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https://www.readbyqxmd.com/read/29045275/medical-education-in-decentralized-settings-how-medical-students-contribute-to-health-care-in-10-sub-saharan-african-countries
#1
Zohray Talib, Susan van Schalkwyk, Ian Couper, Swaha Pattanaik, Khadija Turay, Atiene S Sagay, Rhona Baingana, Sarah Baird, Bernhard Gaede, Jehu Iputo, Minnie Kibore, Rachel Manongi, Antony Matsika, Mpho Mogodi, Jeremais Ramucesse, Heather Ross, Moses Simuyeba, Damen Haile-Mariam
PURPOSE: African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. METHOD: Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29041926/prevalence-and-factors-associated-with-intestinal-parasites-among-food-handlers-of-food-and-drinking-establishments-in-aksum-town-northern-ethiopia
#2
Dejen Gezehegn, Mebrahtu Abay, Desalegn Tetemke, Hiwet Zelalem, Hafte Teklay, Zeray Baraki, Girmay Medhin
BACKGROUND: Various epidemiological studies indicate that the prevalence of intestinal parasites is high in developing countries and those parasites are major public health importance in Sub-Saharan Africa. Their distribution is mainly associated with poor personal hygiene, environmental sanitation and lack of access to clean water. This study was conducted to estimate the prevalence of intestinal parasitic infection and identify factors associated with intestinal parasitic infection among food handlers in the Aksum Town of Tigray Regional State, North Ethiopia...
October 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29035872/a-review-of-antimicrobial-stewardship-training-in-medical-education
#3
REVIEW
Sarah L Silverberg, Vanessa E Zannella, Drew Countryman, Ana Patricia Ayala, Erica Lenton, Farah Friesen, Marcus Law
Objectives: We reviewed the published literature on antimicrobial stewardship training in undergraduate and postgraduate medical education to determine which interventions have been implemented, the extent to which they have been evaluated, and to understand which are most effective. Methods: We searched Ovid MEDLINE and EMBASE from inception to December 2016. Four thousand three hundred eighty-five (4385) articles were identified and underwent title and abstract review...
October 12, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/29034811/mental-illness-stigma-among-medical-students-and-teachers
#4
Miroslava Janoušková, Aneta Weissová, Tomáš Formánek, Jiří Pasz, Lucie Bankovská Motlová
BACKGROUND: Medical school curriculum contributes to future doctors' attitude formation towards people with mental illness. AIM: The purpose of this study was to compare stigmatizing attitudes between medical students and faculty, analyse stigmatizing attitudes among students from different years of study and identify factors predicting stigma. METHODS: A cross-sectional study with the use of scales measuring attitudes and social distance was designed...
October 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29026730/important-role-of-medical-training-curriculum-to-promote-the-rate-of-human-milk-feeding
#5
REVIEW
Yong Joo Kim
The rate of human milk feeding has been decreasing despite the diverse efforts of many physicians and nurses, as well as numerous professional organizations and various international health institutions. The number of physicians and nurses who can provide proper guidance for human milk feeding and offer appropriate knowledge and techniques to allow the most beneficial and convenient manner of breastfeeding is quite deficient. It is suggested that physicians and nurses be trained to teach and educate about the medical importance of human milk feeding to lactating mothers...
September 2017: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29026450/incorporating-child-maltreatment-training-into-medical-school-curricula
#6
Heather L Pelletier, Michele Knox
The Child Advocacy Studies Training (CAST) program has been implemented at the graduate and undergraduate levels, but has not been incorporated in medical school training. This study examines the efficacy of a modified version of the CAST program that is tailored to meet the educational needs of medical students. A total sample of 75 first year medical students (57 at 6 month follow-up) participated in the study and completed analogue vignettes depicting cases of maltreatment. It was hypothesized that, relative to the comparison group, students who completed CAST training would demonstrate better accuracy at identifying and reporting maltreatment...
2017: Journal of Child & Adolescent Trauma
https://www.readbyqxmd.com/read/29026060/unmet-needs-in-health-training-among-nurses-in-rural-chinese-township-health-centers-a-cross-sectional-hospital-based-study
#7
Yan Mo, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, Jiafeng Lin
Purpose: Maintaining a sufficient and competent rural nursing workforce is important in Chinese health delivery system. However, few studies have involved in the health training status and needs assessment of rural Chinese nurses in great transformations of health policy. This study is to explore the current health training status and to ascertain needs perceived by nurses working in rural Chinese township health centers (THCs). Methods: A cross-sectional survey using a self-administered structured questionnaire was conducted to 240 THC nurses in Guangxi Zhuang Autonomous region, China from March 2014 to August 2014...
October 4, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/29025363/identification-of-core-objectives-for-teaching-sustainable-healthcare-education
#8
Arianne Teherani, Holly Nishimura, Latifat Apatira, Thomas Newman, Susan Ryan
BACKGROUND: Physicians will be called upon to care for patients who bear the burden of disease from the impact of climate change and ecologically irresponsible practices which harm ecosystems and contribute to climate change. However, physicians must recognize the connection between the climate, ecosystems, sustainability, and health and their responsibility and capacity in changing the status quo. Sustainable healthcare education (SHE), defined as education about the impact of climate change and ecosystem alterations on health and the impact of the healthcare industry on the aforementioned, is vital to prevention of adverse health outcomes due to the changing climate and environment...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29025302/medical-student-healthcare-consulting-groups-a-novel-way-to-train-the-next-generation-of-physician-executives
#9
Esther Y Hsiang, Andrew G Breithaupt, Peiyi Su, Andrew T Rogers, Niv Milbar, Sanjay V Desai
Meeting the challenges of the evolving healthcare environment requires leadership of physicians well-trained in clinical medicine and healthcare management. However, many physicians lack training in business and leadership. While some residency programs have management tracks, training at the medical school level is currently lacking. We developed the Hopkins Health Management Advisory Group, an extracurricular program at Johns Hopkins University School of Medicine that exposes medical students to healthcare management and fosters development of leadership skills...
October 12, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29023245/education-in-pediatrics-across-the-continuum-epac-first-steps-toward-realizing-the-dream-of-competency-based-education
#10
John S Andrews, James F Bale, Jennifer B Soep, Michele Long, Carol Carraccio, Robert Englander, Deborah Powell
The Education in Pediatrics Across the Continuum (EPAC) Study Group is developing the first competency-based, time-variable progression from undergraduate medical education (UME) to graduate medical education (GME) in the history of medical education in the United States. EPAC, an innovation project sponsored by the Association of American Medical Colleges (AAMC) and supported by the Josiah Macy Jr. Foundation, was developed through a collaboration between 5 medical schools and multiple professional organizations with an interest in undergraduate and graduate medical education...
October 11, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29019800/academic-medical-support-to-the-ebola-virus-disease-outbreak-in-liberia
#11
Patricia A McQuilkin, Michelle Niescierenko, Ann Marie Beddoe, Jarod Goentzel, Elinor A Graham, Patricia C Henwood, Lise Rehwaldt, Sisay Teklu, Janis Tupesis, Roseda Marshall
During the Ebola Virus Disease (EVD) epidemic in West Africa (2014-2016), many faculty, staff, and trainees from U.S. academic medical centers (i.e., teaching hospitals and their affiliated medical schools; AMCs) wished to contribute to the response to the outbreak, but many barriers prevented their participation. Here, the authors describe a successful long-term academic collaboration in Liberia that facilitated participation in the EVD response. This Perspective outlines the role the authors played in the response (providing equipment and training, supporting the return of medical education), the barriers they faced (logistical and financial), and elements that contributed to their success (partnering and coordinating their response with both U...
October 10, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28991846/a-multi-institutional-longitudinal-faculty-development-program-in-humanism-supports-the-professional-development-of-faculty-teachers
#12
William T Branch, Richard M Frankel, Janet P Hafler, Amy B Weil, MaryAnn C Gilligan, Debra K Litzelman, Margaret Plews-Ogan, Elizabeth A Rider, Lars G Osterberg, Dana Dunne, Natalie B May, Arthur R Derse
The authors describe the first 11 academic years (2005-2006 through 2016-2017) of a longitudinal, small-group faculty development program for strengthening humanistic teaching and role modeling at 30 U.S. and Canadian medical schools that continues today. During the yearlong program, small groups of participating faculty met twice monthly with a local facilitator for exercises in humanistic teaching, role modeling, and related topics that combined narrative reflection with skills training using experiential learning techniques...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28991845/a-purpose-driven-fourth-year-of-medical-school
#13
Mantosh Dewan, John Norcini
The fourth year of medical school has been repeatedly found to be ineffective, and concerns exist about its purpose and academic quality, as well as grade inflation. Since Flexner, the purpose of undergraduate medical training has moved from readiness for independent practice to readiness for postgraduate training. However, training directors report that medical graduates are inadequately prepared to enter residency. The authors propose a fourth year with two components: first, a yearlong, longitudinal ambulatory experience of at least three days each week on an interprofessional team with consistent faculty supervision and mentoring, increasing independence, and a focus on education; and second, rigorous clinical-scales-based assessment of meaningful outcomes...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28991666/educational-attainment-and-motor-burden-in-advanced-parkinson-s-disease-the-emerging-role-of-education-in-motor-reserve
#14
Josefine Blume, Eva Rothenfusser, Jürgen Schlaier, Ulrich Bogdahn, Max Lange
OBJECTIVE: To explore the relationship of motor burden and educational attainment in patients with advanced stage PD. MATERIALS AND METHODS: We included 102 consecutive patients who underwent a complete evaluation for DBS surgery, including detailed neuropsychological testing and UPDRSIII in a standardized Levodopa challenge. Years of education (YoE) were calculated as the highest grade attained in secondary school plus years for post-secondary training. RESULTS: The OFF medication UPDRS-III score was associated with YoE (p=0...
October 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28987411/why-the-va-matters-resident-education-research-and-patient-care
#15
John T Moore
The Veterans' Health Administration (VHA) has had a long and storied relationship with academic medicine and particularly academic surgery throughout its history. Since the initial inception of the Veterans' Health Administration in 1946 there have been relationships between medical schools and the VHA to provide care to our veterans as well as provide a fertile training environment for the residents that will enhance their overall training experience and prepare them to the provide health care for the nation as a whole...
September 28, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28986205/-conception-and-implementation-of-a-novel-e-learning-module-with-ebm-learning-contents-in-operative-dentistry
#16
Susanne Gerhardt-Szép, Stefanie Dreher, Stefan Rüttermann, Tobias Weberschock
PURPOSE: Computer-assisted learning (CAL) programs are becoming more widely used in medical and dental training. However, the combination of CAL programs and evidence-based education in dentistry has not been described previously. The aim was to determine the acceptance and user-friendliness of a CAL program combined with evidence-based training. METHODS: The didactic concept of the module includes the case-oriented, problem-based embedding of a total of 32 EbM learning assignments, which can be completed interactively and self-determinedly in an interdisciplinary context using focus patients with different diseases...
October 3, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28985242/development-of-an-international-undergraduate-curriculum-for-delirium-using-a-modified-delphi-process
#17
Claire Copeland, James Fisher, Andrew Teodorczuk
Background: delirium is a medical emergency affecting approximately 30% of hospitalised older patients. Recent work examining UK undergraduate medical curricula highlighted inconsistencies in the delivery of teaching on delirium. The aim of this project was to develop consensus agreement on a delirium curriculum for medical undergraduates. Methods: a modified Delphi process was used to determine consensus amongst experts in an iterative manner. Experts at the European Delirium Association Conference (London, 2015) were invited to participate...
August 9, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28970444/teaching-prescribing-just-what-the-doctor-ordered-a-thematic-analysis-of-the-views-of-newly-qualified-doctors
#18
Christina R Hansen, Elaine K Walsh, Colin P Bradley, Laura J Sahm
Undergraduate medical education has been criticised for failing to adequately prepare doctors for the task of prescribing. Pharmacists have been shown to improve medication use in hospitals. This study aims to elicit the views of intern doctors on the challenges of prescribing, and to suggest changes in education to enhance prescribing practice and potential role of the pharmacist. Semi-structured, qualitative interviews were conducted with intern doctors in their first year post qualification in an Irish hospital...
June 13, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28966187/postdoctoral-teaching-of-geriatric-dentistry-in-u-s-dental-schools
#19
MULTICENTER STUDY
Ronald L Ettinger, Zachary S Goettsche, Fang Qian
The aim of this study was to determine the number and size of postdoctoral teaching programs in geriatric dentistry in U.S. dental schools and other health professions educational institutions and those programs with Health Resources and Services Administration (HRSA) funding. In 2015, all 67 U.S. dental schools were contacted via email with a questionnaire to ask if they had a postdoctoral program in geriatric dentistry; if they did, they were asked to report the length and size of the program. Directors of all 16 HRSA-funded geriatric fellowships were also invited to participate in the survey...
October 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28963299/development-of-a-physical-activity-monitoring-tool-for-thai-medical-schools-a-protocol-for-a-mixed-methods-study
#20
Apichai Wattanapisit, Surasak Vijitpongjinda, Udomsak Saengow, Waluka Amaek, Sanhapan Thanamee, Prachyapan Petchuay
INTRODUCTION: Physical activity (PA) is important in promoting health, as well as in the treatment and prevention of diseases. However, insufficient PA is still a global health problem and it is also a problem in medical schools. PA training in medical curricula is still sparse or non-existent. There is a need for a comprehensive understanding of the extent of PA in medical schools through several indicators, including people, places and policies. This study includes a survey of the PA prevalence in a medical school and development of a tool, the Medical School Physical Activity Report Card (MSPARC), which will contain concise and understandable infographics and information for exploring, monitoring and reporting information relating to PA prevalence...
September 27, 2017: BMJ Open
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