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Principles of Medical Education.

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https://www.readbyqxmd.com/read/29671726/what-about-learners-roles-in-the-operating-room-should-be-disclosed-to-patients
#1
Michael J Kirsch, Steven J Kasten
This case commentary primarily focuses on properly disclosing the participation of medical trainees when obtaining informed consent in the educational health care environment, particularly in relation to the development of institutional standardization of informed consent processes. The article addresses what it means to obtain informed consent, the elements thereof, and how ethical principles can be better applied to clinical practice in order to ensure truly informed consent. Concepts of capacity, disclosure of information, patient understanding, voluntary decision making, and consent are discussed as they relate to the case...
April 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29664666/adherence-to-principles-of-medical-ethics-among-physicians-in-mazandaran-province-iran
#2
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/29658989/the-effectiveness-of-a-group-self-management-education-course-for-adults-with-poorly-controlled-epilepsy-smile-uk-a-randomized-controlled-trial
#3
Leone Ridsdale, Gabriella Wojewodka, Emily J Robinson, Adam J Noble, Myfanwy Morgan, Stephanie J C Taylor, Paul McCrone, Mark P Richardson, Gus Baker, Sabine Landau, Laura H Goldstein
OBJECTIVE: Epilepsy is one of the most common neurological conditions affecting about 1% of adults. Up to 40% of people with epilepsy (PWE) report recurring seizures while on medication. And optimal functioning requires good self-management. Our objective was to evaluate a group self-management education courses for people with epilepsy and drug-resistant seizures by means of a multicenter, pragmatic, parallel group, randomized controlled trial. METHODS: We recruited adults with epilepsy, having ≥2 seizures in the prior 12 months, from specialist clinics...
April 16, 2018: Epilepsia
https://www.readbyqxmd.com/read/29656694/pre-specialization-considerations-for-more-focused-and-personalized-educational-modules-in-the-twenty-first-century
#4
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/29655573/-the-reality-on-peritoneal-dialysis-in-france-40years-after
#5
Jacques Rottembourg, Guy Rostoker
The share of peritoneal dialysis (PD) in the spectrum of chronic dialysis has decreased in France over the last ten years. Despite various facilities offered by the health authorities, PD remains confidential in many private units and some public hospitals. The enthusiasm present at the beginning of this technology, forty years ago, is declining, despite a real improvement in new developments, a real increase in patient survival, today at least similar to that on hemodialysis. Then, the aim of this review is first to give a summary of the principles and practice of patient and staff education and to describe the role of the medical contribution in decision-making...
April 11, 2018: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/29619525/principles-of-three-dimensional-printing-and-clinical-applications-within-the-abdomen-and-pelvis
#6
REVIEW
Sarah Bastawrous, Nicole Wake, Dmitry Levin, Beth Ripley
Improvements in technology and reduction in costs have led to widespread interest in three-dimensional (3D) printing. 3D-printed anatomical models contribute to personalized medicine, surgical planning, and education across medical specialties, and these models are rapidly changing the landscape of clinical practice. A physical object that can be held in one's hands allows for significant advantages over standard two-dimensional (2D) or even 3D computer-based virtual models. Radiologists have the potential to play a significant role as consultants and educators across all specialties by providing 3D-printed models that enhance clinical care...
April 4, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29604147/implementation-of-a-patient-safety-program-at-a-tertiary-health-system-a-longitudinal-analysis-of-interventions-and-serious-safety-events
#7
Douglas P Cropper, Nidal H Harb Md, Patricia A Said, Jon H Lemke, Nicolas W Shammas Md Ejd Ms
BACKGROUND: We hypothesize that implementation of a safety program based on high reliability organization principles will reduce serious safety events (SSE). METHODS: The safety program focused on 7 essential elements: (a) safety rounding, (b) safety oversight teams, (c) safety huddles, (d) safety coaches, (e) good catches/safety heroes, (f) safety education, and (g) red rule. An educational curriculum was implemented focusing on changing high-risk behaviors and implementing critical safety policies...
March 31, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29599397/pharmacology-part-1-introduction-to-pharmaoclogy-and-pharmacodynamics
#8
Geoffrey M Currie
There is an emerging need for greater understanding of pharmacology principles amongst technical staff. Indeed, the responsibility of dose preparation and administration, under any level of supervision, demands foundation understanding of pharmacology. This is true for radiopharmaceuticals, contrast media and pharmaceutical interventions / adjunctive medications. Regulation around the same might suggest a need to embed pharmacology theory in undergraduate education programs and there is a need to disseminate that same foundation understanding to practicing clinicians...
March 29, 2018: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/29582060/resident-and-faculty-attitudes-toward-osteopathic-focused-education
#9
Laura K Hempstead, Beth Rosemergey, Steven Foote, Kelly Swade, Karen B Williams
Context: The transition period for the single accreditation system for graduate medical education under the Accreditation Council for Graduate Medical Education (ACGME) began on July 1, 2015, and will end June 30, 2020. As of February 5, 2018, 82.6% of residency programs accredited by the American Osteopathic Association (AOA) have applied for or achieved ACGME accreditation and 160 programs have applied for or achieved osteopathic recognition. Objective: To assess baseline attitudes of osteopathic and allopathic faculty and residents in AOA-accredited and dually accredited residency programs regarding the value of osteopathic-focused educational curricula and mentors...
April 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29580702/-methods-to-improve-suicidal-adolescents-compliance-to-care-after-emergency-discharge-a-literature-review
#10
J Lachal, S Grandclerc, M Spodenkiewicz, M R Moro
OBJECTIVES: Suicidal adolescents admitted in an Emergency Department (ED) present a high risk of suicidal reattempts. Poor observance of follow-up in this particular group imped the efficacity of the treatment. We propose to summarize the international literature on ED interventions promoting suicidal adolescents' adherence to care. METHOD: We carried out a comprehensive review of papers listed in PubMed, PsycInfo, and CINHAL databases using keywords about adolescence, suicide, and ED...
March 23, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29573053/barriers-to-and-enablers-of-implementing-antimicrobial-stewardship-programs-in-veterinary-practices
#11
Laura Y Hardefeldt, J R Gilkerson, H Billman-Jacobe, M A Stevenson, K Thursky, K E Bailey, G F Browning
BACKGROUND: Antimicrobial stewardship (AMS) programs are yet to be widely implemented in veterinary practice and medical programs are unlikely to be directly applicable to veterinary settings. OBJECTIVE: To gain an in-depth understanding of the factors that influence effective AMS in veterinary practices in Australia. METHODS: A concurrent explanatory mixed methods design was used. The quantitative phase of the study consisted of an online questionnaire to assess veterinarians' attitudes to antimicrobial resistance (AMR) and antimicrobial use in animals, and the extent to which AMS currently is implemented (knowingly or unknowingly)...
March 23, 2018: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/29566688/implementation-of-knowledge-based-palliative-care-in-nursing-homes-and-pre-post-post-evaluation-by-cross-over-design-a-study-protocol
#12
Gerd Ahlström, Per Nilsen, Eva Benzein, Lina Behm, Birgitta Wallerstedt, Magnus Persson, Anna Sandgren
BACKGROUND: The demography of the world is changing as the population is ageing. Because of this change to a higher proportion of older people, the WHO has called for improved palliative care for older persons. A large number of all deaths in the industrialised world occur while older people are living in nursing homes and therefore a key question becomes how the principles of palliative care can be implemented in that context. The aims of this study are: a) to describe a model of an educational intervention with the goal of implementing knowledge-based palliative care in nursing homes, and b) to describe the design of the evaluation of the effectiveness regarding the implementation of knowledge-based palliative care...
March 22, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29565110/white-book-on-physical-and-rehabilitation-medicine-prm-in-europe-chapter-9-education-and-continuous-professional-development-shaping-the-future-of-prm
#13
(no author information available yet)
In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of adequate duration. In fact they are required to develop not only medical knowledge, but also competence in patient care, specific procedural skills, and attitudes towards interpersonal relationship and communication, profound understanding of the main principles of medical ethics and public health, ability to apply policies of care and prevention for disabled people, capacity to master strategies for reintegration of disabled people into society, apply principles of quality assurance and promote a practice-based continuous professional development...
April 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29561823/the-professional-culture-of-community-pharmacy-and-the-provision-of-mtm-services
#14
Meagen M Rosenthal, Erin R Holmes
The integration of advanced pharmacy services into community pharmacy practice is not complete. According to implementation research understanding professional culture, as a part of context, may provide insights for accelerating this process. There are three objectives in this study. The first objective of this study was to validate an adapted version of an organizational culture measure in a sample of United States' (US) community pharmacists. The second objective was to examine potential relationships between the cultural factors identified using the validated instrument and a number of socialization and education variables...
March 21, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29555723/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-to-substantial-clinical-exposure-a-mixed-methods-evaluation-of-a-pre-clerkship-curriculum-that-uses-education-as-the-context-for-learning
#15
Allison Brown, Aditya Nidumolu, Alexandra Stanhope, Justin Koh, Matthew Greenway, Lawrence Grierson
BACKGROUND: Quality Improvement (QI) training for health professionals is essential to strengthen health systems. However, QI training during medical school is constrained by students' lack of contextual understanding of the health system and an already saturated medical curriculum. The Program for Improvement in Medical Education (PRIME), an extracurricular offered at the Michael G. DeGroote School of Medicineat McMaster University (Hamilton, Canada), addresses these obstacles by having first-year medical students engage in QI by identifying opportunities for improvement within their own education...
March 19, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29555307/development-of-a-comprehensive-trauma-training-curriculum-for-the-resource-limited-environment
#16
Geoffrey A Anderson, Peter Kayima, Lenka Ilcisin, Noralis Portal Benitez, Katherine H Albutt, Susan M Briggs, Deepika Nehra
OBJECTIVE: The goal of this project was to create a multitiered trauma training curriculum that was designed specifically for the low-resource setting. DESIGN: We developed 2 courses designed to teach principles and skills necessary for trauma care. The first course, "Emergency Ward Management of Trauma (EWMT)," is designed to teach interns the initial assessment and stabilization of trauma patients in the emergency ward. The second course for mid-level surgical residents, "Surgical Techniques and Repairs in Trauma for the Low-resource Environment" (STaRTLE), is a cadaver-based operative trauma course designed to teach surgical exposures and techniques...
March 16, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29548600/best-practices-for-the-design-and-development-of-prescription-medication-information-a-systematic-review
#17
REVIEW
Rebecca J Mullen, James Duhig, Andrea Russell, Linda Scarazzini, Fabio Lievano, Michael S Wolf
OBJECTIVE: To present evidence supporting best-practices for prescription drug labeling and educational materials. METHODS: Articles were selected from three online databases (PubMed, Embase, CINAHL). Eligible manuscripts were: 1) English-language, 2) randomized, controlled trials, and 3) focused on improving prescription drug labeling practices. RESULTS: Forty-nine articles were reviewed, and included both regulated label materials and pharmacy or health systems-generated tools...
March 8, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29544986/workforce-considerations-training-and-diseases-in-the-middle-east
#18
REVIEW
George Richard Holt, Kevin Christopher McMains, Randal A Otto
Evaluating and providing global health assistance, humanitarian aid, and medical missions to Middle Eastern countries can be rewarding and challenging. A broad spectrum of financial capabilities supports effective health care delivery and infrastructure. Middle East tension can make obtaining a visa difficult. Personal safety considerations may hinder efforts to develop and carry out clinical and educational programs. Several Middle East countries have sophisticated and modern health care systems. Medical education and specialty training compares with that of Western medicine...
March 12, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29538110/repeal-and-replace-a-note-of-caution-for-medical-school-curriculum-reformers
#19
Carl D Stevens
The sudden, dramatic collapse of the seven-year struggle in Congress to repeal and replace the Affordable Care Act holds important lessons for all would-be reformers, including those advocating fundamental changes in medical education. In this Invited Commentary, the author draws parallels between reform initiatives in health policy and those in medical education, highlighting that, in both settings, stakeholders rarely support "repeal" in the absence of a superior replacement, even when they view the status quo as deeply flawed...
March 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29536374/ethical-dilemmas-and-reflexivity-in-qualitative-research
#20
Anne-Marie Reid, Jeremy M Brown, Julie M Smith, Alexandra C Cope, Susan Jamieson
CONTEXT: For medical education researchers, a key concern may be the practicalities of gaining ethical approval where this is a national or local requirement. However, in qualitative studies, where the dynamics of human interaction pervade, ethical considerations are an ongoing process which continues long after approval has been granted. Responding to ethical dilemmas arising 'in the moment' requires a reflexive approach whereby the researcher questions his/her own motivations, assumptions and interests...
March 13, 2018: Perspectives on Medical Education
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