keyword
MENU ▼
Read by QxMD icon Read
search

Medical education autonomy

keyword
https://www.readbyqxmd.com/read/29771271/discontinuing-treatment-against-medical-advice-the-role-of-perceived-autonomy-support-from-providers-in-relapsing-remitting-multiple-sclerosis
#1
Morgan Glusman, Amanda Bruce, Joanie Thelen, Julia Smith, Sharon Lynch, Delwyn Catley, Kimberley K Bennett, Jared Bruce
Background: Long-term medication adherence is problematic among patients with chronic medical conditions. To our knowledge, this was the first study to examine factors associated with nonadherence among patients with relapsing-remitting multiple sclerosis who discontinue disease-modifying treatments against medical advice. Purpose: To examine differences in perceived provider autonomy support between disease-modifying treatment-adherent relapsing-remitting multiple sclerosis patients and relapsing-remitting multiple sclerosis patients who discontinued disease-modifying treatments against medical advice...
May 16, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29771249/-new-italian-law-about-end-of-life-self-determination-and-shared-care-pathway
#2
Rosagemma Ciliberti, Matteo Gulino, Ilaria Gorini
The Italian Parliament has recently approved the Law n. 219/2017 concerning "Rules on informed consent and advance directives". The manuscript points out the main key points of the new law, in order to clarify the role of the advance directives and to provide clear operational guidelines for healthcare personnel. Taking into consideration the Italian deontological and juridical context, along with the main jurisprudential judgements, the law has been analysed. The Authors discussed the new rules and the bioethical issues also in relation to the provisions stated by the Convention on Human Rights and Biomedicine (Convention of Oviedo)...
May 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29756061/anaesthesiology-trainees-and-their-needs-a-romanian-perspective-results-from-a-european-survey
#3
Liana Valeanu, Mihai Stefan, Diogo Sobreira Fernandes, Michela Rauseo, Bernardo Matias, Cornelia Predoi, Serban Bubenek, Daniela Filipescu
Anaesthesiology training is going through continuous transformations worldwide. Recent data from a European Survey on anaesthesiology postgraduate trainees and their concerns have been published for the first time, following an initiative by the European Society of Anaesthesiology. Among the responders of this survey, 10.8% were represented by Romanian trainees. The main needs of the Romanian anaesthesiology trainees who completed the questionnaire were, in descending order educational contents/EDAIC, technical skills, exchange programmes, residency workload, residency costs and autonomy transition...
April 2018: Romanian Journal of Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29730013/the-impact-of-patient-autonomy-on-older-adults-with-asthma
#4
Keerthi R Karamched, Wei Hao, Peter X Song, Laurie Carpenter, Joel Steinberg, Alan P Baptist
BACKGROUND: Understanding patient preferences and desire for involvement in making medical decisions is important when managing chronic conditions. Previous studies have utilized the Autonomy Preference Index (API) in younger asthmatic patients to evaluate these preferences. OBJECTIVE: To identify factors associated with autonomy, and to determine if autonomy is related to asthma outcomes among older adults. METHODS: 189 older adults (>55 yr) with persistent asthma were included...
May 3, 2018: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29728123/the-relationship-between-stress-social-capital-and-quality-of-education-among-medical-residents
#5
Charis Anastasiadis, Andreas Tsounis, Pavlos Sarafis
OBJECTIVE: The educational climate is a key factor in medical education. The study aims to examine the relationship between trainee doctors' perceptions of hospital educational environment, stress and social capital. A cross-sectional study among 104 trainee doctors working in a Greek public hospital was conducted. According to the main hypotheses, perceptions of clinical training are positively associated with social capital and negatively with stress. RESULTS: Perceptions of autonomy dimension of training quality was positively related to community participation, tolerance of diversity and total social capital...
May 4, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29720003/integrating-an-interprofessional-education-initiative-evidence-from-king-abdulaziz-university
#6
Almuatazbellah A Awan, Zuhier A Awan, Lana Alshawwa, Ara Tekian, Yoon Soo Park, Ahmed Altyar
PURPOSE: This paper examines current issues with interprofessional education (IPE) at King Abdulaziz University (KAU) and discusses initiatives for integrating IPE into the medical curricula at KAU. METHODS: We reviewed the current body of literature, studied reports from IPE conferences and workshops organized at KAU, and synthesized participants' feedback from the IPE programs, including an online survey. RESULTS: A total of 506 participants responded to the online survey...
May 2, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29700846/rethinking-medical-oaths-using-the-physician-charter-and-ethical-virtues
#7
Alexander M Greiner, Lauris C Kaldjian
OBJECTIVE: Medical oaths express ethical values that are essential to the trust within the patient-physician relationship and medicine's commitment to society. However, the contents of oaths vary between medical schools and therefore raise questions about which ethical values should be included in a medical oath. More than a decade has passed since this variability was last analysed in North America, and since that time the Physician Charter on Medical Professionalism has gained considerable attention, raising the possibility that the Charter may be influencing medical oaths and making them more consistent...
April 27, 2018: Medical Education
https://www.readbyqxmd.com/read/29697432/remediation-in-practicing-physicians-current-and-alternative-conceptualizations
#8
Gisèle Bourgeois-Law, Pim W Teunissen, Glenn Regehr
Suboptimal performance in practicing physicians is a decades-old problem. The lack of a universally accepted definition of remediation, the paucity of research on best remediation practices, and the ongoing controversy regarding the institutional responsibility for enacting and overseeing this activity suggests that the remediation of physicians is not merely a difficult problem to solve, but a problem that the community does not grapple with meaningfully. Undoubtedly, logistical and political considerations contribute to this state of affairs; however, other underlying conceptual issues may also play a role in the medical profession's difficulties in engaging with the challenges around remediation...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29687469/educational-pelvic-exams-on-anesthetized-women-why-consent-matters
#9
Phoebe Friesen
It is argued here that the practice of medical students performing pelvic exams on women who are under anesthetic and have not consented is immoral and indefensible. This argument begins by laying out the ethical justification for the practice of informed consent, which can be found in autonomy and basic rights. Foregoing the process of consent within medicine can result in violations of both autonomy and basic rights, as well as trust, forming the basis of the wrong of unauthorized pelvic examinations. Several objections to this argument are considered, all of which stem from the idea that this practice constitutes an exception to the general requirement of informed consent...
April 23, 2018: Bioethics
https://www.readbyqxmd.com/read/29664666/adherence-to-principles-of-medical-ethics-among-physicians-in-mazandaran-province-iran
#10
Ahmad Ghaderi, Farhad Malek, Mohammad Mohammadi, Somayeh Rostami Maskopaii, Amir Hamta, Seyyed Abdollah Madani
BACKGROUND: Considering that medical ethics is an applied subject providing systematic solutions to help physicians with moral issues, this research aimed to evaluate adherence to the principles of medical ethics among physicians on the basis of attitude of physicians of Mazandaran province. METHODS: This cross-sectional study was conducted in Mazandaran province, Iran during 2015. A researcher-made questionnaire was used for data collection. The questionnaire was first completed by 40 physicians and its reliability was confirmed by obtaining a Cronbach's alpha coefficient equal to 0...
January 1, 2018: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29656704/phenomenon-of-moral-distress-through-the-aspect-of-interpretive-interactionism
#11
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu, Shu-Li Lee
BACKGROUND: Most previous studies on moral distress focused on the factors that cause moral distress, paying inadequate attention to the moral conflict of nurses' values, the physician-nurse power hierarchy, and the influence of the culture. RESEARCH OBJECTIVE: To analyze the main causes for moral distress with interpretive interactionism. RESEARCH DESIGN: A qualitative study was adopted. PARTICIPANTS: Through purposeful sampling, 32 nurses from 12 different departments were chosen as the samples...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29656694/pre-specialization-considerations-for-more-focused-and-personalized-educational-modules-in-the-twenty-first-century
#12
Jason J Han, Neha Vapiwala
BACKGROUND: This essay provides a multidisciplinary discussion of the current medical education curriculum and the increasing need to adapt it to our rapidly evolving and expanding healthcare environment. METHODS: Thorough literature search on the topic of medical school curriculum, ranging from its historical origins to contemporary practice as well as statistics, was conducted. RESULTS: The authors give a brief historical overview of and rationale behind the current structure of the medical education system in America...
April 14, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29619357/factors-influencing-american-plastic-surgery-residents-toward-an-academic-career
#13
Matthew D Chetta, Kristoffer B Sugg, Rafael J Diaz-Garcia, Steven J Kasten
Background: Plastic surgery residency program directors have an interest in recruiting applicants who show an interest in an academic practice. Medical school achievements (ie, United States Medical Licensing Examination® scores, publications, and Alpha Omega Alpha status) are metrics assessed to grade applicants but may not correlate with ultimately choosing an academic career. Objective: This study was designed to investigate factors influencing residents' choices for or against academic careers...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29605143/refusal-of-recommended-maternity-care-time-to-make-a-pact-with-women
#14
Bec Jenkinson, Sue Kruske, Sue Kildea
BACKGROUND: The right to refuse medical treatment can be contentious in maternity care. Professional guidance for midwives and obstetricians emphasises informed consent and respect for patient autonomy, but there is little guidance available to clinicians about the appropriate clinical responses when women decline recommended care. OBJECTIVES: We propose a comprehensive, woman-centred, systems-level framework for documentation and communication with the goal of supporting women, clinicians and health services in situations of maternal refusal...
March 28, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29587567/exploring-moral-problems-and-moral-competences-in-midwifery-a-qualitative-study
#15
Stephan Oelhafen, Settimio Monteverde, Eva Cignacco
BACKGROUND: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. OBJECTIVE: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29573461/health-system-organizational-reform-in-governing-iranian-public-hospitals-a-content-analysis-to-comprehend-the-barriers-in-board-of-trustees-hospitals
#16
Mehdi Jafari, Amin Habibirad, Arefeh Pourtaleb, Mohammad Hossein Salarianzadeh
BACKGROUND: Since the early 1990s, Iran has initiated structural and decentralization reforms in the hospital system. This policy led to the formation of a Board of Trustees (BOTs) for the governing of public educational hospitals and making important modifications in hospitals' financing. This study was conducted to identify the barriers in implementing this policy. METHODS: All the Iranian Medical Sciences Universities and hospitals involved in the policy implementation were included in this qualitative study...
March 24, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29572920/stakes-in-the-eye-of-the-beholder-an-international-study-of-learners-perceptions-within-programmatic-assessment
#17
Suzanne Schut, Erik Driessen, Jan van Tartwijk, Cees van der Vleuten, Sylvia Heeneman
OBJECTIVES: Within programmatic assessment, the ambition is to simultaneously optimise the feedback and the decision-making function of assessment. In this approach, individual assessments are intended to be low stakes. In practice, however, learners often perceive assessments designed to be low stakes as high stakes. In this study, we explored how learners perceive assessment stakes within programmatic assessment and which factors influence these perceptions. METHODS: Twenty-six learners were interviewed from three different countries and five different programmes, ranging from undergraduate to postgraduate medical education...
March 24, 2018: Medical Education
https://www.readbyqxmd.com/read/29569564/pilot-study-effectiveness-of-a-training-program-about-autonomy-in-elderly-patients-hospitalized-after-an-acute-episode
#18
Antoine Vignoles, Sophie Watelet, Thomas Gilbert, Mahdi Harchaoui, Marine Haution-Bitker, Joanna Jacoud, Claire Falandry, Marc Bonnefoy
Patients hospitalized in rehabilitation after an acute episode is at high risk of functional impairment and require active measures to prevent loss of autonomy. Resistance training has been proved beneficial to improve physical performances of aged subjects in the community. However, the feasibility and effects of training programs has never been assessed among hospitalized patients after an acute medical episode. In this pilot study, we aimed to evaluate a personalized training program of adapted physical education teacher combining muscular reinforcement and endurance training among patients over 65 year-old hospitalized in a geriatric rehabilitation care setting...
March 1, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29565717/determinants-of-pediatric-ems-utilization-in-children-with-high-acuity-conditions
#19
Casandra Quiñones, Manish I Shah, Andrea T Cruz, Jeanine M Graf, Juan A Mondragon, Elizabeth A Camp, Pooja Reddy, Esther M Sampayo
BACKGROUND: Underutilization of emergency medical services (EMS) for children with high-acuity conditions is poorly understood. Our objective was to identify differences in demographic factors and describe caregivers' knowledge, beliefs, and attitudes regarding EMS utilization for children with high-acuity conditions. DESIGN/METHODS: This was a mixed-methods study of children with high acuity conditions, defined as requiring immediate medical or surgical intervention and intensive care admission, over a one year period...
March 22, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29561691/dual-autonomies-divergent-approaches-how-stratification-in-medical-education-shapes-approaches-to-patient-care
#20
Tania M Jenkins
The United States relies on international and osteopathic medical graduates ("non-USMDs") to fill one third of residency positions because of a shortage of American MD graduates ("USMDs"). Non-USMDs are often informally excluded from top residency positions, while USMDs tend to fill the most prestigious residencies. Little is known, however, about whether the training in these different settings is comparable or how it impacts patients. Drawing on 23 months of ethnographic fieldwork and 123 interviews, I compare training at two internal medicine programs: a community hospital staffing 90% non-USMDs and a university hospital staffing 99% USMDs...
March 1, 2018: Journal of Health and Social Behavior
keyword
keyword
90511
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"