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Principals of medical education

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https://www.readbyqxmd.com/read/29754562/cardiology-electronic-consultation-e-consult-use-by-primary-care-providers-at-va-medical-centres-in-new-england
#1
Eun Ji Kim, Jay D Orlander, Melissa Afable, Sumeet Pawar, Sarah L Cutrona, Steven R Simon, Judith Strymish, Varsha G Vimalananda
Introduction E-consultations (e-consults) were implemented at VA medical centers to improve access to specialty care. Cardiology e-consults are among the most commonly requested, but little is known about how primary care providers (PCPs) use cardiology e-consults to access specialty care. Methods This is a retrospective analysis of 750 patients' medical charts with cardiology e-consults requested by medical providers (October 2013-September 2015) in the VA New England Healthcare System. We described the patients and referring provider characteristics, and e-consult questions...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29747016/carotid-endarterectomy-and-concurrent-clopidogrel-use-us-national-practice-patterns
#2
Eva A Mistry, Jane C Khoury, Dawn Kleindorfer
BACKGROUND: Patients diagnosed with high-grade carotid stenosis often receive a carotid endarterectomy (CEA) during their hospital stay and most receive antiplatelet medication. There is inter-surgeon variability in performing CEA in patients receiving clopidogrel given the potent antiplatelet effect. METHODS: Utilizing the PREMIER database, adults with principal discharge diagnosis of stroke, transient ischemic attack (TIA) or carotid artery stenosis or occlusion without stroke/TIA(CAS), who had a CEA during the same hospital stay, in 2014 were analyzed...
May 7, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29710268/insights-on-the-nationwide-project-in-osteopathic-medical-education-and-empathy-pomee
#3
Bruce W Newton
Initial data from the first phase of a nationwide study of cognitive empathy, the Project in Osteopathic Medical Education and Empathy (POMEE), have been gathered. At the beginning of their first year of medical school, more than 6000 osteopathic medical students filled out the Jefferson Scale of Empathy. The POMEE principal investigator and co-investigators-Mohammadreza Hojat, PhD; Leonard H. Calabrese, DO; and Stephen C. Shannon, DO-responded to a series of questions posed by the author pertaining to the importance of POMEE and the impact the findings will have on educating osteopathic medical students...
April 30, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29700085/valproate-life-saving-life-changing
#4
Rhys H Thomas
Antiepileptic medications, and valproate principally, are commonly prescribed teratogens. There is significant concern that we are not doing enough to educate clinicians and potential parents about the risks of valproate in pregnancy. There is clear advice from the Medicines and Healthcare products Regulatory Agency and the International League Against Epilepsy about the risks of valproate exposure in utero Reviews and guidelines that are focused on fetal risk, however, fall short in being able to fully replicate the complexity of a real clinical decision...
April 1, 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29679443/a-20-year-review-the-use-of-exception-from-informed-consent-and-waiver-of-informed-consent-in-emergency-research
#5
Lauren Klein, Johanna Moore, Michelle Biros
BACKGROUND: Due to the acuity and time sensitive needs of their clinical condition, patients presenting with certain emergent pathologies may lack capacity to provide meaningful prospective informed consent to participate in clinical research. For these reasons, these populations have often been excluded from research investigations. To mitigate this, regulations allowing Exception from Informed Consent (EFIC) (21 CFR 50.24) or Waiver of Informed Consent (WIC) (45 CFR 46.101) were developed in 1996...
April 21, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29669143/development-and-validation-of-the-foundational-healthcare-leadership-self-assessment
#6
Sonja Van Hala, Susan Cochella, Rachel Jaggi, Caren J Frost, Bernadette Kiraly, Susan Pohl, Lisa Gren
BACKGROUND AND OBJECTIVES: We sought to develop and validate a self-assessment of foundational leadership skills for early-career physicians. METHODS: We developed a leadership self-assessment from a compilation of materials on health care leadership skills. A sequential exploratory study was conducted using qualitative and quantitative analysis for face, content, and construct validity of the self-assessment. First, two focus groups were conducted with leaders in medicine and family medicine residents, to refine the pilot self-assessment...
April 2018: Family Medicine
https://www.readbyqxmd.com/read/29667466/evaluation-of-a-modified-16-item-readiness-for-interprofessional-learning-scale-ripls-exploratory-and-confirmatory-factor-analyses
#7
Tzu-Chieh Yu, Tanisha Jowsey, Marcus Henning
The Readiness for Interprofessional Learning Scale (RIPLS) was developed to assess undergraduate readiness for engaging in interprofessional education (IPE). It has become an accepted and commonly used instrument. To determine utility of a modified 16-item RIPLS instrument, exploratory and confirmatory factor analyses were performed. Data used were collected from a pre- and post-intervention study involving 360 New Zealand undergraduate students from one university. Just over half of the participants were enrolled in medicine (51%) while the remainder were in pharmacy (27%) and nursing (22%)...
April 18, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29658798/mock-echo-a-simulation-based-medical-education-method
#8
Rebecca C Fowler, Joanna G Katzman, George D Comerci, Brian M Shelley, Daniel Duhigg, Cynthia Olivas, Thomas Arnold, Summers Kalishman, Rebecca Monnette, Sanjeev Arora
PROBLEM: This study was designed to develop a deeper understanding of the learning and social processes that take place during the simulation-based medical education for practicing providers as part of the Project ECHO® model, known as Mock ECHO training. The ECHO model is utilized to expand access to care of common and complex diseases by supporting the education of primary care providers with an interprofessional team of specialists via videoconferencing networks. INTERVENTION: Mock ECHO trainings are conducted through a train the trainer model targeted at leaders replicating the ECHO model at their organizations...
April 16, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29621822/-web-based-field-studies-on-diagnostic-classification-and-code-assignment-of-mental-disorders-comparison-of-icd-11-and-icd-10
#9
Wolfgang Gaebel, Mathias Riesbeck, Jürgen Zielasek, Ariane Kerst, Eva Meisenzahl-Lechner, Volker Köllner, Matthias Rose, Tobias Hofmann, Ingo Schäfer, Annett Lotzin, Peer Briken, Verena Klein, Franziska Brunner, Jared W Keeley, Tahilia J Rebello, Howard F Andrews, Geoffrey M Reed, Nenad F I Kostanjsek, Alkomiet Hasan, Pamina Russek, Peter Falkai
The German Society for Psychiatry, Psychosomatics and Psychotherapy (DGPPN,) conducted a comprehensive field study (principal investigator WG) funded by the German Federal Ministry of Health in cooperation with 4 other German medical societies in the field of mental health (DGPM, DGPPR, DeGFS, DGfS) * to support WHO's development of the ICD-11 (Chapters 6 and 17). The objective of the web-based field study was to compare ICD-10 and ICD-11 (beta draft) for selected mental disorders, regarding consistency, accuracy and assessment of utility...
March 2018: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/29582060/resident-and-faculty-attitudes-toward-osteopathic-focused-education
#10
Laura K Hempstead, Beth Rosemergey, Steven Foote, Kelly Swade, Karen B Williams
Context: The transition period for the single accreditation system for graduate medical education under the Accreditation Council for Graduate Medical Education (ACGME) began on July 1, 2015, and will end June 30, 2020. As of February 5, 2018, 82.6% of residency programs accredited by the American Osteopathic Association (AOA) have applied for or achieved ACGME accreditation and 160 programs have applied for or achieved osteopathic recognition. Objective: To assess baseline attitudes of osteopathic and allopathic faculty and residents in AOA-accredited and dually accredited residency programs regarding the value of osteopathic-focused educational curricula and mentors...
April 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29569564/pilot-study-effectiveness-of-a-training-program-about-autonomy-in-elderly-patients-hospitalized-after-an-acute-episode
#11
Antoine Vignoles, Sophie Watelet, Thomas Gilbert, Mahdi Harchaoui, Marine Haution-Bitker, Joanna Jacoud, Claire Falandry, Marc Bonnefoy
Patients hospitalized in rehabilitation after an acute episode is at high risk of functional impairment and require active measures to prevent loss of autonomy. Resistance training has been proved beneficial to improve physical performances of aged subjects in the community. However, the feasibility and effects of training programs has never been assessed among hospitalized patients after an acute medical episode. In this pilot study, we aimed to evaluate a personalized training program of adapted physical education teacher combining muscular reinforcement and endurance training among patients over 65 year-old hospitalized in a geriatric rehabilitation care setting...
March 1, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29569347/first-year-medical-student-peer-nominations-of-professionalism-a-methodological-detective-story-about-making-sense-of-non-sense
#12
Trey C Mullikin, Varun Shahi, Douglas Grbic, Wojciech Pawlina, Frederic W Hafferty
This article explores the assessment of professionalism within a cohort of medical students during a sequential 13-week medical school histology and anatomy course. Across seven data points, students were asked to identify a professionalism role model from amongst their peers and to score Likert-structured rationales for their decision. Based on density scores, an initial social network analysis identified six peer-nomination "stars." However, analysis of these stars revealed considerable variability and random-like "noise" in both the nomination and explanation data sets...
March 22, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29565717/determinants-of-pediatric-ems-utilization-in-children-with-high-acuity-conditions
#13
Casandra Quiñones, Manish I Shah, Andrea T Cruz, Jeanine M Graf, Juan A Mondragon, Elizabeth A Camp, Pooja Reddy, Esther M Sampayo
BACKGROUND: Underutilization of emergency medical services (EMS) for children with high-acuity conditions is poorly understood. Our objective was to identify differences in demographic factors and describe caregivers' knowledge, beliefs, and attitudes regarding EMS utilization for children with high-acuity conditions. DESIGN/METHODS: This was a mixed-methods study of children with high acuity conditions, defined as requiring immediate medical or surgical intervention and intensive care admission, over a one year period...
March 22, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29563847/development-of-new-core-competencies-for-taiwanese-emergency-medical-technicians
#14
Yu-Tung Chang, Kuang-Chau Tsai, Brett Williams
Objectives: Core competencies are considered the foundation for establishing Emergency Medical Technician (EMT) and paramedic curricula, and for ensuring performance standards in the delivery of prehospital care. This study surveyed EMT instructors and medical directors to identify the most desirable core competencies for all levels of EMTs in Taiwan. Methods: A principal components analysis with Varimax rotation was conducted. An online questionnaire was distributed to obtain perspectives of EMT instructors and medical directors on the most desirable core competencies for EMTs...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29553453/patients-satisfaction-with-the-non-communicable-diseases-services-provided-at-unrwa-health-centres-in-gaza-governorates-a-cross-sectional-study
#15
Zoheir Elkahtib
BACKGROUND: Most health-care organisations are increasingly interested in assessing the quality of their services. Patient satisfaction has a central role in the quality assessment in health care because it reflects the appropriateness of services from the clients' perspectives. The aim of this study was to assess the level of satisfaction in patients with non-communicable diseases (mainly diabetes and hypertension) who receive services from UNRWA health centres in Gaza governorates. METHODS: In this cross-sectional study we chose a random sample of participants who presented to the randomly selected six health centres for treatment of non-communicable diseases...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29493855/impact-of-jahnigen-gemsstar-scholarships-on-careers-of-recipients-in-emergency-medicine-and-on-development-of-geriatric-emergency-medicine
#16
Tony Rosen, Manish Shah, Nancy E Lundebjerg, Cynthia Singh, Melissa McMillian, Cathy C Sarli, Amy M Suiter, Andrew G Lee, John R Burton, Christopher R Carpenter
BACKGROUND: The Jahnigen Career Development Awards program was launched in 2002 with private funding and transformed into the Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) program in 2011 through support from the National Institute on Aging and medical specialty professional societies. The Jahnigen/GEMSSTAR program has provided grants to early career physician-scientists from 10 surgical and related medical specialties to initiate and sustain research careers in the geriatric aspect of their discipline...
March 1, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29491588/awareness-and-knowledge-of-periodontal-disease-among-saudi-primary-school-teachers-in-aseer-region
#17
Abdulrahman Ahmed Mohammed Alshehri, Fawaz Dhafer Abdullah Alshehri, Khalid Yahya Abdo Hakami, Zayed Ali Ahmad Assiri, Abdulrahim Abdullah Mohammed Alshehri, Zafer Ali Zafer Alqahtani
Background: The consequences of periodontal disease are not limited to the oral cavity. As schools are considered to be one of the principal systems in preventive oral health, teachers' knowledge pertaining to the periodontal disease, their awareness with regard to its implications and their role in increasing the awareness of the students regarding this disease comprises only one aspect with respect to the prevention of the periodontal disease. Therefore, the aim of this study is to investigate the baseline awareness and knowledge of Saudi primary school teachers regarding the periodontal disease...
September 2017: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/29480735/diseases-and-health-outcomes-registry-systems-in-i-r-iran-successful-initiative-to-improve-public-health-programs-quality-of-care-and-biomedical-research
#18
Shahnaz Mojarrab, Ali Rafei, Shahin Akhondzadeh, Alireza Jeddian, Maryam Jafarpour, Kazem Zendehdel
Registration systems for diseases and other health outcomes provide important resource for biomedical research, as well as tools for public health surveillance and improvement of quality of care. The Ministry of Health and Medical Education (MOHME) of Iran launched a national program to establish registration systems for different diseases and health outcomes. Based on the national program, we organized several workshops and training programs and disseminated the concepts and knowledge of the registration systems...
November 1, 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29410755/influence-of-the-teaching-program-on-the-learning-in-knowledge-and-practice-of-osteonecrosis-of-the-jaws-produced-by-antireasorptives-in-dental-students-of-the-principality-of-asturias-spain
#19
Matias-Ferrán Escobedo, Luis García-Consuegra, Silvia Gay, Lorena Álvarez, Sonsoles Olay, Giuliano Ascani, Luis Junquera
Background: This study aims to evaluate the influence of changes in the teaching contents on medication-related osteonecrosis of the jaw may have on the knowledge and the capacity for practical case resolution about this pathology. Material and Methods: A cross-sectional descriptive study was conducted through a survey divided into four sections: degree of means of knowledge acquisition, habitual practice and ability to solve clinical cases. The total number of respondents (n = 225) was divided into two groups: Group A (Year 2015-2016) and Group B (Year 2016-2017)...
December 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29409435/simulation-for-competency-assessment-in-vascular-and-cardiac-ultrasound
#20
Florence H Sheehan, R Eugene Zierler
Healthcare providers who use peripheral vascular and cardiac ultrasound require specialized training to develop the technical and interpretive skills necessary to perform accurate diagnostic tests. Assessment of competence is a critical component of training that documents a learner's progress and is a requirement for competency-based medical education (CBME) as well as specialty certification or credentialing. The use of simulation for CBME in diagnostic ultrasound is particularly appealing since it incorporates both the psychomotor and cognitive domains while eliminating dependency on the availability of live patients with a range of pathology...
April 2018: Vascular Medicine
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