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curriculum change

Jessica M Ryan, Ailín C Rogers, William B Robb
BACKGROUND: Despite having considerable influence over resource allocation clinicians possess poor knowledge of healthcare costs. This study evaluated surgeons' cost-awareness with regard to surgical equipment and assessed attitudes towards health economics training using survey format. MATERIALS AND METHODS: An online survey was distributed to 326 surgeons across a range of specialties in Ireland. Respondents were asked about their surgical expertise, previous training in health economics, and its role in the surgical curriculum...
June 20, 2018: International Journal of Surgery
Suzanne G Pitama, Suetonia C Palmer, Tania Huria, Cameron Lacey, Tim Wilkinson
CONTEXT: The effectiveness of cultural competency education in improving health practitioner proficiency and addressing health inequities for minoritised patient groups is uncertain. Identification of institutional factors that shape or constrain development of indigenous health curricula may provide insights into the impact of these factors on the broader cultural competency curricula. METHODS: We undertook a systematic review using actor-network theory to inform our interpretive synthesis of studies that reported indigenous health curricula evaluated within medical, nursing and allied health education...
June 22, 2018: Medical Education
Omnia S El Seifi, Eman M Mortada, Naglaa M Abdo
BACKGROUND: Parent's level of knowledge, state of their attitude, and their self-efficacy are the most incriminated reasons for the faulty application of the first aid measures, particularly in children's home injuries. OBJECTIVES: To assess the effect of a health education intervention on improving knowledge, attitude and self- efficacy of mothers having preschool children about home injuries and the basic first aid measures. METHODS: A pre-posttest evaluation of the effect of a health education intervention on changing knowledge, attitude, and self-efficacy about home injuries and the basic first aid measures of 244 rural Egyptian mothers having preschool children...
2018: PloS One
Oscar Taylor, Charlene M Rapsey, Gareth J Treharne
AIMS: To investigate inclusion of sexuality and gender identity content, attitudes and barriers to inclusion of content in preclinical curricula of New Zealand medical schools from the perspective of key teaching staff. METHOD: Staff responsible for curriculum oversight at New Zealand's two medical schools were invited to complete a mixed-methods survey about sexuality and gender identity content in their modules. RESULTS: Of 24 respondents, the majority included very little content relating to sexuality or gender identity (33%) or none at all (54%)...
June 22, 2018: New Zealand Medical Journal
Linda Lee, W Wayne Weston, Loretta Hillier, Douglas Archibald, Joseph Lee
Family physicians often find themselves inadequately prepared to manage dementia. This article describes the curriculum for a resident training intervention in Primary Care Collaborative Memory Clinics (PCCMC), outlines its underlying educational principles, and examines its impact on residents' ability to provide dementia care. PCCMCs are family physician-led interprofessional clinic teams that provide evidence-informed comprehensive assessment and management of memory concerns. Within PCCMCs residents learn to apply a structured approach to assessment, diagnosis, and management; training consists of a tutorial covering various topics related to dementia followed by work-based learning within the clinic...
June 21, 2018: Gerontology & Geriatrics Education
Samaneh Abolbashari, Hossein Karimi Moonaghi, Mojtaba Mousavi Bazzaz
Background: Changes in medical education have drawn attention to student-based learning. It is necessary that teachers' educational roles be redefined to conform to these changes. While numerous educational activities are listed for medical teachers, it seems that they involve themselves in only some of these roles. We conducted this study to assess the importance of different educational roles in the view of medical faculties. Methods: A questionnaire that consisted of a total of 12 roles classified into six categories including information provider, role model, facilitator, examiner, planner, and resource developer was prepared...
2018: Advances in Medical Education and Practice
A Kar, S Mukherjee, A Ventriglio, D Bhugra
INTRODUCTION: It is important to understand the attitude of medical students towards homosexuality, as this may affect patient care. METHODS: Year 2 and 3 students at Calcutta National Medical College, Kolkata, India were asked to selfadminister an 18-item questionnaire anonymously. Internal consistency of the questionnaire statements was high (Cronbach's alpha of 0.91). There were five responses for each statement: strongly agree, generally agree, unsure, generally disagree, and strongly disagree...
June 2018: East Asian Archives of Psychiatry: Official Journal of the Hong Kong College of Psychiatrists
Chang Kyun Lee, Gil Y Melmed, Amy Mann, Itai Danovitch, Rebecca Hedrick, Dermot P B McGovern, Stephan Targan, David Shih, Eric Vasiliauskas, Waguih William IsHak, Edward Feldman
Background: This study reports on the logistics and feasibility of a novel multidisciplinary approach to biopsychosocial care at a tertiary adult inflammatory bowel disease (IBD) center. Methods: Consecutive patients referred for a new IBD consultation completed the following self-assessments: the Short Form-12, the Patient Reported Outcome Measurement Information System (PROMIS) Global Health Scale, the World Health Organization Disability Assessment Schedule 2...
June 15, 2018: Inflammatory Bowel Diseases
Siobhan M Mor, Jacqueline M Norris, Katrina L Bosward, Jenny-Ann L M L Toribio, Michael P Ward, Jaime Gongora, Meg Vost, Peter C Higgins, Paul D McGreevy, Peter J White, Sanaa Zaki
Background: New educational approaches are needed to improve student understanding of the wider sociological and ecological determinants of health as well as professional responsibilities in related areas. Field trips allow students to observe interaction between plant, animal and human communities, making them an ideal tool for teaching One Health concepts. Methods: Veterinary medical students participated in a field trip to a local parklands area, frequented by humans, dogs, horses, and wildlife...
June 2018: One Health
Luna Chang, Shu-Chuan Chen, Shu-Ling Hung
Based on 2015 annual report of foreign spouse populations were above 507,266 people in Taiwan. Most of them (68%) came from Mainland China, 29% from south-east Asia. 92% of foreign spouses were female (2015). Therefore, a challenge arises for nursing students to provide care to clients with multiple cultural variations in Taiwan. The study objectives were to explore the related factors of cultural care competence and estimate the effects of a short-term reinforced cultural course. The study used a quasi-experimental design...
May 19, 2018: Nurse Education in Practice
Gloria R Sue, Woodrow C Covington, James Chang
BACKGROUND: A paradigm shift is underway in the world of humanitarian global surgery to address the large unmet need for reconstructive surgical services in low- and middle-income countries (LMICs). Here, we discuss the ReSurge Global Training Program (RGTP), a model for surgical training and capacity building in reconstructive surgery in the developing world. The program includes an online reconstructive surgery curriculum, visiting educator trips, expert reconstructive surgeon involvement, trainee competency tracking system, and identification of local outreach partners to provide safe reconstructive surgery to the neediest of patients in the developing world...
June 13, 2018: Annals of Plastic Surgery
Lydia Aoun Barakat, Dana W Dunne, Jeanette M Tetrault, Sarita Soares, David Chia, Onyema E Ogbuagu, John P Moriarty, Stephen J Huot, Michael L Green
PROBLEM: HIV-infected patients are living longer and are at increased risk of comorbidities. A qualified physician workforce is needed to care for this growing HIV population. APPROACH: This report describes the first 5 years of the development and implementation of a novel 3-year HIV Training Track (HIV TT) within the Primary Care Residency Program from 2012 to 2017. It outlines the process of building the infrastructure of the HIV TT, describes the curriculum development based on HIV-specific Entrustable Professional Activities (EPA), and provides the results of the program evaluation in the 5 year period OUTCOMES:: The program enrolled a cohort of 11 trainees with 5 graduates...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Carey S Clark
With the knowledge of psychoneuroimmunological responses and the known high stress levels of nursing students, as caring nurse educators, we have become ethically obligated to revise and re-vision our current nursing educational practices. Nurse educators should be motivated to create innovative and radical caring science curricular approaches, so that our nurses of the future are in turn supported in creating caring- healing sustainable bedside practices. This paper details the outcomes from an upper level yoga elective in an RN- BSN program...
June 13, 2018: International Journal of Nursing Education Scholarship
Elizabeth Armitage-Chan, Stephen A May
Professional studies teaching in medical and veterinary education is undergoing a period of change. Traditional approaches, aiming to teach students professional values and behaviors, are being enhanced by curricula designed to support students' professional identity formation. This development offers the potential for improving student engagement and graduates' mental well-being. The veterinary professional identity associated with emotional resilience and success in practice incorporates complexity in professional decision making and the importance of context on behaviors and actions...
June 13, 2018: Journal of Veterinary Medical Education
Kenneth Royal, David Dorman
BACKGROUND: The number of answer options is an important element of multiple-choice questions (MCQs). Many MCQs contain four or more options despite the limited literature suggesting that there is little to no benefit beyond three options. The purpose of this study was to evaluate item performance on 3-option versus 4-option MCQs used in a core curriculum course in veterinary toxicology at a large veterinary medical school in the United States. METHODS: A quasi-experimental, crossover design was used in which students in each class were randomly assigned to take one of two versions (A or B) of two major exams...
June 9, 2018: Veterinary Sciences
Margaret A Nosek, Susan Robinson-Whelen, Tracey A Ledoux, Rosemary B Hughes, Daniel P O'Connor, Rebecca E Lee, Rebecca Goe, Stephanie L Silveira, Rachel Markley, Thomas M Nosek
OBJECTIVE: Pilot test GoWoman, a small-group weight management intervention for mobility impaired women that was a disability- and gender-responsive adaptation of the Diabetes Prevention Program delivered in the online virtual world of Second Life® . Objectives were to (1) examine pre-/post-intervention differences in weight, waist circumference, diet, physical activity, self-efficacy for diet and physical activity, nutrition knowledge and social support for weight management, (2) determine intervention feasibility (fidelity, attrition, engagement, acceptability)...
June 11, 2018: Disability and Rehabilitation
T Tilles-Tirkkonen, O Nuutinen, S Sinikallio, K Poutanen, L Karhunen
BACKGROUND: The eating patterns of school-aged children rarely meet recommendations: meal frequency is irregular and the consumption of vegetables is lower and sugar-sweetened products higher than recommended. Although school is an excellent arena for nutrition education to support pupils eating patterns, teachers usually lack efficient tools. The present study aimed to develop a curriculum for nutrition education to be used by teachers and to examine its efficacy in the school environment with respect to the eating patterns of pupils...
June 10, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
Maree O'Keefe, Helena Ward
BACKGROUND: Despite interprofessional learning (IPL) being widely recognised as important for health care professions, embedding IPL within core curriculum remains a significant challenge. The aim of this study was to identify tensions associated with implementing IPL curriculum for educators and clinical supervisors, and to examine these findings from the perspective of activity theory and the expansive learning cycle (ELC). METHODS: We interviewed 12 faculty staff and ten health practitioners regarding IPL...
June 8, 2018: BMC Medical Education
Kalyani Premkumar, Elizabeth Vinod, Solomon Sathishkumar, Anna B Pulimood, Valerie Umaefulam, P Prasanna Samuel, Tara A John
BACKGROUND: Self-directed learning (SDL) is defined as learning on one's own initiative, with the learner having primary responsibility for planning, implementing, and evaluating the effort. Medical education institutions promote SDL, since physicians need to be self-directed learners to maintain lifelong learning in the ever-changing world of medicine and to obtain essential knowledge for professional growth. The purpose of the study was to measure the self-directed learning readiness of medical students across the training years, to determine the perceptions of students and faculty on factors that promote and deter SDL and to identify the role of culture and curriculum on SDL at the Christian Medical College, Vellore, India...
June 8, 2018: BMC Medical Education
S Karande, N Deshmukh, V Rangarajan, A Agrawal, R Sholapurwala
Background and Objectives: Brain single-photon emission computed tomography (SPECT) assesses brain function through measurement of regional cerebral blood flow. This study was conducted to assess whether students with newly diagnosed specific learning disability (SpLD) show any abnormalities in cerebral cortex perfusion. Settings and Design: Cross-sectional single-arm pilot study in two tertiary care hospitals. Subjects and Methods: Nine students with SpLD were enrolled...
June 8, 2018: Journal of Postgraduate Medicine
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