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https://www.readbyqxmd.com/read/28812935/motivations-for-learning-of-family-medicine-residents-trained-in-competency-based-education
#1
Oksana Babenko, Olga Szafran, Sudha Koppula, Lillian Au
BACKGROUND AND OBJECTIVE: Family physicians regularly encounter clinical uncertainty and ambiguity and thus, are expected to engage in on-going learning to respond to changing needs of family practice. Using Achievement Goal Theory, the objective of this study was to examine motivations for learning of family medicine residents in a competency-based program. METHOD: This was a cross-sectional study, employing a survey methodology with family medicine residents at the mid-point of training at a Canadian university...
August 16, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28809588/applying-adult-development-theories-to-improvement-science
#2
Sofia Kjellström, Ann-Christine Andersson
Purpose The purpose of this paper is to address how adult development (AD) theories can contribute to quality improvement (QI). Design/methodology/approach A theoretical analysis and discussion on how personal development empirical findings can relate to QI and Deming's four improvement knowledge domains. Findings AD research shows that professionals have qualitatively diverse ways of meaning-making and ways to approach possibilities in improvement efforts. Therefore, professionals with more complex meaning-making capacities are needed to create successful transformational changes and learning, with the recognition that system knowledge is a developmental capacity...
August 14, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28807104/understanding-practitioner-professionalism-in-aboriginal-and-torres-strait-islander-health-lessons-from-student-and-registrar-placements-at-an-urban-aboriginal-and-torres-strait-islander-primary-healthcare-service
#3
Deborah A Askew, Vivian J Lyall, Shaun C Ewen, David Paul, Melissa Wheeler
Aboriginal and Torres Strait Islander peoples continue to be pathologised in medical curriculum, leaving graduates feeling unequipped to effectively work cross-culturally. These factors create barriers to culturally safe health care for Aboriginal and Torres Strait Islander peoples. In this pilot pre-post study, the learning experiences of seven medical students and four medical registrars undertaking clinical placements at an urban Aboriginal and Torres Strait Islander primary healthcare service in 2014 were followed...
August 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28803724/implementation-and-outcomes-of-an-evidence-based-precepting-program-for-burn-nurses
#4
Johnnie R Robbins, Krystal K Valdez-Delgado, Nicole W Caldwell, Linda H Yoder, Elizabeth J Hayes, Michaèl G Barba, Hope L Greeley, Colleen Mitchell, Elizabeth A Mann-Salinas
INTRODUCTION: There is significant nationwide interest in transitioning new and new-to-specialty nurses into practice, especially in burn care. Lack of a structured transition program in our Burn Center was recognized as a contributing factor for nursing dissatisfaction and increased turnover compared to other hospital units. Employee evaluations exposed a need for more didactic instruction, hands-on learning, and preceptor support. The goal of this project was to implement an evidence-based transition to practice program specific to the burn specialty...
August 10, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28799281/cultivating-a-culture-of-research-in-nursing-through-a-journal-club-for-leaders-a-pilot-study
#5
Mette Kjerholt, Bibi Hølge-Hazelton
AIM: To describe whether an action learning-inspired journal club for nurse leaders can develop the leaders' self-perceived competences to support a research culture in clinical nursing practice. BACKGROUND: Development of clinical research capacity and nurse leaders with the requisite competences are key factors in evidence-based health care practice. This study describes how nurse leaders at a large regional hospital took part in a journal club for nurse leaders, with a view to developing their competences to support a nursing research culture in their departments...
August 10, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28783920/training-in-endoscopy-colonoscopy
#6
REVIEW
Hyun Joo Jang
Colonoscopy is effective in reducing the morbidity and mortality associated with colorectal cancer (CRC). Interval cancers or post-colonoscopy CRCs, are cancers detected within the surveillance interval, or between 6-36 months after a clearing colonoscopy. The incidence of interval cancers is 3.4%-9.2% of all detected CRCs, as reported in population-based studies. Colonoscopy is a technically difficult procedure that is challenging to learn, and needs time and effort to gain competency. Therefore, trainee competence is a critical component of CRC screening and surveillance...
July 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28780955/a-review-of-peer-assisted-learning-to-deliver-interprofessional-supplementary-image-interpretation-skills
#7
REVIEW
P Bain, A Wareing, I Henderson
BACKGROUND: Peer-assisted learning provides a means through which individuals can learn from one another through a reciprocal process. Radiographic image interpretation skills are fundamental to both diagnostic radiography students and medical students due to their shared role in preliminary evaluation of conventional radiographic images. Medical students on graduation, may not be well prepared to carry out image interpretation, since evidence suggests that they perform less well than radiographers in e...
September 2017: Radiography
https://www.readbyqxmd.com/read/28777763/training-therapists-to-perform-pre-employment-functional-assessments-a%C3%A2-telerehabilitation-approach
#8
Zoë Cotton, Trevor Russell, Venerina Johnston, Jennifer Legge
BACKGROUND: Pre-Employment Functional Assessments (PEFA) are increasingly used in an attempt to obtain objective information on a potential employee's functional capabilities. In rural and remote communities, there is typically reduced access to qualified therapists to perform these assessments, in part attributable to the time and costs associated with travelling to training courses. One potential method of providing the relevant training to conduct PEFAs is through the use of technologies such as videoconferencing or internet-based modules...
August 1, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28774435/improving-dense-conditional-random-field-for-retinal-vessel-segmentation-by-discriminative-feature-learning-and-thin-vessel-enhancement
#9
Lei Zhou, Qi Yu, Xun Xu, Yun Gu, Jie Yang
BACKGROUND AND OBJECTIVES: As retinal vessels in color fundus images are thin and elongated structures, standard pairwise based random fields, which always suffer the "shrinking bias" problem, are not competent for such segmentation task. Recently, a dense conditional random field (CRF) model has been successfully used in retinal vessel segmentation. Its corresponding energy function is formulated as a linear combination of several unary features and a pairwise term. However, the hand-crafted unary features can be suboptimal in terms of linear models...
September 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28768111/providing-pediatric-palliative-care-education-using-problem-based-learning
#10
Karen Moody, Marlene McHugh, Rebecca Baker, Hillel Cohen, Priya Pinto, Stephanie Deutsch, Ruth O Santizo, Miriam Schechter, James Fausto, Pablo Joo
BACKGROUND: The Institute of Medicine and the American Academy of Pediatrics has called for improvement in education and training of pediatricians in pediatric palliative care (PPC). Given the shortage of PPC physicians and the immediate need for PPC medical education, this study reports the outcomes of a problem-based learning (PBL) module facilitated by academic general and subspecialty pediatric faculty (non-PPC specialists) to third year medical students. Objectives/Setting: To test the effectiveness of a PPC-PBL module on third year medical students' and pediatric faculty's declarative knowledge, attitudes toward, perceived exposure, and self-assessed competency in PPC objectives...
August 2, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28765467/dental-education-required-for-the-changing-health-care-environment
#11
Margherita Fontana, Carlos González-Cabezas, Tracy de Peralta, David C Johnsen
To be able to meet the demands for care in 2040, dental graduates will need to address challenges resulting from the rapidly changing health care environment with knowledge and sets of skills to build on current standards and adapt to the future. The purposes of this article are to 1) analyze key challenges likely to evolve considerably between now and 2040 that will impact dental education and practice and 2) propose several sets of skills and educational outcomes necessary to address these challenges. The challenges discussed include changes in prevalence of oral diseases, dental practice patterns, materials and technologies, integrated medical-dental care, role of electronic health records, cultural competence, integrated curricula, interprofessional education, specialty-general balance, and web/cloud-based collaborations...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28762305/promoting-community-conversations-about-research-to-end-suicide-learning-and-behavioural-outcomes-of-a-training-of-trainers-model-to-facilitate-grassroots-community-health-education-to-address-indigenous-youth-suicide-prevention
#12
Lisa Wexler, Lucas Trout, Suzanne Rataj, Tanya Kirk, Roberta Moto, Diane McEachern
Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of-trainers model...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28759606/spaced-education-in-medical-residents-an-electronic-intervention-to-improve-competency-and-retention-of-medical-knowledge
#13
Jason Matos, Camille R Petri, Kenneth J Mukamal, Anita Vanka
BACKGROUND: Spaced education is a novel method that improves medical education through online repetition of core principles often paired with multiple-choice questions. This model is a proven teaching tool for medical students, but its effect on resident learning is less established. We hypothesized that repetition of key clinical concepts in a "Clinical Pearls" format would improve knowledge retention in medical residents. METHODS: This study investigated spaced education with particular emphasis on using a novel, email-based reinforcement program, and a randomized, self-matched design, in which residents were quizzed on medical knowledge that was either reinforced or not with electronically-administered spaced education...
2017: PloS One
https://www.readbyqxmd.com/read/28759501/ultrasound-guided-regional-anesthesia-simulation-training-a-systematic-review
#14
Xiao Xu Chen, Vatsal Trivedi, AbdulHadi A AlSaflan, Suzanne Clare Todd, Andrea C Tricco, Colin J L McCartney, Sylvain Boet
BACKGROUND AND OBJECTIVES: Ultrasound-guided regional anesthesia (UGRA) has become the criterion standard of regional anesthesia practice. Ultrasound-guided regional anesthesia teaching programs often use simulation, and guidelines have been published to help guide URGA education. This systematic review aimed to examine the effectiveness of simulation-based education for the acquisition and maintenance of competence in UGRA. METHODS: Studies identified in MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC were included if they assessed simulation-based UGRA teaching with outcomes measured at Kirkpatrick level 2 (knowledge and skills), 3 (transfer of learning to the workplace), or 4 (patient outcomes)...
July 28, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28759095/ready-for-residency-a-bloomian-analysis-of-competency-based-osteopathic-medical-education
#15
Kyle Rosenberger, Daniel Skinner, Jody Monk
Context: Bloom's Taxonomy is a widely accepted tool for analyzing learning objectives, creating assessment materials, and ensuring that students move progressively through various levels of knowledge and cognition. Competency-based osteopathic medical education has, to the authors' knowledge, yet to be subjected to systematic bloomian analysis. Objective: To advance a bloomian analysis of competencies published by the American Association of Colleges of Osteopathic Medicine (AACOM) and draw consequences of that analysis for undergraduate osteopathic medical education...
August 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28757901/teacher-competence-in-mindfulness-based-cognitive-therapy-for-depression-and-its-relation-to-treatment-outcome
#16
Marloes J Huijbers, Rebecca S Crane, Willem Kuyken, Lot Heijke, Ingrid van den Hout, A Rogier T Donders, Anne E M Speckens
As mindfulness-based cognitive therapy (MBCT) becomes an increasingly mainstream approach for recurrent depression, there is a growing need for practitioners who are able to teach MBCT. The requirements for being competent as a mindfulness-based teacher include personal meditation practice and at least a year of additional professional training. This study is the first to investigate the relationship between MBCT teacher competence and several key dimensions of MBCT treatment outcomes. Patients with recurrent depression in remission (N = 241) participated in a multi-centre trial of MBCT, provided by 15 teachers...
2017: Mindfulness
https://www.readbyqxmd.com/read/28752196/persistent-disadvantages-or-new-opportunities-the-role-of-agency-and-structural-constraints-for-low-achieving-adolescents-school-to-work-transitions
#17
Anne Christine Holtmann, Laura Menze, Heike Solga
School leavers with low educational attainment face great difficulties in their school-to-work transitions. They are, however, quite heterogeneous in terms of their personal and social resources. These within-group differences may influence who shows initiative during the school-to-work transition period and thereby helps employers recognize their learning potential at labor market entry. Yet this recognition also depends on the ways employers select applicants, which may prevent them from discovering such within-group differences...
July 27, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/28751486/profiles-of-children-s-social-emotional-health-at-school-entry-and-associated-income-gender-and-language-inequalities-a-cross-sectional-population-based-study-in-british-columbia-canada
#18
Kimberly C Thomson, Martin Guhn, Chris G Richardson, Tavinder K Ark, Jean Shoveller
OBJECTIVES: Early identification of distinct patterns of child social-emotional strengths and vulnerabilities has the potential to improve our understanding of child mental health and well-being; however, few studies have explored natural groupings of indicators of child vulnerability and strengths at a population level. The purpose of this study was to examine heterogeneity in the patterns of young children's social and emotional health and investigate the extent to which sociodemographic characteristics were associated...
July 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/28750549/the-role-of-movement-errors-in-modifying-spatiotemporal-gait-asymmetry-post-stroke-a-randomized-controlled-trial
#19
Michael D Lewek, Carty H Braun, Clint Wutzke, Carol Giuliani
OBJECTIVE: Current rehabilitation to improve gait symmetry following stroke is based on one of two competing motor learning strategies: minimizing or augmenting symmetry errors. We sought to determine which of those motor learning strategies best improves overground spatiotemporal gait symmetry. DESIGN: Randomized controlled trial. SETTING: Rehabilitation research lab. SUBJECTS: In all, 47 participants (59 ± 12 years old) with chronic hemiparesis post stroke and spatiotemporal gait asymmetry were randomized to error augmentation, error minimization, or conventional treadmill training (control) groups...
July 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28747207/lessons-learnt-from-the-magnet-malawian-german-hospital-partnership-the-german-perspective-on-contributions-to-patient-care-and-capacity-development
#20
Florian Neuhann, Sandra Barteit
BACKGROUND: Malawi is a low-income country with one of the highest HIV prevalence rates worldwide (Kendig et al., Trop Med Health 41:163-170, 2013). The health system depends largely on external funding. Official German development aid has supported health care in Malawi for many years (German Embassy Lilongwe, The German Development Cooperation in Malawi), including placing medical doctors in various departments of the Kamuzu Central Hospital (KCH) in Lilongwe. In 2008, a hospital partnership called MAGNET (Malawi German Networking for Capacity Building in Treatment, Training and Research at KCH) evolved as part of the German ESTHER network...
July 26, 2017: Globalization and Health
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