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https://www.readbyqxmd.com/read/28819540/use-of-global-initiative-for-asthma-gina-guidelines-in-asthma-management-among-paediatric-residents-in-a-sub-saharan-african-country-a-cross-sectional-descriptive-study
#1
Adaeze Chikaodinaka Ayuk, Agozie Ubesie, Chioma Laura Odimegwu, Kenechukwu Iloh
INTRODUCTION: Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Despite abundance of asthma guidelines, prevalence has continued to increase globally. There is need to assess how the contents of asthma guidelines are put to clinical use by doctors in the management of children with asthma. This study aims at evaluating the clinical practice of paediatric residents in applying GINA guidelines...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28812517/we-deserve-a-55-pay-rise
#2
Suethornton
It's good news to recruit more nurses, but now plan the retention bit (news, 9 August). Professionals deserve more. I suggest a 55% rise for nurses and 35% rise for junior doctors. Senior clinical staff should raise staff establishments to safe levels. Not ministers.
August 16, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28811736/mentored-training-to-increase-diversity-among-faculty-in-the-biomedical-sciences-the-nhlbi-summer-institute-programs-to-increase-diversity-sipid-and-the-programs-to-increase-diversity-among-individuals-engaged-in-health-related-research-pride
#3
Treva K Rice, Donna B Jeffe, Josephine E A Boyington, Jared B Jobe, Victor G Dávila-Román, Juan E Gonzalez, Lisa de Las Fuentes, Levi H C Makala, Rita Sarkar, Gbenga G Ogedegbe, Anne L Taylor, Susan Czajkowski, Dabeeru C Rao, Betty S Pace, Girardin Jean-Louis, Mohamed Boutjdir
OBJECTIVE: To report baseline characteristics of junior-level faculty participants in the Summer Institute Programs to Increase Diversity (SIPID) and the Programs to Increase Diversity among individuals engaged in Health-Related Research (PRIDE), which aim to facilitate participants' career development as independent investigators in heart, lung, blood, and sleep research. DESIGN AND SETTING: Junior faculty from groups underrepresented in the biomedical-research workforce attended two, 2-3 week, annual summer research-education programs at one of six sites...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/28783394/communication-between-primary-and-secondary-care
#4
Laura Mk Pannell, Jonathan Tyrrell-Price
Background Up to date patient data is a cornerstone of optimal safety and care, so admission to hospital requires transfer of data held in the community to secondary care. Despite the advent of electronic medical record systems such as Connecting Care and EMIS, the telephone remains the mainstay of communication. Methods A prospective cross-sectional quality improvement project was conducted to assess the time taken in telephone communication between primary and secondary care doctors and determine if access to the electronic shared system, Connecting Care, would improve efficiency...
August 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28783227/safety-productivity-and-predicted-contribution-of-a-surgical-task-sharing-programme-in-sierra-leone
#5
H A Bolkan, A van Duinen, B Waalewijn, M Elhassein, T B Kamara, G F Deen, I Bundu, B Ystgaard, J von Schreeb, A Wibe
BACKGROUND: Surgical task-sharing may be central to expanding the provision of surgical care in low-resource settings. The aims of this paper were to describe the set-up of a new surgical task-sharing training programme for associate clinicians and junior doctors in Sierra Leone, assess its productivity and safety, and estimate its future role in contributing to surgical volume. METHODS: This prospective observational study from a consortium of 16 hospitals evaluated crude in-hospital mortality over 5 years and productivity of operations performed during and after completion of a 3-year surgical training programme...
September 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28782212/knowledge-of-proprietary-and-generic-drug-names-among-hospital-prescribers-time-to-mandate-generic-prescribing
#6
Joshua S Davis, Thomas Barrett, Lisa Harris
Although medical students are taught clinical pharmacology using generic drug names, prescribing in hospitals often uses brand names. As a result, junior doctors may be prescribing drugs without knowing their nature or mode of action. We carried out a knowledge survey of 81 medical students and doctors at a 650-bed Australian teaching hospital to assess their knowledge of common drugs when given the brand name. We identified 20 commonly prescribed drugs and their brand names based on current hospital inpatients...
August 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28774996/junior-doctor-is-found-dead-at-taunton-hospital
#7
Abi Rimmer
No abstract text is available yet for this article.
August 3, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28769134/rheumatology-training-in-poland-vs-united-kingdom
#8
REVIEW
Karina Lazarewicz, Hector Chinoy
When evaluating the quality of Rheumatology specialty training, it can be useful to explore similarities and differences between countries. In this article we compare the training in the UK and Poland. The two training programmes are similar in length and in the competencies that must be achieved, although they do have significant differences in the way the training is structured. The UK-based system is more out-patient based, which can be advantageous, as after completion of training the doctor is more confident in treating common rheumatological problems...
2017: Reumatologia
https://www.readbyqxmd.com/read/28767175/acknowledging-medical-students-reports-of-intimidation-and-humiliation-by-their-teachers-in-hospitals
#9
Jenny Barrett, Karen M Scott
AIM: The continuing existence of 'teaching by humiliation' of medical students and junior doctors in Australia has recently been highlighted in a number of research publications and media reports. This study investigates medical students' experiences of being intimidated or humiliated during their clinical rotations in Australian hospitals in paediatrics and adult medicine. METHODS: From factors identified in earlier research, a two-page survey was developed for administration at two Australian medical schools...
August 2, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28765104/a-technological-innovation-to-reduce-prescribing-errors-based-on-implementation-intentions-the-acceptability-and-feasibility-of-myprescribe
#10
Chris Keyworth, Jo Hart, Hong Thoong, Jane Ferguson, Mary Tully
BACKGROUND: Although prescribing of medication in hospitals is rarely an error-free process, prescribers receive little feedback on their mistakes and ways to change future practices. Audit and feedback interventions may be an effective approach to modifying the clinical practice of health professionals, but these may pose logistical challenges when used in hospitals. Moreover, such interventions are often labor intensive. Consequently, there is a need to develop effective and innovative interventions to overcome these challenges and to improve the delivery of feedback on prescribing...
August 1, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28761707/concussion-guideline-implementation-perceptions-and-experiences-among-parents-of-community-level-australian-football-junior-players
#11
Peta E White, Johna Register-Mihalik, Alex Donaldson, S John Sullivan, Caroline F Finch
BACKGROUND/AIM: Concussion guidelines exist for multiple community sports. Parents are key stakeholders in guideline implementation and in appropriate responses following concussive injury. The purpose of this qualitative investigation was to understand how parents of community-level Australian Football (AF) players experience and perceive concussion guidelines in order to inform the design and implementation of concussion guidelines in community sport. METHODS: A cross-sectional qualitative approach was adopted to allow for an open and detailed exploration of the views of parents of junior community AF players (ie, those aged <16 years) regarding concussion guidelines of the AF League (AFL)-the national governing body for AF...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/28761592/a-prospective-audit-on-the-effect-of-training-and-educational-workshops-on-the-incidence-of-urethral-catheterization-injuries
#12
Nikita R Bhatt, Niall F Davis, Mark R Quinlan, Robert J Flynn, T E D McDermott, Rustom P Manecksha, John A Thornhill
INTRODUCTION: The incidence of iatrogenic urethral catheterization (UC) injuries is approximately 0.3%. Resultant complications are associated with patient morbidity and unnecessary healthcare costs. Our aim was to investigate whether educational training workshops decreased the incidence of UC-related injuries. METHODS: A prospective audit was performed to calculate incidence, morbidity, and costs associated with iatrogenic UC injury from January to July 2015. Educational workshops were then conducted with healthcare staff and training modules for junior doctors...
July 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28760803/cheap-undervalued-expendable-junior-doctors-in-2017
#13
Rachel Clarke
No abstract text is available yet for this article.
July 31, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28758375/all-bereaved-parents-are-entitled-to-good-care-after-stillbirth-a-mixed-methods-multicentre-study-insight
#14
D Siassakos, S Jackson, K Gleeson, C Chebsey, A Ellis, C Storey
OBJECTIVE: To understand challenges in care after stillbirth and provide tailored solutions. DESIGN: Multi-centre case study. SETTING: Three maternity hospitals. POPULATION: Parents with a stillborn baby, maternity staff. METHODS: Thematic analysis of parent interviews and staff focus groups and service provision investigation. OUTCOMES: 1 Themes; 2 Triangulation matrix; 3 Recommendations...
July 31, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28751506/junior-doctors-can-use-the-new-contract-to-take-back-some-control
#15
Stephen Bradley
No abstract text is available yet for this article.
July 27, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28750083/health-care-workers-perceptions-of-point-of-care-testing-in-a-low-income-country-a-qualitative-study-in-southwestern-uganda
#16
Reza Rasti, Deborah Nanjebe, Jonas Karlström, Charles Muchunguzi, Juliet Mwanga-Amumpaire, Jesper Gantelius, Andreas Mårtensson, Lourdes Rivas, Francesc Galban, Philippa Reuterswärd, Helene Andersson Svahn, Helle M Alvesson, Yap Boum, Tobias Alfvén
BACKGROUND: Point-of-care (POC) tests have become increasingly available and more widely used in recent years. They have been of particular importance to low-income settings, enabling them with clinical capacities that had previously been limited. POC testing programs hold a great potential for significant improvement in low-income health systems. However, as most POC tests are developed in high-income countries, disengagement between developers and end-users inhibit their full potential...
2017: PloS One
https://www.readbyqxmd.com/read/28728205/-predictability-of-postoperative-pain-and-satisfaction-how-precise-are-we-and-what-is-the-role-of-professional-experience
#17
Ulf Krister Hofmann, Cosima Dobler, Marco Gesicki, Torsten Kluba, Sebastian Scheidt
Background The indication for surgery is justified by an expected improvement for the patient. To evaluate the probability and extent of individual postoperative patient benefit, the surgeon needs to elaborate numerous parameters of potential relevance for the outcome beyond his key competence, that is the technical dimension of the operation. Despite the highest medical standards, individual postoperative satisfaction with surgery is highly variable, even in cases with a technically good result. The aim of the present study was to investigate the individual predictability of postoperative pain and satisfaction in patients with elective musculoskeletal surgery...
July 20, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28720566/junior-doctor-contract-is-making-paediatric-rotas-more-difficult-to-fill-finds-survey
#18
Zosia Kmietowicz
No abstract text is available yet for this article.
July 18, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28716785/imbuing-medical-professionalism-in-relation-to-safety-a-study-protocol-for-a-mixed-methods-intervention-focused-on-trialling-an-embedded-learning-approach-that-centres-on-the-use-of-a-custom-designed-board-game
#19
Marie Ward, Eilish McAuliffe, Éidín Ní Shé, Ann Duffy, Una Geary, Una Cunningham, Catherine Holland, Nick McDonald, Karen Egan, Christian Korpos
INTRODUCTION: Healthcare organisations have a responsibility for ensuring that the governance of workplace settings creates a culture that supports good professional practice. Encouraging such a culture needs to start from an understanding of the factors that make it difficult for health professionals to raise issues of concern in relation to patient safety. The focus of this study is to determine whether a customised education intervention, developed as part of the study, with interns and senior house officers (SHOs) can imbue a culture of medical professionalism in relation to patient safety and support junior doctors to raise issues of concern, while shaping a culture of responsiveness and learning...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28712410/achieving-self-sufficiency-training-australia-s-future-medical-workforce
#20
Brian Fernandes, Edward R Scheffer Cliff, Amelia Chowdhury
There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals...
July 17, 2017: Australian Health Review: a Publication of the Australian Hospital Association
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