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https://www.readbyqxmd.com/read/27893146/alternative-scheduling-models-improving-continuity-of-care-medical-outcomes-and-graduate-medical-education-in-resident-ambulatory-training
#1
Ali J Hussain
An association has been consistently made about continuity of care with improved quality of care and improved medical outcomes. However, resident ambulatory block scheduling prevents the optimization of continuity of care in ambulatory clinical education. The author performed a PubMed search for studies examining continuity of care and curriculum scheduling in US primary care residency clinics. These studies indicate the success of an X + Y scheduling model in resident ambulatory training. Additional benefits have also been noted, including improved clinical teaching and learning, increased sense of teamwork, increased resident satisfaction, improved recruitment and retention, improved patient satisfaction, and elimination of year-end patient care issues after graduation...
December 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27885821/exploring-simulation-in-the-internal-medicine-clerkship
#2
Brian Kwan, Glory Bui, Paul Jain, Nilesh Shah, Derek Juang
BACKGROUND: Simulation-based medical education has been shown to produce substantial educational benefits; however, the integration and effectiveness of high-fidelity simulation within the internal medicine (IM) clerkship remains largely unexplored. Investigators sought to determine the effectiveness of simulation in improving student confidence in acute coronary syndrome (ACS) and the Advanced Cardiac Life Support (ACLS) curriculum. Secondary goals included examining student perceptions of the role of simulation in medical education...
November 25, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27821679/the-double-parallel-curriculum-in-palliative-care-teaching-learners-to-teach-end-of-life-care-at-the-bedside
#3
Jennifer Healy, Phylliss Chappell, Shuko Lee, Jeanette Ross, Sandra Sanchez-Reilly
CONTEXT: Dying is a natural process, yet physicians are often uncomfortable caring for dying patients. Learners have limited exposure to curriculum on caring for dying patients and often navigate these encounters without appropriate skills and confidence. We developed and implemented the Double Parallel Curriculum in Palliative Care (DP-PC): End-of-Life (EOL) module. The DP-PC focuses on teaching third-year medical students (MS3) to not only take care of patients in their last hours of life but give learners the confidence to teach patient's families what to expect as they hold vigil at their loved one's bedside...
November 7, 2016: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/27802839/the-prevalence-and-associated-factors-for-delayed-presentation-for-hiv-care-among-tuberculosis-hiv-co-infected-patients-in-southwest-ethiopia-a-retrospective-observational-cohort
#4
Hailay Gesesew, Birtukan Tsehaineh, Desalegn Massa, Amanuel Tesfay, Hafte Kahsay, Lillian Mwanri
BACKGROUND: A delay presentation for human immunodeficiency virus (HIV) patient's care (that is late engagement to HIV care due to delayed HIV testing or delayed linkage for HIV care after the diagnosis of HIV positive) is a critical step in the series of HIV patient care continuum. In Ethiopia, delayed presentation (DP) for HIV care among vulnerable groups such as tuberculosis (Tb) /HIV co-infected patients has not been assessed. We aimed to assess the prevalence of and factors associated with DP (CD4 < 200 cells/μl at first visit) among Tb/HIV co-infected patients in southwest Ethiopia...
November 2, 2016: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/27756922/an-observational-case-study-of-near-peer-teaching-in-medical-and-pharmacy-experiential-training
#5
Bayan Sharif-Chan, Dipti Tankala, Christine Leong, Zubin Austin, Marisa Battistella
Objective. To compare peer teaching in a medical and a pharmacy clinical teaching unit and to provide suggestions for future research in pharmacy near-peer teaching. Methods. This exploratory observational study used principles of ethnographic methodology for data collection and analysis. Observations were collected in a large downtown teaching hospital. An average of 4-6 hours per day were spent observing a team of medical trainees from the Faculty (School) of Medicine in the general internal medicine (unit for two weeks, followed by a team of pharmacy trainees in an ambulatory hemodialysis (HD) unit for two weeks...
September 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27746500/retrospective-cohort-study-comparing-the-efficacy-of-prednisolone-and-deflazacort-in-children-with-muscular-dystrophy-a-6-years-experience-in-a-south-indian-teaching-hospital
#6
Harish Petnikota, Vrisha Madhuri, Sangeet Gangadharan, Indira Agarwal, Belavendra Antonisamy
BACKGROUND: Muscular dystrophies are inherited myogenic disorders characterized by progressive muscle wasting and weakness of variable distribution and severity. They are a heterogeneous group characterized by variable degree of skeletal and cardiac muscle involvement. The most common and the most severe form of muscular dystrophy is DMD. Currently, there is no curative treatment for muscular dystrophies. Several drugs have been studied to retard the progression of the muscle weakness...
September 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27716460/minimal-important-difference-after-hand-surgery-a-prospective-assessment-for-dash-mhq-and-sf-12
#7
Maurício Vieira de Pádua Maia, Vinícius Ynoe de Moraes, João Baptista Gomes Dos Santos, Flávio Faloppa, João Carlos Belloti
INTRODUCTION: Minimal important difference (MID) score is an important measure for surgical clinical research and impacts on treatment decisions. Our approach considered patient satisfaction as the relevant anchor criteria. The aims of this study were: determine after surgery MID for three relevant questionnaires: Disabilities of the Arm, Shoulder and Hand (DASH), Michigan Hand Questionnaire (MHQ), and Short Form 12 (SF-12); and assess the correlation between these scores and patient reported satisfaction...
2016: SICOT-J
https://www.readbyqxmd.com/read/27702571/the-challenges-of-teaching-ambulatory-internal-medicine-faculty-recruitment-retention-and-development-an-aaim-sgim-position-paper
#8
Sara B Fazio, Shobhina Chheda, Susan Hingle, Margaret C Lo, Lauren Meade, Melvin Blanchard, Andrew Hoellein, Suzanne Brandenburg, G Dodd Denton
No abstract text is available yet for this article.
October 1, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27667350/ambulatory-surgery-and-obstructive-sleep-apnea-a-challenge-and-opportunity-for-patient-health-teaching
#9
Heather Ead
No abstract text is available yet for this article.
October 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27635097/do-diabetes-specialty-clinics-differ-in-management-approach-and-outcome-a-cross-sectional-assessment-of-ambulatory-type-2-diabetes-patients-in-two-teaching-hospitals-in-nigeria
#10
Rasaq Adisa, Titilayo O Fakeye
OBJECTIVES: To evaluate management approach and outcome in two endocrinologist-managed clinics using data on treatment adherence, diabetes-specific parameters, prescribed medications and self-management practices among ambulatory type 2 diabetes patients. Opinion on cause(s) and perceived fear about diabetes were also explored. DESIGN: A cross-sectional prospective study using semi-structured interview among consented patients for eightweek, and a review of participants' case notes at 3-month post-interactive contact for details of diabetes-specific parameters and antidiabetes medications...
June 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27553105/implementation-of-a-computerized-order-entry-tool-to-reduce-the-inappropriate-and-unnecessary-use-of-cardiac-stress-tests-with-imaging-in-hospitalized-patients
#11
Zachary M Gertz, William O'Donnell, Amresh Raina, Jessica R Balderston, Andrew J Litwack, Lee R Goldberg
The rising use of imaging cardiac stress tests has led to potentially unnecessary testing. Interventions designed to reduce inappropriate stress testing have focused on the ambulatory setting. We developed a computerized order entry tool intended to reduce the use of imaging cardiac stress tests and improve appropriate use in hospitalized patients. The tool was evaluated using preimplementation and postimplementation cohorts at a single urban academic teaching hospital. All hospitalized patients referred for testing were included...
October 15, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27479831/direct-observation-assessing-orthopaedic-trainee-competence-in-the-ambulatory-setting
#12
Donna P Phillips, Joseph D Zuckerman, Adina Kalet, Kenneth A Egol
The Accreditation Council of Graduate Medical Education requires that residency programs teach and assess trainees in six core competencies. Assessments are imperative to determine trainee competence and to ensure that excellent care is provided to all patients. A structured, direct observation program is feasible for assessing nontechnical core competencies and providing trainees with immediate constructive feedback. Direct observation of residents in the outpatient setting by trained faculty allows assessment of each core competency...
September 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27467774/an-interprofessional-approach-to-reducing-the-risk-of-falls-through-enhanced-collaborative-practice
#13
Elizabeth Eckstrom, Margaret B Neal, Vicki Cotrell, Colleen M Casey, Glenise McKenzie, Megan W Morgove, Gary E DeLander, William Simonson, Kathie Lasater
Falls are the leading cause of accidental deaths in older adults and are a growing public health concern. The American Geriatrics Society (AGS) and British Geriatrics Society (BGS) published guidelines for falls screening and risk reduction, yet few primary care providers report following any guidelines for falls prevention. This article describes a project that engaged an interprofessional teaching team to support interprofessional clinical teams to reduce fall risk in older adults by implementing the AGS/BGS guidelines...
August 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27441306/investigating-for-pulmonary-embolism-in-pregnancy-five-year-retrospective-review-of-referrals-to-the-acute-medical-unit-of-a-large-teaching-hospital
#14
Elizabeth Janette Hamilton, Alistair Quentin Green, Jennifer Ann Cook, Henry Nash
This was a retrospective review of five years' data relating to patients referred to the Acute Medical Unit (AMU) of a large teaching hospital with suspected Pulmonary Embolism (PE) during pregnancy or 6 weeks postpartum. During this period, 210 patients in this group underwent half-dose perfusion scanning as investigation for possible PE and were managed via our ambulatory pathway. Pulmonary embolism was diagnosed in 5.2% of patients compared to 18% of non-pregnant patients identified in a previous audit. Half-dose Q scanning enabled exclusion of PE in almost 90% of patients without the need for further imaging...
2016: Acute Medicine
https://www.readbyqxmd.com/read/27420316/case-studies-of-technology-aided-interventions-to-promote-hand-reaching-and-standing-or-basic-ambulation-in-persons-with-multiple-disabilities
#15
Giulio E Lancioni, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti, Francesca Campodonico
Motor impairments such as lack of standing and/or independent ambulation are common among persons with multiple disabilities. These two studies assessed technology-aided programs for persons with those impairments. Specifically, Study I assessed a program to teach two non-ambulatory adults to hand reach a stimulation-linked object by standing up. Study II assessed a program to teach a child and a man to ambulate while holding a rail or following a corridor wall. Standing increased from below 15% to about or over 80% of the session duration in Study I...
February 2016: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/27413445/integrating-a-resident-driven-longitudinal-quality-improvement-curriculum-within-an-ambulatory-block-schedule
#16
Aleksey Tentler, Mirela Feurdean, Steven Keller, Neil Kothari
BACKGROUND: Quality improvement (QI) is essential in clinical practice, requiring effective teaching in residency. Barriers include lack of structure, mentorship, and time. OBJECTIVE: To develop a longitudinal QI curriculum for an internal medicine residency program with limited faculty resources and evaluate its effectiveness. METHODS: All medicine residents were provided with dedicated research time every 8 weeks during their ambulatory blocks...
July 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27401163/health-literacy-in-pregnant-women-facing-prenatal-screening-may-explain-their-intention-to-use-a-patient-decision-aid-a-short-report
#17
Agathe Delanoë, Johanie Lépine, Maria Esther Leiva Portocarrero, Hubert Robitaille, Stéphane Turcotte, Isabelle Lévesque, Brenda J Wilson, Anik M C Giguère, France Légaré
BACKGROUND: It has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in the pilot test of a questionnaire, this study aimed to measure the association between health literacy and pregnant women's intention to use a DA to decide about prenatal screening. We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic)...
2016: BMC Research Notes
https://www.readbyqxmd.com/read/27355783/modifying-the-primary-care-exception-rule-to-require-competency-based-assessment
#18
Daniel G Tobin, Benjamin R Doolittle, Matthew S Ellman, Christopher B Ruser, Rebecca S Brienza, Inginia Genao
Teaching residents to practice independently is a core objective of graduate medical education (GME). However, billing rules established by the Centers for Medicare and Medicaid Services (CMS) require that teaching physicians physically be present in the examination room for the care they bill, unless the training program qualifies for the Primary Care Exception Rule (PCER). Teaching physicians in programs that use this exception can bill for indirectly supervised ambulatory care once the resident who provides that care has completed six months of training...
June 28, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27277430/a%C3%A2-collaborative-clinical-and-population-based-curriculum-for-medical-students-to-address-primary-care-needs-of-the-homeless-in-new-york-city-shelters-teaching-homeless-healthcare-to-medical-students
#19
Ramin Asgary, Ramesh Naderi, Margaret Gaughran, Blanca Sckell
Background Millions of Americans experience homelessness annually. Medical providers do not receive adequate training in primary care of the homeless.Methods Starting in 2012, a comprehensive curriculum was offered to medical students during their family medicine or ambulatory clerkship, covering clinical, social and advocacy, population-based, and policy aspects. Students were taught to: elicit specific social history, explore health expectations, and assess barriers to healthcare; evaluate clinical conditions specific to the homeless and develop plans for care tailored toward patients' medical and social needs; collaborate with shelter staff and community organizations to improve disease management and engage in advocacy efforts...
June 2016: Perspectives on Medical Education
https://www.readbyqxmd.com/read/27261954/efficiency-of-using-pediatrics-emergency-services-and-triage-evaluation
#20
Sherif El Desoky, Suleiman Mashat, Suliman Bana, Mohamed Alama, Nawaf Dhabab, Ghassan M Malibari, Manal Halwani, Amr S Albanna, Jameela A Kari
OBJECTIVE: The aim of the study was to evaluate the pediatric emergency department (PED) in a main teaching hospital. METHOD: Retrospective review of all children presented to PED at King Abdulaziz University Hospital from September to November 2014 was performed. We classified priority into the following 5 stages: 1, need resuscitation; 2, emergent; 3, urgent; 4, less urgent; and 5, nonurgent. RESULTS: A total of 2567 children (58.9% boys) attended PED for 3 months...
June 2, 2016: Pediatric Emergency Care
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