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Procedural skills teaching

Daniel Araujo Kramer de Mesquita, Erika Feitosa Queiroz, Maria Allyce de Oliveira, Carlos Magno Queiroz da Cunha, Fernanda Martins Maia, Rafaela Vieira Correa
BACKGROUND: Paracentesis is a routine medical procedure quite relevant in clinical practice. There are risks of complications related to paracentesis, so it is essential a proper trainee for the younger practicer. OBJECTIVE: The article describes the construction and the application of a low cost paracentesis simulator for undergraduate medical students and it also describes the perception of students about the simulator as well. METHODS: A low-cost model was developed by the Program of Tutorial Education for training medical students during three editions of an undergraduate theoretical-practical course of bedside invasive procedures...
October 2018: Arquivos de Gastroenterologia
İlknur Münevver Gönenç, Neslihan Yılmaz Sezer
BACKGROUND: A range of teaching methods are employed to upgrade students' skills, lower anxiety levels and improve satisfaction in nursing and midwifery education. AIM: This study was conducted to evaluate the effect of different training techniques on the development of students' non-stress test (NST) application skills, satisfaction with education and reduction of their anxiety levels. METHOD: The study was designed as a single-blind randomised controlled trial and carried out in four groups (n = 82), namely, video demonstration (VD), simulation with birth model (SBM), hybrid simulation (HS) and control (CG)...
February 13, 2019: Nurse Education Today
Jason Lillis, Dale S Bond
INTRODUCTION: Despite the importance of regular moderate-intensity to vigorous-intensity physical activity (MVPA) for health benefits and long-term weight management, current comprehensive lifestyle interventions have focused on providing MVPA prescriptions and goals but with only minimal and intermittent focus on psychosocial theoretical constructs and novel strategies, perhaps explaining the often modest impact on adoption and maintenance of higher levels of MVPA. An intervention based on acceptance and commitment therapy (ACT) targeting the increase of values-based autonomous motivation could improve the adoption and maintenance of habitual MVPA among insufficiently active overweight or obese adults in a brief intervention format...
January 9, 2019: BMJ Open
Lily H P Nguyen, Ilana Bank, Rachel Fisher, Marco Mascarella, Meredith Young
BACKGROUND: A longitudinal curriculum was developed in conjunction with anesthesiologists, otolaryngologists, emergency physicians and experts in medical simulation and education. METHODS: Residents participated in four different simulation-based training modules using animal models, cadavers, task trainers, and crisis scenarios using high fidelity manikins. Scenarios were based on various clinical settings (i.e. emergency room, operating room) and were followed by video-assisted structured debriefings...
February 19, 2019: Journal of Otolaryngology—Head & Neck Surgery
Rahul Bhattacharyya, Donald J Davidson, Kapil Sugand, Pouya Akhbari, Matthew J Bartlett, Rajarshi Bhattacharya, Chinmay M Gupte
Background: Virtual reality and cadaveric simulations are expensive and not readily accessible1 . Innovative and accessible training adjuncts are required to help meet training needs. Cognitive task analysis (CTA) has been used extensively to train pilots and surgeons in other surgical specialties2-6 . However, the use of CTA tools within orthopaedics is in its infancy. Arthroscopic procedures are minimally invasive and require a different skill set compared with open surgery. Residents often feel poorly prepared to perform this in the operating room because of the steep learning curve associated with acquiring basic arthroscopic skills...
December 26, 2018: JBJS Essential Surgical Techniques
I G Papanikolaou, D Haidopoulos, M Paschopoulos, I Chatzipapas, D Loutradis, N F Vlahos
The traditional method of acquiring surgical skills by observing and assisting in surgical procedures involving human beings has been challenged during the past several years. Lessons obtained from aviation suggested that the use of simulators is related to reduced costs, increased efficiency in performing certain tasks and above all safety. A shift in paradigm is also required in modern surgical training. The development of endoscopic surgery allowed for the incorporation of medical simulators into training programmes...
January 22, 2019: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Jonathan Livingstone-Banks, Emma Norris, Jamie Hartmann-Boyce, Robert West, Martin Jarvis, Peter Hajek
BACKGROUND: A number of treatments can help smokers make a successful quit attempt, but many initially successful quitters relapse over time. Several interventions have been proposed to help prevent relapse. OBJECTIVES: To assess whether specific interventions for relapse prevention reduce the proportion of recent quitters who return to smoking. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group trials register, clinicaltrials...
February 13, 2019: Cochrane Database of Systematic Reviews
Rasa Mladenovic, L A P Pereira, Kristina Mladenovic, Nebojsa Videnovic, Zoran Bukumiric, Jovan Mladenovic
The aim of this study was to evaluate the effectiveness of a mobile augmented reality simulator for local anesthesia training with dental students who are administering inferior alveolar nerve block (IANB) for the first time. Participants in this prospective study conducted in 2016 were 41 fourth- and fifth-year students randomly divided into two groups: a control group with 19 students and an experimental group with 22 students. In addition to theoretical instruction and exercises, students in the experimental group used the mobile augmented reality simulator in a dental office 2h weekly for four weeks...
February 11, 2019: Journal of Dental Education
Sonia Parra, Maria Oden, Kathleen Schmeler, Rebecca Richards-Kortum
BACKGROUND: Cervical cancer remains one of the leading causes of cancer for women in medically underserved areas. This is in part due to a lack of trained clinicians to provide the necessary diagnosis and treatment of precancerous lesions to prevent cervical cancer. Increasing medical provider knowledge and skills is important for the early detection and prevention of cervical precancer and cancer in medically underserved areas of the United States and globally. METHOD: LUCIA is a low-cost, universal cervical cancer instructional apparatus that can be used to teach and practice a variety of essential skills for cervical cancer screening, diagnosis, and treatment, including: visual inspection with acetic acid, Pap and human papillomavirus DNA specimen collection, colposcopy, endocervical curettage, cervical biopsy, cryotherapy, and loop electrosurgical excision procedure...
February 4, 2019: Obstetrics and Gynecology
Obada Hasan, Ahmed Ayaz, Muneeba Jessar, Charles Docherty, Pervaiz Hashmi
Operative skills are the heart and soul of surgical practice. An extensive amount of literature has been devoted to the art and science of acquiring these skills which start by mastering basic skills until automaticity has been achieved. The current model of surgical education is purely based on sheer volume of patients, restrictions in the maximum number of working hours for trainees and increased pressures of operating room efficiency. This leads to limited teaching time. Adding to the scenario is the emphasis on patient safety and greater awareness of medico-legal consequences following medical errors...
February 2019: JPMA. the Journal of the Pakistan Medical Association
Julia Blitz, Marietjie de Villiers, Susan van Schalkwyk
BACKGROUND: Clinical teaching plays a crucial role in the transition of medical students into the world of professional practice. Faculty development initiatives contribute to strengthening clinicians' approach to teaching. In order to inform the design of such initiatives, we thought that it would be useful to discover how senior medical students' experience of clinical teaching may impact on how learning during clinical training might be strengthened. METHODS: This qualitative study was conducted using convenience sampling of medical students in the final two months of study before qualifying...
February 7, 2019: BMC Medical Education
Brian P Coppola, India C Plough, Huai Sun
An activity called Purple Dragons and Yellow Toadstools, originally reported in 1987 as a training activity for jurors, was adapted as a priming exercise for a unit on teaching research ethics with undergraduate students. In this activity, learners develop skills for building negotiated consensus. The procedure involves individuals' ranking 10-15 moral transgressions and/or legal violations followed by a small group discussion in order to arrive at an agreed-upon ranking by the team. The framework has proved to be quite flexible, adaptable to different subject areas and with different populations of students...
February 6, 2019: Science and Engineering Ethics
Salmah M Alharbi, Wardah Y Mohammed, Talat Al Ardi, Ali S Al-Qahtani
OBJECTIVES: To assess the outcome of a myringoplasty procedure during a 5-year period at a tertiary teaching hospital in Abha, Kingdom of Saudi Arabia. METHODS: All patients with chronic suppurative otitis media (CSOM) who underwent elective myringoplasty between August 2012 and February  2018 were included in the study. Patients were investigated preoperatively and postoperatively by pure tone audiometry (PTA). The patients' demographic data were collected together with the surgical outcome...
February 2019: Saudi Medical Journal
Wendy Mandese, Xiaoying Feng, Linda Behar-Horenstein
Practice-based clerkships provide a way for students to experience the types of cases, clients, and procedures that they can expect to see in a general practice setting. These clerkships are typically quite different from those offered in teaching hospitals. Forty-seven (65.28%) of the 72 invited veterinary medicine students from three cohorts participated in pre- and post-test surveys designed to compare their expectations to their actual experiences. Students reported significant positive changes in terms of adequate supervision, approachability of practitioner, and comfort level when asking questions, as well as seeing different cases than they see at the teaching hospital...
February 5, 2019: Journal of Veterinary Medical Education
Obada Hasan, Ahmed Ayaz, Muneeba Jessar, Charles Docherty, Pervaiz Hashmi
Operative skills are the heart and soul of surgical practice. An extensive amount of literature has been devoted to the art and science of acquiring these skills which start by mastering basic skills until automaticity has been achieved. The current model of surgical education is purely based on sheer volume of patients, restrictions in the maximum number of working hours for trainees and increased pressures of operating room efficiency. This leads to limited teaching time. Adding to the scenario is the emphasis on patient safety and greater awareness of medico-legal consequences following medical errors...
February 2019: JPMA. the Journal of the Pakistan Medical Association
Hidefumi Shiroshita, Masafumi Inomata, Toshio Bandoh, Hiroki Uchida, Shigeo Akira, Makoto Hashizume, Shigeki Yamaguchi, Susumu Eguchi, Norihito Wada, Shuji Takiguchi, Satoshi Ieiri, Shunsuke Endo, Masayuki Iwazaki, Yasuhiro Tamaki, Minoru Tabata, Hiroomi Kanayama, Hiromitsu Mimata, Toru Hasegawa, Kiyoshi Onishi, Katsuhiko Yanaga, Toshiaki Morikawa, Toshiro Terachi, Sumio Matsumoto, Yuichi Yamashita, Seigo Kitano, Masahiko Watanabe
In Japan, the first endoscopic surgery, a laparoscopic cholecystectomy, was performed in 1990. Since then, the operative procedure has been standardized, and the safety and usefulness of endoscopic surgery have been evaluated. In accordance with the social acceptance of endoscopic surgery as a less-invasive surgery, the number of endoscopic procedures has been increasing in all surgical domains. The Japan Society for Endoscopic Surgery (JSES) has played an important role in the development of endoscopic surgery in Japan...
January 2019: Asian Journal of Endoscopic Surgery
Lori A Stolz, Richard Amini, Elaine Situ-LaCasse, Josie Acuña, Steven C Irving, Lucas Friedman, Albert B Fiorello, Nicholas Stea, Heinrich Fan, Srikar Adhikari
Introduction The objectives of this study were to determine if a multimodular introductory ultrasound course improved emergency medicine intern confidence in performing a point-of-care ultrasound and if our educational objectives could be met with our chosen structure. Methods This is a prospective, observational study evaluating three consecutive incoming emergency medicine residency classes from three residency programs. A one-day introductory ultrasound course was delivered. The course consisted of 1) flipped classroom didactics, 2) in-person, case-based interactive teaching sessions, and 3) check-listed, goal-driven, hands-on instruction...
November 15, 2018: Curēus
Nenad Zivkovic, Ganapathy van Samkar, Henning Hermanns, Philipp Lirk, Markus W Hollmann, John J van den Dobbelsteen, Dennis J van Gerwen, Markus F Stevens
BACKGROUND AND OBJECTIVES: Learning epidural anesthesia traditionally involves bedside teaching. Visualization aids or a simulator can help in acquiring motor skills, increasing patient safety and steepening the learning curve. We evaluated the face and construct validity of the TU-Delft Epidural Simulator and the effect of needle visualization. METHODS: Sixty-eight anesthesiologists, anesthesia residents, and final-year medical students tested the epidural simulator...
January 22, 2019: Regional Anesthesia and Pain Medicine
Harm J Scholten, Esther Ten Bloemendal, Bente Botter, Hendrikus H M Korsten, R Arthur Bouwman
Accumulating evidence shows that ultrasound (US) guidance improves effectiveness and safety of central venous catheter (CVC) placement. Several international guidelines therefore recommend the use of US for placement of CVCs. However, surveys show that the landmark-based technique is still widely used, while the percentage of physicians using US is increasing less than expected. The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for further implementation of US guidance and to evaluate whether personality traits are associated with the choice of technique...
January 19, 2019: Journal of Clinical Monitoring and Computing
Erin Dehon, Ellen Robertson, Marie Barnard, Jonah Gunalda, Michael Puskarich
Introduction: Formative evaluations of clinical teaching for emergency medicine (EM) faculty are limited. The goal of this study was to develop a behaviorally-based tool for evaluating and providing feedback to EM faculty based on their clinical teaching skills during a shift. Methods: We used a three-phase structured development process. Phase 1 used the nominal group technique with a group of faculty first and then with residents to generate potential evaluation items...
January 2019: Western Journal of Emergency Medicine
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