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https://www.readbyqxmd.com/read/28537691/the-influence-of-previous-robotic-experience-in-the-initial-learning-curve-of-laparoscopic-radical-prostatectomy
#1
José Anastácio Dias, Marcos F Dall'oglio, João Roberto Colombo, Rafael F Coelho, William Carlos Nahas
INTRODUCTION: This study analyzed the impact of the experience with Robotic-Assisted Laparoscopic Prostatectomy (RALP) on the initial experience with Laparoscopic Radical Prostatectomy (LRP) by examining perioperative results and early outcomes of 110 patients. LRPs were performed by two ro-botic fellowship trained surgeons with daily practice in RALP. PATIENTS AND METHODS: 110 LRP were performed to treat aleatory selected patients. The patients were divided into 4 groups for prospective analyses...
May 23, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28534277/how-do-small-groups-make-decisions-a-theoretical-framework-to-inform-the-implementation-and-study-of-clinical-competency-committees
#2
Saad Chahine, Sayra Cristancho, Jessica Padgett, Lorelei Lingard
In the competency-based medical education (CBME) approach, clinical competency committees are responsible for making decisions about trainees' competence. However, we currently lack a theoretical model for group decision-making to inform this emerging assessment phenomenon. This paper proposes an organizing framework to study and guide the decision-making processes of clinical competency committees.This is an explanatory, non-exhaustive review, tailored to identify relevant theoretical and evidence-based papers related to small group decision-making...
May 22, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28532631/competency-based-medical-education-and-assessment-of-training-review-of-selected-national-obstetrics-and-gynaecology-curricula
#3
Milena Garofalo, Rajesh Aggarwal
There are global variations in obstetrics and gynaecology (OBGYN) training curricula, both in length and in their structure and content. The ultimate goal for all residency programs is to ensure a skilled, competent physician, capable of independent practice by the end of his or her training. An online search was used for nationally recognized OBGYN training curricula. The curricula of Australia, Canada, the Netherlands, the United Kingdom, and the United States were individually reviewed and evaluated for their use of competency-based medical education and methods of assessment, including simulation...
May 19, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28532552/nephrology-education-and-continuing-education-in-resource-limited-settings
#4
REVIEW
Tushar J Vachharajani, Aminu K Bello, Rhys Evans, Gavin Dreyer, Quentin Eichbaum
Nephrology training programs in high-income countries have transitioned from an apprenticeship model to a well-structured, resource-driven model that supports continual professional development. In contrast, in low- and middle-income countries, medical training and in particular nephrology training has lagged behind owing to resource limitations. Some of the challenges to adequately provide training to health care professionals in low- and middle-income countries include shortage of teaching faculty, difficulty in developing curricula to meet regional needs, and a lack of resources to provide competency-based medical education...
May 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28528939/aga-white-paper-training-and-implementation-of-endoscopic-image-enhancement-technologies
#5
Neil Gupta, Joel V Brill, Marcia Canto, Daniel DeMarco, Brian M Fennerty, Loren Laine, David Lieberman, Charles Lightdale, Elizabeth Montgomery, Robert Odze, Douglas Rex, Prateek Sharma, Jeffrey L Tokar, Michael L Kochman
Endoscopic image-enhancement technologies provide opportunities to visualize normal and abnormal tissues within the gastrointestinal (GI) tract in a manner that complements conventional white light endoscopic imaging. The additional information that is obtained enables the endoscopist to better identify, delineate, and characterize lesions and can facilitate targeted biopsies or, in some cases, eliminate the need to send samples for histologic analysis. Some of these technologies have been available for more than a decade, but despite this fact, there is limited use of these technologies by endoscopists...
June 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28516341/fairness-the-hidden-challenge-for-competency-based-postgraduate-medical-education-programs
#6
Colleen Y Colbert, Judith C French, Mary Elizabeth Herring, Elaine F Dannefer
Competency-based medical education systems allow institutions to individualize teaching practices to meet the needs of diverse learners. Yet, the focus on continuous improvement and individualization of curricula does not exempt programs from treating learners in a fair manner. When learners fail to meet key competencies and are placed on probation or dismissed from training programs, issues of fairness may form the basis of their legal claims. In a literature search, we found no in-depth examination of fairness...
May 17, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28511730/simulation-in-canadian-postgraduate-emergency-medicine-training-a-national-survey
#7
Evan Russell, Andrew Koch Hall, Carly Hagel, Andrew Petrosoniak, Jeffrey Damon Dagnone, Daniel Howes
OBJECTIVES: Simulation-based education (SBE) is an important training strategy in emergency medicine (EM) postgraduate programs. This study sought to characterize the use of simulation in FRCPC-EM residency programs across Canada. METHODS: A national survey was administered to residents and knowledgeable program representatives (PRs) at all Canadian FRCPC-EM programs. Survey question themes included simulation program characteristics, the frequency of resident participation, the location and administration of SBE, institutional barriers, interprofessional involvement, content, assessment strategies, and attitudes about SBE...
May 17, 2017: CJEM
https://www.readbyqxmd.com/read/28503310/individual-capacity-building-approaches-in-a-global-pharmaceutical-systems-strengthening-program-a-selected-review
#8
Niranjan Konduri, Megan Rauscher, Shiou-Chu Judy Wang, Tanya Malpica-Llanos
BACKGROUND: Medicines use related challenges such as inadequate adherence, high levels of antimicrobial resistance and preventable adverse drug reactions have underscored the need to incorporate pharmaceutical services to help achieve desired treatment outcomes, and protect patients from inappropriate use of medicines. This situation is further constrained by insufficient numbers of pharmaceutical personnel and inappropriate skill mix. Studies have addressed individual capacity building approaches of logistics, supply chain or disease specific interventions but few have documented those involving such pharmacy assistants/professionals, or health workers/professionals charged with improving access and provision of pharmaceutical services...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28501116/usefulness-of-virtual-reality-in-assessment-of-medical-student-laparoscopic-skill
#9
Josh Matzke, Craig Ziegler, Kevin Martin, Stuart Crawford, Erica Sutton
BACKGROUND: This study evaluates if undergraduate medical trainees' laparoscopic skills acquisition could be assessed using a virtual reality (VR) simulator and how the resultant metrics correlate with performance of Fundamentals of Laparoscopic Surgery (FLS) tasks. Our hypothesis is that the VR simulator metrics will correlate with passing results in a competency-based curriculum (FLS). MATERIALS AND METHODS: Twenty-eight fourth-year medical students applying for surgical residency were recruited to participate in a VR training curriculum comprised of camera navigation, hand eye coordination, and FLS tasks: circle cutting (CC), ligating loop (LL), peg transfer (PT), and intracorporeal knot tying (IKT)...
May 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28498592/wpa-international-competency-based-curriculum-for-mental-health-providers-on-intimate-partner-violence-and-sexual-violence-against-women
#10
Donna E Stewart, Prabha S Chandra
No abstract text is available yet for this article.
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28498034/assessment-of-resident-physicians-communicator-and-collaborator-competencies-by-interprofessional-clinicians-a-mixed-methods-study
#11
Lyn K Sonnenberg, Lesley Pritchard-Wiart, Carol S Hodgson, YongQiang Yu, Sharla King
Phenomenon: As we move toward competency-based medical education, greater emphasis is being placed on assessing a more comprehensive skill set, including the ability to communicate and collaborate effectively in the workplace. Nonphysician members on interprofessional (IP) teams have valuable perspectives on actual resident performance and are often not adequately engaged in the provision of feedback to residents. Based on the educational theories of collaborative evaluation and social constructivism, this research examined the ability of IP clinicians to provide feedback to residents...
May 12, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28480054/education-and-training-of-clinical-and-translational-study-investigators-and-research-coordinators-a-competency-based-approach
#12
Nancy A Calvin-Naylor, Carolynn Thomas Jones, Michelle M Wartak, Karen Blackwell, Jonathan M Davis, Ruthvick Divecha, Edward F Ellerbeck, Karl Kieburtz, Margaret J Koziel, Katherine Luzuriaga, Jennifer Maddox, Nancy A Needler, Susan Murphy, Kieran Pemberton, Catherine Radovich, Eric P Rubinstein, Harry P Selker, Pamela Tenaerts, Kelly Unsworth, Kay Wilson, Jonelle E Wright, Richard Barohn, Thomas P Shanley
INTRODUCTION: Training for the clinical research workforce does not sufficiently prepare workers for today's scientific complexity; deficiencies may be ameliorated with training. The Enhancing Clinical Research Professionals' Training and Qualifications developed competency standards for principal investigators and clinical research coordinators. METHODS: Clinical and Translational Science Awards representatives refined competency statements. Working groups developed assessments, identified training, and highlighted gaps...
February 2017: J Clin Transl Sci
https://www.readbyqxmd.com/read/28470541/developing-a-peer-mentorship-program-to-increase-competence-in-clinical-supervision-in-clinical-psychology-doctoral-training-programs
#13
Aleksandra A Foxwell, Beth D Kennard, Cynthia Rodgers, Kristin L Wolfe, Hannah F Cassedy, Anna Thomas
OBJECTIVES: Supervision has recently been recognized as a core competency for clinical psychologists. This recognition of supervision as a distinct competency has evolved in the context of an overall focus on competency-based education and training in health service psychology, and has recently gained momentum. Few clinical psychology doctoral programs offer formal training experiences in providing supervision. METHODS: A pilot peer mentorship program (PMP) where graduate students were trained in the knowledge and practice of supervision was developed...
May 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28469315/fine-needle-aspiration-biopsy-an-entrustable-professional-activity-in-cytopathology-postgraduate-training
#14
Harresh B Kumar, Amir M Khan, Vinod K Arora, Navjeevan Singh
CONTEXT: In the context of competency-based medical education being advocated worldwide, fine needle aspiration biopsy (FNAB) is considered as an entrustable professional activity (EPA). There is no information regarding how much time and training are required to achieve a "competent level" for performing and documenting FNAB in the Indian context. AIM: To determine the time taken by an average postgraduate pathology trainee to become competent in performing FNAB with respect to history taking, clinical examination, and fine needle aspirate adequacy...
April 2017: Journal of Cytology
https://www.readbyqxmd.com/read/28463897/how-do-thresholds-of-principle-and-preference-influence-surgeon-assessments-of-learner-performance
#15
Tavis Apramian, Sayra Cristancho, Alp Sener, Lorelei Lingard
OBJECTIVE: The present study asks whether intraoperative principles are shared among faculty in a single residency program and explores how surgeons' individual thresholds between principles and preferences might influence assessment. BACKGROUND: Surgical education continues to face significant challenges in the implementation of intraoperative assessment. Competency-based medical education assumes the possibility of a shared standard of competence, but intersurgeon variation is prevalent and, at times, valued in surgical education...
May 1, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28462741/medicines-reablement-in-intermediate-health-and-social-care-services
#16
Kate Gerrish, Sara Laker, Sarah Wright, Wendy Stainrod
Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. BACKGROUND: Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients' independence through reablement. The term 'medicines reablement' describes the process of rehabilitating patients to be independent with their medication...
May 2, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28461635/types-of-feedback-in-competency-based-predoctoral-orthodontics-effects-on-students-attitudes-and-confidence
#17
Mitchell J Lipp, Kiyoung Cho, Han Suk Kim
Feedback can exert a powerful influence on learning and achievement although its effect varies. The aim of this study was to investigate the effects of three types of feedback on dental students' attitudes and confidence in a competency-based course in predoctoral orthodontics at New York University College of Dentistry. In 2013-14, all 253 third-year students in a course using test-enhanced instructional methods received written feedback on formative assessments. The type of feedback varied across three groups: pass/fail grades (PF) N=77, emoticons (EM) N=90, or written comments (WC) N=86...
May 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28459259/using-standardized-patients-as-a-means-of-training-and-evaluating-behavioral-health-consultants-in-primary-care
#18
Neftali Serrano, Travis A Cos, Suzanne Daub, Natalie Levkovich
INTRODUCTION: The Health Federation of Philadelphia, which hosts a network of Behavioral Health Consultants (BHC) operating within the Primary Care Behavioral Health model (PCBH), identified a need to systematically evaluate PCBH model fidelity and to rigorously evaluate the competency assessment process to further their workforce development. A simulated patient exercise was developed for evaluating BHC PCBH specific competencies. METHOD: A simulated BHC encounter was held at a clinical learning center using standardized patients, repeated twice over 2 years...
May 1, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28447028/flipping-classrooms-in-a-school-of-public-health
#19
Steven W Howard, Darcell P Scharff, Travis M Loux
Alternative course formats are gaining increasing attention in higher education. The literature provides a number of examples and studies of flipped classrooms in the medical sciences and liberal arts and sciences. However, fewer than five papers on flipped classes in graduate public health courses have been published, and none in health management. Because graduate public health education is competency based, it seems that a flipped approach with its applied nature would be an appropriate form of teaching public health courses...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28442941/competency-based-tool-for-evaluation-of-community-based-training-in-undergraduate-medical-education-in-india-a-delphi-approach
#20
Hemant Deepak Shewade, Kathiresan Jeyashree, Selvaraj Kalaiselvi, Chinnakali Palanivel, Krishna Chandra Panigrahi
INTRODUCTION: A community-based training (CBT) program, where teaching and training are carried out in the community outside of the teaching hospital, is a vital part of undergraduate medical education. Worldwide, there is a shift to competency-based training, and CBT is no exception. We attempted to develop a tool that uses a competency-based approach for assessment of CBT. METHODS: Based on a review on competencies, we prepared a preliminary list of major domains with items under each domain...
2017: Advances in Medical Education and Practice
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