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https://www.readbyqxmd.com/read/29452804/inter-observer-reliability-of-preoperative-cardiopulmonary-exercise-test-interpretation-a-cross-sectional-study
#1
T E F Abbott, M Gooneratne, J McNeill, A Lee, D Z H Levett, M P W Grocott, M Swart, N MacDonald
BACKGROUND: Despite the increasing importance of cardiopulmonary exercise testing (CPET) for preoperative risk assessment, the reliability of CPET interpretation is unclear. We aimed to assess inter-observer reliability of preoperative CPET. METHODS: We conducted a prospective, multi-centre, observational study of preoperative CPET interpretation. Participants were professionals with previous experience or training in CPET, assessed by a standardized questionnaire...
March 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29448972/bullying-and-sexual-harassment-of-junior-doctors-in-new-south-wales-australia-rate-and-reporting-outcomes
#2
Anthony Llewellyn, Aspasia Karageorge, Louise Nash, Wenlong Li, Dennis Neuen
Objective The aim of this study was to describe rates of exposure to bullying and sexual harassment in junior doctors in first- or second-year prevocational medical training (PGY1 or PGY2 respectively) positions in New South Wales (NSW) and the Australian Capital Territory (ACT), and to explore the types of actions taken in response. Methods A cross-sectional survey of junior doctors in PGY1 or PGY2 positions was undertaken in 2015 and 2016 (n=374 and 440 respectively). Thematic analysis was undertaken on free-text responses to describe the reporting process and outcomes in more depth...
February 16, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29440478/career-specialty-choices-of-uk-medical-graduates-of-2015-compared-with-earlier-cohorts-questionnaire-surveys
#3
Trevor William Lambert, Fay Smith, Michael J Goldacre
OBJECTIVE: To report the career specialty choices of UK medical graduates of 2015 one year after graduation and to compare these with the choices made at the same postgraduate stage by previous cohorts. DESIGN: National survey using online and postal questionnaires. SETTING: UK. PARTICIPANTS: UK-trained medical graduates. MAIN OUTCOME MEASURES: Grouped and individual specialty choices. RESULTS: The response rate was 41...
February 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29438959/retrospective-analysis-of-the-national-impact-of-industrial-action-by-english-junior-doctors-in-2016
#4
Daniel Furnivall, Alex Bottle, Paul Aylin
OBJECTIVES: To examine the impacts of the four episodes of industrial action by English junior doctors in early 2016. DESIGN: Descriptive retrospective study of admitted patient care, accident and emergency (A&E) and outpatient activity in English hospitals. SETTING: All hospitals across England. PARTICIPANTS: All patients who attended A&E or outpatient appointments or those who were admitted to hospital during the 3-week period surrounding each of the four strikes (12 January, 10 February, 9-10 March and 26-27 April, excluding weekends)...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29431495/using-personalized-teaching-and-learning-to-improve-clinical-performance
#5
John Sandars, Rakesh Patel
The intention of personalized teaching and learning to improve clinical performance is the optimization of individual performance across a variety of tasks in different environments. Educational interventions need to have a focus on the assessment and feedback of both outcome and process of performance. An essential component of the assessment and feedback on the process of performance is how 'the will' and 'the skill' are dynamically adapted by the individual through self-regulated learning processes. Microanalysis can identify the key self-regulated learning processes and the findings used to inform self-regulated learning enhanced feedback for personalized teaching and learning...
February 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29428432/supporting-doctors-as-healthcare-quality-and-safety-advocates-recommendations-from-the-associations-of-surgeons-in-training-asit
#6
C A Fleming, G Humm, J R Wild, H M Mohan, S T Hornby, R L Harries, J E F Fitzgerald, A J Beamish
BACKGROUND: As front-line healthcare staff, doctors in surgical training occupy a unique organisational space rotating through hospitals and services in which they witness first hand both good and bad practice. This puts trainees in a clear position to identify and raise patient safety issues, and to contribute to discussions regarding quality and safety improvement. However, there are a number of real and perceived barriers to trainees doing so. These include concerns about the impact on training assessments and career progression, and uncertainty about the appropriate route...
February 8, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29427025/telemedicine-in-general-neurology-use-of-audiovisual-consultation-for-on-call-back-up-service-in-an-acute-care-hospital
#7
Frank Janssen, Mohammed Awadallah, Awed Alhalabi, Barbara Körber, Reinhard Lang, Mateusz Scibor, René Handschu
OBJECTIVE: While telemedicine is in expanding use in acute stroke care, little is known about its use in general neurology, especially in acute care. We sought to investigate the feasibility and possible effects of a telemedicine device within the neurological back-up service of an acute care hospital. METHODS: In a 450 bed academic teaching hospital an experienced neurologist (EN) is on call to support the junior doctor at the hospital. Support was possible whether by standard telephone advice (TA) or by audiovisual consultations (AVC)...
February 9, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29407251/variability-in-the-prescribing-of-intravenous-fluids-a-cross-sectional-multicentre-analysis-of-clinical-practice
#8
G Ramsay, A Baggaley, P G Vaughan Shaw, E Soltanmohammadi, N Ventham, Ng Guat Shi, R Pearson, S R Knight, C T Forde, N Moore, J Kilkenny, K D Clement, M Kumar
AIMS: Intravenous (IV) fluid administration continues to be a mainstay of care in General Surgery. Yet if they are prescribed incorrectly significant morbidity including electrolyte abnormalities, renal impairment and cardiac failure can develop. Despite this, it is frequently the responsibility of the most junior staff to prescribe IV fluids. We aim to analyse the understanding of IV fluid prescribing amongst junior doctors and to describe variability in clinical practice. METHODS: We undertook a multicentre questionnaire study...
January 31, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29393044/early-warning-score-challenges-and-opportunities-in-the-care-of-deteriorating-patients%C3%A2
#9
John Asger Petersen
Clinical deterioration of patients hospitalized on general wards is often preceded by worsening vital signs. If identified early and acted upon quickly, it is conjectured that further deterioration can be prevented. To this means the early warning score (EWS) was implemented in all hospitals in the Capital Region of Denmark in 2013. EWS consists of an aggregated weighted track-and-trigger system (TTS), to identify at-risk patients early, and a treatment protocol to escalate care appropriately and determine the level of competency of the provider...
February 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29388344/evaluating-the-effectiveness-of-intensive-versus-non-intensive-image-interpretation-education-for-radiographers-a-randomised-control-trial-study-protocol
#10
Michael J Neep, Tom Steffens, Patrick Eastgate, Steven M McPhail
Radiographer commenting systems have not been successfully implemented in many Australian hospitals, despite evidence of their benefit and adoption elsewhere, such as the United Kingdom. An important contributor to the lack of widespread adoption of radiographer commenting in Australia (and likely elsewhere) is the limited availability of accessible education options for radiographers. The purpose of this randomised controlled trial is to compare the effectiveness of the same image interpretation education program delivered over an intensive 2-day period (intensive format) versus a series of shorter regular workshops (non-intensive format)...
February 1, 2018: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/29385869/the-use-of-ultrasound-as-an-adjunct-to-peripheral-venous-cannulation-by-junior-doctors-in-clinical-practice
#11
Ryan Breslin, Karen Collins, Jason Cupitt
PURPOSE: There is little consensus on the role of training in bedside ultrasound skills for medical students or junior doctors early in their careers. METHODS: We trained 20 Foundation Year 1 doctors in the use of ultrasound as an adjunct to peripheral venous cannulation and following an assessment of competence gave them access to an ultrasound machine to assist with difficult cannulations in their clinical practice. Self-reported confidence and competence were assessed using pre- and post-training questionnaires, with competence objectively assessed immediately post-training and at one and three months follow up...
January 31, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29368566/ward-staff-perceptions-of-the-role-of-the-advanced-nurse-practitioner-in-a-hospital-at-day-setting
#12
Stuart Halliday, David J Hunter, Laura McMillan
AIM: to examine ward staff perceptions on the role of the 'hospital at day' advanced nurse practitioner (ANP). This term is used locally to refer to a model first introduced into 'hospital at night' teams, in response to changes in working patterns of junior doctors, where an advanced nurse practitioner is based on the ward-the model was subsequently rolled out to daytime teams. METHODS: a qualitative descriptive phenomenological approach was adopted to carry out this study with a purposive sample of ten participants...
January 25, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29366376/do-primary-care-placements-influence-career-choice-what-is-the-evidence
#13
Maslah Amin, Shiv Chande, Sophie Park, Joe Rosenthal, Melvyn Jones
BACKGROUND: The NHS is struggling with GP recruitment. The Health Education England (HEE) Wass Report (By Choice not by Chance), among its recommendations to boost GP numbers, highlighted undergraduate (UG) GP placement experience as an important influence on future career choice. Aim To explore the UG influences on GP career choice. METHODS: Two junior doctors produced a pragmatic rapid appraisal of the literature on the UG influences on GP career choice for the Wass Report...
January 25, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29363634/evaluation-of-the-cognitive-effect-of-newborn-resuscitation-training-on-health-care-workers-in-selected-states-in-northern-nigeria
#14
Lawal Waisu Umar, Hafsat Rufa'I Ahmad, Abdulkadir Isah, Hafsat Wasagu Idris, Laila Hassan, Fatima Laraba Abdullahi, Ishaku Hassan, Abubakar Yakubu, Abubakar Muhammad Zubairu, Jane Alison Jobling
BACKGROUND: Neonatal deaths contribute significantly to slower progress in under-5 mortality reduction. Lack of sufficiently trained birth assistants partly contributes to early neonatal deaths. Resuscitation training equips frontline health-care workers (HCWs) with requisite knowledge and skills to prevent birth asphyxia. OBJECTIVE: The objective of this study was to evaluate the immediate impact of newborn resuscitation training on cognitive ability of HCWs. MATERIALS AND METHODS: This is a descriptive observational study using pre- and posttraining scores obtained by HCWs who were participants in 1-day training on emergency newborn resuscitation...
January 2018: Annals of African Medicine
https://www.readbyqxmd.com/read/29358422/-i-did-try-and-point-out-about-his-dignity-a-qualitative-narrative-study-of-patients-and-carers-experiences-and-expectations-of-junior-doctors
#15
Camille E Kostov, Charlotte E Rees, Gerard J Gormley, Lynn V Monrouxe
OBJECTIVES: For many years, the voice of patients has been understood as a critical element for the improvement of care quality in healthcare settings. How well medical graduates are prepared for clinical practice is an important question, but one that has rarely been considered from patient and public perspectives. We aimed to fill this gap by exploring patients and carers' experiences and expectations of junior doctors. DESIGN: This comprises part of a wider study on UK medical graduates' preparedness for practice...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29355080/gathering-strategizing-motivating-and-celebrating-the-team-huddle-in-a-teaching-general-practice
#16
Allyn Walsh, Ainsley Moore, Jennifer Everson, Katharine DeCaire
OBJECTIVES: To understand how implementing a daily team huddle affected the function of a complex interprofessional team including learners. DESIGN: A qualitative descriptive study using semi-structured interviews in focus groups. SETTING: An academic general practice teaching practice. PARTICIPANTS: All members of one interprofessional team, including nurses, general practitioners, junior doctors, and support staff...
January 21, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29355068/predicting-performance-of-junior-doctors-association-of-workplace-based-assessment-with-demographic-characteristics-emotional-intelligence-selection-scores-and-undergraduate-academic-performance
#17
Sandra E Carr, Antonio Celenza, Annette M Mercer, Fiona Lake, Ian B Puddey
INTRODUCTION: Predicting workplace performance of junior doctors from before entry or during medical school is difficult and has limited available evidence. This study explored the association between selected predictor variables and workplace based performance in junior doctors during their first postgraduate year. METHODS: Two cohorts of medical students (n = 200) from one university in Western Australia participated in the longitudinal study. Pearson correlation coefficients and multivariate analyses utilizing linear regression were used to assess the relationships between performance on the Junior Doctor Assessment Tool (JDAT) and its sub-components with demographic characteristics, selection scores for medical school entry, emotional intelligence, and undergraduate academic performance...
January 21, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29345405/abdominal-paracentesis-use-of-a-standardised-procedure-checklist-and-equipment-kit-improves-procedural-quality-and-reduces-complications
#18
J Fyson, L Chapman, M Tatton, Z Raos
Goals To evaluate the effect of a Standardised Procedure Checklist (PC) and Equipment Kit (EK) on procedural quality and complication rates for abdominal paracentesis. BACKGROUND: Paracentesis is a common invasive procedure performed by junior doctors. Audit of procedure conduct at two New Zealand hospitals in 2012 revealed poor performance across a range of quality measures including documentation of informed consent, excessive catheter dwell times, and inappropriate albumin prescription...
January 18, 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29344527/medical-students-experiences-and-perspective-on-unprofessional-behavior-in-clinical-practice
#19
Zeinab Jamalabadi, Sedigheh Ebrahimi
Introduction: Recognition of professional and unprofessional behaviors is the most important and fundamental factor which affects the relationships between the doctors and patients. Therefore, in order to progress in their professional life, doctors are supposed to understand and follow these behaviors. Methods: This is a cross-sectional, descriptive analytical study. All students in teaching hospital of Shiraz University of Medical Sciences were eligible to participate (374 individuals with census method)...
January 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29343139/the-impact-of-medical-school-assessment-on-preparedness-for-practice
#20
Christopher Robert Bennett, Naomi Mawhood, Mary Jane Platt
PURPOSE: As assessment is known to drive learning, this paper looks at the relationship between assessment practice across UK medical schools and graduates preparedness for practice. MATERIALS AND METHODS: It uses data on written and practical assessment at each medical school and the association with students' self-reported preparedness for working as a foundation doctor on graduation, and in particular the preparation related to clinical skills. RESULTS AND CONCLUSIONS: A negative correlation (β= -0...
January 18, 2018: Medical Teacher
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