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https://www.readbyqxmd.com/read/28527474/fifteen-years-of-experience-from-a-medical-school-clinical-skills-laboratory
#1
José Miguel Pêgo, João José Cerqueira, João Bessa, Vitor Hugo Pereira, Sara Gomes, José Mariz, Rita Sousa, Pedro Morgado, Nuno Sousa
INTRODUCTION: Medical Education has evolved being defined as a continuum of the medical training from the pre- to the post-graduate period and through a lifetime of medical practice that is mirrored in the competencies framework that several international institutions have established. This creates a challenge to educational institutions (pre- and post-graduate) that traditionally take separate pathways. MATERIAL AND METHODS: The present report is a description of the efforts carried by the School of Medicine of the University of Minho to implement a strategy of teaching/learning methods that follows modern standards towards constructive alignment of the medical curriculum, from the pre- to the post-graduate...
February 27, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28521559/the-effectiveness-of-the-internship-in-meeting-established-learning-objectives-a-qualitative-study
#2
Susannah Ahern, Katharine Reid, Meredith Temple-Smith, Geoffrey J McColl
OBJECTIVE: To identify and explore variations in intern (Postgraduate Year 1 doctors) exposure to clinical activities defined by an established early postgraduate curriculum within the contemporary health service environment. METHODS: A mixed methods study was undertaken in seven health services comprising (1) a questionnaire regarding interns' exposure to a range of clinical activities within a two-year early post-graduate curriculum and (2) group interviews with intern supervisors and managers to explore barriers and facilitators of interns' clinical exposure...
May 18, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28486235/outcome-of-doctors-attending-the-european-society-for-paediatric-endocrinology-winter-schools-2008-2014
#3
Malcolm D C Donaldson
BACKGROUND/AIMS: Since 1995, the European Society for Paediatric Endocrinology (ESPE) has hosted Winter School (WS), a 5-day interactive meeting of 25 trainees and 7 teachers designed to cover all main endocrine topics. The aim of the present study was to determine subsequent outcome in ex-WS "students." METHODS: A questionnaire was sent in August 2016 to all ESPE WS participants between 2008 and 2014. Information was requested on job/training status at WS attendance and in 2016, and subsequent involvement with ESPE...
May 9, 2017: Hormone Research in Pædiatrics
https://www.readbyqxmd.com/read/28483752/whistleblowing-junior-doctor-scores-victory-in-court-of-appeal
#4
Clare Dyer
No abstract text is available yet for this article.
May 8, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28480036/a-survey-of-doctors-at-a-uk-teaching-hospital-to-assess-understanding-of-recent-changes-to-consent-law
#5
J W O'Brien, M Natarajan, I Shaikh
BACKGROUND: The UK Supreme Court recently ruled that when consenting patients for treatments or procedures, clinicians must also discuss any associated material risks. We surveyed medical staff at a large UK teaching hospital in order to ascertain knowledge of consent law and current understanding of this change. MATERIALS AND METHODS: Email survey sent to medical staff in all specialities at Norfolk and Norwich University Hospital in February 2016. RESULTS: 245 responses (141 Consultants and 104 junior doctors, response rate 32%)...
June 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28470541/developing-a-peer-mentorship-program-to-increase-competence-in-clinical-supervision-in-clinical-psychology-doctoral-training-programs
#6
Aleksandra A Foxwell, Beth D Kennard, Cynthia Rodgers, Kristin L Wolfe, Hannah F Cassedy, Anna Thomas
OBJECTIVES: Supervision has recently been recognized as a core competency for clinical psychologists. This recognition of supervision as a distinct competency has evolved in the context of an overall focus on competency-based education and training in health service psychology, and has recently gained momentum. Few clinical psychology doctoral programs offer formal training experiences in providing supervision. METHODS: A pilot peer mentorship program (PMP) where graduate students were trained in the knowledge and practice of supervision was developed...
May 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28469904/introducing-a-new-junior-doctor-electronic-weekend-handover-on-an-orthopaedic-ward
#7
Siddharth Maroo, Dipak Raj
Junior Doctors working on the Orthopaedic wards at a district general hospital identified the lack of a formal weekend handover. The Royal Colleges,GMC and Foundation Programme curriculum all emphasise the importance of a safe and effective handover. Doctors found that the current system of using a written, paper-based handover was unreliable, un-legible, and inefficient. Baseline measurements were sought in the form of a questionnaire which allowed us to obtain the limitations to the current handover. After this and a focus group, a new electronic, 'Microsoft Word' based handover was created and a repeat surgery issued in 2 weeks...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28466024/an-evaluation-of-emergency-management-of-severe-burn-emsb-course-in-bangladesh-a-strategic-direction
#8
Animesh Biswas, Fazlur Rahman, Peter Maitz, Kamran Ul Baset, Jahangir Hossain, Saidur Rahman Mashreky
BACKGROUND: Burn is one of the major public health problems in Bangladesh. Specialized personnel and technologies are required, however, in many cases they are not readily available. Taking the situation into account, Interplast Australia and New Zealand, Australia & New Zealand Burn Association (ANZBA), and Centre for Injury Prevention and Research, Bangladesh (CIPRB) initiated Emergency Management of Severe Burn (EMSB) training programme for Bangladeshi physicians in 2008 to help improving their burn management skill...
2017: Burns and trauma
https://www.readbyqxmd.com/read/28462650/mechanical-complications-of-central-venous-catheterisation-in-trauma-patients
#9
J Odendaal, V Y Kong, B Sartorius, T Y Liu, Y Y Liu, D L Clarke
INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the spectrum of mechanical complications in a high-volume trauma centre in a developing world setting where ultrasound guidance was not available. METHODS A retrospective study was performed analysing data from a four-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28461793/nina-braunwald-a-female-pioneer-in-cardiac-surgery
#10
Nikhil Sabharwal, Harmanjit Dev, Hassiba Smail, David C McGiffin, Pankaj Saxena
Nina Starr Braunwald, the first female cardiac surgeon, made headlines during a time when almost all specialty surgeons were men. Women have typically been deterred from entering surgical specialties, in part because of their traditional dual burden of managing their households and careers. Instead, female medical students and junior doctors have tended to be more attracted to medical specialties. This was the reality during Dr. Braunwald's venture into medicine in 1949. However, she never allowed negative ideas to keep her from joining a surgical training program...
April 2017: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/28458335/communication-skills-training-adapting-to-the-trends-and-moving-forward
#11
Ye Liu, Yiqin Huang, Hong Gao, Xunjia Cheng
Communication ability is one of the core requirements of doctors' competency. Teaching communication to medical students and junior doctors has attracted much attention. With the challenge of escalating demands, the status of training communication skills has been promoted in the past several decades. The training content was integrated with other courses and various pedagogic approaches have been applied and proved to be effective. Practical strategies and mixed types were highly recommended. However, there are still many problems, including the fragmentation of the training, insufficient practice, inadequate qualified teachers, case adaptation, course localization and impediment from the environment...
April 29, 2017: Bioscience Trends
https://www.readbyqxmd.com/read/28450466/improving-teaching-about-medically-unexplained-symptoms-for-newly-qualified-doctors-in-the-uk-findings-from-a-questionnaire-survey-and-expert-workshop
#12
Katherine Yon, Stephanie Habermann, Joe Rosenthal, Kate R Walters, Sarah Nettleton, Alex Warner, Kethakie Lamahewa, Marta Buszewicz
OBJECTIVES: Medically unexplained symptoms (MUS) present frequently in healthcare, can be complex and frustrating for clinicians and patients and are often associated with overinvestigation and significant costs. Doctors need to be aware of appropriate management strategies for such patients early in their training. A previous qualitative study with foundation year doctors (junior doctors in their first 2 years postqualification) indicated significant lack of knowledge about this topic and appropriate management strategies...
April 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28430318/teaching-medical-students-ultrasound-guided-vascular-access-which-learning-method-is-best
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Christopher J Kirwan, Neil McCarten
No abstract text is available yet for this article.
April 2, 2017: British Journal of Hospital Medicine
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