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Clinical education development

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22 papers 0 to 25 followers
By Arthur Cronwright Aspiring to best practice always
Brooke L Heidenfelder, Bradi B Granger
No abstract text is available yet for this article.
April 2015: AACN Advanced Critical Care
Robert A Woods, Krista Trinder, Marcel D'Eon, Sean McAleer
BACKGROUND: The RAPID approach (Resuscitation, Analgesia and assessment, Patient needs, Interventions, Disposition) was developed as an approach to managing emergency department patients. It is a mental checklist to help trainees provide comprehensive care, addressing issues in priority. Its impact on trainee performance has not been assessed. METHODS: Forty-two clerkship students were enrolled, with 21 students in each group. They received or did not receive the teaching intervention on an alternate basis...
July 2014: CJEM
Leah Bowen, Sarah Purdy, Mark D Lyttle, Alison Heawood
OBJECTIVES & BACKGROUND: Unplanned paediatric admissions are increasing for young children and infants experiencing respiratory illnesses. Many admissions are short-stay events, typically lasting less than 48 hrs. The short duration of these admissions could indicate that minor conditions are responsible for many of these events, and could consequently be targets for management by primary care teams. The purpose of this exploratory qualitative research is to understand more about admissions in young children attending the emergency department of a Children's hospital in the UK, with the aim of collaboratively identifying interventions to reduce admissions for minor respiratory conditions...
September 2014: Emergency Medicine Journal: EMJ
Duika L Burges Watson, Randy Sanoff, Joan E Mackintosh, Jeffrey L Saver, Gary A Ford, Christopher Price, Sidney Starkman, Marc Eckstein, Robin Conwit, Anna Grace, Madeleine J Murtagh
STUDY OBJECTIVE: In the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement. METHODS: This was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field...
November 2012: Annals of Emergency Medicine
Allan Shields, Rhona Flin
Healthcare organisations have started to examine the impact that the human worker has on patient safety. Adopting the Crew Resource Management (CRM) approach, used in aviation, the CRM or non-technical skills of anaesthetists, surgeons, scrub practitioners and emergency physicians have recently been identified to assist in their training and assessment. Paramedics are exposed to dynamic and dangerous situations where patients have to be managed, often with life-threatening injuries or illness. As in other safety-critical domains, the technical skills of paramedics are complemented by effective non-technical skills...
May 2013: Emergency Medicine Journal: EMJ
Vicki R Leblanc, Cheryl Regehr, Walter Tavares, Aristathemos K Scott, Russell Macdonald, Kevin King
OBJECTIVES: Substantial research demonstrates that the stressors accompanying the profession of paramedicine can lead to mental health concerns. In contrast, little is known about the effects of stress on paramedics' ability to care for patients during stressful events. In this study, we examined paramedics' acute stress responses and performance during simulated high-stress scenarios. METHODS: Twenty-two advanced care paramedics participated in simulated low-stress and high-stress clinical scenarios...
August 2012: Prehospital and Disaster Medicine
Walter Tavares, Sylvain Boet, Rob Theriault, Tony Mallette, Kevin W Eva
OBJECTIVE: The aim of this study was to develop and critically appraise a global rating scale (GRS) for the assessment of individual paramedic clinical competence at the entry-to-practice level. METHODS: The development phase of this study involved task analysis by experts, contributions from a focus group, and a modified Delphi process using a national expert panel to establish evidence of content validity. The critical appraisal phase had two raters apply the GRS, developed in the first phase, to a series of sample performances from three groups: novice paramedic students (group 1), paramedic students at the entry-to-practice level (group 2), and experienced paramedics (group 3)...
January 2013: Prehospital Emergency Care
Walter Tavares, Vicki R LeBlanc, Justin Mausz, Victor Sun, Kevin W Eva
OBJECTIVE: The objective of this study was to seek validity evidence for simulation-based assessments (SBA) of paramedics by asking to what extent the measurements obtained in SBA of clinical competence are associated with measurements obtained in actual paramedic contexts, with real patients. METHODS: This prospective observational study involved analyzing the assessment of paramedic trainees at the entry-to-practice level in both simulation- and workplace-based settings...
January 2014: Prehospital Emergency Care
Jan L Jensen, Andrew H Travers, Emily G Marshall, Ed Cain, Stephen Leadlay, Alix J E Carter
OBJECTIVE: An extended-care paramedic (ECP) program was implemented to provide emergency assessment and care on site to long-term care (LTC) residents suffering acute illness or injury. A single paramedic works collaboratively with physicians, LTC staff, patient, and family to develop care plans to address acute situations, often avoiding the need to transport the resident to hospital. We sought to identify insights gained and lessons learned during implementation and operation of this novel program...
January 2014: Prehospital Emergency Care
Brett Williams, Paul A Jennings, Chris Fielder, Amanda Ghirardello
BACKGROUND: Knowledge translation involves the dissemination and application of scientific research findings into clinical practice. In the health care arena, uptake of evidence-based assessment and intervention strategies is aimed at reducing inefficiencies and ultimately improving patient outcomes. However, numerous studies have purported gaps in knowledge translation in the health care professions. The objective of this study was to classify the traits of undergraduate paramedic students from Monash Univeristy, Australia, using the practice style inventory (PSI)...
2013: Advances in Medical Education and Practice
Terry Kind, Pradip D Patel, Désirée Lie, Katherine C Chretien
BACKGROUND: We now live, learn, teach and practice medicine in the digital era. Social networking sites are used by at least half of all adults. Engagement with social media can be personal, professional, or both, for health-related and educational purposes. Use is often public. Lapses in professionalism can have devastating consequences, but when used well social media can enhance the lives of and learning by health professionals and trainees, ultimately for public good. Both risks and opportunities abound for individuals who participate, and health professionals need tips to enhance use and avoid pitfalls in their use of social media and to uphold their professional values...
April 2014: Medical Teacher
Cassie C Kennedy, Eric K Cannon, David O Warner, David A Cook
OBJECTIVE: To perform a systematic review and meta-analysis of the literature on teaching airway management using technology-enhanced simulation. DATA SOURCES: We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Web of Science, and Scopus for eligible articles through May 11, 2011. STUDY SELECTION: Observational or controlled trials instructing medical professionals in direct or fiberoptic intubation, surgical airway, and/or supraglottic airway using technology-enhanced simulation were included...
January 2014: Critical Care Medicine
Anna Abelsson, Ingrid Rystedt, Björn-Ove Suserud, Lillemor Lindwall
BACKGROUND: High energy trauma is rare and, as a result, training of prehospital care providers often takes place during the real situation, with the patient as the object for the learning process. Such training could instead be carried out in the context of simulation, out of danger for both patients and personnel. The aim of this study was to provide an overview of the development and foci of research on simulation in prehospital care practice. METHODS: An integrative literature review were used...
March 28, 2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Rachel Waldron, Diane M Sixsmith
INTRODUCTION: Maintaining patient safety during transition from prehospital to emergency department (ED) care depends on effective handoff communication between providers. We sought to determine emergency physicians' (EP) knowledge of the care provided by paramedics in terms of both procedures and medications, and whether the use of a verbal report improved physician accuracy. METHODS: We conducted a 2-phase observational survey of a convenience sample of EPs in an urban, academic ED...
July 2014: Western Journal of Emergency Medicine
Ala'a O Oteir, Karen Smith, Paul A Jennings, Johannes U Stoelwinder
INTRODUCTION: Spinal cord injury (SCI) is a serious condition that may lead to long-term disabilities placing financial and social burden on patients and their families, as well as their communities. Spinal immobilization has been considered the standard prehospital care for suspected SCI patients. However, there is a lack of consensus on its beneficial impact on patients' outcome. OBJECTIVE: This paper reviews the current literature on the epidemiology of traumatic SCI and the practice of prehospital spinal immobilization...
August 2014: Prehospital and Disaster Medicine
S J Howell
No abstract text is available yet for this article.
August 2014: British Journal of Anaesthesia
Chad G Ball
A highly organized approach to the evaluation and treatment of penetrating torso injuries based on regional anatomy provides rapid diagnostic and therapeutic consistency. It also minimizes delays in diagnosis, missed injuries and nontherapeutic laparotomies. This review discusses an optimal sequence of structured rapid assessments that allow the clinician to rapidly proceed to gold standard therapies with a minimal risk of associated morbidity.
April 2014: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Trisha Greenhalgh, Jeremy Howick, Neal Maskrey
No abstract text is available yet for this article.
June 13, 2014: BMJ: British Medical Journal
Christopher A Kahn
No abstract text is available yet for this article.
February 2014: Annals of Emergency Medicine
Deepti Thomas-Paulose
No abstract text is available yet for this article.
February 2014: Annals of Emergency Medicine
2014-06-23 06:59:18
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