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https://www.readbyqxmd.com/read/29344523/clinical-skills-temporal-degradation-assessment-in-undergraduate-medical-education
#1
Joseph Fisher, Rebecca Viscusi, Adam Ratesic, Cameron Johnstone, Ross Kelley, Angela M Tegethoff, Jessica Bates, Elaine H Situ-Lacasse, William J Adamas-Rappaport, Richard Amini
Introduction: Medical students' ability to learn clinical procedures and competently apply these skills is an essential component of medical education. Complex skills with limited opportunity for practice have been shown to degrade without continued refresher training. To our knowledge there is no evidence that objectively evaluates temporal degradation of clinical skills in undergraduate medical education. The purpose of this study was to evaluate temporal retention of clinical skills among third year medical students...
January 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29339991/multivariate-profiles-of-selected-versus-non-selected-elite-youth-brazilian-soccer-players
#2
Rodrigo Aquino, Isabella S Alves, Maickel B Padilha, Filipe Casanova, Enrico F Puggina, José Maia
This study determined whether a multivariate profile more effectively discriminated selected than non-selected elite youth Brazilian soccer players. This examination was carried out on 66 youth soccer players (selected, n = 28, mean age 16.3 ± 0.1; non-selected, n = 38, mean age 16.7 ± 0.4) using objective instruments. Multivariate profiles were assessed through anthropometric characteristics, biological maturation, tactical-technical skills, and motor performance. The Student's t-test identified that selected players exhibited significantly higher values for height (t = 2...
December 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/29338143/anesthesiology-residents-induction-month-a-pilot-study-showing-an-effective-and-safe-way-to-train-novice-residents-through-simulation
#3
Federico L Barra, Luca Carenzo, Jeffrey Franc, Claudia Montagnini, Flavia Petrini, Francesco Della Corte, Pier L Ingrassia
BACKGROUND: The transition of new residents from medical school to the post-graduate clinical environment remains challenging. We hypothesized that an introductory simulation course could improve new residents' performance in anesthesiology. METHODS: "Anesthesiology Residents Induction Month" (ARIM) was designed as a non-clinical simulation training program aiming at providing the theoretical and practical skills to safely approach, as junior anesthesiologists, the operating rooms...
January 16, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29336333/simulation-and-training-in-urology-in-collaboration-with-esu-esut
#4
Domenico Veneziano, Giovanni Cacciamani, Chandra Shekhar Biyani
Being a Surgeon today means taking on your shoulders countless responsibilities. It is definitely a high-stakes job but, even though the professionals do not go through the intense, focused and demanding training schedule as followed by the other equally risky fields, it doesn't yet require any practical training certification. Simulation was introduced in the aviation field in the early '30s with the "Link Trainer", designed to reproduce the most difficult flying case scenario: landing on an air-carrier. After almost a century, flight simulation is still becoming more sophisticated, while surgical training is slowly starting to fill the gap...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29328750/adaptation-of-a-tool-to-assess-non-technical-skills-of-scrub-practitioners-in-denmark
#5
Anna Sofie Mundt, Lene Spanager, Helle Teglgaard Lyk-Jensen, Doris Østergaard
The aim of this study was to adapt the Scottish tool, Scrub Practitioners List of Intraoperative Non-Technical Skills, to Danish organisation and culture. With an explorative and qualitative approach, four group interviews with scrub practitioners, surgeons and anaesthesia staff were conducted. The main differences found were related to communication and teamwork regarding scrub practitioners focus on the team and speaking up. Differences in the non-technical skills described in the behavioural markers are perhaps explained by cultural differences between Scotland and Denmark...
September 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29320789/-simulation-as-a-training-method-for-the-professionalization-of-teams
#6
Markus Flentje, Hendrik Eismann, Lion Sieg, Lars Friedrich, Georg Breuer
Simulation as an educational method can be applied to the training of processes, technical and non-technical skills. This article focuses on the role of simulation in crisis resource management and non-technical skills. A realistic work environment requires well-trained staff regarding simulation technology and communication. A training (unit) is divided into three sections. During the briefing the team is introduced to the scenario. Afterwards, the patient is treated by an interdisciplinary team. Communication under the pressure of action, even if one does not agree with the approach of the colleagues, should be practiced...
January 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29315458/implementation-and-effectiveness-of-a-video-based-debriefing-programme-for-neonatal-resuscitation
#7
C Skåre, T E Calisch, E Saeter, T Rajka, A M Boldingh, B Nakstad, D E Niles, J Kramer-Johansen, T M Olasveengen
BACKGROUND: Approximately 5%-10% of newly born babies need intervention to assist transition from intra- to extrauterine life. All providers in the delivery ward are trained in neonatal resuscitation, but without clinical experience or exposure, training competency is transient with a decline in skills within a few months. The aim of this study was to evaluate whether neonatal resuscitations skills and team performance would improve after implementation of video-assisted, performance-focused debriefings...
January 7, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29313908/human-factors-in-preventing-complications-in-anaesthesia-a-systematic-review
#8
REVIEW
C P L Jones, J Fawker-Corbett, P Groom, B Morton, C Lister, S J Mercer
Human factors in anaesthesia were first highlighted by the publication of the Anaesthetists Non-Technical Skills Framework, and since then an awareness of their importance has gradually resulted in changes in routine clinical practice. This review examines recent literature around human factors in anaesthesia, and highlights recent national reports and guidelines with a focus on team working, communication, situation awareness and human error. We highlight the importance of human factors in modern anaesthetic practice, using the example of complex trauma...
January 2018: Anaesthesia
https://www.readbyqxmd.com/read/29301562/technical-realization-of-a-sensorized-neonatal-intubation-skill-trainer-for-operators-retraining-and-a-pilot-study-for-its-validation
#9
Davide Panizza, Rosa T Scaramuzzo, Francesca Moscuzza, Ilaria Vannozzi, Massimiliano Ciantelli, Marzia Gentile, Ilaria Baldoli, Selene Tognarelli, Antonio Boldrini, Armando Cuttano
BACKGROUND: In neonatal endotracheal intubation, excessive pressure on soft tissues during laryngoscopy can determine permanent injury. Low-fidelity skill trainers do not give valid feedback about this issue. This study describes the technical realization and validation of an active neonatal intubation skill trainer providing objective feedback. METHODS: We studied expert health professionals' performances in neonatal intubation, underlining chance for procedure retraining...
January 4, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29299878/talent-identification-and-development-in-male-football-a-systematic-review
#10
REVIEW
Hugo Sarmento, M Teresa Anguera, Antonino Pereira, Duarte Araújo
BACKGROUND: Expertise has been extensively studied in several sports over recent years. The specificities of how excellence is achieved in Association Football, a sport practiced worldwide, are being repeatedly investigated by many researchers through a variety of approaches and scientific disciplines. OBJECTIVE: The aim of this review was to identify and synthesise the most significant literature addressing talent identification and development in football. We identified the most frequently researched topics and characterised their methodologies...
January 3, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29278242/missing-focus-on-human-factors-organizational-and-cognitive-ergonomics-in-the-safety-management-for-the-petroleum-industry
#11
Stig O Johnsen, Stine Skaufel Kilskar, Knut Robert Fossum
More attention has recently been given to Human Factors in petroleum accident investigations. The Human Factors areas examined in this article are organizational, cognitive and physical ergonomics. A key question to be explored is as follows: To what degree are the petroleum industry and safety authorities in Norway focusing on these Human Factors areas from the design phase? To investigate this, we conducted an innovative exploratory study of the development of four control centres in Norwegian oil and gas industry in collaboration between users, management and Human Factors experts...
August 2017: Proc Inst Mech Eng O J Risk Reliab
https://www.readbyqxmd.com/read/29226349/what-do-we-know-about-coaching-in-medical-education-a-literature-review
#12
REVIEW
Ben Lovell
CONTEXT: Coaching has been employed successfully in the competitive sports, professional music, and business and corporate worlds. It is now emerging as a training modality in medical education. OBJECTIVES: This paper reviews the current evidence on coaching strategies for doctors and medical students. METHODS: An applied literature search was conducted in PubMed, MEDLINE and Web of Science. Predetermined definitions of coaching interventions and their evaluations were used to narrow 993 papers down to 21, which were included in the final review...
December 11, 2017: Medical Education
https://www.readbyqxmd.com/read/29209693/health-self-perception-in-patient-with-crohn-s-disease-a-web-survey
#13
M Chiarini, E Di Simone, C Scafuro, F Auddino, M Fabbri, A Delli Poggi, S Catanzaro, N Giannetta, M Di Muzio
BACKGROUND: Crohn's Disease (CD) has an incidence on the physical and psychological autonomy of the patient, such as to alter their daily life. The impact of the disease on the daily life of the patients is related to the symptoms and complications of the disease. Patient autonomy and participation in social and work life are the goals that nurses must reach for patients with CD to improve their quality of life. AIM: To measure the perception of the health of people with a diagnosis of CD...
November 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/29206357/understanding-uptake-of-an-intervention-to-accelerate-antiretroviral-therapy-initiation-in-uganda-via-qualitative-inquiry
#14
Fred C Semitala, Carol S Camlin, Jeanna Wallenta, Leatitia Kampiire, Richard Katuramu, Gideon Amanyire, Jennifer Namusobya, Wei Chang, James G Kahn, Edwin D Charlebois, Diane V Havlir, Moses R Kamya, Elvin H Geng
INTRODUCTION: The Streamlined Antiretroviral Therapy Initiation Strategy (START-ART) study found that a theory-based intervention using opinion leaders to inform and coach health care providers about the risks of treatment delay, provision of point of care (POC) CD4 testing machines (PIMA) and reputational incentives, led to rapid rise in ART initiation. We used qualitative research methods to explore mechanisms of provider behaviour change. METHODS: We conducted in-depth interviews (IDIs) with 24 health care providers and nine study staff to understand perceptions, attitudes and the context of changes in ART initiation practices...
December 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29191159/barriers-and-facilitating-factors-related-to-use-of-early-warning-score-among-acute-care-nurses-a-qualitative-study
#15
John Asger Petersen, Lars S Rasmussen, Susan Rydahl-Hansen
BACKGROUND: The early warning score (EWS) was developed to identify deteriorating patients early. It is a track-and-trigger system based on vital signs designed to direct appropriate clinical responses based on the seriousness and nature of the underlying condition. Despite its wide dissemination, serious adverse events still occur, often due to failure among staff on general wards to follow the EWS protocol. The purpose of the study was to determine barriers and facilitating factors related to three aspects of the EWS protocol: 1) adherence to monitoring frequency, 2) call for junior doctors to patients with an elevated EWS, and 3) call for the medical emergency team...
December 1, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29153980/why-saying-what-you-mean-matters-an-analysis-of-trauma-team-communication
#16
Hee Soo Jung, Charles Warner-Hillard, Ryan Thompson, Krista Haines, Brooke Moungey, Anne LeGare, David Williamson Shaffer, Carla Pugh, Suresh Agarwal, Sarah Sullivan
BACKGROUND: We hypothesized that team communication with unmatched grammatical form and communicative intent (mixed mode communication) would correlate with worse trauma teamwork. METHODS: Interdisciplinary trauma simulations were conducted. Team performance was rated using the TEAM tool. Team communication was coded for grammatical form and communicative intent. The rate of mixed mode communication (MMC) was calculated. MMC rates were compared to overall TEAM scores...
November 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29137674/the-development-of-the-parents-a-tool-for-parents-to-assess-residents-non-technical-skills-in-pediatric-emergency-departments
#17
Katherine A Moreau, Kaylee Eady, Kenneth Tang, Mona Jabbour, Jason R Frank, Meaghan Campbell, Stanley J Hamstra
BACKGROUND: Parents can assess residents' non-technical skills (NTS) in pediatric emergency departments (EDs). There are no assessment tools, with validity evidence, for parental use in pediatric EDs. The purpose of this study was to develop the Parents' Assessment of Residents Enacting Non-Technical Skills (PARENTS) educational assessment tool and collect three sources of validity evidence (i.e., content, response process, internal structure) for it. METHODS: We established content evidence for the PARENTS through interviews with physician-educators and residents, focus groups with parents, a literature review, and a modified nominal group technique with experts...
November 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29126405/electronic-portfolio-use-in-pediatric-residency-and-perceived-efficacy-as-a-tool-for-teaching-lifelong-learning
#18
Annabel Frank, Kimberly Gifford
BACKGROUND: Residency programs use electronic portfolios (efolios) to organize data, track resident performance, and sometimes teach and assess lifelong learning (LLL) skills. Published studies on efolios in graduate medical education are mostly descriptions of implementation at individual institutions. METHODS: An anonymous online survey was sent to 199 pediatric residency program directors across the United States. Efolio usage patterns were described and compared between program directors that perceived efolios effective at fostering LLL and those that did not...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29116309/characteristics-of-role-models-who-influenced-medical-residents-to-choose-surgery-as-a-specialty-exploratory-study
#19
Carlos Eli Piccinato, Maria de Lourdes Veronese Rodrigues, Laura de Andrade Rocha, Luiz Ernesto de Almeida Troncon
CONTEXT AND OBJECTIVE: Choosing a medical specialty and making decisions concerning a career are difficult processes for medical students and newly graduated physicians.This exploratory study aimed to investigate the influence of role models on the choice of surgery as a career, and to determine the most influential model characteristics. DESIGN AND SETTING: Qualitative analysis on responses to a self-administered questionnaire, in different teaching-learning settings...
November 6, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29113003/-comparison-of-safety-insertion-techniques-of-percutaneous-endoscopic-gastrostomy-in-nurses-and-physicians-a-non-randomized-interventional-pilot-study-on-a-simulation-model
#20
Monika Engelke, Karl-Ernst Grund, Dieter Schilling, Ulrike Beilenhoff, Elisabeth Kern-Waechter, Olaf Engelke, Ferdinand Stebner, Christiane Kugler
Percutaneous endoscopic gastrostomy (PEG) insertion represents a standardized procedure for enteral nutrition in patients with long-term eating difficulties for various reasons. In a clinical setting, delegation of stomach puncture and placement of a PEG tube, within the context of percutaneous endoscopic gastrostomy amongst nurses, occurs. In Germany, there are no studies yet showing the differences between physicians and nurses regarding the safety of percutaneous stomach puncture.In a non-randomized quasi-experimental interventional study on a simulation model, the safety of stomach puncture within the context of percutaneous endoscopic gastrostomy between physicians and nurses with special training was compared...
November 7, 2017: Zeitschrift Für Gastroenterologie
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