K Butler-Henderson, L Dalton, Y Probst, K Maunder, M Merolli
OBJECTIVE: This study reviewed the competency and threshold standards for allied health professionals to identify the inclusion of digital health competencies. MATERIALS AND METHODS: A nine-stage, sequential meta-synthesis of professional standards was undertaken. Statements relevant to digital health were extracted, categorised by discipline, and coded to the level in the standards, skills or knowledge and level of learning. RESULTS: Eighteen standards were analysed...
October 7, 2020: International Journal of Medical Informatics
Laura J Morrison, Vyjeyanthi S Periyakoil, Robert M Arnold, Rodney Tucker, Eva Chittenden, Sandra Sanchez-Reilly, Elise C Carey
Education leaders in Hospice and Palliative Medicine (HPM) have long acknowledged the challenge of fellow performance assessment and the need for HPM specific fellow assessment tools. In 2010, and in alignment with the Accreditation Council for Graduate Medical Education's (ACGME) directive toward competency-based medical education, the national HPM Competencies Workgroup curated a set of assessment tools, the HPM Toolkit of Assessment Methods. The Toolkit has been a resource for HPM fellowship directors in evolving practical, multi-faceted fellow assessment strategies...
October 19, 2020: Journal of Pain and Symptom Management
R John Tannyhill, Michael Baron, Maria J Troulis
PURPOSE: Laskin (2008) suggested that the core of oral and maxillofacial surgery could be divided into 3 levels: 1) areas of expertise, such as oral pathology, oral medicine, dentoalveolar surgery, preprosthetic surgery, and maxillofacial traumatology; 2) areas of competence, including orthognathic surgery, temporomandibular joint surgery, and local reconstructive surgery; and 3) areas of familiarity that include cleft lip and palate surgery, craniofacial surgery, regional reconstructive surgery, oncologic surgery, and cosmetic surgery...
September 24, 2020: Journal of Oral and Maxillofacial Surgery
Lawrence Seymour, Rigo Montejo, Benjamin W Watson
INTRODUCTION: Road traffic collisions are a major cause of morbidity and mortality in low-resource countries. Compounding this issue is a lack of advanced medical training in these regions and a paucity of developed emergency medical services (EMS). To help address this need, a distance-based EMS educational module was developed with the goal of advancing medical training in resource-poor areas. DESIGN: This prospective study evaluated the knowledge acquisition and technical effectiveness of a live online, distance-based EMS lecture provided to medical providers at Karl Heusner Memorial Hospital in Belize City, Belize...
September 2020: WMJ: Official Publication of the State Medical Society of Wisconsin
Lorenza Díaz, Elena Zambrano, María E Flores, Mariela Contreras, José C Crispín, Gabriela Alemán, César Bravo, Alejandra Armenta, Victor J Valdés, Armando Tovar, Gerardo Gamba, Jorge Barrios-Payán, Norma A Bobadilla
In the last century, progress in the knowledge of human diseases, their diagnosis and treatment have grown exponentially, due in large part to the introduction and use of laboratory animals. Along with this important progress, the need to provide training and guidance to the scientific community in all aspects related to the proper use of experimental animals has been indispensable. Animal research committees play a primary role in evaluating experimental research protocols, from their feasibility to the rational use of animals, but above all in seeking animal welfare...
May 7, 2020: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
Geethanjali Ramachandra, Ellen S Deutsch, Vinay M Nadkarni
Current Medical training in India is generally didactic and pedagogical, and often does not systematically prepare newly graduated doctors to be competent, confident and compassionate. After much deliberation, the Medical Council of India (MCI) has recently introduced a new outcome-driven curriculum for undergraduate medical student training with specific milestones and an emphasis on simulation-based learning and guided reflection. Simulation-based education and debriefing (guided reflection) has transformed medical training in many countries by accelerating learning curves, improving team skills and behavior, and enhancing provider confidence and competence...
October 15, 2020: Indian Pediatrics
Alma L Jimenez, Constantine D Della, Angeline Monica A Arcenas, Constantine L Yu Chua, Rafael Henry E Legaspi
INTRODUCTION: Psychodynamic psychiatry forms the fundamental theoretical frame of reference for psychodynamic psychotherapy and related therapies using psychodynamic concepts. Over time, it faced questions about its empiricism, evidence base, cost-effectiveness, and fitness to the medical role. Although recent studies have reaffirmed its effectivity in mainstream medicine, its clinical practice in the local setting raises questions about the Filipino psychiatrists' systematic understanding and orientation to it, and signals a call for action...
October 21, 2020: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
Quinette Abigail Louw, Karina Berner, Ritika Tiwari, Dawn Ernstzen, Diribsa Tsegaye Bedada, Marisa Coetzee, Usuf Chikte
RATIONALE, AIM AND OBJECTIVE: The physiotherapy profession did not escape the effects of racially based segregatory practises. While numerous strategies and initiatives have been employed to redress the inequities of the past, the extent of demographic transformation within the physiotherapy profession in South Africa remains uncertain. Transformation is defined in this article as an intentional change aimed at addressing inequalities and the ultimate goal is for population group and gender profiles of higher education graduates to be representative of the national epidemiological profile...
October 22, 2020: Journal of Evaluation in Clinical Practice
Chen Du, Megan Chong Hueh Zan, Min Jung Cho, Jenifer I Fenton, Pao Ying Hsiao, Richard Hsiao, Laura Keaver, Chang-Chi Lai, HeeSoon Lee, Mary-Jon Ludy, Wan Shen, Winnie Chee Siew Swee, Jyothi Thrivikraman, Kuo-Wei Tseng, Wei-Chin Tseng, Robin M Tucker
High levels of perceived stress and anxiety among university students are a global concern and are known to negatively influence sleep. However, few studies have explored how stress response styles, like psychological resilience and rumination, might alter these relationships. Using validated tools, perceived stress, anxiety, stress response styles, and sleep behaviors of undergraduate and graduate students from seven countries during the height of the COVID-19 pandemic were characterized in order to examine the relationships between these factors using mediation and moderation analyses...
September 2020: Clocks & Sleep
Ahmad Ozair, Abhishek Bahadur Singh
No abstract text is available yet for this article.
December 2020: Indian Journal of Otolaryngology and Head and Neck Surgery
Amir Vatani Nezafat, Negah Tavakolifard, Atefeh Vaezi
Background: High systolic blood pressure is the leading risk factor for global mortality. Applying effective strategies to control hypertension is a rising concern. Guidelines are approved to be effective in the management of patients with cost-effective interventions. The aim of this study is to evaluate the adherence of family physicians working in Isfahan health centers to the national hypertension guideline, in 2019. Methods: Using a cross-sectional study, the practice of 43 physicians selected by a multistage sampling method from the perspective of hypertension management was observed in 377 visits...
2020: International Journal of Preventive Medicine
Cynthia Semá Baltazar, Erika Valeska Rossetto
The ability to rapidly and effectively respond to public health emergencies, including outbreak investigations and natural disasters, is critical in a strengthened health system. In March and April 2019, the impact of tropical cyclones Idai and Kenneth in Southern Africa and subsequent flooding resulted in devastating consequences to the Mozambique health care system. In this article, we highlight the role of Mozambique's Field Epidemiology and Laboratory Training Program (FELTP) graduates as first responders during one of the most significant natural disasters on the African continent...
2020: Pan African Medical Journal
Sibrina N Collins
No abstract text is available yet for this article.
October 2020: Nature
Helen R Church, Deborah Murdoch-Eaton, John Sandars
PROBLEM: Doctors experience a range of negative reactions when managing acutely unwell patients. These may manifest as emotions or behaviors. Without appropriate coping strategies, these emotions and behaviors can impede optimal clinical performance, which directly affects patient care. Athletes use performance enhancing routines (PERs) to minimize the effect of their negative emotions and behaviors on competitive performance. The authors investigated whether PERs could similarly improve recently qualified doctors' emotional and behavioral control while managing acutely unwell patients and whether the doctors perceived any effect on clinical performance...
October 20, 2020: Academic Medicine
Enid Geyer, Elizabeth Irish, Amanda Hagzan, Alicia Wiczulis
A curriculum-integrated course developed and taught by Library faculty was introduced into the Library's undergraduate medical education (UME) informatics longitudinal theme in 2014 to address growing concerns about the role of social media in medicine. Literature, social media content, and case-based discussion were used to meet educational objectives and facilitate interactivity. Most students indicated that their online behaviors would change as a result of the class. They became alert to potential negative and positive effects of social media use in their professional and personal lives...
October 2020: Medical Reference Services Quarterly
Joana Berger-Estilita, Hsin Chiang, Daniel Stricker, Alexander Fuchs, Robert Greif, Sean McAleer
BACKGROUND: Interprofessional Education (IPE) aims to improve students' attitudes towards collaboration, teamwork, and leads to improved patient care upon graduation. However, the best time to introduce IPE into the undergraduate curriculum is still under debate. METHODS: We used a mixed-methods design based on a sequential explanatory model. Medical students from all six years at the University of Bern, Switzerland (n = 683) completed an online survey about attitudes towards interprofessional learning using a scale validated for German speakers (G-IPAS)...
2020: PloS One
Sarah Dewell, Karen Benzies, Carla Ginn, Cydnee Seneviratne
Objectives Contemporary nurses require genomic literacy to engage in genomics-informed health care. Little is known about the genomic literacy of undergraduate nursing students and faculty in many countries. Concept inventories can be used to assess levels of knowledge and inform curriculum development. Methods The 31-item Genomic Nursing Concept Inventory (GNCI) was administered to undergraduate nursing students (n=207) and faculty (n=13) in a school of nursing with two sites in western Canada. Results Scores on the GNCI were low and comparable to those of US students and faculty...
October 20, 2020: International Journal of Nursing Education Scholarship
Francisco Javier Pérez Lara, Ignacio Diaz de Tuesta Revilla, Francisco Javier Moya Donoso, Jose Manuel Hernández González, Tatiana Prieto-Puga Arjona
Need. The diversity of approaches proposed for the treatment of complex perianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatment of this condition is directly proportional to the amount of fibrous tissue that can be removed. Technical solution. We use a kit of small curettes, of different thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. The small size and varying thicknesses of the curettes enable them to mould to the curves of the fistula tract and to remove tissue by deroofing from the shallowest to the deepest layers, thus excising the entire fibrous tract...
October 21, 2020: Surgical Innovation
Ariel Sena, Stephen Alerhand, Sangeeta Lamba
Phenomenon: Point-of-care ultrasound is fast becoming standard clinical bedside practice for diverse specialties. Medical schools are responding by adding ultrasound education, though the majority use it to supplement the learning of basic sciences. Point-of-care ultrasound practice-based clinical skills education is rare. There also is a lack of standardization across curricula, leading to much variability in the ultrasound skills that medical students from different schools bring to residency. To best inform a point-of-care ultrasound curriculum for our Transition-to Residency program, we investigated literature on 1) how medical students are being prepared for use of point-of-care ultrasound in clinical practice, 2) what skills are being taught, 3) what point-of-care ultrasound skills residency programs expect from incoming residents...
October 21, 2020: Teaching and Learning in Medicine
Dilce Rejane Peres do Carmo, Daiana Foggiato de Siqueira, Amanda de Lemos Mello, Etiane de Oliveira Freitas, Marlene Gomes Terra, Ariane Naidon Cattani, Sandra Cristina Pillon
OBJECTIVE: To evaluate the relationship between psychoactive substance use, anxiety, depression and stress by workers at a Brazilian public university. METHODS: This is a cross-sectional study with a quantitative approach, carried out with 345 workers from a public higher education institution, located in a city in the interior of the state of Rio Grande do Sul, Brazil. RESULTS: Professionals with an average age of 38.9 years, 187 (54.2%) were women, 163 (47...
2020: Revista Brasileira de Enfermagem
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