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Physician competence

Michał Skrzypek, Dorota Turska, Agnieszka Marzec, Karolina Szczygieł
BACKGROUND: Pharmacists implementing and carrying out Pharmaceutical Care (PhC) need to possess interpersonal ("soft") competencies, similar to physicians, as well as the personality predisposition necessary to maintain effective interpersonal communication involved in a therapeutic relationship. This thesis agrees with John L. Holland's congruence theory according to which the decision to take up a given profession is a specific expression of personality. OBJECTIVES: The presented study aims to examine the premise that a specific personality may be a predictor for the career choices made by pharmacy students that entail building a therapeutic relationship with the patient as part of practising PhC...
March 8, 2019: Research in Social & Administrative Pharmacy: RSAP
Alfried Kohlschütter, Hendrik van den Bussche
The correct and early diagnosis of a rare disease in children is of particular importance in regard to the frequently fateful consequences for young families. Even well-known rare diseases are diagnosed with unacceptable delay in many countries. After decades of studying medical histories with delayed diagnoses and the respective literature, we describe the often severe aftereffects of a late diagnosis. We point out the underlying problems on the part of the physicians involved, of the affected families and of the health system in Germany, in particular with respect to the many emerging centers for rare diseases, most of which are associated with academic institutions...
March 13, 2019: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Ulrike Erstling, Kirsten Karberg, Patricia Steffens-Korbanka
New treatment strategies and treatment possibilities as well as undertreatment due to the lack of medical specialists especially in rheumatology, necessitate a qualified further training of rheumatological assistant personnel. The increasing independent work of medical and rheumatological assistants expected by physicians with respect to patient management and practice organization, necessitates an intensive cooperation between the two professional groups. The aim is to guarantee the competent treatment of chronically ill patients with rheumatism...
March 12, 2019: Zeitschrift Für Rheumatologie
Cristina Martínez, Yolanda Castellano, Ana Andrés, Marcela Fu, Ariadna Feliu, Laura Antón, Montse Ballbè, Paz Fernández, Sandra Cabrera, Ana Riccobene, Eva Gavilan, Antoni Baena, Mercè Margalef, Olena Tigova, Núria Quirós, Olga Guillen, Assumpta Company, Esteve Fernández
PURPOSE: To assess changes in the self-reported performance of smoking cessation interventions according to the 5A's model (Ask; Advise; Assess; Assist; and Arrange follow-up) among clinicians; and to identify the main barriers and facilitators in smoking cessation implementation before and after an online smoking cessation training program. DESIGN: Pre-post evaluation. METHODS: We assessed self-reported smoking cessation interventions in the implementation of the 5A's model among clinicians working in Catalan hospitals (Spain)...
March 15, 2019: Journal of Nursing Scholarship
Jorie M Colbert-Getz, Katie Lappe, Michael Northrup, Danielle Roussel
Phenomenon: There is an abundance of literature on Entrustable Professional Activities (EPAs) in theory, but there are few studies on the EPAs in practice for undergraduate clinical education. In addition, little is known about the degree to which the EPAs are or are not aligned with physician assessors' performance schemas of the clerkship student. Investigating the degree to which physician assessors' performance schemas are already aligned with the activities described by the EPAs is critical for effective workplace assessment design...
March 15, 2019: Teaching and Learning in Medicine
Kalay Moodley, Tabia Henry Akintobi, Therese Fish, Daniel S Blumenthal
BACKGROUND: The WHO Africa Region faces a shortage of health workers due to inadequate production of health workers and emigration of physicians and nurses to wealthier countries. South Africa and the United States share a history of discriminatory policies and practices resulting in groups that are under-represented amongst health professionals. One US response is the Area Health Education Centers Program (AHEC), a pipeline program to recruit members of under-represented groups into the health professions...
April 30, 2018: Annals of Global Health
Mariel Colella, Mark Bisanzo, Carey Farquhar, Rashidah Nambaziira, Elizabeth Carter, Sarah Gimbel, Gabrielle O'Malley
Introduction: Leadership and teaching skills are essential, but not often emphasized, components of medical training. As emergency care develops as a specialty in Uganda, two cadres of providers are being trained: physicians and non-physician clinicians (NPCs). Building formal leadership and educator training into these curricula is essential. Methods: A week long continuing education (CE) course on leadership and teaching is described and evaluated for effectiveness using Kirkpatrick's framework for learner-centred outcomes...
March 2019: African Journal of Emergency Medicine Revue
Gabriel Schnetzler, Markus F Bremgartner, Regina Grossmann Straessle, David Spirk, Fabian Tay, Rahel Troxler Saxer, Martin Traber
In Switzerland, Pharmaceutical Medicine has existed as one of 46 physician specialties accredited by the Federal Office of Public Health for more than 20 years. As a medical-scientific discipline, our goal is to enable best possible therapeutic coverage for the benefit of patients and society through a medical need-based development and optimal use of medicinal products. The role of the specialist in Pharmaceutical Medicine is to closely collaborate with various stakeholders of the healthcare system in the context of the discovery, research, development and approval of new medicinal products, as well as safe and effective use of new and established medicinal products in daily clinical practice...
2019: Frontiers in Pharmacology
Lutgart Braeckman, Anita Venema, Suhendan Adıgüzel Van Zoelen, Laurie Hermans, Maurits De Ridder, Alp Ergör, Ahmet Özlu Combining Diaeresis, Gert Van der Laan, Frank van Dijk
OBJECTIVES: To increase knowledge and skills regarding occupational health surveillance and research in professionals. METHODS: Following the ADDIE model (Analysis, Design, Development, Implementation and Evaluation), several training modules have been designed and implemented in the course of 2016. Evaluation forms were distributed to 42 participants before the start and after each training module to measure changes in knowledge, skills and self-efficacy. RESULTS: The majority of the participants were satisfied and found the training relevant and interesting for adult learners...
March 6, 2019: Journal of Occupational and Environmental Medicine
Christopher E Jonas, Steven J Durning, Catherine Zebrowski, Francesca Cimino
PROBLEM: The American Medical Association has called for telehealth to become a core competency of medical students. Studies indicate a principal reason physicians do not practice telehealth is lack of training, yet patient interest in and satisfaction with telehealth is high. No comprehensive U.S. undergraduate medical education curriculum teaching telehealth principles has been published. APPROACH: In February 2018, the Uniformed Services University of the Health Sciences (USU) provided an innovative telehealth training experience for third-year medical students...
March 12, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Johan Zelano, Judith Klecki, Jakob Christensen, Torbjörn Tomson, Kristina Malmgren
Objective: To assess the resources available in the provision of epilepsy care across Europe and the developments since the International League Against Epilepsy (ILAE) survey published in 2003 (data collected in 2000). Methods: An updated online version of the European Epilepsy Services Inventory was distributed to all European chapters of the ILAE (N = 47) and responses were obtained from 33 chapters (response rate 70%). To assess trends and allow comparisons with the survey published in 2003, the responding countries were divided into 4 groups (Western, Central, Southern, and Eastern)...
March 2019: Epilepsia Open
Annette L Gardner, Laura Clementz, Renée H Lawrence, Mary A Dolansky, Alli M Heilman, Anne R Rusterholtz, Simran Singh, Matthew Sparks, Mamta K Singh
Combining interprofessional education, clinical or workplace learning, and physician resident teachers in the ambulatory setting, the dyad model enhances teamwork skills and increases nurse practitioner students' clinical competence.
February 2019: Federal Practitioner
Ellen Shanley, Charles Thigpen, John Brooks, Richard J Hawkins, Amit Moyama, Adam Kwapisz, Michael J Kissenberth, John M Tokish
BACKGROUND: Young age and contact sports have been postulated as risk factors for anterior shoulder instability. Management after shoulder instability is controversial, with studies suggesting that nonoperative management increases the risk of recurrence. Several studies examined return to play after an in-season instability episode, and few followed these patients to determine if they were able to successfully compete in a subsequent season. No study has evaluated this question in a high school athlete population...
March 13, 2019: American Journal of Sports Medicine
Christoph U Correll, Piyali Chatterjee, Susan H Gitzinger, Jovana Lubarda, Marcello Morgan
BACKGROUND: Among adults in the US, bipolar disorder affects 2.6% or 5.7 million individuals; 83% of cases are considered to be severe. Even when an accurate diagnosis of bipolar disorder is established, its treatment remains suboptimal, and those with the disorder often fail to receive any care or evidence-based care.IntroductionA continuing medical education (CME)-certified 25-item, multiple choice clinical practice assessment survey was developed to assess recognition and treatment of bipolar disorder, specifically, the use of LAIs in these patients...
February 2019: CNS Spectrums
Yahan Yang, Jiawei Li, Xiaohang Wu, Jinghui Wang, Wangting Li, Yi Zhu, Chuan Chen, Haotian Lin
OBJECTIVE: To characterise the contributing factors that affect medical students' subspecialty choice and to estimate the extent of influence of individual factors on the students' decision-making process. DESIGN: Systematic review and meta-analysis. METHODS: A systematic search of the Cochrane Library, ERIC, Web of Science, CNKI and PubMed databases was conducted for studies published between January 1977 and June 2018. Information concerning study characteristics, influential factors and the extent of their influence (EOI) was extracted independently by two trained investigators...
March 7, 2019: BMJ Open
Carl G Streed, Helene F Hedian, Amanda Bertram, Stephen D Sisson
BACKGROUND: Recognizing the unique health needs of sexual and gender minorities (i.e., lesbian, gay, bisexual, transgender, queer/questioning individuals) is critical to providing competent and comprehensive healthcare. OBJECTIVE: To assess resident knowledge of healthcare issues uniquely affecting sexual and gender minorities as well as the role of online case-based didactics to measure and improve knowledge in the diagnosis and treatment of these patients. DESIGN: A multicenter online education intervention from December 2016 to April 2018...
March 7, 2019: Journal of General Internal Medicine
Christopher D Harner
No abstract text is available yet for this article.
March 6, 2019: Journal of Bone and Joint Surgery. American Volume
Nethra Ankam, Glendaliz Bosques, Carley Sauter, Steven Stiens, Maya Therattil, Faren Williams, Caleb C Atkins, R Samuel Mayer
People with disabilities constitute 22.2% of the population in the Unites States, and virtually all physicians have people with disabilities in their clinical practice across a wide range of diagnostic groups. However, studies demonstrate that people with disabilities are inadequately served by the health care system, leading to high costs and poor outcomes. The authors argue that this discrepancy is in part because medical students receive limited training in the care of people with disabilities and may therefore not be able to adequately meet the competencies that underlie the core entrustable professional activities for entering residency...
March 5, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Olle Ten Cate, Carol Carraccio
The existing structure of physician education has developed in siloed stages, with consecutive degrees and certifications and progressively longer training programs. As further fragmentation of health care and training systems will not improve the quality of care and education, the authors argue that a new vision of education, training, and practice as a continuum is needed.They advocate for a model of competency-based medical education that merges with competency-based medical practice. In this system, education and training will result in individual, dynamic portfolios of valid entrustable professional activities (EPAs) for which physicians are certified...
March 5, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Sarah Kilbertus, Kaif Pardhan, Juveria Zaheer, Glen Bandiera
OBJECTIVES: Emergency medicine residents may be transitioning to practice with minimal training on how to supervise and assess trainees. Our study sought to examine: 1) physician comfort with supervision and assessment, 2) what the current training gaps are within these competencies, and 3) what barriers or enablers might exist in implementing curricular improvements. METHODS: Qualitative data were collected in two phases through individual interviews from September 2016 to November 2017, at the University of Toronto and McMaster University after receiving ethics approval from both sites...
March 7, 2019: CJEM
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