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Educación médica

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By Vianey Barona I am medical teacher, my speciality is internal medicine. I work for public healtcare.
Stephanie Russ, Shantanu Rout, Nick Sevdalis, Krishna Moorthy, Ara Darzi, Charles Vincent
OBJECTIVES: The aim of this systematic review was to assess the impact of surgical safety checklists on the quality of teamwork and communication in the operating room (OR). BACKGROUND: Safety checklists have been shown to impact positively on patient morbidity and mortality following surgery, but it is unclear whether this clinical improvement is related to an improvement in OR teamwork and communication. METHODS: A systematic search strategy of MEDLINE, EMBASE, PsycINFO, Google Scholar, and the Cochrane Database for Systematic Reviews was undertaken to obtain relevant articles...
December 2013: Annals of Surgery
Sonal Arora, Louise Hull, Maureen Fitzpatrick, Nick Sevdalis, David J Birnbach
OBJECTIVE: To establish the efficacy of simulation-based training for improving residents' management of postoperative complications on a surgical ward. BACKGROUND: Effective postoperative care is a crucial determinant of patient outcome, yet trainees learn this through the Halstedian approach. Little evidence exists on the efficacy of simulation in this safety-critical environment. METHODS: A pre-/postintervention design was employed with 185 residents from 5 hospitals...
May 2015: Annals of Surgery
A A Ghaferi, J B Dimick
BACKGROUND: Surgical mortality increases significantly with age. Wide variations in mortality rates across hospitals suggest potential levers for improvement. Failure-to-rescue has been posited as a potential mechanism underlying these differences. METHODS: A review was undertaken of the literature evaluating surgery, mortality, failure-to-rescue and the elderly. This was followed by a review of ongoing studies and unpublished work aiming to understand better the mechanisms underlying variations in surgical mortality in elderly patients...
January 2016: British Journal of Surgery
Marianne Brouwers, Ellemieke Rasenberg, Chris van Weel, Roland Laan, Evelyn van Weel-Baumgarten
CONTEXT: Patient-centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient-centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments. OBJECTIVES: The aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor-patient communication and can be used to provide direct feedback...
November 2017: Medical Education
Samantha E Parsons, Elizabeth A Carter, Lauren J Waterhouse, Jennifer Fritzeen, Deirdre C Kelleher, Karen J Oʼconnell, Aleksandra Sarcevic, Kelley M Baker, Erik Nelson, Nicole E Werner, Deborah A Boehm-Davis, Randall S Burd
OBJECTIVE: To develop a checklist for use during pediatric trauma resuscitation and test its effectiveness during simulated resuscitations. BACKGROUND: Checklists have been used to support a wide range of complex medical activities and have effectively reduced errors and improved outcomes in different medical settings. Checklists have not been evaluated in the domain of trauma resuscitation. METHODS: A focus group of trauma specialists was organized to develop a checklist for pediatric trauma resuscitation...
April 2014: Annals of Surgery
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
Kristin Fraser, James Huffman, Irene Ma, Matthew Sobczak, Joanne McIlwrick, Bruce Wright, Kevin McLaughlin
BACKGROUND: Observational studies suggest that emotions experienced during simulation training may affect cognitive load and learning outcomes. The objective of this study was to manipulate emotions during simulation training and assess the impact on cognitive load and learning. METHODS: In this prospective randomized trial, 116 final-year medical students received training in a simulated scenario of a 70-year-old woman presenting with reduced consciousness due to aminosalicylic acid ingestion...
May 2014: Chest
Yadin Dudai, Kathinka Evers
Simulation is a powerful method in science and engineering. However, simulation is an umbrella term, and its meaning and goals differ among disciplines. Rapid advances in neuroscience and computing draw increasing attention to large-scale brain simulations. What is the meaning of simulation, and what should the method expect to achieve? We discuss the concept of simulation from an integrated scientific and philosophical vantage point and pinpoint selected issues that are specific to brain simulation.
October 22, 2014: Neuron
Rosemarie Fernandez, Ernest Wang, John A Vozenilek, Emily Hayden, Steve McLaughlin, Steven A Godwin, Sharon Griswold-Theodorson, Moira Davenport, James A Gordon
Simulation-based education has grown significantly over the past 10 years. As a result, more professional organizations are developing or implementing accreditation processes to help define minimum standards and best practices in simulation-based training. However, the benefits and potential pitfalls of sponsoring and implementing such programs have yet to be fully evaluated across specialties. The board of directors of the Society for Academic Emergency Medicine (SAEM) requested an evaluation of the potential to create an emergency medicine (EM)-based Simulation Consultation and Accreditation Service...
October 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Marija Spasenoska, Shane Costello, Brett Williams
OBJECTIVE: The purpose of this present study was to investigate the psychometric properties of the Jefferson Scale of Physician Empathy - student version (JSPE-S). SUBJECTS AND METHODS: This study recruited 193 Malaysian medical students enrolled in year one and year two studies. A principal-component analysis with Varimax rotation was conducted. Procrustes rotation was used to confirm the item to model fit, which allows for a comparison of actual structure against an ideal hypothesized structure...
2016: Advances in Medical Education and Practice
Silvia Allikmets, Jasper Vink
No abstract text is available yet for this article.
2016: Advances in Medical Education and Practice
Mitra Gharib, Mitra Zolfaghari, Rita Mojtahedzadeh, Aeen Mohammadi, Atoosa Gharib
BACKGROUND: With the increasing popularity of e-learning programs, educational stakeholders are attempting to promote critical thinking in the virtual education system. This study aimed to explore the experiences of both the instructors and the students about critical thinking promotion within the virtual education system. METHODS: This qualitative study recruited the instructors and students from four academic disciplines provided by the Virtual School of Tehran University of Medical Sciences (Tehran, Iran)...
2016: Advances in Medical Education and Practice
Peter Iblher, M Zupanic, T Ostermann
AIM: Boor et al developed and validated the questionnaire D-RECT (Dutch Residency Educational Climate Test ) to measure the clinical learning environment within the medical specialist training. In this study, a German version of this questionnaire (D-RECT German) is analyzed regarding testtheoretical properties. PROBLEM: Are the results of Boor et al replicable as a proof for validity of the questionnaire D-RECT? MATERIAL & METHODS: The study was performed as online survey using the questionnaire D-RECT German (50 items in 11 subscales)...
2015: GMS Zeitschrift Für Medizinische Ausbildung
Yvonne M Mowery
Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor's degree, in contrast to most other countries where medical training begins after graduation from high school...
October 2015: Annals of Translational Medicine
Kristen Grant, Fiona C Goldizen, Peter D Sly, Marie-Noel Brune, Maria Neira, Martin van den Berg, Rosana E Norman
BACKGROUND: The population exposed to potentially hazardous substances through inappropriate and unsafe management practices related to disposal and recycling of end-of-life electrical and electronic equipment, collectively known as e-waste, is increasing. We aimed to summarise the evidence for the association between such exposures and adverse health outcomes. METHODS: We systematically searched five electronic databases (PubMed, Embase, Web of Science, PsycNET, and CINAHL) for studies assessing the association between exposure to e-waste and outcomes related to mental health and neurodevelopment, physical health, education, and violence and criminal behaviour, from Jan 1, 1965, to Dec 17, 2012, and yielded 2274 records...
December 2013: Lancet Global Health
Chaoyan Dong, Poh Sun Goh
Videos can promote learning by either complementing classroom activities, or in self-paced online learning modules. Despite the wide availability of online videos in medicine, it can be a challenge for many educators to decide when videos should be used, how to best use videos, and whether to use existing videos or produce their own. We outline 12 tips based on a review of best practices in curriculum design, current research in multimedia learning and our experience in producing and using educational videos...
February 2015: Medical Teacher
Priscila H Goncalves
No abstract text is available yet for this article.
September 1, 2014: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Isabelle Aujoulat, Patricia Jacquemin, Ernst Rietzschel, André Scheen, Patrick Tréfois, Johan Wens, Elisabeth Darras, Michel P Hermans
Failure to initiate or intensify therapy according to evidence-based guidelines is increasingly being acknowledged as a phenomenon that contributes to inadequate management of chronic conditions, and is referred to as clinical inertia. However, the number and complexity of factors associated with the clinical reasoning that underlies the decision-making processes in medicine calls for a critical examination of the consistency of the concept. Indeed, in the absence of information on and justification of treatment decisions that were made, clinical inertia may be only apparent, and actually reflect good clinical practice...
2014: Advances in Medical Education and Practice
Karen Donelan, Catherine M DesRoches, Robert S Dittus, Peter Buerhaus
BACKGROUND: The U.S. health care system is at a critical juncture in health care workforce planning. The nation has a shortage of primary care physicians. Policy analysts have proposed expanding the supply and scope of practice of nurse practitioners to address increased demand for primary care providers. These proposals are controversial. METHODS: From November 23, 2011, to April 9, 2012, we conducted a national postal-mail survey of 972 clinicians (505 physicians and 467 nurse practitioners) in primary care practice...
May 16, 2013: New England Journal of Medicine
Sayinthen Vivekanantham, Rahul Prashanth Ravindran
No abstract text is available yet for this article.
2014: Advances in Medical Education and Practice
2014-08-04 05:07:14
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