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https://www.readbyqxmd.com/read/28437212/the-impact-of-communication-skills-training-on-cardiology-fellows-and-attending-physicians-perceived-comfort-with-difficult-conversations
#1
Kathryn Berlacher, Robert M Arnold, Eva Reitschuler-Cross, Jeffrey Teuteberg, Winifred Teuteberg
BACKGROUND: Cardiologists need to decide which treatments are appropriate for seriously ill patients and whether they align with patient goals. Reconciling medical options with patients' wishes requires skilled communication. Although there is evidence that communication is teachable, few cardiologists receive formal training. OBJECTIVE: To demonstrate that providing communication skills training to cardiologists is feasible and improves their perceived preparedness (PP) for leading difficult conversations...
March 1, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28374635/listeners-processing-of-a-given-reduced-word-pronunciation-variant-directly-reflects-their-exposure-to-this-variant-evidence-from-native-listeners-and-learners-of-french
#2
Sophie Brand, Mirjam Ernestus
In casual conversations, words often lack segments. This study investigates whether listeners rely on their experience with reduced word pronunciation variants during the processing of single segment reduction. We tested three groups of listeners in a lexical decision experiment with French words produced either with or without word-medial schwa (e.g., /ʀəvy/ and /ʀvy/ for revue). Participants also rated the relative frequencies of the two pronunciation variants of the words. If the recognition accuracy and reaction times (RTs) for a given listener group correlate best with the frequencies of occurrence holding for that given listener group, recognition is influenced by listeners' exposure to these variants...
April 24, 2017: Quarterly Journal of Experimental Psychology: QJEP
https://www.readbyqxmd.com/read/28363837/when-math-operations-have-visuospatial-meanings-versus-purely-symbolic-definitions-which-solving-stages-and-brain-regions-are-affected
#3
Aryn A Pyke, Jon M Fincham, John R Anderson
How does processing differ during purely symbolic problem solving versus when mathematical operations can be mentally associated with meaningful (here, visuospatial) referents? Learners were trained on novel math operations (↓, ↑), that were defined strictly symbolically or in terms of a visuospatial interpretation (operands mapped to dimensions of shaded areas, answer = total area). During testing (scanner session), no visuospatial representations were displayed. However, we expected visuospatially-trained learners to form mental visuospatial representations for problems, and exhibit distinct activations...
March 28, 2017: NeuroImage
https://www.readbyqxmd.com/read/28353504/ways-to-write-a-milestone-approaches-to-operationalizing-the-development-of-competence-in-graduate-medical-education
#4
Andrea N Leep Hunderfund, Darcy A Reed, Stephanie R Starr, Rachel D Havyer, Tara R Lang, Suzanne M Norby
PURPOSE: To identify approaches to operationalizing the development of competence in Accreditation Council for Graduate Medical Education (ACGME) milestones. METHOD: The authors reviewed all 25 "Milestone Project" documents available on the ACGME Web site on September 11, 2013, using an iterative process to identify approaches to operationalizing the development of competence in the milestones associated with each of 601 subcompetencies. RESULTS: Fifteen approaches were identified...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28353497/recruiting-and-retaining-community-based-preceptors-a-multicenter-qualitative-action-study-of-pediatric-preceptors
#5
Gary L Beck Dallaghan, Anton M Alerte, Michael S Ryan, Patricia B Patterson, Jean Petershack, Cynthia Christy, William A Mills, Caroline R Paul, Chris Peltier, Julie K Stamos, Rebecca Tenney-Soeiro, Chad Vercio
PURPOSE: The recruitment and retention of community preceptors to teach medical students is difficult. The authors sought to characterize the underlying motivational factors for becoming a preceptor and to identify strategies for recruiting and retaining community-based pediatric preceptors. METHOD: This multicenter qualitative action study included semistructured interviews with community-based pediatric preceptors affiliated with 12 institutions from August to December 2015...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28337646/the-puzzle-of-study-time-allocation-for-the-most-challenging-items
#6
Monika Undorf, Rakefet Ackerman
Learners often allocate more study time to challenging items than to easier ones. Nevertheless, both predicted and actual memory performance are typically worse for difficult than for easier items. The resulting inverse relations between people's predictions of their memory performance (judgments of learning; JOLs) and self-paced study time (ST) are often explained by bottom-up, data-driven ST allocation that is based on fluency. However, we demonstrate robust inverted U-shaped relations between JOLs and ST that cannot be explained by data-driven ST allocation alone...
March 23, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28281837/competency-milestones-for-medical-students-design-implementation-and-analysis-at-one-medical-school
#7
Kimberly D Lomis, Regina G Russell, Mario A Davidson, Amy E Fleming, Cathleen C Pettepher, William B Cutrer, Geoffrey M Fleming, Bonnie M Miller
Competency-based assessment seeks to align measures of performance directly with desired learning outcomes based upon the needs of patients and the healthcare system. Recognizing that assessment methods profoundly influence student motivation and effort, it is critical to measure all desired aspects of performance throughout an individual's medical training. The Accreditation Council for Graduate Medical Education (ACGME) defined domains of competency for residency; the subsequent Milestones Project seeks to describe each learner's progress toward competence within each domain...
March 10, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28269533/lessons-learnt-from-a-mooc-about-social-media-for-digital-health-literacy
#8
Suleman Atique, Mowafa Hosueh, Luis Fernandez-Luque, Elia Gabarron, Marian Wan, Onkar Singh, Vicente Traver Salcedo, Yu-Chuan Jack Li, Syed-Abdul Shabbir
Nowadays, the Internet and social media represent prime channels for health information seeking and peer support. However, benefits of health social media can be reduced by low digital health literacy. We designed a massive open online course (MOOC) course about health social media to increase the students' digital health literacy. In this course, we wanted to explore the difficulties confronted by the MOOC users in relation to accessing quality online health information and to propose methods to overcome the issues...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28247208/unmasking-identity-dissonance-exploring-medical-students-professional-identity-formation-through-mask-making
#9
Kimera Joseph, Karlen Bader, Sara Wilson, Melissa Walker, Mark Stephens, Lara Varpio
PURPOSE: Professional identity formation is an on-going, integrative process underlying trainees' experiences of medical education. Since each medical student's professional identity formation process is an individual, internal, and often times emotionally charged unconscious experience, it can be difficult for educators to understand each student's unique experience. We investigate if mask making can provide learners and educators the opportunity to explore medical students' professional identity formation experiences...
April 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28227788/lessons-learnt-from-a-mooc-about-social-media-for-digital-health-literacy
#10
Suleman Atique, Mowafa Hosueh, Luis Fernandez-Luque, Elia Gabarron, Marian Wan, Onkar Singh, Vicente Traver Salcedo, Yu-Chuan Jack Li, Syed-Abdul Shabbir, Suleman Atique, Mowafa Hosueh, Luis Fernandez-Luque, Elia Gabarron, Marian Wan, Onkar Singh, Vicente Traver Salcedo, Yu-Chuan Jack Li, Syed-Abdul Shabbir, Elia Gabarron, Marian Wan, Mowafa Hosueh, Luis Fernandez-Luque, Onkar Singh, Syed-Abdul Shabbir, Yu-Chuan Jack Li, Vicente Traver Salcedo, Suleman Atique
Nowadays, the Internet and social media represent prime channels for health information seeking and peer support. However, benefits of health social media can be reduced by low digital health literacy. We designed a massive open online course (MOOC) course about health social media to increase the students' digital health literacy. In this course, we wanted to explore the difficulties confronted by the MOOC users in relation to accessing quality online health information and to propose methods to overcome the issues...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28156647/implementing-innovative-learner-centered-methods-to-teach-oncology-fellows-how-to-face-difficult-conversations
#11
Matthew Reilley, Jennifer Leigh McQuade, Walter F Baile, Daniel E Epner
27 Background: Oncologists engage in emotionally charged conversations with patients and families about prognosis, goals of care, and end of life transitions. Many oncologists lack key skills for guiding patients through such conversations. Key skills include posing open ended questions to elicit the patient's perspective, using silence effectively, and responding to emotion with empathy. We previously described a communication skills curriculum for first year medical oncology fellows consisting of a series of one hour monthly seminars (Epner and Baile, Academic Medicine, 2014)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150431/should-learners-reason-one-step-at-a-time-a-randomised-trial-of-two-diagnostic-scheme-designs
#12
Sarah Blissett, Deric Morrison, David McCarty, Matthew Sibbald
CONTEXT: Making a diagnosis can be difficult for learners as they must integrate multiple clinical variables. Diagnostic schemes can help learners with this complex task. A diagnostic scheme is an algorithm that organises possible diagnoses by assigning signs or symptoms (e.g. systolic murmur) to groups of similar diagnoses (e.g. aortic stenosis and aortic sclerosis) and provides distinguishing features to help discriminate between similar diagnoses (e.g. carotid pulse). The current literature does not identify whether scheme layouts should guide learners to reason one step at a time in a terminally branching scheme or weigh multiple variables simultaneously in a hybrid scheme...
February 2, 2017: Medical Education
https://www.readbyqxmd.com/read/28127116/evidence-against-observational-spatial-memory-for-cache-locations-of-conspecifics-in-marsh-tits-poecile-palustris
#13
A Utku Urhan, Ellen Emilsson, Anders Brodin
ABSTRACT: Many species in the family Paridae, such as marsh tits Poecile palustris, are large-scale scatter hoarders of food that make cryptic caches and disperse these in large year-round territories. The perhaps most well-known species in the family, the great tit Parus major, does not store food itself but is skilled in stealing caches from the other species. We have previously demonstrated that great tits are able to memorise positions of caches they have observed marsh tits make and later return and steal the food...
2017: Behavioral Ecology and Sociobiology
https://www.readbyqxmd.com/read/28116021/novel-airway-training-tool-that-simulates-vomiting-suction-assisted-laryngoscopy-assisted-decontamination-salad-system
#14
James DuCanto, Karen D Serrano, Ryan J Thompson
INTRODUCTION: We present a novel airway simulation tool that recreates the dynamic challenges associated with emergency airways. The Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) simulation system trains providers to use suction to manage emesis and bleeding complicating intubation. METHODS: We modified a standard difficult-airway mannequin head (Nasco, Ft. Atkinson, WI) with hardware-store equipment to enable simulation of vomiting or hemorrhage during intubation...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28027528/obstacles-to-engaging-in-young-driver-licensing-perspectives-of-parents
#15
Sehana Naz, Bridie Scott-Parker
INTRODUCTION: Young novice drivers remain at greater risk of injury and death despite a wealth of interventions including graduated driver licensing (GDL) programs. The key to implementing safer practices inherent in GDL appears to lie with optimising the role of parents. This qualitative research explored the parent's perspectives of obstacles to engaging in the driver licensing process within a GDL program. Parents also shared advice on what they found helpful, and where relevant, recommended changes in the process to enable safer practices for young drivers...
February 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28024994/teaching-the-art-of-difficult-family-conversations
#16
Rita Dadiz, Michael L Spear, Erin Denney-Koelsch
CONTEXT: Difficult family conversations are a challenge for even the most seasoned clinicians. Teaching the skills of successful communication between providers, family members, and patients is a vital component of medical education. However, traditional teaching methods using didactics and expert role modeling are often inadequate. OBJECTIVES: The train-the-educator workshop aimed to teach educators how to create and conduct workshops on facilitating difficult family conversations that target their own learners' needs...
February 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28024234/the-hidden-curriculum-in-near-peer-learning-an-exploratory-qualitative-study
#17
Lisa McKenna, Brett Williams
BACKGROUND: Near-peer learning involving students from the same course, but at different levels, has gained prominence in health professional education over recent years. At the authors' university, nursing and paramedic students engage in near-peer learning in clinical skills laboratories where junior students learn specific skills from senior students. Our observations indicated that beyond the skills teaching, unintended learning occurred repeatedly. OBJECTIVES: The aim of this study was to examine near-peer learner and teacher experiences of participating in near-peer learning and to explore students' engagement beyond the skill being learnt...
March 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28009735/mock-pages-are-a-valid-construct-for-assessment-of-clinical-decision-making-and-interprofessional-communication
#18
Margaret L Boehler, Cathy J Schwind, Stephen J Markwell, Rebecca M Minter
IMPORTANCE: Answering pages from nurses about patients in need of immediate attention is one of the most difficult challenges a resident faces during their first days as a physician. A Mock Page program has been developed and adopted into a national surgical resident preparatory curriculum to prepare senior medical students for this important skill. OBJECTIVE: The purpose of this study is to assess standardized mock page cases as a valid construct to assess clinical decision making and interprofessional communication skills...
January 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28000944/learning-to-be-in-variant-combining-prior-knowledge-and-experience-to-infer-orientation-invariance-in-object-recognition
#19
Joseph L Austerweil, Thomas L Griffiths, Stephen E Palmer
How does the visual system recognize images of a novel object after a single observation despite possible variations in the viewpoint of that object relative to the observer? One possibility is comparing the image with a prototype for invariance over a relevant transformation set (e.g., translations and dilations). However, invariance over rotations (i.e., orientation invariance) has proven difficult to analyze, because it applies to some objects but not others. We propose that the invariant transformations of an object are learned by incorporating prior expectations with real-world evidence...
December 21, 2016: Cognitive Science
https://www.readbyqxmd.com/read/27994544/seeking-temporal-predictability-in-speech-comparing-statistical-approaches-on-18-world-languages
#20
Yannick Jadoul, Andrea Ravignani, Bill Thompson, Piera Filippi, Bart de Boer
Temporal regularities in speech, such as interdependencies in the timing of speech events, are thought to scaffold early acquisition of the building blocks in speech. By providing on-line clues to the location and duration of upcoming syllables, temporal structure may aid segmentation and clustering of continuous speech into separable units. This hypothesis tacitly assumes that learners exploit predictability in the temporal structure of speech. Existing measures of speech timing tend to focus on first-order regularities among adjacent units, and are overly sensitive to idiosyncrasies in the data they describe...
2016: Frontiers in Human Neuroscience
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