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Clinical skills coach

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https://www.readbyqxmd.com/read/28600753/involving-medical-students-in-providing-patient-education-for-real-patients-a-scoping-review
#1
Thomas W Vijn, Cornelia R M G Fluit, Jan A M Kremer, Thimpe Beune, Marjan J Faber, Hub Wollersheim
BACKGROUND: Studies suggest that involving students in patient education can contribute to the quality of care and medical education. Interventions and outcomes in this field, however, have not yet been systematically reviewed. The authors examined the scientific literature for studies on interventions and outcomes of student-provided patient education. METHODS: Four databases (MEDLINE, EMBASE, ERIC, PsycINFO) were searched for studies reporting patient education, undergraduate medical students, and outcomes of patient education, published between January 1990 and October 2015...
June 9, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28549460/learning-to-use-electronic-health-records-can-we-stay-patient-centered-a-pre-post-intervention-study-with-family-medicine-residents
#2
Cédric Lanier, Melissa Dominicé Dao, Patricia Hudelson, Bernard Cerutti, Noëlle Junod Perron
BACKGROUND: The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the "patient-centered" use of the EHR have been published. However, the impact of training to improve EHR use during clinical encounters is not well known. The aim of this study was to assess the impact of training on residents' EHR-related communication skills and explore whether they varied according to the content of the consultation...
May 26, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28537957/testing-the-implementation-of-a-pain-self-management-support-intervention-for-oncology-patients-in-clinical-practice-a-randomized-controlled-pilot-study-antipain
#3
Antje Koller, Jan Gaertner, Sabina De Geest, Monika Hasemann, Gerhild Becker
BACKGROUND: In oncology, pain control is a persistent problem. Significant barriers to cancer pain management are patient related. Pain self-management support interventions have shown to reduce pain intensity and patient-related barriers. Comparative effectiveness research is a suitable approach to test whether effects are sustained in clinical practice. OBJECTIVE: In this pilot randomized controlled trial, the implementation of the ANtiPain intervention into clinical practice was tested to assess the effects on pain intensity, function-related outcomes, self-efficacy, and patient-related barriers to pain management to prepare a larger effectiveness trial...
May 23, 2017: Cancer Nursing
https://www.readbyqxmd.com/read/28523960/the-health-literacy-dyad-the-contribution-of-future-gps-in-england
#4
Oana R Groene, Jane Wills, Nicola Crichton, Gill Rowlands, Rima R Rudd
BACKGROUND: Health literacy studies have primarily focused on the cognitive and social skills of individuals needed to gain access to, understand, and use health information. This area of study is undergoing a paradigm shift with increased attention being paid to the skills of practitioners and an examination of their contribution to the link between literacy and health outcomes. The aim of this study was to describe the health literacy related competencies of General Practice (GP) trainees who will soon be responsible for the clinical encounter...
May 19, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28520585/the-role-of-simulation-and-warm-up-in-minimally-invasive-gynecologic-surgery
#5
Janelle K Moulder, Michelle Louie, Tarek Toubia, Lauren D Schiff, Matthew T Siedhoff
PURPOSE OF REVIEW: The purpose of the review is to update the reader on the current literature and recent studies evaluating the role of simulation and warm-up as part of surgical education and training, and maintenance of surgical skills. RECENT FINDINGS: Laparoscopic and hysteroscopic simulation may improve psychomotor skills, particularly for early-stage learners. However, data are mixed as to whether simulation education is directly transferable to surgical skill...
May 16, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28418205/it-s-not-just-what-you-know-junior-trainees-approach-to-follow-up-and-documentation
#6
Dani C Cadieux, Mark Goldszmidt
CONTEXT: In teaching hospitals, junior trainees (first-year residents and third-year medical students) are responsible for patient follow-up and documentation under the supervision of senior team members. In order to support trainees in their role, supervisors need to understand how trainees approach these tasks and how they can be coached to develop best practices. OBJECTIVES: The purpose of our study was to explore the range of practices used by junior trainees in clinical settings...
April 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28409434/the-sgim-teach-program-a-curriculum-for-teachers-of-clinical-medicine
#7
Christopher L Knight, Donna M Windish, Steven A Haist, Reena Karani, Shobhina Chheda, Michael Rosenblum, Preetha Basaviah, Abby L Spencer, Eva M Aagaard
BACKGROUND: Demand for faculty with teaching expertise is increasing as medical education is becoming well established as a career pathway. Junior faculty may be expected to take on teaching responsibilities with minimal training in teaching skills. AIM: To address the faculty development needs of junior clinician-educators with teaching responsibilities and those changing their career focus to include teaching. SETTING: Sessions at two Society of General Internal Medicine (SGIM) annual meetings combined with local coaching and online learning during the intervening year...
April 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28403837/effect-of-individualized-communication-skills-training-on-physicians-discussion-of-clinical-trials-in-oncology-results-from-a-randomized-controlled-trial
#8
Alexander Wuensch, Tanja Goelz, Gabriele Ihorst, Darcey D Terris, Hartmut Bertz, Juergen Bengel, Michael Wirsching, Kurt Fritzsche
BACKGROUND: Discussing randomized clinical trials (RCTs) with cancer patients is one of the most challenging communication tasks a physician faces. Only two prior Communication Skills Trainings (CSTs) focused on RCTs in oncology have been reported. Their results demonstrated the need for further improvement. We developed and evaluated an enhanced, individually-tailored CST focused on improving physicians' communication during discussions of RCTs. METHODS: The CST focused on personal learning goals derived from video pre-assessment that were addressed in a 1...
April 13, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28353500/how-can-medical-students-add-value-identifying-roles-barriers-and-strategies-to-advance-the-value-of-undergraduate-medical-education-to-patient-care-and-the-health-system
#9
Jed D Gonzalo, Michael Dekhtyar, Richard E Hawkins, Daniel R Wolpaw
PURPOSE: As health systems evolve, the education community is seeking to reimagine student roles that combine learning with meaningful contributions to patient care. The authors sought to identify potential stakeholders regarding the value of student work, and roles and tasks students could perform to add value to the health system, including key barriers and associated strategies to promote value-added roles in undergraduate medical education. METHOD: In 2016, 32 U...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28325084/application-of-a-contextual-instructional-framework-in-a-continuing-professional-development-training-program-for-physiotherapists-in-rwanda
#10
Kim Dunleavy, Julia Chevan, Antoinette P Sander, Jean Damascene Gasherebuka, Monika Mann
BACKGROUND: Continuing professional development is an important component of capacity building in low resource countries. The purpose of this case study is to describe the use of a contextual instructional framework to guide the processes and instructional design choices for a series of continuing professional development courses for physiotherapists in Rwanda. METHODS: Four phases of the project are described: (1) program proposal, needs assessment and planning, (2) organization of the program and instructional design, (3) instructional delivery and (4) evaluation...
March 22, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28322070/enhancing-clinical-communication-in-dermatologists-a-personalized-educational-intervention
#11
Zoi Tsimtsiou, Charitini Stavropoulou, Noni Papastefanou, Christos Lionis
OBJECTIVES: Effective communication is a vital component of patient-centered consultations with favourable treatment outcomes. This study aimed in testing the effectiveness of a personalized, communication training program for dermatologists in their practices. METHODS: Fifteen dermatologists were offered the educational intervention NO.TE.S. (Non Technical Skills). Depending on the dermatologists' needs, seven to nine sessions with a 60-minute duration were performed, focusing on: patient-centered care, principles of Neurolinguistic Programming, a guide to the medical interview, principles of motivational interviewing and self-care...
March 21, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28296513/who-is-the-preferred-tutor-in-clinical-skills-training-physicians-nurses-or-peers
#12
Ece Şükriye Abay, Sevgi Turan, Orhan Odabaşı, Melih Elçin
Phenomenon: Clinical skills centers allow structured training of undergraduate medical students for the acquisition of clinical skills in a simulated environment. Physician, nurse, or peer tutors are employed for training in those centers. All tutors should have appropriate training about the methodology used in the clinical skills training. Many of the studies revealed the effectiveness of various types of tutors. The aim of our study was to evaluate medical students' satisfaction with clinical skills training, and their opinions about the differences in coaching skills among the physician, nurse, and peer tutors...
March 15, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28274982/implementation-of-an-interprofessional-clinical-pharmacology-selective-learning-experience-for-pharmacy-residents-and-medical-students
#13
Garrett E Schramm, Prasanna P Narayanan, Darryl S Chutka, Wayne T Nicholson
PURPOSE: The implementation of an interprofessional clinical pharmacology selective (CPS) learning experience for pharmacy residents and medical students is described. SUMMARY: The opportunity for pharmacy residents to provide didactic lectures at a college of pharmacy and to develop teaching and preceptor skills with experiential pharmacy students may be limited by institution-specific affiliations and geographic location. In order to overcome these barriers, the Mayo Clinic Hospital postgraduate year 1 (PGY1) pharmacy residency program implemented an interprofessional learning experience in which pharmacy residents serve the role of preceptors for first- and second-year medical students on a CPS...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28247580/analysis-of-non-pharmacological-interventions-attempted-prior-to-pro-re-nata-medication-use
#14
Krystle Martin, Vinita Arora, Ilan Fischler, Renee Tremblay
The aim of the present study was to elucidate what non-pharmacological interventions are applied by nursing staff prior to the administration of psychotropic pro re nata (PRN) medication. Best practices would instruct clinical staff to provide non-pharmacological strategies, such as de-escalation and skills coaching, as the first response to patient distress, anxiety, or agitation. Non-pharmacological strategies might be safer for patients, promote more collaborative relationships, and facilitate greater skills development for managing symptoms...
March 1, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28245652/an-examination-of-the-relationship-between-care-management-with-coaching-for-activation-and-patient-outcomes
#15
Cindy Reistroffer, Larry R Hearld, Jeff M Szychowski
OBJECTIVES: A growing body of research has established the benefits of patient activation, which is defined as the knowledge, skills, confidence, and motivation to make effective decisions and take action to maintain or improve one's health. Consequently, healthcare stakeholders of all types continue to seek ways to improve patient activation. The purpose of this study was to empirically examine whether enrollment in a health plan-sponsored care management (CM) program that included coaching for activation (CFA) was associated with utilization, medication adherence, and clinical outcomes...
February 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28188156/feasibility-of-peer-assessment-and-clinical-audit-to-self-regulate-the-quality-of-physiotherapy-services-a-mixed-methods-study
#16
Marjo J M Maas, Maria W G Nijhuis-van der Sanden, Femke Driehuis, Yvonne F Heerkens, Cees P M van der Vleuten, Philip J van der Wees
OBJECTIVES: To evaluate the feasibility of a quality improvement programme aimed to enhance the client-centeredness, effectiveness and transparency of physiotherapy services by addressing three feasibility domains: (1) acceptability of the programme design, (2) appropriateness of the implementation strategy and (3) impact on quality improvement. DESIGN: Mixed methods study. PARTICIPANTS AND SETTING: 64 physiotherapists working in primary care, organised in a network of communities of practice in the Netherlands...
February 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28168608/barriers-facilitators-and-benefits-of-implementation-of-dialectical-behavior-therapy-in-routine-care-results-from-a-national-program-evaluation-survey-in-the-veterans-health-administration
#17
Sara J Landes, Allison L Rodriguez, Brandy N Smith, Monica M Matthieu, Lindsay R Trent, Janet Kemp, Caitlin Thompson
National implementation of evidence-based psychotherapies (EBPs) in the Veterans Health Administration (VHA) provides important lessons on the barriers and facilitators to implementation in a large healthcare system. Little is known about barriers and facilitators to the implementation of a complex EBP for emotional and behavioral dysregulation-dialectical behavioral therapy (DBT). The purpose of this study was to understand VHA clinicians' experiences with barriers, facilitators, and benefits from implementing DBT into routine care...
February 6, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28121534/a-strategy-for-identifying-and-disseminating-best-practice-innovations-in-the-care-of-patients-with-multiple-chronic-conditions-or-end-of-life-care-needs
#18
Daphna Gans, David A Ganz, Wendy Senelick, Heather E Mccreath, Jessica Jew, Dan Osterweil, Romilla A Batra, Zaldy Tan, Lee A Jennings, David B Reuben
Patients with multiple chronic conditions and those with end-of-life care needs experience high health care costs and needs for skilled coordination and well-trained staff. Focusing on these populations presents an opportunity to improve the patient experience toward the goal of more patient-centered care and reduced costs. Although innovative programs that provide better care to these patient populations have been developed, these innovations are often localized and not actively disseminated to other settings...
July 2016: Managed Care
https://www.readbyqxmd.com/read/28057609/intellicare-an-eclectic-skills-based-app-suite-for-the-treatment-of-depression-and-anxiety
#19
David C Mohr, Kathryn Noth Tomasino, Emily G Lattie, Hannah L Palac, Mary J Kwasny, Kenneth Weingardt, Chris J Karr, Susan M Kaiser, Rebecca C Rossom, Leland R Bardsley, Lauren Caccamo, Colleen Stiles-Shields, Stephen M Schueller
BACKGROUND: Digital mental health tools have tended to use psychoeducational strategies based on treatment orientations developed and validated outside of digital health. These features do not map well to the brief but frequent ways that people use mobile phones and mobile phone apps today. To address these challenges, we developed a suite of apps for depression and anxiety called IntelliCare, each developed with a focused goal and interactional style. IntelliCare apps prioritize interactive skills training over education and are designed for frequent but short interactions...
January 5, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28032558/early-learners-as-health-coaches-for-older-adults-preparing-for-surgery
#20
Jennifer A Kaplan, Zabecca Brinson, Rebecca Hofer, Patricia O'Sullivan, Anna Chang, Helen Horvath, George J Chang, Emily Finlayson
BACKGROUND: Few opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first-year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. MATERIALS AND METHODS: Frail surgical patients with planned operations were referred to a new preoperative optimization clinic to see a geriatrician, occupational, and physical therapists and a nutritionist...
March 2017: Journal of Surgical Research
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