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https://www.readbyqxmd.com/read/29779003/bma-reopens-negotiations-over-imposed-junior-doctor-contract
#1
Gareth Iacobucci
No abstract text is available yet for this article.
May 19, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29777617/simulation-in-urology-to-train-non-technical-skills-in-ward-rounds
#2
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
https://www.readbyqxmd.com/read/29776915/junior-doctor-wins-legal-protection-for-all-trainees-who-report-safety-concerns
#3
Deborah Cohen
No abstract text is available yet for this article.
May 18, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29749018/the-experiences-of-medical-students-with-dyslexia-an-interpretive-phenomenological-study
#4
Sebastian C K Shaw, John L Anderson
This article explores the experiences of U.K. medical students with dyslexia, using an interpretive phenomenological approach. This project began with a review of the literature, highlighting a void of qualitative research. We then conducted a collaborative autoethnography. This paper forms the next stage in this series of research. We aimed to elicit meaning and understanding from the lived experiences of our participants. Eight U.K. junior doctors with dyslexia were interviewed over the telephone in an in-depth, unstructured manner...
May 10, 2018: Dyslexia: the Journal of the British Dyslexia Association
https://www.readbyqxmd.com/read/29748230/senior-doctor-triage-sdt-a-qualitative-study-of-clinicians-views-on-senior-doctors-involvement-in-triage-and-early-assessment-of-emergency-patients
#5
Maysam Ali Abdulwahid, Janette Turner, Suzanne M Mason
INTRODUCTION: Despite the focus during the last decade on introducing interventions such as senior doctor initial assessment or senior doctor triage (SDT) to reduce emergency department (ED) crowding, there has been little attempt to identify the views of emergency healthcare professionals on such interventions. The aim of this study was to gain an understanding of SDT from the perspective of emergency hospital staff. A secondary aim of this study was to develop a definition of SDT based on the interview findings and the available literature on this process...
May 10, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29746647/do-medical-students-feel-prepared-to-prescribe-antibiotics-responsibly-results-from-a-cross-sectional-survey-in-29-european-countries
#6
Oliver J Dyar, Dilip Nathwani, Dominique L Monnet, Inge C Gyssens, Cecilia Stålsby Lundborg, Céline Pulcini
Background: In an era of antibiotic resistance, medical students must be prepared to prescribe antibiotics responsibly. Objectives: To assess self-reported preparedness among final-year medical students at European universities, using a comprehensive set of topics related to prudent antibiotic use. Methods: We conducted a cross-sectional, multicentre, web-based survey. All medical-degree students in their final year of studies at European universities were eligible to participate...
May 9, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29745484/-transition-from-postgraduate-training-to-independent-practice-can-we-do-better
#7
Noëlle Junod Perron, Cédric Lanier, Sanae Mazouri
Transition from postgraduate training to independent practice in primary care can be experienced as very stressful. This may be partly explained by the fact that in Switzerland, only six months training in ambulatory medicine are required as part of a five year training for the title of primary care physician. This seems largely insufficient given the diversity of tasks and skills to master. This article aims to make junior doctors aware of the medical and non medical skills they should acquire before entering in primary care independent practice (practice management, insurance, medico-legal issues)...
May 9, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29743061/transitional-journeys-into-and-through-medical-education-for-first-in-family-fif-students-a-qualitative-interview-study
#8
Andrew Mark Bassett, Caragh Brosnan, Erica Southgate, Heidi Lempp
BACKGROUND: There has been much interest in the transitions along the medical education continuum. However, little is known about how students from non-traditional backgrounds experience both the move to, and through Medical School, and their ambitions post-graduation. This research sought to understand the transitional journey into, and through undergraduate medical education, and future career aspirations for first-in-family (FiF) medical students. METHODS: Based on a interpretivist epistemological perspective, 20 FiF students from one English Medical School participated in semi-structured interviews...
May 9, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29740847/junior-doctors-perspectives-on-transfusion-education-in-australia
#9
C J Flores, B Quested, T Spigiel, A Thomson, B Saxon
BACKGROUND: Early postgraduate training is a critical period to develop skills and to influence future clinical practice. Little is known about Australian junior doctors' existing transfusion knowledge and its application in patient care. This study explored their transfusion practice education preferences, developed tools to assist their practice and assessed the usefulness of these tools. METHODS: A design-based study was conducted in two phases from April 2016 to March 2017...
May 8, 2018: Vox Sanguinis
https://www.readbyqxmd.com/read/29739768/thousands-of-junior-doctors-face-anxious-wait-after-job-offer-debacle
#10
Deborah Cohen
No abstract text is available yet for this article.
May 8, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29726312/learning-how-to-learn-using-simulation-unpacking-disguised-feedback-using-a-qualitative-analysis-of-doctors-telephone-talk
#11
Walter J Eppich, Jan-Joost Rethans, Timothy Dornan, Pim W Teunissen
INTRODUCTION: Telephone talk between clinicians represents a substantial workplace activity in postgraduate clinical education, yet junior doctors receive little training in goal-directed, professional telephone communication. AIM: To assess educational needs for telephone talk and develop a simulation-based educational intervention. METHODS: Thematic analysis of 17 semi-structured interviews with doctors-in-training from various training levels and specialties...
May 4, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29703830/junior-doctor-whistleblowers-need-protection-they-can-trust-says-robert-francis
#12
Abi Rimmer
No abstract text is available yet for this article.
April 27, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29703120/workplace-based-communication-skills-training-in-clinical-departments-examining-the-role-of-collegial-relations-through-positioning-theory
#13
Jane Ege Møller, Bente Vigh Malling
INTRODUCTION: Studies suggest that the workplace is a key to understanding how clinical communication skills learning takes place and that medical communication skills need to be reinforced over time in order not to deteriorate. This study explored the perceptions of doctors in four hospital departments who participated in a workplace-based communication training project. Its specific focus was the relationship between collegial relations and learning communication skills. METHODS: The study applied a qualitative design using an ethnographic methodology, i...
April 27, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29678930/junior-doctors-lose-legal-test-case-over-right-to-have-breaks-every-four-hours
#14
Clare Dyer
No abstract text is available yet for this article.
April 20, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29610773/are-they-high-on-steroids-tailored-interventions-help-improve-screening-for-steroid-induced-hyperglycaemia-in-hospitalised-patients
#15
Punith Kempegowda, Alana C Livesey, Laura McFarlane-Majeed, Joht Singh Chandan, Theresa Smyth, Martha Stewart, Karen Blackwood, Michelle McMahon, Anitha Vijayan Melapatte, Sofia Salahuddin, Jonathan Webber, Sandip Ghosh
Steroid-induced hyperglycaemia (SIH) is a common adverse effect in patients both with and without diabetes. This project aimed to improve the screening and diagnosis of SIH by improving the knowledge of healthcare professionals who contribute to the management of SIH in hospitalised patients. Monitoring and diagnosis of SIH were measured in areas of high steroid use in our hospital from May 2016 to January 2017. Several interventions were implemented to improve knowledge and screening for SIH including a staff education programme for nurses, healthcare assistants and doctors...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29610769/improving-driving-advice-provided-to-cardiology-patients-on-discharge
#16
Amoolya Vusirikala, Mark Backhouse, Sarah Schimansky
Certain cardiac conditions can limit patients' ability to drive. It remains the doctors' responsibility to advise patients of any driving restrictions and is particularly important after certain diagnoses or procedures. We identified that the quality of documented advice was variable and frequently no written driving advice was recorded on discharge. It was apparent that there was a lack of awareness and knowledge of the current Driving and Vehicle Licensing Agency (DVLA) guidance among junior doctors. We therefore designed a quality improvement project using Plan-Do-Study-Act (PDSA) methodology to improve the provision of driving advice on discharge from a cardiology ward by focusing on staff education...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29608456/the-pulmonary-artery-catheter-is-it-still-alive
#17
Daniel De Backer, Jean-Louis Vincent
PURPOSE OF REVIEW: The present review discusses the current role of the pulmonary artery catheter (PAC) in the hemodynamic monitoring of critically ill patients. RECENT FINDINGS: The PAC has an important role in the characterization and management of hemodynamic alterations in critically ill patients. Use of the PAC has decreased in the last 30 years because of recent advances in less invasive hemodynamic monitoring techniques, in particular transpulmonary thermodilution and echocardiography, combined with the publication of the results of several randomized trials that failed to show improvements in outcome with the use of the PAC in various settings...
June 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29593428/can-patient-safety-be-improved-by-reducing-the-volume-of-inappropriate-prescribing-tasks-handed-over-to-out-of-hours-junior-doctors
#18
Samuel Martin Amis, Tobin Henry Edgar Osicki
Background: First-year doctors found that during out-of-hours shifts they were being delayed and distracted from reviewing potentially sick/deteriorating patients by a high volume of prescribing tasks. This predominately consisted of oral anticoagulation prescribing and rewrites of drug charts. We hoped that if we could reduce this burden of "inappropriate prescribing tasks", we could not only improve junior doctors' job satisfaction and opportunities for training but also give them more time for patient reviews...
2018: International Journal of General Medicine
https://www.readbyqxmd.com/read/29589196/debate-the-per-rectal-digital-rectal-examination-exam-in-the-emergency-department-still-best-practice
#19
REVIEW
John Quinn, Tomas Zeleny, Venu Rajaratnam, Dan-Lucian Ghiurluc, Vladimir Bencko
BACKGROUND: Emergency medicine practice in the UK and Ireland offers a junior and middle grade doctor great learning opportunities that force engagement with multiple specialties, life-saving procedures, exposure to a myriad of patient presentations, and opportunities for best practices in medicine. MAIN BODY: The emergency department (ED) can be a hectic and dynamic environment; communication from the ED to specialists is essential to ensure best clinical outcomes for patients...
March 27, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29587902/-surgical-treatment-of-malignant-thymoma-invading-the-superior-vena-cava
#20
Lin Xu
This paper introduced surgical treatment of malignancy-related superior vena cava syndrome. Typical cases were presented with diagnostic radiology results. Authors focused on the main approach to the malignancy-related superior vena cava syndrome of surgery. In order to make it simple for junior doctors to learn and practice, all 4 operation methods were described in details. The writer hopes it would be helpful for all the young thoracic surgeons.
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April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
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