sectional descriptive study was done to determine the impact of communication capability of practitioners on patients' satisfaction...
September 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29105521/evaluation-of-medical-record-quality-and-communication-skills-among-pediatric-interns-after-standardized-parent-training-history-taking-in-china
#19
Mu Xue Yu, Xiao Yun Jiang, Yi Juan Li, Zhen Yu Shen, Si Qi Zhuang, Yu Fen Gu
OBJECTIVE: The effect of using standardized parent training history-taking on the quality of medical records and communication skills among pediatric interns was determined. METHODS: Fifth-year interns who were undertaking a pediatric clinical practice rotation were randomized to intervention and control groups. All of the pediatric interns received history-taking training by lecture and bedside teaching. The pediatric interns in the intervention group also received standardized parent history-taking training...
November 6, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29103366/incorporating-the-human-touch-piloting-a-curriculum-for-patient-centered-electronic-health-record-use
#20
Wei Wei Lee, Maria L Alkureishi, Kristen E Wroblewski, Jeanne M Farnan, Vineet M Arora
BACKGROUND: Integrating electronic health records (EHRs) into clinical care can prevent physicians from focusing on patients. Despite rapid EHR adoption, few curricula teach communication skills and best practices for patient-centered EHR use. OBJECTIVE: We piloted a 'Patient-centered EHR use' curriculum, consisting of a lecture and group-observed structured clinical examination (GOSCE) for second-year students (MS2s). DESIGN: During the lecture, students watched a trigger tape video, engaged in a reflective observation exercise, and learned best practices...
2017: Medical Education Online
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