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https://www.readbyqxmd.com/read/29140918/integrating-social-determinants-of-health-into-graduate-medical-education-a-call-for-action
#1
Jennifer Siegel, David L Coleman, Thea James
Social determinants of health (SDH) are the major drivers of health and disparate health outcomes across communities and populations. Given this, the authors assert that competency in recognizing and mitigating SDH should become a vital component of graduate medical education in all specialties. While the most effective approaches to educating trainees about SDH are uncertain, in this Invited Commentary, the authors offer several key principles for implementing curricula focusing on SDH. These include universalization of the material, integration into clinical education, identification of space for trainee introspection, clarification of specific competencies in identification and mitigation of SDH, and creation of robust faculty development programming...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29139176/costs-of-an-ostomy-self-management-training-program-for-cancer-survivors
#2
Mark C Hornbrook, Martha D Cobb, Nancy J Tallman, Janice Colwell, Ruth McCorkle, Elizabeth Ercolano, Marcia Grant, Virginia Sun, Christopher S Wendel, Judith H Hibbard, Robert S Krouse
OBJECTIVE: To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care. METHODS: The intervention was a five-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model...
November 14, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/29138613/medical-student-involvement-in-health-policy-roles
#3
Bassit Malik, Utkarsh Ojha, Hassan Khan, Farzana Begum, Harun Khan, Qasim Malik
Objectives: A teaching curriculum in health policy may be well established in medical school; however, an emphasis on applying taught principles via participation in health policy roles is less defined. We undertook a study to explore medical student participation in health policy roles. Design and setting: An anonymous online survey via convenience sampling was conducted in the UK. Participants: A total of 112 students from six medical schools participated in the study...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29129107/development-implementation-and-evaluation-of-a-curriculum-to-prepare-volunteer-navigators-to-support-older-persons-living-with-serious-illness
#4
Wendy Duggleby, Barbara Pesut, Laura Cottrell, Lynnelle Friesen, Kelli Sullivan, Grace Warner
The purpose of this article is to report the development, implementation, and evaluation of a curriculum designed to prepare volunteer navigators to support community-dwelling older persons with serious chronic illness. The role of the volunteer navigator was to facilitate independence and quality of life through building social connections, improving access to resources, and fostering engagement. A curriculum was constructed from evidence-based competencies, piloted and revised, and then implemented in 7 subsequent workshops...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29114346/enhanced-skills-in-global-health-and-health-equity-guidelines-for-curriculum-development
#5
Russell Dawe, Andrea Pike, Monica Kidd, Praseedha Janakiram, Eileen Nicolle, Jill Allison
Introduction: Global health addresses health inequities in the care of underserved populations, both domestic and international. Given that health systems with a strong primary care foundation are the most equitable, effective and efficient, family medicine is uniquely positioned to engage in global health. However, there are no nationally recognized standards in Canada for postgraduate family medicine training in global health. Objective: To generate consensus on the essential components of a Global Health/Health Equity Enhanced Skills Program in family medicine...
April 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29104848/cultural-adaptation-of-an-evidence-informed-psychosocial-intervention-to-address-the-needs-of-phiv-youth-in-thailand
#6
Gisselle Pardo, Chutima Saisaengjan, Priya Gopalan, Jintanat Ananworanich, Sudrak Lakhonpon, Danielle Friedman Nestadt, Torsak Bunupuradah, Claude Ann Mellins, Mary McKernan McKay
Globally, pediatric HIV has largely become an adolescent epidemic. Thailand has the highest HIV prevalence in Asia (1.2%), with more than 14,000 children living with HIV. There is growing demand for evidence-based psychosocial interventions for this population that include health and mental health support and sexual risk reduction, which can be integrated into HIV care systems. To address this need, a multidisciplinary team of Thai and US researchers adapted an existing evidence-informed, family-based intervention, The Collaborative HIV Prevention and Adolescent Mental Health Program + (CHAMP+), which has been tested in multiple global trials...
2017: Global Social Welfare: Research, Policy & Practice
https://www.readbyqxmd.com/read/29099411/learning-with-e-books-and-project-based-strategy-in-a-community-health-nursing-course
#7
Tien-Wen Sung, Ting-Ting Wu
With advances in information technology, "information-assisted instruction" has been gradually introduced to nursing education curricula. Specifically, the integration of an e-book system can effectively enhance nursing students' attention and interest. Most studies on nursing education that incorporated e-books have focused on the advantages of convenience and assistance provided by e-books. Few studies have addressed community health nursing and off-campus practice activities in relation to suitable teaching strategies for learning activities...
November 2, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29095380/clinical-experience-in-a-community-setting-during-pediatric-emergency-medicine-fellowship-training
#8
Ronald F Marchese, Payal K Gala, Jeffrey A Seiden, Richard Scarfone, Robert A Belfer, Jill Posner
OBJECTIVES: The aim of this study is to explore current community emergency department (ED) experiences available to pediatric emergency medicine (PEM) trainees and estimate the proportion of graduates taking positions that involve working in a community ED setting. METHODS: We conducted an e-mail-based survey among PEM fellowship directors and assistant directors. RESULTS: There were 55 program director respondents (74% response rate). Thirty-one percent of the surveyed PEM fellowship programs provide training exposure to a community ED setting...
October 31, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29095134/training-in-urban-medicine-and-public-health-preparing-physicians-to-address-urban-health-care-needs
#9
Cynthia Haq, Melissa Lemke, Michelle Buelow, Marjorie Stearns, Christine Ripp, Patrick McBride
BACKGROUND: Wisconsin is facing significant physician shortages. The University of Wisconsin School of Medicine and Public Health (UWSMPH) launched Training in Urban Medicine and Public Health (TRIUMPH) to recruit and prepare medical students to serve people living within urban Health Professional Shortage Areas. METHODS: Students are selected based on their commitment to improve health equity for urban populations. They complete clinical rotations, core curriculum, and community projects in Milwaukee, Wisconsin...
December 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29091738/the-evolution-of-the-community-health-worker-program-in-papua-new-guinea
#10
Cathy L Pilang, Marion A Gray, Florin I Oprescu
New Guinea (PNG) has a special history in regard to the training of Community Health Workers (CHWs) and is currently preparing its frontline health workforce to serve the 85% of the total PNG population of 7.3 million people who live in rural and remote settings. This article identifies and explains the five major developmental stages in the current CHW training program, as well as the changes that have occurred over the past century. The developmental stages are: (1) traditional; (2) early contact; (3) innovation; (4) the 1980s; and (5) new millennium...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29082322/study-protocol-for-a-home-based-obesity-prevention-program-in-latino-preschool-children
#11
Sharon E Taverno Ross, Patricia I Documet, Russell R Pate, Ivonne Smith-Tapia, Lisa M Wisniewski, Bethany B Gibbs
PURPOSE: This paper describes the study design for ANDALE Pittsburgh, a culturally-appropriate, family-based intervention to promote a healthy weight in Latino preschool children. METHODS/DESIGN: The study was organized into two major phases: Phase I: Conduct focus groups with 30 Latino parents of preschool children to inform the development of a culturally-appropriate intervention; Phase II: Test the feasibility and effectiveness of the intervention with 50 families...
July 15, 2017: Translational Journal of the American College of Sports Medicine
https://www.readbyqxmd.com/read/29065809/teaching-resident-physicians-to-work-with-the-previously-incarcerated-patient
#12
Sabrina Hofmeister, Andrya Soprych
Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care for incarcerated or previously incarcerated patients is significantly lacking in the United States. Curriculum can be developed and implemented in residency programs to help physicians learn how to work with this population, be sensitive to their unique needs, and achieve positive health outcomes...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065713/evaluating-teach-one-reach-one-an-sti-hiv-risk-reduction-intervention-to-enhance-adult-youth-communication-about-sex-and-reduce-the-burden-of-hiv-sti
#13
Gaurav Dave, Tiarney Ritchwood, Tiffany L Young, Malika Roman Isler, Adina Black, Aletha Y Akers, Ziya Gizlice, Connie Blumenthal, Leslie Atley, Mysha Wynn, Doris Stith, Crystal Cene, Danny Ellis, Giselle Corbie-Smith
PURPOSE: Parents and caregivers play an important role in sexual socialization of youth, often serving as the primary source of information about sex. For African American rural youth who experience disparate rates of HIV/sexually transmitted infection, improving caregiver-youth communication about sexual topics may help to reduce risky behaviors. This study assessed the impact of an intervention to improve sexual topic communication. DESIGN: A Preintervention-postintervention, quasi-experimental, controlled, and community-based trial...
November 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29056618/development-of-an-online-smoking-cessation-curriculum-for-pacific-islanders-a-community-based-participatory-research-approach
#14
Patchareeya Kwan, Melanie Sabado-Liwag, Cevadne Lee, Jonathan Lepule, Victor Pang, James Pike, Lola Santos, Sora Tanjasiri, Tupou Toilolo, Vanessa Tui One May, Dorothy Schmidt-Vaivao, Paula Palmer
BACKGROUND: Pacific Islanders (PIs) have one of the highest rates of cigarette use, but evidence-based smoking cessation programs designed specifically for PIs are practically nonexistent. OBJECTIVES: This paper reports on the development of a culturally tailored smoking cessation curriculum designed specifically for young adult PIs using a community-based participatory research (CBPR) approach. This paper demonstrates the shared leadership and equal contribution of community and academic partnerships...
2017: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29056617/cultural-adaptation-of-diabetes-self-management-education-for-marshallese-residing-in-the-united-states-lessons-learned-in-curriculum-development
#15
Karen Hye Yeary, Nia Aitaoto, Karra Sparks, Mandy Ritok-Lakien, Jonell S Hudson, Peter Goulden, Williamina Bing, Sheldon Riklon, Jelleson Rubon-Chutaro, Pearl Anna Mcelfish
BACKGROUND: Type 2 diabetes is a significant public health problem, with U.S. Pacific Islander communities bearing a disproportionate burden. The Marshallese are a Pacific Islander community that has significant inequities in diabetes, yet few evidence-based diabetes interventions have been developed to address this inequity. OBJECTIVES: We used a community-based participatory research (CBPR) approach to adapt an evidence-based diabetes self-management education (DSME) intervention for the Marshallese...
2017: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29051047/ostomy-telehealth-for-cancer-survivors-design-of-the-ostomy-self-management-training-osmt-randomized-trial
#16
Virginia Sun, Elizabeth Ercolano, Ruth McCorkle, Maria Grant, Christopher S Wendel, Nancy J Tallman, Frank Passero, Sabreen Raza, Zuleyha Cidav, Michael Holcomb, Ronald S Weinstein, Mark C Hornbrook, Robert S Krouse
PURPOSE: An ostomy adversely affects health-related quality of life (HRQOL) in a diverse population of cancer survivors and their caregivers. Hit-or-miss ostomy care, nurse counseling, and community referral have been the primary modes of self-management education and support in the peri-operative setting. Few evidence-based, systematic ostomy self-management programs are available to ensure optimal post-operative care. This paper describes the study design of a telehealth-based Ostomy Self-management Training (OSMT) program for cancer survivors and their caregivers...
October 16, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29046607/exporting-a-student-centered-curriculum-a-home-institution-s-perspective
#17
Dominique Waterval, Marjolijn Tinnemans-Adriaanse, Mohammed Meziani, Erik Driessen, Albert Scherpbier, Abdulrahman Mazrou, Janneke Frambach
Numerous, mainly Anglo-Saxon, higher education institutions have agreements with foreign providers to deliver their curricula abroad. This trend is gradually making inroads into the medical domain, where foreign institutions undertake to offer their students learning experiences similar to those of the home institution. Not an easy feat, as the national health care contexts differ greatly between institutions. In a bid to export the curriculum, institutions risk compromising their financial resilience and reputation...
July 2017: J Stud Int Educ
https://www.readbyqxmd.com/read/29037823/the-development-of-a-novel-perfused-cadaver-model-with-dynamic-vital-sign-regulation-and-real-world-scenarios-to-teach-surgical-skills-and-error-management
#18
Michael Minneti, Craig J Baker, Maura E Sullivan
The landscape of graduate medical education has changed dramatically over the past decade and the traditional apprenticeship model has undergone scrutiny and modifications. The mandate of the 80-hour work-week, the introduction of integrated residency programs, increased global awareness about patient safety along with financial constraints have spurred changes in graduate educational practices. In addition, new technologies, more complex procedures, and a host of external constraints have changed where and how we teach technical and procedural skills...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29030128/expansion-of-diabetes-education-in-a-united-states-mexico-border-community-expanding-services-for-patients-to-acquire-new-skills-set-goals-and-improve-overall-knowledge
#19
Melissa Carrillo, Jeri Sias, Jacquelyn P Navarrete, Sam Aboud, Enrique Valenzuela
OBJECTIVES: To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. SETTING: The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. PRACTICE INNOVATION: This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic...
October 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29018043/educational-added-value-unit-development-and-testing-of-a-measure-for-educational-activities
#20
Amy B Guiot, Eric S Kirkendall, Craig H Gosdin, Samir S Shah, Dominick J DeBlasio, Katie A Meier, Jennifer K O'Toole
OBJECTIVES: University-based hospitalists educate health care professionals as an expectation, often lacking time and support for these activities. The purpose of this study was to (1) develop a tracking tool to record educational activities, (2) demonstrate its applicability and ease of completion for faculty members in different divisions, and (3) compare educational efforts of individuals from different professional pathways and divisions by using the educational added value unit (EAVU)...
October 10, 2017: Hospital Pediatrics
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