Anna Power, Amita Tuteja, Lester Mascarenhas, Meredith Temple-Smith
BACKGROUND: Conciliatory attitudes, respect for medical professionals and avoidance of being direct can make health consultations with Burma-born patients difficult to navigate. Coupled with linguistic barriers, this may make the sensitive nature of many women's health consultations challenging. Little is known about current practices for obtaining informed consent in this context. The objectives of this study were to explore current practices, barriers and strategies to obtaining informed consent in medical consultations with women born in Burma...
November 29, 2022: Australian Journal of Primary Health
Amir Qaseem, Jennifer Yost, Matthew C Miller, Rebecca Andrews, Janet A Jokela, Mary Ann Forciea, George M Abraham, Linda L Humphrey
Description: Strategies to manage COVID-19 in the outpatient setting continue to evolve as new data emerge on SARS-CoV-2 variants and the availability of newer treatments. The Scientific Medical Policy Committee (SMPC) of the American College of Physicians (ACP) developed these living, rapid practice points to summarize the best available evidence on the treatment of adults with confirmed COVID-19 in an outpatient setting. These practice points do not evaluate COVID-19 treatments in the inpatient setting or adjunctive COVID-19 treatments in the outpatient setting...
November 29, 2022: Annals of Internal Medicine
Christine Schumacher
Background: Large cardiovascular outcomes trials in individuals with heart failure, with and without diabetes, have demonstrated a significant risk reduction in the composite outcome of cardiovascular death or hospitalizations for heart failure with SGLT2 inhibitor therapy. These positive outcomes have led to the recommendation that SGLT2 inhibitors serve as backbone therapy in patients with heart failure reduced ejection fraction (HFrEF). To date, there has not been enough participants in clinical trials on concomitant SGLT2 inhibitor and angiotensin receptor-neprilysin inhibitor therapy to evaluate the benefits and risks of combination therapy with these two agents outside of smaller subgroup analyses...
November 28, 2022: Journal of Pharmacy Practice
Dung T Bui, Tony Barnett, Ha Hoang, Winyu Chinthammit
Situational tele-mentorship refers to the use of technology to provide interactive, two-way communication between an advisor (the mentor) and a novice (mentee) to enhance the management of a dynamic clinical scenario in real-time.This article develops a conceptual framework to support situational tele-mentorship of healthcare professionals working in rural and remote practices by critically exploring the concept of mentorship within medical education literature and applied to healthcare professionals working in more isolated settings...
November 28, 2022: Medical Teacher
Vishnu Bhat Ballambattu
This article is based on the contents of 'Dr. K. C. Chaudhuri Lifetime Achievement Award Oration' delivered on the Indian Journal of Pediatrics Annual Day 2022. The author shares glimpses of his academic journey from a remote village to a central Institute. This includes his career as a medical teacher and developing the Department of Neonatology at JIPMER, Pondicherry. This article is primarily focused on some of the significant research conducted during his tenure, like perinatal asphyxia, therapeutic hypothermia, neonatal sepsis, intrauterine growth restriction, and human milk banking...
November 28, 2022: Indian Journal of Pediatrics
Sarah E Kuehl, Jennifer O Spicer
THE PROBLEM: Medical students graduate underprepared for postgraduate medical training despite years of classroom and clinical training. In this article, a medical student shares her personal perspectives on three factors contributing to this problem in undergraduate medical education: students' peripheral roles in the clinical environment impede learning, students receive inadequate feedback, and assessments do not measure desired learning outcomes. A SOLUTION: The authors describe how using entrustable professional activities (EPAs) could address these issues and promote students' clinical engagement by clarifying their roles, providing them with frequent and actionable feedback, and aligning their assessments with authentic work...
November 28, 2022: Perspectives on Medical Education
Kimberly Luu, Ravi Sidhu, Neil K Chadha, Kevin W Eva
Clinical supervisors are known to assess trainee performance idiosyncratically, causing concern about the validity of their ratings. The literature on this issue relies heavily on retrospective collection of decisions, resulting in the risk of inaccurate information regarding what actually drives raters' perceptions. Capturing in-the-moment information about supervisors' impressions could yield better insight into how to intervene. The purpose of this study, therefore, was to gather "real-time" judgments to explore what drives preceptors' judgments of student performance...
November 28, 2022: Advances in Health Sciences Education
Aditi Puri, Milad Memari, Elisa M Sottile, Laura K Snydman, Wei Wei Lee, Rachel A Bonnema, Danielle Jones, D Rani Nandiwada
No abstract text is available yet for this article.
October 29, 2022: American Journal of Medicine
Ziyi Li, Tianming Zuo, Xiaotong Wei, Ning Ding
BACKGROUND: Because of the wide use of information and communication technologies (ICT) in healthcare, medical students' knowledge and skills of modern ICT have been considered essential for their successful learning and future careers. According to Bandura's self-efficacy, enhancing ICT self-efficacy, which might be affected by technology experience, could be a pathway to improving ICT literacy and competence, which should be one focus of medical educationalists. However, there is a lack of suitable measurements of medical students' self-efficacy and a clear understanding of its relationship with technology experience...
December 2023: Medical Education Online
Leanne Teoh, Matthew Hopcraft, Michael McCullough, Jo-Anne Manski-Nankervis, Ruby Biezen
AIMS: Dental pain is a common presentation in general medical practice for which patients are often prescribed antibiotics. The aim of this pilot study was to assess prescriptions by general medical practitioners (GPs) for dental presentations in Australia. METHODS: Anonymised electronic medical data relating to antibiotic prescribing across two time periods (3 August-30 November 2019 and 3 August-30 November 2020) were extracted from eight general practices in Victoria who contributed data to the University of Melbourne's Data for Decisions program...
November 28, 2022: British Journal of Clinical Pharmacology
Marissa Korte, Jeffrey Graupner, Katherine Thompson, Lauren J Gleason
There is an increasing need for community-based health education to help older adults understand and manage their complex medical needs. Community Aging Services Professionals (CASPs) are non-medical service providers who facilitate aging in place by providing health education, socialization, and care coordination for older adults in community settings. Through in-depth interviews with 13 CASPs, this study assessed CASPs' knowledge of older adults' medical issues and health education needs. Our goal was to assess CASPs' knowledge of older adults' medical issues and health education needs and determine overlap with the Age Friendly Health System 4 Ms framework...
November 28, 2022: Gerontology & Geriatrics Education
Joakim Agri, Carl Montán, Louise Söderin, Kristina Lennquist-Montán, Elsa Hammarberg
INTRODUCTION: Major incidents (MIs) put great demands on the medical response to effectively organize and redistribute resources and personnel, in prehospital care as well as hospital care, and coordinating functions. Studies indicate that regular training and well-established contingency plans are vital for the medical response to MIs. Previous assessments have concluded that Swedish disaster preparedness requires improved organization and coordination. There is currently no method to easily follow-up the preparedness work of the prehospital medical response organizations for MIs in Sweden...
November 28, 2022: Prehospital and Disaster Medicine
Linfan Su, Ruxuan Chen, Jinmei Luo, Yi Xiao
BACKGROUND: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and induces a growing health care burden. However, a large proportion of patients with OSA do not receive appropriate treatment and are underdiagnosed or misdiagnosed in primary care. A contributing factor to the phenomenon is the lack of education, which reflects the current inadequacies in medical education. Therefore, assessing the level of knowledge and attitudes toward OSA and associated factors among resident physicians is highly warranted...
2022: Frontiers in Psychiatry
Lemesa Abdisa, Shiferaw Letta, Kabtamu Nigussie
BACKGROUND: People with hypertension have a high risk of developing mental disorders, such as depression and/or anxiety. However, there is a paucity of data regarding comorbid depression and anxiety symptoms among people with hypertension in study settings. OBJECTIVE: The study determined the prevalence and associated factors of depression, and anxiety symptoms among people with hypertension on follow-up at public hospitals, in Eastern Ethiopia. MATERIALS AND METHODS: A cross-sectional study was carried out among 471 people with hypertension who were randomly chosen from four public hospitals in Harar town and the Dire Dawa Administration...
2022: Frontiers in Psychiatry
Hua Wei, Yan Li, Yu Zhang, Jinmei Luo, Shuang Wang, Qiujun Dong, Yuanyuan Tao, Ling Gong, Yang Feng, Mingmei Shi, Zhenghui Cao, Yongfang Liu, Li Chen, Xiao Liu, Ying Dai, Lingling Qu, Zhao Song, Jie Chen, Tingyu Li, Qian Cheng
PURPOSE: Given the increasing prevalence of autism spectrum disorder (ASD) and the public health problems it creates; early identification and interventions are needed to improve the prognosis of ASD. Hence, this study surveyed different groups of people who are likely to have early contact with autistic children to provide an informed basis for early detection and effective diagnosis and interventions. METHODS: Three groups of people were recruited for the study from Changshou District and Wushan County of Chongqing, in Western China: 269 medical workers, 181 educators, and 188 community residents...
2022: Frontiers in Psychiatry
Kwame Adu-Bonsaffoh, Evelyn Tamma, Adanna Uloaku Nwameme, Joyce L Browne
BACKGROUND: Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal mortality and morbidity globally despite the intensive international effort to improving maternal care. Substandard clinical care has emerged as a major contributing factor to the high maternal deaths associated with maternal hypertension globally and the impact is severer in low- and middle-income countries (LMICs). Context specific challenges impact negatively on the quality of maternity care and health providers play a crucial role in achieving positive pregnancy experiences for women...
2022: Frontiers in global women's health
Yao Kang Shuy, Lavisha S Punjabi
No abstract text is available yet for this article.
November 2022: Canadian Medical Education Journal
M Boshra, A Lee, I Kim, E Malek-Adamian, M Yau, K A LaDonna
BACKGROUND: Despite growing emphasis on empathic care, numerous studies demonstrate diminishing empathy in medical students. Involving patient educators in medical curricula may be a solution. Therefore, we conducted a systematic review to evaluate patient-involved interventions that promote empathy among medical students. METHOD: A literature search of MEDLINE, Embase, PsycINFO, and ERIC databases was performed using the keywords "empathy," "medical student," and their synonyms...
November 2022: Canadian Medical Education Journal
Avery Ironside, Brent Thoma, Krista Trinder, Sherrill Bueckert, Tara Lee, Trustin Domes
BACKGROUND: The physician workforce in Saskatchewan depends upon the retention of locally trained physicians. Characteristics collected at the time of medical school application may predict future practice location, but these associations have not been explored. METHODS: We identified the current practice location of University of Saskatchewan College of Medicine graduates who matriculated between 2000 and 2013 and extracted data from their admission applications including gender, age, high school, previous university, and current location at the time of application...
November 2022: Canadian Medical Education Journal
Amy D Lu, Adelle R Atkinson, Julie C Johnstone
BACKGROUND: Workplace-based assessment (WBA) is a critical component of competency-based medical education (CBME), though literature on WBA for overnight call is limited. We evaluated a WBA tool completed by supervising subspecialty trainees on paediatric residents during subspecialty overnight call, for usefulness facilitating feedback/coaching in this setting. METHODS: Web-based surveys were sent to residents pre- and post-WBA tool implementation monthly for four months (August-December 2018), exploring feedback frequency, Likert-scaled opinions of tool feasibility/usefulness facilitating feedback, and qualitative experiences...
November 2022: Canadian Medical Education Journal
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