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competency based learning

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https://www.readbyqxmd.com/read/29457915/how-good-are-we-at-selecting-students-that-meet-our-mission-outcomes-of-the-2011-and-2012-entering-classes-selected-by-a-locally-developed-multiple-mini-interview
#1
Carol A Terregino, H Liesel Copeland, Sonia Garcia Laumbach, Daniel Mehan, Dana Dunleavy, Thomas Geiger
BACKGROUND: Can a locally developed multiple mini interview (MMI) process lead to outcomes reflective of local values and mission? METHODS: In 2017, the authors performed a retrospective analysis of the relationship of MMI with multiple-choice-based outcomes and non-multiple-choice-based outcomes, including clerkship competencies, OSCE, scholarship/service/leadership, academic honor society induction, peer and faculty humanism nominations, and overall performance at graduation for two entering classes with acceptance decisions based exclusively on a locally developed MMI...
February 19, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29457585/training-nurses-in-a-competency-framework-to-support-adults-with-epilepsy-and-intellectual-disability-the-epaid-cluster-rct
#2
Howard Ring, James Howlett, Mark Pennington, Christopher Smith, Marcus Redley, Caroline Murphy, Roxanne Hook, Adam Platt, Nakita Gilbert, Elizabeth Jones, Joanna Kelly, Angela Pullen, Adrian Mander, Cam Donaldson, Simon Rowe, James Wason, Fiona Irvine
BACKGROUND: People with an intellectual (learning) disability (ID) and epilepsy have an increased seizure frequency, higher frequencies of multiple antiepileptic drug (AED) use and side effects, higher treatment costs, higher mortality rates and more behavioural problems than the rest of the population with epilepsy. The introduction of nurse-led care may lead to improvements in outcome for those with an ID and epilepsy; however, this has not been tested in a definitive clinical trial...
February 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29456118/simulation-in-paediatric-urology-and-surgery-part-2-an-overview-of-simulation-modalities-and-their-applications
#3
REVIEW
R M Nataraja, N Webb, P J Lopez
Surgical training has changed radically in the last few decades. The traditional Halstedian model of time-bound apprenticeship has been replaced with competency-based training. In our previous article, we presented an overview of learning theory relevant to clinical teaching; a summary for the busy paediatric surgeon and urologist. We introduced the concepts underpinning current changes in surgical education and training. In this next article, we give an overview of the various modalities of surgical simulation, the educational principles that underlie them, and potential applications in clinical practice...
February 2, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29443716/time-for-an-acute-focus-on-chronic-care-in-undergraduate-medical-education
#4
Connie R Shi, Vinod E Nambudiri
As the burdens of chronic disease rise in the United States, both undergraduate and graduate medical education must adapt to adequately equip future physicians with the skills to manage the increasingly complex health needs affecting the population. However, traditional models of undergraduate medical education (UME) have made focusing on chronic care education challenging. In this Invited Commentary, the authors advocate for strengthening UME based upon five approaches to engage trainees in learning about chronic care across both the preclinical and clinical phases of their education: (1) introducing chronic care in the preclinical years; (2) prioritizing chronic care education across all specialties; (3) maximizing the fourth year of medical school through a chronic care focus; (4) creating chronic disease-focused advanced clerkships; and (5) leveraging technology for education...
February 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29439943/cognitive-style-and-mobile-e-learning-in-emergent-otorhinolaryngology-head-and-neck-surgery-disorders-for-millennial-undergraduate-medical-students-randomized-controlled-trial
#5
Li-Ang Lee, Yi-Ping Chao, Chung-Guei Huang, Ji-Tseng Fang, Shu-Ling Wang, Cheng-Keng Chuang, Chung-Jan Kang, Li-Jen Hsin, Wan-Ni Lin, Tuan-Jen Fang, Hsueh-Yu Li
BACKGROUND: Electronic learning (e-learning) through mobile technology represents a novel way to teach emergent otorhinolaryngology-head and neck surgery (ORL-HNS) disorders to undergraduate medical students. Whether a cognitive style of education combined with learning modules can impact learning outcomes and satisfaction in millennial medical students is unknown. OBJECTIVE: The aim of this study was to assess the impact of cognitive styles and learning modules using mobile e-learning on knowledge gain, competence gain, and satisfaction for emergent ORL-HNS disorders...
February 13, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29437847/dental-students-perceived-clinical-competence-in-prosthodontics-comparison-of-traditional-and-problem-based-learning-methodologies
#6
Javier Montero, Abraham Dib, Yasmina Guadilla, Javier Flores, Juan Antonio Santos, Rosa Anaya Aguilar, Cristina Gómez-Polo
The aim of this study was to compare the perceived competence for treating prosthodontic patients of two samples of fourth-year dental students: those educated using traditional methodologies and those educated using problem-based learning (PBL). Two cohorts of fourth-year dental students at a dental school in Spain were surveyed: the traditional methods cohort (n=46) was comprised of all students in academic years 2012 and 2013, and the PBL cohort (n=57) was comprised of all students in academic years 2014 and 2015...
February 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29435644/innovative-real-csf-leak-simulation-model-for-rhinology-training-human-cadaveric-design
#7
Abdulaziz A AlQahtani, Abeer A Albathi, Othman M Alhammad, Abdulkarim S Alrabie
OBJECTIVE: To study the feasibility of designing a human cadaveric simulation model of real CSF leak for rhinology training. METHOD: The laboratory investigation took place at the surgical academic center of Prince Sultan Military Medical City between 2016 and 2017. Five heads of human cadaveric specimens were cannulated into the intradural space through two frontal bone holes. Fluorescein-dyed fluid was injected intracranialy, then endoscopic endonasal iatrogenic skull base defect was created with observation of fluid leak, followed by skull base reconstruction...
February 12, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29435394/mentor-mentee-relationship-a-win-win-contract-in-graduate-medical-education
#8
EDITORIAL
Hale Z Toklu, Jacklyn C Fuller
Scholarly activities (i.e., the discovery of new knowledge; development of new technologies, methods, materials, or uses; integration of knowledge leading to new understanding) are intended to measure the quality and quantity of dissemination of knowledge. A successful mentorship program is necessary during residency to help residents achieve the six core competencies (patient care, medical knowledge, practice-based learning and improvement, systems-based practice, professionalism, interpersonal and communication skills) required by the Accreditation Council for Graduate Medical Education (ACGME)...
December 5, 2017: Curēus
https://www.readbyqxmd.com/read/29424623/interprofessional-education-day-an-evaluation-of-an-introductory-experience-for-first-year-students
#9
Zachary Singer, Kevin Fung, Elaine Lillie, Jennifer McLeod, Grace Scott, Peng You, Krista Helleman
Interprofessional health care teams have been shown to improve patient safety and reduce medical errors, among other benefits. Introducing interprofessional concepts to students in full day events is an established model that allows students to learn together. Our group developed an academic day for first-year students devoted to an introductory interprofessional education (IPE) experience, 'IPE Day'. In total, 438 students representing medicine, dentistry, pharmacy and optometry gathered together, along with 25 facilitators, for IPE Day...
February 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29424104/experience-of-migrant-care-and-needs-for-cultural-competence-training-among-public-health-workers-in-korea
#10
Duckhee Chae, Jina Lee, Keiko Asami, Hyunlye Kim
OBJECTIVE: This study explored the experiences of public health workers (PHWs) providing health care for migrants living in Korea and clarified needs for cultural competence training. DESIGN AND SAMPLE: Twenty-six PHWs from five public health centers in Gwangju city, South Korea, participated in this exploratory qualitative study. METHODS: Five semi-structured focus group interviews of PHWs were conducted from September to December 2016. A directed content analysis approach was conducted using four categories: perceived characteristics of migrants, interaction between PHWs and migrants, interaction between PHWs and organizations/systems, and cultural competence training needs...
February 9, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29423553/force-based-learning-curve-tracking-in-fundamental-laparoscopic-skills-training
#11
Sem F Hardon, Tim Horeman, H Jaap Bonjer, W J H Jeroen Meijerink
BACKGROUND: Within minimally invasive surgery (MIS), structural implementation of courses and structured assessment of skills are challenged by availability of trainers, time, and money. We aimed to establish and validate an objective measurement tool for preclinical skills acquisition in a basic laparoscopic at-home training program. METHODS: A mobile laparoscopic simulator was equipped with a state-of-the-art force, motion, and time tracking system (ForceSense, MediShield B...
February 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29421644/experiences-of-the-graduates-of-the-first-baccalaureate-midwifery-programme-in-pakistan-a-descriptive-exploratory-study
#12
Arusa Lakhani, Rafat Jan, Marina Baig, Kiran Mubeen, Sadia Abbas Ali, Shahnaz Shahid, Karyn Kaufman
BACKGROUND: in 2012 the Aga Khan University in Karachi, Pakistan opened the country's first bachelor's degree program in midwifery for women who held diplomas in nursing and midwifery. The principal aims were to prepare midwives who would be competent to provide full-scope practice. For quality assurance, the programme was continuously monitored and assessed. As part of this ongoing evaluation process we sought in-depth feedback from the first graduates about their student experiences...
January 30, 2018: Midwifery
https://www.readbyqxmd.com/read/29417474/the-impact-of-fellowship-in-dietetics-on-clinical-practice
#13
Terezie Tolar Mosby
Medical nutrition therapy (MNT) in pediatric cancer treatment is essential. The Nutrition Department and the International Outreach Program at St. Jude Children's Research Hospital in Memphis, TN have worked together from 2005 to 2013 to develop and implement a training program for international dietitians working with pediatric oncology patients. During that time, St. Jude hosted 15 dietitians from various countries for this 3-week-long program. The curriculum provided experience in nutrition risk screening, nutrition care process, nutrition for cancer prevention, palliative care, and exposure to nutrition support...
February 7, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29412235/abdominal-cavity-simulator-for-skill-progression-in-videolaparoscopic-sutures-in-brazil
#14
Francisco Ferreira Filho, Luiz Gonzaga de Moura Júnior, Hermano Alexandre Lima Rocha, Sabrina Gabriele Maia Oliveira Rocha, Lucas Fortes Portela Ferreira, Amanda Fortes Portela Ferreira
PURPOSE: To develop and test a model of teaching by means of an abdominal cavity simulator. METHODS: This study had two stages: development of a teaching model and an experimental prospective study that aimed to evaluate the residents' competence. The participants were divided into 3 groups: first-year resident, second-year resident, and senior surgeon. The two groups of resident physicians received training in the simulator, under instructor supervision for skill acquisition, according to the model proposed in first stage...
January 2018: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/29406125/technique-adaptation-strategic-replanning-and-team-learning-during-implementation-of-mr-guided-brachytherapy-for-cervical-cancer
#15
Julia Skliarenko, Marco Carlone, Kari Tanderup, Kathy Han, Akbar Beiki-Ardakani, Jette Borg, Kitty Chan, Jennifer Croke, Alexandra Rink, Anna Simeonov, Reem Ujaimi, Jason Xie, Anthony Fyles, Michael Milosevic
PURPOSE: MR-guided brachytherapy (MRgBT) with interstitial needles is associated with improved outcomes in cervical cancer patients. However, there are implementation barriers, including magnetic resonance (MR) access, practitioner familiarity/comfort, and efficiency. This study explores a graded MRgBT implementation strategy that included the adaptive use of needles, strategic use of MR imaging/planning, and team learning. METHODS AND MATERIALS: Twenty patients with cervical cancer were treated with high-dose-rate MRgBT (28 Gy in four fractions, two insertions, daily MR imaging/planning)...
January 2018: Brachytherapy
https://www.readbyqxmd.com/read/29405025/-applying-game-based-learning-in-nursing-education-empathy-board-game-learning
#16
Chueh-Fen Lu, Shu-Mei Wu, Ying-Mei Shu, Mei-Yu Yeh
Attending lectures and reading are two common approaches to acquiring knowledge, while repetitive practice is a common approach to acquiring skills. Nurturing proper attitudes in students is one of the greatest challenges for educators. Health professionals must incorporate empathy into their practice. Creative teaching strategies may offer a feasible approach to enhancing empathy-related competence. The present article focuses on analyzing current, empathy-related curriculums in nursing education in Taiwan, exploring the concepts of empathy and game-based learning, presenting the development of an empathy board game as a teaching aid, and, finally, evaluating the developed education application...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29403200/a-search-for-entrustable-professional-activities-for-the-1-st-year-pathology-postgraduate-trainees
#17
Pooja Sharma, Nadeem Tanveer, Aditi Goyal
INTRODUCTION: During the past decade, there has been a paradigm shift in medical education from the problem-based learning to competency-based training. This has forced a rethink on the way we evaluate the residents and finally give them the right to handle patients independently. This study makes the first attempt towards designing competency-based training program for pathology residents by formulating the entrustable professional activities (EPAs) for the 1 st year pathology residents...
January 2018: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/29399921/status-of-knowledge-on-student-learning-environments-in-nursing-homes-a-mixed-method-systematic-review
#18
REVIEW
Anne Marie Lunde Husebø, Marianne Storm, Bodil Bø Våga, Adriana Rosenberg, Kristin Akerjordet
OBJECTIVE: To give an overview of empirical studies investigating nursing homes as a learning environment during nursing students' clinical practice. BACKGROUND: A supportive clinical learning environment is crucial to students' learning and for their development into reflective and capable practitioners. Nursing students' experience with clinical practice can be decisive in future workplace choices. A competent workforce is needed for the future care of older people...
February 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29394318/phylogenetic-profiling-an-untapped-resource-for-the-prediction-of-secreted-proteins-and-its-complementation-with-sequence-based-classifiers-in-bacterial-type-iii-iv-and-vi-secretion-systems
#19
Andrés Zalguizuri, Gustavo Caetano-Anollés, Viviana Claudia Lepek
In the establishment and maintenance of the interaction between pathogenic or symbiotic bacteria with a eukaryotic organism, protein substrates of specialized bacterial secretion systems called effectors play a critical role once translocated into the host cell. Proteins are also secreted to the extracellular medium by free-living bacteria or directly injected into other competing organisms to hinder or kill. In this work, we explore an approach based on the evolutionary dependence that most of the effectors maintain with their specific secretion system that analyzes the co-occurrence of any orthologous protein group and their corresponding secretion system across multiple genomes...
January 31, 2018: Briefings in Bioinformatics
https://www.readbyqxmd.com/read/29392718/simulation-based-point-of-care-ultrasound-training-a-matter-of-competency-rather-than-volume
#20
J K Jensen, L Dyre, M E Jørgensen, L A Andreasen, M G Tolsgaard
BACKGROUND: Point-of-care ultrasonography plays an increasingly important role in the initial resuscitation of critically ill patients but acquisition of the skill is associated with long learning curves. The skills required to perform ultrasound examinations can be practiced in a simulated setting before being performed on actual patients. The aim of this study was to investigate the learning curves for novices training the FAST protocol on a virtual-reality simulator. METHODS: Ultrasound novices (N = 25) were instructed to complete a FAST training program on a virtual-reality ultrasound simulator...
February 1, 2018: Acta Anaesthesiologica Scandinavica
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