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https://www.readbyqxmd.com/read/29933443/an-update-of-oral-health-curricula-in-us-family-medicine-residency-programs
#1
Hugh Silk, Judith A Savageau, Kate Sullivan, Gail Sawosik, Min Wang
BACKGROUND AND OBJECTIVES: National initiatives have encouraged oral health training for family physicians and other nondental providers for almost 2 decades. Our national survey assesses progress of family medicine residency programs on this important health topic since our last survey in 2011. METHODS: Family medicine residency program directors (PDs) completed an online survey covering various themes including number of hours of oral health (OH) teaching, topics covered, barriers, evaluation, positive influences, and program demographics...
June 2018: Family Medicine
https://www.readbyqxmd.com/read/29929816/use-of-learning-teams-to-improve-the-educational-environment-of-general-surgery-residency
#2
Tovy Haber Kamine, Ashraf A Sabe, Bharath Nath, Kelly Barnes, Tara S Kent
OBJECTIVE: Recent surgical education literature has focused on means of improving structured educational experience in residency, particularly in the context of limited working hours. In addition, prior studies have illustrated a void in training regarding leadership. Learning teams have been adopted in several medical schools with an aim to improve the educational experience. We instituted resident learning teams with a goal of improving resident education. DESIGN: In the 2015 to 2016 academic year, we implemented a team-based learning (TBL) system of 5 teams each led by 1 to 2 chief residents and containing an approximately equal number of residents from postgraduate year (PGY)1-4...
June 18, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29929755/narrowing-of-the-surgical-resident-operative-experience-a-27-year-analysis-of-national-acgme-case-logs
#3
Alexander R Cortez, Gianna D Katsaros, Vikrom K Dhar, F Thurston Drake, Timothy A Pritts, Jeffrey J Sussman, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although overall operative volume has remained stable since the implementation of duty hours, more detailed analyses suggest shifts in the resident operative experience. Understanding these differences allows educators to better appreciate the impact of the current training environment on resident preparation for practice. METHODS: National Accreditation Council for Graduate Medical Education case logs from 1990 to 2016 were reviewed. Statistical analysis was performed using analysis of variance and linear regression analysis...
June 18, 2018: Surgery
https://www.readbyqxmd.com/read/29928664/utilization-of-the-flipped-classroom-in-anesthesiology-graduate-medical-education-an-initial-survey-of-faculty-beliefs-and-practices-about-active-learning
#4
Susan M Martinelli, Fei Chen, Matthew D Mcevoy, David A Zvara, Randall M Schell
Background: Flipped classroom (FC) is an active learning (AL) technique thought to have potential benefits in anesthesiology resident education. This survey aimed to determine the frequency of FC utilization, barriers of utilization, and means to overcome these barriers. Method: A web-based questionnaire was developed to survey anesthesiology faculty on their knowledge of and experience with FC. The Society of Academic Associations of Anesthesiology and Perioperative Medicine sent the survey to all United States core program directors (PD) via their list serve with a request for the PDs to forward the survey invitation to their clinical faculty...
January 2018: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29925130/-an-analysis-of-residents-self-evaluation-and-faculty-evaluation-in-internal-medicine-standardized-residency-training-program-using-milestones-evaluation-system
#5
Y Zhang, X T Chu, X J Zeng, H Li, F C Zhang, S Y Zhang, T Shen
Objective: To assess the value of internal medicine residency training program at Peking Union Medical College Hospital (PUMCH), and the feasibility of applying revised Milestones evaluation system. Methods: Postgraduate-year-one to four (PGY-1 to PGY-4) residents in PUMCH finished the revised Milestones evaluation scales in September 2017. Residents' self-evaluation and faculty-evaluation scores were calculated. Statistical analysis was conducted on the data. Results: A total of 207 residents were enrolled in this cross-sectional study...
June 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://www.readbyqxmd.com/read/29924736/how-common-are-cognitive-errors-in-cases-presented-at-emergency-medicine-resident-morbidity-and-mortality-conferences
#6
David Chu, Jane Xiao, Payal Shah, Brett Todd
BACKGROUND: Cognitive errors are a major contributor to medical error. Traditionally, medical errors at teaching hospitals are analyzed in morbidity and mortality (M&M) conferences. We aimed to describe the frequency of cognitive errors in relation to the occurrence of diagnostic and other error types, in cases presented at an emergency medicine (EM) resident M&M conference. METHODS: We conducted a retrospective study of all cases presented at a suburban US EM residency monthly M&M conference from September 2011 to August 2016...
June 20, 2018: Diagnosis
https://www.readbyqxmd.com/read/29923893/the-consultation-observed-simulated-clinical-experience-training-assessment-and-feedback-for-incoming-interns-on-requesting-consultations
#7
Shannon K Martin, Keme Carter, Noah Hellermann, Laura R Glick, Samantha Ngooi, Marika Kachman, Jeanne M Farnan, Vineet M Arora
PROBLEM: Formal education in requesting consultations is inconsistent in medical education. To address this gap, the authors developed the Consultation Observed Simulated Clinical Experience (COSCE), a simulation-based curriculum for interns using Kessler et al's 5Cs of Consultation model to teach and assess consultation communication skills. APPROACH: In June 2016, 127 interns entering 12 University of Chicago Medicine residency programs participated in the COSCE pilot...
June 19, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29908764/development-of-the-ripe-model-reflective-interprofessional-education-model-to-enhance-interprofessional-collaboration
#8
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29901661/interprofessional-care-in-teaching-practices-lessons-from-bright-spots
#9
Thomas Bodenheimer, Margae Knox, Sara Syer
In this issue, Brandt and colleagues and Uhlig and colleagues highlight barriers faced by health professional schools implementing interprofessional education and describe how clinical learning environments can overcome those obstacles. Primary care residency teaching clinics provide an excellent opportunity for interprofessional education and patient care, with teachers and learners from various professions caring for patients together. This Invited Commentary offers three interprofessional education strategies used by five "bright spot" family medicine teaching clinics: (1) separate clinics for patients with complex healthcare needs during which learners from various professions see patients together; (2) interprofessional interactions in day-to-day patient care; and (3) case conferences across professions to discuss patients...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29894394/improving-clinical-proficiency-using-a-3-dimensionally-printed-and-patient-specific-thoracic-spine-model-as-a-haptic-task-trainer
#10
Jeffrey Bortman, Yanick Baribeau, Jelliffe Jeganathan, Yannis Amador, Faraz Mahmood, Marc Shnider, Muneeb Ahmed, Philip Hess, Robina Matyal
BACKGROUND AND OBJECTIVES: Advanced haptic simulators for neuraxial training are expensive, have a finite life, and are not patient specific. We sought to demonstrate the feasibility of developing a custom-made, low-cost, 3-dimensionally printed thoracic spine simulator model from patient computed tomographic scan data. This study assessed the model's practicality, efficiency as a teaching tool, and the transfer of skill set into patient care. METHODS: A high-fidelity, patient-specific thoracic spine model was used for the study...
June 11, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29893013/online-virtual-cases-to-teach-resource-stewardship
#11
Linghong Linda Zhou, Gordon Tait, Sharron Sandhu, Amanda Steiman, Shirley Lake
BACKGROUND: As health care costs rise, medical education must focus on high-value clinical decision making. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed to simulate real patient encounters to increase price transparency and reinforce cost consciousness. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed METHODS: The VIC modules were distributed to a sample of medical students and internal medicine residents, who were required to assess patients, order appropriate investigations, develop differential diagnoses and formulate management plans...
June 11, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29888147/cadaveric-dissection-a-thing-of-the-past-the-insight-of-consultants-fellows-and-residents
#12
Haider Ghazanfar, Sannah Rashid, Ashraf Hussain, Madiha Ghazanfar, Ali Ghazanfar, Arshad Javaid
Objective The objective of our study was to determine whether cadaveric dissection is a necessity in medical education. Another purpose of our study was to assess the attitude and perception of consultants, residents, and fellows about cadaveric dissection and whether it helped them in their medical practices. Method We performed an analytical cross-sectional study among consultants, fellows, and residents of different specialty areas practicing in Punjab. A self-constructed questionnaire compromising of 41 items was used to assess the perception of doctors about cadaveric dissection and other alternative anatomy teaching methods...
April 3, 2018: Curēus
https://www.readbyqxmd.com/read/29885185/evaluation-of-educational-environment-for-postgraduate-residents-using-post-graduate-hospital-educational-environment-measure
#13
Asif Sandhu, Naeem Liaqat, Khadija Waheed, Sara Ejaz, Amna Khanum, Ambreen Butt, Fawad Ahmad Randhawa, Sajid Hameed Dar
The objective of this study was to determine the level of educational environment among residents working in our hospital using Post graduate hospital educational environment measure (PHEEM). This cross-sectional study was conducted at services hospital, Lahore. All the Post-graduate residents (PGR's) working at Services hospital, Lahore were asked to fill a proforma having 2 parts: Bio-data and PHEEM. Out of 110 PGR's, 87 completed questionnaires, of which majority labelled education environment into level 3 (71%)...
May 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29882281/teaching-and-evaluation-of-basic-urodynamic-skills-in-urology-residency-programs-randomized-controlled-study
#14
Samer Shamout, Sero Andonian, Hani Kabbara, Jacques Corcos, Lysanne Campeau
AIMS: Considering the growing role of urodynamic studies (UDS) in urology, we aimed to determine the most effective teaching method with objective evaluation for urodynamic skills, to improve training and patient care. METHODS: Urology residents (n = 20) post-graduate years 3-5 were randomized to receive either a UDS video training module or a standard UDS teaching document one week prior to an objective structured clinical examination (OSCE). The OSCE was a validated visual recognition exam with interpretation of 12 UDS tracing scenarios...
June 8, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29879305/unravelling-residents-and-supervisors-workplace-interactions-an-intersubjectivity-study
#15
Francisco M Olmos-Vega, Diana Hjm Dolmans, Carlos Guzmán-Quintero, Renée E Stalmeijer, Pim W Teunissen
CONTEXT: Successful engagement between residents and supervisors lies at the core of workplace learning, a process that is not exempt from challenge. Clinical encounters have unique learning potential as they offer opportunities to achieve a shared understanding between the resident and supervisor of how to accomplish a common goal. How residents and supervisors develop such a mutual understanding is an issue that has received limited attention in the literature. We used the 'intersubjectivity' concept as a novel conceptual framework to analyse this issue...
July 2018: Medical Education
https://www.readbyqxmd.com/read/29873765/development-and-implementation-of-an-inexpensive-easily-producible-time-efficient-external-ventricular-drain-simulator-using-3-dimensional-printing-and-image-registration
#16
Hansen Bow, Le He, Muhammad Aanish Raees, Sumit Pruthi, Rohan Chitale
BACKGROUND: External ventricular drain (EVD) placement is one of the most commonly performed procedures in neurosurgery, frequently by the junior neurosurgery resident. Simulators for EVD placement are often costly, time-intensive to create, and complicated to set up. OBJECTIVE: To describe creation of a simulator that is inexpensive, time-efficient, and simple to set up. METHODS: This simulator involves printing a hollow head using a desktop 3-dimensional (3D) printer...
June 5, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29868877/effect-of-increased-inpatient-attending-physician-supervision-on-medical-errors-patient-safety-and-resident-education-a-randomized-clinical-trial
#17
Kathleen M Finn, Joshua P Metlay, Yuchiao Chang, Amulya Nagarur, Shaun Yang, Christopher P Landrigan, Christiana Iyasere
Importance: While the relationship between resident work hours and patient safety has been extensively studied, little research has evaluated the role of attending physician supervision on patient safety. Objective: To determine the effect of increased attending physician supervision on an inpatient resident general medical service on patient safety and educational outcomes. Design, Setting, and Participants: This 9-month randomized clinical trial performed on an inpatient general medical service of a large academic medical center used a crossover design...
June 4, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29861118/residents-learning-curve-for-manual-small-incision-cataract-surgery-at-aravind-eye-hospital-india
#18
Sachin Gupta, Aravind Haripriya, S Ashok Vardhan, Thulasiraj Ravilla, Ravilla D Ravindran
PURPOSE: The goal of this study was to document the resident learning curve for manual small-incision cataract surgery (MSICS) and to identify implications for the design of ophthalmology residency programs aimed to train surgeons for developing countries. DESIGN: Hospital-based retrospective cohort study. PARTICIPANTS: All 38 residents entering 2 postgraduate residency programs at Aravind Eye Hospital, Madurai, in 2012 and 2013. METHODS: Surgical complications and reoperations for all MSICSs performed by residents during the residency training period were evaluated using a computerized patient database...
May 31, 2018: Ophthalmology
https://www.readbyqxmd.com/read/29861084/no-360-induced-abortion-surgical-abortion-and-second-trimester-medical-methods
#19
Dustin Costescu, Édith Guilbert
OBJECTIVE: This guideline reviews evidence relating to the provision of surgical induced abortion (IA) and second trimester medical abortion, including pre- and post-procedural care. INTENDED USERS: Gynaecologists, family physicians, nurses, midwives, residents, and other health care providers who currently or intend to provide and/or teach IAs. TARGET POPULATION: Women with an unintended or abnormal first or second trimester pregnancy. EVIDENCE: PubMed, Medline, and the Cochrane Database were searched using the key words: first-trimester surgical abortion, second-trimester surgical abortion, second-trimester medical abortion, dilation and evacuation, induction abortion, feticide, cervical preparation, cervical dilation, abortion complications...
June 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29859778/community-health-training-for-family-and-community-health-nursing-residents-in-a-multiprofessional-teaching-unit-three-years-of-experience
#20
Maravillas Torrecilla-Abril, Ana Patricia Crespo-Mateos, Esther Cartagena-Martínez, Milagros Oyarzabal-Arocena, Clara Isabel Pérez-Ortiz
OBJECTIVE: To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. METHOD: We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3theoretical modules...
May 30, 2018: Enfermería Clínica
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