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https://www.readbyqxmd.com/read/29677126/patient-education-on-oral-anticoagulation
#1
Emily M Hawes
Given the potential harm associated with anticoagulant use, patient education is often provided as a standard of care and emphasized across healthcare settings. Effective anticoagulation education involves face-to-face interaction with a trained professional who ensures that the patient understands the risks involved, the precautions that should be taken, and the need for regular monitoring. The teaching should be tailored to each patient, accompanied with written resources and utilize the teach-back method...
April 20, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29622031/prevalence-of-drug-drug-interactions-in-geriatric-patients-at-an-ambulatory-care-pharmacy-in-a-tertiary-care-teaching-hospital
#2
Rawabi Aljadani, Mohammed Aseeri
OBJECTIVE: A cross-sectional study was performed from February to May 2015, to estimate the prevalence of drug-drug interactions in geriatric patients at the ambulatory care pharmacy at King Abdul-Aziz Medical City in Jeddah, Saudi Arabia. RESULTS: A total of 310 patients were included, with a mean age (± SD) of 73.78 ± 6.96, and 48.70% were female. The overall prevalence of DDIs of all categories was 90.64%. Category B DDIs was 55.80%, category C DDIs 87...
April 5, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29578818/barriers-and-strategies-to-engaging-our-community-based-preceptors
#3
Scott C Graziano, Margaret L McKenzie, Jodi F Abbott, Samantha D Buery-Joyner, LaTasha B Craig, John L Dalrymple, David A Forstein, Brittany S Hampton, Sarah M Page-Ramsey, Archana Pradhan, Abigail Wolf, Laura Hopkins
ISSUE: This article, from the "To the Point" series that is prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, is a review of commonly cited barriers to recruiting and retaining community-based preceptors in undergraduate medical education and potential strategies to overcome them. EVIDENCE: Community-based preceptors have traditionally served as volunteer, nonsalaried faculty, with academic institutions relying on intrinsic teaching rewards to sustain this model...
March 26, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29575707/predictors-of-student-use-of-an-electronic-record
#4
William Y Huang, Larissa Grigoryan, Anjali Aggarwal
BACKGROUND: Little is known on ambulatory clerkship students' use of an electronic medical record (EMR). We investigated students' use of recommended EMR tasks across different types of sites and studied the predictors of these recommended tasks. METHODS: Students documented how often they performed recommended EMR tasks and suggested improvements to enhance EMR use. We compared student performance of recommended tasks across different types of sites using χ2 tests and the Fisher's exact test...
March 25, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29497696/integrating-teaching-into-routine-outpatient-care-the-design-and-evaluation-of-an-ambulatory-training-concept-heisa
#5
Jan Hundertmark, Sandra Karina Apondo, Jobst-Hendrik Schultz
Background: Direct patient contact is crucial in learning important interactional and examination skills. However, medical students have limited opportunity to self-responsibly practise these skills in authentic clinical settings and typically receive insufficient feedback on their performance. We developed a novel single-session ambulatory teaching concept (Heidelberg Student Ambulatory training, "HeiSA") to prepare students more adequately for clinical-practical responsibilities. Methods: To identify challenges and target group needs, we reviewed current literature and consulted an expert group of faculty lecturers and training researchers...
2018: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29497691/competency-based-learning-in-an-ambulatory-care-setting-implementation-of-simulation-training-in-the-ambulatory-care-rotation-during-the-final-year-of-the-marecum-model-curriculum
#6
Martin Dusch, Elisabeth Narciß, Renate Strohmer, Katrin Schüttpelz-Brauns
Aim: As part of the MaReCuM model curriculum at Medical Faculty Mannheim Heidelberg University, a final year rotation in ambulatory care was implemented and augmented to include ambulatory care simulation. In this paper we describe this ambulatory care simulation, the designated competency-based learning objectives, and evaluate the educational effect of the ambulatory care simulation training. Method: Seventy-five final year medical students participated in the survey (response rate: 83%). The control group completed the ambulatory rotation prior to the implementation of the ambulatory care simulation...
2018: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29490366/understanding-costs-of-care-in-the-operating-room
#7
Christopher P Childers, Melinda Maggard-Gibbons
Importance: Increasing value requires improving quality or decreasing costs. In surgery, estimates for the cost of 1 minute of operating room (OR) time vary widely. No benchmark exists for the cost of OR time, nor has there been a comprehensive assessment of what contributes to OR cost. Objectives: To calculate the cost of 1 minute of OR time, assess cost by setting and facility characteristics, and ascertain the proportion of costs that are direct and indirect...
February 28, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29436114/interprofessional-learning-in-ambulatory-care
#8
Rosemary Saunders, Helen Dugmore, Karla Seaman, Rachel Singer, Fiona Lake
BACKGROUND: Interprofessional practice amongst health care professionals can facilitate effective collaboration and can improve health outcomes for patients. Interprofessional clinical placements have mainly been established within inpatient settings; however, ambulatory care settings can also provide interprofessional education. This study evaluates an interprofessional placement in ambulatory care for medical and nursing students. METHODS: Medical and nursing students undertook a 2-week interprofessional placement in respiratory, diabetes and chronic pain clinics, as well as within the patient's home...
February 12, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29398570/reliability-of-patient-led-screening-with-the-malnutrition-screening-tool-agreement-between-patient-and-health-care-professional-scores-in-the-cancer-care-ambulatory-setting
#9
Alexandra Di Bella, Claire Blake, Adrienne Young, Anita Pelecanos, Teresa Brown
BACKGROUND: The prevalence of malnutrition in patients with cancer is reported as high as 60% to 80%, and malnutrition is associated with lower survival, reduced response to treatment, and poorer functional status. The Malnutrition Screening Tool (MST) is a validated tool when administered by health care professionals; however, it has not been evaluated for patient-led screening. OBJECTIVES: This study aims to assess the reliability of patient-led MST screening through assessment of inter-rater reliability between patient-led and dietitian-researcher-led screening and intra-rater reliability between an initial and a repeat patient screening...
February 1, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29391102/the-burden-of-tunneled-central-venous-catheters-for-hemodialysis-in-a-county-hospital
#10
Eric Pillado, Abraham Korn, Christian de Virgilio, Nina Bowens
Prolonged use of central venous catheters (CVCs) for hemodialysis (HD) is associated with greater morbidity and mortality when compared with autogenous arteriovenous fistulas (AVF). The objective was to assess compliance with CVC guidelines in adults referred for hemoaccess at a county teaching hospital. Out of 256 patients, 172 (67.2%) were male, with a mean age of 50.0 ± 12.4 years. Overall 62.5 per cent initiated dialysis via CVC. Patients were divided into two groups (those with CVC (62.5%) and those without (37...
October 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29389994/factors-associated-with-patient-recall-of-key-information-in-ambulatory-specialty-care-visits-results-of-an-innovative-methodology
#11
M Barton Laws, Yoojin Lee, Tatiana Taubin, William H Rogers, Ira B Wilson
While some studies have assessed patient recall of important information from ambulatory care visits, none has done so recently. Furthermore, little is known about features of clinical interactions which are associated with patient understanding and recall, without which shared decision making, a widely shared ideal for patient care, cannot occur. Our objective was to evaluate characteristics of patients and outpatient encounters associated with patient recall of information after one week, along with observation of elements of shared decision making...
2018: PloS One
https://www.readbyqxmd.com/read/29364752/positive-outcomes-of-optimizing-student-preceptor-continuity-in-a-traditional-block-clerkship
#12
Jennifer L Biggs, Jamie S Sutherell, Rochelle Remus, Eric S Armbrecht, Marta A King
PROBLEM: Student-preceptor discontinuity during 3rd-year clerkships limits the quality and quantity of supervision, teaching, and feedback. Although longitudinal integrative clerkships increase continuity and are associated with improved student and preceptor experience, they require schoolwide curricular reform. Alternative innovations enhancing student-preceptor relationships within the constraints of a traditional block clerkship may demonstrate similar benefits. INTERVENTION: We piloted a continuity-enhanced general pediatric ambulatory schedule during 2 consecutive clerkship blocks in 2013...
April 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29364732/improving-practice-guideline-adherence-through-peer-feedback-impact-of-an-ambulatory-cardiology-curriculum
#13
Karl M Richardson, Jai Singh, Dan Muñoz, Julie B Damp, Lisa A Mendes
PROBLEM: Graduate medical trainees must be prepared to practice in a quality-driven system that values adherence to and documentation of evidence-based care. Few validated approaches exist to teach these skills. Our objective was to develop, implement, and evaluate an ambulatory practice improvement curriculum capitalizing on peer feedback aimed at improving cardiology fellow guideline knowledge, adherence, and chart documentation. INTERVENTION: Four outpatient topics were reviewed in dedicated 1-hour sessions: stable ischemic heart disease, heart failure, atrial fibrillation, and aortic valvular disease...
January 24, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29358267/does-clinical-exposure-matter-pilot-assessment-of-patient-visits-in-an-urban-family-medicine-residency-program
#14
Karl Iglar, Stuart Murdoch, Christopher Meaney, Paul Krueger
OBJECTIVE: To determine the number of patient visits, patient demographic information, and diagnoses in an urban ambulatory care setting in a family medicine residency program, and assess the correlation between the number of patient visits and residents' in-training examination (ITE) scores. DESIGN: Retrospective analysis of data from resident practice profiles, electronic medical records, and residents' final ITE scores. SETTING: Family medicine teaching unit in a community hospital in Barrie, Ont...
January 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29317347/using-virtual-reality-to-control-preoperative-anxiety-in-ambulatory-surgery-patients-a-pilot-study-in-maxillofacial-and-plastic-surgery
#15
L Ganry, B Hersant, M Sidahmed-Mezi, G Dhonneur, J P Meningaud
INTRODUCTION: Preoperative anxiety may lead to medical and surgical complications, behavioral problems and emotional distress. The most common means of prevention are based on using medication and, more recently, hypnosis. The aim of our study was to determine whether a virtual reality (VR) program presenting natural scenes could be part of a new therapy to reduce patients' preoperative anxiety. MATERIALS AND METHODS: Our prospective pilot study consisted of a single-blind trial in skin cancer surgery at the Henri-Mondor teaching hospital in France...
January 6, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29300292/comparison-of-3-different-teaching-methods-for-a-behavioral-therapy-program-for-female-overactive-bladder-a-randomized-controlled-trial
#16
Elif Gezginci, Emine Iyigun, Sercan Yilmaz
PURPOSE: The purpose of this study was to compare the effect of 3 instructional methods for behavioral therapy on lower urinary tract symptom (LUTS) severity and health-related quality of life (HRQOL) in women with overactive bladder. DESIGN: Single-center, parallel-group, randomized, clinical trial. SUBJECTS AND SETTING: The sample comprised 60 women diagnosed with overactive bladder. The study setting was a university-based female urology clinic in Ankara, Turkey; data were collected from November 2012 to May 2013...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29233281/debate-as-an-alternative-method-for-medical-literature-evaluation
#17
Rebecca Toor, Kathryn Samai, Ryan Wargo
BACKGROUND AND PURPOSE: To determine the student impression of utilizing a debate style journal club as an alternative approach for preceptors to teach medical literature evaluation skills to pharmacy students undergoing Advance Pharmacy Practice Experiences (APPE) in both acute care and ambulatory care. EDUCATIONAL ACTIVITY AND SETTING: Students were asked to debate on a controversial topic or two drugs with similar indications. Each side had to research supporting evidence based medicine and use literature appraisal skills to incorporate the information logically into an oral debate style format...
May 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29226228/seminar-program-for-postgraduate-specialty-training-in-general-practice-proposal-for-a-5-year-thematic-catalogue
#18
Susanne Sommer, Erika Baum, Julia Magez, Jean-Francois Chenot, Gesine Weckmann, Jost Steinhäuser, Susanne Heim, Dagmar Schneider, Stephan Fuchs
Introduction : In different German regions, seminar programs have been conducted for General practice residents. In each region, selection and teaching of learning content is conducted in a different manner. So far, no structured, standardized curriculum has been implemented nationwide. We have investigated, if the development of a common 5-year program of learning topics is conceivable between the different university departments of General practice in Germany. Method: The seminar program working group of the DEGAM (German College of General Practitioners and Family Physicians) has conducted an online survey based on information gathered via preliminary telephone conference (n=7; physicians with postgraduate teaching experience) among all German university departments of General Practice and two non-university teaching institutions, identified via the internet...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29222135/ambulatory-versus-inpatient-management-of-severe-nausea-and-vomiting-of-pregnancy-a-randomised-control-trial-with-patient-preference-arm
#19
Nicola Mitchell-Jones, Jessica Alice Farren, Aurelio Tobias, Tom Bourne, Cecilia Bottomley
OBJECTIVE: To determine whether ambulatory (outpatient (OP)) treatment of severe nausea and vomiting of pregnancy (NVP) is as effective as inpatient (IP) care. DESIGN: Non-blinded randomised control trial (RCT) with patient preference arm. SETTING: Two multicentre teaching hospitals in London. PARTICIPANTS: Women less than 20 weeks' pregnant with severe NVP and associated ketonuria (>1+). METHODS: Women who agreed to the RCT were randomised via web-based application to either ambulatory or IP treatment...
December 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/29195738/a-perioperative-care-map-improves-outcomes-in-patients-with-morbid-obesity-undergoing-major-surgery
#20
Benjamin D Boodaie, Anthony H Bui, David L Feldman, Michael Brodman, Peter Shamamian, Ronald Kaleya, Meg Rosenblatt, Donna Somerville, Patricia Kischak, I Michael Leitman
BACKGROUND: The surgical management of patients with morbid obesity (body mass index ≥ 40) is notable for a relatively high risk of complications. To address this problem, a perioperative care map was developed using precautions and best practices commonly employed in bariatric surgery. It requires additional medical assessments, sleep apnea surveillance, more stringent guidelines for anesthetic management, and readily available bariatric operating room equipment, among other items...
February 2018: Surgery
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