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https://www.readbyqxmd.com/read/28430318/teaching-medical-students-ultrasound-guided-vascular-access-which-learning-method-is-best
#1
Alwin Lian, James C R Rippey, Peter J Carr
INTRODUCTION: Ultrasound is recommended to guide insertion of peripheral intravenous vascular cannulae (PIVC) where difficulty is experienced. Ultrasound machines are now common-place and junior doctors are often expected to be able to use them. The educational standards for this skill are highly varied, ranging from no education, to self-guided internet-based education, to formal, face-to-face traditional education. In an attempt to decide which educational technique our institution should introduce, a small pilot trial comparing educational techniques was designed...
April 20, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/28417303/paediatric-in-patient-prescribing-errors-in-malaysia-a-cross-sectional-multicentre-study
#2
Teik Beng Khoo, Jing Wen Tan, Hoong Phak Ng, Chong Ming Choo, Intan Nor Chahaya Bt Abdul Shukor, Siao Hean Teh
Background There is a lack of large comprehensive studies in developing countries on paediatric in-patient prescribing errors in different settings. Objectives To determine the characteristics of in-patient prescribing errors among paediatric patients. Setting General paediatric wards, neonatal intensive care units and paediatric intensive care units in government hospitals in Malaysia. Methods This is a cross-sectional multicentre study involving 17 participating hospitals. Drug charts were reviewed in each ward to identify the prescribing errors...
April 17, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28410173/ehealth-in-modern-patient-caregiver-communication-high-rate-of-acceptance-among-physicians-for-additional-support-of-breast-cancer-patients-during-long-term-therapy
#3
Thomas Kirkovits, Timo Schinkoethe, Caroline Drewes, Caroline Gehring, Ingo Bauerfeind, Nadia Harbeck, Rachel Wuerstlein
BACKGROUND: Lack of adherence and compliance with drug regimens among breast cancer patients represent substantial problems in oral therapies, leading to significant impacts on mortality. Where other systems have failed, electronic health (eHealth) could be a possible solution to improve medication intake, along with the doctor-patient relationship. Initial results from studies concerning new interventions for therapy support are promising, but reports suggest that general acceptance of new treatment support tools is needed among patients and physicians alike...
September 19, 2016: JMIR Cancer
https://www.readbyqxmd.com/read/28400995/whatsapp-for-teaching-pathology-postgraduates-a-pilot-study
#4
Aditi Goyal, Nadeem Tanveer, Pooja Sharma
INTRODUCTION: Postgraduate students spend a sizeable proportion of their time on social media platforms such as WhatsApp and Facebook. This change in our social interaction needs to be accommodated in our teaching methods. To engage them and arouse their curiosity, WhatsApp is an ideal platform. Digital photography by cell phone cameras has made it possible to share cases and discuss them with students round the clock. OBJECTIVE: The primary aim of the study was to develop sharing and discussion of images using WhatsApp...
2017: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/28399732/government-won-t-listen
#5
Sally Sharp
How many nurses do you know who would walk out of a clinical area, leaving patients alone with minimal cover? The junior doctors tried and failed at strike action so why would the government listen to workers whom they have never shown any respect or regard for. There will come a time when there will be no one left to care - this is the true concern.
April 12, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28399729/don-t-prescribe-on-the-cheap
#6
Kayleigh Boulton
Newly qualified nurses should not be allowed to prescribe (Readers' panel, 5 April). And band 5 nurses should not be expected to prescribe until we get paid more. Are they pre-empting the lower number of junior doctors the NHS will see in the years to come and using nurses as a cheaper alternative? Nurses' responsibilities have evolved so much that doing basic nursing care is a distant memory to some, and what thanks have we got? A pay cut!
April 12, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28398896/the-doctors-in-training-committee-a-mechanism-for-change
#7
J S Minhas, S Bains, A Hughes, J Kirtley, S Carr
Medical engagement is increasingly important in ensuring that organizations deliver safe and effective patient care. The recent wave of encouragement for junior doctors to become 'change agents' is fundamental to embedding this culture. However, the mechanisms by which junior doctors engage in complex health-care systems are not well developed. The authors describe the process of setting up a doctors in training committee and its role in a large NHS trust as a way of improving junior doctor engagement.
April 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28398882/the-new-junior-doctors-contract-a-guide-to-safe-working-and-the-challenges-it-brings
#8
Christopher J Kirwan, Neil McCarten
No abstract text is available yet for this article.
April 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28397007/preparing-medical-students-for-clinical-practice-easing-the-transition
#9
Alexandra R Teagle, Maria George, Nicola Gainsborough, Inam Haq, Michael Okorie
The transition from medical student to junior doctor is a challenge; the UK General Medical Council has issued guidance emphasizing the importance of adequate preparation of medical students for clinical practice. This study aimed to determine whether a junior doctor-led simulation-based course is an effective way of preparing final year medical students for practice as a junior doctor.We piloted a new 'preparation for practice' course for final year medical students prior to beginning as Foundation Year 1 (first year of practice) doctors...
April 10, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28395646/sailing-on-the-7-cs-teaching-junior-doctors-how-to-redirect-patients-during-difficult-consultations-in-primary-care
#10
Heidi Allespach, Erin N Marcus, Kassandra M Bosire
No abstract text is available yet for this article.
April 10, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28382707/improving-transfusion-education-for-junior-doctors-exploring-uk-experiences
#11
J E Graham, S Narayan, K Pendry
OBJECTIVES: To provide evidence-based guidance on how transfusion education should be delivered to junior doctors by employing established qualitative research methodology. BACKGROUND: There is a global call for increased transfusion education for doctors to support the delivery of evidence-based practice. Education is reported as an effective measure to improve transfusion practice, although there is a paucity of research evaluating how this should be effectively delivered...
April 2017: Transfusion Medicine
https://www.readbyqxmd.com/read/28378686/unions-silence-is-palpable
#12
Michael Owen
Graham Scott's editorial on nurse morale (22 March) makes for sad reading. We have to consider why the junior doctors achieved so much in terms of a massive pay rise and improved conditions of service?
April 5, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28373170/junior-doctor-suspended-for-a-month-for-falsifying-temperature-of-nurse-later-found-to-have-ebola
#13
Clare Dyer
No abstract text is available yet for this article.
April 3, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28371049/using-simulation-to-prepare-for-clinical-practice
#14
James Morgan, Victoria Green, John Blair
BACKGROUND: A significant proportion of medical students feel underprepared for clinical practice, especially in skills such as decision making, prioritisation and prescribing. Changes to medical curricula, including assistantships and shadowing, provide supervised practise, but students remain unable to fully take responsibility for patient care. Simulation may assist in addressing this deficit. A simulation course entitled 'Simulated ward round and professional skills' (SWAPS) was developed to improve student preparation for clinical practice...
March 30, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28367728/continuing-professional-development-for-physician-associates-in-primary-care
#15
Neil Howie
The Physician Associate role is relatively new to the United Kingdom and is currently undergoing a period of significant expansion. This includes an aim of 1000 PAs working in primary care by 2020. The profession has specific continuing professional development requirements which need to be addressed. These requirements can be met through the deployment of some well established pedagogical strategies which are already in use for junior doctors and allied health professionals.
April 3, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28356388/emergency-medicine-what-keeps-me-what-might-lose-me-a-narrative-study-of-consultant-views-in-wales
#16
Ffion James, Frances Gerrard
EDs are currently under intense pressure due to increased patient demand. There are major issues with retention of senior personnel, making the specialty a less attractive choice for junior doctors. This study aims to explore what attracted EM consultants to their career and keeps them there. It is hoped this can inform recruitment strategies to increase the popularity of EM to medical students and junior doctors, many of whom have very limited EM exposure. METHODS: Semistructured interviews were conducted with 10 consultants from Welsh EDs using a narrative approach...
March 29, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28352468/introduction-of-a-microsoft-excel-based-unified-electronic-weekend-handover-document-in-acute-and-general-medicine-in-a-dgh-aims-outcomes-and-challenges
#17
Pablo Kostelec, Pietro Emanuele Garbelli, Pietro Emanuele Garbelli
On-call weekends in medicine can be a busy and stressful time for junior doctors, as they are responsible for a larger pool of patients, most of whom they would have never met. Clinical handover to the weekend team is extremely important and any communication errors may have a profound impact on patient care, potentially even resulting in avoidable harm or death. Several senior clinical bodies have issued guidelines on best practice in written and verbal handover. These include: standardisation, use of pro forma documents prompting doctors to document vital information (such as ceiling of care/resuscitation status) and prioritisation according to clinical urgency...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28352467/electronic-printed-ward-round-proformas-freeing-up-doctors-time
#18
Darren Fernandes, Philip Eneje
The role of a junior doctor involves preparing for the morning ward round. At a time when there are gaps on rotas and doctors' time is more stretched, this can be a source of significant delay and thus a loss of working time. We therefore looked at ways in which we could make the ward round a more efficient place by introducing specific electronic, printed ward round proformas. We used the average time taken to write proformas per patient and the average time taken per patient on the ward round. This would then enable us to make fair comparisons with future changes that were made using the plan, do, study, and act principles of quality improvement...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28352465/a-multifaceted-approach-to-improving-the-quality-of-ent-emergency-clinic-referrals
#19
Chloe Swords, Laura Leach, Anand Kasbekar, Piyush Jani
It is imperative that primary care referrals are directed to the appropriate secondary care service. Patients presenting to a primary care physician with ENT conditions may require review in an Emergency Clinic. The latter clinics provide patients with rapid access to secondary care, for urgent, yet non-life-threatening conditions. In our department, we noticed that patients with conditions inappropriate to the capabilities of the Clinic were being booked in or reviewed too late; thus causing wasted journeys for the patient...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28351906/junior-doctor-who-lacked-basic-knowledge-and-skills-is-struck-off
#20
Clare Dyer
No abstract text is available yet for this article.
March 28, 2017: BMJ: British Medical Journal
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