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Direct observation of procedural skills

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https://www.readbyqxmd.com/read/28526619/construct-validity-of-a-simple-laparoscopic-ovarian-cystectomy-model-using-a-validated-objective-structured-assessment-of-technical-skills
#1
Elizabeth Britton Chahine, Chan Hee Han, Tamika Auguste
STUDY OBJECTIVE: To determine the construct validity and inter-rater reliability of a laparoscopic ovarian cystectomy simulator using a global rating scale. DESIGN: Prospective blinded observational study. DESIGN: Classification: II.3 SETTING: Academic teaching hospital. PARTICIPANTS: A total of 26 postgraduate year 1 - 4 gynecology and obstetrics residents were recruited. (15 junior residents, postgraduate year (PGY) 1 - 2 and 11 senior residents, PGY 3 - 4)...
May 16, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28489618/core-competencies-or-a-competent-core-a-scoping-review-and-realist-synthesis-of-invasive-bedside-procedural-skills-training-in-internal-medicine
#2
Ryan Brydges, Lynfa Stroud, Brian M Wong, Eric S Holmboe, Kevin Imrie, Rose Hatala
PURPOSE: Invasive bedside procedures are core competencies for internal medicine, yet no formal training guidelines exist. The authors conducted a scoping review and realist synthesis to characterize current training for lumbar puncture, arthrocentesis, paracentesis, thoracentesis, and central venous catheterization. They aimed to collate how educators justify using specific interventions, establish which interventions have the best evidence, and offer directions for future research and training...
May 9, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28413632/is-in-vivo-laparoscopic-simulation-learning-a-step-forward-in-the-undergraduate-surgical-education
#3
Panteleimon Pantelidis, Michail Sideris, Georgios Tsoulfas, Efstratia-Maria Georgopoulou, Ismini Tsagkaraki, Nikolaos Staikoglou, Georgios Stagias, Nikolaos Psychalakis, Parmenion Tsitsopoulos, Thanos Athanasiou, Georgios Zografos, Apostolos Papalois
BACKGROUND: Essentials Skills in the Management of Surgical Cases - ESMSC is an International Combined Applied Surgical Science and Wet Lab course addressed at the Undergraduate level. Laparoscopic Skills is a fundamental element of Surgical Education and various Simulation-Based Learning (SBL) models have been endorsed. This study aims to explore if there is any significant difference in delegates' performance depending on whether they completed In Vivo module prior to the equivalent in the laparoscopic simulator...
April 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28411293/safe-and-effective-bedside-thoracentesis-a-review-of-the-evidence-for-practicing-clinicians
#4
REVIEW
Richard Schildhouse, Andrew Lai, Jeffrey H Barsuk, Michelle Mourad, Vineet Chopra
BACKGROUND: Physicians often care for patients with pleural effusion, a condition that requires thoracentesis for evaluation and treatment. We aim to identify the most recent advances related to safe and effective performance of thoracentesis. METHODS: We performed a narrative review with a systematic search of the literature. Two authors independently reviewed search results and selected studies based on relevance to thoracentesis; disagreements were resolved by consensus...
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28366440/progressive-learning-in-endoscopy-simulation-training-improves-clinical-performance-a-blinded-randomized-trial
#5
Samir C Grover, Michael A Scaffidi, Rishad Khan, Ankit Garg, Ahmed Al-Mazroui, Tareq Alomani, Jeffrey J Yu, Ian S Plener, Mohamed Al-Awamy, Elaine L Yong, Maria Cino, Nikila C Ravindran, Mark Zasowski, Teodor P Grantcharov, Catharine M Walsh
BACKGROUND AND AIMS: A structured comprehensive curriculum (SCC) using simulation-based training (SBT) can improve clinical colonoscopy performance. This curriculum may be enhanced through the application of progressive learning, a training strategy centered on incrementally challenging learners. We aimed to determine whether a progressive learning-based curriculum (PLC) would lead to superior clinical performance compared with an SCC. METHODS: This was a single-blinded randomized controlled trial conducted at a single academic center...
March 30, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28286835/role-of-feedback-during-evaluation-in-improving-emergency-medicine-residents-skills-an-experimental-study
#6
Ali Vafaei, Kamran Heidari, Mohammad-Ali Hosseini, Mostafa Alavi-Moghaddam
INTRODUCTION: Evaluation of students' learning in clinical education system is one of the most important and challenging issues that facilities in this field have been facing. The present study aimed to evaluate the role of feedback during evaluation in increasing emergency medicine residents' clinical skills. METHOD: The present experimental study was performed on all second year emergency medicine residents of two educational hospitals, Tehran, Iran, with switching replications design and before-after method...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28250907/the-impact-of-the-introduction-of-formalised-polypectomy-assessment-on-training-in-the-uk
#7
Kinesh Patel, Omar Faiz, Matt Rutter, Paul Dunckley, Siwan Thomas-Gibson
OBJECTIVE: The aim was to describe the impact on polypectomy experience by the mandatory introduction of the Directly Observed Polypectomy Skills tool (DOPyS) and electronic portfolio as part of the formal colonoscopy certification process. DESIGN: Applications for colonoscopy certification in the UK in the year prior to the introduction of DOPyS were analysed retrospectively and compared with data collected prospectively for those in the following year. SETTING: UK National Health Service...
April 2017: Frontline Gastroenterology
https://www.readbyqxmd.com/read/28213383/development-of-a-direct-observation-of-procedural-skills-rubric-for-fourth-year-pharmacy-students-in-ambulatory-care-rotations
#8
Sara J Linedecker, Jamie Barner, Jennifer Ridings-Myhra, Aida Garza, Debra Lopez, William McIntyre
PURPOSE: The development and implementation of a pilot program requiring direct observation of procedural skills (DOPS) assessments of fourth-year pharmacy students during ambulatory care rotations are described. METHODS: All fourth-year pharmacy students at the University of Texas at Austin College of Pharmacy who engaged in a required advanced pharmacy practice experience (APPE) in ambulatory care during the period January-May 2015 participated in a DOPS pilot program...
March 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28160101/enhancing-technical-skill-learning-through-interleaved-mixed-model-observational-practice
#9
Arthur Welsher, Lawrence E M Grierson
A broad foundation of behavioural (Hayes et al. in Exp Brain Res 204(2): 199-206, 2010) and neurophysiological (Kohler et al. in Science 297(5582): 846-848, 2002) evidence has revealed that the acquisition of psychomotor skills, including those germane to clinical practice (Domuracki et al. in Med Educ 49(2): 186-192, 2015), can be facilitated through observational practice. Interestingly, research also reveals that learning via observation is greatest when the learner has the opportunity to view both error-free expert demonstrations and flawed novice demonstrations (Rohbanfard and Proteau in Exp Brain Res 215: 183-197, 2011)...
February 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28153385/video-review-as-a-tool-to-improve-orthopedic-residents-performance-of-closed-manipulative-reductions
#10
Nickul S Jain, Ran Schwarzkopf, John A Scolaro
OBJECTIVE: Orthopedic residents commonly perform closed manipulative reductions as a part of their training. Traditionally, this skill is taught early in training but difficult to simulate. Proficiency is achieved through repetition and experience; faculty observation and instruction is unfortunately often limited. Direct resident teaching has been shown to increase competency, comfort, and long-term skill retention. We hypothesize that video review of closed fracture reductions will provide an inexpensive and valuable tool for resident education and improve skill performance...
January 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28124015/effect-of-formative-evaluation-using-direct-observation-of-procedural-skills-in-assessment-of-postgraduate-students-of-obstetrics-and-gynecology-prospective-study
#11
Naina Kumar, Namit Kant Singh, Samar Rudra, Swanand Pathak
INTRODUCTION: Direct Observation of Procedural Skills (DOPS) is a way of evaluating procedural skills through observation in the workplace. The purpose of this study was to assess the role of DOPS in teaching and assessment of postgraduate students and to know the effect of repeated DOPS on improvement of the skills and confidence of the students. METHODS: In both phases, significant difference was observed between the two groups on first DOPS comparison (1st phase: p=0...
January 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28116017/emergency-medicine-resident-orientation-how-training-programs-get-their-residents-started
#12
Jillian McGrath, Michael Barrie, David P Way
INTRODUCTION: The first formal orientation program for incoming emergency medicine (EM) residents was started in 1976. The last attempt to describe the nature of orientation programs was by Brillman in 1995. Now almost all residencies offer orientation to incoming residents, but little is known about the curricular content or structure of these programs. The purpose of this project was to describe the current composition and purpose of EM resident orientation programs in the United States...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28103899/intraoperative-evaluation-using-mobile-computed-tomography-in-anterior-cervical-decompression-with-floating-method-for-massive-ossification-of-the-posterior-longitudinal-ligament
#13
Toshitaka Yoshii, Takashi Hirai, Tsuyoshi Yamada, Hiroyuki Inose, Tsuyoshi Kato, Kenichiro Sakai, Mitsuhiro Enomoto, Shigenori Kawabata, Yoshiyasu Arai, Atsushi Okawa
BACKGROUND: An anterior decompression and fusion (ADF) with the floating method is an effective procedure for treating ossification of the posterior longitudinal ligament (OPLL), allowing a direct decompressive effect on the spinal cord. However, the procedure is skill-intensive, particularly in cases of OPLL with a high canal-occupying ratio. In such cases, there are potential risks for insufficient decompression due to the incomplete floating of the OPLL. Here, we introduce an anterior decompression procedure for massive OPLL, using an intraoperative computed tomography (CT) with a mobile scanner gantry for the intraoperative evaluation of the decompression...
January 19, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28095505/can-early-intervention-improve-maternal-well-being-evidence-from-a-randomized-controlled-trial
#14
Orla Doyle, Liam Delaney, Christine O'Farrelly, Nick Fitzpatrick, Michael Daly
OBJECTIVE: This study estimates the effect of a targeted early childhood intervention program on global and experienced measures of maternal well-being utilizing a randomized controlled trial design. The primary aim of the intervention is to improve children's school readiness skills by working directly with parents to improve their knowledge of child development and parenting behavior. One potential externality of the program is well-being benefits for parents given its direct focus on improving parental coping, self-efficacy, and problem solving skills, as well as generating an indirect effect on parental well-being by targeting child developmental problems...
2017: PloS One
https://www.readbyqxmd.com/read/28068887/the-use-of-smart-glasses-for-surgical-video-streaming
#15
Takafumi Hiranaka, Yuta Nakanishi, Takaaki Fujishiro, Yuichi Hida, Masanori Tsubosaka, Yosaku Shibata, Kenjiro Okimura, Harunobu Uemoto
Observation of surgical procedures performed by experts is extremely important for acquisition and improvement of surgical skills. Smart glasses are small computers, which comprise a head-mounted monitor and video camera, and can be connected to the internet. They can be used for remote observation of surgeries by video streaming. Although Google Glass is the most commonly used smart glasses for medical purposes, it is still unavailable commercially and has some limitations. This article reports the use of a different type of smart glasses, InfoLinker, for surgical video streaming...
January 1, 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28025062/a-randomized-controlled-trial-to-compare-e-feedback-versus-standard-face-to-face-verbal-feedback-to-improve-the-acquisition-of-procedural-skill
#16
Wissam Al-Jundi, Mohamed Elsharif, Melanie Anderson, Phillip Chan, Jonathan Beard, Shah Nawaz
BACKGROUND: Constructive feedback plays an important role in learning during surgical training. Standard feedback is usually given verbally following direct observation of the procedure by a trained assessor. However, such feedback requires the physical presence of expert faculty members who are usually busy and time-constrained by clinical commitments. We aim to evaluate electronic feedback (e-feedback) after video observation of surgical suturing in comparison with standard face-to-face verbal feedback...
May 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/27921241/introducing-transcatheter-aortic-valve-implantation-with-a%C3%A2-new-generation-prosthesis-institutional-learning-curve-and-effects-on-acute-outcomes
#17
G D'Ancona, H U Agma, S Kische, G El-Achkar, M Dißmann, J Ortak, H Ince, U Ketterer, A Bärisch, A Öner
OBJECTIVES: We present our single-centre experience with the direct flow medical (DFM) trans-catheter aortic valve implantation (TAVI) prosthesis addressing the impact of learning curve upon outcomes. BACKGROUND: The DFM has been recently introduced for TAVI. The prosthesis presents original design and implantation features. METHODS: Patients were divided into three groups according to the chronological implantation sequence that reflected technical skills acquisition of the entire team...
February 2017: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27884344/do-resident-s-leadership-skills-relate-to-ratings-of-technical-skill
#18
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
#19
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
#20
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
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