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https://www.readbyqxmd.com/read/29661008/psychiatry-in-american-medical-education-the-case-of-harvard-s-medical-school-1900-1945
#1
Tara H Abraham
As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school curricula. This shift in disciplinary status took place at a time when medical education itself was experiencing a period of reform. By examining medical school registers at Harvard University, records from the Dean's office of Harvard's medical school, and oral histories, this paper examines the rise in prominence of psychiatry in medical education...
April 16, 2018: Canadian Bulletin of Medical History, Bulletin Canadien D'histoire de la Médecine
https://www.readbyqxmd.com/read/29642750/the-optic-pathway-the-development-of-an-elearning-animation
#2
Claire Cooper, Caroline Erolin
The optic pathway is responsible for sending visual information from the eyes to the brain via electrical impulses. It is essential that a sound understanding of this pathway is established in order to determine an accurate diagnosis concerning visual field defects. Although easy for trained neurologists to understand, it is an area which medical students repeatedly struggle to visualise. It is proposed that audio-visual teaching resources can improve students understanding of complex areas of importance. This article describes the development and evaluation of a short animation created for use in the undergraduate neurology curriculum at the University of Dundee School of Medicine...
April 11, 2018: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/29567592/training-students-to-detect-delirium-an-interprofessional-pilot-study
#3
Breah Chambers, Mary Meyer, Moya Peterson
AIM: The purpose of this paper is to report nursing student knowledge acquisition and attitude after completing and interprofessional simulation with medical students. INTRODUCTION: The IOM has challenged healthcare educators to teach teamwork and communication skills in interprofessional settings. Interprofessional simulation provides a higher fidelity experience than simulation in silos. Simulation may be particularly useful in helping healthcare workers gain the necessary skills to care for psychiatric clients...
February 28, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29551723/cystic-formation-after-stereotactic-radiosurgery-of-brain-metastasis
#4
Ali A Alattar, Kate Carroll, Brian R Hirshman, Rushikesh S Joshi, Parag Sanghvi, Clark C Chen
BACKGROUND: Limited information is available on the natural history and etiology of cystic formation after stereotactic radiosurgery (SRS) for brain metastasis (BM). We aimed to characterize the natural history of cyst formation after SRS of BM and analyze potential risk factors. METHODS: We retrospectively reviewed 214 consecutive patients who underwent 1,106 SRS for BM. Demographic, clinical, dosimetric, and MRI data were reviewed. Statistical analysis was accomplished with Student's t-test, univariate and multivariate logistic regression...
March 15, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29498030/baseline-performance-of-ncaa-athletes-on-a-concussion-assessment-battery-a-report-from-the-care-consortium
#5
Barry P Katz, Maria Kudela, Jaroslaw Harezlak, Michael McCrea, Thomas McAllister, Steven P Broglio
BACKGROUND: Sport-related concussion and repetitive head impact exposure in contact sports continue to receive increased attention in public and medical spheres. The Concussion Assessment, Research and Education (CARE) Consortium, a multicenter cooperative, was established to study the natural history of concussion in National Collegiate Athletic Association (NCAA) collegiate student-athletes across 29 colleges and universities in the United States. The purpose of this investigation is to provide normative data from the CARE Consortium and evaluate for differences between sport categories...
March 1, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29476936/an-educational-initiative-to-improve-medical-student-awareness-about-brain-death
#6
Ariane Lewis, Jonathan Howard, Amanda Watsula-Morley, Colleen Gillespie
OBJECTIVE: Medical student knowledge about brain death determination is limited. We describe an educational initiative to improve medical student awareness about brain death and assess the impact of this initiative. SUBJECTS AND METHODS: Beginning in July 2016, students at our medical school were required to attend a 90-min brain death didactic and simulation session during their neurology clerkship. Students completed a test immediately before and after participating in the initiative...
February 2, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29431166/incorporating-students-into-clinic-may-be-associated-with-both-improved-clinical-productivity-and-educational-value
#7
Jeremy A Tanner, Karthik T Rao, Rachel E Salas, Roy E Strowd, Angeline M Nguyen, Alexandra Kornbluh, Evan Mead-Brewer, Charlene E Gamaldo
Background: In this study, we aimed to evaluate ambulatory clinic responsibilities that neurology clerkship students perceive as having the highest educational value and to evaluate the association between a student's presence and level of responsibility and a preceptor's clinical and financial productivity during a clinic session. Methods: Physician preceptors (n = 43) and medical students (n = 67) in the Johns Hopkins Neurology clerkship from 2014 to 2015 were included...
December 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29377011/neurological-disorders-of-gait-balance-and-posture-a-sign-based-approach
#8
REVIEW
Jorik Nonnekes, Rianne J M Goselink, Evžen Růžička, Alfonso Fasano, John G Nutt, Bastiaan R Bloem
Neurological disorders of gait, balance and posture are both debilitating and common. Adequate recognition of these so-called disorders of axial mobility is important as they can offer useful clues to the underlying pathology in patients with an uncertain clinical diagnosis, such as those early in the course of neurological disorders. Medical teaching programmes typically take classic clinical presentations as the starting point and present students with a representative constellation of features that jointly characterize a particular axial motor syndrome...
January 29, 2018: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/29343469/entrustable-professional-activities-a-useful-concept-for-neurology-education
#9
Holli Horak, Robert Englander, Diana Barratt, Jeff Kraakevik, Madhu Soni, Ezgi Tiryaki
Medical education is currently undergoing a paradigm shift from process-based to competency-based education, focused on measuring the desired competence of a physician. In an attempt to improve the assessment framework used for medical education, the concept of entrustable professional activities (EPAs) has gained traction. EPAs are defined as professional activities that can be entrusted to an individual in a clinical context. The Association of American Medical Colleges (AAMC) defined a set of 13 such EPAs to define the core of what all students should be able to do on day 1 of residency, regardless of specialty choice...
February 13, 2018: Neurology
https://www.readbyqxmd.com/read/29319659/residual-neurological-symptoms-after-peripheral-nerve-blocks-for-pediatric-knee-surgery
#10
Robert J Tamai, Brian T Sullivan, Rushyuan J Lee
BACKGROUND: Peripheral nerve blocks (PNBs) provide excellent pain control and reduce the need for systemic analgesics in orthopaedic surgery. PNBs rarely cause complications; however, a few studies of adults have reported neurological complications during the early postoperative period. We investigated complications associated with the use of PNBs during pediatric knee surgery. METHODS: We reviewed the medical records of all 121 children (aged ≤18 y) who underwent knee surgery by 1 orthopaedic surgeon between October 2014 and September 2016...
March 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29311368/education-research-difficult-conversations-in-neurology-lessons-learned-from-medical-students
#11
Monica E Lemmon, Charlene Gamaldo, Rachel Marie E Salas, Ankita Saxena, Tiana E Cruz, Renee D Boss, Roy E Strowd
OBJECTIVE: To characterize features of medical student exposure to difficult conversations during a neurology core clerkship. METHODS: This was a cross-sectional concurrent nested mixed methods study, and all students rotating through a required neurology clerkship between 2014 and 2015 were enrolled. Data collection included an electronic communication tracker, baseline and end-of-clerkship surveys, and 4 facilitated focus groups. Students were asked to log exposure to patient-clinician conversations about (1) new disability, (2) poor prognosis, (3) prognostic uncertainty (4), terminal diagnosis, and (5) end-of-life care...
January 9, 2018: Neurology
https://www.readbyqxmd.com/read/29302928/trends-in-md-phd-graduates-entering-psychiatry-assessing-the-physician-scientist-pipeline
#12
Melissa R Arbuckle, Sean X Luo, Harold Alan Pincus, Joshua A Gordon, Joyce Y Chung, Mark Chavez, Maria A Oquendo
OBJECTIVE: The goal of this study was to identify trends in MD/PhD graduates entering psychiatry, to compare these trends with other specialties, and to review strategies for enhancing the physician-scientist pipeline. METHODS: Data on 226,588 medical students graduating from Liaison Committee on Medical Education accredited programs between 1999 and 2012 (6626 MD/PhDs) were used to evaluate the number, percentage, and proportion of MD/PhDs entering psychiatry in comparison with other specialties (neurology, neurosurgery, internal medicine, family medicine, and radiation oncology)...
January 4, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29274950/knowledge-about-epilepsy-in-university-health-students-a-multicenter-study
#13
Priscila Souza, Leslie A Portes, Robert K Thomas, Jorge R Bonito, Marilia Rua, Fabio J Pacheco, Phillip Plaatjes, Natalia C Oliveira
Even with economic development and improvements in health care around the world, it is estimated that nowadays, 50 million people have epilepsy. It is one of the most prevalent neurological diseases, yet it is still surrounded by prejudice, stigma, lack of awareness, and wrong attitudes of the population towards the disease. The aim of this study was to evaluate and compare the knowledge about epilepsy in health students from different countries: Brazil, Argentina, Portugal, United States, and South Africa...
February 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29274891/selection-and-ranking-of-patient-video-cases-in-paediatric-neurology-in-relation-to-learner-levels
#14
Thomas Balslev, Arno M M Muijtjens, Sabine Frølich Maarbjerg, Willem de Grave
BACKGROUND: Teaching and learning with patient video cases may add authenticity, enhance diagnostic accuracy and improve chances of early diagnosis. The aim of this study is firstly to identify selection criteria for key Patient video cases (PVCs), secondly to identify trends in relevance of PVCs for learner levels and thirdly, to rank PVCs for learner levels. METHODS: Based on a literature review, we identified criteria for key PVCs for use in paediatric neurology...
December 2, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29251834/impact-and-educational-outcomes-of-a-small-group-self-directed-teaching-strategy-in-a-clinical-neuroscience-curriculum
#15
Thomas I Nathaniel, Jordan C Gainey, Jessica A Williams, Bianca L Stewart, Michael C Hood, Leanne E Brechtel, Rakiya V Faulkner, Jasmine S Pendergrass, Leigh-Ann Black, Scott K Griffin, Christopher E Troup, Jayne S Reuben, Asa C Black
The complexity of the material being taught in clinical neuroscience within the medical school curriculum requires creative pedagogies to teach medical students effectively. Many clinical teaching strategies have been developed and are well described to address these challenges. However, only a few have been evaluated to determine their impact on the performance of students studying clinical neuroscience. Interactive, 2-hour, self-directed small-group interactive clinical case-based learning sessions were conducted weekly for 4 weeks to integrate concepts learned in the corresponding didactic lectures...
December 18, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29237196/-young-academics-in-neuropsychological-disciplines-factors-affecting-career-aspiration-in-psychiatry-neurology-and-psychosomatic-medicine
#16
Susanne Lange-Kasch, Janine Wirkner, Richard Kasch, Harald J Freyberger, Steffen Fleßa, Harry Merk, Thomas Klauer
Objective Students with specialization preferences in psychiatry, neurology, or psychosomatic medicine were retrospectively compared with regard to aspects of motivation to choose medicine as their field of study. Methods To identify early predictors of specialization preferences, a nationwide online survey was conducted with 9079 medical students. The statements of those with a preference for neurology, psychiatry, or psychosomatic medicine were evaluated using analysis of variance (ANOVA). Results Prospective neurologists were motivated by scientific interest variables and less by the aspects of life management...
December 13, 2017: Psychiatrische Praxis
https://www.readbyqxmd.com/read/29229691/opinion-and-special-articles-neurology-education-at-us-osteopathic-medical-schools
#17
Daniel A Freedman, Dara V F Albert
Osteopathic medical schools have a longstanding tradition of training primary care physicians (PCP). Neurologic symptoms are common in the PCP's office and there is an undersupply of neurologists in the United States. It is therefore crucial for osteopathic medical students to have a strong foundation in clinical neurology. Despite the importance, a mere 6% of osteopathic medical schools have required neurology clerkships. Furthermore, exposure to neurology in medical school through required clerkships has been correlated with matching into neurology residency...
December 12, 2017: Neurology
https://www.readbyqxmd.com/read/29162061/medical-student-attitudes-and-educational-interventions-to-prevent-neurophobia-a-longitudinal-study
#18
Lisa Shiels, Pratish Majmundar, Aleksander Zywot, John Sobotka, Christine S M Lau, Tuula O Jalonen
BACKGROUND: With an aging American population, the burden of neurologic disease is intensifying and the decline in neurology residents and practicing neurologists is leaving these patients helpless and unable to find care. 'Neurophobia', a chronic illness that begins early in medical school, has been identified as a cause for the low number of neurology residents. METHODS: A longitudinal study surveyed medical students at the beginning of their first year (M1) and then again at the beginning of their second year (M2)...
November 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29051136/using-google-glass-in-nonsurgical-medical-settings-systematic-review
#19
Bryn Dougherty, Sherif M Badawy
BACKGROUND: Wearable technologies provide users hands-free access to computer functions and are becoming increasingly popular on both the consumer market and in various industries. The medical industry has pioneered research and implementation of head-mounted wearable devices, such as Google Glass. Most of this research has focused on surgical interventions; however, other medical fields have begun to explore the potential of this technology to support both patients and clinicians. OBJECTIVE: Our aim was to systematically evaluate the feasibility, usability, and acceptability of using Google Glass in nonsurgical medical settings and to determine the benefits, limitations, and future directions of its application...
October 19, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28970685/therapeutic-leukocyte-reduction-for-acute-and-chronic-myeloid-leukemias-a-4-year-experience-from-an-oncology-center-in-india
#20
Anita A Tendulkar, Puneet A Jain, Abhaykumar Gupta, Nidhi Sharma, Anisha Navkudkar, Vijaya Patle
INTRODUCTION: Hyperleukocytosis (HL) and leukostasis seen in myeloid leukemias are a medical emergency. We present a case series of ten such patients in a 4-year period. Sixteen therapeutic leukocyte reduction (TLR) were done in ten cases along with other supportive measures. The American Society for Apheresis supports the routine implementation of TLR in cases of HL secondary to myeloid leukemias with signs of leukostasis. MATERIALS AND METHODS: The procedures were performed on the intermittent flow cell separator after discussion with the treating physician about patient's condition...
July 2017: Asian Journal of Transfusion Science
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