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https://www.readbyqxmd.com/read/28156647/implementing-innovative-learner-centered-methods-to-teach-oncology-fellows-how-to-face-difficult-conversations
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/27951429/spoken-word-recognition-in-young-tone-language-learners-age-dependent-effects-of-segmental-and-suprasegmental-variation
#11
Weiyi Ma, Peng Zhou, Leher Singh, Liqun Gao
The majority of the world's languages rely on both segmental (vowels, consonants) and suprasegmental (lexical tones) information to contrast the meanings of individual words. However, research on early language development has mostly focused on the acquisition of vowel-consonant languages. Developmental research comparing sensitivity to segmental and suprasegmental features in young tone learners is extremely rare. This study examined 2- and 3-year-old monolingual tone learners' sensitivity to vowels and tones...
February 2017: Cognition
https://www.readbyqxmd.com/read/27881928/internet-use-and-addiction-among-medical-students-of-universiti-sultan-zainal-abidin-malaysia
#12
Mainul Haque, Nor Azlina A Rahman, Md Anwarul Azim Majumder, Seraj Zohurul Haque, Zubair M Kamal, Zakirul Islam, Atm Emdadul Haque, Nor Iza A Rahman, Ahmed Ghazi Alattraqchi
BACKGROUND: The use of Internet has now become indispensable, and the technology has revolutionized the medical education and practice worldwide. Currently, medical students and professionals have an enormous opportunity to keep them always updated with the exponential growth of knowledge because of potential progression of Internet throughout the world that enables them to become a lifelong learner. Internet addiction is a widespread phenomenon among students and academicians at universities in Malaysia...
2016: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/27881123/reflective-practice-and-its-role-in-facilitating-creative-responses-to-dilemmas-within-clinical-communication-a-qualitative-analysis
#13
Gabriele Lutz, Gudrun Roling, Bettina Berger, Friedrich Edelhäuser, Christian Scheffer
BACKGROUND: Good communication is a major factor in delivering high quality in care. Research indicates that current communication skills training alone might not sufficiently enable students to find context-specific creative solutions to individual complex personal and interpersonal challenges in the clinical context. This study explores medical students' experiences with real communication dilemmas in a facilitated group setting. The aims were to gain a better understanding of whether and, if so, how reflective practice can enhance students' ability to find creative individual solutions in difficult communication situations and to identify factors within the reflective setting that foster their creative competency...
November 24, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27796921/training-psychiatry-residents-in-professionalism-in-the-digital-world
#14
REVIEW
Nadyah Janine John, P G Shelton, Michael C Lang, Jennifer Ingersoll
Professionalism is an abstract concept which makes it difficult to define, assess and teach. An additional layer of complexity is added when discussing professionalism in the context of digital technology, the internet and social media - the digital world. Current physicians-in-training (residents and fellows) are digital natives having been raised in a digital, media saturated world. Consequently, their use of digital technology and social media has been unconstrained - a reflection of it being integral to their social construct and identity...
October 29, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27782915/cutting-close-to-the-bone-student-trauma-free-speech-and-institutional-responsibility-in-medical-education
#15
Arno K Kumagai, Brittani Jackson, Saleem Razack
Learning the societal roles and responsibilities of the physician may involve difficult, contentious conversations about topics such as race, gender, sexual orientation, and class, as well as violence, inequities, sexual assault, and child abuse. If not done well, these discussions may be deeply traumatizing to learners for whom these subjects "cut close to the bone." Equally traumatizing is exposure to injustice and mistreatment, as well as to the sights, sounds, and smells of suffering and pain in the clinical years...
October 25, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27767341/a-survey-of-challenges-experienced-by-new-learners-coding-the-rorschach
#16
Donald J Viglione, Gregory J Meyer, Ana Cristina Resende, Claudia Pignolo
Learning to code the imagery, communication, and behavior associated with Rorschach responding is challenging. Although there is some survey research on graduate students' impressions of their Rorschach training, research has not identified which coding decisions students find to be the most problematic and time-consuming. We surveyed students to identify what they struggled with most when learning coding and to quantify how difficult it is to learn how to code. Participants (n = 191) from the United States, Brazil, Denmark, Israel, and Italy rated 57 aspects of coding using a 4-point scale that encompassed both the time required to code and the subjective difficulty of doing so...
October 21, 2016: Journal of Personality Assessment
https://www.readbyqxmd.com/read/27741071/improved-team-performance-during-pediatric-resuscitations-after-rapid-cycle-deliberate-practice-compared-with-traditional-debriefing-a-pilot-study
#17
Daniel S Lemke, Elaine K Fielder, Deborah C Hsu, Cara B Doughty
INTRODUCTION: Simulation-based medical education (SBME) improves medical knowledge compared with no intervention. In traditional SBME, more time is spent debriefing than practicing skills. Rapid cycle deliberate practice (RCDP) simulation allows learners to practice skills repetitively, receive brief interspersed feedback, and has been shown to improve individual performance of resuscitation skills in simulation; it has not been compared with traditional simulation methods. OBJECTIVE: The aim of the study was to compare traditional and RCDP SBME...
October 6, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27738573/emergency-medicine-in-remote-regions
#18
Tia Renouf, Megan Pollard
Rural and remote places like Sable Island (Nova Scotia) or François (Newfoundland) pose a challenge in delivering both health care and appropriate education that today's learners need to practice in a rural setting. This education can be difficult to deliver to students far from academic centers. This is especially true for learners and practitioners at offshore locations like ships, oil installations, or in the air when patients are transported via fixed wing aircraft or helicopter. The following editorial provides a snapshot of the setting and the challenges faced while working as a physician on a ship, in remote regions...
September 9, 2016: Curēus
https://www.readbyqxmd.com/read/27703687/social-learning-solves-the-problem-of-narrow-peaked-search-landscapes-experimental-evidence-in-humans
#19
Alberto Acerbi, Claudio Tennie, Alex Mesoudi
The extensive use of social learning is considered a major reason for the ecological success of humans. Theoretical considerations, models and experiments have explored the evolutionary basis of social learning, showing the conditions under which learning from others is more adaptive than individual learning. Here we present an extension of a previous experimental set-up, in which individuals go on simulated 'hunts' and their success depends on the features of a 'virtual arrowhead' they design. Individuals can modify their arrowhead either by individual trial and error or by copying others...
September 2016: Royal Society Open Science
https://www.readbyqxmd.com/read/27621715/salience-in-second-language-acquisition-physical-form-learner-attention-and-instructional-focus
#20
Myrna C Cintrón-Valentín, Nick C Ellis
We consider the role of physical form, prior experience, and form focused instruction (FFI) in adult language learning. (1) When presented with competing cues to interpretation, learners are more likely to attend to physically more salient cues in the input. (2) Learned attention is an associative learning phenomenon where prior-learned cues block those that are experienced later. (3) The low salience of morphosyntactic cues can be overcome by FFI, which leads learners to attend cues which might otherwise be ignored...
2016: Frontiers in Psychology
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