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https://www.readbyqxmd.com/read/28740789/a-unique-lymphaticovenous-supermicrosurgery-training-curriculum-reflections-on-validation-and-competency-thresholds
#1
Georgios Pafitanis, Mitsunaga Narushima, Mitsunobu Harima, Ali Ghanem, Simon Myers, Isao Koshima
Supermicrosurgery is becoming a commonly used technique in various subspecialties of reconstructive surgery. However, there is a lack of standardization and validation in novel supermicrosurgical training. Current simulation training programs are not adequately focused on the challenges encountered during clinical supermicrosurgery practice. This article describes the authors' experience utilizing a supermicrosurgery competency-based training curriculum, in a simulation-based environment, toward safe clinical practice for lymphatic submillimeter supermicrovascular surgery...
June 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28738874/how-do-national-contraception-laws-and-policies-address-the-contraceptive-needs-of-adolescents-in-paraguay
#2
Kathya Cordova-Pozo, Sarah Borg, Andrea J Hoopes, Alma Virginia Camacho-Hubner, Fanny Corrales-Ríos, Adriane Salinas-Bomfim, Venkatraman Chandra-Mouli
BACKGROUND: The main objective is to examine how the Paraguayan laws, policies and regulations (hereafter referred to as normative guidance) specifically address adolescents and their contraceptive information and service needs using a human rights analytic framework. It must be noted that this paper examines the adolescent content of national laws, policies and regulations on contraception, not how they were applied. METHODS: The recommendations on "Ensuring human rights in the provision of contraceptive information and services" from the World Health Organization (WHO) were used as an analytic framework to assess current Paraguayan laws, policies and regulations...
July 24, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28736399/competency-based-medical-education-studying-live-anatomy-by-ultrasound
#3
Graziano Serrao, Massimo Tassoni, Alberto M Magenta-Biasina, Antonio G Mantero, Antonino M Previtera, Michela C Turci, Elia M Biganzoli, Emanuela M Bertolini
No abstract text is available yet for this article.
July 19, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28733060/developing-a-canadian-curriculum-for-simulation-based-education-in-obstetrics-and-gynecology-a-delphi-study
#4
Catherine Craig, Glenn D Posner
OBJECTIVE: As obstetrics and gynaecology (Ob/Gyn) residency training programs move towards a competence-based approach to training and assessment, the development of a national standardized simulation curriculum is essential. The primary goal of this study was to define the fundamental content for the Canadian Obstetrics and Gynecology Simulation curriculum. METHODS: A modified Delphi technique was used to achieve consensus in three rounds by surveying residency program directors or their local simulation educator delegates in 16 accredited Canadian Ob/Gyn residency programs...
July 18, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28729009/development-of-entrustable-professional-activities-for-hospice-and-palliative-medicine-fellowship-training-in-the-united-states
#5
Lindy H Landzaat, Michael D Barnett, Gary T Buckholz, Jillian L Gustin, Jennifer M Hwang, Stacie K Levine, Tomasz Okon, Steven M Radwany, Holly B Yang, John Encandela, Laura J Morrison
CONTEXT: Entrustable Professional Activities (EPAs) represent the key physician tasks of a specialty. Once a trainee demonstrates competence in an activity, they can then be 'entrusted' to practice without supervision(1). A physician workgroup of the American Academy of Hospice and Palliative Medicine (AAHPM) sought to define Hospice and Palliative Medicine (HPM) EPAs. OBJECTIVE: To describe the development of a set of consensus EPAs for HPM fellowship training in the United States...
July 17, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28727184/early-warning-systems-and-rapid-response-to-the-deteriorating-patient-in-hospital-a-systematic-realist-review
#6
REVIEW
Jennifer McGaughey, Peter O'Halloran, Sam Porter, Bronagh Blackwood
AIM: To determine the Rapid Response System programme theory and investigate how the mechanisms of implementation and the characteristics of context combine to enable or constrain the implementation of Rapid Response Systems and the achievement of desired outcomes. BACKGROUND: Rapid Response Systems have been implemented internationally to improve the recognition and management of patient deterioration, reduce the need for cardiopulmonary resuscitation and improve patient outcomes...
July 20, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28726584/competency-based-framework-and-continuing-education-for-preparing-a-skilled-school-health-workforce-for-asthma-care-the-colorado-experience
#7
Lisa Cicutto, Melanie Gleason, Christy Haas-Howard, Lynn Jenkins-Nygren, Susan Labonde, Kathy Patrick
School health teams commonly address the needs of students with asthma, which requires specific knowledge and skills. To develop a skilled school health team, a competency-based framework for managing asthma in schools was developed. A modified Delphi with 31 panelists was completed. Consensus (≥80% agreement) was reached for all 148 items regarding the appropriateness as a minimum competency for asthma care in schools. The resultant Colorado Competency Framework for Asthma Care in Schools guided the development and pilot testing of a continuing education curriculum for school nurses...
August 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28725792/entrustable-professional-activities-for-pathology-recommendations-from-the-college-of-american-pathologists-graduate-medical-education-committee
#8
Cindy B McCloskey, Ronald E Domen, Richard M Conran, Robert D Hoffman, Miriam D Post, Mark D Brissette, Dita A Gratzinger, Patricia M Raciti, David A Cohen, Cory A Roberts, Amyn M Rojiani, Christina S Kong, Jo Elle G Peterson, Kristen Johnson, Sue Plath, Suzanne Zein-Eldin Powell
Competency-based medical education has evolved over the past decades to include the Accreditation Council for Graduate Medical Education Accreditation System of resident evaluation based on the Milestones project. Entrustable professional activities represent another means to determine learner proficiency and evaluate educational outcomes in the workplace and training environment. The objective of this project was to develop entrustable professional activities for pathology graduate medical education encompassing primary anatomic and clinical pathology residency training...
January 2017: Acad Pathol
https://www.readbyqxmd.com/read/28716383/nonspecialist-raters-can-provide-reliable-assessments-of-procedural-skills
#9
Oria Mahmood, Julia Dagnæs, Sarah Bube, Malene Rohrsted, Lars Konge
BACKGROUND: Competency-based learning has become a crucial component in medical education. Despite the advantages of competency-based learning, there are still challenges that need to be addressed. Currently, the common perception is that specialist assessment is needed for evaluating procedural skills which is difficult owing to the limited availability of faculty time. The aim of this study was to explore the validity of assessments of video recorded procedures performed by nonspecialist raters...
July 14, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28715481/a-preliminary-evaluation-of-the-training-effects-of-a-didactic-and-simulation-based-psychological-first-aid-program-in-students-and-school-counselors-in-south-korea
#10
Jong-Sun Lee, Sungeun You, Yun-Kyeung Choi, Hyae-Young Youn, Hye Sook Shin
The present study aimed to examine the training effects of a didactic and simulation-based psychological first aid (PFA) program. Based on the competency-based model, the study sought to examine whether the PFA training would enhance knowledge, skills, and attitudes. Study 1 examined the training effects of the PFA program in a sample of undergraduate and graduate students in psychology. Study 2 was conducted with school counselors. In both studies, all participants completed a one-day PFA workshop with a 3-hour didactic lecture and a 3-hour simulation-based practice...
2017: PloS One
https://www.readbyqxmd.com/read/28708987/a-delphi-study-to-validate-competency-based-criteria-to-assess-undergraduate-midwifery-students-competencies-in-the-maternity-ward
#11
M Embo, K Helsloot, N Michels, M Valcke
BACKGROUND: workplace learning plays a crucial role in midwifery education. Twelve midwifery schools in Flanders (Belgium) aimed to implement a standardised and evidence-based method to learn and assess competencies in practice. This study focuses on the validation of competency-based criteria to guide and assess undergraduate midwifery students' postnatal care competencies in the maternity ward. METHOD: an online Delphi study was carried out. During three consecutive sessions, experts from workplaces and schools were invited to score the assessment criteria as to their relevance and feasibility, and to comment on the content and their formulation...
July 6, 2017: Midwifery
https://www.readbyqxmd.com/read/28705360/do-inferences-of-competence-from-faces-predict-political-selection-in-authoritarian-regimes-evidence-from-china
#12
Stan Hok-Wui Wong, Yu Zeng
Candidate appearance is a significant predictor of election outcomes in democracies because voters often make inference of competence based on facial appearance. Do inferences of competence from faces matter in autocracies? In this article, we study the effects of candidate appearance on the selection of three types of Chinese officials: (1) rural deputies elected to a local people's congress (LPC), (2) urban deputies elected to the LPC, and (3) unelected mayors and bureaucrats. We find that facial competence cues are relevant only to the votes received by rural LPC candidates...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#13
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28702456/growing-pains-at-hospitals-opportunities-and-issues-of-service-expansion-in-maximum-care
#14
Juergen Hinkelmann, Joachim Paul Hasebrook, Thomas Volkert, Klaus Hahnenkamp
PURPOSE: Due to the demographic change morbidity raises the demand for medical hospital services as well as a need for medical specialization, while economic and human resources are diminishing. Unlike other industries hospitals do not have sufficient data and adequate models to relate growing demands and increasing performance to growth in staff capacity and to increase in staff competences. METHOD: Based on huge medical data sample covering the years from 2010 to 2014 with more than 150,000 operations of the Department for Anesthesiology at the University Hospital Muenster, Germany, comparisons are drawn between the development of medical services and the development of personnel capacity and expertise...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28694712/creating-physicians-of-the-21st-century-assessment-of-the-clinical-years
#15
Allison A Vanderbilt, Sara Q Perkins, Moriah K Muscaro, Thomas J Papadimos, Reginald F Baugh
Medical education has been under a constant state of revision for the past several years. The overarching theme of the curriculum revisions for medical schools across the USA has been creating better physicians for the 21st century, with the same end result: graduating medical students at the optimal performance level when entering residency. We propose a robust, thorough assessment process that will address the needs of clerkships, residents, students, and, most importantly, medical schools to best measure and improve clinical reasoning skills that are required for the learning outcomes of our future physicians...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28687048/a-core-undergraduate-curriculum-in-plastic-surgery-a-delphi-consensus-study-in-scandinavia
#16
Stian K Almeland, Andrew Lindford, Jais Oliver Berg, Emma Hansson
BACKGROUND AND AIMS: In recent years, undergraduate medical education has undergone a transition from a speciality-based to a more competence-based training system. Consequently, whilst medical knowledge is rapidly expanding, time for teaching of the surgical specialties is decreasing. Thus, there appears to be a need to define the core competences that are to be taught. The aim of this study was to establish a Scandinavian core undergraduate curriculum of competences in plastic surgery, using scientific methods...
July 7, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28683806/evaluating-the-effect-of-the-helping-mothers-survive-bleeding-after-birth-hms-bab-training-in-tanzania-and-uganda-study-protocol-for-a-randomised-controlled-trial
#17
Claudia Hanson, Andrea B Pembe, Fadhlun Alwy, Susan Atuhairwe, Sebalda Leshabari, Jessica Morris, Frank Kaharuza, Gaetano Marrone
BACKGROUND: Postpartum haemorrhage complicates approximately 10% of all deliveries and contributes to at least a quarter of all maternal deaths worldwide. The competency-based Helping Mothers Survive Bleeding after Birth (HMS BAB) training was developed to support evidence-based management of postpartum haemorrhage. This one-day training includes low-cost MamaNatalie® birthing simulators and addresses both prevention and first-line treatment of haemorrhage. While evidence is accumulating that the training improves health provider's knowledge, skills and confidence, evidence is missing as to whether this translates into improved practices and reduced maternal morbidity and mortality...
July 6, 2017: Trials
https://www.readbyqxmd.com/read/28680774/diabetic-ketoacidosis-an-emergency-medicine-simulation-scenario
#18
Reuben Addison, Tate Skinner, Felix Zhou, Michael Parsons
Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. This is particularly important for core cases and low-frequency, high-stakes procedures and encounters. Competency-based medical education has seen widespread adoption in the field along with ongoing work in the areas of undergraduate and postgraduate training. Similarly, effective professional development activities stand to benefit greatly from a more stringent integration of simulation and competency-based approaches...
May 29, 2017: Curēus
https://www.readbyqxmd.com/read/28678133/the-fourth-year-of-medical-school-time-for-reassessment-aoa-critical-issues
#19
Benjamin A Alman, James J Purtill, Vincent D Pellegrini, Peter Scoles
Most U.S. medical schools follow the 4-year model, consisting of 2 preclinical years, core clinical experience, and a fourth year intended to permit students to increase clinical competency, to explore specialty areas, and to transition to residency. Although the design and delivery of Years 1 through 3 have evolved to meet new challenges and expectations, the structure of Year 4 remains largely unchanged. For most students considering a career in orthopaedics, Year 4 is a series of elective rotations in which educational objectives become secondary to interviewing for residency programs...
July 5, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28677051/development-of-a-reliable-simulation-based-test-for-diagnostic-abdominal-ultrasound-with-a-pass-fail-standard-usable-for-mastery-learning
#20
Mia L Østergaard, Kristina R Nielsen, Elisabeth Albrecht-Beste, Lars Konge, Michael B Nielsen
BACKGROUND: This study aimed to develop a test with validity evidence for abdominal diagnostic ultrasound with a pass/fail-standard to facilitate mastery learning. METHOD: The simulator had 150 real-life patient abdominal scans of which 15 cases with 44 findings were selected, representing level 1 from The European Federation of Societies for Ultrasound in Medicine and Biology. Four groups of experience levels were constructed: Novices (medical students), trainees (first-year radiology residents), intermediates (third- to fourth-year radiology residents) and advanced (physicians with ultrasound fellowship)...
July 4, 2017: European Radiology
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