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Principles of Medical Education.

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https://www.readbyqxmd.com/read/29455162/evaluation-of-learning-from-practical-obstetric-multi-professional-training-and-its-impact-on-patient-outcomes-in-australia-using-kirkpatrick-s-framework-a-mixed-methods-study
#1
Arunaz Kumar, Sam Sturrock, Euan M Wallace, Debra Nestel, Donna Lucey, Sally Stoyles, Jenny Morgan, Peter Neil, Michelle Schlipalius, Philip Dekoninck
OBJECTIVES: The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick's framework. We explored participants' acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool. We also aimed to assess participants' perception of usefulness of PROMPT in their clinical practice. STUDY DESIGN: Mixed methods approach with a pre-test/post-test design...
February 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29453548/-big-data-from-clinical-routine
#2
REVIEW
U Mansmann
BACKGROUND: Over the past 100 years, evidence-based medicine has undergone several fundamental changes. Through the field of physiology, medical doctors were introduced to the natural sciences. Since the late 1940s, randomized and epidemiological studies have come to provide the evidence for medical practice, which led to the emergence of clinical epidemiology as a new field in the medical sciences. Within the past few years, big data has become the driving force behind the vision for having a comprehensive set of health-related data which tracks individual healthcare histories and consequently that of large populations...
February 16, 2018: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/29453300/school-based-lifestyle-education-involving-parents-for-reducing-subjective-psychosomatic-symptoms-in-japanese-adolescents-study-protocol-for-a-cluster-randomised-controlled-trial
#3
Junko Watanabe, Mariko Watanabe, Kazue Yamaoka, Misa Adachi, Asuka Nemoto, Toshiro Tango
INTRODUCTION: Severe subjective psychosomatic symptoms (SPS) in adolescents are a major public health concern, and lifestyle modification interventions for reducing SPS are important topics. Recently, we developed a school-based lifestyle education involving parents for reducing SPS of adolescents (SPRAT), an improved version of the programme from our previous study Programme for adolescent of lifestyle education in Kumamoto (PADOK). This study aimed to evaluate the effectiveness of SPRAT in reducing SPS among adolescents...
February 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29453187/quality-of-web-based-educational-interventions-for-clinicians-on-human-papillomavirus-vaccine-content-and-usability-assessment
#4
Brittany L Rosen, James M Bishop, Skye L McDonald, Jessica A Kahn, Gary L Kreps
BACKGROUND: Human papillomavirus (HPV) vaccination rates fall far short of Healthy People 2020 objectives. A leading reason is that clinicians do not recommend the vaccine consistently and strongly to girls and boys in the age group recommended for vaccination. Although Web-based HPV vaccine educational interventions for clinicians have been created to promote vaccination recommendations, rigorous evaluations of these interventions have not been conducted. Such evaluations are important to maximize the efficacy of educational interventions in promoting clinician recommendations for HPV vaccination...
February 16, 2018: JMIR Cancer
https://www.readbyqxmd.com/read/29436114/interprofessional-learning-in-ambulatory-care
#5
Rosemary Saunders, Helen Dugmore, Karla Seaman, Rachel Singer, Fiona Lake
BACKGROUND: Interprofessional practice amongst health care professionals can facilitate effective collaboration and can improve health outcomes for patients. Interprofessional clinical placements have mainly been established within inpatient settings; however, ambulatory care settings can also provide interprofessional education. This study evaluates an interprofessional placement in ambulatory care for medical and nursing students. METHODS: Medical and nursing students undertook a 2-week interprofessional placement in respiratory, diabetes and chronic pain clinics, as well as within the patient's home...
February 12, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29416207/contribution-of-arabic-medicine-and-pharmacy-to-the-development-of-health-care-protection-in-bosnia-and-herzegovina-the-second-part
#6
Izet Masic
After the collapse of the Arab rule, the Arab territorial expanses and cultural heritage were taken over by the Turks. Although scientific progress in the Turkish period slowed down due to numerous unfavorable political-economic and other circumstances. Thanks to the Turks, Arabic culture and useful Islamic principles expanded to the territory of our homeland of Bosnia and Herzegovina (B&H). Significant role in the transfer of Arabic pharmaceutical knowledge was also attributed to the Sephardic Jews who, with their arrival, continued to perform their attar activities, which were largely based on Arab achievements...
December 2017: Medical Archives
https://www.readbyqxmd.com/read/29415740/guidelines-for-responsible-short-term-global-health-activities-developing-common-principles
#7
Judith N Lasker, Myron Aldrink, Ramaswami Balasubramaniam, Paul Caldron, Bruce Compton, Jessica Evert, Lawrence C Loh, Shailendra Prasad, Shira Siegel
BACKGROUND: Growing concerns about the value and effectiveness of short-term volunteer trips intending to improve health in underserved Global South communities has driven the development of guidelines by multiple organizations and individuals. These are intended to mitigate potential harms and maximize benefits associated with such efforts. METHOD: This paper analyzes 27 guidelines derived from a scoping review of the literature available in early 2017, describing their authorship, intended audiences, the aspects of short term medical missions (STMMs) they address, and their attention to guideline implementation...
February 7, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29415579/use-of-spacers-for-patients-treated-with-pressurized-metered-dose-inhalers-focus-on-the-ventolin%C3%A2-mini-spacer
#8
Gregor Anderson, Neil Johnson, Aruni Mulgirigama, Bhumika Aggarwal
Spacers offer a multitude of benefits by reducing the requirement to coordinate inhalation with actuation and improving inhaler technique in patients using a pressurized metered dose inhaler (pMDI). Spacers improve drug targeting by retaining within the spacer large particles normally deposited in the oropharynx, and by creating a prolonged aerosol cloud of fine particles to give the user increased time to inhale after actuation. This is particularly important in young children and the elderly to effectively deliver medication to the airways...
February 8, 2018: Expert Opinion on Drug Delivery
https://www.readbyqxmd.com/read/29415037/exploring-chronic-disease-in-bolivia-a-cross-sectional-study-in-la-paz
#9
Patricia Abbott, Tanima Banerjee, Amparo Clara Aruquipa Yujra, Boqin Xie, John Piette
PURPOSE: This study seeks to develop an understanding that can guide development of programs to improve health and care for individuals with Non-Communicable Diseases (NCDs) in La Paz, Bolivia, where NCDs are prevalent and primary care systems are weak. This exploratory investigation examines the characteristics of chronic disease patients in the region, key health related behaviors, and their perceptions of the care that they receive. The longer-term goal is to lay groundwork for interventional studies based on the principles of the Chronic Care Model (CCM)...
2018: PloS One
https://www.readbyqxmd.com/read/29405181/-the-synopsis-of-results-of-the-20-year-activities-of-the-department-of-forensic-medicine-i-m-sechenov-first-moscow-state-medical-university-sechenovsky-university
#10
Yu I Pigolkin, Yu V Lomakin, G V Zolotenkova, M A Shilova, I A Dubrovin, E N Leonova, A V Khodulapov
The present article was designed to summarize the results of the 20 year scientific, practical, and educational activities of the Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University (Sechenovsky University). The main directions of the research work and achievements of the Department's staff are described, and the prospects for its further development are highlighted. The new approaches to and technologies for the teaching and training specialists in forensic medicine are introduced to meet the novel requirements imposed in the framework of the ongoing reform of higher medical education in accordance with the main principles of the Bologna declaration...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29403607/obstacles-facing-evidence-based-medicine-in-physical-medicine-and-rehabilitation-from-opinion-and-knowledge-to-practice
#11
Seyed Ahmad Raeissadat, Mohammad Hasan Bahrami, Seyed Mansoor Rayegani, Hossein Hassanabadi, Marzieh Babaee, Sharif Najafi, Reza Aghabozorgi
Background: Evidence-based medicine (EBM) is a new approach to medicine which can guide clinical services toward effective and beneficial results with the least side effects or errors. Up to now, there have been few available articles about specialists' EBM status, specifically the status of physiatrists in the area of EBM. Objective: To determine the present status of physiatrists' attitudes, knowledge and skill in the area of EBM and the existing obstacles. Methods: The cross-sectional study was performed in 2014 among physiatrists in Iran...
November 2017: Electronic Physician
https://www.readbyqxmd.com/read/29401706/conceptualizing-and-managing-medical-emergencies-where-no-formal-paramedical-system-exists-perspectives-from-a-remote-indigenous-community-in-canada
#12
Jeffrey Curran, Stephen D Ritchie, Jackson Beardy, David VanderBurgh, Karen Born, John Lewko, Aaron M Orkin
(1) Background: Remote communities in Canada lack an equitable emergency medical response capacity compared to other communities. Community-based emergency care (CBEC) training for laypeople is a model that has the potential to enhance the medical emergency response capacity in isolated and resource-limited contexts. The purpose of this study was to understand the characteristics of medical emergencies and to conceptualize and present a framework for what a medical emergency is for one remote Indigenous community in northwestern Ontario, in order to inform the development of CBEC training...
February 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29400625/undisclosed-conflicts-of-interests-among-biomedical-textbook-authors
#13
Brian J Piper, Drew A Lambert, Ryan C Keefe, Phoebe U Smukler, Nicolas A Selemon, Zachary R Duperry
BACKGROUND: Textbooks are a formative resource for health care providers during their education and are also an enduring reference for pathophysiology and treatment. Unlike the primary literature and clinical guidelines, biomedical textbook authors do not typically disclose potential financial conflicts of interest (pCoI). The objective of this study was to evaluate whether the authors of textbooks used in the training of physicians, pharmacists, and dentists had appreciable undisclosed pCoI in the form of patents or compensation received from pharmaceutical or biotechnology companies...
February 5, 2018: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/29400143/overcoming-challenges-in-primary-care-in-brazil-successful-experiences-in-family-medicine-education
#14
Pablo González Blasco, Francisco Lamus, Graziela Moreto, Marco Aurelio Janaudis, Marcelo R Levites, Pedro S de Paula
Since 1988, Brazil has built a national health system procuring a response that meets universal health care. The government created the Family Health Strategy (FHS) to help improve access to health services through primary health care teams developing interdisciplinary actions. Scarcity of doctors with family medicine (FM) competencies in Brazil limits the FHS effectiveness. The lack of family physicians can be traced primarily to the medical schools where training supports other specialties besides FM. Innovation is required to bring students to the specialty and medical marketplace...
February 5, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29398630/a-program-for-promoting-clinical-scholarship-in-general-surgery
#15
Madhukar S Patel, David Tomich, Tara S Kent, Elliot L Chaikof, James R Rodrigue
OBJECTIVE: The Accreditation Council for Graduate Medical Education mandates resident physician training in the principles and applications of research. To provide a robust early foundation for effective engagement in scholarship, we designed a novel clinical scholarship program (CSP) for PGY1 general surgery residents. SETTING, DESIGN AND OUTCOMES: In a general surgery residency training program, we assessed resident academic productivity (i.e., presentations, publications, and sustained engagement in clinical research) and self-efficacy to conduct clinical research, as well as the overall satisfaction of both residents and faculty mentors...
February 2, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29385750/design-and-evaluation-of-a-pervasive-coaching-and-gamification-platform-for-young-diabetes-patients
#16
Randy Klaassen, Kim C M Bul, Rieks Op den Akker, Gert Jan van der Burg, Pamela M Kato, Pierpaolo Di Bitonto
Self monitoring, personal goal-setting and coaching, education and social support are strategies to help patients with chronic conditions in their daily care. Various tools have been developed, e.g., mobile digital coaching systems connected with wearable sensors, serious games and patient web portals to personal health records, that aim to support patients with chronic conditions and their caregivers in realizing the ideal of self-management. We describe a platform that integrates these tools to support young patients in diabetes self-management through educational game playing, monitoring and motivational feedback...
January 30, 2018: Sensors
https://www.readbyqxmd.com/read/29378455/twelve-tips-for-medical-students-to-establish-a-collaborative-flashcard-project
#17
Michael Hart-Matyas, Alexandra Taylor, Han Joo Lee, Mark A Maclean, Amaris Hui, Anna Macleod
Medical students employ various study strategies to master large amounts of information during their medical education. Digital flashcards are an interactive, self-directed study stool that may improve knowledge retention by combining the principles of active recall and spaced-repetition. They may be studied during and beyond undergraduate medical education. However, making flashcards can be an onerous task. In this article, we describe twelve tips on how to establish and maintain a collaborative digital flashcard project based on the undergraduate medical curriculum...
January 29, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29371275/effect-of-a-health-literacy-intervention-trial-on-knowledge-about-cardiovascular-disease-medications-among-indigenous-peoples-in-australia-canada-and-new-zealand
#18
Sue Crengle, Joanne N Luke, Michelle Lambert, Janet K Smylie, Susan Reid, Jennie Harré-Hindmarsh, Margaret Kelaher
OBJECTIVES: To assess the effect of a customised, structured cardiovascular disease (CVD) medication health literacy programme on medication knowledge among Indigenous people with, or at high risk of, CVD. DESIGN: Intervention trial with premeasures and postmeasures at multiple time points. SETTING: Indigenous primary care services in Australia, Canada and New Zealand. PARTICIPANTS: 171 Indigenous people aged ≥20 years of age who had at least one clinical diagnosis of a CVD event, or in Canada and Australia had a 5-year CVD risk ≥15%, and were prescribed at least two of the following CVD medication classes: statin, aspirin, ACE inhibitors and beta blockers...
January 24, 2018: BMJ Open
https://www.readbyqxmd.com/read/29370796/changes-in-patient-centered-attitude-and-confidence-in-communicating-with-patients-a-longitudinal-study-of-resident-physicians
#19
Hirono Ishikawa, Daisuke Son, Masato Eto, Kiyoshi Kitamura, Takahiro Kiuchi
BACKGROUND: Patient-centered care has been one of the most frequently discussed principles in medical practice. However, there is a serious concern that the patient-centered attitudes of physicians diminish over the course of their medical education. This longitudinal study examined changes in resident physicians' patient-centered attitudes and their confidence in communicating with patients, and explored the relationship between the two traits. METHODS: The study participants were resident physicians at a university hospital in Tokyo...
January 25, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29359602/the-taiwan-adolescent-to-adult-longitudinal-study-taals-methodology-and-cohort-description
#20
Yu-Ning Chien, Ping-Ling Chen, Yi-Hua Chen, Hsiu-Ju Chang, Suh-Ching Yang, Yi Chun Chen, Hung-Yi Chiou
The objective of the study was to introduce the methodology and report on cohort description of Taiwan Adolescent to Adult Longitudinal Study (TAALS). TAALS is the first nationwide longitudinal survey among Taiwan adolescents, linked with the National Health Insurance Research Database (NHIRD) to obtain complete medical records of respondents in the future. The TAALS project employed the principle of probability proportional to size (PPS) sampling method. Data were collected by questionnaire from 18 064 school students participating in 2015 formal survey, with good sample representation via a goodness-of-fit test after weighting adjustments...
January 1, 2018: Asia-Pacific Journal of Public Health
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