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Direct observation of procedural skills

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https://www.readbyqxmd.com/read/27884344/do-resident-s-leadership-skills-relate-to-ratings-of-technical-skill
#1
Samantha J Gannon, Katherine E Law, Rebecca D Ray, Jay N Nathwani, Shannon M DiMarco, Anne-Lise D D'Angelo, Carla M Pugh
BACKGROUND: This study sought to compare general surgery research residents' survey information regarding self-efficacy ratings to their observed performance during a simulated small bowel repair. Their observed performance ratings were based on their leadership skills in directing their assistant. METHODS: Participants were given 15 min to perform a bowel repair using bovine intestines with standardized injuries. Operative assistants were assigned to help assist with the repair...
December 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27833485/toward-competency-based-curriculum-application-of-workplace-based-assessment-tools-in-the-national-saudi-arabian-anesthesia-training-program
#2
Ama Boker
BACKGROUND: The anesthesia training program of the Saudi Commission for health specialties has introduced a developed competency-based anesthesia residency program starting from 2015 with the utilization of the workplace-based assessment (WBA) tools, namely mini-clinical exercises (mini-CEX), direct observation of procedural skills (DOPS), and case-based discussion (CBD). OBJECTIVES: This work aimed to describe the process of development of anesthesia-specific list of mini-CEX, DOPS, and CBD tools within the Saudi Arabian Anesthesia Training Programs...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27806028/medical-students-experiences-of-practising-medical-procedures-on-patients-other-students-and-themselves
#3
Michelle Bai, Helen Nicholson, Kelby Smith-Han
AIM: Development of proficient procedural skills is vital to the training of young doctors. The aim of this project was to investigate the prevalence of different ways that medical students practise clinical procedures and the relationship with professional development. METHODS: A survey was made available online to the cohort of years 4-6 medical students at the Otago Medical School, University of Otago. Quantitative and qualitative data were collected and analysed...
October 28, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27671425/health-providers-perception-of-quality-of-care-for-neonates-in-health-facilities-in-a-municipality-in-southern-ghana
#4
Kokui Elikplim Pomevor, Augustine Adomah-Afari
Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers' perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana...
October 10, 2016: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/27625585/patients-attitudes-towards-the-participation-of-medical-students-in-clinical-examination-and-care-in-western-saudi-arabia
#5
Sarah B Aljoudi, Somayah S Alsolami, Fayssal M Farahat, Basim Alsaywid, Wesam Abuznadah
BACKGROUND AND OBJECTIVES: Patients are essential for the acquisition and development of medical students clinical skills for their tasks. The study aimed to identify factors that influence patients' attitudes towards the involvement of medical students in clinical examination and care in Western Saudi Arabia. METHODS: A cross-sectional study using self-administered questionnaire was conducted among Saudi and non-Saudi patients at two university hospitals in Jeddah, Western Saudi Arabia...
September 2016: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/27563588/developing-competency-in-interns-for-endotracheal-intubation-an-educational-article
#6
Harsha Dhirubhai Makwana, Nilay N Suthar, Mehul P Gajjar, Advait V Thakor
BACKGROUND: Our existing undergraduate curriculum lacks developing competency for endotracheal intubation. Even though it is a lifesaving procedure, interns are exposed only during their posting in anesthesia or emergency medicine and so, when need arises, they fail to perform endotracheal intubation and it leads to catastrophes. AIMS AND OBJECTIVES: The aim of this study was to develop competency in interns for endotracheal intubation. MATERIALS AND METHODS: A study was conducted on fifty interns of medical college...
July 2016: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/27505702/maternal-scaffolding-and-home-stimulation-key-mediators-of-early-intervention-effects-on-children-s-cognitive-development
#7
Jelena Obradović, Aisha K Yousafzai, Jenna E Finch, Muneera A Rasheed
This study contributes to the understanding of how early parenting interventions implemented in low- and middle-income countries during the first 2 years of children's lives are sustained longitudinally to promote cognitive skills in preschoolers. We employed path analytic procedures to examine 2 family processes-the quality of home stimulation and maternal scaffolding behaviors-as underlying mechanisms through which a responsive stimulation intervention uniquely predicted children's verbal intelligence, performance intelligence, and executive functioning...
September 2016: Developmental Psychology
https://www.readbyqxmd.com/read/27497067/supervised-learning-events-direct-observation-of-procedural-skills-pilot
#8
L Batty, K McKinnon, A Skidmore, M McKinnon
BACKGROUND: Workplace-based assessment (WBA) is the assessment of specialist competence based on what a trainee doctor actually does in the workplace. Between January 2014 and January 2015, all UK occupational medicine (OM) trainees were invited to test a suite of direct observation of procedural skills (DOPS) tools designed in a supervised learning event (SLE) format. The Faculty of Occupational Medicine (FOM) Workplace-Based Assessment Advisory Group (WBAAG) studied feedback on the new format...
August 6, 2016: Occupational Medicine
https://www.readbyqxmd.com/read/27492298/-the-learning-effectiveness-of-nurses-participating-in-a-simulated-radiation-therapy-skin-care-workshop
#9
Yu-San Lee, Yu-Hsiu Kao
BACKGROUND: The skin reaction rate is 60-95% in cancer patients that receive radiation therapy. This therapy is likely to cause physical and mental discomfort and prolong treatment for patients. The current emphasis on lectures rather than practice to help nurses learn proper skin care practices likely imposes difficulties for nurses to handle various clinical situations. PURPOSE: To investigate the learning effectiveness of a simulated radiation therapy skin care workshop for nurses...
August 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27437247/the-desired-concept-maps-and-goal-setting-for-assessing-professionalism-in-medicine
#10
REVIEW
Salman Y Guraya, Shaista S Guraya, Nehal Anam Mahabbat, Khulood Yahya Fallatah, Bashaer Ahmad Al-Ahmadi, Hadeel Hadi Alalawi
Due to the multi-dimensional characteristics of professionalism, no single assessment modality has shown to reliably assess professionalism. This review aims to describe some of the popular assessment tools that are being used to assess professionalism with a view to formulate a framework of assessment of professionalism in medicine. In December 2015, the online research databases of MEDLINE, the Educational Resources Information Center (ERIC), Elton Bryson Stephens Company (EBSCO), SCOPUS, OVID and PsychINFO were searched for full-text English language articles published during 2000 to 2015...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27413436/developing-a-tool-to-assess-placement-of-central-venous-catheters-in-pediatrics-patients
#11
Geoffrey M Fleming, Richard B Mink, Christoph Hornik, Amanda R Emke, Michael L Green, Katherine Mason, Toni Petrillo, Jennifer Schuette, M Hossein Tcharmtchi, Margaret Winkler, David A Turner
BACKGROUND: Pediatric critical care medicine requires the acquisition of procedural skills, but to date no criteria exist for assessing trainee competence in central venous catheter (CVC) insertion. OBJECTIVE: The goal of this study was to create and demonstrate validity evidence for a direct observation tool for assessing CVC insertion. METHODS: Ten experts used the modified Delphi technique to create a 15-item direct observation tool to assess 5 scripted and filmed simulated scenarios of CVC placement...
July 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27395012/bridging-the-gap-improving-safe-prescribing-from-university-to-workplace
#12
Stephen Ward, Gemma Wasson
One of the challenges for Foundation Year 1 junior doctors is to apply the theoretical pharmacology from their undergraduate years into practical prescribing. The EQUIP study in 2009 investigated the causes of prescribing errors by junior doctors. Respondents in the study reported deficiencies in their education for prescribing skills and error prevention. The study suggested more could be done during undergraduate education to link theory with practice. This article describes an initiative from a hospital clinical pharmacy team to address this gap in contextual prescribing skills...
October 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27345645/in-training-gastrointestinal-endoscopy-competency-assessment-tools-types-of-tools-validation-and-impact
#13
REVIEW
Catharine M Walsh
The ability to perform endoscopy procedures safely, effectively and efficiently is a core element of gastroenterology practice. Training programs strive to ensure learners demonstrate sufficient competence to deliver high quality endoscopic care independently at completion of training. In-training assessments are an essential component of gastrointestinal endoscopy education, required to support training and optimize learner's capabilities. There are several approaches to in-training endoscopy assessment from direct observation of procedural skills to monitoring of surrogate measures of endoscopy skills such as procedural volume and quality metrics...
June 2016: Best Practice & Research. Clinical Gastroenterology
https://www.readbyqxmd.com/read/27331148/video-observation-of-procedural-skills-for-assessment-of-trabeculectomy-performed-by-residents
#14
Narges Hassanpour, Rebecca Chen, Masoud Baikpour, Sasan Moghimi
PURPOSE: The efficacy and sufficiency of a healthcare system is directly related to the knowledge and skills of graduates working in the system. In this regard, many different assessment methods have been proposed to evaluate various skills of the learners. Video Observation of Procedural Skills (VOPS) is one newly-proposed method. In this study we aimed to compare the results of the VOPS method with the more commonly used Direct Observation of Procedural Skills (DOPS). METHODS: In this prospective study conducted in 2012, all 10 ophthalmology residents of post graduate year 4 were selected for participation...
June 2016: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/27317623/results-of-distal-hypospadias-repair-after-pediatric-urology-fellowship-training-a-comparison-of-junior-surgeons-with-their-mentor
#15
N C Bush, T D Barber, D Dajusta, J C Prieto, A Ziada, W Snodgrass
BACKGROUND: Teaching and learning hypospadias repair is a major component of pediatric urology fellowship training. Educators must transfer skills to fellows, without increasing patient complications. Nevertheless, few studies report results of surgeons during their first years of independent practice. PURPOSE: To review outcomes of distal hypospadias repairs performed during the same 2-year period by consecutive, recently matriculated, surgeons in independent practice, and to compare them to results by their mentor (with >20 years of experience)...
June 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27270102/rate-of-skill-acquisition-in-the-use-of-a-robotic-laparoscope-holder-freehand-%C3%A2
#16
Mohammed Sbaih, Thanjakumar H A Arulampalam, Roger W Motson
BACKGROUND: Robotic equipment can greatly add to the ergonomics of a surgical procedure and pre-operative simulation can provide risk-free training of the surgeon leading to precision surgery and less trauma to the patient. Freehand(®) is a second-generation robotic camera-holding device, which has recently become available to laparoscopic surgeons. It is controlled by the operator selecting a direction using head movement followed by activation with a foot pedal. The purpose of this study was to assess the rate of skill acquisition in the use of the FreeHand(®) robotic laparoscope holder by a group of laparoscopic surgeons by enrolling them into a programme of training modules at The ICENI Centre, Colchester Hospital University, UK...
August 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27224971/reliability-of-numerical-scales-used-for-direct-observation-of-procedural-skills
#17
EDITORIAL
A L Garden
No abstract text is available yet for this article.
March 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27190966/a-novel-technique-to-correct-multiplanar-maxillary-hypoplasia
#18
Sibu Sajjan Simon, Arun Paul Charlu, Rabin Kurudamannil Chacko, Saurabh Kumar
Dental malocclusion and facial deformity are frequent observations in patients with clefts of the orofacial region. These patients have a low self perception secondary to their aesthetic appearance. Cleft palate patients are further affected in their speech and oral function with direct impediment to their quality of life. Early identification and treatment in cleft lip and palate patients may directly enhance their overall well being and productivity with sustainable prognosis when managed by skilled and evidence informed operators...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27075936/mapping-the-plateau-of-novices-in-virtual-reality-simulation-training-of-mastoidectomy
#19
Steven A W Andersen, Lars Konge, Peter Trier Mikkelsen, Per Cayé-Thomasen, Mads Sølvsten Sørensen
OBJECTIVES/HYPOTHESIS: To explore why novices' performance plateau in directed, self-regulated virtual reality (VR) simulation training and how performance can be improved. STUDY DESIGN: Prospective study. METHODS: Data on the performances of 40 novices who had completed repeated, directed, self-regulated VR simulation training of mastoidectomy were included. Data were analyzed to identify key areas of difficulty as well as the procedures terminated without using all the time allowed...
April 14, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27029652/reliability-of-the-direct-observation-of-procedural-skills-assessment-tool-for-ultrasound-guided-regional-anaesthesia
#20
A Chuan, S Thillainathan, P L Graham, B Jolly, D M Wong, N Smith, M J Barrington
The Direct Observation of Procedural Skills (DOPS) form is used as a workplace-based assessment tool in the current Australian and New Zealand College of Anaesthetists curriculum. The objective of this study was to evaluate the reliability of DOPS when used to score trainees performing ultrasound-guided regional anaesthesia. Reliability of an assessment tool is defined as the reproducibility of scores given by different assessors viewing the same trainee. Forty-nine anaesthetists were recruited to score two scripted videos of trainees performing a popliteal sciatic nerve block and an axillary brachial plexus block...
March 2016: Anaesthesia and Intensive Care
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