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https://www.readbyqxmd.com/read/28087554/how-prepared-are-uk-medical-graduates-for-practice-a-rapid-review-of-the-literature-2009-2014
#1
Lynn V Monrouxe, Lisa Grundy, Mala Mann, Zoe John, Eleni Panagoulas, Alison Bullock, Karen Mattick
OBJECTIVE: To understand how prepared UK medical graduates are for practice and the effectiveness of workplace transition interventions. DESIGN: A rapid review of the literature (registration #CRD42013005305). DATA SOURCES: Nine major databases (and key websites) were searched in two timeframes (July-September 2013; updated May-June 2014): CINAHL, Embase, Educational Resources Information Centre, Health Management Information Consortium, MEDLINE, MEDLINE in Process, PsycINFO, Scopus and Web of Knowledge...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28069782/delivering-patient-centred-care-in-rural-family-practice-using-the-patient-s-concept-of-health-to-guide-treatment
#2
Jennifer M Charlesworth, Evelyn McManus
Through an examination of the life of an 83-year-old patient diagnosed clinically with secondary progressive multiple sclerosis (MS), general practice specialists, consultants and junior doctors will see the importance of assessing their patient's concept of health and how to use this understanding to target healthcare options within their healthcare system. This article highlights, in a resource limited context of rural family practice, the utility of a strong physician-patient relationship, recalls the definition of patient-centred care, and the role of judicious inaction in certain contexts...
January 9, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28069096/validation-of-a-new-ent-emergencies-course-for-first-on-call-doctors
#3
C Swords, M E Smith, J D Wasson, A Qayyum, J R Tysome
BACKGROUND: First-on-call ENT cover is often provided by junior doctors with limited ENT experience; yet, they may have to manage life-threatening emergencies. An intensive 1-day simulation course was developed to teach required skills to junior doctors. METHODS: A prospective, single-blinded design was used. Thirty-seven participants rated their confidence before the course, immediately following the course and after a two-month interval. Blinded assessors scored participant performance in two video-recorded simulated scenarios before and after the course...
January 10, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28045884/a-study-of-interpersonal-conflict-among-operating-room-nurses
#4
Tsui-Fen Chang, Chung-Kuang Chen, Ming-Jia Chen
BACKGROUND: Team collaboration is an important factor that affects the performance of the operating room (OR). Therefore, the ability of OR nurses to adapt to and manage interpersonal conflict incidents properly is very important. PURPOSE: The aims of this study were to investigate the interpersonal conflict management capabilities of OR nursing staffs and to find the relationships among the demographics of OR nurses and the following: work-related variables, interpersonal conflict management style, and target of interpersonal conflict...
December 29, 2016: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28032364/possibility-and-agency-in-figured-worlds-becoming-a-good-doctor
#5
Deirdre Bennett, Yvette Solomon, Colm Bergin, Mary Horgan, Tim Dornan
CONTEXT: Figured Worlds is a socio-cultural theory drawing on Vygotskian and Bakhtinian traditions, which has been applied in research into the development of identities of both learners and teachers in the wider education literature. It is now being adopted in medical education. OBJECTIVE: The objective of this paper is to show what Figured Worlds can offer in medical education. Having explained some of its central tenets, we apply it to an important tension in our field...
December 29, 2016: Medical Education
https://www.readbyqxmd.com/read/28025716/factors-contributing-to-delays-in-diagnosis-of-breast-cancers-in-ghana-west-africa
#6
Louise Brinton, Jonine Figueroa, Ernest Adjei, Daniel Ansong, Richard Biritwum, Lawrence Edusei, Kofi M Nyarko, Seth Wiafe, Joel Yarney, Beatrice Wiafe Addai, Baffour Awuah, Joe Nat Clegg-Lamptey
BACKGROUND: Late diagnoses and poor prognoses of breast cancer are common throughout Africa. METHODS: To identify responsible factors, we utilized data from a population-based case-control study involving 1184 women with breast malignancies conducted in three hospitals in Accra and Kumasi, Ghana. Interviews focused on potential breast cancer risk factors as well as factors that might contribute to presentation delays. We calculated odds ratios (OR) and 95% confidence intervals (CI) comparing malignances with biopsy masses larger than 5 cm...
December 26, 2016: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/28017974/expectations-for-endoscopic-training-during-gynaecological-specialty-training-results-of-a-germany-wide-survey
#7
L Gabriel, E Solomayer, S Schott, A von Heesen, J Radosa, D Wallwiener, S Rimbach, I Juhasz-Böss
Question: Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Methods: Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28009444/medicine-information-exchange-networks-among-health-care-professionals-and-prescribing-in-geriatric-medicine-wards
#8
Bosco Chan, Emily Reeve, Slade Matthews, Peter Carroll, Janet C Long, Fabian Held, Mark Latt, Vasi Naganathan, Gideon Caplan, Sarah N Hilmer
AIMS: Effective transfer of information is vital for rational drug therapy. This is particularly important for older patients, who have a high prevalence of polypharmacy and are managed by multidisciplinary teams. We aimed to assess medicine information exchange networks in geriatric medicine wards and whether they are associated with prescribing patterns. METHODS: We conducted network analysis in acute geriatric medicine wards from four hospitals to characterise medicine information exchange networks among multidisciplinary team members...
December 23, 2016: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28007700/junior-doctors-raise-concerns-about-pay-difference-under-new-contract
#9
Abi Rimmer
No abstract text is available yet for this article.
December 22, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28007699/pay-inequity-spells-a-winter-of-discontent-for-junior-doctors
#10
Kushal Patel
No abstract text is available yet for this article.
December 22, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28005938/perceptions-and-impact-of-mandatory-elearning-for-foundation-trainee-doctors-a-qualitative-evaluation
#11
Hannah L Brooks, Sarah K Pontefract, Hannah K Vallance, Christine A Hirsch, Elizabeth Hughes, Robin E Ferner, John F Marriott, Jamie J Coleman
BACKGROUND: Junior doctors in the UK must complete various educational components during their two year Foundation training programme. It is important that mandatory learning is informative and engaging. The aim of this study was to evaluate trainee doctors' perceptions of a Technology Enhanced Learning (TEL) programme developed to improve prescribing competency. METHOD: Focus groups and interviews were conducted at three hospital sites in the West Midlands. Codes, sub-themes and themes were determined using deductive and inductive thematic analysis...
2016: PloS One
https://www.readbyqxmd.com/read/27999044/influence-of-antimicrobial-susceptibility-reporting-on-junior-doctors-decision-to-prescribe-antimicrobials-inappropriately
#12
Lito E Papanicolas, Renjy Nelson, Morgyn S Warner
OBJECTIVES: Inappropriate antimicrobial use drives antimicrobial resistance and is a global public health problem. This study examined whether withholding antimicrobial susceptibilities in combination with interpretive comments on microbiological reports influenced the decision to inappropriately prescribe antibiotics in a controlled survey. METHODS: Seventy junior doctors attending educational sessions were given one of two surveys describing four clinical case vignettes (scenarios) in which antimicrobial treatment was not indicated...
December 20, 2016: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/27990470/medical-students-development-of-ethical-judgment-exploring-the-learners-perspectives-using-a-mixed-methods-approach
#13
Thorsten Langer, Danny Jazmati, Ole Jung, Christian Schulz, Martin W Schnell
Objective: Contemporary healthcare requires physicians to have well developed ethical judgment skills in addition to excellent clinical skills. However, no consensus has been reached on how to best teach ethical judgment skills during medical training. Previous studies revealed inconclusive results and applied varying theoretical frameworks. To date, the students' perspectives on their development in ethical judgment has received less attention. Better insights in the learners' experiences can help to improve educational interventions in medical ethics...
2016: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/27977381/review-of-2016-a-year-of-challenges-and-triumphs-for-nurses
#14
Stephanie Jones-Berry
January [Figure: see text] Thousands of people marched on Downing Street in protest against Whitehall plans to scrap nursing students' bursaries and replace them with loans. Anger against the government continued as the Department of Health argued that annual pay rises for NHS nurses in England should be capped at 1%. Many nurses pledged support for their medical colleagues as junior doctors went on the first of several unprecedented strikes over pay and conditions.
December 14, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27958197/awareness-of-ionizing-radiation-exposure-among-junior-doctors-and-senior-medical-students-in-radiological-investigations
#15
Elfatih Abuelhia
The awareness and knowledge of ionizing radiation exposure in radiological investigations among junior doctors and medical students were studied. The participants were year four to year six senior medical students enrolled at University of Dammam and interns in King Fahad University Hospital. The survey consisted of 22 questions designed online using the software 'QuestionPro' licensed to the University of Dammam. 100 hard copies were also distributed manually and collected. A total of 221 (88.5%) questionnaires were completed...
December 13, 2016: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/27938372/mapping-the-decision-pathways-of-acute-infection-management-in-secondary-care-among-uk-medical-physicians-a-qualitative-study
#16
Timothy Miles Rawson, Esmita Charani, Luke Stephen Prockter Moore, Bernard Hernandez, Enrique Castro-Sánchez, Pau Herrero, Pantelis Georgiou, Alison Helen Holmes
BACKGROUND: The inappropriate use of antimicrobials drives antimicrobial resistance. We conducted a study to map physician decision-making processes for acute infection management in secondary care to identify potential targets for quality improvement interventions. METHODS: Physicians newly qualified to consultant level participated in semi-structured interviews. Interviews were audio recorded and transcribed verbatim for analysis using NVIVO11.0 software. Grounded theory methodology was applied...
December 12, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27934629/the-work-environment-of-junior-doctors-their-perspectives-and-coping-strategies
#17
Tzong-Yang Pan, Howard S Fan, Cathy A Owen
OBJECTIVE: This study explores the associations between psychological distress in junior doctors and their work environment and how they cope with work stressors. METHODS: A cross-sectional survey designed by Health Education and Training Institute was delivered in 2014 to over 1900 junior doctors across 15 hospital networks through Australian Capital Territory and New South Wales. Psychological distress was evaluated using the Kessler Psychological Distress Scale-10 (K10)...
December 1, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27933150/implementing-mobile-devices-to-reduce-non-rostered-workload-for-junior-doctors
#18
Allan Plant, Suzanne Round, Joe Bourne
There is a large body of evidence demonstrating the detrimental effect of long work hours on the performance, mood, and job satisfaction of junior doctors. By extension these effects carry over into the realm of patient safety, compromising the quality of care provision. House officers in the general surgery department of Tauranga Hospital, New Zealand are often required to arrive at work well before their rostered start time of 7.30am to hand write the results of clinical investigations on their patient lists...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27932486/the-new-junior-doctors-contract-an-occupational-health-and-safety-perspective
#19
EDITORIAL
Philip Tucker, Aidan Byrne
No abstract text is available yet for this article.
December 2016: Occupational Medicine
https://www.readbyqxmd.com/read/27927150/acute-coronary-syndrome-on-friday-the-13th-a-case-for-re-organising-services
#20
Majd B Protty, Mustafa Jaafar, Sahar Hannoodee, Phillip Freeman
BACKGROUND: Friday the 13th is described as an "unlucky" day that brings misfortune. There are few studies on the question, and none on its effect in cardiovascular patients. The recently misreported "weekend effect" has led to changes in the junior doctor contract in England, providing greater staffing levels on weekends. Should we make similar provisions for Friday the 13th? METHODS: A retrospective analysis of a large database for patients admitted to hospitals in South Wales with an acute coronary syndrome (ACS) during 1999-2014...
December 12, 2016: Medical Journal of Australia
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