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https://www.readbyqxmd.com/read/28430318/teaching-medical-students-ultrasound-guided-vascular-access-which-learning-method-is-best
#1
Alwin Lian, James C R Rippey, Peter J Carr
INTRODUCTION: Ultrasound is recommended to guide insertion of peripheral intravenous vascular cannulae (PIVC) where difficulty is experienced. Ultrasound machines are now common-place and junior doctors are often expected to be able to use them. The educational standards for this skill are highly varied, ranging from no education, to self-guided internet-based education, to formal, face-to-face traditional education. In an attempt to decide which educational technique our institution should introduce, a small pilot trial comparing educational techniques was designed...
April 20, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/28425883/transition-from-secondary-school-to-medical-school-the-role-of-self-study-and-self-regulated-learning-skills-in-freshman-burnout
#2
Joselina Barbosa, Álvaro Silva, Maria Amélia Ferreira, Milton Severo
INTRODUCTION: The transition from secondary to higher education is a challenging and demanding period for medical students. The ability to manage study time effectively and to be a self-regulated learner is essential to cope with the exponential growth of knowledge in medical education. Thus, the purpose of our study was to measure self-regulated learning skills and self-study across secondary higher education transition and to explore its effect on academic burnout in the first year of medical school...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28419417/changes-in-the-relation-between-competence-beliefs-and-achievement-in-math-across-elementary-school-years
#3
Anne F Weidinger, Ricarda Steinmayr, Birgit Spinath
Math competence beliefs and achievement are important outcomes of school-based learning. Previous studies yielded inconsistent results on whether skill development, self-enhancement, or reciprocal effects account for the interplay among them. A development-related change in the direction of their relation in the early school years might explain the inconsistency. To test this, 542 German elementary school students (M = 7.95 years, SD = 0.58) were repeatedly investigated over 24 months from Grade 2 to Grade 4...
April 17, 2017: Child Development
https://www.readbyqxmd.com/read/28407264/microvascular-anastomosis-simulation-using-a-chicken-thigh-model-interval-versus-massed-training
#4
Stephen Schoeff, Brian Hernandez, Derek J Robinson, Mark J Jameson, David C Shonka
OBJECTIVES/HYPOTHESIS: To compare the effectiveness of massed versus interval training when teaching otolaryngology residents microvascular suturing on a validated microsurgical model. STUDY DESIGN: Otolaryngology residents were placed into interval (n = 7) or massed (n = 7) training groups. The interval group performed three separate 30-minute practice sessions separated by at least 1 week, and the massed group performed a single 90-minute practice session. Both groups viewed a video demonstration and recorded a pretest prior to the first training session...
April 13, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28401695/case-based-discussion-perceptions-of-feedback
#5
Aruchuna Mohanaruban, Lucy Flanders, Huw Rees
BACKGROUND: Over recent years there has been a trend towards developing high-quality assessments to assess a doctor's performance in the workplace. Case-based discussion (CbD) is a form of workplace-based assessment that has the potential to provide feedback to trainees on their performance or management of a specific case. The aim of this study was to explore how CbDs are perceived and implemented in practice amongst a UK cohort of medical trainees. METHODS: This study involved 78 medical trainees at a UK hospital completing a questionnaire rating their last CbD experience, including the duration spent receiving feedback, whether it was pre-planned or ad hoc and how they responded to the feedback received...
April 12, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28400222/self-reported-health-and-safety-awareness-improves-prediction-of-level-of-care-needs-in-veterans-discharged-from-a-post-acute-unit
#6
Julija Stelmokas, Linas A Bieliauskas, Katherine A Kitchen Andren, Robert Hogikyan, Neil B Alexander
OBJECTIVES: Evaluate the differential value of a self-reported health and safety awareness measure relative to other medical, psychosocial, and cognitive factors in predicting level of care (LOC) needs following hospital discharge. DESIGN: Retrospective medical record review. SETTING: Community Living Center Post-Acute Care (CLC-PAC) unit at a Veterans Affairs (VA) hospital. PARTICIPANTS: 175 Veterans admitted to the VA hospital or directly to the CLC-PAC from home...
April 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28398391/-the-italian-instrument-evaluating-the-nursing-students-clinical-learning-quality
#7
Alvisa Palese, Luca Grassetti, Irene Mansutti, Anne Destrebecq, Stefano Terzoni, Pietro Altini, Anita Bevilacqua, Anna Brugnolli, Carla Benaglio, Adriana Dal Ponte, Laura De Biasio, Valerio Dimonte, Benedetta Gambacorti, Adriana Fasci, Silvia Grosso, Franco Mantovan, Oliva Marognolli, Sandra Montalti, Raffaela Nicotera, Giulia Randon, Brigitte Stampfl, Morena Tollini, Federica Canzan, Luisa Saiani, Lucia Zannini
. The Clinical Learning Quality Evaluation Index for nursing students. INTRODUCTION: The Italian nursing programs, the need to introduce tools evaluating the quality of the clinical learning as perceived by nursing students. Several tools already exist, however, several limitations suggesting the need to develop a new tool. AIM: A national project aimed at developing and validating a new instrument capable of measuring the clinical learning quality as experience by nursing students...
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28398388/-teaching-methods-for-clinical-settings-a-literature-review
#8
Anna Brugnolli, Carla Benaglio
. Teaching Methods for clinical settings: a review. INTRODUCTION: The teaching process during internship requires several methods to promote the acquisition of more complex technical skills such as relational, decisional and planning abilities. OBJECTIVE: To describe effective teaching methods to promote the learning of relational, decisional and planning skills. METHODS: A literature review of the teaching methods that have proven most effective, most appreciated by students, and most frequently used in Italian nursing schools...
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28396380/permanent-leadless-cardiac-pacemaker-therapy-a-comprehensive-review
#9
REVIEW
Fleur V Y Tjong, Vivek Y Reddy
A new technology, leadless pacemaker therapy, was recently introduced clinically to address lead- and pocket-related complications in conventional transvenous pacemaker therapy. These leadless devices are self-contained right ventricular single-chamber pacemakers implanted by using a femoral percutaneous approach. In this review of available clinical data on leadless pacemakers, early results with leadless devices are compared with historical results with conventional single-chamber pacing. Both presently manufactured leadless pacemakers show similar complications, which are mostly related to the implant procedure: cardiac perforation, device dislocation, and femoral vascular access site complications...
April 11, 2017: Circulation
https://www.readbyqxmd.com/read/28395598/improving-clerkship-preparedness-a-hospital-medicine-elective-for-pre-clerkship-students
#10
Denise M Connor, Paul J Conlon, Bridget C O'Brien, Calvin L Chou
BACKGROUND: Medical students often struggle to apply their nascent clinical skills in clerkships. While transitional clerkships can orient students to new roles and logistics, students may benefit from developing clinical skills in inpatient environments earlier in their curriculum to improve readiness for clerkships. INTERVENTION: Our four- to six-session elective provides pre-clerkship students with individualized learning in the inpatient setting with the aim of improving clerkship preparedness...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28392765/the-emerging-neuroscience-of-intrinsic-motivation-a-new-frontier-in-self-determination-research
#11
REVIEW
Stefano I Di Domenico, Richard M Ryan
Intrinsic motivation refers to people's spontaneous tendencies to be curious and interested, to seek out challenges and to exercise and develop their skills and knowledge, even in the absence of operationally separable rewards. Over the past four decades, experimental and field research guided by self-determination theory (SDT; Ryan and Deci, 2017) has found intrinsic motivation to predict enhanced learning, performance, creativity, optimal development and psychological wellness. Only recently, however, have studies begun to examine the neurobiological substrates of intrinsic motivation...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28389234/crowd-control-effectively-utilizing-unscreened-crowd-workers-for-biomedical-data-annotation
#12
Anne Cocos, Ting Qian, Chris Callison-Burch, Aaron J Masino
Annotating unstructured texts in Electronic Health Records data is usually a necessary step for conducting machine learning research on such datasets. Manual annotation by domain experts provides data of the best quality, but has become increasingly impractical given the rapid increase in the volume of EHR data. In this article, we examine the effectiveness of crowdsourcing with unscreened online workers as an alternative for transforming unstructured texts in EHRs into annotated data that are directly usable in supervised learning models...
April 4, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28385174/take-home-training-in-laparoscopy
#13
Ebbe Thinggaard
When laparoscopy was first introduced, skills were primarily taught using the apprenticeship model. A limitation of this method when compared to open surgery, was that it requires more time to practise and more frequent learning opportunities in clinical practice. The unique set of skills required in laparoscopy highlighted the need for new training methods that reduce the need for supervision and do not put the patient at risk. Simulation training was developed to meet this need. The overall purpose of this thesis was to explore simulation-based laparoscopic training at home...
April 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28379081/tensions-in-mentoring-medical-students-toward-self-directed-and-reflective-learning-in-a-longitudinal-portfolio-based-mentoring-system-an-activity-theory-analysis
#14
Sylvia Heeneman, Willem de Grave
BACKGROUND: In medical education, students need to acquire skills to self-direct(ed) learning (SDL), to enable their development into self-directing and reflective professionals. This study addressed the mentor perspective on how processes in the mentor-student interaction influenced development of SDL. METHODS: n = 22 mentors of a graduate-entry medical school with a problem-based curriculum and longitudinal mentoring system were interviewed (n = 1 recording failed)...
April 2017: Medical Teacher
https://www.readbyqxmd.com/read/28375723/brain-mechanisms-of-the-placebo-effect-an-affective-appraisal-account
#15
Yoni K Ashar, Luke J Chang, Tor D Wager
Placebos are sham medical treatments. Nonetheless, they can have substantial effects on clinical outcomes. Placebos depend on a person's psychological and brain responses to the treatment context, which influence appraisals of future well-being. Appraisals are flexible cognitive evaluations of the personal meaning of events and situations that can directly impact symptoms and physiology. They also shape associative learning processes by guiding what is learned from experience. Appraisals are supported by a core network of brain regions associated with the default mode network involved in self-generated emotion, self-evaluation, thinking about the future, social cognition, and valuation of rewards and punishment...
March 27, 2017: Annual Review of Clinical Psychology
https://www.readbyqxmd.com/read/28371795/cooperative-hierarchical-pso-with-two-stage-variable-interaction-reconstruction-for-large-scale-optimization
#16
Hongwei Ge, Liang Sun, Guozhen Tan, Zheng Chen, C L Philip Chen
Large scale optimization problems arise in diverse fields. Decomposing the large scale problem into small scale subproblems regarding the variable interactions and optimizing them cooperatively are critical steps in an optimization algorithm. To explore the variable interactions and perform the problem decomposition tasks, we develop a two stage variable interaction reconstruction algorithm. A learning model is proposed to explore part of the variable interactions as prior knowledge. A marginalized denoising model is proposed to construct the overall variable interactions using the prior knowledge, with which the problem is decomposed into small scale modules...
March 31, 2017: IEEE Transactions on Cybernetics
https://www.readbyqxmd.com/read/28367498/how-sense-of-direction-and-learning-intentionality-relate-to-spatial-knowledge-acquisition-in-the-environment
#17
Heather Burte, Daniel R Montello
People's impression of their own "sense-of-direction" (SOD) is related to their ability to effectively find their way through environments, such as neighborhoods and cities, but is also related to the speed and accuracy with which they learn new environments. In the current literature, it is unclear whether the cognitive skills underlying SOD require intentional cognitive effort to produce accurate knowledge of a new environment. The cognitive skills underlying SOD could exert their influence automatically-without conscious intention-or they might need to be intentionally and effortfully applied...
2017: Cognitive Research: Principles and Implications
https://www.readbyqxmd.com/read/28356480/estimating-the-implicit-component-of-visuomotor-rotation-learning-by-constraining-movement-preparation-time
#18
Li-Ann Leow, Reece Gunn, Welber Marinovic, Timothy John Carroll
When sensory feedback is perturbed, accurate movement is restored by a combination of implicit processes and deliberate re-aiming to strategically compensate for errors. Here, we directly compare two methods used previously to dissociate implicit from explicit learning on a trial-by-trial basis: 1) asking participants to report the direction that they aim their movements, and contrasting this with the directions of the target and the movement that they actually produce, 2) manipulating movement preparation time...
March 29, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28353199/lenticular-nucleus-correlates-of-general-self-efficacy-in-young-adults
#19
Seishu Nakagawa, Hikaru Takeuchi, Yasuyuki Taki, Rui Nouchi, Yuka Kotozaki, Takamitsu Shinada, Tsukasa Maruyama, Atsushi Sekiguchi, Kunio Iizuka, Ryoichi Yokoyama, Yuki Yamamoto, Sugiko Hanawa, Tsuyoshi Araki, Carlos Makoto Miyauchi, Daniele Magistro, Kohei Sakaki, Hyeonjeong Jeong, Yukako Sasaki, Ryuta Kawashima
General self-efficacy (GSE) is an important factor in education, social participation, and medical treatment. However, the only study that has investigated the direct association between GSE and a neural correlate did not identify specific brain regions, rather only assessed brain structures, and included older adult subjects. GSE is related to motivation, physical activity, learning, the willingness to initiate behaviour and expend effort, and adjustment. Thus, it was hypothesized in the present study that the neural correlates of GSE might be related to changes in the basal ganglia, which is a region related to the abovementioned self-efficacy factors...
March 28, 2017: Brain Structure & Function
https://www.readbyqxmd.com/read/28350310/exploratory-study-of-rural-physicians-self-directed-learning-experiences-in-a-digital-age
#20
Vernon Curran, Lisa Fleet, Karla Simmons, Mohamed Ravalia, Pamela Snow
INTRODUCTION: The nature and characteristics of self-directed learning (SDL) by physicians has been transformed with the growth in digital, social, and mobile technologies (DSMTs). Although these technologies present opportunities for greater "just-in-time" information seeking, there are issues for ensuring effective and efficient usage to compliment one's repertoire for continuous learning. The purpose of this study was to explore the SDL experiences of rural physicians and the potential of DSMTs for supporting their continuing professional development (CPD)...
October 2016: Journal of Continuing Education in the Health Professions
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