﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Larrivee, Samuel
   Rodger, Robyn
   Larouche, Patricia
   Leiter, Jeff
   Jelic, Tomislav
   MacDonald, Peter
TI Orthopaedic residents demonstrate retention of point of care ultrasound
   knowledge after a brief educational session: a quasi experimental study
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 474
DI 10.1186/s12909-019-1916-0
PD DEC 30 2019
PY 2019
AB Background: Musculoskeletal point of care ultrasound (MSK POCUS) has
   many uses for orthopaedic surgeons, but orthopaedic trainees are rarely
   exposed to this modality. The purpose of this project was to assess the
   usefulness in clinical education of a newly implemented MSK POCUS course
   in an orthopaedic surgery program.
   Methods: An MSK POCUS course for orthopaedic surgery residents was
   developed by an interdisciplinary team. Online videos were created to be
   viewed by residents prior to a half-day long practical course. An online
   survey covering the level of training of the resident and their previous
   use of ultrasound (total hours) was completed by the participants prior
   to the course. Resident's knowledge acquisition was measured with
   written pre-course, same-day post-course and six-month follow-up tests.
   Residents were also scored on a practical shoulder examination
   immediately after the course and at six-month follow-up. Changes in test
   scores between time points were evaluated using Wilcoxon signed-rank
   tests.
   Results: Ten orthopaedic surgery residents underwent the MSK POCUS
   curriculum. Pre-course interest in MSK-POCUS was moderate (65%) and
   prior exposure was low (1.5 h mean total experience). Written test
   scores improved significantly from 50.7 +/- 17.0% before to 84.0 +/-
   10.7% immediately after the course (p < 0.001) and suffered no
   significant drop at 6 months (score 75.0 +/- 8.7%; p = 0.303). Average
   post-course practical exam score was 78.8 +/- 3.1% and decreased to 66.2
   +/- 11.3% at 6 months (p = 0.012). Residents significantly improved
   their subjective comfort level with all aspects of ultrasound use at 6
   months (p = 0.007-0.018) but did not significantly increase clinical
   usage frequency.
   Conclusion: An MSK POCUS curriculum was successfully developed and
   implemented using an interdisciplinary approach. The course succeeded in
   improving the residents' knowledge, skills, and comfort with MSK POCUS.
   This improvement was maintained at 6 months on the written test but did
   not result in higher frequency of use by the residents.
RI Larrivée, Samuel/AAN-8897-2021; Jelic, Tomislav/
OI Larrivée, Samuel/0000-0002-3131-143X; Jelic,
   Tomislav/0000-0003-3212-4625
ZR 0
ZB 0
ZS 0
ZA 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
EI 1472-6920
UT WOS:000509751600001
PM 31888601
ER

PT J
AU Cserto, Monika
   Berenyi, Karoly
   Decsi, Tamas
   Lohner, Szimonetta
TI Self-reported attitudes, knowledge and skills of using evidence-based
   medicine in daily health care practice: A national survey among students
   of medicine and health sciences in Hungary
SO PLOS ONE
VL 14
IS 12
AR e0225641
DI 10.1371/journal.pone.0225641
PD DEC 27 2019
PY 2019
AB In order to map attitudes, knowledge and skills related to
   evidence-based medicine (EBM) in students of medical and health sciences
   faculties, we performed an online survey during the spring semester 2019
   in all medical and health sciences faculties in Hungary. In total, 1080
   students of medicine and 911 students of health sciences completed the
   online questionnaire. The attitude towards EBM was generally positive;
   however, only a small minority of students rated their EBM-related
   skills as advanced. There were large differences in the understanding of
   different EBM-related terms, with 'sample size' as the term with the
   highest (65%) and 'intention-to-treat analysis' with the lowest (7%)
   proportion of medical students being able to properly explain the
   meaning of the expression. Medical students who already participated in
   some EBM training rated their skills in searching and evaluating medical
   literature and their knowledge of EBM-related terms significantly better
   and had a more positive attitude towards using EBM in the practice than
   students without previous EBM training. EBM trained medical students
   were more likely to choose online journals (17.5% compared to 23.9%,
   p<0.05) and professional guidelines (15.4% compared to 6.1%, p<0.001)
   instead of printed books (33.6% compared to 52.6, p<0.001) as the main
   source of healthcare information retrieval and used Pubmed/Medline,
   Medscape and the Cochrane Library to a significant higher rate than
   students without any previous EBM training. Healthcare work experience
   (OR = 1.59; 95% CI = 1.01-2.52), conducting student research (OR = 2.02;
   95% CI = 1.45-2.82) and upper year university students (OR = 1.65; 95%
   CI = 1.37-1.98) were other factors significantly influencing EBM-related
   knowledge. We conclude that the majority of students of medical and
   health sciences faculties are keen to acquire EBM-related knowledge and
   skills during their university studies. Significantly higher EBM-related
   knowledge and skills among EBM trained students underline the importance
   of targeted EBM education, while parallel increase of knowledge and
   skills with increasing number of education years highlight the
   importance of integrating EBM terminology and concepts also into the
   thematic of other courses.
RI Lohner, Szimonetta/AAM-9339-2020
OI Lohner, Szimonetta/0000-0002-6292-4802
ZS 0
ZB 1
ZA 0
ZR 0
TC 5
Z8 0
Z9 5
U1 0
U2 1
SN 1932-6203
UT WOS:000515089200009
PM 31881036
ER

PT J
AU Cai, Ruilie
   Tang, Ji
   Deng, Chenhui
   Lv, Guofan
   Xu, Xiaohe
   Sylvia, Sean
   Pan, Jay
TI Violence against health care workers in China, 2013-2016: evidence from
   the national judgment documents
SO HUMAN RESOURCES FOR HEALTH
VL 17
IS 1
AR 103
DI 10.1186/s12960-019-0440-y
PD DEC 26 2019
PY 2019
AB Background Incidents of patient-initiated workplace violence against
   health care workers have been a subject of substantial public attention
   in China. Patient-initiated violence not only represents a risk of harm
   to health care providers but is also indicative of general tensions
   between doctors and patients which pose a challenge to improving health
   system access and quality. This study aims to provide a systematic,
   national-level characterization of serious workplace violence against
   health care workers in China. Methods This study extracted data from the
   China Judgment Online System, a comprehensive database of judgment
   documents. Three key phrases, "criminal case," "health care
   institution," and "health care worker" were used to search the China
   Judgment Online System for relevant cases between January 1, 2013, and
   December 31, 2016. Data extracted from identified cases was used to
   document the occurrence, the degree of risk, and the factors associated
   with serious workplace violence. Results In total, 459 criminal cases
   involving patient-initiated workplace violence against health care
   workers in China were reported and processed. The analysis revealed
   geographic heterogeneity in the occurrence of serious workplace
   violence, with lower incidence in western provinces compared to central
   and eastern provinces. Primary hospitals experienced the highest rates
   of serious workplace violence and emergency departments and doctors were
   at higher risk compared with other departments and health workers.
   Perpetrators were primarily male farmers aged 18 to 44 with low levels
   of education. The most frequently reported reasons of serious
   patient-initiated workplace violence included perceived medical
   malpractice by the perpetrator after the death of a patient, death of a
   patient with no other reason given, failures of the compensation
   negotiations after the death of a patient, and dissatisfaction with the
   treatment outcomes. Conclusions Serious workplace violence against
   providers varies across regions and types of health care institutions in
   China. Perception of low-quality care is the most reported reason for
   violence. Efforts should be made to improve quality of care in the
   low-level health institutions and strengthen the doctor-patient
   communication during the whole course of service.
RI Pan, Jay/Z-4492-2019
OI Pan, Jay/0000-0001-9501-1535
TC 28
ZR 0
ZA 0
ZS 0
Z8 1
ZB 5
Z9 29
U1 8
U2 41
EI 1478-4491
UT WOS:000512731900001
PM 31878939
ER

PT J
AU Watson, Kaitlyn E.
   Singleton, Judith A.
   Tippett, Vivienne
   Nissen, Lisa M.
TI Defining pharmacists' roles in disasters: A Delphi study
SO PLOS ONE
VL 14
IS 12
AR e0227132
DI 10.1371/journal.pone.0227132
PD DEC 26 2019
PY 2019
AB Introduction
   Pharmacists are uniquely placed in the community to be of assistance to
   disaster-affected patients. However, the roles undertaken by pharmacists
   in disasters are identified based on their own experiences and networks.
   There is currently no definition or acknowledgment of pharmacists' roles
   in disasters.
   Objective
   To acquire consensus from an expert panel of key opinion leaders within
   the field of disaster health on pharmacists' roles in disasters
   throughout the four disaster phases prevention, preparedness, response,
   and recovery.
   Methods
   A Delphi study consisting of three rounds of online surveys was
   utilised. Twenty-four key opinion leaders were contacted, with 15
   completing all three rounds. The 15 expert panellists were presented
   with 46 roles identified in the literature and asked to rank their
   opinions on a 5-point Likert scale. This study used an international,
   all-hazard, and multijurisdictional approach. Consensus was benchmarked
   at 80% and any role which did not reach consensus was re-queried in the
   subsequent round. The third round provided the results of the Delphi
   study and sought commentary on the acceptance or rejection of the roles.
   Results
   Of the 46 roles provided to the expert panel, 43 roles were accepted as
   roles pharmacists are capable of undertaking in a disaster. There were
   five roles for the prevention phase, nine for the preparedness phase, 21
   for the response phase, and eight for the recovery phase. The experts
   were asked to prioritise the top five roles for each of the disaster
   phases. The three roles which did not make consensus were deemed to be
   specialised roles for disaster pharmacists and not generalisable to the
   broader pharmacy profession.
   Conclusion
   This study identifies pharmacists' roles in disasters which have been
   accepted by the international disaster health community. The
   international key opinion leaders recommended that pharmacists could be
   undertaking 43 roles in a disaster, however, this is dependent on
   individual jurisdiction considerations. Pharmacy professional
   associations need to advocate to policymakers for legislative support
   and to ensure pharmacists are equipped with the training and education
   required to undertake these roles within specific jurisdictions.
RI Singleton, Judith Ann/AAC-8225-2022; Watson, Kaitlyn E/V-3445-2019; Nissen, Lisa/C-3403-2008
OI Singleton, Judith Ann/0000-0002-7715-6391; Watson, Kaitlyn
   E/0000-0001-6617-9398; Nissen, Lisa/0000-0001-5826-4605
ZR 0
Z8 0
ZS 0
ZA 0
ZB 3
TC 38
Z9 38
U1 0
U2 2
SN 1932-6203
UT WOS:000515084600062
PM 31877194
ER

PT J
AU Nembaware, Victoria
   Mulder, Nicola
   Abidi, Omar
   Akanle, M. B.
   Ali, Stuart Alvaro
   Aliga, Cliff Asher
   Chauke, Paballo
   Cotzee, Minnet
   Dandara, Collet
   Fadlelmola, Faisal M.
   Fawale, Michael B.
   Fernandes, Pedro L.
   Ghansah, Anita
   Kamga, Karen Kengne
   Kashim, Zainab Abimbola
   Kassim, Samar Kamal
   Komolafe, Morenikeji A.
   Landoure, Guida
   Leisegang, Cordelia
   Madden, Ebony B.
   Majada, Kuda
   Malope, Malebo
   Kaba, Mamadou
   Mathuba, Keofentse
   Matimba, Alice
   Mochamah, George
   Morgan, Sarah L.
   Oyekanmi, Nash
   Munung, Nchangwi S.
   Owoeye, Temitope Esther
   Pepper, Michael Sean
   Pienaar, Lunelle
   Pietersen, Elize
   Radouani, Fouzia
   Ramesar, Raj S.
   Skelton, Michelle
   Mpoloka, Sununguko Wata
   Misaki, Wayengerera
   Wonkam, Ambroise
   Adesina, Adetunji Samuel
   Wessels, Tina-Marie
CA African Genomic Med Training Initi
TI The African Genomic Medicine Training Initiative (AGMT): Showcasing a
   Community and Framework Driven Genomic Medicine Training for Nurses in
   Africa
SO FRONTIERS IN GENETICS
VL 10
AR 1209
DI 10.3389/fgene.2019.01209
PD DEC 20 2019
PY 2019
AB The potential of genomic medicine in improving the quality of healthcare
   both at population and individual-level is well-recognized globally.
   However, successful adoption of genetic and genomic evidence into
   clinical practice depends on training the healthcare workforce and
   clinical researchers in genomic medicine. Due to limited expertise in
   the medical genetics and genomics field, widespread uptake largely
   depends on task-shifting for the implementation of genomic medicine
   implementation to key healthcare professionals such as nurses. Their
   knowledge would be developed through courses aimed at professional
   development. Globally, trainers, and training initiatives in genomic
   medicine are in early stages of development, but resource limited
   settings such as the African continent face additional logistical and
   institutional challenges. The African Genomic Medicine Training (AGMT)
   Initiative was conceived during a combined conference of the African
   Society of Human Genetics (AfSHG) and the Human Heredity and Health in
   Africa Consortium (H3Africa) in 2016, Senegal, in response to the needs
   for developing knowledge and skills in genomic medicine. AGMT was
   established to implement a sustainable genomic medicine training
   initiative primarily for healthcare professionals who are not
   geneticists but are nurses, doctors, and pharmacists in Africa. This
   paper reports on the establishment of the AGMT initiative and the
   strategies developed and piloted by this initiative in designing and
   implementing an accredited frame-work and community-based blended
   learning course for nurses across 11 African countries. The global
   implementation experiences, outcomes and lessons learnt are highlighted.
   The AGMT initiative strategy takes advantage of existing research
   consortia and networks to train and create a pool of trainers and has
   adopted evidence-based approaches to guide curriculum and content
   development/adaptation. This initiative established the first
   Africa-wide online blended learning genomic medicine course which forms
   the basis from which to develop courses for other healthcare
   professionals and the wider public.
RI Aliga, Cliff Asher/J-4750-2019; Wonkam, Ambroise/AFU-6901-2022; Wessels, Tina-Marie/AAS-1326-2021; Pepper, Michael S./M-6143-2014; Mpoloka, Sununguko/GQP-6235-2022; Abidi, Omar/AAM-5088-2020; Adesina, Adetunji Samuel/; CHAUKE, PABALLO/; Fawale, Michael/; Munung, Nchangwi Syntia/; Fernandes, Pedro/A-9618-2010; Kamal Kassim, Samar/G-4701-2015; Ali, Stuart/D-4445-2013
OI Pepper, Michael S./0000-0001-6406-2380; Mpoloka,
   Sununguko/0000-0003-0147-1819; Adesina, Adetunji
   Samuel/0000-0003-0701-8089; CHAUKE, PABALLO/0000-0001-9257-616X; Fawale,
   Michael/0000-0003-3205-7514; Munung, Nchangwi
   Syntia/0000-0003-1498-3602; Fernandes, Pedro/0000-0003-2124-0241; Kamal
   Kassim, Samar/0000-0002-4359-6620; Ali, Stuart/0000-0002-4124-2896
TC 14
ZS 0
ZR 0
ZA 0
ZB 4
Z8 0
Z9 14
U1 3
U2 7
EI 1664-8021
UT WOS:000505492100001
PM 31921282
ER

PT J
AU Bai, Li
   Rao, Qingmao
   Cai, Zhengjie
   Lv, Yalan
   Wu, Tinghng
   Shi, Zumin
   Sharma, Manoj
   Zhao, Yong
   Hou, Xiaorong
TI Effects of Goal-Framed Messages on Mental Health Education Among Medical
   University Students: Moderating Role of Personal Involvement
SO FRONTIERS IN PUBLIC HEALTH
VL 7
AR 371
DI 10.3389/fpubh.2019.00371
PD DEC 17 2019
PY 2019
AB Mental health problem among university students is an emerging public
   health issue, and mental health education has always been the focus of
   attention for universities. However, limited attention has been paid to
   the effect of students' acceptance of health messages. Previous studies
   have found that message framing plays a key role in the process of
   responding to health-promoting messages. In this backdrop, the study
   aimed to examine the effects of goal-framed messages on mental health
   education among medical university students and investigate the
   moderating role of personal involvement. A cross-sectional study was
   conducted on medical university students. An online self-administered
   questionnaire was used to collect data. Wilcoxon rank-sum test and
   ordinal logistic regression were used for data analysis. Results showed
   significant differences in message acceptance between the gain- and
   loss-framed groups (p < 0.001). Participants with high personal
   involvement had higher message acceptance than those with low personal
   involvement in gain- and loss-framed message models (p < 0.05).
   Specifically, participants who related to roommates with high intimacy
   had higher message acceptance than those who related to roommates
   generally (p < 0.05). Participants who were concerned about their health
   condition had higher message acceptance than those who were neutral
   about their health condition (p < 0.001). Evidence of advantages of
   gain- over loss-framed messages on mental health among medical
   university students was found. The hypothesis that personal involvement
   with a health issue affects the acceptance of message framing was
   supported. Public health advocates can use framed message as a strategy
   to improve the efficacy of intervention in mental health education.
RI Zhao, Yong/Z-3231-2019; Sharma, Manoj/AAN-6133-2020; Shi, Zumin/A-1093-2009; Rao, Qingmao/
OI Zhao, Yong/0000-0001-9290-109X; Sharma, Manoj/0000-0002-4624-2414; Shi,
   Zumin/0000-0002-3099-3299; Rao, Qingmao/0000-0002-6848-7893
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
TC 3
Z9 3
U1 12
U2 26
EI 2296-2565
UT WOS:000505003300001
PM 31956647
ER

PT J
AU Corroon, Jamie
   Sexton, Michelle
   Bradley, Ryan
TI Indications and administration practices amongst medical cannabis
   healthcare providers: a cross-sectional survey
SO BMC FAMILY PRACTICE
VL 20
IS 1
AR 174
DI 10.1186/s12875-019-1059-8
PD DEC 14 2019
PY 2019
AB Background The medical use of cannabis has been legislatively restricted
   for decades in the US and abroad. In recent years, changing local and
   national policies have given rise to a community of healthcare providers
   who may be recommending the medical use of cannabis without the benefit
   of formal clinical practice guidelines or sufficient training and
   education. In addition, a citizen science movement has emerged whereby
   unlicensed and untrained individuals are acting as healthcare provider
   proxies, offering cannabis-specific clinical care to "patients". This
   study sought to characterize the clinical practice characteristics of
   these provider groups. Methods An anonymous, online survey was designed
   to describe levels of cannabis-specific education, practice
   characteristics, indications for medical use, dose, administration forms
   and adverse effects related to cannabis use. The questionnaire was
   disseminated via professional medical cannabis associations and by
   word-of-mouth. It was accessed between June 31-December 31, 2018. A
   self-selecting sample of respondents (n = 171) completed the survey.
   Results Formal education or training in the medical use of cannabis was
   significantly more common among licensed respondents than unlicensed
   respondents (95.5% vs 76.9% respectively, OR, 6.3, 95% CI, 1.2-32.3, p =
   0.03). The vast majority (n = 74, 83.15%) of licensed respondents
   reported having recommended cannabis as an adjunct to an existing
   prescription drug. Almost two-thirds (n = 64, 71.9%) reported having
   recommended it as a substitute. When delta-9-tetrahydrocannabinol (THC)
   is the principal therapeutic constituent of interest, vaporization is
   the most common method of administration recommended (n = 94 responses,
   71.4% of respondents). In contrast, when cannabidiol (CBD) is the
   principal therapeutic constituent of interest, oral administration
   (sublingual or oromucosal absorption) is the most common method (n = 70
   responses, 71.4% of respondents). Conclusions Individuals who recommend
   the medical use of cannabis appear to be self-generating a community
   standard of practice in the absence of formal clinical guidelines on
   dosing, interactions and other characteristics. Reducing barriers to
   clinical research on cannabis products is needed, not only to better
   understand their risks and benefits, but also to augment the
   evidence-base for informing clinical practice.
RI Sexton, Michelle/ABD-9017-2020; Corroon, Jamie/
OI Sexton, Michelle/0000-0002-0443-8355; Corroon, Jamie/0000-0003-3930-6093
ZR 0
TC 12
ZS 0
ZA 0
ZB 6
Z8 0
Z9 12
U1 0
U2 3
EI 1471-2296
UT WOS:000502984700001
PM 31837706
ER

PT J
AU Messeri, Peter
   Cantrell, Jennifer
   Mowery, Paul
   Bennett, Morgane
   Hair, Elizabeth
   Vallone, Donna
TI Examining differences in cigarette smoking prevalence among young adults
   across national surveillance surveys
SO PLOS ONE
VL 14
IS 12
AR e0225312
DI 10.1371/journal.pone.0225312
PD DEC 13 2019
PY 2019
AB Accurate smoking prevalence data is critical for monitoring,
   surveillance, and evaluation. However, estimates of prevalence vary
   across surveys due to various factors. This study examines smoking
   prevalence estimates for 18-21 year olds across six U.S. national
   telephone, online and in-person surveys for the years 2013 and 2014.
   Estimates of ever smoking ranged from 35% to 55%. Current smoking ranged
   from 16% to 30%. Across the three modalities, household surveys were
   found to yield the highest estimates of smoking prevalence among 18 to
   21 year olds while online surveys yielded the lowest estimates, and this
   was consistent when stratifying by gender and race/ethnicity.
   Assessments of the joint effect of gender, race/ethnicity, educational
   attainment and survey mode indicated that the relative differences in
   the likelihood of smoking were consistent across modes for gender and
   education groups. However, the relative likelihood of smoking among
   minority groups compared with non-Hispanic Whites varied across modes.
   Gender and racial/ethnic distributions for most surveys significantly
   differed from the U.S. Census. Over and underrepresentation of certain
   demographic subpopulations, variations in survey question wording, and
   social desirability effects may explain modality differences in smoking
   estimates observed in this study. Further research is needed to evaluate
   the effect of survey mode on variation in smoking prevalence estimates
   across national surveys, particularly for young adult populations.
OI Cantrell, Jennifer/0000-0003-4730-2535
ZA 0
Z8 0
TC 5
ZR 0
ZB 1
ZS 0
Z9 5
U1 0
U2 0
SN 1932-6203
UT WOS:000534232900007
PM 31834881
ER

PT J
AU Oyibo, Samson O.
TI Developing a Beginner's Guide to Writing a Clinical Case Report: A Pilot
   Evaluation by Junior Doctors
SO CUREUS
VL 11
IS 12
AR e6370
DI 10.7759/cureus.6370
PD DEC 13 2019
PY 2019
AB Introduction
   Writing a case report increases one's knowledge about a particular
   disease condition, demonstrates intellectual curiosity and commitment to
   scientific inquiry and the ability to follow through on scholarly
   projects. Despite several articles and journal-specific instructions
   published concerning case report writing, none have been evaluated by
   their intended audience. The aim of this study was to get junior doctors
   to evaluate an online presentation as part of the process of developing
   a beginner's guide to writing a clinical case report.
   Materials and methods
   In response to our previous studies an online presentation concerning
   how to write a clinical case report was provided for junior doctors.
   Junior doctors were invited by email to look at the online presentation
   and complete an online evaluation form thereafter. The questions were
   adapted from the Evaluation Form for Teaching and Presentations provided
   by the Joint Royal Colleges of Physicians Training Board. Data was
   analysed both quantitatively and qualitatively.
   Results
   Sixty-five doctors looked at the presentation and completed the online
   evaluation form. All agreed that the objectives of the presentation were
   identified and met. Sixty-four (98.5%) agreed that it was effective and
   clear. Sixty percent indicated that they found the information and
   instructions useful. An additional 13.85% found the whole presentation
   useful without specifying any aspect. Eight percent found the summary
   slide useful, 4.62% found the case selection criteria slide to be useful
   and 4.62% found the permission and patient consenting slide useful.
   Twenty percent would like the inclusion of examples of good abstracts
   and case reports, 13.85% would like more teaching sessions, and 13.85%
   would like improvements to the slide-presentation format. Overall, 64
   junior doctors (98.46%) remarked that the presentation was good, very
   good or excellent.
   Conclusions
   This study has demonstrated the importance of evaluation of teaching
   material by junior doctors while developing a beginner's guide to
   writing a clinical case report. Once the above action points and
   limitations have been taken into account, further repeat evaluations by
   junior doctors need to be undertaken while developing a robust
   beginner's guide to writing a clinical case report.
OI OYIBO, SAMSON/0000-0002-4104-9674
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 1
Z9 1
U1 0
U2 2
EI 2168-8184
UT WOS:000504824600001
PM 31886095
ER

PT J
AU Burkardt, Aude D.
   Krause, Nicerine
   Velarde, Minerva C. Rivas
TI Critical success factors for the implementation and adoption of
   e-learning for junior health care workers in Dadaab refugee camp Kenya
SO HUMAN RESOURCES FOR HEALTH
VL 17
IS 1
AR 98
DI 10.1186/s12960-019-0435-8
PD DEC 9 2019
PY 2019
AB This paper presents the results of a case study that analyses the
   critical factors that influence the implementation of professional
   health education via blended learning in Dadaab refugee camp. It
   explores innovative solutions to the issues facing refugees looking for
   professional health training, namely the health workforce shortage and
   lack of training opportunities. It outlines social and political factors
   that impact professional health education for refugee youth. It outlines
   barriers and facilitators on the implementation of 'Distance Basic
   Training of Healthcare Professionals', a blended training course
   provided by the University of Geneva to junior health care personnel in
   Dadaab Refugee camp.
   Methods: This case uses mixed methods. Descriptive statistics drawn from
   online surveys, learning analytics data, and exchanges on online forums
   and student chat groups are all used. Qualitative methods consist of two
   focus groups, comprising of all students (n = 27) were convened, as well
   as, individual semi-structured interviews with 14 of the 27 students;
   three with managers from the health service who supervised enrolled
   students; and two with senior managers who were responsible for staff
   and training decision-making. Qualitative data was transcribed, and
   thematic analyses were applied.
   Results: The results demonstrate that barriers for the implementation of
   professional education in a refugee camp emerged not only from the
   constraints on the environment, but also from barriers stemming from
   legislation and administrative procedures. Data suggested weaknesses on
   the education system could be addressed by providing students with
   extra-curricular support, information and communications technology
   (ICT) literacy, and promoting mechanisms for peer support while
   broadening entry requirements to increase the enrolment of female
   students. Finally, providing internationally credentialed courses and
   transferable skills enables professional pathways for refugee students.
   Discussion: Blended learning enables the design and delivery of
   high-quality medical education that is sustainable and relevant in a
   particular environment, e.g. refugee camps. Furthermore, the research
   reveals that building education pathways could enhance numbers of health
   workers with the appropriate skillset to serve communities.
RI Rivas Velarde, Minerva/Q-3764-2018
OI Rivas Velarde, Minerva/0000-0003-3747-3306
ZS 0
Z8 0
ZA 0
ZB 1
ZR 0
TC 6
Z9 6
U1 1
U2 11
EI 1478-4491
UT WOS:000518402700004
PM 31818294
ER

PT J
AU Trivate, Travuth
   Dennis, Ashley A.
   Sholl, Sarah
   Wilkinson, Tracey
TI Learning and coping through reflection: exploring patient death
   experiences of medical students
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 451
DI 10.1186/s12909-019-1871-9
PD DEC 4 2019
PY 2019
AB Background: Existing studies have explored many aspects of medical
   students' experiences of patient death and propose the importance of
   faculty support for coping. However, UK-based literature on this subject
   and research concerning learning through reflection as part of coping
   are relatively limited. This study, through the lens of reflection, aims
   to explore students' experiences with patient death in a UK context.
   These include coping strategies, support from faculty following patient
   death and the relationship between these experiences and learning. Our
   research questions were:
   How do medical students cope with and learn from their experiences?
   How does support from ward staff and the medical school help them cope
   with and learn from these experiences?
   How can students best be supported following patient death?
   Methods: We employed narrative inquiry to explore how medical students
   made sense of their experiences of patient death. Twelve students
   participated in our study via an online narrative questionnaire.
   Thematic analysis and complementary narrative analysis of an exemplar
   were applied to address our research aim.
   Results: Coping strategies comprised internal and external strategies.
   Internal strategies included (1) re-interpretation of the death into a
   meaningful experience including lessons learned; (2) normalization; (3)
   staying busy and (4) enduring negative emotions. External strategies
   included speaking to someone, which was found to influence
   normalization, and lessons learned. Both satisfactory and unsatisfactory
   support from ward staff was identified. Satisfactory support was
   characterized by the inclusion of emotional and professional support.
   Unsatisfactory support was often characterized by a lack of emotional
   support. Narrative analysis further demonstrated how the experience with
   patient death was re-interpreted meaningfully. Students suggested that
   support should be structured, active, sensitive, and include peers and
   near-peers.
   Conclusion: Many coping strategies, internal and external, were employed
   in students' experiences with patient death. Student reflections,
   enhanced by support from ward staff, were shown to be important for
   learning from patient death. We encourage faculty to have regular
   sessions in which medical students can reflect on the death incident and
   discuss appropriately with others, including peers and near-peers.
OI Dennis, Ashley/0000-0002-2744-423X
Z8 0
ZA 0
ZR 0
ZS 0
TC 8
ZB 2
Z9 8
U1 0
U2 2
EI 1472-6920
UT WOS:000509744600001
PM 31801494
ER

PT J
AU Kearns, Cilein
TI Is drawing a valuable skill in surgical practice? 100 surgeons weigh in
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 42
IS 1
BP 4
EP 14
DI 10.1080/17453054.2018.1558996
PD 2019
PY 2019
AB The author noted surgeons frequently drawing in routine practice.
   Literature review revealed no prior study of this activity. This
   research was conducted to examine the prevalence, purpose, and perceived
   value of this practice. Surgeons' experiences and opinions regarding
   drawing in surgical practice were canvassed via an online survey.
   One-hundred surgeons participated. 92% valued drawing routinely in
   practice. Utility was reported across domains of consent, communication,
   patient care, medico-legal, education, and planning operations.
   Free-text feedback is discussed, and learning points from this data were
   summarised. This paper establishes the collective professional opinion
   of 100 surgeons regarding the value of drawing, which plays a thriving
   role in current surgical practice. The utility of this skill transcends
   merely documenting visual information, allowing surgeons to quickly
   visualise simplified, dynamic representations of reality. This
   facilitates communication between professionals, and with their
   patients. The efficiency and availability of this medium allows drawing
   to maintain a distinct role in medical communication amongst other
   imaging modalities available. This paper is the first to document the
   prevalence of drawing amongst surgeons, substantiates an informed
   professional opinion supporting this practice, and demonstrates
   widespread enthusiasm for further training in these skills.
RI Kearns, Nethmi/AAQ-4413-2020; Kearns, Ciléin/AAG-8448-2020
OI Kearns, Nethmi/0000-0002-3188-991X; Kearns, Ciléin/0000-0003-1254-8287
Z8 0
ZR 0
ZA 0
ZS 0
TC 14
ZB 1
Z9 14
U1 0
U2 9
SN 1745-3054
EI 1745-3062
UT WOS:000470292300002
PM 31799883
ER

PT J
AU Turk, Bela
   Ertl, Sebastian
   Wong, Guoruey
   Wadowski, Patricia P.
   Loeffler-Stastka, Henriette
TI Does case-based blended-learning expedite the transfer of declarative
   knowledge to procedural knowledge in practice?
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 447
DI 10.1186/s12909-019-1884-4
PD DEC 3 2019
PY 2019
AB Background: Case-Based Learning (CBL) has seen widespread implementation
   in undergraduate education since the early 1920s. Ample data has shown
   CBL to be an enjoyable and motivational didactic tool, and effective in
   assisting the expansion of declarative and procedural knowledge in
   academia. Although a plethora of studies apply multiple choice questions
   (MCQs) in their investigation, few studies measure CBL or case-based
   blended learning (CBBL)-mediated changes in students' procedural
   knowledge in practice or employ comparison or control groups in
   isolating causal relationships.
   Methods: Utilizing the flexibilities of an e-learning platform, a CBBL
   framework consisting of a) anonymized patient cases, b) case-related
   textbook material and online e-CBL modules, and c) simulated patient
   (SP) contact seminars, was developed and implemented in multiple medical
   fields for undergraduate medical education. Additionally, other fields
   saw a solo implementation of e-CBL in the same format. E-cases were
   constructed according to the criteria of Bloom's taxonomy.
   In this study, Objective Structured Clinical Examination (OSCE) results
   from 1886 medical students were analyzed in total, stratified into the
   following groups: medical students in 2013 (n = 619) before CBBL
   implementation, and after CBBL implementation in 2015 (n = 624) and 2016
   (n = 643).
   Results: A significant improvement (adjusted p = .002) of the mean OSCE
   score by 1.02 points was seen between 2013 and 2015 (min = 0, max = 25).
   Conclusion: E-Case-Based Learning is an effective tool in improving
   performance outcomes and may provide a sustainable learning platform for
   many fields of medicine in future.
RI Henriette, Löffler-Stastka/P-1229-2016; Wadowski, Patricia Pia/
OI Henriette, Löffler-Stastka/0000-0001-8785-0435; Wadowski, Patricia
   Pia/0000-0003-2462-4515
ZR 0
Z8 0
ZS 0
ZA 0
ZB 1
TC 20
Z9 20
U1 4
U2 27
EI 1472-6920
UT WOS:000509744200001
PM 31796049
ER

PT J
AU Modanloo, Shokoufeh
   Stacey, Dawn
   Dunn, Sandra
   Choueiry, Juliana
   Harrison, Denise
TI Parent resources for early childhood vaccination: An online
   environmental scan
SO VACCINE
VL 37
IS 51
BP 7493
EP 7500
DI 10.1016/j.vaccine.2019.09.075
PD DEC 3 2019
PY 2019
AB Background: Early childhood vaccination is one of the most important
   public health interventions. However, the injections are usually
   painful. Clinical practice guidelines recommend using pain management
   strategies for infants during vaccination. Public access to online
   health information has increased due to the advent of intemet. Parents
   are likely to find thousands of websites, and online video platforms of
   variable quality. This study aims to identify and critically appraise
   the quality of online parent-targeted resources concerning early
   childhood vaccination and determine inclusion of recommended infant pain
   management strategies.
   Methods: An environmental scan of two main internet sources was
   conducted: (a) Google, (b) Social Media networks. Resources including
   information relating to infant vaccination and available to Canadians
   were included. Characteristics of resources were collected. Resource
   quality was evaluated using the CDC Clear Communication Index. A CDC
   index score of 90% and above indicates the resource is as an acceptable
   public communication material. Means and standard deviations were used
   for normally distributed data; median and interquartile range (IQR) or
   numbers and proportions were used for data not normally distributed or
   presented in categorical format.
   Results: We found 55 online resources in website format and 10 resources
   in video format. Overall, the mean score for the quality of resources
   was 60% +/- 0.19. Most resources were scored as moderate to low quality
   (33-87%). Only 5% of material scored as acceptable quality. In terms of
   content, 30 (46%) resources presented information about pain management
   strategies during vaccination, including breastfeeding (24, 37%),
   holding (27, 42%), and sweet solutions (22, 34%). The remaining 35 (54%)
   resources made no clear statement regarding any pain management
   strategies during vaccination.
   Conclusion: Most publicly accessible online parent-targeted vaccination
   resources were of poor quality and did not contain information related
   to the use of recommended pain management strategies during vaccination.
   (C) 2019 Elsevier Ltd. All rights reserved.
RI Modanloo, Shokoufeh/AAM-9160-2021; Modanloo, Shokoufeh/; Stacey, Dawn/; Harrison, Denise/N-6684-2017
OI Modanloo, Shokoufeh/0000-0001-8834-7348; Stacey,
   Dawn/0000-0002-2681-741X; Harrison, Denise/0000-0001-7549-7742
ZS 0
ZB 3
TC 12
ZR 0
Z8 0
ZA 0
Z9 12
U1 0
U2 4
SN 0264-410X
EI 1873-2518
UT WOS:000501620000007
PM 31590931
ER

PT J
AU Butler, Eadaoin M.
   Derraik, Jose G. B.
   Glover, Marewa
   Morton, Susan M. B.
   Tautolo, El-Shadan
   Taylor, Rachael W.
   Cutfield, Wayne S.
TI Acceptability of early childhood obesity prediction models to New
   Zealand families
SO PLOS ONE
VL 14
IS 12
AR e0225212
DI 10.1371/journal.pone.0225212
PD DEC 2 2019
PY 2019
AB Objective
   While prediction models can estimate an infant's risk of developing
   obesity at a later point in early childhood, caregiver receptiveness to
   such information is largely unknown. We aimed to assess the
   acceptability of these models to New Zealand caregivers.
   Methods
   An anonymous questionnaire was distributed online. The questionnaire
   consisted of multiple choice and Likert scale questions. Respondents
   were parents, caregivers, and grandparents of children aged.5 years.
   Results
   1,934 questionnaires were analysed. Responses were received from
   caregivers of various ethnicities and levels of education. Nearly
   two-thirds (62.1%) of respondents would "definitely" or "probably" want
   to hear if their infant was at risk of early childhood obesity, although
   "worried" (77.0%) and "upset" (53.0%) were the most frequently
   anticipated responses to such information. With lower mean scores
   reflecting higher levels of acceptance, grandparents (mean score = 1.67)
   were more receptive than parents (2.10; p = 0.0002) and other caregivers
   (2.13; p = 0.021); males (1.83) were more receptive than females (2.11;
   p = 0.005); and Asian respondents (1.68) were more receptive than those
   of European (2.05; p = 0.003), Maori (2.11; p = 0.002), or Pacific
   (2.03; p = 0.042) ethnicities. There were no differences in acceptance
   according to socioeconomic status, levels of education, or other
   ethnicities.
   Conclusions
   Almost two-thirds of respondents were receptive to communication
   regarding their infant's risk of childhood obesity. While our results
   must be interpreted with some caution due to their hypothetical nature,
   findings suggest that if delivered in a sensitive manner to minimise
   caregiver distress, early childhood obesity risk prediction could be a
   useful tool to inform interventions to reduce childhood obesity in New
   Zealand.
RI Butler, Éadaoin Máire/AFK-4598-2022; Tautolo, El-Shadan/S-6002-2019; Butler, Eadaoin/GSN-2634-2022
OI Butler, Éadaoin Máire/0000-0001-5078-1851; Tautolo,
   El-Shadan/0000-0001-8444-6410; 
ZS 0
TC 6
ZR 0
ZB 2
ZA 0
Z8 0
Z9 6
U1 0
U2 0
SN 1932-6203
UT WOS:000533930800025
PM 31790443
ER

PT J
AU Nicol, Edward
   Turawa, Eunice
   Bonsu, George
TI Pre- and in-service training of health care workers on immunization data
   management in LMICs: a scoping review
SO HUMAN RESOURCES FOR HEALTH
VL 17
IS 1
AR 92
DI 10.1186/s12960-019-0437-6
PD DEC 2 2019
PY 2019
AB Background Healthcare providers (HCPs) are recognized as one of the
   cornerstones and drivers of health interventions. Roles such as
   documentation of patient care, data management, analysing, interpreting
   and appropriate use of data are key to ending vaccine-preventable
   diseases (VPDs). However, there is a great deal of uncertainty and
   concerns about HCPs' skills and competencies regarding immunization data
   handling and the importance of data use for improving service delivery
   in low- and middle-income countries (LMICs). Questions about the
   suitability and relevance of the contents of training curriculum,
   appropriateness of platforms through which training is delivered and the
   impact of such training on immunization data handling competencies and
   service delivery remain a source of concern. This review identified and
   assessed published studies that report on pre- and in-service training
   with a focus on HCPs' competencies and skills to manage immunization
   data in LMICs. Methods An electronic search of six online databases was
   performed, in addition to websites of the WHO, Global Alliance for
   Vaccines and Immunization (GAVI), Oxfam International, Save the
   Children, Community Health Workers Central (CHW Central), UNAIDS and
   UNICEF. Using appropriate keywords, MeSH terms and selection procedure,
   12 articles published between January 1980 and May 2019 on pre- and
   in-service training of HCPs, interventions geared towards standardized
   data collection procedures, data documentation and management of
   immunization data in LMICs, including curriculum reviews, were
   considered for analysis. Results Of the 2705 identified references, only
   12 studies met the inclusion criteria. The review provides evidence that
   shows that combined and multifaceted training interventions could help
   improve HCPs' knowledge, skills and competency on immunization data
   management. It further suggests that offering the right training to HCPs
   and sustaining standard immunization data management is hampered in
   LMICs by limited or/lack of training resources. Conclusion Pre-service
   training is fundamental in the skills' acquisition of HCPs; however,
   they require additional in-service training and supportive supervision
   to function effectively in managing immunization data tasks. Continuous
   capacity development in immunization data-management competencies such
   as data collection, analysis, interpretation, synthesis and data use
   should be strengthened at all levels of the health system. Furthermore,
   there is a need for periodic review of the immunization-training
   curriculum in health training institutions, capacity development and
   retraining tutors on the current trends in immunization data management.
RI Nicol, Edward/H-9383-2016
OI Nicol, Edward/0000-0001-6019-9259
Z8 0
ZB 1
ZA 0
ZR 0
TC 7
ZS 0
Z9 7
U1 1
U2 4
EI 1478-4491
UT WOS:000500774100003
PM 31791352
ER

PT J
AU Khan, Nasim B.
   Charles, Chenay R.
   Naidoo, Naedene
   Nokubonga, Amanda
   Mkhwanazi, Ndabenhle A.
   Moustache, Hella M. T. E.
TI Infection prevention and control measures in audiology practice within
   public healthcare facilities in KwaZulu-Natal province, South Africa
SO SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
VL 66
IS 1
AR a636
DI 10.4102/sajcd.v66i1.636
PD DEC 2 2019
PY 2019
AB Background: Audiologists have a clinical and ethical responsibility to
   create a working environment, designed to reduce the potential for
   cross-contamination or transmission of infections.
   Objectives: To describe the infection prevention and control (IPC)
   measures utilised and the opinions of audiologists and speech
   therapists, and audiologists (A/STAs) towards IPC in public healthcare
   facilities in KwaZulu-Natal province, South Africa.
   Method: A quantitative, descriptive survey was utilised and entailed
   completing an online questionnaire. The Cronbach's alpha (0.82)
   indicated good internal consistency of the tool. Forty-nine A/STAs from
   29 public healthcare facilities responded.
   Results: Most participants (82%) followed a generic Department of Health
   policy on IPC, while 67% alluded to a discipline-specific policy.
   Participants had received training in infection control but indicated
   that further instruction was required for audiology-specific infection
   control procedures. Only 57% indicated that they 'sometimes' wore gloves
   with every patient during direct clinical contact. An association
   between the healthcare facility level and the wearing of gloves was
   found to be statistically significant (p = 0.025). Participants at
   regional and tertiary levels contended that gloves should be worn during
   most procedures versus those at district levels of care. While 96%
   washed their hands after each patient, only 76% washed their hands
   before each patient. Twenty-nine per cent indicated that they only
   'sometimes' wore masks when in contact with patients with communicable
   diseases. Approximately one-third disinfected touch surfaces and toys,
   based on the clinician's discretion. The majority (86%) of participants,
   however, always followed the correct protocol for medical waste
   disposal. Despite training and the availability of policies, some
   practitioners displayed poor IPC practices in terms of universal
   precautions, personal protective equipment, handwashing and
   sterilisation.
   Conclusion: Further education, training and awareness related to
   appropriate IPC measures are recommended for audiologists. It is
   envisaged that this will lead to more effective IPC measures in
   audiology practice thereby reducing the risk of infection transmission.
OI Moustache, Hella/0000-0001-9901-1647
ZB 1
ZR 0
ZS 1
ZA 0
Z8 0
TC 3
Z9 3
U1 0
U2 3
SN 0379-8046
EI 2225-4765
UT WOS:000504307800001
PM 31793311
ER

PT J
AU White, Katherine G.
TI A retrospective analysis of adrenal crisis in steroid-dependent
   patients: causes, frequency and outcomes
SO BMC ENDOCRINE DISORDERS
VL 19
IS 1
AR 129
DI 10.1186/s12902-019-0459-z
PD DEC 2 2019
PY 2019
AB Background: Adrenal patients have a lifelong dependency on steroid
   replacement therapy and are vulnerable to sudden death from undertreated
   adrenal crisis. Urgent treatment with parenteral steroids is needed,
   often with IV saline for volume repletion. Episodes of adrenal crisis
   are, for most patients, relatively infrequent and they may not be well
   prepared to respond. This study explores how patients recall previous
   episodes of adrenal crisis and their satisfaction with UK emergency
   medical treatment.
   Methods: We invited members of the main UK support groups representing
   steroid-dependent adrenal patients to complete an online questionnaire
   identifying the number, causes and location of previous adrenal crises
   (episodes needing injected steroids and/or IV fluids). Respondents were
   asked to rate the adequacy of their medical treatment in 2 successive
   questionnaires, conducted 2013 and 2017-18.
   Results: Vomiting was the major factor identified as a cause of adrenal
   crisis, indicated by 80% of respondents. The most common location, at
   70%, was the home. Of the 30% away from home, 1 in 3 were overseas or
   travelling long-distance. Self-treatment played an increasing role in
   emergency response: in the 5 year interval between questionnaires an
   increasing number of patients self-injected. By the time of the 2017-18
   survey self-injection was the most common method of initial treatment,
   with less than two-thirds travelling to hospital for follow-up medical
   treatment. This finding help to explain the higher rate of adrenal
   crisis identified in patient surveys than in hospital records.
   Satisfaction with medical care received stayed constant between the 2
   surveys despite growing resourcing pressures across the NHS. Two-thirds
   were happy with the quality of the medical treatment they received for
   their most recent adrenal emergency; timeliness was the main factor
   influencing satisfaction.
   Conclusions: Around one-third of adrenal patients report sub-optimal
   treatment at emergency medical departments. Medical staff have a low
   probability of encountering adrenal crisis and may be unfamiliar with
   either the urgency of adrenal crisis or the specific treatment response
   it requires. Comprehensive protocols for emergency medical staff with
   detailed patient education and training are needed in how to respond to
   this infrequently encountered - but acutely life-threatening - scenario.
OI White, Katherine/0000-0003-2255-3733
ZB 4
ZR 1
TC 9
Z8 0
ZS 0
ZA 0
Z9 10
U1 0
U2 4
EI 1472-6823
UT WOS:000500814300001
PM 31791297
ER

PT J
AU Herrmann-Werner, A.
   Weber, H.
   Loda, T.
   Keifenheim, K. E.
   Erschens, R.
   Moelbert, S. C.
   Nikendei, C.
   Zipfel, S.
   Masters, K.
TI "But Dr Google said ... " - Training medical students how to communicate
   with E-patients
SO MEDICAL TEACHER
VL 41
IS 12
BP 1434
EP 1440
DI 10.1080/0142159X.2018.1555639
PD DEC 2 2019
PY 2019
AB Purpose: Patients who have access to information online may feel
   empowered and also confront their physicians with more detailed
   questions. Medical students are not well-prepared for dealing with
   so-called "e-patients." We created a teaching module to deal with this,
   and evaluate its effectiveness. Method: Senior medical students had to
   manage encounters with standardized patients (SPE) in a cross-over
   design. They received blended-learning teaching on e-patients and a
   control intervention according to their randomization group (EI/LI =
   early/late intervention). Each SPE was rated by two blinded video
   raters, the SP and the student. Results: N = 46 students could be
   included. After the intervention, each group (EI, LI) significantly
   improved their competency in dealing with e-patients as judged by expert
   video raters (EI: M-T0 = 9.75 (2.51) versus M-T1 = 16.60 (2.80); LI:
   M-T0 = 8.70 (2.14) versus M-T2 = 15.20 (2.84); both p < 0.001) and SP
   (EI: M-T0 = 24.13 (4.83) versus M-T1 = 26.52 (3.06); LI: M-T0 = 23.37
   (3.10) versus M-T2 = 27.47 (4.38); both p < 0.001). Students' rating
   showed a similar non-significant trend. Conclusions: Students, SP and
   expert video raters determined that blended-learning teaching can
   improve students' competencies when dealing with e-patients. Within the
   study period, this effect was lasting; however, further studies should
   look at long-term outcomes.
RI Masters, Ken/C-6163-2013; Zipfel, Stephan/
OI Masters, Ken/0000-0003-3425-5020; Zipfel, Stephan/0000-0003-1659-4440
ZB 1
ZR 0
ZA 0
TC 14
Z8 0
ZS 0
Z9 14
U1 1
U2 10
SN 0142-159X
EI 1466-187X
UT WOS:000497197600013
PM 30707847
ER

PT J
AU Alanzi, Turki
   Al-Yami, Susan
TI Physicians' Attitude towards The Use of Social Media for Professional
   Purposes in Saudi Arabia
SO INTERNATIONAL JOURNAL OF TELEMEDICINE AND APPLICATIONS
VL 2019
AR 6323962
DI 10.1155/2019/6323962
PD DEC 2 2019
PY 2019
AB Purpose. In relation to this research, only a few studies have been
   carried out around the world. However, in Saudi Arabia, there have been
   no investigations into this subject. In this sense, the objective of
   this study was to investigate the physicians' attitudes towards the use
   of social media for professional purposes in Saudi Arabia. Methods. A
   cross-sectional study was conducted among 235 physicians from different
   regions of Saudi Arabia. The data were collected by means of a survey.
   The survey questionnaire was distributed using the WhatsApp application.
   Descriptive statistics were used to analyze the results. Results. The
   most common social media used by the respondents was Facebook, and the
   majority of the participants agreed that social media improved their
   knowledge and skills. However, most of the participants did not interact
   with patients using these tools, did not feel comfortable conducting an
   online consultation, and believed that social media affected the choice
   of the healthcare provider. Similarly, 30.6% of the respondents opined
   that it is not appropriate to search online information about patients,
   and 44.3% of them considered that patients would not trust the medical
   advice if a physician obtained the information from a website.
   Conclusion. The results showed that the majority of the respondents
   considered that social media improved the knowledge and abilities of
   physicians. In addition, the respondents reflected that there were
   ethical issues that must be taken into account when using social media
   and more than half of them did not interact with their patients
   employing these tools. The outcomes of this research will help to
   develop programs directed at the physicians in Saudi Arabia to enhance
   their knowledge, professional skills, medicine practice, patient-doctor
   interaction, and handle the risks involved in the use of social media.
RI Al-Yami, Susan/AAZ-9669-2021; Alanzi, Truki/O-2778-2019
OI Alanzi, Truki/0000-0001-6598-1274
Z8 0
TC 13
ZS 1
ZB 2
ZA 0
ZR 0
Z9 13
U1 0
U2 0
SN 1687-6415
EI 1687-6423
UT WOS:000503464400001
PM 31885550
ER

PT J
AU Andrenucci, Andrea
   Dalianis, Hercules
   Velupillai, Sumithra
TI Knowledge patterns for online health portal development
SO HEALTH INFORMATICS JOURNAL
VL 25
IS 4
BP 1779
EP 1799
DI 10.1177/1460458218796601
PD DEC 2019
PY 2019
AB This article describes the development and evaluation of a set of
   knowledge patterns that provide guidelines and implications of design
   for developers of mental health portals. The knowledge patterns were
   based on three foundations: (1) knowledge integration of language
   technology approaches; (2) experiments with language technology
   applications and (3) user studies of portal interaction. A mixed-methods
   approach was employed for the evaluation of the knowledge patterns:
   formative workshops with knowledge pattern experts and summative surveys
   with experts in specific domains. The formative evaluation improved the
   cohesion of the patterns. The results of the summative evaluation showed
   that the problems discussed in the patterns were relevant for the
   domain, and that the knowledge embedded was useful to solve them. Ten
   patterns out of thirteen achieved an average score above 4.0, which is a
   positive result that leads us to conclude that they can be used as
   guidelines for developing health portals.
Z8 0
ZR 0
ZA 0
ZS 0
TC 0
ZB 0
Z9 0
U1 0
U2 13
SN 1460-4582
EI 1741-2811
UT WOS:000488101400044
PM 30232926
ER

PT J
AU Rosenbloom, Julia M.
   Jackson, Jaleesa
   Alegria, Margarita
   Alvarez, Kiara
TI Healthcare provider perceptions of disparities in perioperative care
SO JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
VL 111
IS 6
BP 616
EP 624
DI 10.1016/j.jnma.2019.07.003
PD DEC 2019
PY 2019
AB Introduction: Many strategies to alleviate racial/ethnic disparities in
   surgical care target healthcare providers. Yet limited data exists about
   the perception of disparities among the range of clinical staff who work
   in perioperative settings. Such information could help initiate
   conversations about disparities in perioperative care and, if necessary,
   implement interventions to alleviate them. Our aim was to evaluate the
   association between sociodemographic characteristics, clinical position
   (physicians and non-physicians) and perception of perioperative
   disparities at a large tertiary care center.
   Methods: We surveyed perioperative staff at the institution using an
   anonymous online survey. Primary outcome was respondents' perception of
   disparities in perioperative care at the institution due to patients'
   insurance status/type, ability to speak English, education, and
   racial/ethnic minority status. The association between clinical position
   (physician vs. non-physician) and perception of disparities was assessed
   in bivariate and then multivariable analysis, adjusting for respondents'
   race, sex, age, and years at the institution. Secondary outcomes
   included perception of disparities in perioperative care in the United
   States due to patients' insurance status/type, ability to speak English,
   education, and racial/ethnic minority status.
   Results: 217 completed questions that could be analyzed. Among these
   responders, 101 were physicians (46.5%), 165 (76.0%) were white, and 144
   (66.4.%) were female. Bivariate and multivariate analysis revealed that
   physicians had higher perception of disparities in perioperative care at
   the institution based on patients' ability to speak English, education,
   and racial/ethnic minority status. Physicians also had higher
   perceptions of disparities in perioperative care in the United States
   than non-physicians.
   Conclusions: Physicians reported higher perceptions of disparities in
   perioperative care than non-physicians, potentially explained by
   differences in training or contact with patients. Such findings serve as
   a first step at examining and discussing disparities in perioperative
   care and warrant further study.
RI Alvarez, Kiara/AAD-1322-2022; Alvarez, Kiara/
OI Alvarez, Kiara/0000-0002-4896-0567
TC 1
ZR 0
ZB 0
ZS 0
Z8 0
ZA 0
Z9 1
U1 2
U2 6
SN 0027-9684
EI 1943-4693
UT WOS:000503376500007
PM 31431287
ER

PT J
AU Sharma, Nila
   Harris, Elizabeth
   Lloyd, Jane
   Mistry, Sabuj Kanti
   Harris, Mark
TI Community health workers involvement in preventative care in primary
   healthcare: a systematic scoping review
SO BMJ OPEN
VL 9
IS 12
AR e031666
DI 10.1136/bmjopen-2019-031666
PD DEC 2019
PY 2019
AB Objectives To review effective models of community health worker (CHW)
   involvement in preventive care for disadvantaged culturally and
   linguistically diverse (CALD) patients in primary healthcare (PHC) that
   may be applicable to the Australian context.
   Design Systematic scoping review.
   Data sources The studies were gathered through searching Medline,
   EMBASE, EMCARE, PsycINFO, CINAHL and online portals of relevant
   organisations.
   Eligibility criteria All selected studies were original research studies
   which essentially evaluated preventive intervention undertake by CHWs in
   PHC. The intervened population were adults with or without diagnosed
   chronic health disease, culturally and linguistically diverse, or
   vulnerable due to geographic, economic and/or cultural characteristics
   that impede or compromise their access to healthcare.
   Data extraction and synthesis Data extraction was undertaken
   systematically in an excel spreadsheet while the findings were
   synthesised in a narrative manner. The quality appraisal of the selected
   studies was performed using effective public health practice project
   quality assessment tool.
   Results A total of 1066 articles were identified during the initial
   search of six bibliographic databases. After screening the title,
   abstract and full text, 37 articles met the selection and methodological
   criteria and underwent data extraction. A high-quality evidence-base
   supporting the positive impact of CHWs supporting patients' access to
   healthcare and influencing positive behaviour change was found. Positive
   impacts of CHW interventions included improvements in clinical disease
   indicators, screening rates and behavioural change. Education-focused
   interventions were more effective in improving patient behaviour,
   whereas navigation interventions were most effective in improving access
   to services. Implementation was enhanced by cultural and linguistic
   congruence and specific training of CHWs in the intervention but reduced
   by short duration interventions, dropouts and poor adherence of
   patients.
   Conclusion The evidence generated from this systematic scoping review
   demonstrates the contribution of CHWs to improving access to preventive
   care for patients from CALD and disadvantaged backgrounds by providing
   both education and navigational interventions. More research is needed
   on CHW training and the incorporation of CHWs into primary health care
   (PHC) teams.
OI Harris, Mark/0000-0002-0705-8913
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 9
Z9 9
U1 2
U2 8
SN 2044-6055
UT WOS:000512773400115
PM 31852698
ER

PT J
AU Arnold, Chelsea
   Villagonzalo, Kristi-Ann
   Meyer, Denny
   Farhall, John
   Foley, Fiona
   Kyrios, Michael
   Thomas, Neil
TI Predicting engagement with an online psychosocial intervention for
   psychosis: Exploring individual- and intervention-level predictors
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100266
DI 10.1016/j.invent.2019.100266
PD DEC 2019
PY 2019
AB Background: Individuals with psychosis demonstrate positive attitudes
   towards utilising digital technology in mental health treatment.
   Although preliminary research suggests digital interventions are
   feasible and acceptable in this population, little is known about how to
   best promote engagement with these resources. Candidate predictors
   include therapist support, sources of motivation and recovery style.
   Understanding what factors predict engagement will aid more effective
   design and implementation of digital interventions to improve clinical
   benefits.
   Objective: This study aimed to investigate demographic, psychological,
   and treatment variables that predict overall and type of engagement with
   a psychosocial, online intervention for individuals with psychosis.
   Methods: Ninety-eight participants with a history of psychosis were
   given access to a web program containing modules on self-management and
   recovery, which they were asked to use flexibly at their own pace.
   Activity was automatically logged by the system. Baseline measures of
   demographics, recovery style and motivation were administered, and
   participants were randomised to receive either website access alone, or
   website access plus weekly, asynchronous emails from an online coach
   over 12 weeks. Log and baseline assessment data were used in negative
   binomial regressions to examine predictors of depth and breadth of use
   over the intervention period. A logistic regression was used to examine
   the impact of predictor variables on usage profiles (active or passive).
   Results: Depth and breadth of engagement were positively predicted by
   receiving email support, low levels of externally controlled motivations
   for website use, older age, and having a tertiary education. There was a
   significant interaction between level of controlled motivation and
   condition (+ / - email) on breadth and depth of engagement: receiving
   asynchronous emails was associated with increased engagement for
   individuals with low, but not high, levels of externally controlled
   motivations. Receiving email support and more autonomous motivations for
   treatment predicted more active use of the website.
   Conclusions: Asynchronous email support can promote engagement with
   online interventions for individuals with psychosis, potentially
   enabling self-management of illness and improving clinical outcomes.
   However, those using online interventions due to external motivating
   factors, may have low levels of engagement with the intervention,
   irrespective of coaching provided. These findings may guide design and
   implementation of future online interventions in this population.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
RI Thomas, Neil/H-6268-2016; Kyrios, Michael/
OI Thomas, Neil/0000-0001-7006-6361; Kyrios, Michael/0000-0001-9438-9616
ZS 0
ZR 0
TC 23
ZB 1
ZA 0
Z8 1
Z9 24
U1 0
U2 9
EI 2214-7829
UT WOS:000500917500013
PM 31890619
ER

PT J
AU Breider, Simone
   de Bildt, Annelies
   Nauta, Maaike H.
   Hoekstra, Pieter J.
   van den Hoofdakker, Barbara J.
TI Self-directed or therapist-led parent training for children with
   attention deficit hyperactivity disorder? A randomized controlled
   non-inferiority pilot trial
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100262
DI 10.1016/j.invent.2019.100262
PD DEC 2019
PY 2019
AB Background and objectives: Therapist-led behavioral parent training is a
   well-established treatment for behavior problems in children with
   attention-deficit/hyperactivity disorder (ADHD). However, parental
   attrition is high; self-directed forms of parent training may be a
   promising alternative. To date, no studies have compared these two forms
   of parent training in referred children with ADHD. The objectives of
   this pilot study were to examine the non-inferiority of a blended parent
   training (i.e. online program + supportive therapist contact) in
   comparison to its therapist-led equivalent (i.e. face-to-face parent
   training) regarding effects on behavioral problems, and to compare
   attrition rates, parental satisfaction, and therapist-time between both
   treatments.
   Methods: 21 school-aged children with ADHD and behavioral problems, who
   had been referred to an outpatient mental health clinic, were randomized
   to blended (n = 11) or face-to-face (n = 10) parent training. Behavior
   problems were measured with the Child Behavior Checklist. Treatment
   completers and dropouts were included in the analyses.
   Results and conclusions: Blended parent training was not found to be
   non-inferior to face-to-face parent training in the reduction of
   behavior problems. Parents in the blended condition dropped out of
   treatment significantly earlier than parents in the face-to-face
   condition and were less satisfied. Therapists in the blended condition
   spent significantly less time on parent training than therapists in the
   face-to-face condition.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
OI Breider, Simone/0000-0003-3439-8638
TC 4
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
Z9 4
U1 1
U2 7
EI 2214-7829
UT WOS:000500917500009
PM 31890615
ER

PT J
AU Chow, Philip I.
   Gonzalez, Brian D.
   Ingersoll, Karen S.
   Thorndike, Frances P.
   Shaffer, Kelly M.
   Camacho, Fabian
   Perlis, Michael L.
   Ritterband, Lee M.
TI A secondary analysis of the role of geography in engagement and outcomes
   in a clinical trial of an efficacious Internet intervention for insomnia
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100294
DI 10.1016/j.invent.2019.100294
PD DEC 2019
PY 2019
AB Background: Online interventions for insomnia can increase access to
   treatments for those with limited access to services. What remains
   unknown is whether individuals from more isolated (vs. more densely
   populated) regions engage with, and benefit as much from, an online
   intervention. This secondary analysis examined the relationship of
   geographical indices with engagement and outcomes of an efficacious,
   fully automated online cognitive behavioral therapy for insomnia (CBT-I)
   program (Sleep Healthy Using the Internet-SHUTi).
   Method: 303 participants (M-age = 43.3; SD = 11.6) were randomly
   assigned to SHUTi or an online patient education condition and assessed
   at baseline and post intervention. Rural code of participants was
   determined using participant zip codes. Distance to the nearest sleep
   medicine provider was calculated as the distance between the center of
   the nearest provider's city (from a publicly available list of CBT-I
   providers) and the center of the participants' zip code. Adherence
   outcomes were number of intervention core completions, sleep diaries,
   and logins. Sleep outcomes were insomnia severity as well as sleep onset
   latency and wake after sleep onset derived from online sleep diaries.
   Results: Individuals were from a range of geographic locations. Most
   lived in fairly densely populated areas; however, there was a large
   variation in distance to the nearest sleep medicine provider. Findings
   indicate that the efficacy, adherence, and engagement with SHUTi were
   not impacted by where people lived. Controlling for age and gender did
   not impact any of the relationships among geography variables (i.e.,
   distance, ruralness) and adherence or sleep related outcomes.
   Conclusions: Internet interventions must demonstrate that they can
   overcome obstacles posed by geography. This is the first study to
   examine the geographic location of participants and its association with
   engagement with, and outcomes of, online CBT-I.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
RI Shaffer, Kelly/AAG-9849-2020
OI Shaffer, Kelly/0000-0002-9749-8006
TC 1
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 1
U1 0
U2 3
EI 2214-7829
UT WOS:000500917500037
PM 31890638
ER

PT J
AU Farrer, Louise M.
   Gulliver, Amelia
   Katruss, Natasha
   Fassnacht, Daniel B.
   Kyrios, Michael
   Batterham, Philip J.
TI A novel multi-component online intervention to improve the mental health
   of university students: Randomised controlled trial of the Uni Virtual
   Clinic
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100276
DI 10.1016/j.invent.2019.100276
PD DEC 2019
PY 2019
AB Background: Of the millions of students enrolled in university, up to
   50% will experience a mental disorder. Many of these students do not
   seek help, and for those who do, university-based services are often
   over-burdened. Anonymous, evidence-based, online interventions can
   improve students' access to mental health support. The Uni Virtual
   Clinic (UVC) is a transdiagnostic online mental health program designed
   specifically for university students. This paper reports on a randomised
   controlled trial examining the effectiveness of the UVC in a sample of
   Australian university students.
   Methods: University students with elevated psychological distress (K10>
   15; n = 200) were randomised to the UVC intervention or a waitlist
   control condition for a period of 6 weeks. Baseline, post-intervention,
   and 3-month follow-up surveys assessed depression, anxiety,
   self-efficacy, quality of life, adherence, and satisfaction with the UVC
   intervention.
   Results: Mixed models analysis demonstrated that use of the UVC was
   associated with small significant reductions in social anxiety and small
   improvements in academic self-efficacy. The program was not effective in
   reducing symptoms of depression, anxiety, or psychological distress
   compared to a control group. The majority of participants in the
   intervention condition who were retained at follow-up engaged with the
   program, and most of these participants reported satisfaction with the
   UVC.
   Discussion: The results suggest that multi-component online
   interventions such as the UVC have utility in a university environment.
   Future trials of the UVC should examine the impact of guidance and/or
   tailoring on treatment efficacy, and the potential role of the UVC in a
   stepped care model incorporating on-campus services.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
RI Fassnacht, Daniel B./H-5654-2019; Kyrios, Michael/
OI Fassnacht, Daniel B./0000-0001-6542-5008; Kyrios,
   Michael/0000-0001-9438-9616
ZB 0
ZR 0
ZS 0
Z8 0
TC 9
ZA 0
Z9 9
U1 3
U2 14
EI 2214-7829
UT WOS:000500917500020
PM 31890625
ER

PT J
AU Munoz, Ricardo F.
   Pineda, Blanca S.
   Llamas, Jazmin A.
TI Indigeneity, diversity, and equity in Internet interventions: Could
   ISRII contribute to making health care a universal human right?
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100269
DI 10.1016/j.invent.2019.100269
PD DEC 2019
PY 2019
AB This article is a partially revised version of a keynote address
   presented at the 10th Scientific Meeting of the International Society
   for Research on Internet Interventions (ISRII) in Auckland, New Zealand.
   It addresses six points: 1) the meanings of indigeneity, diversity, and
   equity, 2) the strong emotional reactions elicited by the inequities
   experienced by indigenous groups throughout the world, 3) the
   aspirations of members of ISRII in terms of what we would like our field
   to accomplish to address these inequities, 4) the United Nations goal of
   making health care a universal human right, 5) the difficulties
   encountered by other health sciences in attempting to include diverse
   populations into major studies, and 6) ways in which the Internet
   interventions and digital health field could include indigeneity,
   diversity, and equity in our work, and by doing so, contribute to the
   United Nations goal of making health care a universal human right. The
   authors suggest that providing access to health care to all people, no
   matter where they are on the socioeconomic continuum, is a key strategy
   to pursue. The field of Internet interventions could contribute by
   creating digital apothecaries that would develop, evaluate, and
   disseminate evidence-based Massive Open Online Interventions to anyone
   in the world who needs them.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
OI Pineda, Blanca/0000-0002-6719-9355
Z8 0
TC 2
ZA 0
ZR 0
ZB 0
ZS 0
Z9 2
U1 0
U2 2
EI 2214-7829
UT WOS:000500917500016
PM 31890622
ER

PT J
AU Ramphos, Eleni Styliani
   Kelman, Alex R.
   Stanley, Meagan L.
   Barrera, Alinne Z.
TI Responding to women's needs and preferences in an online program to
   prevent postpartum depression
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100275
DI 10.1016/j.invent.2019.100275
PD DEC 2019
PY 2019
AB Purpose: Global access to adequate resources to address postpartum
   depression (PPD) are limited and, at times, not reflective of the needs
   of pregnant women and new mothers. Gathering information about the
   preferences and needs of women when designing and implementing
   Internet-based programs is warranted, especially given the diversity of
   experiences related to childbirth. Thus, the aim of this study was to
   obtain user feedback on the content, structural, and cultural factors
   associated with a fully automated online PPD prevention intervention
   that, like similar programs, suffered from poor adherence and
   engagement.
   Methods: Following the completion of the Mothers and Babies Internet
   Course (eMB), an online prevention of PPD trial, a convenience sampling
   method was used to invite consenting participants to return to the site.
   Participants provided anonymous feedback on how to improve and adapt the
   eMB based on screenshots and video content from the Internet
   intervention. Demographic information and engagement in the online trial
   were examined as factors influencing participant responses.
   Results: One hundred nineteen English and Spanish speaking women from 27
   countries and territories provided feedback about the eMB. Content-based
   feedback included requesting additional detail in explanations and
   simplifying recommended exercises. Structure-based feedback included
   requests for more visual representations of the materials. In general,
   participants did not explicitly suggest culturally specific feedback
   that differed by geographic region, but instead reported similar themes
   related to motherhood and childrearing. An unexpected finding that only
   emerged among English-speaking participants was the need for the eMB to
   address perfectionism and introspection as factors that impact
   motherhood. Relative to those who did not access the eMB in the parent
   study, women who did thought the intervention content was acceptable
   (i.e., no suggested changes) and provided feedback that referenced
   maternal stress and pregnancy experiences. Age, education, pregnancy
   status and number of children were not significant factors associated
   with participants' use of the eMB.
   Conclusions: Findings from this study offer preliminary information
   about the needs and preferences of an international sample of
   childrearing women who access automated Internet interventions to manage
   mood changes during the perinatal period.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
OI Barrera, Alinne Z./0000-0001-9182-7043; Ramphos,
   Eleni/0000-0002-2643-5147
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
TC 5
Z9 5
U1 2
U2 10
EI 2214-7829
UT WOS:000500917500019
PM 31890624
ER

PT J
AU Gayed, Aimee
   Tan, Leona
   LaMontagne, Anthony D.
   Milner, Allison
   Deady, Mark
   Milligan-Saville, Josie S.
   Madan, Ira
   Calvo, Rafael A.
   Christensen, Helen
   Mykletun, Arnstein
   Glozier, Nicholas
   Harvey, Samuel B.
TI A comparison of face-to-face and online training in improving managers'
   confidence to support the mental health of workers
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 18
AR 100258
DI 10.1016/j.invent.2019.100258
PD DEC 2019
PY 2019
AB Background: In recognition of the important role managers play in the
   well-being of the staff they supervise, many workplaces are implementing
   specialised training for leaders to help them better understand and
   support the mental health needs of their staff. This training can be
   delivered through face-to-face or online training sessions. Evaluation
   of such programs have found positive results for each format when
   compared to a control group, but to date, face-to-face and online
   manager mental health training have not been compared with one another.
   Aims: This study brings together results from two trials evaluating the
   same program content, each employing a different mode of content
   delivery. Both types of training aimed to change managers' confidence to
   better support the mental health needs of the staff they supervise.
   Methods: Utilising data derived from two previously conducted trials,
   mean change in manager confidence from baseline at both
   post-intervention and follow-up were examined for each method of content
   delivery. An identical way of measuring confidence was used in each
   study.
   Results: Managers' confidence improved from baseline with both methods
   of training. A greater change was observed with face-to-face training
   than for online, although both methods had sustained improvement over
   time. Analyses indicate that at follow-up, improvements in confidence
   were significant for both face-to-face (t(18) = 5.99; P < .001) and
   online training (t(39) = 3.85; P < .001). Analyses focused on managers
   who fully completed either type of training indicated very similar
   impacts for face-to-face and online training.
   Conclusions: Both face-to-face and online delivery of manager mental
   health training can significantly improve managers' confidence in
   supporting the mental health needs of their staff. This change is
   sustained over various follow-up periods. However, lower retention rates
   common in online training reduce the relative effect of this method of
   delivery.
CT 10th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY FEB 13-15, 2019
CL Auckland, NEW ZEALAND
SP Int Soc Res Internet Intervent
RI LaMontagne, Anthony Daniel/AAX-3285-2021; Christensen, Helen/F-5053-2012; Calvo, Rafael A/B-2622-2008; madan, ira/; Glozier, Nick/; Harvey, Samuel/
OI LaMontagne, Anthony Daniel/0000-0002-5811-5906; Christensen,
   Helen/0000-0003-0435-2065; Calvo, Rafael A/0000-0003-2238-0684; madan,
   ira/0000-0003-2200-7329; Glozier, Nick/0000-0002-0476-9146; Harvey,
   Samuel/0000-0001-9580-3743
ZS 0
ZB 0
ZA 0
TC 7
Z8 0
ZR 0
Z9 7
U1 1
U2 8
EI 2214-7829
UT WOS:000500917500005
PM 31890611
ER

PT J
AU Kortemeyer, Gerd
TI Quick-and-Dirty Item Response Theory
SO PHYSICS TEACHER
VL 57
IS 9
BP 608
EP 610
DI 10.1119/1.5135788
PD DEC 2019
PY 2019
AB Item Response Theory (IRT) has proven useful in physics education
   research to examine the validity of concept tests (e.g., Refs. 1-3) and
   online homework (e.g. Refs. 4-6), yet as a tool for the improvement of
   physics instruction (particularly exams), it is oftentimes perceived as
   a) mysterious, b) unjustified, and c) impractical. This article aims to
   debunk some of those prejudices and provide a quick-and-dirty guide; it
   does not do any justice to the associated psychometric theories (see for
   example the classic Ref. 7).
Z8 0
ZS 0
ZA 0
TC 1
ZR 0
ZB 0
Z9 1
U1 0
U2 2
SN 0031-921X
UT WOS:000500003600008
ER

PT J
AU Matzke, Lise
   O'Donoghue, Sheila
   Watson, Peter H.
CA Canadian Tissue Repository Network
TI Access ISBER Best Practice Education Online and Keep Your Practices
   Current
SO BIOPRESERVATION AND BIOBANKING
VL 17
IS 6
BP 625
EP 626
DI 10.1089/bio.2019.29061.ljm
PD DEC 2019
PY 2019
OI Watson, Peter/0000-0002-1642-0638
Z8 0
TC 0
ZB 0
ZS 0
ZA 0
ZR 0
Z9 0
U1 0
U2 2
SN 1947-5535
EI 1947-5543
UT WOS:000513908800032
PM 31742426
ER

PT J
AU French, Simon D.
   Nielsen, Mandy
   Hall, Leanne
   Nicolson, Philippa J. A.
   van Tulder, Maurits
   Bennell, Kim L.
   Hinman, Rana S.
   Maher, Chris G.
   Jull, Gwendolen
   Hodges, Paul W.
TI Essential key messages about diagnosis, imaging, and self-care for
   people with low back pain: a modified Delphi study of consumer and
   expert opinions
SO PAIN
VL 160
IS 12
BP 2787
EP 2797
DI 10.1097/j.pain.0000000000001663
PD DEC 2019
PY 2019
AB People with back pain regularly search for information online; however,
   the quality of this online information is often poor. We established a
   list of the most important messages about diagnosis, imaging, and
   self-care for people with low back pain, based on consensus opinion and
   prioritised in order of importance. A list of key messages was derived
   from clinical practice guidelines for back pain. During 2 survey rounds,
   a Delphi panel of consumers with back pain and experts rated the
   importance of each item and suggested additional statements. Messages
   were retained that were rated as important by more than 70% of the
   panel. Retained messages were reviewed by consumer focus groups. A
   priority pairwise ranking activity determined the rank order of the
   important messages. A final online survey determined the robustness and
   currency of the final list of statements. The Delphi process and
   consumer focus groups resulted in 30 unique messages. Experts considered
   that the most important messages for patients are (1) remain active and
   (2) reassurance that back pain is a normal experience and not
   necessarily related to serious harm. This differed from the preferences
   of people with back pain who prioritised messages related to (1)
   identification of more serious pathology and (2) principles of
   management. This list of important key messages about diagnosis,
   imaging, and general self-care for people with back pain can be used to
   inform the development of education resources, including new web sites,
   as well as to direct clinicians in the information they provide to
   patients.
RI van Tulder, Maurits/AAB-9785-2022; Hall, Leanne/V-4144-2019; Maher, Christopher/AAC-6267-2019; Hodges, Paul W/B-6578-2008; Jull, Gwendolen/; French, Simon/
OI van Tulder, Maurits/0000-0002-7589-8471; Hall,
   Leanne/0000-0001-9641-9217; Maher, Christopher/0000-0002-1628-7857;
   Hodges, Paul W/0000-0002-1206-9107; Jull, Gwendolen/0000-0003-2670-1318;
   French, Simon/0000-0002-7061-7706
ZR 0
Z8 0
ZA 0
TC 11
ZB 4
ZS 0
Z9 11
U1 0
U2 2
SN 0304-3959
EI 1872-6623
UT WOS:000512908700012
PM 31356451
ER

PT J
AU Polak, Rani
   Finkelstein, Adi
   Paganoni, Sabrina
   Welch, Rob
   Silver, Julie K.
TI Cooking Online With a Chef: Health Professionals' Evaluation of a Live
   Culinary Coaching Module
SO NUTRITION AND METABOLIC INSIGHTS
VL 12
AR 1178638819887397
DI 10.1177/1178638819887397
PD DEC 2019
PY 2019
AB Introduction: Cooking Online With a Chef (COWC) is a live, telemedicine
   module delivered by a health coach chef to participants who log in from
   their home kitchen. Our purpose is to identify health professionals'
   perceptions on its educational value and to determine feasibility for
   clinical practice. Method: Sixty-four health care professionals
   participated in a 75-minute COWC module as active participants during a
   live remote Continuing Medical Education (CME) program that includes
   five 75-minute telemedicine sessions. Post-program questionnaire
   elicited feedback on the module educational value and relevance to
   clinical practice through Likert-type scale and open-ended questions.
   This report presents descriptive analysis of the Likert-type scale
   questions and thematic qualitative analysis of the open-ended question.
   Results: Seventy percent of health care professional participants rated
   the quality of the COWC module as either very good or excellent, and 73%
   rated its relevance to clinical practice as very good or excellent.
   Open-ended question feedback showed appreciation of the learning
   experience with specific suggestions about how to improve participants'
   preparation for the module. Conclusions: The COWC telemedicine module
   was well received by self-selected health care professionals. Future
   studies are being planned to determine the efficacy of the module on
   patients' nutrition.
RI Silver, Julie K/AAE-7163-2019
ZR 0
Z8 0
ZS 1
TC 4
ZA 0
ZB 1
Z9 4
U1 0
U2 3
SN 1178-6388
UT WOS:000502366800001
PM 31853182
ER

PT J
AU Saunders, Ruth P.
   Schenkelberg, Michaela A.
   Moyer, Christina
   Howie, Erin K.
   Brown, William H.
   Pate, Russell R.
TI The translation of an evidence-based preschool physical activity
   intervention from in-person to online delivery of professional
   development to preschool teachers
SO TRANSLATIONAL BEHAVIORAL MEDICINE
VL 9
IS 6
BP 1186
EP 1196
DI 10.1093/tbm/ibz076
PD DEC 2019
PY 2019
AB Study of Health and Activity in Preschool Environments (SHAPES) aimed to
   increase preschoolers' physical activity by engaging preschool teachers
   in professional development designed to modify instructional practices.
   SHAPES originated as a randomized controlled trial, tested in 16
   preschools and disseminated to 4 control schools, and was shown to be
   effective in increasing preschool children's physical activity (Phase I,
   2008-2012). This article describes the steps taken to translate an
   evidence-based physical activity intervention, SHAPES, from in-person
   delivery to online delivery of professional development to preschool
   teachers. In Phase II (2013-2016), professional development delivery was
   modified from an in-person to an online program for preschool teachers.
   Teacher implementation completeness and fidelity were examined in 10
   pilot preschools and then replicated in 30 preschools. Large-scale
   dissemination of SHAPES began in Phase III (2017-2019), reaching 818
   teachers from 228 unique centers after 2 years. The final SHAPES program
   consisted of six online modules, an accompanying guidebook, over 90
   activities, self-assessment techniques, a video library, and an
   electronic community forum. The SHAPES core elements, defined in Phase
   I, were retained throughout all three phases. The Phase II change to
   online delivery was characterized by high levels of implementation
   completeness and fidelity. Results of Phase III statewide dissemination
   revealed comparable implementation completeness and fidelity. An
   intervention shown to be effective in a randomized controlled trial can
   be translated into an online professional development program and
   disseminated on a large scale in a timely manner.
RI Schenkelberg, Michaela/AGZ-4345-2022; Schenkelberg, Michaela/
OI Schenkelberg, Michaela/0000-0002-0354-8122
ZA 0
Z8 0
ZR 0
ZS 0
ZB 1
TC 7
Z9 7
U1 5
U2 13
SN 1869-6716
EI 1613-9860
UT WOS:000517181000022
PM 31116392
ER

PT J
AU Pagels, Courtney M.
   Dilworth, Thomas J.
   Fehrenbacher, Lynne
   Singh, Maharaj
   Brummitt, Charles F.
TI Impact of an electronic best-practice advisory in combination with
   prescriber education on antibiotic prescribing for ambulatory adults
   with acute, uncomplicated bronchitis within a large integrated health
   system
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 40
IS 12
BP 1348
EP 1355
AR PII S0899823X19002952
DI 10.1017/ice.2019.295
PD DEC 2019
PY 2019
AB Objective: To determine the impact of a passive, prescriber-directed,
   electronic best-practice advisory coupled with prescriber education on
   the rate of antibiotic prescribing for acute, uncomplicated bronchitis
   in ambulatory adults across a large health system. Design: This study
   was a quasi-experiment examining antibiotic prescribing for ambulatory
   adults with acute bronchitis from January 1, 2016 through December 31,
   2018. The intervention was implemented in December 2016 for emergency
   departments and urgent care clinics followed by ambulatory clinics in
   September 2017. Setting: Outpatient settings across a health system,
   including 15 emergency departments, >30 urgent care clinics, and >150
   ambulatory clinics. Participants: All adults with a primary diagnosis of
   acute bronchitis who were seen and discharged from a study site were
   included. Interventions: A passive, prescriber-directed, best-practice
   advisory for treatment of acute bronchitis in the electronic health
   record and an optional, online education module regarding acute
   bronchitis. Results: The study included 81,975 ambulatory adults with a
   primary diagnosis of acute bronchitis during the preintervention period
   (19.8% >65 years of age; 61.9% female) and 89,571 ambulatory adults
   during the postintervention period (16.5% >65 years of age; 61.1%
   female). Antibiotic prescribing rates decreased from 60.8% (49,877 of
   81,975 patients) preintervention to 51.4% (46,018 of 89,571 patients)
   postintervention (absolute difference, 9.4%; P < .001). The largest
   reduction occurred in the emergency departments. Conclusions: An
   electronic best practice advisory combined with prescriber education was
   associated with a statistically significant reduction in antibiotic
   prescribing for adults with acute bronchitis. Future studies should
   incorporate patient education and address prescriber-reported barriers
   to appropriate antibiotic prescribing.
ZS 0
TC 7
ZA 0
ZR 0
ZB 2
Z8 1
Z9 8
U1 0
U2 5
SN 0899-823X
EI 1559-6834
UT WOS:000511235500004
PM 31631834
ER

PT J
AU Karuthan, Sumitra Ropini
   Firdaus, Putri Jasmine Filza Binti
   Angampun, Aloha Dee-Afryna George
   Chai, Xuan Jia
   Sagan, Chris Dom
   Ramachandran, Monishak
   Perumal, Sharmmathevan
   Karuthan, Mahendra
   Manikam, Rishya
   Chinna, Karuthan
TI Knowledge of and willingness to perform Hands-Only cardiopulmonary
   resuscitation among college students in Malaysia
SO MEDICINE
VL 98
IS 51
AR e18466
DI 10.1097/MD.0000000000018466
PD DEC 2019
PY 2019
AB Worldwide, millions of people die of sudden cardiac arrest every year.
   This is partly due to limited and sometimes ineffective bystander
   cardiopulmonary resuscitation (CPR). The need for mouth-to-mouth
   contact, fear of causing harm, litigation, and the complexity of
   delivering CPR are the main deterrents. In view of this, the basic life
   support algorithm has been simplified and lay rescuers are encouraged to
   perform Hands-Only CPR.
   The objective of this study is to assess knowledge on and willingness to
   perform Hands-Only CPR among Malaysian college students and to determine
   the relationship between the two.
   In an online self-administered survey, college students responded to a
   questionnaire on demographics, exposure to CPR, knowledge on Hands-Only
   CPR, and their willingness to perform Hands-Only CPR in 5 different
   scenarios (family members or relatives, strangers, trauma victims,
   children, and elderly people).
   Data for 393 participants were analyzed. For knowledge, the mean score
   was 8.6 +/- 3.2 and the median score was 9. In the sample, 27% of the
   respondents did not attend any CPR training before, citing that they
   were unsure where to attend the course. The knowledge score among those
   who attended CPR training (M=3.6, S=2.9) was significantly higher
   compared to those who did not (M=6.7, S=3.0). Out of the 393
   participants, 67.7%, 55%, 37.4%, 45%, and 49.1% were willing to perform
   Hands-Only CPR on family members or relatives, strangers, trauma
   victims, children, and elderly people, respectively. There were
   significant associations (P<.001) between knowledge and willing to
   perform Hands-Only CPR on family members or relatives (OR=1.32, 95% CI
   1.43, 1.43), strangers (OR=1.31, 95% CI 1.21, 1.42), trauma victims
   (OR=1.21, 95% CI 1.12, 1.31), children (OR=1.28, 95% CI 1.19, 1.39), and
   elderly people (OR=1.36 95% CI 1.25, 1.48).
   Based on this study, knowledge on Hands-Only CPR among local college
   students is not encouraging. Not many know where to attend such courses.
   There was significant association between knowledge and willingness to
   perform Hands-Only CPR.
RI Manikam, Rishya/F-5908-2014
ZS 0
ZA 0
Z8 0
TC 2
ZR 0
ZB 0
Z9 2
U1 1
U2 3
SN 0025-7974
EI 1536-5964
UT WOS:000511458900082
PM 31861024
ER

PT J
AU Eyigor, Hulya
   Gurpinar, Erol
TI A Study on the Use of Massive Open Online Courses in Otorhinolaryngology
   After Graduation
SO TURKISH ARCHIVES OF OTORHINOLARYNGOLOGY
VL 57
IS 4
BP 171
EP 175
DI 10.5152/tao.2019.4574
PD DEC 2019
PY 2019
AB Objective: The use of massive open online courses (MOOCs) in medical
   education and postgraduate education is becoming more and more
   widespread across the world. A survey study was carried out in Turkey to
   collect information and raise awareness about the use of MOOCs for
   educational and training purposes in the field of otorhinolaryngology
   after graduation.
   Method: The prepared survey questionnaire was published on the online
   communication platform of the Turkish Otorhinolaryngology-Head and Neck
   Surgery Association, and volunteers were asked to fill-out the
   questionnaire by clicking the given link.
   Results: A total of 210 volunteers participated in the survey study.
   Most of the volunteers (26.2%) were in the 36-40 age range. At the time
   of the study 53.8% of the volunteers were working as specialist doctors,
   19.5% as residents, 10.5% as professors, 8.1% as associate professors,
   and 8.1% as assistant professors. Only 19 (9%) respondents ticked "yes"
   in response to the question "Are you familiar with the MOOC programs?"
   and only six (2.9%) of these respondents had attended a MOOC program.
   Evaluation of the correlation between academic title and awareness of
   MOOC programs showed that the instructors had a significantly higher
   level of MOOC awareness compared to the specialists and the residents
   (p=0.032).
   Conclusion: Results of the survey revealed that the use of MOOC programs
   in postgraduate otorhinolaryngology education was low and the volunteers
   were not well-informed about this practice.
ZB 0
Z8 0
ZS 0
ZA 0
TC 1
ZR 0
Z9 1
U1 0
U2 2
SN 2667-7466
EI 2667-7474
UT WOS:000510156600004
PM 32128513
ER

PT J
AU Richmond, Sarah A.
   Black, Amanda M.
   Jacob, John
   Babul, Shelina
   Pike, Ian
TI 'Active & Safe Central': development of an online resource for the
   prevention of injury in sport and recreational activity
SO INJURY PREVENTION
VL 25
IS 6
BP 546
EP 551
DI 10.1136/injuryprev-2019-043164
PD DEC 2019
PY 2019
AB Background Sport and recreation related injuries exert a significant
   cost on the healthcare system. As prevention researchers and
   practitioners, we have a responsibility to provide guidance towards
   prevention to those who participate in sport and recreation, and those
   that coach, treat and parent children that participate. The objective of
   this project was to use an integrated knowledge translation approach to
   develop an end user-driven digital platform that provides injury
   prevention information and resources across 51 sport and recreational
   activities.
   Design We used an integrated knowledge translation approach to scope and
   develop an online sport and recreational injury prevention resource. A
   project team was formed that included end users-coaches, parents and
   athletes, injury researchers and practitioners, as well as members of a
   digital design team. All members of the project team informed the
   development process, including a review of literature and existing
   resources, the translation of evidence and development of the platform.
   At all stages of development, members of the project team cocreated
   knowledge for the tool, including forming the research questions, the
   approach, feasibility and development of outcomes.
   Conclusion The 'Active & Safe Central' (https://activesafe.ca/) platform
   provides web-based sport injury and prevention information. This
   user-friendly, web and mobile accessible platform can increase the
   reach, awareness and implementation of prevention programming in sport
   and recreational activity.
RI Black, Amanda/O-7675-2017; Jacob, John/; Babul, Shelina/; Pike, Ian/
OI Black, Amanda/0000-0001-5668-9706; Jacob, John/0000-0002-2212-3250;
   Babul, Shelina/0000-0002-0227-2574; Pike, Ian/0000-0002-6860-7760
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
TC 1
Z9 1
U1 0
U2 6
SN 1353-8047
EI 1475-5785
UT WOS:000502813500012
PM 31088897
ER

PT J
AU Berry-Kravis, Elizabeth
   Kidd, Sharon A.
   Lachiewicz, Ave M.
   Choo, Tse Hwei
   Tartaglia, Nicole
   Talapatra, Devadrita
   Aguirre-Kolb, Christina
   Andrews, Howard
   Riley, Karen
TI Toilet Training in Fragile X Syndrome
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 40
IS 9
BP 751
EP 761
DI 10.1097/DBP.0000000000000735
PD DEC 2019
PY 2019
AB Objective: To characterize bladder and bowel toileting skill acquisition
   in children with fragile X syndrome and to identify associated
   demographic, behavioral, and clinical factors. Methods: Using baseline
   data from the Fragile X Online Registry With Accessible Research
   Database (FORWARD), bivariate analyses and logistic regression models
   were used to identify differences between subjects who were and were not
   bowel and/or bladder trained by the age of 10 years. Cox proportional
   hazard models were used to assess the rate of completion of toilet
   training (TT) as a function of sex and autism spectrum disorder (ASD)
   diagnosis. Results: In bivariate analyses, male sex, lower language
   level, inability to write one's name, more impaired intellectual level,
   ASD, and more severe behavioral deficits all predicted lack of bladder
   training (n = 313, p < 0.001) and bowel training (n = 300, p =
   0.0004-0.0001) by the age of 10 years. In logistic regression models,
   lower level of language acquisition (p < 0.001) and higher Aberrant
   Behavior Checklist Irritability scores (p < 0.04) were associated with
   lower odds of bladder training by the age of 10 years. Lower level of
   language acquisition (p < 0.001) and ASD (p < 0.025) were associated
   with lower odds of bowel training by the age of 10 years. For both
   bladder and bowel training, Cox proportional hazard models indicated
   that delayed training was associated with male sex, lower levels of
   language acquisition, and ASD for both bladder training (n = 486; p <
   0.001) and bowel training (n = 472; p < 0.001). Conclusion: These
   findings emphasize the importance of both slower language development
   and ASD diagnosis in predicting bowel and bladder training delays and
   can be used to develop and evaluate targeted approaches to TT based on
   sex, ASD diagnosis, and other clinical features identified in this
   study.
ZS 0
ZA 0
ZB 0
TC 3
Z8 0
ZR 0
Z9 3
U1 0
U2 2
SN 0196-206X
EI 1536-7312
UT WOS:000509676300012
PM 31593026
ER

PT J
AU Barrington, Wendy E.
   DeGroff, Amy
   Melillo, Stephanie
   Thuy Vu
   Cole, Allison
   Escoffery, Cam
   Askelson, Natoshia
   Seegmiller, Laura
   Gonzalez, Sarah Koopman
   Hannon, Peggy
TI Patient navigator reported patient barriers and delivered activities in
   two large federally-funded cancer screening programs
SO PREVENTIVE MEDICINE
VL 129
AR 105858
DI 10.1016/j.ypmed.2019.105858
SU S
PD DEC 2019
PY 2019
AB Few data are available on patient navigators (PNs) across diverse roles
   and organizational settings that could inform optimization of patient
   navigation models for cancer prevention. The National Breast and
   Cervical Cancer Early Detection Program (NBCCEDP) and the Colorectal
   Cancer and Control Program (CRCCP) are two federally-funded screening
   programs that support clinical- and community-based PNs who serve
   low-income and un- or underinsured populations across the United States.
   An online survey assessing PN characteristics, delivered activities, and
   patient barriers to screening was completed by 437 of 1002 identified
   PNs (44%). Responding PNs were racially and ethnically diverse, had
   varied professional backgrounds and practice-settings, worked with
   diverse populations, and were located within rural and urban/suburban
   locations across the U.S. More PNs reported working to promote screening
   for breast/cervical cancers (BCC, 94%) compared to colorectal cancer
   (CRC, 39%). BCC and CRC PNs reported similar frequencies of individual-
   (e.g., knowledge, motivation, fear) and community-level patient barriers
   (e.g., beliefs about healthcare and screening). Despite reporting
   significant patient structural barriers (e.g., transportation, work and
   clinic hours), most BCC and CRC PNs delivered individual-level
   navigation activities (e.g., education, appointment reminders). PN
   training to identify and champion timely and patient-centered
   adjustments to organizational policies, practices, and norms of the
   NBCCEDP, CRCCP, and partner organizations may be beneficial. More
   research is needed to determine whether multilevel interventions that
   support this approach could reduce structural barriers and increase
   screening and diagnostic follow-up among the marginalized communities
   served by these two important cancer-screening programs.
TC 6
Z8 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 6
U1 0
U2 8
SN 0091-7435
EI 1096-0260
UT WOS:000508355700011
PM 31647956
ER

PT J
AU Blackburn, Julia
   Fischerauer, Stefan F.
   Talaei-Khoei, Mojtaba
   Chen, Neal C.
   Oh, Luke S.
   Vranceanu, Ana-Maria
TI What are the Implications of Excessive Internet Searches for Medical
   Information by Orthopaedic Patients?
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 477
IS 12
BP 2665
EP 2673
DI 10.1097/CORR.0000000000000888
PD DEC 2019
PY 2019
AB Background Cyberchondria may be defined as heightened distress evoked
   through excessive searches of the internet for medical information. In
   healthy people, cyberchondria is associated with a greater intolerance
   of uncertainty and greater health anxiety. These relationships are
   likely bidirectional. People who have a greater intolerance of
   uncertainty may be more likely to search the internet for medical
   information and have greater health anxiety. This greater health anxiety
   may lead to an increased likelihood of engaging in further internet
   searches and greater intolerance of uncertainty. These three constructs
   are important for patients because they impact patient function and
   health care costs. We were specifically interested in understanding the
   role of cyberchondria in the association between intolerance of
   uncertainty and health anxiety among orthopaedic patients because it has
   not been explored before and because knowledge about these interactions
   could inform treatment recommendations.
   Questions/purposes Does cyberchondria mediate (that is, explain) the
   association between intolerance of uncertainty and health anxiety in
   orthopaedic patients searching for medical information on the internet,
   after controlling for potentially confounding variables?
   Methods This was a cross-sectional study of 104 patients who had
   searched the internet for any medical information about their current
   condition. A research assistant approached 155 patients attending two
   orthopaedic outpatient clinics, one hand and upper extremity service and
   one sports medicine clinic, during a 3-month period. Ten patients
   declined to participate and 41 patients were excluded, predominantly
   because they had never searched for medical information online The
   patients completed the Cyberchondria Severity Scale, Intolerance of
   Uncertainty Scale-short version, Short Health Anxiety Inventory, and a
   numerical rating scale for pain intensity at baseline, as well as
   demographic and clinical questionnaires. We performed a series of linear
   regression analyses to determine whether a greater intolerance of
   uncertainty predicts greater cyberchondria (mediator) and whether
   cyberchondria predicts greater health anxiety. Although it is more
   appropriate to use the language of association (such as "whether
   cyberchondria is associated with health anxiety") in many observational
   studies, here, we opted to use the language of causation because this is
   the conventional language for studies testing statistical mediation.
   Results After controlling for potentially confounding variables
   including pain intensity, multiple pain conditions, and education,
   cyberchondria explained 33% of the variance of the effect of intolerance
   of uncertainty on health anxiety (95% CI, 6.98 to 114.72%; p < 0.001).
   Conclusions Among orthopaedic patients who search the internet for
   medical information, a greater intolerance of uncertainty is associated
   with greater cyberchondria, which is associated with greater anxiety
   about health. Identifying patients with an intolerance of uncertainty
   and educating them about the negative role of compulsive searches for
   medical information may improve the success of orthopaedic treatment.
   Orthopaedic surgeons should also consider making referrals for cognitive
   behavioral therapy in these instances to increase the patient's
   tolerance of uncertainty, decrease internet searching habits, and reduce
   anxiety about health.
RI Blackburn, Julia/ABC-9613-2021; Blackburn, Julia/GRS-8397-2022; Vranceanu, Ana-Maria/AAF-4429-2020; Fischerauer, Stefan/
OI Blackburn, Julia/0000-0002-4301-3683; Fischerauer,
   Stefan/0000-0002-6842-4526
ZS 0
Z8 1
TC 11
ZA 0
ZR 0
ZB 1
Z9 12
U1 2
U2 14
SN 0009-921X
EI 1528-1132
UT WOS:000509670400013
PM 31764332
ER

PT J
AU Colopy, Sara A.
   Buhr, Kevin A.
   Bruckner, Krista
   Morello, Samantha L.
TI The intersection of personal and professional lives for male and female
   diplomates of the American College of Veterinary Surgeons in 2015
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 255
IS 11
BP 1283
EP 1290
DI 10.2460/javma.255.11.1283
PD DEC 1 2019
PY 2019
AB OBJECTIVE
   To characterize objective and subjective elements of the personal lives
   of American College of Veterinary Surgeons (ACVS) diplomates and
   identify elements of personal life associated with professional life or
   career success.
   SAMPLE
   836 ACVS diplomates.
   PROCEDURES
   An 81-item questionnaire was sent to 1,450 diplomates in 2015 via email
   and conducted by means of an online platform. Responses were analyzed to
   summarize trends and identify associations among selected variables.
   RESULTS
   Men were more likely than women to be married or in a domestic
   partnership (88% vs 68%, respectively) and to have children (77% vs
   47%). Among women but not men, respondents in large animal practice were
   less likely than were those in small animal practice to be represented
   in these categories. Women had children later in their career than did
   men and indicated that their stage of training played an important role
   in family planning. Respondents with children worked significantly fewer
   hours than did those without children, with a greater reduction in hours
   for women versus men (6.0 vs 3.1 hours, respectively). Women were more
   likely to require external childcare services than were men. Women were
   more likely to report that having children had negatively impacted their
   professional lives. No negative associations between measures of
   professional success (eg, advancement or personal income) and parenthood
   were identified.
   CONCLUSIONS AND CLINICAL RELEVANCE
   Family demographics differed between male and female ACVS diplomates,
   yet no objective impact on career success was identified. Work-life
   balance may play an important role in recruitment, retention, and job
   satisfaction of veterinary surgeons.
OI Morello, Samantha/0000-0001-5209-051X
ZS 0
Z8 0
ZB 8
ZA 0
TC 10
ZR 0
Z9 10
U1 0
U2 0
SN 0003-1488
EI 1943-569X
UT WOS:000499143100020
PM 31730430
ER

PT J
AU Foell, Melanie Christine
   Moritz, Lennart
   Wollmann, Thomas
   Stillger, Maren Nicole
   Vockert, Niklas
   Werner, Martin
   Bronsert, Peter
   Rohr, Karl
   Gruening, Bjoern Andreas
   Schilling, Oliver
TI Accessible and reproducible mass spectrometry imaging data analysis in
   Galaxy
SO GIGASCIENCE
VL 8
IS 12
AR giz143
DI 10.1093/gigascience/giz143
PD DEC 2019
PY 2019
AB Background: Mass spectrometry imaging is increasingly used in biological
   and translational research because it has the ability to determine the
   spatial distribution of hundreds of analytes in a sample. Being at the
   interface of proteomics/metabolomics and imaging, the acquired datasets
   are large and complex and often analyzed with proprietary software or
   in-house scripts, which hinders reproducibility. Open source software
   solutions that enable reproducible data analysis often require
   programming skills and are therefore not accessible to many mass
   spectrometry imaging (MSI) researchers. Findings: We have integrated 18
   dedicated mass spectrometry imaging tools into the Galaxy framework to
   allow accessible, reproducible, and transparent data analysis. Our tools
   are based on Cardinal, MALDIquant, and scikit-image and enable all major
   MSI analysis steps such as quality control, visualization,
   preprocessing, statistical analysis, and image co-registration.
   Furthermore, we created hands-on training material for use cases in
   proteomics and metabolomics. To demonstrate the utility of our tools, we
   re-analyzed a publicly available N-linked glycan imaging dataset. By
   providing the entire analysis history online, we highlight how the
   Galaxy framework fosters transparent and reproducible research.
   Conclusion: The Galaxy framework has emerged as a powerful analysis
   platform for the analysis of MSI data with ease of use and access,
   together with high levels of reproducibility and transparency.
OI Schilling, Oliver/0000-0001-7678-7653; Foll, Melanie
   Christine/0000-0002-1887-7543; Gruning, Bjorn/0000-0002-3079-6586
Z8 0
ZS 0
ZR 0
TC 12
ZA 0
ZB 6
Z9 12
U1 1
U2 9
SN 2047-217X
UT WOS:000506804600008
PM 31816088
ER

PT J
AU Ambasta, Anshula
   Pancic, Stefana
   Wong, Brian M.
   Lee, Todd
   McCaughey, Deirdre
   Ma, Irene W. Y.
TI Expert Recommendations on Frequency of Utilization of Common Laboratory
   Tests in Medical Inpatients: a Canadian Consensus Study
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 12
BP 2786
EP 2795
DI 10.1007/s11606-019-05196-z
PD DEC 2019
PY 2019
AB Background Repetitive inpatient laboratory testing in the face of
   clinical stability is a marker of low-value care. However, for commonly
   encountered clinical scenarios on medical units, there are no guidelines
   defining appropriate use criteria for laboratory tests. Objective This
   study seeks to establish consensus-based recommendations for the
   utilization of common laboratory tests in medical inpatients. Design
   This study uses a modified Delphi method. Participants completed two
   rounds of an online survey to determine appropriate testing frequencies
   for selected laboratory tests in commonly encountered clinical
   scenarios. Consensus was defined as agreement by at least 80% of
   participants. Participants Participants were 36 experts in internal
   medicine across Canada defined as internists in independent practice for
   >= 5 years with experience in medical education, quality improvement, or
   both. Experts represented 8 of the 10 Canadian provinces and 13 of 17
   academic institutions. Main Measures Laboratory tests and clinical
   scenarios included were those that were considered common on medical
   units. The final survey contained a total of 45 clinical scenarios
   looking at the utilization of six laboratory tests (complete blood
   count, electrolytes, creatinine, urea, international normalized ratio,
   and partial thromboplastin time). The possible frequency choices were
   every 2-4 h, 6-8 h, twice a day, daily, every 2-3 days, weekly, or none
   unless there was specific diagnostic suspicion. These scenarios were
   reviewed by two internists with training in quality improvement and
   survey methods. Key Results Of the 45 initial clinical scenarios
   included, we reached consensus on 17 scenarios. We reached weak
   consensus on an additional 19 scenarios by combining two adjacent
   frequency categories. Conclusions A Canadian expert panel of internists
   has provided frequency recommendations on the utilization of six common
   laboratory tests in medical inpatients. These recommendations need
   validation in prospective studies to assess whether restrictive versus
   liberal laboratory test ordering impacts patient outcomes.
OI Ambasta, Anshula/0000-0003-0211-8654; Ma, Irene/0000-0002-7580-0171
ZB 1
TC 5
ZA 0
ZS 0
ZR 0
Z8 0
Z9 5
U1 1
U2 3
SN 0884-8734
EI 1525-1497
UT WOS:000496305200024
PM 31385217
ER

PT J
AU Rosenkrantzl, Andrew B.
   Berland, Lincoln L.
   Heitkamp, Darel E.
   Duszak, Richard, Jr.
TI Diagnostic Radiologists' Participation in the American Board of
   Radiology Maintenance of Certification Program
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 213
IS 6
BP 1284
EP 1290
DI 10.2214/AJR.19.21724
PD DEC 2019
PY 2019
AB OBJECTIVE. Physicians across specialties have expressed concerns about
   Maintenance of Certification (MOC) programs of American Board of Medical
   Specialties member boards, calling for research about MOC acceptance,
   adoption, and value. The purpose of this study was to characterize
   diagnostic radiologists' participation in the American Board of
   Radiology (ABR) MOC program, the framework for its new Online
   Longitudinal Assessment program.
   MATERIALS AND METHODS. Practicing U.S. radiologists were identified from
   the Centers for Medicare & Medicaid Services Physician and Other
   Supplier Public Use File. Corresponding ABR diplomate certification
   information was obtained through the ABR public search engine. Focused
   on diagnostic radiologists (defined as those whose only ABR certificate
   is in diagnostic radiology), MOC participation rates were calculated
   across various physician characteristics for those whose participation
   was mandated by the ABR (time-limited certificates) and for those whose
   participation was not mandated (lifetime certificates).
   RESULTS. Among 20,354 included diagnostic radiologists, 11,479 (56.4%)
   participated in MOC. Participation rates were 99.6% (10,058/10,099)
   among those whose MOC was ABR mandated and 13.9% (1421/10,225) among
   those whose participation was not mandated (p < 0.001). The rates of
   nonmandated participation were higher (all p < 0.001) for academic than
   for nonacademic radiologists (28.0% vs 11.3%), subspecialists than for
   generalists (17.0% vs 11.5%), and those in larger practice groups (< 10
   members, 5.0%; 10-49 members, 12.6%; >= 50 members, 20.7%). State-level
   rates of nonmandated participation varied from 0.0% (South Dakota,
   Montana) to 32.6% (Virginia) and positively correlated with state
   population density (r = 0.315).
   CONCLUSION. Although diagnostic radiologists with time-limited
   certificates nearly universally participate in MOC, those with lifetime
   certificates (particularly general radiologists and those in smaller and
   nonacademic practices) participate infrequently. Low rates of
   nonmandated participation may reflect diplomate dissatisfaction or
   negative perceptions about MOC.
RI Rosenkrantz, Andrew/; Duszak, Richard/L-1811-2016
OI Rosenkrantz, Andrew/0000-0002-1558-5350; Duszak,
   Richard/0000-0003-0425-3008
ZS 0
ZR 0
ZB 0
TC 7
ZA 0
Z8 0
Z9 7
U1 0
U2 0
SN 0361-803X
EI 1546-3141
UT WOS:000498537900036
PM 31532255
ER

PT J
AU Gomez-Batiste, Xavier
   Lasmarias, Cristina
   Amblas, Jordi
   Costa, Xavier
   Ela, Sara
   Mir, Sarah
   Calsina-Berna, Agnes
   Espaulella, Joan
   Santaugenia, Sebastia
   Pujol, Ramon
   Geli Geli, Marina
   Calle, Candela
TI Chair ICO/UVIC-UCC of palliative care at the University of Vic - Central
   University of Catalonia: an innovative multidisciplinary model of
   education, research and knowledge transfer
SO BMJ SUPPORTIVE & PALLIATIVE CARE
VL 9
IS 4
DI 10.1136/bmjspcare-2018-001656
PD DEC 2019
PY 2019
AB Objectives Generation and dissemination of knowledge is a relevant
   challenge of palliative care (PC). The Chair Catalan Institute of
   Oncology (ICO)/University of Vic (UVIC) of Palliative Care (CPC) was
   founded in 2012, as a joint project of the ICO and the University of
   Vic/Central of Catalonia to promote the development of PC with public
   health and community-oriented vision and academic perspectives. The
   initiative brought together professionals from a wide range of
   disciplines (PC, geriatrics, oncology, primary care and policy) and
   became the first chair of PC in Spain. We describe the experience of the
   CPC at its fifth year of implementation.
   Methods Data collection from annual reports, publications, training and
   research activities.
   Results Results for period 2012-2017 are classified into three main
   blocks: (1) Programme: (a) The advanced chronic care model (Palliative
   needs (NECPAL)); (b) the psychosocial and spiritual domains of care
   (Psychosocial needs (PSICPAL)); (c) advance care planning and shared
   decision making (Advance care planning (PDAPAL)); and (d) the compassive
   communities projects (Society involvement (SOCPAL)). (2) Education and
   training activities: (a) The master of PC, 13 editions and 550
   professionals trained; (b) postgraduate course on psychosocial care, 4
   editions and 140 professionals trained; and (c) workshops on specific
   topics, pregraduate training and online activities with a remarkable
   impact on the Spanish-speaking community. (3) Knowledge-transfer
   activities and research projects: (a) Development of 20 PhDs projects;
   and (b) 59 articles and 6 books published.
   Conclusion Being the first initiative of chair in PC in Spain, the CPC
   has provided a framework of multidisciplinary areas that have generated
   innovative experiences and projects in PC.
RI Amblàs-Novellas, Jordi/AAB-4651-2019; Pujol-Farriols, Ramon/O-5567-2019; Gomez-Batiste, Xavier/
OI Amblàs-Novellas, Jordi/0000-0002-2338-3054; Gomez-Batiste,
   Xavier/0000-0002-4946-5947
ZB 0
Z8 0
TC 0
ZS 0
ZA 0
ZR 0
Z9 0
U1 0
U2 4
SN 2045-435X
EI 2045-4368
UT WOS:000505622500008
PM 30518526
ER

PT J
AU Kiss-Lane, Tayler
   Spruijt, Odette
   Day, Thomas
   Lam, Vivian
   Ramchandran, Kavitha J.
   Chan, Sandy
   Hsin, Gary
   Vallath, Nandini
   Bhatnagar, Sushma
   Rajagopal, M. R.
   Lorenz, Karl A.
TI Palliative care clinicians and online education in India: a survey
SO BMJ SUPPORTIVE & PALLIATIVE CARE
VL 9
IS 4
DI 10.1136/bmjspcare-2018-001546
PD DEC 2019
PY 2019
AB Background Whether online resources can facilitate spread of palliative
   care knowledge and skills in India is an urgent question given few
   providers and a large, ageing population.
   Objectives We surveyed needs and feasibility regarding e-learning.
   Methods Indian, Australian and North American palliative care experts
   developed an electronic survey using Qualtrics, emailed to all
   registrants of the 2017 Indian Association of Palliative Care (IAPC)
   conference and distributed during the conference.
   Results Of 60 respondents (66% men, 60% doctors), most worked in
   hospitals and had oncology backgrounds, and 35% were from Kerala and
   Tamil Nadu. Most (90.9%) received palliative care training in India or
   overseas with 41% trained in a Trivandrum Institute of Palliative
   Sciences residential course (4-6 weeks). 17% completed the IAPC
   essential certificate and 22% had undertaken various distance learning
   courses. Interest in online training was substantial for most aspects of
   palliative care.
   Conclusion There was a high level of interest and reported feasibility
   in taking a case-based online course. This pilot survey provides support
   for online case-based education in India, particularly among physicians.
OI Ramchandran, Kavitha/0000-0002-9033-819X
ZA 0
ZB 0
TC 4
ZR 0
ZS 0
Z8 0
Z9 4
U1 0
U2 4
SN 2045-435X
EI 2045-4368
UT WOS:000505622500010
PM 30301753
ER

PT J
AU Zechariah, Sunitha
   Ansa, Benjamin E.
   Johnson, Stephanie W.
   Gates, Amy M.
   De Leo, Gianluca
TI Interprofessional Education and Collaboration in Healthcare: An
   Exploratory Study of the Perspectives of Medical Students in the United
   States
SO HEALTHCARE
VL 7
IS 4
AR 117
DI 10.3390/healthcare7040117
PD DEC 2019
PY 2019
AB Qualified and competent healthcare professionals working in a
   collaborative team environment is a prerequisite for high quality
   patient care. In order to be successful in the healthcare working
   environment, medical students need to be exposed to interprofessional
   learning early in their education. A single stage online survey was
   administered to medical students to evaluate their attitudes and
   perceptions of interprofessional education (IPE) and whether prior
   exposure to IPE increased their appreciation for interprofessional
   collaboration. The results suggest that irrespective of prior exposure
   to IPE, medical students appreciated the importance of interprofessional
   education and collaboration. Medical students showed a strong interest
   in attending interprofessional courses in other disciplines. Time
   constraints, scheduling conflicts, and communication emerged as barriers
   to IPE. Medical students embraced IPE and welcomed the opportunity to
   learn with other disciplines. Clinical case studies and simulations were
   identified as potential methods to integrate with other healthcare
   disciplines. The positive attitude and perceptions of the medical
   students toward interprofessional education and collaboration warrants
   the inclusion of related courses in medical curricula, as this may
   further increase students' potentials in becoming effective healthcare
   providers.
RI Ansa, Benjamin/H-8607-2019; Johnson, Stephanie/; Zechariah, Sunitha/
OI Ansa, Benjamin/0000-0002-1285-974X; Johnson,
   Stephanie/0000-0002-8356-2580; Zechariah, Sunitha/0000-0002-8020-4921
ZR 0
Z8 0
TC 11
ZA 0
ZB 0
ZS 0
Z9 11
U1 1
U2 8
EI 2227-9032
UT WOS:000506641900008
PM 31618920
ER

PT J
AU Bennett, Sophie D.
   Heyman, Isobel
   Coughtrey, Anna E.
   Buszewicz, Marta
   Byford, Sarah
   Dore, Caroline J.
   Fonagy, Peter
   Ford, Tamsin
   Moss-Morris, Rona
   Stephenson, Terence
   Varadkar, Sophia
   Walker, Erin
   Shafran, Roz
TI Assessing feasibility of routine identification tools for mental health
   disorder in neurology clinics
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 104
IS 12
BP 1161
EP 1166
DI 10.1136/archdischild-2018-316595
PD DEC 2019
PY 2019
AB Objective We aimed to test the feasibility of using an online
   parent-completed diagnostic assessment for detecting common mental
   health disorders in children attending neurology clinics. The assessment
   does not require intervention by a mental health professional or
   additional time in the clinic appointment.
   Setting Two parallel and related screening studies were undertaken:
   Study 1: Tertiary paediatric neurology clinics. Study 2: Secondary and
   tertiary paediatric neurology clinics.
   Patients Study 1: 406 Young people aged 7-18 attending paediatric
   neurology clinics. Study 2: 225 Young people aged 3-18 attending
   paediatric epilepsy clinics.
   Interventions Parents completed online versions of the Strengths and
   Difficulties Questionnaire (SDQ) and Development and Well-being
   Assessment (DAWBA).
   Main outcome measures We investigated: the willingness of families to
   complete the measures, proportion identified as having mental health
   disorders, time taken to complete the measures and acceptability to
   families and clinicians.
   Results The mean total difficulties score of those that had completed
   the SDQ fell in the 'high' and 'very high' ranges. 60% and 70% of the
   DAWBAS completed met criteria for at least one DSM-IV disorder in study
   1 and 2 respectively. 98% of the parents reported that the screening
   methods used were acceptable.
RI Byford, Sarah/D-1699-2010; Moss-Morris, Rona/; Heyman, Isobel/; Stephenson, Terence/; Fonagy, Peter/; Shafran, Roz/; Ford, Tamsin/
OI Byford, Sarah/0000-0001-7084-1495; Moss-Morris,
   Rona/0000-0002-2927-3446; Heyman, Isobel/0000-0001-7358-9766;
   Stephenson, Terence/0000-0001-8871-7847; Fonagy,
   Peter/0000-0003-0229-0091; Shafran, Roz/0000-0003-2729-4961; Ford,
   Tamsin/0000-0001-5295-4904
ZA 0
ZB 1
Z8 0
ZR 0
ZS 0
TC 8
Z9 8
U1 0
U2 2
SN 0003-9888
EI 1468-2044
UT WOS:000502724100011
PM 31079075
ER

PT J
AU Garner, Bridget C.
   Hartle, Diana Y.
   Creevy, Kate E.
TI The Educational Resource Preferences and Information-Seeking Behaviors
   of Veterinary Medical Students and Practitioners
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 46
IS 4
BP 470
EP 480
DI 10.3138/jvme.1017-150r1
PD WIN 2019
PY 2019
AB The overall purpose of this study was to assess the information-seeking
   strategies of individuals representing different stages of veterinary
   training. More specifically, we conducted a survey to evaluate textbook
   ownership, to determine the preferred types of educational resources and
   why these preferences exist, and to determine if changes arise as
   training progresses. We asked students in the veterinary curriculum,
   interns, residents, and recent graduates from the University of Georgia
   (UGA) College of Veterinary Medicine (CVM) to participate in a
   confidential online survey. A total of 184 individuals participated.
   Respondents were grouped into one of six categories: recent graduates (n
   = 6), interns/residents (n = 11), fourth-year students (n = 21),
   third-year students (n = 46), second-year students (n = 73), and
   first-year students (n = 27). The results showed that veterinary
   students used class notes and non-veterinary search engines initially,
   whereas interns and residents consulted textbooks and the primary
   literature as their first sources to answer a veterinary question.
   Veterinary students had accrued textbooks over sequential years in the
   curriculum, but many interns and residents had almost twice as many
   textbooks as those who had not pursued additional training after
   graduation. An ANOVA showed that first-year students reported a
   preference for printed textbooks significantly more frequently than the
   third-year and fourth-year students (F-(5,F-163) = 3.265, p = .006, and
   p = .012, respectively). Decreased cost was most frequently cited as the
   factor that would increase textbook purchases.
ZA 0
ZS 0
ZB 0
ZR 0
TC 2
Z8 0
Z9 2
U1 1
U2 8
SN 0748-321X
EI 1943-7218
UT WOS:000506162200007
PM 30789756
ER

PT J
AU Chew, Edwin Jun Chen
   Ho, Ying Na
   Kee, Ga Jing
   Sirisena, Dinesh
TI Scoping review and international multi-centre cohort study investigating
   teaching, knowledge and beliefs regarding physical activity as a health
   intervention among medical students: a comparison between Singapore and
   the UK
SO SINGAPORE MEDICAL JOURNAL
VL 60
IS 12
BP 642
EP 651
DI 10.11622/smedj.2019051
PD DEC 2019
PY 2019
AB INTRODUCTION Physical inactivity is a global challenge and physicians
   must promote physical activity (PA) among their patients. Nevertheless,
   PA counselling remains inadequate due to limitations in knowledge,
   education and information availability. This study evaluates the
   understanding of PA as a health intervention and knowledge of World
   Health Organization (WHO) guidelines among Singapore and United Kingdom
   (UK) medical students, the next generation of physicians.
   METHODS Students from Singapore (Yong Loo Lin School of Medicine and Lee
   Kong Chian School of Medicine) and the UK (Universities of Cardiff,
   Leicester, Oxford and Birmingham) were invited to complete a 12-item
   online survey. Questions assessed knowledge of WHO guidelines,
   understanding of PA in health and illness, personal PA levels and
   exposure to PA counselling in clinical practice.
   RESULTS Among 633 Singapore and UK students who completed the
   questionnaire, 94.8% believed that PA was important in preventing
   disease, but only 70.9% recognised its importance in treating disease.
   The majority (85.3%) indicated participation in PA and exercise. General
   understanding of WHO guidelines for adults was poor, with less than half
   (46.8%) correctly answering this section. 3 (0.5%) students identified
   that PA in adults could be accumulated in multiple ways. Understanding
   of PA in health and familiarity with guidelines did not differ
   significantly between Singapore and UK students.
   CONCLUSION There is considerable room for improvement in the knowledge
   of WHO guidelines and the role of PA in health. Education should begin
   during the undergraduate phase so that future doctors are better
   equipped to counsel their patients.
OI Sirisena, Udawattage Dinesh Chaminda/0000-0003-3123-3221
ZA 0
TC 3
Z8 0
ZS 0
ZB 0
ZR 0
Z9 3
U1 1
U2 6
SN 0037-5675
UT WOS:000503391300008
PM 31197375
ER

PT J
AU Fefferman, Nancy R.
   Jordan, Sheryl G.
   Slanetz, Priscilla J.
   Morgan, Desiree E.
   Gordon, Leonie L.
   Suh, Robert D.
   Mullins, Mark E.
TI Developing an Education Budget for Radiology Vice Chairs and Leaders: An
   ADVICER Template
SO ACADEMIC RADIOLOGY
VL 26
IS 12
BP 1705
EP 1715
DI 10.1016/j.acra.2019.04.002
PD DEC 2019
PY 2019
AB Rationale and Objectives: The Alliance of Directors and Vice Chairs in
   Education group identified the need to develop an education budget
   template as resource for our community. Having a framework and working
   knowledge of budgetary considerations is crucial to those with general
   oversight and executive managerial responsibility for departmental
   educational programs.
   Methods: An online survey was sent to all the Alliance of Directors and
   Vice Chairs in Education members. Survey questions included education
   funding sources, presence of vice chair of finance, expectation of
   revenue generation, existing education budget, funding decision-makers,
   education budget formulation and approval, vice chair of education's
   role in budget, education budget line items, and income statement
   review.
   Results: The survey response rate was 41/81 (51%). A majority 26/41
   (63%) of respondents had an education budget that typically included
   funding for all medical students, residents, and fellows but only a
   minority of respondents report they developed 10/22 (45%), approved 6/22
   (27%), or regularly reviewed 6/21 (29%) this budget. In sharp contrast
   was the role of department chairs and administrators, who presumably all
   participated in this process. To assist in education budget development
   and review, as well as meet the need to improve participants' financial
   accounting knowledge as a key tenet of faculty professional development,
   the authors developed sample budget templates and an income statement
   primer.
   Conclusion: Our survey results suggested the need for an educational
   budget framework and financial accounting resources for those in
   radiology education posts, and resources have been provided.
OI Suh, Robert/0000-0001-7872-9967; Jordan, Sheryl/0000-0002-6686-2100
Z8 0
ZS 0
ZA 0
ZR 0
TC 0
ZB 0
Z9 0
U1 0
U2 3
SN 1076-6332
EI 1878-4046
UT WOS:000501655800017
PM 31171464
ER

PT J
AU Liu, Ying
   Gui, Yuchang
   Hu, Jincui
   Liang, Shanshan
   Mo, Sixia
   Zhou, Yuanfang
   Li, Yujian
   Zhou, Fengkun
   Xu, Jianwen
TI Attention/memory complaint is correlated with motor speech disorder in
   Parkinson's disease
SO BMC NEUROLOGY
VL 19
IS 1
AR 309
DI 10.1186/s12883-019-1535-8
PD DEC 1 2019
PY 2019
AB Background The mechanisms underlying the online modulation of motor
   speech in Parkinson's disease (PD) have not been determined. Moreover,
   medical and rehabilitation interventions for PD-associated motor speech
   disorder (MSD) have a poor long-term prognosis. Methods To compare risk
   factors in PD patients with MSD to those without MSD (non-MSD) and
   determine predictive independent risk factors correlated with the MSD
   phenotype, we enrolled 314 PD patients, including 250 with and 64
   without MSD. We compared demographic, characteristic data, as well as
   PD-associated evaluations between the MSD group and non-MSD group.
   Results Univariate analysis showed that demographic characteristics,
   including occupation, educational level, monthly income and speaking
   background; clinical characteristics, including lesions in the frontal
   and temporal lobes, and concurrent dysphagia; and PD-associated
   evaluations, including the activity of daily living (ADL) score,
   non-motor symptoms scale (NMSS) domain 4 score (perceptual problem), and
   NMSS domain 5 score (attention/memory) were all significantly different
   between the MSD and non-MSD group (all P < 0.05). Multivariate logistic
   regression analysis showed that educational level, frontal lesions, and
   NMSS domain 5 score (attention/memory) were independent risk factors for
   PD-associated MSD (all P < 0.005). Conclusions We determined an
   association between MSD phenotype and cognitive impairment, reflected by
   low-level education and related clinical profiles. Moreover, attention
   and memory dysfunction may play key roles in the progression of MSD in
   PD patients. Further studies are required to detail the mechanism
   underlying abnormal speech motor modulation in PD patients. Early
   cognitive intervention may enhance rehabilitation management and motor
   speech function in patients with PD-associated MSD.
ZS 0
ZB 0
TC 3
ZR 0
Z8 0
ZA 0
Z9 3
U1 1
U2 6
EI 1471-2377
UT WOS:000499965300003
PM 31787082
ER

PT J
AU Tran, Alexandre
   Gawad, Nada
   Martel, Andre
   Manhas, Neraj
   Allen, Molly
   Hameed, Morad
   Balaa, Fady
TI The changing face of academic general surgery in Canada: a
   cross-sectional cohort study
SO CANADIAN JOURNAL OF SURGERY
VL 62
IS 6
BP 381
EP 385
DI 10.1503/cjs.016418
PD DEC 2019
PY 2019
AB Background Little is known regarding the research and training
   expectations faced by modern general surgery graduates interested in
   pursuing academic surgical careers. In this study, we describe the
   changing face of the Canadian academic general surgeon by outlining the
   in-residency research productivity and postresidency clinical and
   academic training trends over time. Methods Our cross-sectional cohort
   included Canadian academic general surgeons, defined as those with a
   university-affiliated appointment as assistant, associate or full
   professor. Academic surgeons were identified by the Royal College of
   Physicians and Surgeons of Canada online directory as well as
   directories of university and hospital websites. Data points included
   institution, faculty appointment and rank, graduation year, graduate
   education, fellowship training and research productivity. Results Our
   cohort included 417 surgeons from 17 Canadian academic institutions. The
   majority of surgeons were male (72.9%), had completed at least 1
   fellowship (72.9%) and had had some form of supplementary research
   training (51.8%). Surgeons in the cohort had practised a median of 17
   (10-27) years. The mean number of total and first-author publications
   for the participants in this study has increased consistently each
   decade before the 1980s (p < 0.001). The proportion of academic surgeons
   completing graduate degrees has increased steadily every decade,
   reaching a peak of 61.5% for surgeons graduating in the 2010s.
   Conclusion The Canadian academic surgeon is becoming increasingly
   productive in research during residency and is pursuing higher levels of
   graduate education and more fellowships than ever before. These changes
   probably correspond to an evolving employment and research funding
   landscape that places tremendous academic pressure on surgical trainees.
OI Gawad, Nada/0000-0002-3519-0153; Allen, Molly/0000-0002-2419-0000
ZA 0
TC 4
ZB 0
ZR 0
Z8 0
ZS 0
Z9 4
U1 0
U2 0
SN 0008-428X
EI 1488-2310
UT WOS:000501159400007
PM 31782294
ER

PT J
AU Yang, Tian
   Xing, Hao
   Wang, Guoqiang
   Wang, Nianyue
   Liu, Miaoxia
   Yan, Cunling
   Li, Huijun
   Wei, Lianhua
   Li, Shunjun
   Fan, Zhuping
   Shi, Ming
   Chen, Wei
   Cai, Shangli
   Pawlik, Timothy M.
   Soh, Andrew
   Beshiri, Agim
   Lau, Wan Yee
   Wu, Mengchao
   Zheng, Yijie
   Shen, Feng
TI A Novel Online Calculator Based on Serum Biomarkers to Detect
   Hepatocellular Carcinoma among Patients with Hepatitis B
SO CLINICAL CHEMISTRY
VL 65
IS 12
BP 1543
EP 1553
DI 10.1373/clinchem.2019.308965
PD DEC 2019
PY 2019
AB BACKGROUND: Early detection of hepatocellular carcinoma (HCC) among
   hepatitis B virus (HBV)-infected patients remains a challenge,
   especially in China. We sought to create an online calculator of serum
   biomarkers to detect HCC among patients with chronic hepatitis B (CHB).
   METHODS: Participants with HBV-HCC, CHB, HBV-related liver cirrhosis
   (HBV-LC), benign hepatic tumors, and healthy controls (HCs) were
   recruited at 11 Chinese hospitals. Potential serum HCC biomarkers,
   protein induced by vitamin K absence or antagonist-II (PIVKA-II),
   alpha-fetoprotein (AFP), lens culinaris agglutinin A-reactive fraction
   of AFP (AFP-L3) and alpha-L-fucosidase (AFU) were evaluated in the pilot
   cohort. The calculator was built in the training cohort via logistic
   regression model and validated in the validation cohort.
   RESULTS: In the pilot study, PIVKA-II and AFP showed better diagnostic
   sensitivity and specificity compared with AFP-L3 and AFU and were chosen
   for further study. A combination of PIVKA-II and AFP demonstrated better
   diagnostic accuracy in differentiating patients with HBV-HCC from
   patients with CHB or HBV-LC than AFP or PIVKA-II alone [area under the
   curve (AUC), 0.922 (95% CI, 0.908-0.935), sensitivity 88.3% and
   specificity 85.1% for the training cohort; 0.902 (95% CI, 0.875-0.929),
   87.8%, and 81.0%, respectively, for the validation cohort]. The nomogram
   including AFP, PIVKA-II, age, and sex performed well in predicting
   HBV-HCC with good calibration and discrimination [AUC, 0.941 (95% CI,
   0.929-0.952)] and was validated in the validation cohort [AUC, 0.931
   (95% CI, 0.909-0.953)].
   CONCLUSIONS: Our results demonstrated that a web-based calculator
   including age, sex, AFP, and PIVKA-II accurately predicted the presence
   of HCC in patients with CHB. (C) 2019 American Association for Clinical
   Chemistry
RI Pawlik, Timothy/AAO-9335-2020; Shen, Feng/GSD-2508-2022; Yang, Tian/M-5484-2018
OI Yang, Tian/0000-0003-1544-0976
ZR 0
Z8 2
ZB 9
TC 25
ZS 0
ZA 0
Z9 26
U1 1
U2 33
SN 0009-9147
EI 1530-8561
UT WOS:000499177200016
PM 31672853
ER

PT J
AU McCurry, Susan M.
   Von Korff, Michael
   Morin, Charles M.
   Cunningham, Amy
   Pike, Kenneth C.
   Thakral, Manu
   Wellman, Robert
   Yeung, Kai
   Zhu, Weiwei
   Vitiello, Michael V.
TI Telephone interventions for co-morbid insomnia and osteoarthritis pain:
   The OsteoArthritis and Therapy for Sleep (OATS) randomized trial design
SO CONTEMPORARY CLINICAL TRIALS
VL 87
AR 105851
DI 10.1016/j.cct.2019.105851
PD DEC 2019
PY 2019
AB The OsteoArthritis and Therapy for Sleep (OATS) study is a
   population-based randomized controlled trial of cognitive behavioral
   therapy for insomnia (CBT-I) with four innovative methodological aims.
   These are to: (1) Enroll representative participants across Washington
   state, including those from medically underserved communities; (2)
   Enroll persons with persistent insomnia and chronic osteoarthritis (OA)
   pain; (3) Test a scalable CBT-I intervention; and (4) Evaluate
   patient-reported outcomes (insomnia, pain severity, fatigue, depression)
   and cost-effectiveness over one year. This paper describes progress
   towards achieving these aims. The target population was persons age 60 +
   who had received OA care within the Kaiser Permanente Washington (KPW)
   health care system. We employed a two-phase screening via mail survey
   and telephone follow-up, with a 3-week interval between screens to
   exclude persons with spontaneous improvement in sleep or pain symptoms.
   Participants were randomized to a 6-session telephone-delivered CBT-I
   intervention or a 6-session telephone education only control condition
   (EOC). Blinded outcome assessments (completed online or on mailed paper
   forms) included primary and secondary sleep and pain outcome measures
   and quality of life measures. We obtained healthcare utilization from
   administrative claims data. Intent to treat analyses, including all
   participants randomized when they scheduled the first telephone session,
   will be conducted to compare CBT-I and EOC outcomes. The trial will be
   the largest experimental evaluation of telephone CBT-I to date, and the
   first to evaluate its cost-effectiveness.
RI Morin, Charles M./A-4700-2008; Thakral, Manu/J-6948-2019; Vitiello, Michael V/AAA-5298-2022; VonKorff, Michael/
OI Morin, Charles M./0000-0002-8649-8895; Thakral,
   Manu/0000-0001-5503-1363; VonKorff, Michael/0000-0001-5386-8477
ZS 0
Z8 0
ZA 0
ZR 0
ZB 3
TC 5
Z9 5
U1 0
U2 6
SN 1551-7144
EI 1559-2030
UT WOS:000501656300003
PM 31614214
ER

PT J
AU van Hoek, Jasper
   Huber, Adrian
   Leichtle, Alexander
   Haermae, Kirsi
   Hilt, Daniella
   Von Tengg-Kobligk, Hendrik
   Heverhagen, Johannes
   Poellinger, Alexander
TI A survey on the future of radiology among radiologists, medical students
   and surgeons: Students and surgeons tend to be more skeptical about
   artificial intelligence and radiologists may fear that other disciplines
   take over
SO EUROPEAN JOURNAL OF RADIOLOGY
VL 121
AR 108742
DI 10.1016/j.ejrad.2019.108742
PD DEC 2019
PY 2019
AB Purpose: To evaluate the opinion and assessment of radiologists,
   surgeons and medical students on a number of important topics regarding
   the future of radiology, such as artificial intelligence (AI), turf
   battles, teleradiology and 3D-printing.
   Method: An online questionnaire was created using the SurveyMonkey
   platform targeting radiologists, students and surgeons throughout the
   German speaking part of Switzerland. A total of 170 people participated
   in the survey (59 radiologists, 56 surgeons and 55 students).
   Statistical analysis was carried out using the Kruskal-Wallis test with
   Dunn's multiple comparison post-hoc tests.
   Results: While the majority of participants agreed that AI should be
   included as a support system in radiology (Likert scale 0-10: Median
   value 8), surgeons were less supportive than radiologists (p = 0.001).
   Students saw a potential threat of AI as more likely than radiologists
   did (p = 0.041). When asked whether they were concerned about "turf
   losses" from radiology to other disciplines, radiologists were much more
   likely to agree than students (p < 0.001). Of the students that do not
   intend to specialize in radiology, 26 % stated that AI was one of the
   reasons. Surgeons advocate the use of teleradiology.
   Conclusions: With regard to AI, radiologists expect their workflow to
   become more efficient and tend to support the use of AI, whereas medical
   students and surgeons tend to be more skeptical towards this technology.
   Medical students see AI as a potential threat to diagnostic
   radiologists, while radiologists themselves are rather afraid of turf
   losses.
RI Huber, Adrian/ABA-2766-2020; von Tengg-Kobligk, Hendrik/A-1420-2017; Heverhagen, Johannes/; Poellinger, Alexander/; Leichtle, Alexander Benedikt/C-7262-2011; Huber, Adrian Thomas/
OI von Tengg-Kobligk, Hendrik/0000-0003-3207-3223; Heverhagen,
   Johannes/0000-0002-5416-6650; Poellinger, Alexander/0000-0002-3998-0603;
   Leichtle, Alexander Benedikt/0000-0002-6528-9904; Huber, Adrian
   Thomas/0000-0001-6146-8238
ZB 6
ZS 1
TC 34
ZA 0
Z8 0
ZR 0
Z9 35
U1 1
U2 15
SN 0720-048X
EI 1872-7727
UT WOS:000500465900005
PM 31734640
ER

PT J
AU Chung, Jae Eun
   Lee, Chul-Joo
TI The impact of cancer information online on cancer fatalism: education
   and eHealth literacy as moderators
SO HEALTH EDUCATION RESEARCH
VL 34
IS 6
BP 543
EP 555
DI 10.1093/her/cyz027
PD DEC 2019
PY 2019
AB One critical yet understudied concept associated with cancer information
   is cancer fatalism, i.e. deterministic thoughts about the cause of
   cancer, the inability to prevent it and the unavoidability of death upon
   diagnosis. The aim of this study is to understand how information
   seeking about cancer online influences cancer fatalism and whether and
   to what extent education and eHealth literacy moderate the relationship
   between them. Findings from an online survey of a nationally
   representative sample in the United States (N = 578) showed differential
   impacts of using the internet to search for information about cancer
   among the more and the less educated. For the less educated, more
   exposure to information about cancer via medical and health websites led
   to an increased level of cancer fatalism, whereas among the more
   educated, greater exposure lowered cancer fatalism. These differences
   were explained by the fact that the more educated were equipped with a
   higher level of eHealth literacy skills than the less educated. Findings
   show that only when one has necessary skills to apply digital resources
   can those resources help mitigate cancer fatalism. We suggest the need
   to enhance eHealth literacy skills among the less educated to reduce
   cancer fatalism.
OI Chung, Jae Eun/0000-0003-1724-6456
ZR 0
ZA 0
TC 2
ZS 0
ZB 0
Z8 0
Z9 2
U1 4
U2 17
SN 0268-1153
EI 1465-3648
UT WOS:000501730400001
PM 31550372
ER

PT J
AU Meacham, Meredith C.
   Roh, Shim
   Chang, Jamie Suki
   Ramo, Danielle E.
TI Frequently asked questions about dabbing concentrates in online cannabis
   community discussion forums
SO INTERNATIONAL JOURNAL OF DRUG POLICY
VL 74
BP 11
EP 17
DI 10.1016/j.drugpo.2019.07.036
PD DEC 2019
PY 2019
AB Background: "Dabbing" involves vaporizing a "dab" of cannabis
   concentrate on a heated "nail," passing the vapour through a water-pipe
   rig or portable pen device, and inhaling the vapour. While some cannabis
   industry media claims that this process is cleaner, safer, and more
   effective for getting high, medical and public health sources raise
   concerns about residual solvents and pesticides, unexpectedly intense
   effects, and rapid increases in tolerance. The aim of this study is to
   characterize the content of questions about dabbing posed in cannabis
   and dabbing-specific forums on the Reddit social media platform, as well
   as comment responses to these questions.
   Methods: We conducted a content analysis of one year (2017) of
   information-seeking user-generated posts to three Reddit online cannabis
   community discussion forums ("subreddits") that contained the terms
   "dab" and "question." We also examined post engagement and the types and
   sentiment of information exchanged in the comment responses.
   Results: Across 193 dabbing question posts, the most frequently asked
   question content was about types and logistical use of devices and
   related equipment (38%) and comparisons of cannabis products (32%),
   followed by questions about the step-by-step process of getting high
   (18%), legal issues (17%), and health concerns (13%). Nearly every post
   had a response (98%), with a median 5 comments per post and few negative
   (i.e. hostile, condescending, or trolling) comments (4%). Source of
   advice or information was stated in about a quarter (26%) of comment
   responses, with the overwhelming majority of this information (89%)
   coming from disclosures of personal experience vs. web or commercial
   sources.
   Conclusion: People seeking advice online about dabbing inquired most
   often about logistics of use, but less often about health, tolerance,
   and legal risks. These findings may be used to inform public health
   efforts and health practitioner education as cannabis becomes
   increasingly legal and accessible.
RI Meacham, Meredith/AAZ-7113-2020
TC 3
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 3
U1 0
U2 9
SN 0955-3959
EI 1873-4758
UT WOS:000504779500002
PM 31400582
ER

PT J
AU Post, Eric G.
   Roos, Karen G.
   Rivas, Stephen
   Kasamatsu, Tricia M.
   Bennett, Jason
TI Access to Athletic Trainer Services in California Secondary Schools
SO JOURNAL OF ATHLETIC TRAINING
VL 54
IS 12
BP 1229
EP 1236
DI 10.4085/1062-6050-268-19
PD DEC 2019
PY 2019
AB Context: California is currently the only state that does not regulate
   who can and cannot call themselves athletic trainers (ATs). Therefore,
   previous national or state-specific investigations may not have provided
   an accurate representation of AT availability at the secondary school
   level in California. Similarly, it is unknown whether the factors that
   influence AT availability in California, such as socioeconomic status,
   are similar to or different from those identified in previous studies.
   Objective: To describe the availability of ATs certified by the Board of
   Certification in California secondary schools and to examine potential
   factors influencing access to AT services in California secondary
   schools.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: Representatives of 1270 California high
   schools.
   Main Outcome Measure(s): Officials from member schools completed the
   2017-2018 California Interscholastic Federation Participation Census.
   Respondents provided information regarding school type, student and
   student-athlete enrollment, whether the school had ATs on staff, and
   whether the ATs were certified by the Board of Certification. The
   socioeconomic status of public and charter schools was determined using
   the percentage of students eligible for free or reduced-price lunch.
   Results: More than half (54.6%) of schools reported that they either did
   not employ ATs (47.6%) or employed unqualified health personnel (UHP) in
   the role of AT (7.0%). Nearly 30% of student-athletes in California
   participated in athletics at a school that did not employ ATs (n =191
   626, 28.9%) and 8% of student-athletes participated at a school that
   employed UHP in the role of AT (n = 54361, 8.2%). Schools that reported
   employing ATs had a lower proportion of students eligible for free or
   reduced-price lunch than schools that did not employ ATs and schools
   that employed UHP (both P values < .001).
   Conclusions: With ongoing legislative efforts to obtain regulation of
   ATs in California, secondary school administrators are encouraged to
   hire ATs with the proper certification to enhance the patient care
   provided to student-athletes and improve health outcomes.
TC 5
ZS 0
ZB 2
ZR 0
ZA 0
Z8 0
Z9 5
U1 1
U2 3
SN 1062-6050
EI 1938-162X
UT WOS:000503172400001
PM 31714144
ER

PT J
AU Rezhake, Remila
   Xu, Xiao-Qian
   Montigny, Sandrine
   Berger, Anouk
   Hu, Shang-Ying
   Liu, Zhi-Hua
   Sankaranarayanan, Rengaswamy
   Qiao, You-Lin
   Basu, Partha
   Zhao, Fang-Hui
TI Training Future Leaders: Experience from China-ASEAN Cancer Control
   Training Program
SO JOURNAL OF CANCER EDUCATION
VL 34
IS 6
BP 1067
EP 1073
DI 10.1007/s13187-018-1409-6
PD DEC 2019
PY 2019
AB Cancer care professionals are pivotal in translating the knowledge into
   action in the continuum of cancer control process. Unfortunately, in
   China and the Association of South-east Asian Nations (ASEAN), limited
   training opportunities are available for health professionals in the
   area of cancer prevention and control. Therefore, the Cancer Hospital,
   Chinese Academy of Medical Sciences (CICAMS), and the International
   Agency for Research on Cancer (IARC) collaboratively designed and held
   the China-ASEAN Cancer Control and Prevention Training Program to
   provide continuing education opportunities for cancer professionals from
   China and ASEAN countries. The aim of this article is to report on the
   effectiveness and quality of the program and share our experience. A
   total of 36 participants from 12 countries completed the whole course
   including 1-month online learning and 1-week face-to-face workshop and
   cancer control facility tour in October 2017. After completion of the
   program, all participants were invited to fill out a questionnaire and
   to provide their comments on the training course. Out of 36
   participants, 33 completed the evaluation form and they rated the
   training course highly in terms of satisfaction, value, and likelihood
   of recommending it to other colleagues. Additionally, all participants
   provided very detailed and practical comments on the course. Such an
   intensive, short-term, and comprehensive training program is expected to
   help participants establish a broader view of cancer prevention and
   control within the wider health services and be involved in national
   cancer control programs in a more efficient way. This training course
   could serve as a model for other institutes dedicated to nurturing
   future leaders in cancer control.
RI Qiao, You-Lin/B-4139-2012; Zhao, Fang-Hui/
OI Qiao, You-Lin/0000-0001-6380-0871; Zhao, Fang-Hui/0000-0001-9294-0005
TC 1
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
Z9 1
U1 0
U2 6
SN 0885-8195
EI 1543-0154
UT WOS:000501314300004
PM 30097990
ER

PT J
AU Cullen, Michael W.
   Geske, Jeffrey B.
   Anavekar, Nandan S.
   McAdams, Julie A.
   Beliveau, Mary Ellen
   Ommen, Steve R.
   Nishimura, Rick A.
TI Reinvigorating Continuing Medical Education: Meeting the Challenges of
   the Digital Age
SO MAYO CLINIC PROCEEDINGS
VL 94
IS 12
BP 2501
EP 2509
DI 10.1016/j.mayocp.2019.07.004
PD DEC 2019
PY 2019
AB Clinicians in today's health care environment face an overwhelming
   quantity of knowledge that requires continued education and lifelong
   learning. However, traditional continuing medical education (CME)
   courses cannot meet these educational needs, particularly given the
   proliferation of knowledge and increasing demands on clinicians' time
   and resources. CME courses that previously offered only in-person,
   face-to-face education must evolve in a learner-centric manner founded
   on principles of adult learning theory to remain relevant in the current
   era. In this article, we describe the transition of the Mayo Clinic
   Cardiovascular Review for Cardiology Boards and Recertification (CVBR)
   from a traditional course with only live content to a course integrating
   live, online, and enduring materials. This evolution has required
   leveraging technology to maximize learner engagement, offering faculty
   development to ensure content alignment with learner needs, and strong
   leadership dedicated to providing learners an unparalleled educational
   experience. Despite stagnation in growth of the traditional live course,
   these changes have increased the overall reach of the Mayo Clinic CVBR.
   Learners engaging with digital content have demonstrated larger
   increases in knowledge with less educational time commitment. Courses
   seeking to implement similar changes must develop formal learning
   objectives focused on learner needs, build an online presence that
   includes an assessment of learner knowledge, enlist a cohort of
   dedicated faculty who teach based on principles of adult learning
   theory, and perpetually refresh educational content based on learner
   feedback and performance. Following these principles will allow
   traditional CME courses to thrive despite learners' resource constraints
   and alternative means to access information. (C) 2019 Mayo Foundation
   for Medical Education and Research
TC 18
Z8 0
ZB 2
ZA 0
ZS 0
ZR 0
Z9 18
U1 1
U2 8
SN 0025-6196
EI 1942-5546
UT WOS:000500791900021
PM 31806103
ER

PT J
AU Dobrowolska, Beata
   Mazur, Ewelina
   Pilewska-Kozak, Anna
   Donka, Katarzyna
   Kosicka, Bogumila
   Palese, Alvisa
TI Predicted difficulties, educational needs, and interest in working in
   end of life care among nursing and medical students
SO NURSE EDUCATION TODAY
VL 83
AR 104194
DI 10.1016/j.nedt.2019.08.012
PD DEC 2019
PY 2019
AB Background: The need to provide care for the dying patient and his/her
   family may occur in every medical setting. Newly graduated nurses and
   physicians should therefore be prepared to deliver it at a high-quality
   level.
   Objectives: To explore (a) the primary difficulties participants
   anticipate they will encounter whilst working with dying patients, (b)
   their interest in developing competencies in caring for dying patients,
   and (c) their interest in working in palliative/hospice settings or with
   dying patients in the future.
   Design: A cross-sectional study.
   Settings: A medical university in Poland.
   Participants: Convenience sample of nursing (= 112) and medical students
   (= 101) at the end of their undergraduate education.
   Methods: Questionnaire distributed online and in hard-copy format.
   Results: Half of the participants anticipated experiencing various
   emotional and professional difficulties in caring for dying individuals,
   especially medical students. These difficulties pertained mostly the
   reaction of family members to the patient's death, addressing the
   psychological needs of the dying person, and coping with his/her own
   emotions when dealing with the patient's death. Students reported that
   working with dying patients could cause occupational stress - more so
   among medical students. The majority of them showed an interest in
   improving knowledge regarding palliative care and also in this case this
   was mostly true of medical rather than nursing students. However, more
   than half of the participants preferred avoiding work in
   palliative/hospice settings, with no differences between the two groups.
   Participants attributed this attitude to two factors: (a) the desire to
   avoid negative emotions and stress that could be triggered by dealing
   with death and dying; and (b) because they felt they lacked the required
   skills and personal abilities to handle such situations.
   Conclusions: Undergraduate curricula that include strategies for coping
   with negative emotions associated with facing the process of death and
   dying should be developed. Interprofessional education should be
   encouraged, especially regarding the psychosocial aspects of end-of-life
   care.
RI Dobrowolska, Beata/U-3384-2018; Pilewska-Kozak, Anna Bogusława/ABE-1950-2021; Palese, Alvisa/J-9427-2015
OI Dobrowolska, Beata/0000-0001-9178-9534; Pilewska-Kozak, Anna
   Bogusława/0000-0003-4562-2295; Palese, Alvisa/0000-0002-3508-844X
TC 8
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 8
U1 4
U2 28
SN 0260-6917
EI 1532-2793
UT WOS:000501623200003
PM 31493620
ER

PT J
AU Wiblom, Jonna
   Rundgren, Carl-Johan
   Andree, Maria
TI Developing Students' Critical Reasoning About Online Health Information:
   a Capabilities Approach
SO RESEARCH IN SCIENCE EDUCATION
VL 49
IS 6
BP 1759
EP 1782
DI 10.1007/s11165-017-9674-7
PD DEC 2019
PY 2019
AB The internet has become a main source for health-related information
   retrieval. In addition to information published by medical experts,
   individuals share their personal experiences and narratives on blogs and
   social media platforms. Our increasing need to confront and make meaning
   of various sources and conflicting health information has challenged the
   way critical reasoning has become relevant in science education. This
   study addresses how the opportunities for students to develop and
   practice their capabilities to critically approach online health
   information can be created in science education. Together with two upper
   secondary biology teachers, we carried out a design-based study. The
   participating students were given an online retrieval task that included
   a search and evaluation of health-related online sources. After a few
   lessons, the students were introduced to an evaluation tool designed to
   support critical evaluation of health information online. Using
   qualitative content analysis, four themes could be discerned in the
   audio and video recordings of student interactions when engaging with
   the task. Each theme illustrates the different ways in which critical
   reasoning became practiced in the student groups. Without using the
   evaluation tool, the students struggled to overview the vast amount of
   information and negotiate trustworthiness. Guided by the evaluation
   tool, critical reasoning was practiced to handle source subjectivity and
   to sift out scientific information only. Rather than a generic skill and
   transferable across contexts, students' critical reasoning became
   conditioned by the multi-dimensional nature of health issues, the blend
   of various contexts and the shift of purpose constituted by the
   students.
ZA 0
ZS 0
TC 5
ZR 0
Z8 0
ZB 0
Z9 5
U1 1
U2 7
SN 0157-244X
EI 1573-1898
UT WOS:000501034400011
ER

PT J
AU Desiree, Larenas-Linnemann
   Margarita, Fernandez-Vega
   Monica, Rodriguez-Gonzalez
   Maria del Carmen, Cano-Salas
   Jorge Agustin, Luna-Pech
   Jose Antonio, Ortega-Martell
   Blanca, Del Rio-Navarro
   Erika del Carmen, Lopez-Estrada
   Jade, Romero-Lombard
   Juan Carlos, Vazquez-Garcia
   Jorge, Salas-Perez
TI An online survey detected knowledge gaps and cost-saving opportunities
   in asthma maintenance treatment among allergists, pulmonologists, ENTs
   and primary care
SO WORLD ALLERGY ORGANIZATION JOURNAL
VL 12
IS 12
AR 100084
DI 10.1016/j.waojou.2019.100084
PD DEC 2019
PY 2019
AB Background: In April 2017 the Mexican Asthma Guidelines (GUIMA) were
   published. Before the launch, physicians' knowledge was explored related
   to key issues of the guideline.
   Methods: A SurveyMonkey (R) survey was sent out to board-certified
   physicians of 5 medical specialties treating asthma. Replies were
   analyzed per specialty against the GUIMA evidence-based recommendations.
   We present the treatment part here.
   Results: A total of 364 allergists (ALLERG), 161 pulmonologists (PULM),
   34 ENTs, 239 pediatricians (PED) and 62 general practitioners (GPs)
   replied to the survey and 247-83-14-135-37 respectively finished it.
   Spirometry is not routinely indicated when asthma is very probable by
   ALLERG 54%, PULM 47%, ENT 39%, PED 65%, GP 64%. A fictitious case
   proposed to the physicians with intermittent asthma was erroneously
   treated with ICS by ALLERG 9%, PULM 11%, ENT 28%, PED 10%, GP 11%. The
   mild persistent case received mistakenly ICS-LABA by ALLERG 25%, PULM
   26%, ENT 33%, PED 27%, GP 23%. The first-line option for moderate
   persistent asthma was ICS(median dose) instead of ICS(low)+LABA for
   ALLERG 29%, PULM 25%, ENT 17%, PED 27%, GP 23% and in severe asthma
   maintenance treatment PULM20%, ALLERG-ENT-PED-GP 22-34% failed to
   indicate LABA. Concerning the guidelines' recommendation to use one
   inhaler for maintenance & rescue in moderate-to-severe asthma, PULM45%,
   ALLERG-ENT-PED-GP 56-80% (p < 0.00001), erroneously indicated
   ICS-salmeterol could be used, instead of ICS-formoterol. Oral beta 2 or
   theophylline are no longer recommended, but PULM 37% and
   ALLERG-ENT-PED-GP 42-62% (p < 0.01) still indicate their use. In severe
   asthma 61-73% of physicians consider adding LTRA to the treatment; only
   PULM38%, OTHERS12-25% consider adding tiotropium (p < 0.001) and 3-17%
   consider adding omalizumab, both guideline recommended add-ons. As for
   asthma in pregnancy, most surveyed are not aware budesonide is the 1st
   line option ICS. Finally, 81-97% of the group-members recognized
   allergen immunotherapy, as a viable add-on, in line with GINA/GEMA/GUIMA
   recommendations.
   Conclusions: An online survey could detect knowledge-gaps related to
   asthma treatment. Interestingly, surveyed physicians tended to
   over-treat the milder asthma cases, thus clearly leaving room for
   cost-savings. Caution should be taken in the promotion of the SMART
   (single-maintenance-and-reliever-treatment) approach, which can only be
   done with ICS-formoterol. Many physicians opt for other combinations not
   apt for this approach. Among all surveyed specialties there is ample
   room for improvement in mild and severe asthma management.
ZR 0
Z8 0
ZA 0
TC 4
ZB 0
ZS 0
Z9 4
U1 0
U2 1
SN 1939-4551
UT WOS:000504425500001
PM 31768217
ER

PT J
AU Froehlich, Susanne
   Goebel, Florian
   Meder, Adrian
   Wirkner, Janine
   Obertacke, Udo
   Kasch, Richard
TI Mandatory Surgical Subinternship in the Final Year of Medical School - a
   Stepping Stone to Becoming a Surgeon?
SO ZENTRALBLATT FUR CHIRURGIE
VL 144
IS 6
BP 543
EP 550
DI 10.1055/a-0820-6089
PD DEC 2019
PY 2019
AB Background The final year is an important time for a medical student as
   this is when medical knowledge is transformed into medical
   responsibilities. The field of surgery is firmly anchored in the
   educational structure as it is mandatory during the practical year of a
   medical student. The purpose of this paper is to identify factors that
   influence medical students to choose surgery after the final year of
   medical school. Materials and Methods An online survey conducted by the
   AG DGOU 2012 provided complete data sets from a total of 9079
   participants. 184 of these had already completed their PJ compulsory
   sub-internship (tertiary) surgery. These were divided into four groups
   for analysis: decision to specialise in surgery prior to the PJ
   compulsory tertiary ("yes, before", JV), during the PJ compulsory ("yes,
   during", JW), decision against before the PJ compulsory ("no, before",
   NV) or during the compulsory ("no, during", NW). The total of 38 survey
   items were summarised for overall assessment, taking into account the
   decision on subject specialisation. Results 57.9% of the respondents
   were positive regarding the overall impression of the surgical
   internship during their final year. The respondents of the JW group were
   especially positive, having made the decision to become a surgeon, based
   on their internship experience during the final year in comparison to
   the NW group (decision against surgery). We find significant differences
   in all analysed items: integration into team JW/NW (p <= 0.003),
   acquisition of expertise (p <= 0.014), teachers (p <= 0.025), quality
   and structure of teaching (p <= 0.043) and overall satisfaction with the
   required tertial (p <= 0.037). Conclusion In comparison to other
   specialities, in the field of surgery there is the option of recruiting
   directly within the framework of the compulsory internship. The results
   reveal unsatisfactory structures from a student perspective. The lack of
   medical care/support, the insufficient inclusion in therapeutic
   considerations, the lack of professional knowledge and lack of contact
   with the teachers are just a few key points that negatively impact the
   overall outcome of students' satisfaction with the compulsory tertiary
   education. The results of the present study should serve as motivation
   and contribute to the restructuring of the compulsory core of the
   Practical Year, which the Master Plan 2020 will entail.
ZS 0
ZB 0
ZA 0
ZR 0
TC 2
Z8 0
Z9 2
U1 0
U2 1
SN 0044-409X
EI 1438-9592
UT WOS:000502325700010
PM 30912103
ER

PT J
AU Sterz, Jasmina
   Adili, Farzin
   Bender, Michael
   Dahmen, Uta
   Heinemann, Markus K.
   Hofmann, Hans-Stefan
   Konig, Sarah
   Obertacke, Udo
   Russeler, Miriam
   Stefanescu, Christina
   Voss, Sebastian Herbert
   Walcher, Felix
   Kadmon, Martina
CA Deutsch Gesell Chirurgie DGCH
TI National Learning Objectives Catalogue in Surgery - General Part
   Defining Competences of Medical School Graduates in Surgery
SO ZENTRALBLATT FUR CHIRURGIE
VL 144
IS 6
BP 573
EP 579
DI 10.1055/a-1033-7769
PD DEC 2019
PY 2019
AB Competency-based medical education is needed in order to meet the
   requirements of medical care currently and in the future. The basis of
   this are activity-based learning objectives that are merged in
   competency-based catalogues. A basis for a core curriculum of
   undergraduate medical training is the National Catalogue of Learning
   Objectives for Undergraduate Medical Education (NKLM). Already in 2013,
   for surgery, the competencies which medical students should have
   achieved after completing the practical year (PJ) in relation to
   surgical diseases were defined in the special part of the National
   Catalogue of Learning Objectives in Surgery (NKLC). In the now amended
   general part of the NKLC, interdisciplinary competencies were defined
   and consented from all surgical disciplines, that are relevant for all
   surgical disciplines and that all representatives from the different
   surgical disciplines should incorporate in their surgical training. The
   complete NKLC is now available for faculties, teachers and students for
   trial (available online: https://www.dgch.de/index.php?id=190&L=528).
   The guiding principle for the entire development process was to make
   sure that students gain all competencies they need when starting to work
   as a medical doctor and therefor to increase patient safety.
RI Ruesseler, Miriam/ABD-3388-2020
OI Ruesseler, Miriam/0000-0001-7494-0159
Z8 0
ZS 0
ZA 0
ZR 0
TC 2
ZB 0
Z9 2
U1 1
U2 5
SN 0044-409X
EI 1438-9592
UT WOS:000502769400001
PM 31842239
ER

PT J
AU Naylor, Katarzyna A.
   Torres, Kamil C.
TI Translation of learning objectives in medical education using high-and
   low-fidelity simulation: Learners' perspectives
SO JOURNAL OF TAIBAH UNIVERSITY MEDICAL SCIENCES
VL 14
IS 6
BP 481
EP 487
DI 10.1016/j.jtumed.2019.10.006
PD DEC 2019
PY 2019
AB Objectives: The mastering of learnt procedures by medical students is
   triggered by numerous elements, including the ability to understand
   educational goals for specific tasks. In this study, the authors
   investigated the processes for identifying learning objectives set forth
   by medical students and the possibility of the chosen simulation
   fidelity influencing this ability in Basic Clinical Skills and Elderly
   Medicine courses at the Medical University of Lublin.
   Methods: A total of 121 medical students assessed the extent to which
   learning objectives were implemented in two courses with high- and
   low-fidelity simulation. Using an online survey with closed-ended
   questions, a list of learning objectives assigned to the courses was
   sent to participants. The authors evaluated how the courses were
   generally assessed in terms of their substantive value and general
   applicability. The Spearman rank correlation (Spearman's rho), chi(2),
   and descriptive statistics were used for investigating research
   problems.
   Results: Students correctly identified established learning objectives
   embedded in the courses and positively assessed both courses.
   Participants' affirmative opinions were related to the high substantive
   value of both courses.
   Conclusions: Teachers and course creators could benefit from students'
   feedback about the clarity of learning objectives. The application of
   some of their ideas would promote a student-centred approach in medical
   simulation. This approach could be considered input for task selection
   and optimisation of learning.
RI Naylor, Katarzyna/I-8933-2019; Torres, Kamil/
OI Naylor, Katarzyna/0000-0002-1307-5015; Torres, Kamil/0000-0001-5602-3744
ZS 0
ZA 0
TC 2
ZR 0
ZB 0
Z8 0
Z9 2
U1 0
U2 2
SN 1658-3612
UT WOS:000504868500001
PM 31908634
ER

PT J
AU Khallof, Razan Omar
   Doumani, Mazen
   Farid, Fatma Alzahraa Sherief
   Mostafa, Diana
   Alhafian, Rania Abdul Alim
TI Dental education in the Arabic language vs English language: A survey
   among Arab dentists
SO JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE
VL 8
IS 12
BP 3908
EP 3914
DI 10.4103/jfmpc.jfmpc_572_19
PD DEC 2019
PY 2019
AB Objective: The aim of this study was to explore the language
   difficulties encountered by Arabic dental students and dentists in some
   aspects of their dental education and to determine their attitude
   towards the Arabization of the medical curriculum. Materials and
   Methods: A web-based self-administered questionnaire with 14
   multiple-choice questions was designed and distributed online via google
   forms in the Arabic language. The online link was sent randomly to
   Arabic dental students, dental academic staff, and dental practitioners.
   The survey questions explored language problems during reading,
   attending lectures and scientific conferences, preparing scientific
   researches, taking deferent exams, and the attitudes towards
   Arabization. Descriptive statistics and Chi-square tests were used to
   analyze the responses to the questions. Results: There were 378
   respondents for this study. Nevertheless, paying high attention to the
   importance of English language as the global language of communication,
   (70.6%) of the respondents believed that studying in Arabic is a basic
   requirement for the Arabs. Near percentage agreed that mastering their
   mother tongue is much easier than to acquire another language, which
   further facilitates studying and improves understanding. More than (65%)
   of the subjects preferred a mixture of both languages for attending
   lectures, conferences, and exams. But (68.3%) said that they use English
   when they search for any subject related to dentistry. Conclusion: There
   has been a consensus on the need for receiving knowledge in the Arabic
   language, and the importance of studying the mother tongue for enhancing
   understanding and memorization. The results demonstrated that the idea
   of teaching some dental courses in Arabic is not impossible and it might
   be the key to improve dental study for the Arabs. Consequently, a
   majority stated that there were obstacles in teaching dentistry in fully
   Arabic language due to the dominance of English language internationally
   and the weak possibilities of Arabization and translation in the Arab
   world.
RI Mostafa, Diana/AAD-3401-2019
OI Mostafa, Diana/0000-0001-5653-1124
ZA 0
ZB 0
TC 0
Z8 0
ZS 0
ZR 0
Z9 0
U1 0
U2 1
SN 2249-4863
EI 2278-7135
UT WOS:000648429500024
PM 31879634
ER

PT J
AU Medina Martinez, Osmel Domingo
   Perez de Armes, Marie
   Toledo Alvarez, Filiberto
   Carrillo Ramos, Anay
   Rosales Gonzalez, Raul Jesus
   Trujillo Arteaga, Jose Antonio
TI Information system for the management of scientific production of the
   University of Medical Sciences of Cienfuegos
SO MEDISUR-REVISTA DE CIENCIAS MEDICAS DE CIENFUEGOS
VL 17
IS 6
BP 764
EP 770
PD DEC 2019
PY 2019
AB Foundation: guaranteeing in a timely, reliable and fast manner the
   information required for the management of scientific production in
   Cuban Medical Sciences Universities is an outstanding necessity.
   Objective: to design a computerized information system for the
   management of scientific production of the University of Medical
   Sciences of Cienfuegos.
   Methods: system designed at the University of the Cienfuegos Medical
   Sciences, based on client-server technology with RUP methodology, UML
   modeling language, PHP and MySQL programming language as database
   manager. The minimum requirements are: Dual Core central unit with 2 GB
   of RAM, 40 GB of hard disk and MySQL and APACHE applications.
   Results: the system allows the generation of online digital curricula of
   university professors from any health institution in the province, where
   their scientific work is highlighted, in addition to the automated
   calculation of indicators and absolute frequency values at the
   individual level, career and institution based mainly on parameters of
   the National Accreditation Board of the Ministry of Higher Education of
   Cuba.
   Conclusions: it constitutes a tool that allows perfecting the management
   of scientific production of Cuban Medical Sciences Universities.
Z8 0
ZB 0
ZS 0
ZA 0
TC 0
ZR 0
Z9 0
U1 0
U2 1
SN 1727-897X
UT WOS:000503728400001
ER

PT J
AU McBrien, Sarah
   Bailey, Zachary
   Ryder, Jonathan
   Scholer, Paige
   Talmon, Geoffrey
TI Improving Outcomes A Retrospective Review Study Design in Pathology
   Education for Medical Students
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 152
IS 6
BP 775
EP 781
DI 10.1093/ajcp/aqz100
PD DEC 2019
PY 2019
AB Objectives: To determine the strength of study design and outcomes in
   literature describing pathology education for medical students.
   Methods: A search was conducted for articles related to pathology
   education published over 45 years describing an educational
   intervention. The primary data collected included phase of education,
   domain of objectives, number of learners and institutions, type of
   intervention, use of a comparison/control group, randomization, and
   strength of statistical analysis.
   Results : Of 655 articles, 54 (8%) met inclusion criteria. The majority
   (65%) reported experiences of 100 learners or fewer, and only one was
   multi-institutional. Only 46% used a comparison/control group.
   Statistical significance of results was not reported in 39%. None
   examined outcomes at a point distant from the educational intervention.
   Conclusions: Most studies describing pathology educational interventions
   are not of strong experimental design. Consumers of educational research
   should be cognizant of these potential weaknesses in educational
   studies.
OI McBrien, Sarah/0000-0002-7732-1887
ZR 0
ZS 0
TC 2
ZA 0
ZB 1
Z8 0
Z9 2
U1 1
U2 6
SN 0002-9173
EI 1943-7722
UT WOS:000496763800011
PM 31390654
ER

PT J
AU Singh, Raunak
   Kirtley, Joanne
   Minhas, Jatinder S.
   Lakhani, Dilesh
   Carr, Sue
TI Exploring junior doctor morale in a UK hospital
SO JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
VL 49
IS 4
BP 312
EP 316
DI 10.4997/JRCPE.2019.414
PD DEC 2019
PY 2019
AB Background The importance of junior doctor morale is increasingly being
   recognised. We aimed to identify and explore the factors affecting
   junior doctor morale in a UK teaching hospital.
   Methods We carried out an online survey asking junior doctors to rate
   their morale, rank the top five factors that positively affected morale
   and offer free-text comments.
   Results Nine hundred and forty three junior doctors were approached, 402
   (42.6%) responded. Overall morale was rated 6 [interquartile range
   (IQR): 5-8], and how valued 6 (IQR: 4-8), supported (IQR: 6-9) and
   autonomous 7 (IQR: 6-8) they felt [median ratings using a scale of 0
   (low) -10 (high)]. When comparing the four domains of feeling supported,
   feeling valued, having autonomy and overall morale, respondents felt
   most supported overall (n = 402, chi(2)= 85.6, p < 0.0001). Key themes
   were identified: team working and relationships, feedback, training and
   education, resources, wellbeing and pastoral support, staffing and
   workload, senior clinician support, and autonomy. The most common
   factors positively affecting morale were 'feeling part of a team'
   (66.4%) and 'being recognised for good practice' (56.7%).
   Conclusion We identified a number of diverse themes affecting junior
   doctor morale. Doctors felt more supported than valued or autonomous,
   with complex relationships between these domains.
RI Minhas, Jatinder/J-8333-2019; CARR, Susan/
OI Minhas, Jatinder/0000-0002-0576-9105; CARR, Susan/0000-0003-3726-3560
ZS 0
ZA 0
ZR 0
Z8 0
ZB 1
TC 6
Z9 6
U1 0
U2 2
SN 1478-2715
EI 2042-8189
UT WOS:000500934000015
PM 31808461
ER

PT J
AU Nadama, Hauwa'u Hayat
   Tennyson, Maria
   Khajuria, Ankur
TI Evaluating the usefulness and utility of a webinar as a platform to
   educate students on a UK clinical academic programme
SO JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
VL 49
IS 4
BP 317
EP 322
DI 10.4997/JRCPE.2019.415
PD DEC 2019
PY 2019
AB Background The Academic Foundation Programme (AFP) is the first step of
   the UK's national integrated clinical academic pathway; however, the
   application process can be unclear. We evaluated webinars as a teaching
   medium to enhance knowledge and confidence of prospective applicants.
   Methods Medical students were invited to attend a free webinar. The
   webinar was designed by a former academic foundation trainee, outlining
   the UK integrated clinical academic pathway and how to apply to the AFR
   An online questionnairebased cross-sectional study was conducted pre-
   and post-webinar.
   Results In total, 118 out of 199 (59.3% response rate) attendees filled
   out the pre-webinar questionnaire, while 64 out of 199 attendees (32.2%
   response rate) filled out the post-webinar questionnaire. Of these 83.1%
   had never previously attended a medical education webinar, and 92.3%
   agreed webinars offer flexibility and convenience, saving time and money
   on travel. Matched pre- and post-webinar data showed an increase in
   participants' knowledge (p < 0.0001) and confidence (p < 0.001).
   Conclusions This study has demonstrated the utility of a focused webinar
   in enhancing medical students' knowledge and confidence in AFP
   applications. Webinars are a rarely utilised yet highly acceptable way
   to engage millennial students and could be used to enhance engagement
   with clinical academia.
RI Khajuria, Ankur/AAB-5545-2020
OI Khajuria, Ankur/0000-0002-2321-9860
ZB 4
ZS 1
TC 25
ZR 0
ZA 0
Z8 0
Z9 26
U1 1
U2 6
SN 1478-2715
EI 2042-8189
UT WOS:000500934000016
PM 31808462
ER

PT J
AU Oesch, Peter
   Tomovic, Sara
   Sonderer, Patrizia
   Bovard, Cynthia
TI Extended Roles of Physiotherapists in Acute Care Hospitals - Survey
   among Physiotherapists in Eastern Switzerland
SO PHYSIOSCIENCE
VL 15
IS 4
BP 155
EP 163
DI 10.1055/a-1017-7305
PD DEC 2019
PY 2019
AB Background Medical treatment in acute care hospitals is in the focus of
   political debates. This is accompanied by the discussion on extended
   roles (ER) of non-medical health professionals. Physiotherapists' ER are
   defined as tasks which are traditionally not performed by
   physiotherapists and require additional training. Objective Recording
   PTs' ER in acute care hospitals in Eastern Switzerland. Method The
   online survey among PT in Eastern Switzerland using snow ball sampling
   collected form and number of ER, required graduate and post-graduate
   professional training, mentioning ER in job description and their
   salary-relevance as well as demographic and work-specific information on
   respondents and their institutions. The performed statistical analysis
   was mostly descriptive. The multivariate regression analysis covered the
   assessment of the influence of age, gender, acute care hospital
   experience, level of education, hierarchical level, hospital form,
   hospital size and organizational assignment of PT to the number of
   performed ER. Results 179 physiotherapists participated in the survey,
   all of them performing at least one ER. There was a significant
   correlation between the number of performed ER and hierarchical level,
   years of experience in acute care hospital, age and hospital type. The
   most commonly mentioned barriers for ER were lack of funding and time.
   Implementation of ER was salary-relevant for 37 % of the respondents and
   was mentioned in 56 % of job descriptions. 87.2 % of physiotherapists
   would like to practice more ER and 98.3 % consider ER to be important
   for occupational development. Conclusions Physiotherapists in acute care
   hospitals perform a variety of not realized or rewarded ER. ER could
   reduce supply shortfall in emergency hospitals and produce attractive
   career prospects if concordantly appreciated and paid for.
ZR 0
Z8 0
TC 0
ZS 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 1860-3092
EI 1860-3351
UT WOS:000501173000002
ER

PT J
AU Raptis, Dimitri A.
   Sinanyan, Milena
   Ghani, Shahi
   Soggiu, Fiammetta
   Gilliland, Jack J.
   Imber, Charles
TI Quality assessment of patient information on the management of gallstone
   disease in the internet - A systematic analysis using the modified
   ensuring quality information for patients tool
SO HPB
VL 21
IS 12
BP 1632
EP 1640
DI 10.1016/j.hpb.2019.03.355
PD DEC 2019
PY 2019
AB Introduction: The internet has become a fundamental source of medical
   information for patients, however, little is known about the quality of
   patient information regarding the management of gallstone disease (GD).
   Methods: A systematic review of information on GD in the internet was
   performed. The top 100 websites for every different search term and
   search engine were assessed using the validated EQIP tool (Score 0-36).
   Results: A total of 2000 websites were identified and 212 (11%) were
   eligible for analysis. The overall median EQIP score of all websites was
   15 (IQR 13-18). Of all websites, 63% originated from North America
   however, these represented the lowest median EQIP score of 15. Only 41%
   of the websites differentiated between clinical presentations and 19%
   provided emergency information. Only 3% of the websites reported
   complication rates, ranging from 3 to 36%.
   Conclusion: This is a comprehensive assessment of online patient
   information on GD using the EQIP tool. The assessment of the quality of
   websites concerning GD by the EQIP tool indicates that the majority of
   sites were of low-quality information. There is an immediate need for
   better informative and educational websites regarding GD that are
   compatible with international quality standards.
OI Raptis, Dimitri Aristotle/0000-0002-0898-3270; Soggiu,
   Fiammetta/0000-0003-2317-7776
ZA 0
ZS 0
TC 7
ZB 0
ZR 0
Z8 0
Z9 7
U1 0
U2 4
SN 1365-182X
EI 1477-2574
UT WOS:000500283700005
PM 31174998
ER

PT J
AU Liu, Xiaochuan
   Weng, Yingfeng
   Liu, Renyu
   Zhao, Jing
TI Significant Stroke Knowledge Deficiencies in Community Physician
   Improved with Stroke 120
SO JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
VL 28
IS 12
AR 104323
DI 10.1016/j.jstrokecerebrovasdis.2019.104323
PD DEC 2019
PY 2019
AB Background and Purpose: In the existing model of community health
   service in China, community general practitioners play important roles
   in health promotion as well as prehospital stroke recognition and
   management. We recently engineered Stroke 120 based on FAST for China.
   This investigation aimed to investigate its acceptance in community
   physicians and promote their stroke related knowledge. Methods: We
   conducted an stroke education session to community physicians or family
   doctors (total of 435 participants), teaching both FAST and Stroke 120.
   Online survey was distributed to the participants before and after the
   education session to evaluate the awareness of stroke and the acceptance
   of the stroke recognition tool. Results: Significant stroke knowledge
   deficiencies were found in community physicians. After the education
   session, percent of the participants knew that the thrombolytic
   therapeutic window (<4.5 hours) was improved from 54.0% to 91.6% (P <
   .001). A total of 88.5% of them would send their patients who had stroke
   to the nearest hospital with stroke center by emergency medical service,
   compared to baseline (64.4%, P < .001). In total, 95.2% of them would
   recommend thrombolytic therapy in the treatment of acute ischemic stroke
   compared to 82.7% (baseline P < .001). Although majority mastered both
   FAST (95.5%) and Stroke 120 (98.0%) through our education session, 96.3%
   of them believe that Stroke 120 is the most suitable for Chinese in
   stroke education. Conclusions: Stroke 120 strategy was well accepted by
   the community physicians in China and in the meantime improved knowledge
   regarding stroke was observed.
OI Liu, xiaochuan/0000-0002-6605-9262
ZB 2
ZS 0
TC 7
Z8 0
ZR 0
ZA 0
Z9 7
U1 1
U2 4
SN 1052-3057
EI 1532-8511
UT WOS:000498868800003
PM 31562040
ER

PT J
AU Silvestre, Jason
   Caruso, Vincenza A.
   Hernandez, Jade M.
   Serletti, Joseph M.
   Chang, Benjamin
TI The Impact of Training Pathway on Breast Surgery Cases Performed during
   Plastic Surgery Residency
SO AESTHETIC PLASTIC SURGERY
VL 43
IS 6
BP 1663
EP 1668
DI 10.1007/s00266-019-01424-3
PD DEC 2019
PY 2019
AB Background Operative volume is a critical component of surgical resident
   education. This study compares reported breast surgery case volume
   between resident training pathways in plastic surgery. Methods This
   retrospective cohort study reviewed case logs of plastic surgery
   residents in the independent/combined and integrated training pathways.
   Breast surgery case volume was compared via t tests across two major
   categories: reconstructive and aesthetic. Differences in intra-pathway
   variability were compared with F tests. Five consecutive cohorts of
   plastic surgery residents (n = 818): independent/combined (n = 526, 64%)
   and integrated (n = 292, 36%) at Accreditation Council for Graduate
   Medical Education (ACGME) accredited residency programs, were included
   (2011-2015). Results Independent/combined residents reported
   significantly more aesthetic cases than integrated residents, but
   similar reconstructive cases. Independent/combined residents reported
   more breast augmentations, mastopexy, cosmetic breast fat grafting, and
   other cosmetic breast cases. Within the reconstructive category,
   independent residents reported more breast reconstruction fat grafting
   cases while integrated residents reported more breast reconstruction
   with pedicle flap, other breast reconstruction, and breast reduction
   cases. Independent residents had greater intra-pathway variability in
   five case subcategories, while integrated residents had greater
   variability in one case subcategory. Conclusions Disparities in breast
   surgery case volume exist by plastic surgery residency training pathway.
   Given the importance of case volume to residents and faculty, these
   disparities may warrant greater attention.
OI Silvestre, Jason/0000-0002-5831-0760
TC 2
ZA 0
ZR 0
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 0
SN 0364-216X
EI 1432-5241
UT WOS:000497527100031
PM 31218380
ER

PT J
AU Tita, Anne C.
   Frampton, John R.
   Roehmer, Christian
   Izzo, Sara E.
   Houtrow, Amy J.
   Dicianno, Brad E.
TI Correlation Between Neurologic Impairment Grade and Ambulation Status in
   the Adult Spina Bifida Population
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 12
BP 1045
EP 1050
DI 10.1097/PHM.0000000000001188
PD DEC 2019
PY 2019
AB Objective The aim of the study was to identify which neurologic
   impairment scales correlate with ambulation status in adults with spina
   bifida. Design A retrospective chart review was performed on patients
   seen at the University of Pittsburgh Medical Center Adult Spina Bifida
   Clinic. Findings were graded using several neurologic impairment scales:
   two versions of the National Spina Bifida Patient Registry
   classification, the International Standards for Neurological
   Classification of Spinal Cord Injury motor level, and the Broughton
   Neurologic Impairment Scale. Ambulation ability was ranked using the
   Hoffer classification system. Results Data collected from 409 patient
   records showed significant correlations between Hoffer ambulation status
   and all neurologic impairment scales evaluated. The strongest
   correlation was noted with the Broughton classification (r(s) = -0.771,
   P < 0.001). High correlations were also noted with both versions of the
   National Spina Bifida Patient Registry: strength 3/5 or greater (r(s) =
   -0.763, P < 0.001), and strength 1/5 or greater (r(s) = -0.716, P <
   0.001). For the International Standards for Neurological Classification
   of Spinal Cord Injury motor level, only a moderate correlation was
   observed (r(s) = -0.565, P < 0.001). Conclusions Multiple grading scales
   can be used to measure motor function in adult spina bifida patients.
   Although the Broughton classification seems to be the most highly
   correlated with ambulation status, the less complex National Spina
   Bifida Patient Registry scale is also highly correlated and may be
   easier to administer in busy clinic settings. To Claim CME Credits
   Complete the self-assessment activity and evaluation online at CME
   Objectives Upon completion of this article, the reader should be able
   to: (1) Explain the clinical significance of identifying ambulation
   status and maximizing ambulation potential in adults with spina bifida;
   (2) Describe each of the neurologic grading scales examined in this
   study, identifying potential shortcomings in applying them to the adult
   spina bifida population; and (3) Administer the National Spina Bifida
   Patient Registry (NSBPR) impairment scale motor assessment in a standard
   adult spina bifida outpatient clinic visit. Level Advanced Accreditation
   The Association of Academic Physiatrists is accredited by the
   Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim
   credit commensurate with the extent of their participation in the
   activity.
TC 10
ZA 0
ZR 0
ZB 3
Z8 0
ZS 0
Z9 10
U1 0
U2 1
SN 0894-9115
EI 1537-7385
UT WOS:000497662300005
PM 30932916
ER

PT J
AU Wilson, Zelda
   Whitehead, Kirsten
TI A cross sectional survey to assess healthcare professionals' attitudes
   to and understanding of probiotics
SO CLINICAL NUTRITION ESPEN
VL 34
BP 104
EP 109
DI 10.1016/j.clnesp.2019.08.004
PD DEC 2019
PY 2019
AB Background and aims: Consumers' belief in the benefits of probiotics is
   influenced by information they receive from healthcare professionals
   (HCPs). HCPs therefore need to be aware of the current evidence base in
   order to advise consumers appropriately. This survey aimed to establish
   HCP attitudes towards, and understanding of, the use of probiotics in
   healthcare.
   Methods: An online, cross-sectional survey was distributed to
   dietitians, paediatricians and General Practitioners (GPs) through three
   medical/health professional bodies: the British Dietetic Association
   (BDA), the European Society for Primary Care in Gastroenterology (ESPCG)
   and the European Paediatric Association (EPA). Paper copies of the
   survey were distributed at relevant medical congresses.
   Results: There were 1360 respondents representing all three groups of
   HCPs. The majority of respondents (86.3%, n = 1068) agreed that
   probiotics have a place in clinical medicine and were likely to
   recommend them (72.1%, n = 882), yet only 55.7% (n = 230) of dietitians
   were familiar with the World Health Organisation (WHO) definition of a
   probiotic. There was a positive, however, weak correlation between a
   high level of training and the likelihood of a respondent recommending a
   probiotic (r = 0.24, p < 0.005). Inadequate knowledge appeared to be a
   limiting factor in patients receiving evidence-based information and
   appropriate recommendations. The more concerns an HCP had, the less
   likely they were to recommend a probiotic regularly (p < 0.005). The
   majority (91%, n = 1099) of respondents cited a need for more education.
   Conclusions: HCPs recognise that probiotics have a place in clinical
   medicine and would recommend them if they had more information to
   support informed decision-making within patient care. (C) 2019 European
   Society for Clinical Nutrition and Metabolism. Published by Elsevier
   Ltd. All rights reserved.
ZR 0
ZA 0
TC 6
ZS 0
ZB 4
Z8 0
Z9 6
U1 2
U2 13
SN 2405-4577
UT WOS:000493891000017
PM 31677699
ER

PT J
AU Bishop, Caitlin Tabler
   Mazanec, Polly
   Bullington, Jessica
   Craven, Heather
   Dunkerley, Melissa
   Pritchett, Jessica
   Coyne, Patrick J.
TI Online End-of-Life Nursing Education Consortium Core Curriculum for
   Staff Nurses An Education Strategy to Improve Clinical Practice
SO JOURNAL OF HOSPICE & PALLIATIVE NURSING
VL 21
IS 6
BP 531
EP 539
DI 10.1097/NJH.0000000000000593
PD DEC 2019
PY 2019
AB Because of the growing population of patients with serious illness, the
   demand for specialty palliative care exceeds the resources available.
   Nurses must be prepared to provide primary palliative care to fill the
   gap in the availability of specialized palliative care providers.
   However, meeting the educational needs of a vast number of practicing
   nurses poses a significant challenge. Often, institutions are limited in
   the financial and staffing support that they can contribute for
   continuing nursing education, especially when the training requires
   staff to spend substantial time away from work. In order to address this
   issue, one large medical center conducted a study to examine the
   educational and clinical practice outcomes of offering an online version
   of the End-of-Life Nursing Education Consortium Core Curriculum to
   nearly 100 nurses. The participants were divided into 2 groups. Group 1
   received online education only, whereas the other group received the
   online education plus a 3-hour face-to-face training session. Both
   groups reported statistically significant improvements in symptom
   management and communication skills, with no significant difference
   between the pedagogical approaches. Most importantly, the education
   resulted in a statistically significant impact on the nurses' clinical
   practice. The results of this study demonstrate that online education
   can be used as an effective and efficient strategy to provide primary
   palliative care education to a large number of nurses.
RI Coyne, Patrick/AAH-7098-2019; Coyne, Patrick/ABE-4148-2020; Coyne, Patrick/
OI Coyne, Patrick/0000-0001-9517-3518
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 7
Z9 7
U1 3
U2 10
SN 1522-2179
EI 1539-0705
UT WOS:000497648800013
PM 31568109
ER

PT J
AU St Clair, Nicole E.
   Butteris, Sabrina M.
   Cobb, Carmen
   Connolly, Emilia
   Groothuis, Elizabeth
   Jones, Andrea
   Lauden, Stephanie
   Miller, Kathleen
   Winter, Jameel
   Pitt, Michael B.
   Beyerlein, Larissa
   Bothe, Denise
   Conway, James
   Fischer, Philip
   Houser, Laura
   Kaeppler, Caitlin
   Ojo, Ifelayo
   Rosenman, Jane
   Rule, Amy
   Schaack, Chelsea
   Schubert, Chuck
   Seibert, Tasa
   Slusher, Tina
   Van Genderen, Kristin
   Warrick, Stephen
   Webber, Sarah
   Weinert, Bethany
CA Midwest Consortium Global Child
TI S-PACK: A Modular and Modifiable, Comprehensive Predeparture Preparation
   Curriculum for Global Health Experiences
SO ACADEMIC MEDICINE
VL 94
IS 12
BP 1916
EP 1921
DI 10.1097/ACM.0000000000002794
PD DEC 2019
PY 2019
AB Problem Approximately 25% of trainees participate in a global health
   elective during their undergraduate or graduate medical education.
   Increasingly, educators in the United States and international partners
   are calling for improved predeparture preparation training for global
   health experiences. Yet, freely available, easily modifiable curricula
   are rare. Approach Educators who created the Simulation Use for Global
   Away Rotations (SUGAR) curriculum formed a workgroup in September 2017
   to develop the SUGAR Pre-Departure Activities Curricular Kit (S-PACK).
   Using Kern's 6-step approach to curriculum development, they identified
   10 essential domains for global health preparation, developed learning
   objectives, created interactive activities pertinent to those domains
   using different education strategies, piloted and refined the
   curriculum, packaged it for online facilitator training, and
   disseminated it in March 2018. Outcomes The S-PACK curriculum includes 6
   interactive, modifiable modules that use a variety of educational
   strategies to enable educators to comprehensively prepare trainees for
   global health electives. Modules incorporate simulations, procedural
   training, small-group case-based discussions, and reflection exercises
   on topics ranging from providing treatment when resources are limited to
   mitigating culture shock to considering wellness while away. Each module
   includes a facilitator training packet, curricular resources, and
   introduction videos. All are freely available at sugarprep.org. Next
   Steps Since an initial in-person workshop at a national conference, the
   S-PACK curriculum has been available online. Further evaluation is
   underway, including developing assessments for educators to measure
   trainee readiness for global health electives. Piloting the feasibility
   of regional S-PACK preparation bootcamps to support training programs
   with limited global health resources is planned.
OI Pitt, Michael/0000-0002-7123-2613; Cobb, Carmen/0000-0002-6506-6620; St
   Clair, Nicole/0000-0002-5741-8542; Winter, Jameel/0000-0002-9143-8483;
   Miller, Kathleen/0000-0001-9130-578X
ZB 5
TC 12
ZS 0
ZR 0
Z8 0
ZA 0
Z9 12
U1 0
U2 2
SN 1040-2446
EI 1938-808X
UT WOS:000499254200021
PM 31094729
ER

PT J
AU Boazak, Mina
   Cotes, Robert O.
   Ward, Martha C.
   Schwartz, Ann C.
TI Explorations with a Residency-Wide, Online, Anonymous Suggestion Box: A
   Roller Coaster Ride
SO ACADEMIC PSYCHIATRY
VL 43
IS 6
BP 627
EP 630
DI 10.1007/s40596-019-01084-0
PD DEC 2019
PY 2019
RI Cotes, Robert/AAE-1735-2021
OI Cotes, Robert/0000-0001-9903-8807
Z8 0
ZB 0
ZR 0
TC 2
ZS 0
ZA 0
Z9 2
U1 0
U2 0
SN 1042-9670
EI 1545-7230
UT WOS:000511685000016
PM 31222576
ER

PT J
AU Nieto, Ruben
   Boixados, Merce
   Hernandez, Eulalia
   Beneitez, Imma
   Huguet, Anna
   McGrath, Patrick
TI Quantitative and qualitative testing of DARWeb: An online self-guided
   intervention for children with functional abdominal pain and their
   parents
SO HEALTH INFORMATICS JOURNAL
VL 25
IS 4
BP 1511
EP 1527
DI 10.1177/1460458218779113
PD DEC 2019
PY 2019
AB The main objective of this study was to preliminary explore the effects
   of DARWeb on different outcomes. A Quasi-experimental, one-group,
   pretest-posttest design was used. Parents and children were asked to
   complete questionnaires and questions (separately) about quality of
   life, abdominal pain severity, and satisfaction. Semi-structured
   interviews with families were also performed. This study focuses on 17
   families. Results showed that parent's ratings of children's abdominal
   pain severity were significantly lower after finishing the intervention
   and at the 3-month follow-up, and quality of life scores had increased
   significantly after 3 months. From children's ratings, mean abdominal
   pain severity scores were significantly lower after the intervention
   compared to the preintervention assessment. Both parents and children
   were quite satisfied with the intervention. In qualitative interviews,
   families suggested that DARWeb helped them to give less importance to
   pain and to learn coping strategies. In conclusion, this study showed
   the potential usefulness of DARWeb for children with functional
   abdominal pain and for their parents.
RI Nieto, Rubén/H-6907-2013; Huguet, Anna/AAI-3244-2021; Nieto, Ruben/; Huguet, Anna/R-2666-2018; Hernandez Encuentra, Eulalia/K-2472-2014
OI Nieto, Ruben/0000-0002-8759-319X; Huguet, Anna/0000-0002-4002-8644;
   Hernandez Encuentra, Eulalia/0000-0002-0319-861X
TC 2
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
Z9 2
U1 0
U2 11
SN 1460-4582
EI 1741-2811
UT WOS:000488101400024
PM 29865899
ER

PT J
AU Stevens, Niall T.
   Bruen, Catherine
   Boland, Fiona
   Pawlikowska, Teresa
   Fitzpatrick, Fidelma
   Humphreys, Hilary
TI Is online case-based learning effective in helping undergraduate medical
   students choose the appropriate antibiotics to treat important
   infections?
SO JAC-ANTIMICROBIAL RESISTANCE
VL 1
IS 3
AR dlz081
DI 10.1093/jacamr/dlz081
PD DEC 2019
PY 2019
AB Background: Medical students are frequently confused about indication
   for and choice of antibiotic. We developed an online learning resource
   that focused on antibiotic stewardship and important infections where
   medical students could practise their antibiotic decision-making skills
   safely.
   Methods: The resource was made available to third-year undergraduate
   medical students via their virtual learning environment. It covered the
   theory and fundamentals of antibiotic stewardship and five clinical
   cases covering important infections. We assessed the number of attempts
   taken to achieve the required level of understanding to pass each
   activity and surveyed a selection of students for their feedback.
   Results: Of 310 students, over 80% engaged with the theory-based
   components, with an average score exceeding 90% (range 93.4%-99.7%).
   Eighty-three percent (258/310) engaged with the first two cases
   (Clostridioides difficile infection and pyelonephritis) but only 61%
   (189/310) of students completed the fifth case on bacterial meningitis.
   Only 49.4% (153/310) of students completed all five cases, with 48%
   (73/153) of these achieving >= 90% on their first attempt of the
   associated quizzes. Fifty-nine percent (23/39) agreed or strongly agreed
   that the quality of the learning resource was excellent. Seventy-two
   percent (28/39) agreed or strongly agreed that the objectives of the
   resource were relevant to their needs as undergraduate medical students.
   Only 33% (13/39) reported the resource would change their practice.
   Conclusions: Student feedback was positive but engagement with the cases
   needs improvement. Highlighting the utility of case-based
   technology-enhanced learning as a safe place to practise antibiotic
   decision-making skills among students may improve this.
RI fitzpatrick, fidelma/K-8601-2018; Bruen, Catherine/B-3201-2012
OI fitzpatrick, fidelma/0000-0002-3204-5962; Bruen,
   Catherine/0000-0001-7115-1613
ZB 2
ZS 0
ZA 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 1
EI 2632-1823
UT WOS:000733826600023
PM 34222954
ER

PT J
AU Kauffman, Lilly
   Weisberg, Edmund M.
   Fishman, Elliot K.
TI What Can Pinterest Do for Radiology?
SO JOURNAL OF DIGITAL IMAGING
VL 32
IS 6
BP 1062
EP 1070
DI 10.1007/s10278-019-00248-6
PD DEC 2019
PY 2019
AB The rapid growth of social media over the last decade soon convinced
   businesses including medical practices and academic medical centers to
   enter the social media fray-for profit, education, and expanding access.
   Launched in 2010, Pinterest (San Francisco, CA, USA) differed from many
   of the established social media platforms by presenting collection and
   curation features based on the sharing of images rather than text. Thus,
   Pinterest allows users to categorize website links using photos, GIFs,
   and videos, and catalog them for future consideration, saved on a
   virtual folder or "pinboard." Facebook, Twitter, and LinkedIn are
   text-heavy social media platforms that do not allow for significant
   curating activities. Instagram, the other of the two primary
   photo-oriented social media giants, was launched the same year as
   Pinterest. Owned by Facebook, Instagram caters to a more personal
   experience and mostly relies on mobile technology. Because Pinterest
   users are mainly focused on finding and collecting other users' content,
   Pinterest is thought to generate website traffic and is more conducive
   to use on larger screens. It further distinguishes itself by encouraging
   appreciation/learning over self-promotion and its range of categories
   exceeds that of other such sites. Some of the more visually oriented
   medical specialties (i.e., dermatology, plastic surgery, and radiology)
   have begun to consider what role, if any, the popular site Pinterest,
   with more than 250 million monthly users, might play in disseminating
   healthy messages, reaching patients, and contributing to medical
   education. We investigated how Pinterest could work for our radiology
   education mission and then decided to establish a presence on the site
   to ascertain if creating our own board would have any practical
   benefits.
OI Weisberg, Edmund/0000-0002-2514-1219
ZR 0
TC 8
ZS 0
ZA 0
Z8 0
ZB 2
Z9 8
U1 0
U2 5
SN 0897-1889
EI 1618-727X
UT WOS:000495242600017
PM 31368013
ER

PT J
AU Kim, Taehoon
   Zuckerman, James E.
TI Realizing the potential of telemedicine in global health
SO JOURNAL OF GLOBAL HEALTH
VL 9
IS 2
AR 020307
DI 10.7189/jogh.09.020307
PD DEC 2019
PY 2019
ZA 0
ZB 4
Z8 0
ZR 0
ZS 1
TC 24
Z9 24
U1 1
U2 10
SN 2047-2978
EI 2047-2986
UT WOS:000486599800007
PM 31656598
ER

PT J
AU Mounsey, Anne
   Reid, Alfred
TI Auditory Narrative Does Not Improve Learning when Added to Visual
   Computer-Based Learning Modules
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 4
BP 1043
EP 1049
DI 10.1007/s40670-019-00801-6
PD DEC 2019
PY 2019
AB BackgroundComputer-based learning (CBL) is considered by many to be an
   effective means of education. However, features of computer-based
   modules purported to contribute to learning have not been studied with
   medical student education.ObjectiveThis study was designed to evaluate
   the effect of auditory supplements in a computer-based instructional
   module on learning and knowledge retention.DesignA prospective,
   randomized controlled trial comparing the effectiveness of two types of
   web-based instructional presentations used to teach key aspects of
   systems-based practice to fourth-year medical students.InterventionThe
   intervention and control group each received a computer-based module
   comprised of the same mix of visual and written material, but the
   intervention group also received an auditory narration of the
   materials.Main MeasuresThe primary outcome measures were the difference
   in the students' scores between the two modules using an online 8-item
   knowledge test completed immediately after the first exposure to the
   module and again 1 to 7 months later. Students were also asked whether
   they considered themselves auditory learners. Learning efficiency (the
   amount of learning per unit time) was calculated for each student and
   the Mann-Whitney U test was used to compare scores between the two
   groups.ResultsOne hundred thirty fourth-year medical students were
   randomized by a computer program to one of the two modules. All students
   completed the first knowledge test and 86 (66%) students completed the
   second test. Test scores did not differ significantly between the two
   groups in either the first or the second test. Learning efficiency was
   lower in the intervention group. Self-identification as auditory
   learners had no effect on performance.ConclusionsThe addition of
   narration to a computer-based instructional module did not improve
   learning or knowledge retention even in students who self-identified as
   auditory learners and resulted in overall lower learning efficiency.
OI mounsey, anne/0000-0002-7353-3997
ZS 0
TC 1
Z8 0
ZR 0
ZB 0
ZA 0
Z9 1
U1 0
U2 0
EI 2156-8650
UT WOS:000624419300023
PM 34457582
ER

PT J
AU Holland, Jane C.
   Pawlikowska, Teresa
TI Learning Cardiac Embryology-Which Resources Do Students Use, and Why?
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 4
BP 1051
EP 1060
DI 10.1007/s40670-019-00803-4
PD DEC 2019
PY 2019
AB With increasing class sizes, small group activities for learning
   embryology are present in few institutions. How then do students
   supplement their lectures in order to ask and answer questions, or delve
   into concepts in detail? Arguably, animations and videos are ideal for
   visualizing four-dimensional anatomy, but how do students find and
   filter these? First-year medical students were surveyed with respect to
   the cardiac embryology component of their course and asked their
   opinions regarding the clinical relevance of this content and the
   resources they used to enhance learning. Students indicated that they
   considered cardiac embryology to be of relevance to clinical practice
   and that videos are a useful resource in helping them to learn this
   material. However, when seeking videos or resources, it emerged that
   students tended to Google information in preference to accessing online
   resources (or textbooks) specifically recommended by their instructor,
   despite students' recognition that "accuracy of information" was
   paramount when choosing what resource to use. While all students seemed
   reluctant to contact a staff member with questions, those with less
   proficiency in English were less likely to approach faculty for
   assistance. While acknowledging students as adult learners,
   self-regulated learning skills do not develop automatically and the
   development of these skills should be viewed as a "shared
   responsibility" between students and staff. Likewise, students also need
   to be taught critical appraisal of learning resources, especially in the
   complex online environment, with design of their bespoke institutional
   virtual learning environment facilitating easy identification and access
   of recommended resources.
RI Holland, Jane/C-8722-2012
OI Holland, Jane/0000-0002-8784-6169
ZA 0
ZB 0
Z8 0
TC 0
ZR 0
ZS 0
Z9 0
U1 0
U2 3
EI 2156-8650
UT WOS:000624419300024
PM 34457583
ER

PT J
AU Er, Hui Meng
   Nadarajah, Vishna Devi
   Hays, Richard B.
   Yusoff, Noraidah
   Loh, Kelly L. Y.
TI Lessons Learnt from the Development and Implementation of an Online
   Assessment System for Medical Science Programmes
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 4
BP 1103
EP 1108
DI 10.1007/s40670-019-00802-5
PD DEC 2019
PY 2019
AB Challenges in assessment implementation include assessment blueprinting,
   accuracy and timeliness of result processing, item analysis and
   personalised feedback. These challenges were addressed by an online
   assessment system (OAS) that translates the educational framework of
   outcome-based education (OBE) into an integrated platform applicable
   across academic programmes. OBE principles of transparency,
   measurability, relevance, and individualisation was feasibly addressed
   using technology. The system development required continuous stakeholder
   engagement and feedback. Its implementation involved change management
   at institutional level with shifts in procedures, responsibilities,
   staff competencies and resource allocation. This article describes
   approaches taken and the lessons learned in developing and implementing
   OAS to enhance assessment practice for medical science programmes.
OI V Nadarajah, Vishna Devi/0000-0002-7126-7189
TC 3
ZA 0
ZR 0
ZB 0
ZS 0
Z8 0
Z9 3
U1 0
U2 1
EI 2156-8650
UT WOS:000624419300030
PM 34457589
ER

PT J
AU DeMasi, Joseph
   Harvan, Robin Ann
   Luca, Magdalena
TI Online and In-class Team-Based Learning in Undergraduate Immunology: a
   Comparative Analysis
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 4
BP 1193
EP 1199
DI 10.1007/s40670-019-00814-1
PD DEC 2019
PY 2019
AB The goal of this study was to compare student learning outcomes and
   preferences using a modified team-based learning (TBL) approach in
   classroom-based versus online formats in an upper level undergraduate
   immunology course. Fifty-five students were randomly assigned to small
   groups and participated in four immunology case study modules either
   face-to-face in a classroom or synchronously online. In both comparative
   groups, students completed pre-test Individual Readiness Assurance Test
   (IRAT) at the beginning of each module in-class or online, discussed
   cases in-class or online with group members, and completed in-class or
   online post-test Group Readiness Assurance Test (GRAT) after case study
   group discussions. Assessment of individual student learning was
   performed using multiple choice exam questions that addressed concepts
   from each module. At the end of the course, students completed an
   optional survey to evaluate course satisfaction and preferences. In all
   four modules, students performed equally well on the IRATs, regardless
   of whether they performed TBL in class or online; and students performed
   better on the GRATs than the IRATs after using the TBL methodology,
   regardless of whether they performed TBL in class or online. In the
   application of course concepts, except for modules 2 and 3, there was no
   difference between a student's performance on the IRAT and the exams,
   regardless of whether they performed TBL in class or online. There was a
   significant difference in student perception but not performance when
   comparing in-class versus online TBL. For almost all measured outcomes,
   students preferred in-class TBL to online TBL.
OI DeMasi, Joseph/0000-0002-7755-7427
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
ZS 0
Z9 2
U1 1
U2 6
EI 2156-8650
UT WOS:000624419300047
PM 34457603
ER

PT J
AU Woodrow, Nicole
   Najafzadeh, Afrooz
   Thoirs, Kerry
TI Distractors: Do we need a policy safeguarding sonographers' working
   conditions during obstetric ultrasound examinations?
SO SONOGRAPHY
VL 6
IS 4
BP 151
EP 156
DI 10.1002/sono.12201
PD DEC 2019
PY 2019
AB IntroductionDistraction during obstetric scanning is a concern to
   sonographers, impacting on the safety of ultrasound for the pregnant
   patient, observers, and themselves. Our objective was to survey
   obstetric ultrasound practitioners to determine the formulation of
   policy in this area to mitigate the potential negative impacts of
   distractors.
   MethodsAn online survey was disseminated through professional bodies to
   study the views of Australian and New Zealand obstetric
   sonographers/sonologists on policy to combat distractors.
   ResultsSeventy-eight percent of the surveyed sonographers (n = 393)
   responded to the closed-ended questions on policy, with similar to 1/3
   offering qualitative data/comments on workplace policy. Current policy
   direction was aimed at: the number of observers, the presence of
   children, separation of the medical and social bonding components of the
   scan, use of electronic devices, and the concept of "sonographer
   discretion." Predominantly, (similar to 66% of responses) policy was not
   adhered to due to multiple factors including fear of patient complaints
   if the policy was enforced.
   ConclusionThe tension in obstetric sonography between medical
   diagnostics and social bonding is of concern to sonographers in our
   study. The way forward may involve a combination of patient education
   and a policy backed up by a professional authority, which is implemented
   and enforced by an employer.
OI Woodrow, Nicole/0000-0003-0269-0431
ZS 0
ZR 0
ZA 0
TC 2
Z8 0
ZB 0
Z9 2
U1 0
U2 0
SN 2202-8323
EI 2054-6750
UT WOS:000647605500002
ER

PT J
AU Hughes, Valerie S.
   Ferreira De Azeredo-Da-Silva, Andre Luis
   Hincapie, Ana L.
TI Health Economics and Outcomes Research Knowledge Needs Assessment for
   Latin America
SO VALUE IN HEALTH REGIONAL ISSUES
VL 20
BP 2
EP 6
DI 10.1016/j.vhri.2018.10.006
PD DEC 2019
PY 2019
AB Background: An increasing awareness of the importance of health
   economics and outcomes research (HEOR) skills has been reported in Latin
   America. There is, however, no published study directly assessing
   perceived knowledge levels and knowledge gaps on specific HEOR topics
   among professionals and students in the region. Objectives: To assess
   perceived HEOR knowledge levels and identify knowledge gaps in Latin
   America. Methods: An online needs assessment survey was developed to
   quantify perceived HEOR knowledge levels and identify knowledge gaps.
   Members of the International Society for Pharmacoeconomics and Outcomes
   Research in the Latin American region, regional chapters, and student
   chapter presidents were invited to participate in the survey. The
   survey, developed using the SurveyMonkey tool, was distributed to
   participants electronically. Data were extracted from the survey and
   analyzed using Microsoft Excel. Data analysis was conducted using
   descriptive statistics to summarize the survey respondents' demographic
   information, current and desired knowledge levels, and preferred
   method/format for delivery of educational training. Results: Survey
   responses were collected from 106 participants. The largest knowledge
   gap was calculated for methods for integrating medication adherence and
   persistence in health economic evaluations (mean = 2.30 +/- 1.48). The
   smallest knowledge gap was calculated for types of healthcare costs
   (mean = 1.01 +/- 1.17). Most respondents (74% [n = 66]) preferred to
   receive educational materials related to HEOR topics through online
   learning and continuing education programs. Conclusions: The knowledge
   gap assessment provided current knowledge gap perceptions among members
   of the International Society for Pharmacoeconomics and Outcomes Research
   in Latin America. The survey data collected support a need for
   developing educational programs for topics with the highest perceived
   knowledge gap.
Z8 0
ZR 0
TC 3
ZB 0
ZA 0
ZS 0
Z9 3
U1 0
U2 1
SN 2212-1099
UT WOS:000641766600002
PM 30634087
ER

PT J
AU Janssens, Kim M. E.
   Sweerts, Chloe
   Vingerhoets, Ad J. J. M.
TI The Physician's Tears: Experiences and Attitudes of Crying Among
   Physicians and Medical Interns
SO JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
VL 26
IS 4
BP 411
EP 420
DI 10.1007/s10880-019-09611-9
PD DEC 2019
PY 2019
AB We examined several aspects of the crying experiences of physicians and
   medical interns, including the most common reasons to cry in the
   workplace, and their perceptions of and attitudes towards crying in the
   workplace and in the presence of a patient. A sample of Dutch physicians
   and medical interns (N-physicians = 1068 and N-medical interns = 302 and
   for the full version N-physicians = 776 and N-medical interns = 181)
   completed an especially designed anonymous online questionnaire about
   experiences with crying in the workplace, and perceptions of and
   attitudes towards crying in the workplace and in the presence of
   patients. Crying is a rather frequent behavior among physicians, in
   particular when they have to deal with the severe suffering of patients
   and their relatives. We found a considerable variety in the attitudes
   and perception of crying in the work setting, although there was also
   much agreement that crying in the presence of a patient is only
   appropriate if it is over the condition of the patient. Physicians
   reported a slightly more positive attitude and a stronger need for more
   attention to this topic in training and education than medical interns.
   Crying in the medical setting is a common, though understudied
   phenomenon. There is a strong need for further research on this topic in
   order to understand it better and how and when it might interfere with
   or facilitate with the therapeutic process. We strongly feel that
   currently the time is ripe for this topic because in particular the
   physicians expressed a greater need for more attention to this topic in
   training and the medical interns showed signs of, perhaps unhealthy,
   suppression of their emotions.
RI Janssens, Kim/AAA-3959-2020
OI Janssens, Kim/0000-0002-6625-3516
ZR 0
TC 3
Z8 0
ZB 0
ZA 0
ZS 0
Z9 3
U1 0
U2 2
SN 1068-9583
EI 1573-3572
UT WOS:000496027200004
PM 30783989
ER

PT J
AU Lamprell, Klay
   Braithwaite, Jeffrey
TI Reading Between the Lines: A Five-Point Narrative Approach to Online
   Accounts of Illness
SO JOURNAL OF MEDICAL HUMANITIES
VL 40
IS 4
BP 569
EP 590
DI 10.1007/s10912-019-09553-1
PD DEC 2019
PY 2019
AB The successful delivery of patient-centered care hinges on clinical
   affiliation for patients' personal needs and experiences. Narrative
   competence is a mode of thinking and set of actions that widens the
   clinical gaze beyond logico-scientific cognition. In this article, we
   investigate a tool that enables clinicians to rehearse their skills in
   narrative competence. We apply the narrative competence framework
   developed by the founding practitioners of narrative medicine to
   personal accounts of illness and patienthood published on the Internet.
   We describe our use of the five-point framework in the close reading of
   214 accounts by people with the life-threatening skin cancer melanoma.
RI Lamprell, Klay/AAV-1103-2021; Braithwaite, Jeffrey/AAN-1467-2020; Lamprell, Klay/
OI Braithwaite, Jeffrey/0000-0003-0296-4957; Lamprell,
   Klay/0000-0002-5692-2368
ZS 0
ZA 0
Z8 1
ZB 0
ZR 0
TC 1
Z9 2
U1 0
U2 3
SN 1041-3545
EI 1573-3645
UT WOS:000496022100009
PM 30982939
ER

PT J
AU Ward, Andy
   Bethea, Jane
   Hsu, Ron
TI Exploring life with a long-term condition using asynchronous online
   communication
SO PATIENT EDUCATION AND COUNSELING
VL 102
IS 12
BP 2325
EP 2329
DI 10.1016/j.pec.2019.08.017
PD DEC 2019
PY 2019
AB Objective: We describe the development and evaluation of a novel
   programme that uses an online patient portal system to provide medical
   students with early and authentic experience of patient interaction.
   Methods: Focus group discussions were held with students, tutors and
   patients who had taken part in the first year of the programme.
   Results: The programme provided an opportunity for early patient
   interaction in a safe environment. Students were able to practice
   communication skills learnt elsewhere in the course as well as
   identifying some of the different skills required for asynchronous
   online interactions. The approach gave opportunities to develop
   understanding of aspects of life with a long-term condition.
   Conclusion: Using an online patient portal system to interact with a
   patient enabled students to develop and apply their communication skills
   in a safe environment and gain a holistic view of a patient's
   experience.
   Practice implications: Medical students need to be equipped with the
   skills needed to communicate electronically with patients. Current
   medical curricula currently focus on more traditional models of the
   consultation. Further research is needed to establish best practice in
   this rapidly growing area. (c) 2019 Elsevier B.V. All rights reserved.
CT International Conference on Communication in Healthcare (ICCH)
CY SEP 01-04, 2018
CL Porto, PORTUGAL
RI Ward, Andy/AAH-8950-2021
OI Ward, Andy/0000-0002-4955-1984
Z8 0
ZB 0
TC 1
ZS 0
ZR 0
ZA 0
Z9 1
U1 0
U2 4
SN 0738-3991
UT WOS:000496130200024
PM 31447196
ER

PT J
AU Jacklitsch, Brenda L.
   King, Keith A.
   Vidourek, Rebecca A.
   Merianos, Ashley L.
TI Heat-related knowledge, perceptions, and barriers among oil spill
   cleanup responders
SO SAFETY SCIENCE
VL 120
BP 666
EP 671
DI 10.1016/j.ssci.2019.08.002
PD DEC 2019
PY 2019
AB Despite increased risk for heat-related illnesses (HRI) among oil spill
   cleanup responders, little research has examined factors related to the
   issue. This study assessed occupational heat-related knowledge,
   perceptions, and barriers among responders during cleanup activities. A
   total of 65 responders completed an online survey which examined
   occupational heat stress during cleanup activities. Of the respondents,
   most had 25 or more years' experience, worked for companies with 19 or
   fewer employees, were not classified as safety and health professionals,
   had a Bachelor's degree or higher, and worked in the northern or central
   regions of the United States. While most respondents were knowledgeable
   of heat stress, the items in which respondents were least knowledgeable
   were: identifying the difference between heat exhaustion and heat
   stroke, the appropriate use of salt tablets, the effects of air
   conditioning on acclimatization, and previous heat-related illness (HRI)
   as a risk factor. For knowledge of heat stress, there was a significant
   difference in the employment classification scores for non-safety and
   health professionals and safety and health professionals. Respondents
   reported that they tended to perceive that heat stress can be severe and
   that HRI's may affect workers. Regarding self-efficacy, most respondents
   felt confident in contacting emergency medical services for HRI,
   recognizing signs and symptoms of HRI, and knowing what to do if a
   coworker became ill. Oil spill cleanup responders are at high risk for
   HRI, injury, and death and findings illustrate the need to improve heat
   stress knowledge within training programs with emphasis on
   non-professionals.
OI Jacklitsch, Brenda/0000-0001-9529-6470
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
TC 2
Z9 2
U1 0
U2 3
SN 0925-7535
EI 1879-1042
UT WOS:000496335100065
ER

PT J
AU Sacherer, Florian
   Zoidl, Philipp
   Eichinger, Michael
   Honnef, Gabriel
   Heschl, Stefan
TI Opinion article: Blogs and podcasts in medical education
SO TRENDS IN ANAESTHESIA AND CRITICAL CARE
VL 29
BP 1
EP 3
DI 10.1016/j.tacc.2019.08.005
PD DEC 2019
PY 2019
AB Within the last years new online resources such as blogs and podcasts
   are making their way into medical education. With the introduction of
   the internet in the last decades, the field of medical education and
   training has also changed. Consumption of information independent of
   time and location through blogs and podcast is now a part of everyday
   life. The FOAM ("Free Open Access Medical Education") community in
   particular is playing a pioneering role here. We discuss the roles of
   blogs and podcasts in medical education and possible applications such
   as the "flipped classroom" concept. We explain the many advantages, like
   their function as a filter against information overload or their role in
   the so called "knowledge translation gap" but we also highlight points
   such as a cult of personality that should be viewed critically. Last but
   not least, we describe the reasons why we run a blog ourselves and the
   challenges we face. (C) 2019 Elsevier Ltd. All rights reserved.
OI Zoidl, Philipp/0000-0001-7643-3193
Z8 0
TC 1
ZR 0
ZS 0
ZB 0
ZA 0
Z9 1
U1 3
U2 4
SN 2210-8440
EI 2210-8467
UT WOS:000494956100001
ER

PT J
AU Baldi, Enrico
   Contri, Enrico
   Bailoni, Alessandra
   Rendic, Kristina
   Turcan, Valeria
   Donchev, Nikola
   Nadareishvili, Ilia
   Petrica, Ana-Maria
   Yerolemidou, Irene
   Petrenko, Anastasiia
   Franke, Johannes
   Labbe, Gabrielle
   Jashari, Redon
   Dali, Alba Perez
   Borg, Jordy
   Hertenberger, Niklas
   Boettiger, BerndW.
TI Final-year medical students' knowledge of cardiac arrest and CPR: We
   must do more!
SO INTERNATIONAL JOURNAL OF CARDIOLOGY
VL 296
BP 76
EP 80
DI 10.1016/j.ijcard.2019.07.016
PD DEC 1 2019
PY 2019
AB Background: Students are an important part of the community response to
   an out-of-hospital cardiac arrest (OHCA). If even schoolchildren now
   know cardio-pulmonary resuscitation (CPR), even more the reason a young
   doctor should know how to treat an OHCA. The aim of our study was to
   assess medical students' knowledge of CPR and OHCA throughout Europe.
   Methods: An online survey was given to final-year students by the
   Medical Student Associations of different countries.
   Results: 1012 medical students from 99 different universities and 14
   different countries completed the questionnaire. A total of 82.2%
   attended a BLS or BLS/AED course, provided by the University in only
   69.7% of cases. In 84.3% it was a mandatory part of their degree. A
   total of 78.6% felt able to rescue a person in OHCA. Only 49.3% knew
   that 'unresponsiveness' and 'absence of normal breathing' are sufficient
   for lay people to identify an OHCA, and less than half of those
   interviewed knew the incidence of OHCA in Europe and the decrease in
   chance of survival if CPR is not performed. The correct compression:
   ventilation ratio was known by 90.2%, the correct compression depth by
   69.7%, whilst only 57.8% knew the right compression rate. In total,
   69.7% knew that an AED must be used immediately when available, and only
   57.2% recognized the AED symbol.
   Conclusions: Medical students' knowledge of cardiac arrest and CPR needs
   to be improved throughout Europe and we believe that BLS/AED training
   should be mandatory in all European Universities. (C) 2019 Elsevier B.V.
   All rights reserved.
RI Nadareishvili, Ilia/AAJ-7656-2021; Baldi, Enrico/L-1245-2016; Contri, Enrico/AAB-6797-2022
OI Nadareishvili, Ilia/0000-0001-8749-125X; Baldi,
   Enrico/0000-0002-6360-224X; Contri, Enrico/0000-0001-7507-0108
ZS 2
Z8 0
ZA 0
ZB 4
ZR 0
TC 29
Z9 30
U1 0
U2 13
SN 0167-5273
EI 1874-1754
UT WOS:000488960200018
PM 31375334
ER

PT J
AU Wellingerne Galambos, Krisztina
   Szok, Delia
   Csabai, Marta
TI A CLINICAL STUDY OF AN ONLINE EDUCATIONAL PROGRAMME FOR CHRONIC PAIN
   PATIENTS
SO IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE
VL 72
IS 11-12
BP 413
EP 418
DI 10.18071/isz.72.0413
PD NOV 30 2019
PY 2019
AB Background - The research of alexithymia - the inability to express or
   understand emotions - has recently become of great importance in
   clinical practice, mainly in the field of doctor-patient and
   psychologist patient communication. Many studies have proven the
   correlation between alexithymia and the development of functional
   somatic symptoms, i.e. somatization.
   Purpose - The aim of this clinical study was to examine the
   emotion-recognition and emotion communication patterns of patients
   suffering from chronic pain (e.g., headache, low back pain, arthralgia,
   neuropathy). Moreover, the participants received access to the Hungarian
   adaptation of a new international online educational site
   (www.retrainpain.org) dealing with pain management.
   Methods - Data were collected from the Headache and Chronic Pain
   Outpatient Clinic, Department of Neurology, Faculty of Medicine,
   University of Szeged, Hungary (tertiary care - Group 1) and from a
   general practice in district 2, Budapest, Hungary (primary care - Group
   2) from March, 2017 to April, 2018. Patients received a test package
   containing a pain-specific questionnaire, then the Difficulties in
   Emotion Regulation Scale (DERS), the Toronto Alexithymia Scale (TAS-20),
   and the shortened Hungarian version of the WHO-Well-being (WBI-5) had to
   be completed. After filling out the questionnaires, all patients got
   access to the Hungarian adaptation of the www.retrainpain.org website.
   Results - Altogether 92 patients participated in the study (Group 1
   n=50; Group 2 n=42). Based on the TAS-20 results, 35 patients reached a
   pathological score (>= 60 points), which indicates the diagnosis of
   alexithymia. The mean TAS-score was lower in Group 2 (primary care) than
   in Group 1 (tertiary care) (p=0.003). The DERS disclosed pathological
   results in 19 cases (p=0.009). As regards the www.retrainpain.org
   chapters, we received feedback only from 25 out of 92 patients (27%)
   (Group 1 n=20; Group 2 n=5).
   Conclusions - Although the examined patients have been suffering from
   different chronic pain syndromes for years and 50% of them confirmed
   that symptoms placed at least moderate or heavy burden on their everyday
   life, the available educational programme was studied only by a smaller
   proportion of patients than expected. Additionally, those who surveyed
   the Hungarian adaptation of the www.retrainpain.org website were mainly
   patients from primary care (Group 2), in spite of the fact that patients
   from specialized medical care (Group 1) had worse subjective conditions.
   Our future objective is to extend our database with follow-up results
   and to improve patients' response willingness.
Z8 0
TC 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 0
U1 0
U2 10
SN 0019-1442
EI 2498-6208
UT WOS:000545935100007
PM 31834685
ER

PT J
AU Keijser, Wouter A.
   Handgraaf, Henricus J. M.
   Isfordink, Liz M.
   Janmaat, Vincent T.
   Vergroesen, Pieter-Paul A.
   Verkade, Julia M. J. S.
   Wieringa, Sietse
   Wilderom, Celeste P. M.
TI Development of a national medical leadership competency framework: the
   Dutch approach
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 441
DI 10.1186/s12909-019-1800-y
PD NOV 28 2019
PY 2019
AB Background The concept of medical leadership (ML) can enhance
   physicians' inclusion in efforts for higher quality healthcare. Despite
   ML's spiking popularity, only a few countries have built a national
   taxonomy to facilitate ML competency education and training. In this
   paper we discuss the development of the Dutch ML competency framework
   with two objectives: to account for the framework's making and to
   complement to known approaches of developing such frameworks. Methods We
   designed a research approach and analyzed data from multiple sources
   based on Grounded Theory. Facilitated by the Royal Dutch Medical
   Association, a group of 14 volunteer researchers met over a period of
   2.5 years to perform: 1) literature review; 2) individual interviews; 3)
   focus groups; 4) online surveys; 5) international framework comparison;
   and 6) comprehensive data synthesis. Results The developmental processes
   that led to the framework provided a taxonomic depiction of ML in Dutch
   perspective. It can be seen as a canonical 'knowledge artefact' created
   by a community of practice and comprises of a contemporary definition of
   ML and 12 domains, each entailing four distinct ML competencies.
   Conclusions This paper demonstrates how a new language for ML can be
   created in a healthcare system. The success of our approach to capture
   insights, expectations and demands relating leadership by Dutch
   physicians depended on close involvement of the Dutch national medical
   associations and a nationally active community of practice; voluntary
   work of diverse researchers and medical practitioners and an appropriate
   research design that used multiple methods and strategies to circumvent
   reverberation of established opinions and conventionalisms.
RI Keijser, Wouter A./P-5721-2015
OI Keijser, Wouter A./0000-0003-0406-0441
ZB 0
ZA 0
ZR 0
TC 7
ZS 0
Z8 0
Z9 7
U1 1
U2 7
EI 1472-6920
UT WOS:000499930800001
PM 31779632
ER

PT J
AU Martin-Lujan, Francisco
   Catalin, Roxana-Elena
   Salamanca-Gonzalez, Patricia
   Sorli-Aguilar, Mar
   Santigosa-Ayala, Antoni
   Maria Valls-Zamora, Rosa
   Martin-Vergara, Nuria
   Canela-Armengol, Teresa
   Arija-Val, Victoria
   Sola-Alberich, Rosa
TI A clinical trial to evaluate the effect of the Mediterranean diet on
   smokers lung function
SO NPJ PRIMARY CARE RESPIRATORY MEDICINE
VL 29
AR 40
DI 10.1038/s41533-019-0153-7
PD NOV 27 2019
PY 2019
AB Data on the association between lung function and some dietary patterns
   have been published. However, it is not yet well known if whether the
   Mediterranean Diet (MD) pattern can preserve or improve lung function.
   Our purpose is to evaluate the effect of increased MD adherence on lung
   function in smokers. A multicenter, parallel, cluster-randomized,
   controlled clinical trial is proposed. A total of 566 active smokers
   (>10 packs-year), aged 25-75 years will be included, without previous
   respiratory disease and who sign an informed consent to participate.
   Twenty Primary Care Centres in Tarragona (Spain) will be randomly
   assigned to a control or an intervention group (1:1). All participants
   will receive advice to quit smoking, and the intervention group, a
   nutritional intervention (2 years) designed to increase MD adherence by:
   (1) annual visit to deliver personalized nutritional education, (2)
   annual telephone contact to reinforce the intervention, and (3) access
   to an online dietary blog. We will evaluate (annually for 2 years):
   pulmonary function by forced spirometry and MD adherence by a 14-item
   questionnaire and medical tests (oxidation, inflammation and consumption
   biomarkers). In a statistical analysis by intention-to-treat basis, with
   the individual smoker as unit of analysis, pulmonary function and MD
   adherence in both groups will be compared; logistic regression models
   will be applied to analyze their associations. We hope to observe an
   increased MD adherence that may prevent the deterioration of lung
   function in smokers without previous respiratory disease. This
   population may benefit from a dietary intervention, together with the
   recommendation of smoking cessation.
OI Catalin, Roxana Elena/0000-0002-7031-3489; Martin Lujan, Francisco
   M/0000-0003-0359-3588
ZR 0
ZB 1
Z8 0
ZS 0
TC 2
ZA 0
Z9 2
U1 0
U2 1
EI 2055-1010
UT WOS:000502994300001
PM 31776344
ER

PT J
AU Linderman, Michael D.
   McElroy, Leo
   Chang, Laura
TI MySeq: privacy-protecting browser-based personal Genome analysis for
   genomics education and exploration
SO BMC MEDICAL GENOMICS
VL 12
IS 1
AR 172
DI 10.1186/s12920-019-0615-3
PD NOV 27 2019
PY 2019
AB Background The complexity of genome informatics is a recurring challenge
   for genome exploration and analysis by students and other non-experts.
   This complexity creates a barrier to wider implementation of
   experiential genomics education, even in settings with substantial
   computational resources and expertise. Reducing the need for specialized
   software tools will increase access to hands-on genomics pedagogy.
   Results MySeq is a React.js single-page web application for
   privacy-protecting interactive personal genome analysis. All analyses
   are performed entirely in the user's web browser eliminating the need to
   install and use specialized software tools or to upload sensitive data
   to an external web service. MySeq leverages Tabix-indexing to
   efficiently query whole genome-scale variant call format (VCF) files
   stored locally or available remotely via HTTP(s) without loading the
   entire file. MySeq currently implements variant querying and annotation,
   physical trait prediction, pharmacogenomic, polygenic disease risk and
   ancestry analyses to provide representative pedagogical examples; and
   can be readily extended with new analysis or visualization components.
   Conclusions MySeq supports multiple pedagogical approaches including
   independent exploration and interactive online tutorials. MySeq has been
   successfully employed in an undergraduate human genome analysis course
   where it reduced the barriers-to-entry for hands-on human genome
   analysis.
OI Linderman, Michael/0000-0002-9643-7148
ZA 0
ZR 0
Z8 0
ZB 0
TC 1
ZS 0
Z9 1
U1 0
U2 0
EI 1755-8794
UT WOS:000500804500002
PM 31775760
ER

PT J
AU Murad, Abdulaziz
   Hyde, Natalie
   Chang, Shanton
   Lederman, Reeva
   Bosua, Rachelle
   Pirotta, Marie
   Audehm, Ralph
   Yates, Christopher J.
   Briggs, Andrew M.
   Gorelik, Alexandra
   Chiang, Cherie
   Wark, John D.
TI Quantifying Use of a Health Virtual Community of Practice for General
   Practitioners' Continuing Professional Development: A Novel Methodology
   and Pilot Evaluation
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 11
AR e14545
DI 10.2196/14545
PD NOV 27 2019
PY 2019
AB F Background: Health care practitioners (HPs), in particular general
   practitioners (GPs), are increasingly adopting Web-based social media
   platforms for continuing professional development (CPD). As GPs are
   restricted by time, distance, and demanding workloads, a health virtual
   community of practice (HVCoP) is an ideal solution to replace
   face-to-face CPD with Web-based CPD. However, barriers such as time and
   work schedules may limit participation in an HVCoP. Furthermore, it is
   difficult to gauge whether GPs engage actively or passively in HVCoP
   knowledge-acquisition for Web-based CPD, as GPs' competencies are
   usually measured with pre- and posttests.
   Objective: This study investigated a method for measuring the engagement
   features needed for an HVCoP (the Community Fracture Capture [CFC]
   Learning Hub) for learning and knowledge sharing among GPs for their CPD
   activity.
   Methods: A prototype CFC Learning Hub was developed using an Igloo
   Web-based social media software platform and involved a convenience
   sample of GPs interested in bone health topics. This Hub, a secure
   Web-based community site, included 2 key components: an online
   discussion forum and a knowledge repository (the Knowledge Hub). The
   discussion forum contained anonymized case studies (contributed by GP
   participants) and topical discussions (topics that were not case
   studies). Using 2 complementary tools (Google Analytics and Igloo
   Statistical Tool), we characterized individual participating GPs'
   engagement with the Hub. We measured the GP participants' behavior by
   quantifying the number of online sessions of the participants,
   activities undertaken within these online sessions, written posts made
   per learning topic, and their time spent per topic. We calculated time
   spent in both active and passive engagement for each topic.
   Results: Seven GPs participated in the CFC Learning Hub HVCoP from
   September to November 2017. The complementary tools successfully
   captured the GP participants' engagement in the Hub. GPs were more
   active in topics in the discussion forum that had direct clinical
   application as opposed to didactic, evidence-based discussion topics
   (ie, topical discussions). From our knowledge hub, About Osteoporosis
   and Prevention were the most engaging topics, whereas shared decision
   making was the least active topic.
   Conclusions: We showcased a novel complementary analysis method that
   allowed us to quantify the CFC Learning Hub's usage data into (1)
   sessions, (2) activities, (3) active or passive time spent, and (4)
   posts made to evaluate the potential engagement features needed for an
   HVCoP focused on GP participants' CPD process. Our design and evaluation
   methods for ongoing use and engagement in this Hub may be useful to
   evaluate future learning and knowledge-sharing projects for GPs and may
   allow for extension to other HPs' environments. However, owing to the
   limited number of GP participants in this study, we suggest that further
   research with a larger cohort should be performed to validate and extend
   these findings.
RI Chiang, Cherie/AAR-3793-2021; Chang, Shanton/; Yates, Christopher/; Wark, John/; Hyde, Natalie/; Lederman, Reeva/; Murad, Abdulaziz/; Audehm, Ralph/
OI Chang, Shanton/0000-0002-2163-3910; Yates,
   Christopher/0000-0003-4559-4482; Wark, John/0000-0003-2431-7902; Hyde,
   Natalie/0000-0002-0693-2904; Lederman, Reeva/0000-0003-4005-329X; Murad,
   Abdulaziz/0000-0003-4252-1501; Audehm, Ralph/0000-0001-9136-8772
TC 4
ZA 0
ZB 0
Z8 0
ZS 0
ZR 0
Z9 4
U1 1
U2 17
SN 1438-8871
UT WOS:000498802100001
PM 31774401
ER

PT J
AU Williamson, Heidi
   Hamlet, Claire
   White, Paul
   Marques, Elsa M. R.
   Paling, Thomas
   Cadogan, Julia
   Perera, Rohan
   Rumsey, Nichola
   Hayward, Leighton
   Harcourt, Diana
TI A Web-Based Self-Help Psychosocial Intervention for Adolescents
   Distressed by Appearance-Affecting Conditions and Injuries (Young
   Persons' Face IT): Feasibility Study for a Parallel Randomized
   Controlled Trial
SO JMIR MENTAL HEALTH
VL 6
IS 11
AR e14776
DI 10.2196/14776
PD NOV 22 2019
PY 2019
AB Background: Disfigurement (visible difference) from wide-ranging
   congenital or acquired conditions, injuries, or treatments can
   negatively impact adolescents' psychological well-being, education and
   health behaviours. Alongside medical interventions, appearance-specific
   cognitive behavioural and social skills training to manage stigma and
   appearance anxiety may improve psychosocial outcomes. YP Face IT (YPF),
   is a Web-based seven session self-help program plus booster quiz,
   utilising cognitive behavioural and social skills training for young
   people (YP) struggling with a visible difference. Co-designed by
   adolescents and psychologists, it includes interactive multimedia and
   automated reminders to complete sessions/homework. Adolescents access
   YPF via a health professional who determines its suitability and
   remotely monitors clients' usage.
   Objective: To establish the feasibility of evaluating YPF for 12-17 year
   olds self-reporting appearance-related distress and/or bullying
   associated with a visible difference.
   Methods: Randomized controlled trial with nested qualitative and
   economic study evaluating YPF compared with usual care (UC). Feasibility
   outcomes included: viability of recruiting via general practitioner (GP)
   practices (face to face and via patient databases) and charity
   advertisements; intervention acceptability and adherence; feasibility of
   study and data collection methods; and health professionals' ability to
   monitor users' online data for safeguarding issues. Primary psychosocial
   self-reported outcomes collected online at baseline, 13, 26, and 52
   weeks were as follows: appearance satisfaction (Appearance Subscale from
   Mendleson et al's (2001) Body Esteem Scale); social anxiety (La Greca's
   (1999) Social Anxiety Scale for Adolescents). Secondary outcomes were;
   self-esteem; romantic concerns; perceived stigmatization; social skills
   and healthcare usage. Participants were randomised using remote
   Web-based allocation.
   Results: Thirteen charities advertised the study yielding 11 recruits,
   13 primary care practices sent 687 invitations to patients on their
   databases with a known visible difference yielding 17 recruits (2.5%
   response rate), 4 recruits came from GP consultations. Recruitment was
   challenging, therefore four additional practices mass-mailed 3,306
   generic invitations to all 12-17 year old patients yielding a further 15
   participants (0.5% response rate). Forty-seven YP with a range of
   socioeconomic backgrounds and conditions were randomised (26% male, 91%
   white, mean age 14 years (SD 1.7)); 23 to YPF, 24 to UC). At 52 weeks,
   16 (70%) in the intervention and 20 (83%) in UC groups completed
   assessments. There were no intervention-related adverse events; most
   found YPF acceptable with three withdrawing because they judged it was
   for higher-level concerns; 12 (52%) completed seven sessions. The study
   design was acceptable and feasible, with multiple recruitment
   strategies. Preliminary findings indicate no changes from baseline in
   outcome measures among the UC group and positive changes in appearance
   satisfaction and fear of negative evaluation among the YPF group when
   factoring in baseline scores and intervention adherence.
   Conclusions: YPF is novel, safe and potentially helpful. Its full
   psychosocial benefits should be evaluated in a large-scale RCT, which
   would be feasible with wide-ranging recruitment strategies.
OI White, Paul/0000-0002-7503-9896; Marques, Elsa/0000-0003-1360-5677;
   Williamson, Heidi/0000-0003-0189-4803; Harcourt,
   Diana/0000-0002-4285-5678; Paling, Thomas/0000-0002-3957-332X
Z8 0
ZA 0
ZB 1
ZR 0
ZS 0
TC 9
Z9 9
U1 1
U2 12
SN 2368-7959
UT WOS:000505758500001
PM 31755870
ER

PT J
AU Bonabi, M.
   Mohebbi, S. Z.
   Martinez-Mier, E. A.
   Thyvalikakath, T. P.
   Khami, M. R.
TI Effectiveness of smart phone application use as continuing medical
   education method in pediatric oral health care: a randomized trial
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 431
DI 10.1186/s12909-019-1852-z
PD NOV 21 2019
PY 2019
AB Background Continuing education aims at assisting physicians to maintain
   competency and expose them to emerging issues in their field. Over the
   last decade, approaches to the delivery of educational content have
   changed dramatically as medical education at all levels is now
   benefitting from the use of web-based content and applications for
   mobile devices. The aim of the present study is to investigate through a
   randomized trial the effectiveness of a smart phone application to
   increase public health service physicians' (PHS physicians) knowledge
   regarding pediatric oral health care. Method Five of all seven DHCs
   (District Health Center) in Tehran, which were under the supervision of
   Tehran University of Medical Sciences and Iran University of Medical
   Sciences, were selected for our study. Physicians of one DHC had
   participated in a pilot study. All PHS physicians in the other four
   centers were invited to the current study on a voluntary basis (n =
   107). They completed a self-administered questionnaire regarding their
   knowledge, attitudes, practice in pediatric dentistry, and background.
   PHS physicians were assigned randomly to intervention and control
   groups; those in the intervention group, received a newly designed
   evidence-based smartphone application, and those in the control group
   received a booklet, a CME seminar, and a pamphlet. A post-intervention
   survey was administered 4 months later and t-test and repeated measures
   ANCOVA (Analysis of Covariance) were performed to measure the difference
   in the PHS physicians' knowledge, attitude and practice. Results In both
   groups, the mean knowledge scores were significantly higher (p-Value <
   0.001) in post-intervention data compared to those at baseline. Similar
   results existed in attitude and practice scores. Although the scores in
   knowledge in the intervention group indicating potentially greater
   improvement when compared to those of the control group, the differences
   between the two groups were not statistically significant (dif: 0.84,
   95% CI - 0.35 to 2.02). Conclusion In the light of the limitations of
   the present study, smart phone applications could improve knowledge,
   attitude and practice in physicians although this method was not
   superior to the conventional method of CME.
RI Thyvalikakath, Thankam/ABD-5995-2020; Thyvalikakath, Thankam/M-6272-2018
OI Thyvalikakath, Thankam/0000-0002-7294-2318
Z8 1
TC 7
ZB 1
ZR 0
ZA 0
ZS 0
Z9 8
U1 0
U2 8
EI 1472-6920
UT WOS:000499932700005
PM 31752833
ER

PT J
AU Pel-Littel, Ruth E.
   Hofman, Cynthia S.
   Yu, Liesje
   Metzelthin, Silke F.
   Leeuwis, Franca H.
   Blom, Jeanet W.
   Buurman, B. M.
   Minkman, Mirella M.
TI Recommendations of older adults on how to use the PROM 'TOPICS-MDS' in
   healthcare conversations: A Delphi study
SO PLOS ONE
VL 14
IS 11
AR e0225344
DI 10.1371/journal.pone.0225344
PD NOV 20 2019
PY 2019
AB In shared decision making, the exploration of preferred personal health
   outcomes is important. Patient-reported outcome measures (PROMs) provide
   input for discussions between patients and healthcare professionals. The
   Older Persons and Informal Caregivers Survey Minimum DataSet
   (TOPICS-MDS) PROM is a multidimensional questionnaire on the physical
   and mental health and wellbeing of older adults. This study investigates
   how the TOPICS-MDS could be used in individual healthcare conversations.
   We explored views of older adults regarding 1) whether the health
   domains they want to discuss are included in the TOPICS-MDS and 2) the
   comprehensibility of the TOPICS-MDS for healthcare conversations with
   older adults. A three-round Delphi study was conducted. A total of 57
   older adults participated in the study, the mean (SD) age was 71.5 (8.5)
   years, and 78.9% of the participants were female. The participants were
   divided into four panels based on educational level and cultural
   background. We used online questionnaires and focus groups. Consensus
   was pre-defined to be the point when.75% of the participants agreed that
   a domain was important or very important (scored on a 5-point Likert
   scale). The inter-expert agreement was computed for Round 1 and 3 with
   Kendall's W. Round 2 was a focus-group. Qualitative data were analyzed
   by content analysis. Older adults considered 'functional limitations',
   'emotional wellbeing', 'social functioning' and 'quality of life' to be
   important domains of the TOPICS-MDS to discuss in healthcare
   conversations. The participants added 'coping with stress', 'dealing
   with health conditions and the effects on life' as extra domains for
   healthcare conversations. Challenges regarding the comprehensibility of
   the TOPICS-MDS included difficult words and lengthy or sensitive
   questions. Questions that included multiple topics were difficult to
   understand. The TOPICS-MDS covers the domains of life that older adults
   value as important to discuss with healthcare professionals, and two
   additional domains were identified. For older adults with a low level of
   education or a culturally diverse background, the TOPICS-MDS needs to be
   adjusted for comprehensibility.
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 3
Z9 3
U1 0
U2 0
SN 1932-6203
UT WOS:000533881900036
PM 31747443
ER

PT J
AU Monteleone, Palmiero
   Amore, Mario
   Cabassi, Aderville
   Clerici, Massimo
   Fagiolini, Andrea
   Girardi, Paolo
   Jannini, Emmanuele A.
   Maina, Giuseppe
   Rossi, Alessandro
   Vita, Antonio
   Siracusano, Alberto
TI Attitudes of Italian Psychiatrists Toward the Evaluation of Physical
   Comorbidities and Sexual Dysfunction in Patients With Schizophrenia.
   Implications for Clinical Practice
SO FRONTIERS IN PSYCHIATRY
VL 10
AR 842
DI 10.3389/fpsyt.2019.00842
PD NOV 20 2019
PY 2019
AB Treatment guidelines for patients with schizophrenia recommend
   evaluating their risk of physical comorbidities, especially since these
   patients are known to have decreased life expectancy due to
   comorbidities. Therefore, to the authors' knowledge, this is the first
   national survey conducted to investigate how Italian psychiatrists deal
   with the risk of physical comorbidities and sexual dysfunction in
   patients with schizophrenia. A sample of 750 psychiatrists completed an
   ad hoc online survey investigating their decision making about
   performing blood tests, clinical and instrumental examinations, and
   scheduling follow-up appointments in relation to the different phases of
   the illness and possible pharmacological side effects. Compared to
   patients in therapeutic continuation, those diagnosed for the first time
   and those who received a therapeutic change were visited more frequently
   (every 15 to 17 days vs. every 40 days, respectively), and were more
   regularly prescribed blood tests and instrumental examinations (every
   4.2 to 4.4 months vs. every 9 months, respectively). There was a high
   interest in the surveillance of cardiometabolic risk. In 54% of
   patients, prolactin testing was not requested before starting an
   antipsychotic. In terms of specialist referrals, only 5% of surveyed
   psychiatrists "never" sought for additional counseling. There was little
   attention given to sexual functioning assessment based on the survey
   results about patients' daily life and with regard to deciding to
   prescribe additional examinations. In fact, only up to 3% of
   psychiatrists reported assessing sexual functioning using specific
   psychometric tests. In summary, Italian psychiatrists describes
   themselves as careful healthcare providers for the physical illnesses of
   patients with schizophrenia but with several shortcomings. For instance,
   clinical attention toward patients' sexual and reproductive healthcare
   needs remains a challenge. Psychiatrists should take the lead for the
   integrated education, assessment, and care of medical needs of their
   patients with mental illness. Based on the results of this survey, the
   authors also believe that a future challenge for the management of
   patients with mental illness will be the classification of patients
   based on their risk of comorbidities, to help ensure optimal healthcare
   provision for those at greater risk of other illnesses.
RI Maina, Giuseppe/AAC-7158-2022; Rossi, Alessandro/AAX-7607-2021; Clerici, Massimo/
OI Rossi, Alessandro/0000-0001-8723-7622; Clerici,
   Massimo/0000-0001-8769-6474
TC 5
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
Z9 5
U1 0
U2 0
SN 1664-0640
UT WOS:000500975300001
PM 31824349
ER

PT J
AU Senteio, Charles R.
TI Promoting access to health information A method to support older African
   Americans with diabetes
SO ASLIB JOURNAL OF INFORMATION MANAGEMENT
VL 71
IS 6
SI SI
BP 806
EP 820
DI 10.1108/AJIM-02-2019-0043
PD NOV 18 2019
PY 2019
AB Purpose Describe the design of a health information and technology
   educational intervention that promotes health information sharing and
   technology use for older adult African Americans to support access to
   health information. The paper aims to discuss this issue.
   Design/methodology/approach The study team developed a novel method to
   design the intervention. It drew upon three approaches:
   intergenerational technology transfer, participatory design and
   community-based participatory research. Findings Older adult African
   Americans (55+) with diabetes and young adults (18-54) connected to them
   via familial or naturally occurring social networks designed the
   intervention, which was conducted in the two study sites in Michigan,
   USA. In total, 29 participants helped design the intervention. Four
   themes emerged concerning factors that promote intergenerational
   information exchange in the context of technology and health. First,
   focus on one technology skill. Second, working together in small groups
   is preferred. Third, patience is essential. Last, physical capabilities
   (i.e., eyesight, operating on relatively small screens) and literacy
   levels should be considered. Originality/value This novel method of
   having participants from the sample population select the health
   information materials and technology exercises serves as a guide for
   implementing health information and education interventions aimed at
   technology use to support self-management for vulnerable patient
   populations.
OI Senteio, Charles Roland/0000-0002-0254-3127
TC 2
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 2
U1 1
U2 21
SN 2050-3806
EI 1758-3748
UT WOS:000497883200008
ER

PT J
AU Rantala, Annika
   Enwald, Heidi
   Zinn, Sandy
TI Web-based health information seeking A small-scale comparative study
   between Finnish and South African university students
SO LIBRARY HI TECH
VL 37
IS 4
BP 933
EP 944
DI 10.1108/LHT-08-2018-0109
PD NOV 18 2019
PY 2019
AB Purpose The purpose of this paper is to examine differences of health
   information seeking among Finnish and South African university students.
   The focus is on weight management and on how students utilise various
   internet sources. Design/methodology/approach Data were collected with a
   web-based, structured survey by using convenience sampling. Descriptive
   statistics and Pearson's chi(2) test were utilised in the analysis.
   Findings Overall, health information was more often encountered than
   sought on purpose. Passive information seeking was more common for South
   African students as almost a third of them report encountering it
   several times a week. As an information source, South African students
   opted for social networking sites more frequently than search engines,
   the latter being the first choice for Finnish students. Discussion
   boards were more popular among South African students, and, on the other
   hand, web-based health calculators among Finns. Research
   limitations/implications - This is a small-scale comparative study. The
   results are not to be generalised, but may provide clues about the
   information seeking differences between Finland and South Africa.
   Practical implications - Media literacy, digital literacy and health
   information literacy of young adults should be emphasised so that they
   would be able to evaluate information for reliability and accuracy in
   order to help them make appropriate decisions when confronted by health
   information online. Social implications The implications of the study
   are that health providers and professionals should be more prominent on
   social media sites, which are popular ways for young people to discover
   information. Originality/value Comparative studies are rare. This
   comparison is between Finland, where internet penetration is 94 per
   cent, and South Africa, where internet penetration is 54 per cent.
OI Enwald, Heidi/0000-0003-1953-2157; Zinn, Sandy/0000-0002-0212-0036
ZR 0
ZS 0
ZB 0
Z8 0
TC 9
ZA 0
Z9 9
U1 5
U2 43
SN 0737-8831
UT WOS:000492420200021
ER

PT J
AU Lin, Hui-Chen
   Hwang, Gwo-Jen
TI Research trends of flipped classroom studies for medical courses: a
   review of journal publications from 2008 to 2017 based on the
   technology-enhanced learning model
SO INTERACTIVE LEARNING ENVIRONMENTS
VL 27
IS 8
SI SI
BP 1011
EP 1027
DI 10.1080/10494820.2018.1467462
PD NOV 17 2019
PY 2019
AB Medical education is a domain with fast-changing knowledge and attention
   to knowledge application and higher order thinking; therefore, how to
   implement effective teaching is a crucial issue. Based on the
   technology-based learning model, this study provides a multidimensional
   analysis of published papers on the flipped classroom in medical
   education from the SCOPUS database, including the form of the learning
   materials, learning system or player, learning strategies, educational
   technology, application domains, research issues, participants, and
   research methods. Based on the results, the application of flipped
   classrooms in medical education has grown rapidly over the past decade,
   with the number growing dramatically from 7 papers in 2014, to 16 papers
   in 2015, and 22 papers in 2016. It was found that a great number of
   studies adopted instructional videos uploaded on online learning systems
   or used existing online videos to conduct before-class teaching in the
   before-class stage of the flipped classroom; moreover, most studies
   involved no online discussion in the before-class stage. As for learning
   strategies in the in-class stage, the most frequently adopted strategies
   were issue discussion, practicing or doing exercises, and problem-based
   learning. This implies that most studies mainly emphasized basic
   knowledge understanding and skills training, while little attention was
   paid to developing learners' higher order thinking skills. In addition,
   the majority of studies explored students' learning
   interest/satisfaction, learning experience, and performance on the
   cognitive aspect, while little research was found to investigate their
   preparation degree or cognitive loading. Based on the review results,
   this study provides the research trends and potential research issues of
   flipped medical education to serve as a reference for researchers,
   instructors, and decision makers.
RI LIN, HUI-CHEN/AAA-8973-2021; Hwang, Gwo-Jen/G-6454-2012
OI LIN, HUI-CHEN/0000-0001-8074-8884; 
ZS 0
ZA 0
ZB 2
Z8 1
TC 42
ZR 0
Z9 43
U1 7
U2 58
SN 1049-4820
EI 1744-5191
UT WOS:000487635400003
ER

PT J
AU Jenni, Margaret LaFerla
   Woodward, Peter
   Yaglom, Hayley
   Levy, Craig
   Iverson, Sally Ann
   Kretschmer, Melissa
   Jarrett, Nicole
   Dooley, Elizabeth
   Narang, Jigna
   Venkat, Heather
TI Knowledge, attitudes, and practices among veterinarians during an
   outbreak of canine leptospirosis-Maricopa County, Arizona, 2017
SO PREVENTIVE VETERINARY MEDICINE
VL 172
AR 104779
DI 10.1016/j.prevetmed.2019.104779
PD NOV 15 2019
PY 2019
AB Leptospirosis, caused by Leptospira spp., is a zoonotic bacterial
   disease important to both human and animal health. Six pathogenic
   serovars are currently known to commonly infect and cause disease in
   dogs in the United States. While canine leptospirosis infection is
   historically rare in Arizona (<= 5 cases reported annually) (ADHS
   unpublished data) several clusters were reported in Maricopa County (MC)
   during February 2016-January 2017. Public health initiated an outbreak
   response and developed a knowledge, attitudes, and practices survey for
   veterinarians. The goals were to determine awareness and general
   attitudes about canine leptospirosis and to identify gaps in
   veterinarians' knowledge in treatment and prevention. We distributed a
   40-question self-administered online survey to 1058 Arizona Veterinary
   Medical Association members, made available during February 9-May 15,
   2017. We analyzed the results using Pearson's Chi-squared or Fisher's
   exact test; a P-value < 0.05 was considered statistically significant.
   We analyzed 202 complete responses. Veterinarians from 10 (66%) of 15
   Arizona counties were represented. MC practices were more likely to
   stock leptospirosis vaccine (80%) than other counties combined (58%) (P
   = 0.004). The average composite knowledge score was 24.4 out of 38
   (range 12-37, median 24); 49% of respondents demonstrated higher
   knowledge as defined by authors, largely in identification of
   leptospirosis risk factors (86%) and routes of exposure (73%). Fewer
   than half (45%) of respondents correctly identified the length of time
   bacteria can be shed in dogs' urine. Eighty-one percent of respondents
   demonstrated lower knowledge about clinical signs associated with
   leptospirosis; only 47% of respondents identified eight clinical signs
   commonly associated with leptospirosis. Sixty-one percent of MC
   respondents agreed that leptospirosis is an important canine disease in
   their geographic area, while only 40% of other county respondents agreed
   (P=0.03). Seventy percent of respondents identified diagnostic testing
   options. The majority correctly selected infection-control practices in
   line with recommendations from 2 national clinical guidelines. More
   respondents would recommend leptospirosis vaccination if dogs traveled
   or lived in rural areas (87-96%) than if dogs attended day care or were
   boarded (63%). We identified opportunities for education, including the
   local epidemiology of leptospirosis, transmission prevention strategies,
   vaccine safety, testing, clinical identification, and emerging risk
   factors. Our findings will help guide the design of educational
   materials for small animal veterinarians in Arizona regarding
   recommendations for prevention of animal and human leptospirosis
   infections; these efforts could also shift the culture of reporting
   companion animal diseases to improve future One Health collaborations.
Z8 0
ZR 0
ZB 1
ZS 0
TC 1
ZA 0
Z9 1
U1 0
U2 14
SN 0167-5877
EI 1873-1716
UT WOS:000497258100003
PM 31557686
ER

PT J
AU Garg, Neil K.
TI How organic chemistry became one of UCLA's most popular classes
SO JOURNAL OF BIOLOGICAL CHEMISTRY
VL 294
IS 46
BP 17678
EP 17683
DI 10.1074/jbc.AW119.008141
PD NOV 15 2019
PY 2019
AB Organic chemistry has a bad reputation, despite having a tremendous
   impact on our everyday lives. It has remained a notorious "weed-out"
   class for decades-striking fear in the hearts of students-and has long
   been viewed as a gatekeeper course for those interested in pursuing a
   career in medicine or other health-related professions. This personal
   account examines the underlying teaching philosophies that transformed
   organic chemistry into one of the most popular classes on the UCLA
   campus. Special emphasis is placed on ways to increase engagement and
   help students feel connected. Educational initiatives, including organic
   chemistry music videos and various online resources created in
   partnerships with students, will be discussed. It is hoped that this
   account will stimulate ideas that transcend scientific disciplines all
   for the benefit of student education.
ZS 0
ZA 0
Z8 0
ZB 0
TC 5
ZR 0
Z9 5
U1 3
U2 11
SN 0021-9258
EI 1083-351X
UT WOS:000503173500040
PM 31578286
ER

PT J
AU Marks, Etan
   Prystowsky, Michael B.
   Fox, Amy S.
TI How to Succeed in Fellowship Acquisition: A Survey of Pathology
   Residents
SO ACADEMIC PATHOLOGY
VL 6
AR 2374289519884711
DI 10.1177/2374289519884711
PD NOV 14 2019
PY 2019
AB Medical school curricula limit students' exposure to pathology practice
   while pathology subspecialty training programs require residents to
   apply for fellowships as early as the end of their first year of
   training. Thus, limited exposure to pathology practice creates
   significant confusion and anxiety, often making the fellowship
   application process premature. Additionally, early focus on subspecialty
   training in order to acquire a fellowship adds to the initial lack of
   emphasis on general pathology training. We prepared a voluntary online
   survey with questions developed through focus groups and advice from an
   expert in survey design to determine which fellowships are desired and
   how successful residents are in their pursuit of these fellowships. The
   survey was distributed through the Pathology Residency Program
   Directors' (PRODS) listserv. Answers were solicited from pathology
   trainees throughout the entire training cycle. There were 141 (4.6%
   response rate) total respondents with each postgraduate year
   represented. One hundred twenty-two (95%) of 129 residents plan on
   completing 1 or 2 fellowships after residency training. Encouragingly,
   94 (75%) of 126 pathology residents attained their desired specialty
   fellowship. However, 32 (32%) of 99 residents who acquired at least one
   fellowship chose a general surgical pathology fellowship. Furthermore,
   33 (24%) respondents had already decided to pursue a specific specialty
   while still in medical school. An additional 32 (23%) came to their
   decision during postgraduate year 1. Therefore, although most residents
   are successful in attaining their desired fellowship, further research
   is needed to understand the effect of early commitment to a subspecialty
   and its impact on pathology education.
RI Marks, Etan/M-5056-2019
OI Marks, Etan/0000-0002-4601-0285
ZA 0
ZR 0
ZS 0
TC 0
ZB 0
Z8 0
Z9 0
U1 0
U2 0
SN 2374-2895
UT WOS:000497651500001
PM 31799380
ER

PT J
AU Krause, Liesl A.
   Harris, Susanna L.
TI Get online to support wellbeing of graduate students
SO ELIFE
VL 8
AR e53178
DI 10.7554/eLife.53178
PD NOV 13 2019
PY 2019
OI Krause-Klein, Liesl/0000-0001-6031-0244; Harris,
   Susanna/0000-0003-2437-9513
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
TC 1
Z9 1
U1 1
U2 4
SN 2050-084X
UT WOS:000497304000001
PM 31718775
ER

PT J
AU Martin, Seth S.
   Quaye, Emmanuel
   Schultz, Sarah
   Fashanu, Oluwaseun E.
   Wang, Jane
   Saheed, Mustapha O.
   Ramaswami, Prem
   de Freitas, Hermes
   Ribeiro-Neto, Berthier
   Parakh, Kapil
TI A randomized controlled trial of online symptom searching to inform
   patient generated differential diagnoses
SO NPJ DIGITAL MEDICINE
VL 2
AR 110
DI 10.1038/s41746-019-0183-0
PD NOV 11 2019
PY 2019
AB Patient online health searching is now commonplace, however, the
   accuracy of patient generated differentials for new symptoms and
   potential for patient anxiety are concerns. We aimed primarily to
   determine the accuracy of patient generated differentials for new
   symptoms with and without online searching, and secondarily, to evaluate
   the impact of searching on anxiety levels. In the waiting room prior to
   seeing a clinician, 300 patients with new symptoms were randomly
   assigned 1:1:1 to Google searching with health related features
   including a symptom search tool vs Google searching with health related
   features disabled vs no searching. Participants were 18 years or older
   and presenting to the emergency department of an urban academic medical
   center with new low-acuity symptoms that were not due to exacerbation of
   a chronic condition. Search groups received access on a
   tablet/smartphone to Google searching with or without health related
   features. Both search groups could access any websites; health related
   features led the patient to common diagnoses and physician-validated
   information. The primary outcome was accuracy of the patient generated
   differential assessed by matching at least two of the top three
   diagnoses on the clinician's differential. A secondary outcome was
   anxiety by a visual analogue scale. Patients were a median of 33.1 (IQI
   26.2-45.9) years old, 60% women, 63% black, 82% had a high school
   education or less, and 45.7% reported having performed an online search
   prior to presentation. Search group patients spent a median of 3.82
   (2.53-5.72) minutes searching online. Similar proportions of patients in
   each group matched at least two of three clinician diagnoses: 27.0% and
   28.3% for Google searching with and without health related features vs
   23.8% in the no search group. Patients in the search groups had a
   similar odds of matching >= 2/3 diagnoses as the no search group [OR
   (95% CI): 1.23 (0.70-2.13), p = 0.47]. Anxiety was unchanged with online
   searching. In conclusion, brief online searching in the waiting room did
   not improve accuracy of patient generated differential diagnoses for new
   symptoms. The absence of an increase in patient anxiety provides
   reassurance for subsequent work to refine and investigate online symptom
   search tools.
Z8 0
ZA 0
ZS 0
ZR 0
TC 4
ZB 0
Z9 4
U1 0
U2 0
SN 2398-6352
UT WOS:000495650900002
PM 31728417
ER

PT J
AU Alsuliman, Tamim
   Alasadi, Lugien
   Mouki, Angie
   Alsaid, Bayan
TI Language of written medical educational materials for non-English
   speaking populations: an evaluation of a simplified bi-lingual approach
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 418
DI 10.1186/s12909-019-1846-x
PD NOV 11 2019
PY 2019
AB BackgroundDebates have arisen in various non-English speaking countries
   over the chosen language of instruction in medical education, whether it
   has to be the English language or the mother tongue. English-based
   education supporters argue that English is the leading international
   language of medicine and research, and a crucial tool for Continuing
   Medical Education (CME), as well as for students who seek practice
   abroad. On the other hand, mother-tongue-based medical education
   supporters present it as a way to endorse communication and
   comprehension between medical practitioners and health care system
   users, to bridge the gap between practitioners and the paramedical
   staff, and to overcome linguistic dualism and the language thinking
   disparity while studying in another. This study aimed to evaluate one of
   the simplified bi-lingual approaches in terms of
   medical-educational-written texts for a non-English speaking population:
   Arabic speaking medical students in specific.Methods1546
   Arabic-speaking-medical students from different countries participated
   in a one-step-interactive-experimental-online test. The test assessed
   participants' scientific comprehension of three distinct written
   paragraphs: The first paragraph used conventional mother tongue
   (Arabic), the second combined English terminology and simplified mother
   tongue (hybrid), and the third used an English excerpt (English). Two
   multiple-choice questions (First question in Arabic, second in English)
   followed each paragraph. Response time was communicated for each
   paragraph. Participants were asked to select their favorable
   method.Repeated Measures ANOVA models and Paired Samples t-Test were
   used for statistical analysis.ResultsParticipants scored a mean of
   [0.10] for the Arabic paragraph, [0.72] for the hybrid paragraph, and
   [0.24] for the English paragraph (P< 0.001). Results showed a
   significantly higher mean of points and correct answers within the
   fastest time for the hybrid paragraph [0.68] compared to the Arabic
   [0.08] and English [0.18] paragraphs (P< 0.001). Moreover, 50% of
   participants preferred the hybrid paragraph over the other two
   paragraphs.ConclusionsTaking into consideration the large number of
   participants and the statistically significant results, authors propose
   that simplified Arabic combined with English terminology may present a
   viable alternative method for medical-educational-written texts in
   Arabic-speaking population.
OI Mouki, Angie/0000-0001-7164-6261; alsuliman, tamim/0000-0003-2320-7269;
   Alasadi, Lugien/0000-0001-8208-767X
ZS 0
TC 10
ZA 0
ZR 0
Z8 0
ZB 0
Z9 10
U1 3
U2 7
EI 1472-6920
UT WOS:000496437100002
PM 31711476
ER

PT J
AU Koper, Ian
   Pasman, H. Roeline W.
   Schweitzer, Bart P. M.
   Kuin, Annemieke
   Onwuteaka-Philipsen, Bregje D.
TI Spiritual care at the end of life in the primary care setting:
   experiences from spiritual caregivers-a mixed methods study
SO BMC PALLIATIVE CARE
VL 18
IS 1
AR 98
DI 10.1186/s12904-019-0484-8
PD NOV 9 2019
PY 2019
AB Background Spiritual care is an important aspect of palliative care. In
   the Netherlands, general practitioners and district nurses play a
   leading role in palliative care in the primary care setting. When they
   are unable to provide adequate spiritual care to their patient, they can
   refer to spiritual caregivers. This study aimed to provide an overview
   of the practice of spiritual caregivers in the primary care setting, and
   to investigate, from their own perspective, the reasons why spiritual
   caregivers are infrequently involved in palliative care and what is
   needed to improve this. Method Sequential mixed methods consisting of an
   online questionnaire with structured and open questions completed by 31
   spiritual caregivers, followed by an online focus group with 9 spiritual
   caregivers, analysed through open coding. Results Spiritual caregivers
   provide care for existential, relational and religious issues, and the
   emotions related to these issues. Aspects of spiritual care in practice
   include helping patients find meaning, acceptance or reconciliation,
   paying attention to the spiritual issues of relatives of the patient,
   and helping them all to say farewell. Besides spiritual issues,
   spiritual caregivers also discuss topics related to medical care with
   patients and relatives, such as treatment wishes and options. Spiritual
   caregivers also mentioned barriers and facilitators for the provision of
   spiritual care, such as communication with other healthcare providers,
   having a relationship of trust and structural funding.. In the online
   focus group, local multidisciplinary meetings were suggested as ideal
   opportunities to familiarize other healthcare providers with
   spirituality and promote spiritual caregivers' services. Also,
   structural funding for spiritual caregivers in the primary care setting
   should be organized. Conclusion Spiritual caregivers provide broad
   spiritual care at the end of life, and discuss many different topics
   beside spiritual issues with patients in the palliative phase,
   supporting them when making medical end-of-life decisions. Spiritual
   care in the primary care setting may be improved by better cooperation
   between spiritual caregiver and other healthcare providers, through
   improved education in spiritual care and better promotion of spiritual
   caregivers' services.
OI Koper, Ian/0000-0001-6593-4822; Onwuteaka-Philipsen,
   Bregje/0000-0002-9440-1248
ZR 0
Z8 0
ZB 0
ZA 0
ZS 1
TC 16
Z9 17
U1 2
U2 14
SN 1472-684X
UT WOS:000495612900001
PM 31706355
ER

PT J
AU Kuehbeck, Felizian
   Berberat, Pascal O.
   Engelhardt, Stefan
   Sarikas, Antonio
TI Correlation of online assessment parameters with summative exam
   performance in undergraduate medical education of pharmacology: a
   prospective cohort study
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 412
DI 10.1186/s12909-019-1814-5
PD NOV 8 2019
PY 2019
AB Background Learning analytics aims to improve learning outcomes through
   the systematic measurement and analysis of learning-related data.
   However, which parameters have the highest predictive power for academic
   performance remains to be elucidated. The aim of this study was to
   investigate the correlation of different online assessment parameters
   with summative exam performance in undergraduate medical education of
   pharmacology. Methods A prospective study was conducted with a cohort of
   undergraduate medical students enrolled in a pharmacology course at
   Technical University of Munich, Germany. After a four-week teaching and
   learning period, students were given access to an online assessment
   platform consisting of 440 multiple choice (MC) questions. After 12
   days, a final written summative exam was performed. Bivariate
   correlation and multiple regression analyses were performed for
   different online assessment parameters as predictors and summative exam
   performance as dependent variable. Self-perceived pharmacology
   competence was measured by questionnaires pre- and postintervention.
   Results A total of 224 out of 393 (57%) students participated in the
   study and were included in the analysis. There was no significant
   correlation for the parameters "number of logins" (r = 0.01, p = 0.893),
   "number of MC-questions answered" (r = 0.02, p = 0.813) and "time spent
   on the assessment platform" (r = - 0.05, p = 0.459) with exam
   performance. The variable "time per question" was statistically
   significant (p = 0.006), but correlated negatively (r = - 0.18) with
   academic performance of study participants. Only "total score" (r =
   0.71, p < 0.001) and the "score of first attempt" (r = 0.72, p < 0.001)
   were significantly correlated with final grades. In a multiple
   regression analysis, "score first attempt" accounted for 52% of the
   variation of "score final exam", and "time per question" and "total
   score" for additional 5 and 1.4%, respectively. No gender-specific
   differences were observed. Finally, online assessments resulted in
   improved self-perceived pharmacology competence of students. Conclusion
   In this prospective cohort study, we systematically assessed the
   correlation of different online assessments parameters with exam
   performance and their gender-neutrality. Our findings may help to
   improve predictive models of academic performance in undergraduate
   medical education of pharmacology.
TC 3
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 3
U1 1
U2 11
EI 1472-6920
UT WOS:000496423500004
PM 31703687
ER

PT J
AU Schoenborn, Priska
   Osborne, Richard
   Toms, Nick
   Johnstone, Karen
   Milsom, Chloee
   Muneer, Reema
   Jarvis, Michael A.
   Belshaw, Robert
TI OncoSim and OncoWiki: an authentic learning approach to teaching cancer
   genomics
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 407
DI 10.1186/s12909-019-1812-7
PD NOV 7 2019
PY 2019
AB Background Personalised medicine is rapidly changing the clinical
   environment, especially in regard to the management of cancer. However,
   for the large part, methods used to educate undergraduate students as
   future biomedical scientists and medical doctors have not reflected
   these changes. In order to make effective use of advances in cancer
   genomic knowledge, there is a need to expose students to the challenges
   of genomic medicine and to do so in a manner that makes this complex
   information accessible. Methods The teaching method developed, OncoSim,
   is a scaffolded 'Personal Research' module option for final year
   biomedical undergraduate students. It uses an authentic learning
   approach to teach cancer genomics via simulated cancer patient case
   studies that have identifiable potential therapeutic targets with
   associated drug therapies (so-called targeted therapy/precision
   oncology). In addition, these simulated case studies can be uploaded to
   a dedicated learning website (OncoWiki) where they can be freely
   downloaded and used to teach medical students the principles of targeted
   therapy. A preliminary evaluation of OncoSim was carried out using 3
   research tools: (1) online questionnaires; (2) semi-structured
   interviews; and (3) analysis of whole cohort mark ranges. Thematic
   analysis was used to code and categorise interview data. Results The
   teaching materials for OncoSim and the OncoWiki site are freely
   accessible at . Questionnaire data and comparison of whole cohort marks
   showed OncoSim was at least as effective as alternative choices, and
   suggested OncoSim provided a valued alternative to traditional
   laboratory-based projects. No barriers to receptiveness were found.
   Interview analysis provided 5 broad themes (authentic learning
   experience; individual challenges; interest in cancer; positive learning
   experience; supportive structure) supporting the authentic learning
   aspect of the project, the strong scaffolding provided and the overall
   effectiveness of the approach. Conclusions Our preliminary,
   proof-of-concept, evaluation suggests that OncoSim will be effective in
   supporting the teaching of genomic medicine to undergraduate students.
   We plan and hope our study will encourage further formal evaluation in a
   larger cohort of students, including a control group. The OncoWiki site
   has the capacity to grow independently as future students create and
   upload simulated case studies for other students to then download and
   analyse.
OI Toms, Nick/0000-0002-9657-525X; Belshaw, Robert/0000-0001-6234-3947;
   Johnstone, Karen/0000-0002-3183-8397
Z8 0
ZB 1
TC 1
ZR 0
ZA 0
ZS 0
Z9 1
U1 2
U2 6
EI 1472-6920
UT WOS:000496447500002
PM 31699073
ER

PT J
AU Stevens, Niall T.
   Holmes, Killian
   Grainger, Rachel J.
   Connolly, Roisin
   Prior, Anna-Rose
   Fitzpatrick, Fidelma
   O'Neill, Eoghan
   Boland, Fiona
   Pawlikowska, Teresa
   Humphreys, Hilary
TI Can e-learning improve the performance of undergraduate medical students
   in Clinical Microbiology examinations?
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 408
DI 10.1186/s12909-019-1843-0
PD NOV 7 2019
PY 2019
AB Background Clinical Microbiology is a core subject in medical
   undergraduate curricula. However, students struggle to cover the content
   and clinically contextualise basic microbiology. Our aim was to evaluate
   student engagement with new e-learning material and to investigate the
   impact it had on examination performance in a Clinical Microbiology
   module. Methods An online resource was designed to support didactic
   teaching in a Fundamentals of Clinical Microbiology module. One cohort
   of students had access to the online material (2017/2018 class) and the
   other did not (2016/2017 class). Each cohort sat the same
   multiple-choice question (MCQ) and short-note question (SNQ) examination
   papers and the impact of engagement with the online resource and
   examination performance was analysed. Results Both groups were of the
   same academic standard prior to beginning the module. In the 2017/2018
   cohort, 227/309 (73.5%) students had >= 80% engagement with the content.
   Students engaged most with the index of pathogens and pathogen focused
   clinical cases related to diverse genera and families of clinically
   important microorganisms. A statistically higher difference in the mean
   percentage grade in both the MCQ and SNQ examinations was seen for
   2017/2018 compared to 2016/2017 cohort. For the MCQ examination, the
   2017/2018 cohort were on average 5.57% (95% confidence interval (CI):
   3.92 to 7.24%; P < 0.001) higher, and for the SNQ examination the
   2017/2018 cohort were on average 2.08% (95% CI: 0.74 to 3.41%; P = 0.02)
   higher. When the results were adjusted for previous examination
   performance, for every percentage increase in online engagement the
   grade in the SNQ examination only increased by 0.05% (95% CI: 0.02 to
   0.08) on average. Conclusions These findings suggest students engage
   with e-learning when studying and that such activities may help students
   perform better in assessments.
RI fitzpatrick, fidelma/K-8601-2018; Boland, Fiona/
OI fitzpatrick, fidelma/0000-0002-3204-5962; Boland,
   Fiona/0000-0003-3228-0046
ZA 0
ZS 0
TC 8
Z8 0
ZR 0
ZB 0
Z9 8
U1 0
U2 3
EI 1472-6920
UT WOS:000496447500001
PM 31699068
ER

PT J
AU Farrell, Sarah Marie
   Kadhum, Murtaza
   Lewis, Thomas
   Singh, Gurdas
   Penzenstadler, Louise
   Molodynski, Andrew
TI Wellbeing and burnout amongst medical students in England
SO INTERNATIONAL REVIEW OF PSYCHIATRY
VL 31
IS 7-8
SI SI
BP 579
EP 583
DI 10.1080/09540261.2019.1675960
EA NOV 2019
PD NOV 17 2019
PY 2019
AB The wellbeing of doctors in training is currently under the spotlight.
   The British Medical Association (BMA) has committed to understanding
   issues of wellbeing amongst medical students. Medical students from
   England were asked to complete an online survey pertaining to wellbeing.
   84 students responded. Results show 29% of respondents were given a
   mental health diagnosis whilst at medical school, and 82% could be
   classified as 'disengaged' and 85% 'exhausted' using the Oldenburg
   Burnout Scale. This demonstrates the need for further surveys with an
   increased number of respondents in order to gather more evidence
   surrounding these high rates of mental health issues. Support and
   preventative measures for medical students are required.
RI Penzenstadler, Louise/AHA-7999-2022
ZB 2
ZA 0
Z8 0
ZS 1
ZR 0
TC 22
Z9 23
U1 0
U2 12
SN 0954-0261
EI 1369-1627
UT WOS:000494715900001
PM 31692396
ER

PT J
AU Quinn, Antonia
   Gottlieb, Michael
   Chan, Teresa M.
   Nickson, Christopher P.
   Mitzman, Jennifer
   Natesan, Sreeja
   Stehman, Christine
   Young, Amanda
   Messman, Anne
TI Curated Collections for Educators: Five Key Papers on Clinical Teaching
SO CUREUS
VL 11
IS 11
AR e6084
DI 10.7759/cureus.6084
PD NOV 6 2019
PY 2019
AB The ability to teach in the clinical setting is of paramount importance.
   Clinical teaching is at the heart of medical education, irrespective of
   the learner's level of training. Learners desire and need effective,
   competent, and thoughtful clinical teaching from their instructors.
   However, many clinician-educators lack formal training on this important
   skill and thus may provide a variable experience to their learners.
   Although formal training of clinician-educators is standard and required
   in many other countries, the United States has yet to follow suit,
   leaving many faculty members to fend for themselves to learn these
   important skills.
   In September 2018, the Academic Life in Emergency Medicine (ALiEM)
   2018-2019 Faculty Incubator program discussed the topic of clinical
   teaching techniques. We gathered the titles of papers that were cited,
   shared, and recommended within our online discussion forum and compiled
   the articles pertaining to the topic of clinical teaching techniques. To
   augment the list, the authors did a formal literature search using the
   search terms "teaching techniques", "clinical teaching", "medical
   education", "medical students", and "residents" on Google Scholar and
   PubMed. Finally, we posted a call for important papers on the topic of
   clinical teaching techniques on Twitter.
   Through this process, we identified 48 core articles on the topic of
   clinical teaching. We conducted a modified Delphi methodology to
   identify the key papers on the topic. In this paper, we present the five
   highest-rated articles based on the relevance to junior faculty and
   faculty developers. This article will review and summarize the articles
   we found to be the most impactful to improve one's clinical teaching
   skills.
RI Chan, Teresa/T-6676-2017; Nickson, Christopher/AAD-9853-2022; Young, Amanda/; Quinn, Antonia/
OI Chan, Teresa/0000-0001-6104-462X; Nickson,
   Christopher/0000-0002-6968-3087; Young, Amanda/0000-0002-0387-6353;
   Quinn, Antonia/0000-0001-8155-5814
ZB 0
ZR 0
Z8 0
TC 2
ZA 0
ZS 0
Z9 2
U1 0
U2 2
EI 2168-8184
UT WOS:000494728900004
PM 31853435
ER

PT J
AU Wadowski, Patricia Pia
   Litschauer, Brigitte
   Seitz, Tamara
   Ertl, Sebastian
   Loeffler-Stastka, Henriette
TI Case-based blended eLearning scenarios-adequate for competence
   development or more?
SO NEUROPSYCHIATRIE
VL 33
IS 4
BP 207
EP 211
DI 10.1007/s40211-019-00322-z
EA NOV 2019
PD DEC 2019
PY 2019
AB Background Learning, competence development and scientific thinking in
   medicine need several strategies to facilitate new diagnostic and
   therapeutic ways. The optimal collaboration between creative thinking
   and biomedical informatics provides innovation for the individual
   patient and for a medical school or society. Utilizing the flexibilities
   of an e-learning platform, a case based blended learning (CBBL)
   framework consisting of A) case based textbook material, B) online e-CBL
   with question driven learning scenarios and C) simulated patient (SP)
   contact seminars was developed and implemented in multiple medical
   fields. Real-life clinical cases were anonymized and transferred into an
   interactive and an interdisciplinary eLearning platform. Methods As an
   example of the offered clinical teaching-case collection, an example of
   a psychiatric case for the disease "posttraumatic stress disorder
   (PTSD)" is presented: a 30-year-old man with a history of insomnia with
   difficulties in falling asleep and sleeping through, nightmares,
   nervousness and psychomotor restlessness. The students are challenged to
   identify possible differential diagnoses and further get to know the
   patient's personal history (loss of relatives due to war, torture and
   flight from home country). Further, the students are guided through the
   principles of fear conditioning including translational aspects like
   neurotransmitter signaling of PTSD pathomechanism (translational and
   research aspects like dopamine transporter gene polymorphism, long term
   potentiation and synaptic signaling). Results/Conclusion The case
   presentation comprises different learning aspects: First, declarative
   knowledge has to be acquired and collected in basic medical sciences,
   knowledge that is in fact available and can be accessed on the conscious
   and preconscious level in long-term memory. Second, associative learning
   leads to the formation of neuronal connections and is an important way
   of learning and discovering, founded in neural associations. Third,
   polythematic-crosslinking thinking is needed as ability to link
   information in a meaningful way. These steps are a typical intellectual
   ability of gifted learners and researchers that combine previously
   seemingly unrelated areas to each other and drive innovation.
RI Henriette, Löffler-Stastka/P-1229-2016; Wadowski, Patricia Pia/
OI Henriette, Löffler-Stastka/0000-0001-8785-0435; Wadowski, Patricia
   Pia/0000-0003-2462-4515
ZB 0
ZS 0
ZA 0
TC 7
ZR 0
Z8 0
Z9 7
U1 1
U2 8
SN 0948-6259
EI 2194-1327
UT WOS:000494930300001
PM 31696411
ER

PT J
AU Neufeld, Adam
   Malin, Greg
TI Exploring the relationship between medical student basic psychological
   need satisfaction, resilience, and well-being: a quantitative study
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 405
DI 10.1186/s12909-019-1847-9
PD NOV 5 2019
PY 2019
AB Background There is increasing acknowledgment that medical training is
   stressful for students and can impact their well-being. An important
   aspect of this is self-determination and basic psychological need
   satisfaction. A better understanding of how medical student perceptions
   of the learning environment impacts their basic psychological needs for
   motivation, resilience, and well-being may help to create learning
   environments that support the needs of medical students and help them
   become better healthier physicians. We aim to add to the literature on
   this topic by examining this relationship through the lens of
   Self-Determination Theory. Methods A total of 400 students from all 4
   years of the medical program at our institution were invited to complete
   an anonymous online survey, measuring basic need
   satisfaction/frustration (autonomy, competence, relatedness) within the
   learning environment, resilience, and psychological well-being. We used
   analysis of variance to assess the effect of gender, age, and year on
   all variables, with t-tests to compare subgroups. Structural equation
   modelling was performed to test a hypothesized model in which support of
   medical students' basic needs would positively relate to their
   resilience and well-being. Results The response rate was 183/400 (46%).
   After data cleaning, 160 remained: 67 males (42%) and 93 females (58%).
   There were 67 first years (42%), 35 second years (22%), 30 third years
   (19%), and 28 fourth years (18%). The sample mean age was 25.8 years (SD
   = 4.1). A well-fitting model was confirmed to fit the data, chi(2) =
   3.15, df = 3, p = 0.369, RMSEA = 0.018, SRMR = 0.022, CFI = 0.999.
   Autonomy and relatedness satisfaction exerted direct effects on
   well-being. Competence satisfaction did so indirectly, through its
   direct effect on resilience. Female medical students had lower
   resilience scores compared to their male peers. Conclusions When medical
   students perceived their learning environment as supportive to their
   basic needs, it was associated with an increase in their psychological
   well-being. Satisfaction of competence, but not autonomy or relatedness,
   predicted an increase in their resilience. Fostering medical students'
   basic needs for motivation, especially competence, is recommended to
   support their resilience and well-being. Further research is required to
   generalize these results further.
RI Malin, Greg/ABD-8462-2020; Neufeld, Adam/
OI Malin, Greg/0000-0001-5650-4353; Neufeld, Adam/0000-0003-2848-8100
ZB 2
ZR 0
ZS 0
ZA 0
Z8 0
TC 18
Z9 18
U1 8
U2 22
EI 1472-6920
UT WOS:000494675000001
PM 31690292
ER

PT J
AU Dergousoff, Brieanne A.
   Vayalumkal, Joseph V.
   Wright, Nicola A. M.
TI Survey of Infection Control Precautions for Patients with Severe
   Combined Immune Deficiency
SO JOURNAL OF CLINICAL IMMUNOLOGY
VL 39
IS 8
BP 753
EP 761
DI 10.1007/s10875-019-00671-y
PD NOV 2019
PY 2019
AB Severe combined immune deficiency (SCID) is caused by an array of
   genetic disorders resulting in a diminished adaptive immune system due
   to impaired T lymphocytes. In these patients, active infection at the
   time of hematopoietic transplantation has been shown to increase
   morbidity and mortality. To prevent transmission of infections in SCID
   patients, standardized infection control precautions should be
   implemented. An online survey regarding SCID-specific protocols was
   distributed through several immunodeficiency organizations.
   Seventy-three responses were obtained, with the majority (55%) of
   responses from the USA, 15% from Canada, and the remainder from 12 other
   countries. Only 50% of respondents had a SCID-specific infection control
   protocol at their center, and while a majority of these centers had
   training for physicians, a small minority had training for other
   healthcare workers such as nursing and housekeeping staff. Significant
   variability of infection control practices, such as in-patient
   precautions, required personal protective equipment (PPE), diet
   restrictions, visitor precautions and discharge criteria, was found
   between different treatment centers. There is a paucity of
   evidence-based data regarding the safest environment to prevent
   infection in SCID patients. Institutional protocols may have significant
   impact on infection risk, survival, family well-being, child development
   and cost of care. From these results, it is evident that further
   multi-center research is required to determine the safest and healthiest
   environment for these children, so that evidence-based infection control
   protocols for patients with SCID can be developed.
OI Wright, Nicola/0000-0003-3144-4969
ZB 3
ZS 0
ZR 0
Z8 0
ZA 0
TC 6
Z9 6
U1 0
U2 2
SN 0271-9142
EI 1573-2592
UT WOS:000539425500002
PM 31432442
ER

PT J
AU Doobay-Persaud, Ashti
   Evert, Jessica
   DeCamp, Matthew
   Evans, Charlesnika T.
   Jacobsen, Kathryn H.
   Sheneman, Natalie E.
   Goldstein, Joshua L.
   Nelson, Brett D.
TI Extent, nature and consequences of performing outside scope of training
   in global health
SO GLOBALIZATION AND HEALTH
VL 15
IS 1
AR 60
DI 10.1186/s12992-019-0506-6
PD NOV 1 2019
PY 2019
AB Background Globalization has made it possible for global health
   professionals and trainees to participate in short-term training and
   professional experiences in a variety of clinical- and non-clinical
   activities across borders. Consequently, greater numbers of healthcare
   professionals and trainees from high-income countries (HICs) are working
   or volunteering abroad and participating in short-term experiences in
   low- and middle-income countries (LMICs). How effective these activities
   are in advancing global health and in addressing the crisis of human
   resources for health remains controversial. What is known, however, is
   that during these short-term experiences in global health (STEGH),
   health professionals and those in training often face substantive
   ethical challenges. A common dilemma described is that of acting outside
   of one's scope of training. However, the frequency, nature,
   circumstances, and consequences of performing outside scope of training
   (POST) have not been well-explored or quantified. Methods The authors
   conducted an online survey of HIC health professionals and trainees
   working or volunteering in LMICs about their experiences with POST,
   within the last 5 years. Results A total of 223 survey responses were
   included in the final analysis. Half (49%) of respondents reported
   having been asked to perform outside their scope of training; of these,
   61% reported POST. Trainees were nearly twice as likely as licensed
   professionals to report POST. Common reasons cited for POST were a
   mismatch of skills with host expectations, suboptimal supervision at
   host sites, inadequate preparation to decline POST, a perceived lack of
   alternative options and emergency situations. Many of the respondents
   who reported POST expressed moral distress that persisted over time.
   Conclusions Given that POST is ethically problematic and legally
   impermissible, the high rates of being asked, and deciding to do so,
   were notable. Based on these findings, the authors suggest that
   additional efforts are needed to reduce the incidence of POST during
   STEGH, including pre-departure training to navigate dilemmas concerning
   POST, clear communication regarding expectations, and greater attention
   to the moral distress experienced by those contending with POST.
RI Jacobsen, Kathryn H./B-5857-2008
OI Jacobsen, Kathryn H./0000-0002-4198-6246
ZS 0
TC 13
Z8 0
ZR 0
ZB 4
ZA 0
Z9 13
U1 0
U2 3
EI 1744-8603
UT WOS:000494271600001
PM 31675976
ER

PT J
AU Rudd, Kristina E.
   Puttkammer, Nancy
   Antilla, Jennifer
   Richards, Janise
   Heffron, Matthew
   Tolentino, Herman
   Jacobs, Daniel J.
   KatjivanJo, Puumue
   Prybylski, Dimitri
   Shepard, Mark
   Kumalija, John Claud
   Katuma, Happiness Lazaro
   Leon, Beatus K.
   Mgonja, Neema Gabriel
   Santas, Xenophon M.
TI Building workforce capacity for effective use of health information
   systems: Evaluation of a blended eLearning course in Namibia and
   Tanzania
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 131
AR 103945
DI 10.1016/j.ijmedinf.2019.08.005
PD NOV 2019
PY 2019
AB Background: Electronic health information systems (HIS) are critical
   components of national health systems, and have been identified as a key
   element in the development and strengthening of health systems globally.
   Novel approaches are needed to effectively and efficiently train health
   care workers on the use of HIS. One such approach is the use of digital
   eLearning programs, either alone or blended with face-to-face learning
   activities.
   Methods: We developed a novel blended eLearning course based on an
   in-person HIS training package previously developed by the United States
   Centers for Disease Control and Prevention. We then conducted a pilot
   implementation of the eLearning course in Namibia and Tanzania.
   Results: The blended eLearning pilot program enrolled 131 people, 72
   (55%) from Namibia and 59 (45%) from Tanzania. The majority of enrollees
   were female (n = 88, 67%) and were nurses (n = 66, 50%). Of the 131
   people who participated in the in-person orientation, 95 (73%) completed
   some or all of the eLearning modules. Across all three modules, the mean
   score on the post-test was significantly greater than on the pre-test (p
   < 0.001). When comparing results from previous in-person workshops and
   the blended eLearning course, we found that participants experienced
   strong learning gains in both, although learning gains were somewhat
   greater in the in-person course. Blended eLearning course participants
   reported good to very good satisfaction with the overall content of the
   course and with the eLearning modules (3.5 and 3.6 out of 5-point Likert
   scale). We estimate that the total cost per participant is 2.2-3.4 times
   greater for the in-person course (estimated cost USD $980) than for the
   blended eLearning course (estimated cost USD $287-$437).
   Conclusion: A blended eLearning course is an effective method with which
   to train healthcare workers in the basic features of HIS, and the cost
   is up to 3.4 times less expensive than for an in-person course with
   similar content.
RI Rudd, Kristina/AAH-2770-2022; Rudd, Kristina/AFM-0440-2022
OI Rudd, Kristina/0000-0002-6695-8401; Rudd, Kristina/0000-0002-6695-8401
ZB 0
TC 6
ZR 0
ZA 0
ZS 1
Z8 0
Z9 7
U1 0
U2 24
SN 1386-5056
EI 1872-8243
UT WOS:000488525700010
PM 31561193
ER

PT J
AU Chirtkiatsakul, Busaban
   Jani, Rohana
   Kadir, Rahimah Abdul
   Nordin, Amer Siddiq Amer
   Azizi, Ridza
TI PREVALENCE OF AND FACTORS ASSOCIATED WITH SMOKING AMONG UNIVERSITY OF
   MALAYA STUDENTS IN MALAYSIA
SO SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH
VL 50
IS 6
BP 1202
EP 1211
PD NOV 2019
PY 2019
AB Tobacco smoking is a leading cause of morbidity and mortality. The aim
   of this study was to determine the prevalence of and factors associated
   with smoking among University of Malaya students in Malaysia, in order
   to inform programs to reduce the prevalence of smoking in the study
   population. Inclusion criteria for study subjects were being a student
   of the study institution and being aged >= 18 years. The exclusion
   criterion was not being willing to participate in the study. All
   students of the study institution were sent an email inviting them to
   participate in the study; 843 were willing to participate. Each subject
   was asked to complete a self-administered online questionnaire asking
   about sociodemographic characteristics, smoking status and their
   knowledge and attitudes about smoking. The Pearson's chi-square test and
   multiple logistic regression analysis were used to evaluate potential
   associations between selected variables and smoking status. A total of
   843 subjects were included in the study; 22.4% of subjects were smokers,
   17.5% of females were smokers and 82.5% of males were smokers. On
   multiple logistic regression analysis, factors significantly associated
   with smoking were male gender (OR=12.64; 95% CI: 8.04-19.89), having a
   mother with a primary level education (OR=4.02; 95%CI: 1.40-11.54),
   having favorable attitude toward smoking (OR=9.09; 95%CI: 4.98-16.59)
   and having an equivocal attitude about smoking (OR=2.98; 95%CI:
   1.78-5.00). Our study shows the prevalence of smoking among study
   subjects at the study institution was high. Males entering the study
   institution, who have a mother with a poor education level or who have a
   positive of equivocal attitude about smoking should be screened for
   smoking and appropriate intervention provided. Further studies are
   needed to determine if such interventions are effective.
RI Nordin, Amer Siddiq Amer/A-2211-2009
OI Nordin, Amer Siddiq Amer/0000-0003-1402-3169
ZA 0
ZR 0
ZB 1
TC 2
ZS 0
Z8 0
Z9 2
U1 1
U2 1
SN 0125-1562
UT WOS:000515195700020
ER

PT J
AU Page, Robin L.
   Pepper, Catherine
   VanBuren, Vincent
TI Challenges and Opportunities on Health Sciences Regional Campuses: A
   Multidiscipline, Multicampus Survey
SO NURSING EDUCATION PERSPECTIVES
VL 40
IS 6
BP E3
EP E8
DI 10.1097/01.NEP.0000000000000475
PD NOV-DEC 2019
PY 2019
AB AIM We explored faculty and staff perceptions of the challenges and
   opportunities of working on regional campuses of a large academic health
   science center.
   BACKGROUND The growth of multicampus academic institutions presents
   numerous issues for intercampus planning and for
   organizational/professional relationships. We were interested in
   learning how regional campus faculty and staff experienced these issues,
   with the practical goal of making recommendations to both central and
   regional campus administrations.
   METHOD A cross-sectional, online survey was distributed to faculty and
   staff who worked at regional campuses of a large health sciences
   university.
   RESULTS Regional faculty and staff felt more valued by local colleagues
   and administrators than by their central campus counterparts. Top
   challenges were central administration's lack of communication and
   understanding of regionals' unique circumstances and needs.
   CONCLUSION Regional campuses' workplace experience is significantly
   different from that of central campus. More timely communication and
   active solicitation of regional campus input are needed.
RI Page, Robin/ABH-3634-2020; Page, Robin L/O-7793-2019; Pepper, MLIS, MPH, Catherine/N-9951-2018
OI Page, Robin/0000-0001-7223-412X; Pepper, MLIS, MPH,
   Catherine/0000-0001-7233-290X
ZR 0
ZS 0
ZA 0
ZB 0
TC 0
Z8 0
Z9 0
U1 0
U2 1
SN 1536-5026
EI 1943-4685
UT WOS:000518811300001
PM 30920467
ER

PT J
AU van Schaik, Sandrijn M.
   Chang, Anna
   Fogh, Shannon
   Haehn, Melissa
   Lyndon, Audrey
   O'Brien, Bridget
   O'Sullivan, Patricia
   Ranji, Sumant
   Rosenbluth, Glenn
   Sehgal, Niraj
   Tabas, Jeffrey
   Baron, Robert B.
TI Jump-Starting Faculty Development in Quality Improvement and Patient
   Safety Education: A Team-Based Approach
SO ACADEMIC MEDICINE
VL 94
IS 11
BP 1728
EP 1732
DI 10.1097/ACM.0000000000002784
PD NOV 2019
PY 2019
AB Problem Quality improvement (QI) and patient safety (PS) are
   cornerstones of health care delivery. Accreditation organizations
   increasingly require that learners engage in QIPS. For many faculty,
   these are new domains. Additional faculty development is needed for them
   to teach and mentor trainees. Existing programs, such as the Association
   of American Medical Colleges Teaching for Quality (Te4Q) program, target
   individual faculty and thus accommodate only limited participants at a
   time, which is problematic for institutions that need to train many
   faculty to support their learners. Approach The authors invited diverse
   stakeholders from across the University of California, San Francisco
   (UCSF) School of Medicine and related health systems to participate in a
   team-based adaptation of the Te4Q program. The teams completed 5
   projects based on previously identified priority areas to increase local
   capacity for QIPS teaching: (1) online modules for faculty new to QIPS,
   (2) a tool kit for graduate medical education programs, (3) a module for
   medical school clerkship directors, (4) guidelines for faculty to
   integrate early learners into QI projects, and (5) a "Teach-for-UCSF"
   certificate program in teaching QIPS. Outcomes Thirty-five faculty
   members participated in the initial Te4Q workshop in January 2015, and
   by fall 2016, all projects were implemented. These projects led to
   additional faculty development initiatives and a rapidly expanding
   number of faculty across campus with expertise in teaching QIPS. Next
   Steps Further collaborations between faculty focused on QIPS in care
   delivery and those focused on QIPS education to promote QIPS teaching
   have resulted from these initial projects.
RI Chang, Anna/AAS-2652-2020; Lyndon, Audrey/GLS-0866-2022; Lyndon, Audrey/ABD-7493-2021
OI Lyndon, Audrey/0000-0003-2215-4273; 
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
TC 11
Z9 11
U1 0
U2 1
SN 1040-2446
EI 1938-808X
UT WOS:000494272900024
PM 31663959
ER

PT J
AU Koenders, Niek
   van den Heuvel, Stein
   Bloemen, Shanna
   van der Wees, Philip J.
   Hoogeboom, Thomas J.
TI Development of a longlist of healthcare quality indicators for physical
   activity of patients during hospital stay: a modified RAND Delphi study
SO BMJ OPEN
VL 9
IS 11
AR e032208
DI 10.1136/bmjopen-2019-032208
PD NOV 2019
PY 2019
AB Objective To develop a longlist of healthcare quality indicators for the
   care of hospitalised adults of all ages with (or at risk of) low
   physical activity during the hospital stay.
   Design A modified RAND/UCLA Appropriateness Method Delphi study.
   Setting and participants Participants were physical therapists, nurses
   and managers working in Dutch university medical centres.
   Methods The current study consisted of three phases. Phase I was a
   systematic literature search for quality indicators and relevant
   domains. Phase II was a survey among healthcare professionals to collect
   additional data. Phase III consisted of three consensus rounds. In round
   1, experts rated the relevance of the potential indicators online
   (Delphi). The second round was a face-to-face expert panel meeting
   managed by an experienced moderator. Acceptability, feasibility and
   validity of the quality indicators were discussed by the panel members.
   In round 3, the panel members rated the relevance of the potential
   indicators that were still under discussion.
   Results The search retrieved 1556 studies of which 53 studies were
   assessed full text. Data from 17 studies were included in a first draft
   longlist of indicators. Eighteen nurses and one physical therapist
   responded to the survey and added data for a second draft of the
   longlist. Experts constructed the final longlist of 23 indicators in
   three consensus rounds. Seven domains were identified: 'Policy',
   'Attitude and education', 'Equipment and support', 'Evaluation',
   'Information', 'Patient-tailored physical activity plan' and 'Outcome
   measure'.
   Conclusion and implications The healthcare quality indicators developed
   in this study could help to grade, monitor and improve healthcare for
   hospitalised adults of all ages with (or at risk of) low physical
   activity during the hospital stay. Future research will focus on the
   psychometric quality of the indicators and selection of key performance
   indicators.
RI van der Wees, Philip Jan/L-4748-2015; Koenders, N.H.G./L-4440-2015; Koenders, Niek/ABF-4930-2021
OI Koenders, N.H.G./0000-0002-7142-9811; Koenders, Niek/0000-0002-7142-9811
Z8 1
TC 3
ZR 0
ZB 1
ZS 0
ZA 0
Z9 4
U1 0
U2 1
SN 2044-6055
UT WOS:000512774800290
PM 31712346
ER

PT J
AU Muscat, Danielle Marie
   Chang, Edward Hoi-fan
   Thompson, Rachel
   Cvejic, Erin
   Tracy, Marguerite
   Zadro, Joshua
   Smith, Jessica Kathleen
   Lindner, Robyn
   McCaffery, Kirsten
TI Evaluation of the Choosing Wisely Australia 5 Questions resource and a
   shared decision-making preparation video: protocol for an online
   experiment
SO BMJ OPEN
VL 9
IS 11
AR e033126
DI 10.1136/bmjopen-2019-033126
PD NOV 2019
PY 2019
AB Introduction Choosing Wisely, an international effort to reduce low
   value care worldwide, considers communication between clinicians and
   patients during routine clinical encounters a key mechanism for change.
   In Australia, Choosing Wisely has developed a 5 Questions resource to
   facilitate better conversations. The primary aim of this study is to
   evaluate the impact of the Choosing Wisely Australia 5 Questions
   resource and a video designed to prepare patients for question-asking
   and participation in shared decision-making on (a) self-efficacy to ask
   questions and participate in shared decision-making, (b) intention to
   participate in shared decision-making and (c) a range of secondary
   outcomes. The secondary aim of this study is to determine whether
   participants' health literacy modifies the effects of the interventions.
   Methods and analysis We will use 2x2x2 between-subjects factorial design
   (preparation video: yes, no x Choosing Wisely 5 Questions resource: yes,
   no x health literacy: adequate, inadequate). Participants will be
   recruited by an online market research company, presented with a
   hypothetical non-specific low back pain scenario, and randomised to
   study groups stratified by health literacy. Quantitative primary and
   secondary outcome data will be analysed as intention-to-treat using
   appropriate regression models (ie, linear regression for continuous
   outcomes, logistic regression for dichotomous categorical outcomes).
RI McCaffery, Kirsten/K-7945-2019; Muscat, Danielle/ABE-1526-2021; Cvejic, Erin/P-2665-2016; Tracy, Marguerite/; Zadro, Joshua/; Thompson, Rachel/
OI McCaffery, Kirsten/0000-0003-2696-5006; Muscat,
   Danielle/0000-0001-6106-6298; Cvejic, Erin/0000-0002-6043-6071; Tracy,
   Marguerite/0000-0003-1247-6412; Zadro, Joshua/0000-0001-8981-2125;
   Thompson, Rachel/0000-0002-1009-0746
TC 2
Z8 0
ZB 0
ZA 0
ZR 0
ZS 0
Z9 2
U1 0
U2 1
SN 2044-6055
UT WOS:000512774800361
PM 31727667
ER

PT J
AU Ioannidis, Konstantinos
   Hook, Roxanne
   Goudriaan, Anna E.
   Vlies, Simon
   Fineberg, Naomi A.
   Grant, Jon E.
   Chamberlain, Samuel R.
TI Cognitive deficits in problematic internet use: meta-analysis of 40
   studies
SO BRITISH JOURNAL OF PSYCHIATRY
VL 215
IS 5
BP 639
EP 646
AR PII S0007125019000035
DI 10.1192/bjp.2019.3
PD NOV 2019
PY 2019
AB Background Excessive use of the internet is increasingly recognised as a
   global public health concern. Individual studies have reported cognitive
   impairment in problematic internet use (PIU), but have suffered from
   various methodological limitations. Confirmation of cognitive deficits
   in PIU would support the neurobiological plausibility of this disorder.
   Aims To conduct a rigorous meta-analysis of cognitive performance in PIU
   from case-control studies; and to assess the impact of study quality,
   the main type of online behaviour (for example gaming) and other
   parameters on the findings. Method A systematic literature review was
   conducted of peer-reviewed case-controlled studies comparing cognition
   in people with PIU (broadly defined) with that of healthy controls.
   Findings were extracted and subjected to a meta-analysis where at least
   four publications existed for a given cognitive domain of interest.
   Results The meta-analysis comprised 2922 participants across 40 studies.
   Compared with controls, PIU was associated with significant impairment
   in inhibitory control (Stroop task Hedge's g = 0.53 (s.e. = 0.19-0.87),
   stop-signal task g = 0.42 (s.e. = 0.17-0.66), go/no-go task g = 0.51
   (s.e. = 0.26-0.75)), decision-making (g = 0.49 (s.e. = 0.28-0.70)) and
   working memory (g = 0.40 (s.e. = 0.20-0.82)). Whether or not gaming was
   the predominant type of online behaviour did not significantly moderate
   the observed cognitive effects; nor did age, gender, geographical area
   of reporting or the presence of comorbidities. Conclusions PIU is
   associated with decrements across a range of neuropsychological domains,
   irrespective of geographical location, supporting its cross-cultural and
   biological validity. These findings also suggest a common
   neurobiological vulnerability across PIU behaviours, including gaming,
   rather than a dissimilar neurocognitive profile for internet gaming
   disorder. Declaration of interest S.R.C. consults for Cambridge
   Cognition and Shire. K.I.'s research activities were supported by Health
   Education East of England Higher Training Special interest sessions.
   A.E.G.'s research has been funded by Innovational grant (VIDI-scheme)
   from ZonMW: (91713354). N.A.F. has received research support from
   Lundbeck, Glaxo-SmithKline, European College of Neuropsychopharmacology
   (ECNP), Servier, Cephalon, Astra Zeneca, Medical Research Council (UK),
   National Institute for Health Research, Wellcome Foundation, University
   of Hertfordshire, EU (FP7) and Shire. N.A.F. has received honoraria for
   lectures at scientific meetings from Abbott, Otsuka, Lundbeck, Servier,
   Astra Zeneca, Jazz pharmaceuticals, Bristol Myers Squibb, UK College of
   Mental Health Pharmacists and British Association for Psychopharmacology
   (BAP). N.A.F. has received financial support to attend scientific
   meetings from RANZCP, Shire, Janssen, Lundbeck, Servier, Novartis,
   Bristol Myers Squibb, Cephalon, International College of
   Obsessive-Compulsive Spectrum Disorders, International Society for
   Behavioral Addiction, CINP, IFMAD, ECNP, BAP, the World Health
   Organization and the Royal College of Psychiatrists. N.A.F. has received
   financial royalties for publications from Oxford University Press and
   payment for editorial duties from Taylor and Francis. J.E.G. reports
   grants from the National Center for Responsible Gaming, Forest
   Pharmaceuticals, Takeda, Brainsway, and Roche and others from Oxford
   Press, Norton, McGraw-Hill and American Psychiatric Publishing outside
   of the submitted work.
RI Ioannidis, Konstantinos/AAZ-3147-2021; Chamberlain, Samuel R/A-7839-2008; Fineberg, Naomi/ABI-5522-2020; Ioannidis, Konstantinos/
OI Chamberlain, Samuel R/0000-0001-7014-8121; Ioannidis,
   Konstantinos/0000-0002-1537-5425
ZB 14
TC 57
ZA 0
ZR 0
Z8 0
ZS 0
Z9 57
U1 8
U2 43
SN 0007-1250
EI 1472-1465
UT WOS:000512662900004
PM 30784392
ER

PT J
AU Grab-Kroll, Claudia
   Schneider, Achim
   Keis, Oliver
   Mayer, Benjamin
   Wirth, Thomas
   Barth, Thomas
   Oechsner, Wolfgang
   Huber-Lang, Markus
TI What can structured doctoral programs contribute to ensure quality of
   medical dissertations and scientific careers/junior promotion? An
   evaluation using the "Experimental Medicine" program initiative of Ulm
   University as an example
SO ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN
VL 147
BP 110
EP 119
DI 10.1016/j.zefq.2019.10.001
PD NOV 2019
PY 2019
AB Objective: Structured doctoral programs in medicine are intended to
   contribute to the quality of medical dissertations/doctoral theses by
   providing scientific skills and also inspire doctoral candidates to
   pursue a career in research.
   Here we present the potential contributions of the doctoral program
   "Experimental Medicine" of Ulm University with regard to the increase of
   individual quality indicators, e. g., the duration and evaluation of the
   doctoral theses as well as the study participants' scientific career
   intentions and current field of activity.
   Methods: All previous participants of the doctoral program (N = 144)
   were contacted as well as medical graduates with an experimental
   doctorate as individual doctorate (control group) (N = 559) who had
   submitted a doctoral thesis in the same period. The response rate was
   55.4 % (N = 72) among program participants versus 21.7 % (N = 116) in
   the control group.
   Information on the doctoral thesis process, scientific and professional
   careers and quality indicators were collected in an online survey and
   compared statistically using U-tests or Chi-square tests. The
   participants' evaluation of the program and their confidence in
   scientific competences, rated on a 5-point rating scale, were outlined
   descriptively.
   Results: Program participants were satisfied with the supervision of
   their work (M 2.17; SD 0.84). According to the participants' evaluation,
   particular support was given to increase competence in scientific
   presentations (M 1.9; SD 0.83), in literature research (M 2.21; SD 0.96)
   and in the critical appraisal of scientific publications (M 2.28; SD
   0.91). However, they felt comparatively less competent regarding the
   selection of research methods (M 3.21; SD 1.11) and the application of
   statistical methods (M 3.53; SD 1.13).
   Program participants needed less time to complete their doctoral theses
   than the control group (median 4 years versus 5 years) and received the
   overall grade of "summa cum laude" (excellent) more frequently (22.9 %
   versus 2.7 %).
   In comparison, their doctoral theses were more often part of third-party
   funded projects (59 % versus 36.1 %). In addition, the participants more
   frequently wished to pursue a habilitation (29.2 % versus 13.3 %) or
   aspire to an academic career (13.9 % versus 1.7 %).
   Conclusions: Despite methodological limitations, the results support the
   structured doctoral program, particularly with regard to the duration
   and evaluation of the doctorate. The program should be further
   optimized, though, with respect to specific aspects, particularly in
   terms of "career paths in research".
RI Huber-Lang, Markus/AAJ-2209-2020
TC 1
ZS 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 1
U1 0
U2 4
SN 1865-9217
EI 2212-0289
UT WOS:000513214900014
PM 31732385
ER

PT J
AU Justin, Grant A.
   Custer, Benjamin L.
   Ward, Jane B.
   Colyer, Marcus H.
   Waller, Stephen G.
   Legault, Gary L.
TI Global Health Outreach by United States Ophthalmology Residency
   Programs: Understanding of Host Country Systems Based Practice
SO MILITARY MEDICINE
VL 184
IS 11-12
BP E642
EP E646
DI 10.1093/milmed/usz100
PD NOV-DEC 2019
PY 2019
AB Introduction: For medical residents, global health outreach is the first
   experience of learning how to develop partnerships with foreign medical
   systems. The overall objective of this project was to develop an
   overview of global health programs in U.S. ophthalmology residencies.
   The investigation focused on characterizing the goals and services
   offered, the didactics taught to residents, and the program director's
   understanding of systems-based practice gained in the host country.
   Materials and Methods: An online survey was sent to all U.S.
   ophthalmology residency program directors. The two outcome measures of
   the study were characterization of global health outreach and didactics
   completed by U.S. ophthalmology residency programs and review of program
   director understanding of host country systems of care. Results: Twelve
   program directors of 117 (10.26%) answered the survey. 100% of programs
   from the Department of Defense responded. Countries served included
   Ecuador, Panama, Honduras, Dominican Republic, India, Tanzania, Nepal,
   Bhutan, Guatemala, Micronesia, Haiti, Mongolia, Bolivia. Sixty five
   percent worked at a freestanding public hospital. Many programs offered
   resident participation with only 41.87% giving residents ACGME credit.
   Most programs (91.67%) offered fewer than 5 hours of global health
   didactics. When program directors were asked about their knowledge of
   host country systems of care, most noted understanding of the hospital
   functions like the referral system, transitions of care, hospital
   funding, and medical supply chain, but not of the perception of patients
   with chronic or congenital ophthalmic diseases, host country general or
   ophthalmic medical education, patient research safeguards and host
   country malpractice system. Conclusion: From the small sample of program
   directors, Ophthalmology residency program global health outreach varies
   in faculty and resident participation, and in goals and services
   offered. In addition, there was a wide variation in ophthalmology
   program director understanding of host country systems of care.
RI Legault, Gary/AAB-6968-2020; Justin, Grant/AAJ-9830-2020; Waller, Stephen/AAI-1787-2020; Legault, Gary/; , Grant/
OI Legault, Gary/0000-0002-0878-1484; , Grant/0000-0001-6084-6399
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 1
Z9 1
U1 0
U2 2
SN 0026-4075
EI 1930-613X
UT WOS:000510223200009
PM 31038165
ER

PT J
AU Oliver, Joshua J.
   Ross, Justin M.
   Davis, W. Tyler
   Ng, Patrick C.
   Long, Brit
   Weymouth, Wells L.
   Summers, Shane M.
   April, Michael D.
TI The Development of an Emergency Medicine Resident Research Program in
   the United States Military
SO MILITARY MEDICINE
VL 184
IS 11-12
BP E622
EP E625
DI 10.1093/milmed/usz071
PD NOV-DEC 2019
PY 2019
AB Introduction: The Accreditation Council for Graduate Medical Education
   stipulates that residents should participate in scholarly activity. As
   of 2019 that verbiage will be changed to, "Residents must participate in
   scholarship." However, scholarly activity is not clearly defined. We set
   out to define our graduation research requirement in a measurable way
   and structure a research curriculum that better prepared residents to
   conduct scholarly activity. Materials and Methods: This study compares
   resident scholarly output in several categories before and after the
   initiation of a revised research curriculum and graduation requirement.
   Scholarly activity was measured by comparing the production of Pubmed
   Indexed (PMID) publications, online publications, and conference
   presentations of two Emergency Medicine Residency classes. The
   intervention class was represented by the class of 2018 which exposed 16
   residents to the new curriculum and graduation requirement for the full
   three years of their residency. The comparison class was represented by
   the class of 2015 which exposed 16 residents to the old curriculum and
   old graduation requirement. The old graduation requirement and
   curriculum were undefined. The new requirement involved two options,
   participate in original research starting from the process of question
   formulation and carried through manuscript drafting or publishing at
   first author PMID of any kind. The new curriculum involved monthly
   journal clubs, two annual deep dives, and an 8 -day Intern Research
   Course modeled after the Emergency Medicine Basic Research Skills
   workshop sponsored by the American College of Emergency Physicians. In
   addition to the new curriculum, several new leadership positions were
   created at both the staff and resident level that solely focused on the
   promotion of scholarly activity. In addition to creating a culture
   within the department that encouraged scholarship, these overlapping
   leadership positions also helped create continuity in a program that
   could easily be hampered by frequent staff turnover due to new military
   assignments and military deployments. Results: Resident scholarly
   activity in the form of PMIDs increased from 4 to 22. The production of
   online publications was 0 and 12, respectively. There were 2 and 11
   conference presentations, respectively. Conclusion: Resident scholarly
   activity increased following the institution of a new research
   curriculum and graduation requirement.
RI Ross, Justin/AAJ-5926-2020
Z8 0
ZB 0
ZR 0
ZA 0
ZS 0
TC 2
Z9 2
U1 0
U2 0
SN 0026-4075
EI 1930-613X
UT WOS:000510223200005
PM 31004142
ER

PT J
AU Bokma, Jouke P.
   Daily, Joshua A.
   Kovacs, Adrienne H.
   Oechslin, Erwin N.
   Baumgartner, Helmut
   Khairy, Paul
   Mulder, Barbara J. M.
   Veldtman, Gruschen R.
TI Learning strategies among adult CHD fellows
SO CARDIOLOGY IN THE YOUNG
VL 29
IS 11
BP 1356
EP 1360
DI 10.1017/S1047951119002063
PD NOV 2019
PY 2019
AB Objective: Subspecialisation is increasingly a fundamental part of the
   contemporary practice of medicine. However, little is known about how
   medical trainees learn in the modern era, and particularly in growing
   and relatively new subspecialties, such as adult CHD. The purpose of
   this study was to assess institutional-led and self-directed learning
   strategies of adult CHD fellows. Methods: This international,
   cross-sectional online survey was conducted by the International Society
   for Adult Congenital Heart Disease and consisted primarily of
   categorical questions and Likert rating scales. All current or recent
   (i.e., those within 2 years of training) fellows who reported training
   in adult CHD (within adult/paediatric cardiology training or within
   subspecialty fellowships) were eligible. Results: A total of 75 fellows
   participated in the survey: mean age: 34 +/- 5; 35 (47%) female. Most
   adult CHD subspecialty fellows considered case-based teaching (58%) as
   "very helpful", while topic-based teaching was considered "helpful"
   (67%); p = 0.003 (favouring case-based). When facing a non-urgent
   clinical dilemma, fellows reported that they were more likely to search
   for information online (58%) than consult a faculty member (29%) or
   textbook (3%). Many (69%) fellows use their smartphones at least once
   daily to search for information during regular clinical work.
   Conclusions: Fellows receiving adult CHD training reported a preference
   for case-based learning and frequent use of online material and
   smartphones. These findings may be incorporated into the design and
   enhancement of fellowships and development of online training resources.
RI Oechslin, Erwin/AAU-3377-2020
OI Oechslin, Erwin/0000-0001-7084-8494
Z8 0
ZR 0
ZA 0
TC 1
ZB 0
ZS 0
Z9 1
U1 0
U2 3
SN 1047-9511
EI 1467-1107
UT WOS:000511340100007
PM 31502529
ER

PT J
AU Ju, Mindy
   van Schaik, Sandrijn M.
TI Effect of Professional Background and Gender on Residents' Perceptions
   of Leadership
SO ACADEMIC MEDICINE
VL 94
IS 11
BP S42
EP S47
DI 10.1097/ACM.0000000000002925
SU S
PD NOV 2019
PY 2019
AB Purpose
   To examine the impact of professional background and gender of a
   resuscitation team leader on residents' perceptions of leadership
   skills.
   Method
   The authors video-recorded a scripted, simulated resuscitation scenario
   twice, with either a male or a female team leader. They copied each
   video and labeled the leader as physician (MD) or nurse practitioner
   (NP), creating 4 conditions: female NP, female MD, male NP, or male MD.
   The authors recruited resident participants from 5 specialties at 4
   institutions; they randomly assigned residents to view one version of
   the video and rate the team leader's performance using the Ottawa Crisis
   Resource Management Global Rating Scale (Ottawa CRM) in an online
   survey. The authors conducted 2-way ANOVA to examine interactions
   between team leader gender and profession on Ottawa CRM ratings.
   Results
   One hundred sixty residents responded (89 females, 71 males). A
   statistically significant main effect of team leader gender on
   residents' ratings was found in 2 of the 6 Ottawa CRM domains,
   leadership F-1.156= 6.97, P= . 009) and communication skills (F-1.156 =
   8.53, P = .004), due to lower ratings for female than male leaders (5.29
   +/- 0.95 vs 5.74 +/- 1.17; 5.05 +/- 1.20 vs 5.57 +/- 1.06). There was no
   effect of profession on ratings and no significant interaction between
   profession and gender of the team leader on ratings for any of the
   domains.
   Conclusions
   These findings indicate bias among residents against females as team
   leaders. Mitigating such bias is essential to successfully establish
   shared leadership models in health care.
ZB 0
ZR 0
ZS 0
TC 8
Z8 0
ZA 0
Z9 8
U1 1
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000509685500011
PM 31365402
ER

PT J
AU Alizadeh, Iman
TI Using an LMS in Teaching English: A Qualitative Content Analysis of
   Medical Sciences Students' Evaluations and Suggestions
SO QUALITATIVE REPORT
VL 24
IS 11
BP 2851
EP 2873
AR 12
PD NOV 2019
PY 2019
AB In this study, I aimed to discover Iranian medical sciences students'
   evaluation of using a Learning Management System (LMS) in teaching
   English and to collect their suggestions for using the system more
   efficiently. To collect data, I conducted semi-structured interviews
   with 38 students. The themes emerging from the qualitative content
   analysis of the students' responses were (1) technical advantages
   (accessibility, and online homework bank), (2) educational gains
   (learning gains, benefits for professors, and professor-student
   interaction), (3) logistical benefits (optimizing class time, task
   management, and logistical support), (4) educational shortcomings
   (limited instruction, correction and feedback, and academic misconduct),
   (5) technical limitations (Internet problems, and technical glitches),
   (6) administrative problems (time mismanagement, and logistical
   challenges), (7) education development (instruction, educational
   materials, organizing tests, correction and feedback, and quantity and
   quality of assignments), (8) LMS platform modifications (offline
   platform, and upgrading the LMS), and (9) logistics improvement (student
   support, and time management). Based on the findings, the educational
   officials should consider the educational, technical and logistical
   requirements of using the LMS in the university programs, use a
   field-specific LMS or modify the existing one with an eye to the
   students' needs, and improve the infrastructure required for using
   web-based educational technologies.
RI Alizadeh, Iman/C-2265-2017
OI Alizadeh, Iman/0000-0002-4990-4989
ZS 0
ZR 0
ZA 0
TC 2
ZB 0
Z8 0
Z9 2
U1 2
U2 4
SN 2160-3715
UT WOS:000510142000012
ER

PT J
AU Bailey, Christopher Eric
   Kohler, William J.
   Makary, Chadi
   Davis, Kristin
   Sweet, Nicholas
   Carr, Michele
TI eHealth Literacy in Otolaryngology Patients
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 128
IS 11
BP 1013
EP 1018
DI 10.1177/0003489419856377
PD NOV 2019
PY 2019
AB Objectives: The aim of this study was to compare eHealth literacy-one's
   perception of one's ability to use the Internet for health care-among
   otolaryngology patients in 3 geographic settings of the same department.
   Setting: An academic otolaryngology department. Method: Patients'
   opinions and perceptions of their eHealth literacy were assessed with a
   validated paper survey administered in the summer of 2017. Results: Of
   381 asked, 351 people completed the survey, 149 at a university town
   teaching hospital clinic (group A), 101 at a nearby rural clinic (group
   B), and 101 at a remote rural clinic (group C). Mean scores were 30.80,
   28.97, and 29.03 for groups A, B, and C, respectively. The overall mean
   was 29.76 +/- 5.97. Three surveys reported the minimum score of 8, and
   26 reported the maximum score of 40. Results were statistically
   significantly different among all sites (P = .001), between groups A and
   B (P = .027), and between groups A and C (P = .0175). Women reported
   higher eHealth literacy (30.13 +/- 6.27) than men (28.87 +/- 5.11) (P =
   .045). Participant age and role (patient or parent of a patient) were
   statistically insignificant. Mean scores were similar to those
   previously reported in other patient populations. Conclusions:
   Otolaryngology patients in a university town had better eHealth literacy
   than patients in more rural settings, suggesting that online medical
   resources and access points are less likely to be useful in rural
   populations.
RI Makary, Chadi/ABC-9878-2021; Carr, Michele M/AAG-6854-2019
OI Carr, Michele M/0000-0002-7406-4467
Z8 0
ZS 2
ZA 0
TC 4
ZB 0
ZR 0
Z9 5
U1 2
U2 13
SN 0003-4894
EI 1943-572X
UT WOS:000489641100004
PM 31195809
ER

PT J
AU Strathdee, Steffanie A.
   Nobles, Alicia L.
   Ayers, John W.
TI Harnessing digital data and data science to achieve 90-90-90 goals to
   end the HIV epidemic
SO CURRENT OPINION IN HIV AND AIDS
VL 14
IS 6
BP 481
EP 485
DI 10.1097/COH.0000000000000584
PD NOV 2019
PY 2019
AB Purpose of review Effective public health interventions depend on
   timely, accurate surveillance. Harnessing digital data (including
   internet searches, social media, and online media) and data science is
   an emerging approach to complement traditional surveillance in public
   health but has been underutilized in HIV prevention and treatment.
   Recent findings We highlight recent examples that illustrate how social
   media data can be applied to HIV surveillance and prevention
   interventions. To achieve 90-90-90 goals to end the HIV epidemic, we
   encourage traditional public health researchers to partner with data
   scientists to supplement HIV surveillance programs with social media
   analytics to refine estimates of HIV infections and key populations at
   risk and to identify subgroups and regions where prevention and
   treatment efforts need to be bolstered. We also encourage
   interdisciplinary teams to design interventions to promote HIV
   prevention and linkage to care by leveraging digital media, such as
   search engines and social media, that have the potential to reach
   millions of people instantaneously.
RI Nobles, Alicia/AAG-7841-2021
ZA 0
ZB 2
TC 5
ZR 0
ZS 0
Z8 0
Z9 5
U1 0
U2 6
SN 1746-630X
EI 1746-6318
UT WOS:000507293800007
PM 31449089
ER

PT J
AU Dutton-Regester, Kate J.
   Wright, John D.
   Rabiee, Ahmad R.
   Barnes, Tamsin S.
TI Understanding dairy farmer intentions to make improvements to their
   management practices of foot lesions causing lameness in dairy cows
SO PREVENTIVE VETERINARY MEDICINE
VL 171
AR 104767
DI 10.1016/j.prevetmed.2019.104767
PD NOV 1 2019
PY 2019
AB Foot lesions causing lameness in dairy cows have been demonstrated to
   adversely affect milk yield, reproductive performance and longevity,
   resulting in significant economic burden to individual dairy farmers and
   the dairy industry. Further, foot lesions compromise dairy cow welfare.
   Despite this knowledge, foot lesions remain a large problem in many
   dairy herds woldwide. Therefore, there is potential for dairy farmers to
   make changes to their current management practices of foot lesions. This
   study used the social-psychology framework, the Theory of Planned
   Behavior (TPB), to explore dairy farmers' intentions to make
   improvements to their current management practices of foot lesions in
   their dairy cows and to identify the underlying behavioral, normative
   and control beliefs facilitating and constraining this behavior. In
   accordance with the theoretical framework, Australian dairy farmers were
   invited to participate in an online questionnaire which included
   questions regarding intentions, attitudes, subjective norms and
   perceived behavioral control. Fifty-six dairy fanners completed the
   questionnaire. The overall intention of these dairy farmers to make
   improvements to their management practices of foot lesions in the next
   year was moderate. Dairy farmers believed improving their current
   management practices of foot lesions would improve animal welfare,
   increase milk production and was worth the cost involved (behavioral
   beliefs). They indicated that the opinions of consumers, staff, and
   animal welfare groups were important in their decision to make
   improvements (normative beliefs). Better equipment and facilities,
   improved knowledge and training, and a favorable cost-benefit ratio were
   perceived as factors that would enable dairy farmers to improve their
   management practices (control beliefs). While all of these beliefs may
   be considered as potential drivers to facilitate dairy farmers to change
   their management practices, the behavioral beliefs were identified as
   the priority beliefs that industry should target in the development of
   strategies to increase dairy farmer intentions to make improvements to
   their management practices of foot lesions.
RI Dutton-Regester, Kate/; Barnes, Tamsin/C-9345-2016
OI Dutton-Regester, Kate/0000-0002-5011-997X; Barnes,
   Tamsin/0000-0002-2594-2147
ZA 0
ZB 5
TC 10
Z8 0
ZS 0
ZR 0
Z9 10
U1 0
U2 7
SN 0167-5877
EI 1873-1716
UT WOS:000496841100012
PM 31518830
ER

PT J
AU Abdelrahman, Mohammed
   Yvon, Adrien
   Chen, Yu-Ray
   Grant, Janet
TI Temporary Migration for Training A Special Case
SO ANNALS OF PLASTIC SURGERY
VL 83
IS 5
BP 493
EP 499
DI 10.1097/SAP.0000000000001975
PD NOV 2019
PY 2019
AB Background Against a background of globalization and medical migration,
   issues have been raised regarding training outside the clinician's own
   context. Objective There is a dearth of published literature on these
   issues and we aimed to explore these. Methods Taking Chang Gung Memorial
   Hospital fellowships in microfacial and craniofacial surgery as our case
   study, we developed an online survey to look at the circumstances
   leading junior doctors to seek specific, high-level training outside
   their country of intended practice and how effective this was for their
   future career, the service they provide, and their institutions. Results
   Fellows come to the Chang Gung Memorial Hospital predominantly from
   Europe, North America, and Asia, rather than specifically from
   developing countries. The predominant reasons were professional,
   personal, and to gain training that was not available at home, followed
   by career development. The fellowship was not commonly used as a career
   step or a means of migration. Our results showed that most fellows
   received training that enabled them to provide a service for complex
   cases on returning to their home country. Implementing newly acquired
   skills at home did not present any consistent challenges for fellows.
   Conclusions This study addressed a new phenomenon for the literature on
   medical migration: temporary migration from developed countries for the
   purposes of training and not permanent migration. The motivation for
   seeking these fellowships was to make up for training opportunities that
   were not available in highly planned health economies. To develop their
   practice in their home institutions, fellows often had to make
   adjustments to ensure effective transfer of skills and, in doing so,
   contribute to service development.
ZA 0
TC 1
ZS 0
Z8 0
ZB 0
ZR 0
Z9 1
U1 0
U2 2
SN 0148-7043
EI 1536-3708
UT WOS:000505180000004
PM 31513086
ER

PT J
AU Haghbayan, Hourmazd
   Lougheed, Nick
   Deva, Djeven P.
   Chan, Kelvin K. W.
   Lima, Joao A. C.
   Yan, Andrew T.
TI Peri-Infarct Quantification by Cardiac Magnetic Resonance to Predict
   Outcomes in Ischemic Cardiomyopathy Prognostic Systematic Review and
   Meta-Analysis
SO CIRCULATION-CARDIOVASCULAR IMAGING
VL 12
IS 11
AR e009156
DI 10.1161/CIRCIMAGING.119.009156
PD NOV 2019
PY 2019
AB BACKGROUND: In ischemic cardiomyopathy, cardiac magnetic resonance
   assessment of the peri-infarct zone, a potential substrate for
   arrhythmogenesis, may serve as a novel prognosticator and guide the
   optimal use of implantable cardioverter-defibrillators. We undertook a
   systematic review and meta-analysis assessing the prognostic value of
   the peri-infarct zone on late gadolinium enhancement cardiac magnetic
   resonance in ischemic cardiomyopathy.
   METHODS: We searched MEDLINE (Medical Literature Analysis and Retrieval
   System Online), EMBASE (Medical Literature Analysis and Retrieval System
   Online), and CENTRAL (Medical Literature Analysis and Retrieval System
   Online) from inception to January 2019 for prognostic studies relating
   peri-infarct size with clinical outcomes in ischemic cardiomyopathy. Two
   authors independently performed study selection and data extraction.
   Pooled effect estimates were calculated with random effects models, risk
   of bias and strength of evidence were assessed by the Quality in
   Prognostic Studies tool and Grading of Recommendations Assessment,
   Development, and Education, respectively.
   RESULTS: Twenty studies were eligible, representing 14 cohort studies
   (n=1518) with mean follow-up of 3.6 years and 6 cross-sectional studies
   (n=189). The extent of the peri-infarct zone was significantly
   predictive of all-cause mortality (3 studies; n=539; hazard ratio,
   1.34/10 g [95% CI, 1.13-1.59]; I-2=0%; high-quality evidence),
   appropriate implantable cardioverter-defibrillator therapy (5 studies;
   n=361; hazard ratio, 1.31/10 g [95% CI, 1.17-1.47]; I-2=0%; high-quality
   evidence), and inducibility of ventricular tachycardia on
   electrophysiological study (5 studies; n=167; OR, 2.63/g [95% CI,
   1.39-4.96]; I-2=14%; low-quality evidence). After adjusting for age and
   left ventricular ejection fraction, the peri-infarct zone, as a
   percentage of total infarct size, remained an independent predictor of
   all-cause mortality (2 studies; n=445; hazard ratio, 1.29/10% [95% CI,
   1.15-1.44]; I-2=0%; high-quality evidence).
   CONCLUSIONS: There is limited but consistent evidence that
   quantification of the peri-infarct zone predicts long-term mortality and
   appropriate implantable cardioverter-defibrillator therapy in ischemic
   cardiomyopathy. Future studies should confirm whether late gadolinium
   enhancement-cardiac magnetic resonance assessment may improve
   implantable cardioverter-defibrillator treatment decisions.
RI Kwong, Raymond Y/R-1925-2016
OI Kwong, Raymond Y/0000-0001-8212-0759
ZB 2
ZR 0
ZS 0
TC 13
ZA 0
Z8 0
Z9 13
U1 1
U2 1
SN 1941-9651
EI 1942-0080
UT WOS:000506598300003
PM 31735067
ER

PT J
AU Schwartz, Lisa M.
   Woloshin, Steven
   Lu, Zhigang
   Ross, Kathryn M.
   Tessema, Frazer A.
   Peter, Doris
   Kesselheim, Aaron S.
TI Randomized Study of Providing Evidence Context to Mitigate Physician
   Misinterpretation Arising From Off-Label Drug Promotion
SO CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
VL 12
IS 11
AR e006073
DI 10.1161/CIRCOUTCOMES.119.006073
PD NOV 2019
PY 2019
AB Background: Recent court decisions have thrown into question the Food
   and Drug Administration's rules limiting manufacturer promotion of
   prescription drugs for unapproved uses. We assessed how providing pro
   forma disclosures or more descriptive evidence context about the data
   supporting an off-label claim affected physicians' beliefs about drug
   efficacy.
   Methods and Results: In online and mailed surveys, we randomized
   national samples of board-certified, clinically active cardiologists,
   internists, and endocrinologists to receive 1 of 3 information scenarios
   about a hypothetical drug derived verbatim from excerpts on the website
   for Vascepa, a prescription fish oil for which Food and Drug
   Administration specially permitted off-label promotion after a
   manufacturer lawsuit. The scenarios presented information about the
   approved on-label indication (severe hypertriglyceridemia), off-label
   claim + pro forma disclaimers (suggestive but not conclusive evidence
   for use as an add-on to a statin for patients reaching low-density
   lipoprotein goal but with persistent moderate hypertriglyceridemia), and
   off-label claim + evidence context (eg, reports on 3 trials failing to
   demonstrate cardiovascular benefit of other triglyceride-lowering drugs
   for such patients). Among 686 respondents (48% response rate), 29%
   reported receiving off-label information about Vascepa (ie, use as an
   add-on to a statin) from the manufacturer, and 16% had prescribed it
   off-label for this purpose. Off-label prescribing was 5 times higher
   among physicians who received such off-label information (38% versus 7%,
   P<0.001). For the hypothetical drug, the proportion of physicians
   endorsing the unproven claim that the drug reduced cardiovascular risk
   was similar among those randomized to the on-label and off-label claim +
   pro forma disclaimers scenarios (35% versus 37% [95% CI, -6% to 11%]),
   but substantially lower among those randomized to the off-label claim +
   evidence context scenario (21% [95% CI, -24% to 7%]).
   Conclusions: Physicians who received company information about the
   unapproved use of Vascepa were more likely to report prescribing it
   off-label. Supplementing off-label claims with evidence context improved
   the prescribers' knowledge and reduced enthusiasm for the unproven,
   off-label indication of reducing cardiovascular risk.
OI Tessema, Frazer/0000-0001-9764-4205
ZR 0
TC 2
ZA 0
ZB 0
ZS 0
Z8 0
Z9 2
U1 0
U2 2
SN 1941-7705
EI 1941-7713
UT WOS:000502609000007
PM 31707825
ER

PT J
AU Carroll-Alfano, Miriam A.
TI Education, counseling, support groups, and provider knowledge of total
   laryngectomy: The patient's perspective
SO JOURNAL OF COMMUNICATION DISORDERS
VL 82
AR 105938
DI 10.1016/j.jcomdis.2019.105938
PD NOV-DEC 2019
PY 2019
AB Purpose: Studies over a 40 year period have reported inadequate
   education and counseling for persons with laryngectomy; however, several
   long-term trends, including centralization of laryngectomy surgeries in
   major teaching hospitals, the rise of the internet, and the increased
   use of the tracheoesophageal prosthesis (TEP) for voice all have the
   potential to improve this situation. This study investigated if persons
   with total laryngectomy reported receiving adequate education and
   counseling before and after their laryngectomy, and how this varied by
   gender, geographic setting, communication method, and time. It also
   examined who participated in in-person and online support groups, and
   what health care providers and settings are perceived as most
   knowledgeable about laryngectomy.
   Methods: This research was a cross-sectional study, with 200
   participants meeting the inclusion criteria. Results were analyzed via
   descriptive statistics, Pearson chi-square test, McNemar's test,
   Fisher's exact test, and one-way ANOVA with post-hoc analysis.
   Results: About half of persons with total laryngectomy reported
   receiving adequate education and counseling pre- and post-surgery, with
   men being more likely to report adequate education than women, and
   persons using a TEP for voice more likely to report adequate education
   than persons using alternate communication methods. Most participants
   (71%) participated in support groups, with women more likely to
   participate than men. Participants in rural areas were less likely to
   participate in in-person support groups than those from suburban or
   urban areas. Participants using a TEP as a communication method were
   more likely to participate in in-person support groups than those using
   other communication methods. Doctors, speech-language pathologists
   (SLPs), the internet, and support groups were highly rated sources of
   information. Among health-care providers, ENTs and SLPs were rated as
   the most knowledgeable, and primary-care physicians, dentists, and
   emergency medical technicians the least.
   Conclusions: There continues to be a need for adequate education and
   counseling both before and after surgery. This education and counseling
   may need to continue for months or years post-surgery, due to the
   traumatic nature of the laryngectomy procedure. Doctors and SLPs can
   play a leading part in providing education and counseling, and with
   other health professions and in-person and online support groups also
   having a role to play. Frontline health care providers are perceived as
   having low knowledge of laryngectomy.
ZR 0
TC 5
ZS 0
ZA 0
Z8 0
ZB 0
Z9 5
U1 0
U2 6
SN 0021-9924
EI 1873-7994
UT WOS:000499761500012
PM 31557689
ER

PT J
AU Palmquist, Emily
   Ricard, Caroline
   Chen, Lilian
TI Review of Surgical Education Research Trends in North America
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1476
EP 1483
DI 10.1016/j.jsurg.2019.06.014
PD NOV-DEC 2019
PY 2019
AB OBJECTIVE: The purpose of this study was to synthesize surgical
   education research literature over the last decade and to address the
   following questions: (1) What are the most common subjects studied? (2)
   What research designs and data-gathering strategies are commonly
   employed? (3) Where are these papers being published? (4) What subject
   and research design trends have emerged in the last decade?
   DESIGN: A literature review was conducted on surgical education
   publications from January 2008 to July 2018, using the search terms,
   "Graduate Medical Education," and "General Surgery." Inclusion criteria
   included articles published in the United States and Canada specific to
   general surgery and graduate medical education.
   RESULTS: A total of 1043 articles met inclusion criteria and were
   categorized according to year published, journal type, journal of
   publication, subject of research, research design, and data collection
   method. The following observations were noted: (1) curriculum/teaching
   remains the most common subject of surgical education research, with
   growing emphasis on program evaluation, well-being, duty hours, and case
   exposure. (2) Descriptive research is the most common, although
   qualitative and mixed methods research is becoming more common. (3)
   Online surveys are the most common data collection method as they are
   the quickest way to gather data but there is an increasing use of
   interviews as support for qualitative research grows. and (4) Surgical
   education papers are largely published in journals specifically designed
   for education, and have slowly grown in popularity in generalized
   surgical journals.
   CONCLUSIONS: As surgical education continues to develop as a field, we
   anticipate further acceptance of qualitative research in major
   peer-reviewed surgical journals, increased emphasis on resident
   well-being, and more effective use of interviews and mixed methods
   including online resources for data collection. ((C) 2019 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
TC 3
Z8 0
ZR 0
ZB 1
ZA 0
ZS 0
Z9 3
U1 0
U2 6
SN 1931-7204
EI 1878-7452
UT WOS:000502420200005
PM 31350223
ER

PT J
AU Eid, Joseph J.
   Reiley, Maia I.
   Miciura, Angela L.
   Macedo, Francisco Igor
   Negussie, Edsa
   Mittal, Vijay K.
TI Interpretation of Basic Clinical Images: How Are Surgical Residents
   Performing Compared to Other Trainees?
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1500
EP 1505
DI 10.1016/j.jsurg.2019.04.011
PD NOV-DEC 2019
PY 2019
AB BACKGROUND: During medical training students, residents, and fellows
   learn how to accurately interpret basic radiographic images. This skill
   is mostly utilized by physicians in the acute and critical care
   settings. It is unclear whether surgical residents' interpretation
   skills differ from that of other trainees.
   METHODS: A 30-question online quiz was developed to evaluate trainees'
   skills in interpreting images using various radiologic modalities. The
   participating cohort included (1) medical students (MS), (2) general
   surgery residents (GST), internal medicine residents and fellows (IMT),
   and radiology trainees (RT). The impact of residency specialty and level
   of training on performance was evaluated.
   RESULTS: A total of 69 postgraduate trainees and 19 MS enrolled in the
   online quiz. The average score was 67.6% (16.6). GST scored higher than
   IMT (74.2% +/- 10.7% vs. 67.9% +/- 11.3%, p = 0.038); however, they were
   equally proficient to RT. MS had the lowest interpretation accuracy
   rates compared to postgraduate trainees (57.4% +/- 16.8%, p < 0.001). On
   different radiographic modalities, junior GST performance was comparable
   to MS, JR-IMT, and Junior Radiology Trainees (JR-RT). On computed
   tomography (CD body, GST (83.1% +/- 15.7%) scored higher than IMT (70.3%
   +/- 17.7%, p = 0.026) and MS (61.7% +/- 23.4%, p < 0.001). Similar
   findings were demonstrated on ultrasound modality. A difference in
   performance was not evident for X-rays, CT head, and tubes/lines
   localization images.
   CONCLUSIONS: GST were able to correctly interpret 74.2% of basic
   clinical images. Although superior in the evaluation of pathologies seen
   on CT body and ultrasound, GST have comparable performance to other
   trainees in X-rays, tube/line localization images, and CT head.
   Integration of radiology education in surgical training may enhance
   performance and potentially improve patient care. ((C) 2019 Association
   of Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
CT Annual Scientific Meeting and Postgraduate Course Program of the
   Southeastern-Surgical-Congress
CY FEB 10-13, 2018
CL Tampa, FL
SP SE Surg Congress
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
TC 2
Z9 2
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000502420200008
PM 31080122
ER

PT J
AU Gardner, Aimee K.
   Cavanaugh, Katelyn J.
   Willis, Ross E.
   Dunkin, Brian J.
TI If You Build It, Will They Come? Candidate Completion of Preinterview
   Screening Assessments
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1534
EP 1538
DI 10.1016/j.jsurg.2019.05.006
PD NOV-DEC 2019
PY 2019
AB INTRODUCTION: Residency applicant screening practices are inefficient
   and costly. However, programs may not consider using alternative
   assessments for fear that candidates will be "turned off" by additional
   hurdles in the application process. This study explores the relationship
   between candidate completion of preinterview screening assessments,
   applicant examination scores, and program factors.
   METHODS: Applicants to any of 7 general surgery residency programs were
   invited to take a preinterview online assessment. Program
   characteristics and applicant United States Medical Licensing Exams
   scores were considered in relation to each program's assessment
   completion rate.
   RESULTS: A total of 2960 applicants were invited to take the assessment
   and 97% (2870/2960) completed it. Program completion rates ranged from
   95% to 98%. There was no correlation between program characteristics and
   applicant completion rates. Candidates who did not complete the
   assessment had significantly lower United States Medical Licensing Exams
   scores.
   CONCLUSIONS: Incorporating preinterview assessments to objectively
   measure candidate competencies and fit will not detract applicants from
   a general surgery program. ((C) 2019 Association of Program Directors in
   Surgery. Published by Elsevier Inc. All rights reserved.)
ZR 0
ZB 0
Z8 0
ZS 0
TC 9
ZA 0
Z9 9
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000502420200012
PM 31160211
ER

PT J
AU Kappy, Michelle D.
   Holman, Elizabeth
   Kempner, Samantha
   Santen, Sally A.
   Skinner, Bethany
   Hammoud, Maya
TI Identifying Medical Student Mistreatment in the Obstetrics and
   Gynecology Clerkship
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1516
EP 1525
DI 10.1016/j.jsurg.2019.04.010
PD NOV-DEC 2019
PY 2019
AB OBJECTIVE: To characterize the mistreatment identified within the
   University of Michigan's Obstetrics and Gynecology (Ob/Gyn) clerkship
   and compare the rates of mistreatment to that of other clerkships in an
   effort to improve the learning environment.
   DESIGN: This is a retrospective cohort study looking at multiple sources
   of data from 2015 to 2018 about student mistreatment including
   end-of-rotation and teaching evaluations completed by students, as well
   as an online reporting system available to medical students. For
   evaluations, students were asked to rate their agreement with statements
   on a 5-point Likert scale (1 = strongly disagree, to 5 = strongly
   agree). Narrative comments were also solicited and evaluated.
   SETTING: University of Michigan Medical School and Michigan Medicine
   Ob/Gyn Department, Ann Arbor, Michigan.
   PARTICIPANTS: A total of 513 students rotated through the Ob/Gyn
   clerkship between 2015 and 2018 and were asked to complete evaluations.
   RESULTS: Five hundred and five of the 513 students completed evaluations
   between 2015 and 2018. In response to the statement, "Students are
   treated in a professional/respectful manner in this clerkship," the
   Ob/Gyn clerkship's mean scores on a 5-point scale were 4.45 (in
   2015-2016), 4.52 (in 2016-2017), and 4.27 (in 2017-2018). These means,
   as well as the means to 3 other professionalism questions, were lower
   than the range of 4.42 to 4.84 for all other third-year clerkships over
   this time. The mean scores were also lower for Ob/gyn when compared to
   the Surgery clerkship. A total of 32 narrative comments were submitted
   by students between 2015 and 2017 related to mistreatment or
   unprofessional behavior. Frequent themes included students being treated
   as "stupid" or discouraged from asking questions (8 comments), being
   treated in an unprofessional manner by staff (7 comments), feeling
   ignored or marginalized by faculty (4 comments), and faculty
   unprofessional behavior toward others (4 comments).
   CONCLUSIONS: Students on the Ob/Gyn clerkship reported a higher rate of
   mistreatment compared to other clerkships. Efforts are being made by the
   Ob/Gyn department to communicate these data on mistreatment to educators
   in order to improve the Ob/Gyn culture and learning environment for
   medical students. ((C) 2019 Published by Elsevier Inc. on behalf of
   Association of Program Directors in Surgery.)
OI Santen, Sally/0000-0002-8327-8002
Z8 0
ZA 0
ZB 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 2
SN 1931-7204
EI 1878-7452
UT WOS:000502420200010
PM 31151829
ER

PT J
AU Volk, Angela S.
   Rhudy, Anne Kelly
   Marturano, Matthew N.
   Ott, Leah
   DuCoin, Christopher
TI Best Study Strategy for the NBME Clinical Science Surgery Exam
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1539
EP 1545
DI 10.1016/j.jsurg.2019.05.012
PD NOV-DEC 2019
PY 2019
AB INTRODUCTION: Providing medical students with effective study strategies
   is paramount in fostering their success on the NBME Clinical Science
   Surgery exam. As of yet, there has not been a comprehensive inquiry into
   a study strategy for this exam. We aim to identify if the following are
   associated with higher NBME raw exam scores: (1) the use of popular
   study materials, (2) the number of study materials used, and (3) the
   amount of time spent studying throughout the clerkship.
   METHODS: Over the period of 1 academic year, third-year medical students
   at our institution were administered a survey during their surgical
   clerkship inquiring about study materials used and hours spent studying
   per week. The data were then matched to students' raw NBME scores and
   then depersonalized. A total of 82 of 193 (42%) students responded with
   an overall average raw score of 76.74 on the NBME Clinical Science
   Surgery exam. By comparing our data to the NBME national average of 70
   with a standard deviation of 8, a z test was used to compare the
   population mean to our sample means.
   RESULTS: When investigating resources used, the combination of using an
   online question bank and a high yield review book yielded a high z score
   (6.23) and using 4 resources yielded the highest z score (6.28).
   Regarding study hours, the highest z scores were seen when students
   studied for 6 to 10 hours per week during the first half of the
   clerkship, and 11 to 15 hours per week during the second half of the
   clerkship (5.76 and 6.02, respectively).
   CONCLUSIONS: In conclusion, higher NBME Clinical Science Surgery exam
   scores were correlated with the use of multiple and varied types of
   resources and increasing study time closer to the exam date. The
   resources and methods utilized by students achieving the highest exam
   scores can be recommended by surgical educators and employed by other
   medical students to foster academic success. ((C) 2019 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
RI Marturano, Matthew/AAE-6758-2020
OI Marturano, Matthew/0000-0002-6152-6570
ZR 0
ZS 0
ZB 0
Z8 0
TC 5
ZA 0
Z9 5
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000502420200013
PM 31196769
ER

PT J
AU Pagkratis, Spyridon
   Cho, Edward E.
   Lewis, Frances
   Miller, Katie
   Osman, Houssam
   Doyle, Maria B. M.
   Jeyarajah, D. Rohan
TI Expectations of Hepato-Pancreato-Biliary Fellows; Do We Meet Them?
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1546
EP 1555
DI 10.1016/j.jsurg.2019.06.009
PD NOV-DEC 2019
PY 2019
AB OBJECTIVE: There are 16 accredited hepatopancreatobiliary (HPB)
   fellowships in North America. The purpose of this study is to portray
   the expectations of the incoming HPB fellows about their training and
   its implication on their career.
   DESIGN: A 29-questions survey was sent out to all HPB fellows starting
   in August 2017. The survey was divided in 3 sections depicting
   background, in-training and post-fellowship expectations. Descriptive
   statistics were generated for aggregate survey responses.
   SETTING: This study was performed through an online questionnaire that
   was sent to the participants via e-mail. The answers were processed in
   our offices in Methodist Richardson Medical Center, in Richardson, Texas
   which is a private tertiary medical center part of the Methodist Health
   System.
   PARTICIPANTS: Participants were all incoming HPB Fellows (In HPB
   fellowship programs accredited by the Fellowship Council) starting their
   fellowship in August 2017.
   RESULTS: We had a 94% response rate. Forty-six percent of fellows
   anticipate doing about 150 to 250 HPB cases during the fellowship, and
   all 15 fellows anticipate having at least 1 publication during
   fellowship. Despite that >90% of fellows believe that minimally invasive
   surgery (MIS) approaches will be more frequently utilized in HPB
   surgery, only 3/15 anticipate being able to apply MIS techniques and
   only 54% will be robotically trained. Interestingly the majority of
   fellows believe that the attending should be performing the case the
   first few months.
   CONCLUSION: The trainees believe that case volume is the most important
   factor for choosing a fellowship and for adequate training. Most of the
   fellows anticipate doing adequate number of cases but only the minority
   feels they will be adequately trained in MIS-robotic techniques. ((C)
   2019 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.)
CT 17th Annual Meeting of the Americas-Hepato-Pancreato-Biliary-Association
   (AHPBA)
CY MAR 07-11, 2018
CL Miami Beach, FL
SP Amer Hepato Pancreato Biliary Assoc
ZS 0
ZA 0
ZB 0
TC 1
Z8 0
ZR 0
Z9 1
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000502420200014
PM 31239233
ER

PT J
AU Amendola, Michael F.
   Bosch, Gundula
   Kaplan, Brian
TI Talking About Ethical Issues in Surgery-Results of a Novel Online Pilot
   Curriculum
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1562
EP 1568
DI 10.1016/j.jsurg.2019.06.013
PD NOV-DEC 2019
PY 2019
AB OBJECTIVES: Surgical ethics has been suggested as a distinct field of
   study apart from clinical ethics due to a unique practice type and
   treatment dynamic. At our institution, most if not all teaching of
   clinical ethics is undertaken by nonsurgical faculty. We introduced a
   novel online Surgical Ethics Program (SEO) in a pilot form (SEO-P) for
   initial presentation to learners in our environment. The overall goal of
   our educational intervention was to enhance knowledge, understanding and
   appreciation for surgical ethics in medical students and to evaluate our
   curriculum.
   SETTING: SEO-P was undertaken over a 4-week period in 2018 with 9
   fourth-year medical students enrolled in a surgery elective at our
   institution. These learners all had career plans in general surgery or a
   surgical subspecialty. There was 3 weeks of content: (1) background in
   clinical ethics as it applies to surgical practice, (2) surgical
   consents and autonomy, and (3) the impaired physician. All pilot
   learners were evaluated with: (1) postprogram final exam assessment
   (compared to preprogram knowledge base test), (2) self-reflection essay
   of ethical practice in surgery, (3) evaluation of 2 case studies, and
   (4) an assessment of participation in online discussion forums.
   Postprogram survey of the learners was also undertaken in an anonymous
   fashion.
   RESULTS: Four of 9 or 44.4% of students scored greater than or equal to
   80% on the postprogram knowledge assessment test. A preprogram
   knowledge-based examination of all learners yielded a mean and standard
   deviation of 57.1 +/- 6.0%. Postprogram knowledge-based test with mean
   and standard deviation was 78.8 +/- 15%. This was a statistically
   significant increase in scores (p = 0.004; t test). All 9 passed the
   course with a mean final summative course grade of 95.2 +/- 3.2%. From
   the postprogram evaluation survey, all 7 students who responded felt
   that the SEO-P would help them become an "ethical" practitioner.
   Surprisingly, only half of the learners (57.1%) thought "technology used
   to support the SEO Course (i.e., the chosen curriculum management
   system) was effective in conducting the course."
   CONCLUSIONS: We set forth to use "web-based" technology to enhance
   exposure of medical students in our institution to surgical ethics.
   Hence, we designed our pilot curriculum to be a completely online
   offering. We feel that the utilization of the surgical voice, that is a
   surgical ethics curriculum developed by surgeons to explore surgically
   related clinical ethical issues, is an essential theme and goal of our
   program. Future challenges will be to present this voice in an effective
   manner with either an improved curriculum delivery system or by
   potentially utilizing a blended approach. (Published by Elsevier Inc. on
   behalf of Association of Program Directors in Surgery.)
RI Bosch, Gundula/AAP-3104-2020; Bosch, Gundula/GVS-6986-2022
OI Bosch, Gundula/0000-0002-0652-4652
TC 1
ZA 0
ZS 0
ZR 0
Z8 0
ZB 0
Z9 1
U1 1
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000502420200016
PM 31303541
ER

PT J
AU Miranda, Stephen P.
   Schaefer, Kristen G.
   Vates, G. Edward
   Gormley, William B.
   Buss, Mary K.
TI Palliative Care and Communication Training in Neurosurgery Residency:
   Results of a Trainee Survey
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 6
BP 1691
EP 1702
DI 10.1016/j.jsurg.2019.06.010
PD NOV-DEC 2019
PY 2019
AB OBJECTIVE: Neurosurgeons care for critically ill patients near the end
   of life, yet little is known about how well their training prepares them
   for this role. We surveyed a random sample of neurosurgery residents to
   describe the quantity and quality of teaching activities related to
   serious illness communication and palliative care, and resident
   attitudes and perceived preparedness to care for seriously ill patients.
   METHODS: A previously validated survey instrument was adapted to reflect
   required communication and palliative care competencies in the 2015 the
   Accreditation Council for Graduate Medical Education (ACGME) Milestones
   for Neurological Surgery. The survey was reviewed for content validity
   by independent faculty neurosurgeons, piloted with graduating
   neurosurgical residents, and distributed online in August 2016 to
   neurosurgery residents in the United States using the American
   Association of Neurological Surgeons (AANS)/Congress of Neurological
   Surgeons (CNS) Joint Section on Neurotrauma and Critical Care email
   listserv. Multiple choice and Likert scale responses were analyzed using
   descriptive statistics.
   RESULTS: Sixty-two responses were recorded between August 2016 and
   October 2016. Most respondents reported no explicit teaching on:
   explaining risks and benefits of intubation and ventilation (69%),
   formulating prognoses in neurocritical care (60%), or leading family
   meetings (69%). Compared to performing craniotomies, respondents had
   less frequent practice leading discussions about withdrawing
   life-sustaining treatment (61% vs. 90%, p < 0.01, "weekly or more
   frequently"), and were less often observed (18% vs. 87%, p < 0.01) and
   given feedback on their performance (11% vs. 58%, p < 0.01). Nearly all
   respondents (95%) felt "prepared to discuss withdrawing life-sustaining
   treatments," however half (48%) reported they "would benefit from more
   communication training during residency." Most (87%) reported moral
   distress, agreeing that they "participated in operations and worried
   whether surgery aligned with patient goals."
   CONCLUSIONS: Residents in our sample reported limited formal training,
   and relatively less observation and feedback, on required ACGME
   competencies in palliative care and communication. Most reported
   preparedness in this domain, but many were receptive to more training.
   Better quality and more consistent palliative care education in
   neurosurgery residency could improve competency and help ensure that
   neurosurgical care aligns with patient goals. ((C) 2019 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
ZR 0
Z8 0
ZS 1
ZB 0
TC 8
ZA 0
Z9 9
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000502420200031
PM 31239231
ER

PT J
AU Thompson, Charee M.
   Broecker, Jane
   Dade, Maggie
TI How Long-Acting Reversible Contraception Knowledge, Training, and
   Provider Concerns Predict Referrals and Placement
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 119
IS 11
BP 725
EP 734
DI 10.7556/jaoa.2019.122
PD NOV 2019
PY 2019
AB Context: Providing long-acting reversible contraception (LARC; eg,
   subdermal implants and intrauterine devices [IUDs]) can help mitigate
   rates of unintended pregnancy because they are the most effective
   reversible contraceptive methods. However, many varied barriers to LARC
   placement are reported. Medical education and training can be tailored
   if there is a better understanding of how barriers predict LARC referral
   and to predicting LARC placement.
   Objective: To understand how a variety of key barriers to LARC placement
   are related to one another; to identify which of the barriers, when
   considered simultaneously, predict LARC referral and LARC placement; and
   to assess the barriers to LARC placement that persist, even when a major
   barrier, training, is removed.
   Methods: We recruited providers (obstetricians and gynecologists, family
   physicians, pediatricians, internal medicine physicians, certified nurse
   practitioners, and certified nurse midwives) across the state of Ohio.
   Participants were compensated with a $35 Amazon gift card for completing
   an online survey comprising 38 Likert-type items, an 11-item knowledge
   test, LARC placement and referral questions, and demographic questions.
   We conducted data analyses that included correlations, odds ratios, and
   independent samples t tests.
   Results: A total of 224 providers participated in the study. Long-acting
   reversible contraception knowledge, training, and provider concerns were
   correlated with one another. Training was found to positively predict
   placement and negatively predict referral when other barriers, such as
   knowledge and provider concerns, were considered simultaneously. Of
   providers who were trained to place implants, 18.6% (n=16) said they
   referred implant placement, and 17.4% (n=15) said they did not place
   implants. Of providers who were trained to place IUDs, 26.3% (n=26) said
   they referred IUD placement, and 27.3% (n=27) said they did not place
   IUDs. Those who referred placement and those who did not place LARCs
   reported greater barriers (in type and magnitude) to LARC placement than
   those who did place LARCs.
   Conclusion(s): Long-acting reversible contraception knowledge, training,
   and provider concerns about barriers to LARC placement were
   interdependent. Even when providers were trained to place LARCs, a
   significant portion referred or did not place them. Efforts to increase
   LARC placement need to address multifaceted barriers.
ZA 0
ZB 0
ZS 0
TC 0
Z8 0
ZR 0
Z9 0
U1 0
U2 1
SN 0098-6151
EI 1945-1997
UT WOS:000500562800003
PM 31657827
ER

PT J
AU Fuzzell, L. N.
   Richards, M. J.
   Fraenkel, L.
   Stark, S. L.
   Politi, M. C.
TI What information can the lay public find about osteoporosis treatment? A
   descriptive study coding the content and quality of bisphosphonate
   information on the internet
SO OSTEOPOROSIS INTERNATIONAL
VL 30
IS 11
BP 2299
EP 2310
DI 10.1007/s00198-019-05008-4
PD NOV 2019
PY 2019
AB A Summary Despite its effectiveness, bisphosphonate use for osteoporosis
   is low. We assessed bisphosphonate information on the internet and found
   the most commonly listed benefits/risks were bone density loss,
   gastrointestinal issues, and jaw necrosis, that risk quantification was
   rare, and information quality varied. Findings underscore the importance
   of clinical communication about bisphosphonates.
   Introduction The US Preventative Services Task Force recommends
   osteoporosis screening and treatment with bisphosphonates in high-risk
   populations. However, bisphosphonate use among individuals with
   osteoporosis remains low. The content and quality of information from
   outside sources may influence individuals' bisphosphonate decisions.
   Therefore, we sought to assess the content and quality of osteoporosis
   treatment information available to the public by conducting an internet
   search and coding available bisphosphonate information.
   Methods Eleven search terms about osteoporosis and bisphosphonates were
   entered into four search engines. Two raters assessed websites for
   information about bisphosphonates, whether and how benefits and side
   effects were described and quantified, contraindications, and dosing
   instructions. Coders also assessed website interface and slant/balance
   of information.
   Results One thousand four hundred seventy-three websites were
   identified. Two hundred twenty-seven websites met inclusion criteria and
   were coded. The most common bisphosphonate benefit described was
   prevention of bone density loss (77.1% of websites). The most common
   side effects described were gastrointestinal problems (66.1%) and jaw
   osteonecrosis (58.6%). Most websites did not quantify bisphosphonate
   benefits (78.0%) or side effects (82.4%). Complementary/integrative
   health websites (p < .001) and pharmaceutical litigation websites (p <
   .001) were more often slanted against taking bisphosphonates, compared
   to all websites coded. General medical knowledge websites were more
   balanced than other websites (p = .023).
   Conclusions The quality of bisphosphonate information on the internet
   varies substantially. Providers counseling patients about osteoporosis
   treatment should inquire about patients' baseline bisphosphonate
   knowledge. Providers can complement accurate information and address
   potential bisphosphonate misconceptions.
OI Richards, Matthew/0000-0001-7326-7396; Politi, Mary/0000-0001-9103-6495
TC 4
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 4
U1 0
U2 2
SN 0937-941X
EI 1433-2965
UT WOS:000501843100015
PM 31297567
ER

PT J
AU Rhee, Chulwoo
   Kharod, Grishma A.
   Schaad, Nicolas
   Furukawa, Nathan W.
   Vora, Neil M.
   Blaney, David D.
   Crump, John A.
   Clarke, Kevin R.
TI Global knowledge gaps in acute febrile illness etiologic investigations:
   A scoping review
SO PLOS NEGLECTED TROPICAL DISEASES
VL 13
IS 11
AR e0007792
DI 10.1371/journal.pntd.0007792
PD NOV 2019
PY 2019
AB Background Acute febrile illness (AFI), a common reason for people
   seeking medical care globally, represents a spectrum of infectious
   disease etiologies with important variations geographically and by
   population. There is no standardized approach to conducting AFI
   etiologic investigations, limiting interpretation of data in a global
   context. We conducted a scoping review to characterize current AFI
   research methodologies, identify global research gaps, and provide
   methodological research standardization recommendations.
   Methodology/Findings Using pre-defined terms, we searched Medline,
   Embase, and Global Health, for publications from January 1,
   2005-December 31, 2017. Publications cited in previously published
   systematic reviews and an online study repository of non-malarial
   febrile illness etiologies were also included. We screened abstracts for
   publications reporting on human infectious disease, aimed at determining
   AFI etiology using laboratory diagnostics. One-hundred ninety
   publications underwent full-text review, using a standardized tool to
   collect data on study characteristics, methodology, and laboratory
   diagnostics. AFI case definitions between publications varied: use of
   self-reported fever as part of case definitions (28%, 53/190), fever
   cut-off value (38 center dot 0 degrees C most commonly used: 45%,
   85/190), and fever measurement site (axillary most commonly used: 19%,
   36/190). Eighty-nine publications (47%) did not include exclusion
   criteria, and inclusion criteria in 13% (24/190) of publications did not
   include age group. No publications included study settings in Southern
   Africa, Micronesia & Polynesia, or Central Asia. We summarized
   standardized reporting practices, specific to AFI etiologic
   investigations that would increase inter-study comparability.
   Conclusions Wider implementation of standardized AFI reporting methods,
   with multi-pathogen disease detection, could improve comparability of
   study findings, knowledge of the range of AFI etiologies, and their
   contributions to the global AFI burden. These steps can guide resource
   allocation, strengthen outbreak detection and response, target
   prevention efforts, and improve clinical care, especially in
   resource-limited settings where disease control often relies on empiric
   treatment. PROSPERO: CRD42016035666.
   Author summary Acute febrile illness (AFI) is a common reason for people
   seeking medical care globally with potentially serious infectious
   etiologies. However, AFI has no current consensus standardized approach
   when considered as a syndromic case definition for public health
   surveillance or research, especially in global settings where AFI
   treatment is performed with limited diagnostic availability. Therefore,
   the aim of this review was to describe current methodologies in AFI
   research, identify gaps in research, and provide recommendations for
   standardization of AFI research. We screened abstracts and completed
   full-text reviews on publications found through an extensive search. A
   total of 190 publications were included in the final review, from which
   we collected data on study characteristics, methodology, and laboratory
   diagnostics. These collected data elements allowed us to identify where
   there were inconsistencies in reporting and investigative methods, which
   data elements were not regularly collected, and what laboratory testing
   methods were commonly used. Standardized reporting methods for AFI
   investigations, along with laboratory testing capacity for multiple
   pathogens, can improve our knowledge of the causative agents of AFI in
   certain regions of the world. This can help us determine where resources
   are needed, how to strengthen outbreak detection and response, and how
   to improve medical care, especially in regions with limited resources.
RI Vora, Neil Manhar/AAJ-7269-2021; Crump, John A./AAZ-6289-2020; Crump, John A./AAZ-6412-2020
OI Vora, Neil Manhar/0000-0002-4989-3108; Crump, John
   A./0000-0002-4529-102X; Crump, John A./0000-0002-4529-102X
ZB 3
ZS 0
ZR 0
ZA 0
Z8 0
TC 4
Z9 4
U1 1
U2 2
SN 1935-2735
UT WOS:000503278100046
PM 31730635
ER

PT J
AU Bergeria, Cecilia L.
   Huhn, Andrew S.
   Dunn, Kelly E.
TI Randomized comparison of two web-based interventions on immediate and
   30-day opioid overdose knowledge in three unique risk groups
SO PREVENTIVE MEDICINE
VL 128
AR 105718
DI 10.1016/j.ypmed.2019.05.006
PD NOV 2019
PY 2019
AB Background: In response to the opioid overdose epidemic, scalable
   interventions that instruct at-risk populations how to prevent and
   respond to overdose scenarios are needed.
   Method: The following groups of at-risk individuals were recruited
   online: (1) Acute Pain patients with an opioid prescription, (2) Chronic
   Pain patients with an opioid prescription, and (3) persons without pain
   who use Illicit Opioids. Participants were tested on their opioid
   overdose knowledge using the Brief Opioid Overdose Knowledge (BOOK)
   questionnaire and randomized to one of two web-based interventions that
   contained 25 educational content slides. One intervention consisted of
   embedded questions with corrective feedback (Presentation + Mastery, n =
   58), the other did not (Presentation, n = 61). Participants completed
   the BOOK again at the end of the intervention and 30 days later.
   Overdose risk behaviors were assessed at baseline and 30-days.
   Results: Relative to baseline, both Presentation and Presentation +
   Mastery interventions increased total BOOK scores immediately and 30
   days later. There was a significant effect of Group on BOOK Knowledge,
   whereby those with Acute Pain had lower scores across time, regardless
   of intervention, relative to those with Chronic Pain and Illicit Opioid
   Use. Compared to baseline, all three groups reported fewer instances of
   using opioids alone or concurrently with alcohol at the 30-day
   follow-up.
   Conclusions: A web-based intervention increased opioid overdose
   knowledge and decreased overdose risk behavior immediately and at a
   one-month follow-up, suggesting that this brief, practical, and scalable
   program could have utility in several populations who are at-risk of
   opioid overdose.
OI Huhn, Andrew/0000-0002-8073-7701
ZR 0
ZA 0
Z8 0
ZS 0
TC 9
ZB 3
Z9 9
U1 0
U2 1
SN 0091-7435
EI 1096-0260
UT WOS:000501467700003
PM 31078564
ER

PT J
AU Tudrej, Benoit
   Audier, Pascal
   Pignon, Jacques
   De Boysson, Bertrand
   Archam-bault, Pierrick
   Keve-Yann, Lara
   Robin, Emmanuel
   Victor-Chaplet, Valerie
   Parthenay, Pascal
   Gomes, Jose
   Valette, Thierry
   Brabant, Yann
TI Implementation of a tool for feedback, assessment and certification of
   the skills of trainees in ambulatory training courses in primary care
   and supervised autonomy
SO EXERCER-LA REVUE FRANCOPHONE DE MEDECINE GENERALE
IS 157
BP 424
EP 425
PD NOV 2019
PY 2019
AB Introduction. Various tools are currently being used to help indirect
   supervision during ambulatory training courses in primary care and
   supervised autonomy ("Stage Ambulatoire en Soins Primaires et Autonomie
   Supervisee" or SASPAS). The Department of General Medicine of Poitiers
   used daily activity reports ("Releve d'Activite au Quotidien" or RAQ) as
   a feedback tool. As part of an action research, the RAQ has evolved into
   the first version of the activity log of skills and certifications
   ("Journal d'Activite et de Certification des Competences" or JACC).
   Planification.: JACC offers a compromise between the expectations of
   Internship Managers (MSU) and students of general medicine (EMG), while
   being a support for feedback, assessment and certification of skills.
   Implementation. JACC is included into the online portfolio on Karuta.
   The user interface can be customized by the EMGs, MSUs, tutors and
   school attendance depending on their granted rights. The daily activity
   report includes a situation diagnosis, the student ease level, families
   of situations and the description of the mobilized skills for each
   medical appointment. The MSU can edit and validate the data, as well as
   offering pedagogical prescriptions during the feedback. The EMG can also
   log his notes there. Follow-up elements make it possible to evaluate
   skills and the types of medical appointments carried out.
   Discussion. The EMG can submit his reports in two ways : either during
   each medical appointment, or only in estimated critical situations. The
   evaluation of JACC is planned in a later step, in real situation, at the
   beginning of the academic year of 2018.
   Conclusion. JACC is a tool that attempts to meet the requirements for
   feedback, assessment and skill certification of EMGs in SASPAS. Its
   innovative structure, integrated into the portfolio, enables actions in
   real-time from the various actors involved in EMG training. The
   evaluation will have to continue in order to improve the tool in the
   continuity of the action research initiated 4 years ago.
TC 0
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 0
U1 0
U2 1
SN 0998-3953
EI 1961-9138
UT WOS:000504323900010
ER

PT J
AU Huggins, Robert A.
   Coleman, Kelly A.
   Attanasio, Sarah M.
   Cooper, G. Larry
   Endres, Brad D.
   Harper, Ronald C.
   Huemme, Kasey L.
   Morris, Rachel F.
   Lacy, Alicia M. Pike
   Peterson, Bart C.
   Pryor, Riana R.
   Casa, Douglas J.
TI Athletic Trainer Services in the Secondary School Setting: The Athletic
   Training Locations and Services Project
SO JOURNAL OF ATHLETIC TRAINING
VL 54
IS 11
BP 1129
EP 1139
DI 10.4085/1062-6050-12-19
PD NOV 2019
PY 2019
AB Context: Previous research from a sample of US secondary schools (n = 10
   553) indicated that 67% of schools had access to an athletic trainer
   (AT; 35% full time [FT], 30% part time [PT], and 2% per diem). However,
   the population-based statistic in all secondary schools with athletic
   programs (n = approximately 20 000) is yet to be determined.
   Objective: To determine the level of AT services and employment status
   in US secondary schools with athletics by National Athletic Trainers'
   Association district.
   Design: Cross-sectional study.
   Setting: Public and private secondary schools with athletics.
   Patients or Other Participants: Data from all 20 272 US public and
   private secondary schools were obtained.
   Main Outcome Measure(s): Data were collected from September 2015 to
   April 2018 by phone or e-mail communication with school administrators
   or ATs and by online surveys of secondary school ATs. Employment
   categories were school district, school district with teaching, medical
   or university facility, and independent contractor. Data are presented
   as total number and percentage of ATs. Descriptive statistics were
   calculated for FT, PT, and no AT services data for public, private,
   public thorn private, and employment type by state and by National
   Athletic Trainers' Association district.
   Results: Of the 20 272 secondary schools, 66% (n = 13 473) had access to
   AT services, while 34% (n = 6799) had no access. Of those schools with
   AT services, 53% (n = 7119) received FT services, while 47% (n = 6354)
   received PT services. Public schools (n = 16 076) received 37%, 32%, and
   31%, whereas private schools (n = 4196) received 27%, 28%, and 45%, for
   FT, PT, and no AT services, respectively. Most of the Athletic Training
   Locations and Services Survey participants (n = 6754, 57%) were employed
   by a medical or university facility, followed by a school district,
   school district with teaching, and independent contractor. Combined, 38%
   of AT employment was via the school district.
   Conclusions: The percentages of US schools with AT access and FT and PT
   services were similar to those noted in previous research. One-third of
   secondary schools had no access to AT services. The majority of AT
   employment was via medical or university facilities. These data depict
   the largest and most updated representation of AT services in secondary
   schools.
OI Huggins, Robert/0000-0003-2174-8088; Pryor, Riana/0000-0002-7038-0884
ZR 0
ZB 7
TC 15
ZS 0
ZA 0
Z8 0
Z9 15
U1 3
U2 6
SN 1062-6050
EI 1938-162X
UT WOS:000497802700001
PM 31549849
ER

PT J
AU Wei, Lan
   Chen, Lin
   Zhang, Haibo
   Yang, Zhengrong
   Zou, Huachun
   Yuan, Tanwei
   Xiao, Yuejiao
   Liu, Shaochu
   Tan, Wei
   Xie, Wei
   Liu, Liegang
   Cheng, Jinquan
   Zhao, Jin
TI Use of gay app and the associated HIV/syphilis risk among non-commercial
   men who have sex with men in Shenzhen, China: a serial cross-sectional
   study
SO SEXUALLY TRANSMITTED INFECTIONS
VL 95
IS 7
BP 496
EP 504
DI 10.1136/sextrans-2018-053902
PD NOV 2019
PY 2019
AB Objectives Geosocial networking application specific to men who have sex
   with men (MSM) (gay app) has revolutionised the social networking of MSM
   globally, much concern was raised over its linkage to HIV/syphilis risk.
   This study sought to examine the association between use of gay app and
   sexual behaviours and HIV/syphilis risk among Chinese MSM. Methods
   Eligible MSM were recruited through combined offline methods from 2015
   to 2017 in Shenzhen, China, with data collected including demographics,
   sexual behaviours, app use, recreational drug use and HIV testing. All
   participants are required to sign a written informed consent and take a
   confidential HIV and syphilis testing. Results The prevalence of app use
   among non-commercial MSM (NcMSM) has rapidly increased from 12.5% in
   2015 to 52.6% in 2017. The primary four apps used were Blued (97.2%),
   Aloha (18.4%), Jack'd (14.1) and Zank (14.1%). After controlling for
   confounders, HIV prevalence was still significantly lower among app
   users than non-app users (adjusted odds ratios [AOR]: 0.77, 95% CI 0.61
   to 0.97), yet the lower prevalence of syphilis was not significant (AOR:
   0.97, 95% CI 0.76 to 1.23). App-using NcMSM were more likely to be
   younger, unmarried, self-identified as homosexuality and having higher
   education level and income than non-app-using NcMSM. App-using NcMSM had
   higher rate of consistent condom use and HIV testing, higher level of
   knowledge on HIV/AIDS prevention and condom use; however, they were more
   likely to have multiple sexual partners, practice receptive role in anal
   sex and use recreational drug. Conclusions App-using NcMSM are more
   likely to have sexual risk behaviours as well as risk-reduction
   behaviours such as consistent condom use and HIV testing. Scaled-up and
   innovative venue-based HIV interventions are warranted for these
   high-risk MSM frequent social venues with less condom use and fewer HIV
   tests. Meanwhile, gay app should alternatively serve as an intervention
   and education platform for the MSM hard-to-reach via venue-based
   approaches.
RI Zou, Huachun/AAU-6097-2020; Yuan, Tanwei/AAE-9987-2020; Zou, Huachun/; Yang, Zheng-Rong/
OI Zou, Huachun/0000-0002-8161-7576; Yang, Zheng-Rong/0000-0001-9284-5593
TC 8
ZR 0
ZS 0
ZA 0
ZB 3
Z8 3
Z9 11
U1 7
U2 25
SN 1368-4973
EI 1472-3263
UT WOS:000498559500006
PM 30918120
ER

PT J
AU Aminizadeh, Mohsen
   Farrokhi, Mehrdad
   Ebadi, Abbas
   Masoumi, Gholam Reza
   Kolivand, Pirhossein
   Khankeh, Hamid Reza
TI Hospital management preparedness tools in biological events: A scoping
   review
SO JOURNAL OF EDUCATION AND HEALTH PROMOTION
VL 8
IS 1
DI 10.4103/jehp.jehp_473_19
PD NOV 2019
PY 2019
AB INTRODUCTION: The objective of the present study was to systematically
   review the current research knowledge on hospital preparedness tools
   used in biological events and factors affecting hospital preparedness in
   such incidents in using a scoping review methodology. MATERIALS AND
   METHODS: The review process was conducted in accordance with the
   Preferred Reporting Items for Systematic reviews and Meta-Analyses
   extension for Scoping Reviews guideline. Online databases (PubMed,
   Scopus, Web of Science, and Google Scholar) were used to identify papers
   published that evaluated instruments or tools for hospital preparedness
   in biological disasters (such as influenza, Ebola, and bioterrorism
   events). The search, article selection, and data extraction were carried
   out by two researchers independently. RESULTS: A total of 3440 articles
   were screened, with 20 articles identified for final analysis. The
   majority of research studies identified were conducted in the United
   States (45%) and were focused on CBRN incident (20%), Ebola, infectious
   disease and bioterrorism events (15%), mass casualty incidents and
   influenza pandemic (10%), public health emergency, SARS, and biological
   events (5%). Factors that were identified in the study to hospitals
   preparedness in biological events classified in seven areas including
   planning, surge capacity, communication, training and education, medical
   management, surveillance and standard operation process. CONCLUSIONS:
   Published evidences of hospital preparedness on biological events as
   well as the overall quality of the psychometric properties of most
   studies were limited. The results of the current scoping review could be
   used as a basis for designing and developing a standard assessment tool
   for hospital preparedness in biological events, and it can also be used
   as a clear vision for the healthcare managers and policymakers in their
   future plans to confront the challenges identified by healthcare
   institutes in biologic events.
RI Ebadi, Abbas/S-3847-2018; Khankeh, Hamidreza/AAF-4581-2021; aminizadeh, mohsen/AAJ-9215-2021; farrokhi, mehrad/L-3114-2017; Kolivand, PirHossein/
OI Ebadi, Abbas/0000-0002-2911-7005; farrokhi, mehrad/0000-0003-0550-5641;
   Kolivand, PirHossein/0000-0002-0532-4130
ZA 0
ZR 0
ZS 0
ZB 0
Z8 1
TC 12
Z9 13
U1 2
U2 13
SN 2277-9531
EI 2319-6440
UT WOS:000614890800023
PM 31867398
ER

PT J
AU Courtenay, M.
   Castro-Sanchez, E.
   Gallagher, R.
   McEwen, J.
   Bulabula, A. N. H.
   Carre, Y.
   Du Toit, B.
   Figueiredo, R. M.
   Gjerde, M. E.
   Hamilton, N.
   Jorgoni, L.
   Ness, V.
   Olans, R.
   Padoveze, M. C.
   Rout, J.
   van Gulik, N.
   Van Zyl, Y.
TI Development of consensus-based international antimicrobial stewardship
   competencies for undergraduate nurse education
SO JOURNAL OF HOSPITAL INFECTION
VL 103
IS 3
BP 244
EP 250
DI 10.1016/j.jhin.2019.08.001
PD NOV 2019
PY 2019
AB Background: There is growing recognition by national and international
   policymakers of the contribution nurses make towards antimicrobial
   stewardship. Although undergraduate education provides an ideal
   opportunity to prepare nurses for antimicrobial stewardship roles and
   activities, only two-thirds of undergraduate nursing programmes
   incorporate any antimicrobial stewardship teaching and only 12% cover
   all the recommended antimicrobial stewardship principles. Nurses also
   report that they do not have a good knowledge of antibiotics, and many
   have not heard of the term antimicrobial stewardship.
   Aim: To provide international consensus on the antimicrobial stewardship
   competency descriptors appropriate for undergraduate nurse education.
   Methods: A modified Delphi approach comprising two online surveys
   delivered to an international panel of 15 individuals reflecting
   expertise in prescribing and medicines management in the education and
   practice of nurses; and antimicrobial stewardship. Data collection took
   place between February and March 2019.
   Findings: A total of 15 participants agreed to become members of the
   expert panel, of whom 13 (86%) completed round 1 questionnaire, and 13
   (100%) completed round 2. Consensus was achieved, with consistently high
   levels of agreement across panel members, on six overarching competency
   domains and 63 descriptors, essential for antimicrobial stewardship
   practice.
   Conclusion: The competency descriptors should be used to direct
   undergraduate nurse education and the antimicrobial stewardship
   practices of qualified nurses (including those working in new roles such
   as Nursing Associates) due to the high levels of agreement reached on
   competency descriptors. (C) 2019 The Healthcare Infection Society.
   Published by Elsevier Ltd. All rights reserved.
RI Castro-Sanchez, Enrique/H-7893-2019; Figueiredo, Rosely M/C-1073-2012; Bulabula, ANH/AGZ-9693-2022; Carre, Yolene/; Figueiredo, Rosely Moralez de/; Padoveze, Maria Clara/
OI Castro-Sanchez, Enrique/0000-0002-3351-9496; Bulabula,
   ANH/0000-0003-2912-4587; Carre, Yolene/0000-0002-4985-4184; Figueiredo,
   Rosely Moralez de/0000-0002-0131-4314; Padoveze, Maria
   Clara/0000-0002-1912-7293
ZA 0
Z8 0
TC 10
ZR 0
ZB 1
ZS 0
Z9 10
U1 0
U2 7
SN 0195-6701
EI 1532-2939
UT WOS:000490980200002
PM 31421195
ER

PT J
AU Casilla-Lennon, Marianne
   Motamedinia, Piruz
TI Urology in Undergraduate Medical Education
SO CURRENT UROLOGY REPORTS
VL 20
IS 11
AR 69
DI 10.1007/s11934-019-0937-x
PD NOV 2019
PY 2019
AB Purpose of Review Urology is an essential topic in undergraduate medical
   education (UME). The objective of this article is to review the current
   state of exposure to urology in medical school, to discuss why it is
   critical to maintain a urology curriculum, and to review methods in
   establishing an effective curriculum for all students with limited
   resources. Recent Findings UME curriculum in urology should be geared
   toward the widest group of students, namely those entering primary care
   or internal medicine, where patients with urologic complaints are most
   likely to first present. Hands-on teaching should focus on skills such
   as the genitourinary exam and Foley catheter placement, while ancillary
   modules should be utilized for complex concepts. Medical schools do not
   sufficiently incorporate didactics in urology as part of their core
   curriculum. As such, educators in urology must develop curricula that
   provide fundamental knowledge to all students, especially those pursuing
   non-urologic specialties who will undoubtedly treat patients with
   urologic complaints.
TC 6
ZB 3
ZS 0
ZA 0
Z8 0
ZR 0
Z9 6
U1 0
U2 1
SN 1527-2737
EI 1534-6285
UT WOS:000500187100001
PM 31606783
ER

PT J
AU Jacobs, Robin J.
   Caballero, Joshua
   Parmar, Jayesh
   Kane, Michael N.
TI The role of self-efficacy, flexibility, and gender in pharmacy students'
   health information technology readiness
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 11
IS 11
BP 1103
EP 1110
DI 10.1016/j.cptl.2019.07.016
PD NOV 2019
PY 2019
AB Introduction: Pharmacy students' characteristics and attitudes towards
   health information technology (HIT) may influence their willingness to
   learn, adopt, and utilize technology in healthcare settings. Future
   pharmacists will play a key role in the successful implementation of
   HIT, yet their technology readiness is not well understood. The goal of
   this study was to understand pharmacy students' attitudes regarding HIT
   and identify personal characteristics and psychosocial factors that
   predict their readiness to use HIT in future clinical practice.
   Methods: Using an anonymous online survey, data were collected from 148
   pharmacy students. Linear regression modeling was used to determine if
   gender, flexible thinking, and openness to using technology, and
   technology self-efficacy were associated with students' readiness to
   utilize HIT tools in future clinical practice.
   Results: Regression modeling successfully explained 15% of the variance
   in predicting students' readiness to utilize HIT tools: F(3, 144) =
   8.31, p < 0.001 with an R2 of 0.148 (adj R-2 = 0.13). Greater
   information technology self-efficacy, more openness to change (in
   academic/work settings), and being male were associated with readiness
   to utilize HIT.
   Conclusions: With the increased adoption of HIT in pharmacy practice,
   innovative approaches to HIT education are needed. Curricula that help
   students overcome obstacles to embracing technology may now be
   warranted. With enhanced training and engagement involving more than
   just didactic lessons, pharmacy students may not only feel confident in
   their ability to embrace HIT in future practice but feel professional
   satisfaction, increasing the likelihood for improved patient care and
   health system sustainability.
RI Malone, Patrick/AAT-7940-2020; Parmar, Jayesh/AAH-2809-2020; Jacobs, Robin/
OI Jacobs, Robin/0000-0001-8235-4096
TC 6
ZS 0
ZA 1
Z8 0
ZB 0
ZR 0
Z9 7
U1 2
U2 7
SN 1877-1297
EI 1877-1300
UT WOS:000499126700004
PM 31783955
ER

PT J
AU Zhang, Youjie
   Davey, Cynthia
   Larson, Nicole
   Reicks, Marla
TI Influence of parenting styles in the context of adolescents' energy
   balance-related behaviors: Findings from the FLASHE study
SO APPETITE
VL 142
AR 104364
DI 10.1016/j.appet.2019.104364
PD NOV 1 2019
PY 2019
AB Lack of compliance with dietary and activity guidelines contributes to
   the high prevalence of overweight and obesity among adolescents.
   Intervention programs need enhanced strategies to promote healthy
   lifestyle behaviors. Although adolescents have more autonomy than
   younger children, parents still play an important role in influencing
   adolescents' energy balance-related behaviors (EBRBs). Parenting style
   may have an overarching effect on adolescents' EBRBs. The purpose of
   this study was to inform improvements to the design of intervention
   programs for the parents of adolescents by examining influences of
   parenting styles on adolescents' EBRBs. The current study used data from
   the Family Life, Activity, Sun, Health, and Eating (FLASHE) Study, which
   was an online survey on factors affecting adolescents' EBRBs among a
   national sample of adolescent-parent dyads (n = 1521; aged 12-17).
   Adolescents reported parenting dimensions of responsiveness and
   demandingness as well as parenting practices related to fruit and
   vegetable intake, junk food and sugary drink intake, physical activity,
   and screen time. They also reported food intake frequencies and time
   spent in physical activity and sedentary behaviors. Moderation and
   mediation analyses found that the potential protective effect of junk
   food/sugary drink- and physical activity-related parenting practices
   were significant among non-authoritarian parents. In addition, parenting
   styles had significant associations with adolescents' EBRBs after
   adjusting for the mediation effects of corresponding parenting
   practices. These findings suggest that further research and intervention
   programs need to consider the potential influence of parenting styles on
   adolescents' EBRBs. Parenting skill education to improve the connection
   between parents and adolescents may enhance the effectiveness of healthy
   lifestyle interventions.
RI Zhang, UJ/AAX-4941-2021; Zhang, UJ/AAF-5195-2019; Larson, Nicole/; Reicks, Marla/
OI Zhang, UJ/0000-0003-4319-9809; Larson, Nicole/0000-0002-1082-6311;
   Reicks, Marla/0000-0001-6726-9408
ZS 0
ZR 0
Z8 0
ZA 0
TC 11
ZB 2
Z9 11
U1 3
U2 20
SN 0195-6663
EI 1095-8304
UT WOS:000494969000013
PM 31299191
ER

PT J
AU Haley, Samantha G.
   Tordoff, Diana M.
   Kantor, Alena Z.
   Crouch, Julia M.
   Ahrens, Kym R.
TI Sex Education for Transgender and Non-Binary Youth: Previous Experiences
   and Recommended Content
SO JOURNAL OF SEXUAL MEDICINE
VL 16
IS 11
BP 1834
EP 1848
DI 10.1016/j.jsxm.2019.08.009
PD NOV 2019
PY 2019
AB Background: Transgender and non-binary (TNB) youth face disparities in
   sexual health risks compared with cisgender peers. Comprehensive sex
   education programs have the potential to result in delayed sexual debut,
   increased condom and contraceptive use, and reduced sexual risk-taking;
   however, little research has explored the specific sex education needs
   of TNB youth.
   Aim: To use insights from TNB youth, parents of TNB youth, and
   healthcare affiliates to understand deficits in sex education
   experienced by TNB youth, and to elicit recommended content for a
   comprehensive and trans inclusive sex education curriculum.
   Methods: We conducted 21 in-depth interviews with non-minor TNB youth (n
   = 11) and with parents (n = 5) and healthcare affiliates (n = 5) of TNB
   youth recruited from Seattle Children's Gender Clinic and local TNB
   community listery readerships. Data was analyzed using theoretical
   thematic analysis.
   Outcomes: Participants described prior sex education experiences and
   content needs of TNB youth.
   Results: Participants described 5 key sources where TNB youth received
   sexual health information: school curricula, medical practitioners,
   peers, romantic partners, and online media. Inapplicability of school
   curricula and variable interactions with medical practitioners led youth
   to favor the latter sources. 8 content areas were recommended as
   important in sex education for TNB youth: puberty-related gender
   dysphoria, non-medical gender-affirming interventions, medical
   gender-affirming interventions, consent and relationships, sex and
   desire, sexually transmitted infection prevention, fertility and
   contraception, and healthcare access.
   Clinical Implications: Dependence on potentially inaccurate sex
   education sources leaves TNB youth vulnerable to negative outcomes,
   including sexually transmitted infections, pregnancy, unsanitary/unsafe
   sex toy use, and shame about their body or sexual desires.
   Strengths & Limitations: Strengths included capturing perspectives of an
   underserved population using open-ended interview questions, which
   allowed topics of greatest importance to participants to arise
   organically. Limitations included a sample size of 21 participants, and
   racial and geographic homogeneity of youth and parent participants. Only
   1 author identifies as TNB. One-on-one interview methods may have
   omitted participants who would otherwise have been willing to share
   their perspective in a more impersonal format.
   Conclusion: This study demonstrates that TNB youth have unique sex
   education needs that are not well covered in most sexual health
   curricula. Recommended content for this population includes standard sex
   education topics that require trans-inclusive framing (eg,
   contraception), topics specific to TNB youth (eg, gender-affirming
   medical interventions), and topics absent from standard curricula that
   warrant universal teaching (eg, information on consent as it relates to
   sex acts aside from penile-vaginal sex). Copyright (C) 2019, The
   Authors. Published by Elsevier Inc. on behalf of the International
   Society for Sexual Medicine.
ZA 0
TC 17
Z8 0
ZS 1
ZB 2
ZR 0
Z9 18
U1 6
U2 26
SN 1743-6095
EI 1743-6109
UT WOS:000496916300018
PM 31585806
ER

PT J
AU Ferhatoglu, Murat Ferhat
   Kartal, Abdulcabbar
   Filiz, Ali Ilker
   Kebudi, Abut
TI Comparison of New Era's Education Platforms, YouTube (R) and WebSurg
   (R), in Sleeve Gastrectomy
SO OBESITY SURGERY
VL 29
IS 11
BP 3472
EP 3477
DI 10.1007/s11695-019-04008-x
PD NOV 2019
PY 2019
AB Introduction The Internet is a widely used resource for obtaining
   medical information. However, the quality of information on online
   platforms is still debated. Our goal in this quality-controlled WebSurg
   (R) and YouTube (R)-based study was to compare these two online video
   platforms in terms of the accuracy and quality of information about
   sleeve gastrectomy videos. Methods Most viewed (popular) videos returned
   by YouTube (R) search engine in response to the keyword "sleeve
   gastrectomy" were included in the study. The educational accuracy and
   quality of the videos were evaluated according to known scoring systems.
   A novel scoring system measured technical quality. The ten most viewed
   (popular) videos in WebSurg (R) in response to the keyword "sleeve
   gastrectomy" were compared with ten YouTube (R) videos with the highest
   educational/technical scores. Results Scoring systems measuring the
   educational accuracy and quality of WebSurg (R) videos were
   significantly higher than ten YouTube (R) videos which have the most top
   technical scores (p < 0.05), and no significant difference was found in
   the assessment of ten YouTube (R) videos that have the highest technical
   ratings compared with WebSurg (R) videos (p 0.481). Conclusions WebSurg
   (R) videos, which were passed through a reviewing process and were
   mostly prepared by academicians, remained below the expected quality.
   The main limitation of WebSurg (R) and YouTube (R) is the lack of
   information on preoperative and postoperative processes.
RI Kartal, Abdulcabbar/Y-3416-2019
OI Kartal, Abdulcabbar/0000-0001-7536-3146
ZR 0
Z8 0
ZS 1
ZA 0
TC 18
ZB 1
Z9 19
U1 0
U2 1
SN 0960-8923
EI 1708-0428
UT WOS:000495797200009
PM 31172453
ER

PT J
AU Altersberger, Martin
   Pavelka, Philipp
   Sachs, Alexander
   Weber, Michael
   Wagner-Menghin, Michaela
   Prosch, Helmut
TI Student Perceptions of Instructional Ultrasound Videos as Preparation
   for a Practical Assessment
SO ULTRASOUND INTERNATIONAL OPEN
VL 5
IS 3
BP E81
EP E88
DI 10.1055/a-1024-4573
PD NOV 2019
PY 2019
AB Background Learning ultrasound early in the medical school curriculum
   helps students to understand anatomy and pathology and to perform
   defined ultrasound standard views. Instructional videos are a
   potentially valuable tool for improving the process of learning
   ultrasound skills. It was the aim of the present study to investigate
   how students perceived instructional videos as a learning aid, compared
   to other learning opportunities, in preparation for an Objective
   Structured Clinical Examination (OSCE). Materials and Methods Eleven
   concise ultrasound videos were created and implemented in the 4(th) year
   at the Medical University of Vienna. The videos illustrate the
   predefined examination process, image optimization, and nine
   standardized ultrasound views. The videos were available to be used in
   preparation for the practical ultrasound examination, which was part of
   the objective structured clinical examination. The students' perceptions
   of the instructional videos and other learning methods were surveyed
   using an online questionnaire. Results In total, 445 of 640 students
   (69.5% of the cohort) used the instructional videos. Of those students,
   134 (30%) answered the questionnaire. Of this group, 88.9% rated the
   instructional videos as very helpful (49.6% as extremely helpful). An
   ANOVA revealed a significant difference between various learning
   materials in terms of helpfulness. Post hoc analysis showed that
   instructional videos were perceived as the second most helpful learning
   material after "self-execution and feedback." Conclusion The study
   revealed that students use instructional videosfrequently and appreciate
   them as an extra tool for effective studying.
RI Prosch, Helmut/A-7619-2008
OI Prosch, Helmut/0000-0002-6119-6364
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 0
SN 2509-596X
EI 2199-7152
UT WOS:000496477100001
PM 31720557
ER

PT J
AU Dowling, Paul J.
   Kader, Rubin
   Portnoy, Jay M.
TI COLA (Conferences On-Line Allergy) at 10 Years - Evolution of an Online
   Fellowship Curriculum
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
VL 7
IS 8
BP 2568
EP 2573
DI 10.1016/j.jaip.2019.06.025
PD NOV-DEC 2019
PY 2019
AB Online learning has been present since the early days of the Internet.
   As with any new technology, users look to make their life easier and to
   save time. Experts in medical education are no different than other
   users. They want to adapt new technologies to their fullest. Medical
   educators have been challenged with keeping education interesting and up
   to date, while maximizing their resources. The challenges with any
   online educational program include being able to reach large numbers of
   learners, having content that is relevant and timely, and having it
   available thorough many different formats to suit the user. There are
   many examples of online learning programs in all fields of medicine and
   many specific to Allergy/Immunology. In this review, we describe a form
   of real-time videoconferencing referred to as Conferences On-Line
   Allergy (COLA), which was developed at Children's Mercy Hospital and
   Clinics. This program, which started as a once a month webinar, has
   transformed into a well-known curriculum used by many Allergy/Immunology
   training programs across the United States. It provides not only live
   interactive conferences but also a library of recorded lectures and
   workshops that can be used at the learner's convenience. Taking
   advantage of the generosity of many volunteer presenters, it allows
   sharing of resources and provides benefits to the Allergy/Immunology
   community. (C) 2019 American Academy of Allergy, Asthma & Immunology
ZS 0
TC 4
Z8 0
ZR 0
ZA 0
ZB 1
Z9 4
U1 1
U2 3
SN 2213-2198
EI 2213-2201
UT WOS:000495746100007
PM 31279862
ER

PT J
AU Vromans, Ruben
   Tenfelde, Kim
   Pauws, Steffen
   van Eenbergen, Mies
   Mares-Engelberts, Ingeborg
   Velikova, Galina
   van de Poll-Franse, Lonneke
   Krahmer, Emiel
TI Assessing the quality and communicative aspects of patient decision aids
   for early-stage breast cancer treatment: a systematic review
SO BREAST CANCER RESEARCH AND TREATMENT
VL 178
IS 1
BP 1
EP 15
DI 10.1007/s10549-019-05351-4
PD NOV 2019
PY 2019
AB PurposeDecision aids (DAs) support patients in shared decision-making by
   providing balanced evidence-based treatment information and eliciting
   patients' preferences. The purpose of this systematic review was to
   assess the quality and communicative aspects of DAs for women diagnosed
   with early-stage breast cancer.MethodsTwenty-one currently available
   patient DAs were identified through both published literature (MEDLINE,
   Embase, CINAHL, CENTRAL, and PsycINFO) and online sources. The DAs were
   reviewed for their quality by using the International Patient Decision
   Aid Standards (IPDAS) checklist, and subsequently assessed to what
   extent they paid attention to various communicative aspects, including
   (i) information presentation, (ii) personalization, (iii) interaction,
   (iv) information control, (v) accessibility, (vi) suitability, and (vii)
   source of information.ResultsThe quality of the DAs varied
   substantially, with many failing to comply with all components of the
   IPDAS criteria (mean IPDAS score=64%, range 31-92%). Five aids (24%) did
   not include any probability information, 10 (48%) presented multimodal
   descriptions of outcome probabilities (combining words, numbers, and
   visual aids), and only 2 (10%) provided personalized treatment outcomes
   based on patients and tumor characteristics. About half (12; 57%) used
   interaction methods for eliciting patients' preferences, 16 (76%) were
   too lengthy, and 5 (24%) were not fully accessible.ConclusionsIn
   addition to the limited adherence to the IPDAS checklist, our findings
   suggest that communicative aspects receive even less attention. Future
   patient DA developments for breast cancer treatment should include
   communicative aspects that could influence the uptake of DAs in daily
   clinical practice.
RI van de Poll, Lonneke/AAA-9509-2021; Vromans, Ruben/
OI Vromans, Ruben/0000-0001-8040-1207
ZS 0
TC 18
ZA 0
Z8 2
ZB 5
ZR 0
Z9 20
U1 1
U2 7
SN 0167-6806
EI 1573-7217
UT WOS:000491935000001
PM 31342311
ER

PT J
AU King, Mari P.
   Anson, Denis
   Kahanov, Leamor
TI Faculty Use and Perceptions of Service-Learning in Radiologic Science
   Education
SO RADIOLOGIC TECHNOLOGY
VL 91
IS 2
BP 126
EP 139
PD NOV-DEC 2019
PY 2019
AB Purpose To investigate faculty integration of service-learning into
   radiologic science curricula and its effects on faculty and students.
   Methods An online survey was distributed to radiologic science faculty
   to assess the status of service-learning in radiologic science
   education. Invitations were sent to 2351 faculty in diagnostic medical
   sonography, nuclear medicine technology, radiation therapy, and
   radiography programs. Quantitative analysis using descriptive statistics
   was performed on the raw data, and mind maps were created from responses
   to open-ended questions for qualitative analysis.
   Results A total of 444 surveys were returned, for a 19% response rate.
   Faculty who incorporated service-learning into their courses reported
   outcomes of increased professionalism, leadership, career skills,
   empathy, and community awareness. Primary deterrents for integrating
   service-learning into curricula were lack of faculty and student time
   and logistical challenges.
   Discussion The most profound professional benefits of service-learning
   reported were increased community awareness and relationships among
   faculty, community, and students. Faculty also indicated that
   service-learning improved professional effectiveness in terms of
   knowledge and application. Survey results indicated that
   service-learning provides students with experiences relevant to the
   environment they will encounter after graduation. Faculty who use
   service-learning reported additional benefits for themselves and their
   students, including having a richer understanding of the community and
   its members, which ultimately improves critical soft-skills of practice.
   Conclusion Faculty who use service-learning in their courses and those
   who plan to use it in the future reported that logistical management and
   institutional support in the form of release time (ie, counting course
   development time toward teaching load requirements) are of paramount
   importance. This type of support would help engage faculty in developing
   and maintaining service-learning coursework.
TC 0
ZS 0
Z8 0
ZB 0
ZR 0
ZA 0
Z9 0
U1 0
U2 3
SN 0033-8397
EI 1943-5657
UT WOS:000494967300004
PM 31685589
ER

PT J
AU Cline, Jared
   Duncan, David P.
   Molloy, Chris
   Zuberi, Omar S.
TI Survey of Intern Year Experiences for Those Going into Interventional
   Radiology: Comparing Surgery, Medicine and Transitional Year Internships
SO ACADEMIC RADIOLOGY
VL 26
IS 11
BP 1555
EP 1561
DI 10.1016/j.acra.2019.03.016
PD NOV 2019
PY 2019
AB Surgery, Internal Medicine, or Transition Year for Interns Going into
   Interventional Radiology: Comparison of intern year specialty in regards
   to preparation for interventional radiology (IR) with results and
   analysis of the resident, fellow, and student (RFS) survey of trainees.
   Purpose: Evaluate trainee experiences regarding internship variables
   with respect to IR preparedness.
   Materials: A questionnaire created by members of the Society of
   Interventional Radiology (SIR) RFS IR Residency Training Committee was
   distributed to RFS members at SIR 2017 conference and via an online
   survey. The anonymous survey consisted of Likert scale, dichotomous
   questions, and free response questions. Results were analyzed utilizing
   a one-way analysis of variance (ANOVA), calculation of mean, standard
   deviation (SD) and 95% confidence interval (CI).
   Results: A total of 112 residents completed the survey (47 Surgery, 33
   Medicine, 29 Transitional Year [TYD, and 3 nontraditional internships
   categorized as other (2 Pediatric, and 1 Neurosurgery). The average
   procedures performed as intern were; Surgery: 51-75, Medicine: 0-25, TY:
   25-50, Other: 25-50. Trainees who completed a surgical internship
   reported an overall higher comfort level with procedures (Mean: 4.23,
   SD: 0.81, CI: 0.21, p < 0.00001) compared to medicine interns (2.84, SD:
   1.42, CI: 0.48), and TY interns (3.03, SD: 1.48, CI: 0.55). There was no
   statistical difference between subgroups when comparing; months of night
   float, maximum consecutive hours worked, ancillary work, etc.
   Preliminary surgery residents reported a higher quality preparation for
   IR in their programs (4.3, SD: 0.93, CI: 0.27, p < 0.01) in comparison
   to Medicine (3.4, SD: 1.1, CI: 0.4), and TY residents (3.6, SD: 1.2, CI:
   0.46). Ninety-four percent of surgery residents would choose to repeat a
   surgery internship. TY residents were next likely to choose the same
   type of internship at 83%, while the remaining 17% would choose to do
   surgery year. Medicine residents were least likely to choose medicine
   again, 23/33 (70%). Surgery, TY, and then medicine residents would
   choose the same program again (83%, 79%, 75%, respectively).
   Conclusion: In alignment with SIR recommendations, the general consensus
   of trainees surveyed support that a preliminary surgery internship
   provides the greatest preparation for IR training. Surgical internships
   provided the greatest opportunity to perform procedures, corresponding
   with greater comfort levels, and self-reported better preparedness for
   future training in IR. (C) 2019 The Association of University
   Radiologists. Published by Elsevier Inc. All rights reserved.
OI Duncan, David/0000-0003-2768-576X
ZB 0
TC 4
Z8 0
ZS 0
ZA 0
ZR 0
Z9 4
U1 0
U2 1
SN 1076-6332
EI 1878-4046
UT WOS:000494051100018
PM 31064726
ER

PT J
AU Farkas, Gary J.
   Gorgey, Ashraf S.
   Dolbow, David R.
   Berg, Arthur S.
   Gater, David R.
TI Caloric Intake Relative to Total Daily Energy Expenditure Using a Spinal
   Cord Injury-Specific Correction Factor An Analysis by Level of Injury
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 11
BP 947
EP 952
DI 10.1097/PHM.0000000000001166
PD NOV 2019
PY 2019
AB Objective The aims of the study were to evaluate the influence of level
   of spinal cord injury (SCI) on caloric intake relative to total daily
   energy expenditure (TDEE) and body composition, and to develop a
   SCI-specific correction factor for the TDEE estimation. Design
   Individuals with paraplegia (PARA, n = 28) and tetraplegia (TETRA, n =
   13) were analyzed. Daily caloric intake, basal metabolic rate, and TDEE
   were obtained using dietary recall, indirect calorimetry, and prediction
   equations, respectively. Caloric intake and TDEE were adjusted to
   bodyweight. Body composition was assessed using dual-energy x-ray
   absorptiometry. Results Total caloric (PARA 1516.4 +/- 548.4, TETRA
   1619.1 +/- 564.3 kcal/d), fat (PARA 58.6 +/- 27.4, TETRA 65.8 +/- 29.7
   g), and protein (PARA 62.7 +/- 23.2, TETRA 71.5 +/- 30.9 g) intake were
   significantly higher in TETRA versus PARA (P < 0.05) when adjusted for
   bodyweight. Adjusted and unadjusted TDEE (unadjusted: PARA 1851.0 +/-
   405.3, TETRA 1530.4 +/- 640.4 kcal/d) and basal metabolic rate
   (unadjusted: PARA 1516.6 +/- 398.0, TETRA 1223.6 +/- 390.2 kcal/d) were
   significantly higher in PARA versus TETRA (P < 0.05). Bone mineral
   content (PARA 3.17 +/- 0.6, TETRA 2.71 +/- 0.5 g), lean body mass (PARA
   50.0 +/- 8.6, TETRA 40.96 +/- 8.8 kg), and regional percent body fat
   (PARA 36.45 +/- 8.0, TETRA 41.82 +/- 9.1) were different between groups
   (P < 0.05). The SCI-specific correction factor was 1.15. Conclusions A
   dichotomy exists in caloric intake, TDEE, and body composition among
   TETRA and PARA. The SCI-specific correction factor of 1.15 is a
   promising tool to estimate TDEE in SCI. To Claim CME Credits Complete
   the self-assessment activity and evaluation online at CME Objectives
   Upon completion of this article, the reader should be able to: (1)
   Understand the influence of spinal cord level of injury on energy
   expenditure and body composition; (2) Appreciate that equations used to
   estimate total daily energy expenditure overestimate energy expenditure
   in individuals with spinal cord injury; and (3) Understand the
   importance of normalizing caloric intake to bodyweight after spinal cord
   injury. Level Advanced. Accreditation The Association of Academic
   Physiatrists is accredited by the Accreditation Council for Continuing
   Medical Education to provide continuing medical education for
   physicians. The Association of Academic Physiatrists designates this
   journal-based CME activity for a maximum of 1.0 AMA PRA Category 1
   Credit(s)(TM). Physicians should only claim credit commensurate with the
   extent of their participation in the activity.
RI Farkas, Gary/AAC-5917-2021; Gorgey, Asrhaf/
OI Farkas, Gary/0000-0002-5482-6049; Gorgey, Asrhaf/0000-0002-9157-6034
ZB 2
ZR 0
TC 11
ZS 0
ZA 0
Z8 0
Z9 11
U1 2
U2 6
SN 0894-9115
EI 1537-7385
UT WOS:000494732100008
PM 30817378
ER

PT J
AU Thompson, Kristjan L.
   Gendreau, Julian L.
   Strickling, Jarred E.
   Young, Henry E.
TI Cadaveric Dissection in Relation to Problem-Based Learning Case
   Sequencing: A Report of Medical Student Musculoskeletal Examination
   Performances and Self-Confidence
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 6
BP 619
EP 626
DI 10.1002/ase.1891
PD NOV 2019
PY 2019
AB Mercer University School of Medicine utilizes a problem-based learning
   (PBL) curriculum for educating medical students in the basic clinical
   sciences. In 2014, an adjustment was piloted that enabled PBL cases to
   align with their corresponding cadaver dissection that reviewed the
   content of anatomy contained in the PBL cases. Faculty had the option of
   giving PBL cases in sequence with the cadaveric dissection schedule
   (sequential group) or maintaining PBL cases out of sequence with
   dissections (traditional group). During this adjustment, students'
   academic performances were compared. Students' perception of their own
   preparedness for cadaveric dissection, their perceived utility of the
   cadaver dissections, and free-response comments were solicited via an
   online survey. There were no statistically significant differences when
   comparing student mean examination score values between the sequential
   and traditional groups on both multidisciplinary examinations (79.39 +/-
   7.63 vs. 79.88 +/- 7.31, P = 0.738) and gross anatomy questions alone
   (78.15 +/- 10.31 vs. 79.98 +/- 9.31, P = 0.314). A statistically
   significant difference was found between the sequential group's and
   traditional group's (63% vs. 29%; P = 0.005) self-perceived preparedness
   for cadaveric dissections in the 2017 class. Analysis of free-response
   comments found that students in the traditional group believed their
   performance in PBL group, participation in PBL group and examination
   performance was adversely affected when compared to students with the
   sequential schedule. This study provides evidence that cadaveric
   dissections scheduled in sequence with PBL cases can lead to increased
   student self-confidence with learning anatomy but may not lead to
   improved examination scores.
TC 7
ZA 0
Z8 0
ZB 1
ZR 0
ZS 0
Z9 7
U1 0
U2 6
SN 1935-9772
EI 1935-9780
UT WOS:000493745600004
PM 31069967
ER

PT J
AU Mitchell, John D.
   Ku, Cindy
   Lutz, Brendan
   Shahul, Sajid
   Wong, Vanessa
   Jones, Stephanie B.
TI Customizable Curriculum to Enhance Resident Communication Skills
SO ANESTHESIA AND ANALGESIA
VL 129
IS 5
BP E155
EP E158
DI 10.1213/ANE.0000000000004084
PD NOV 2019
PY 2019
AB Communication remains challenging to teach and evaluate. We designed an
   online patient survey to assess anesthesia residents' communication
   skills from August 2014 to July 2015. In December 2014, we implemented a
   customized, simulation-based curriculum. We calculated an overall rating
   for each survey by averaging the ratings for the individual questions.
   Based on the Hodges-Lehmann 2-sample aligned rank-sum test, overall
   ratings, reported as the median (interquartile range) of residents'
   average overall ratings, differed significantly between the
   preintervention (3.86 [3.76-3.94]) and postintervention (3.91
   [3.84-3.95]) periods (P = .025). Future studies should assess the
   intervention's effectiveness and generalizability.
OI Mitchell, John/0000-0001-6087-5210
ZA 0
ZB 0
ZS 1
ZR 0
Z8 0
TC 4
Z9 5
U1 0
U2 2
SN 0003-2999
UT WOS:000490258700004
PM 30829671
ER

PT J
AU Rai, Rabjot
   Shereen, Rafik
   Protas, Matthew
   Greaney, Clara
   Brooks, Katherine N.
   Iwanaga, Joe
   Loukas, Marios
   Tubbs, R. Shane
TI Social media and cadaveric dissection: A survey study
SO CLINICAL ANATOMY
VL 32
IS 8
BP 1033
EP 1041
DI 10.1002/ca.23421
PD NOV 2019
PY 2019
AB The use of social media opens content to the general public and, as a
   result, places images of cadaveric dissection in an open forum. This
   raises the question: should the general public have access to such
   material? A survey was conducted examining whether the general public
   should have access to gross cadaveric dissection images and videos for
   educational purposes via social media. Both medical and laypersons were
   queried. Questions included in the survey considered whether images were
   too graphic, whether online cadaveric content should be age-restricted,
   and whether consent by the deceased was necessary. A link to the survey
   was accessible to 63,562 followers through the Seattle Science
   Foundation's Facebookpage for 3 weeks. Among 300 responders, 89%
   (267/300) agreed that portrayals of cadaveric specimens/dissection on
   social media should be accessible by the general public for anatomical
   education, and 84.67% (254/300) stated that cadaveric dissection is not
   too graphic for untrained eyes. There was agreement by 60.33% (181/300)
   that an age restriction should be in place for the viewing of cadaveric
   dissection on social media, and 39.33% (253/300) of responders suggested
   restriction to 18 years and older. No statistically significant
   association was noted between a prior or current history of anatomy
   education and the frequency of positive responses to the survey
   questions. Social media is an innovative tool for dispensing anatomical
   education. The use of cadaveric images and videos provides accessibility
   to the general public who wish to learn more about human anatomy and
   their own body. Clin. Anat. 32:1033-1041, 2019. (c) 2019 Wiley
   Periodicals, Inc.
RI Iwanaga, Joe/ABC-7040-2021
OI Iwanaga, Joe/0000-0002-8502-7952
TC 6
ZR 0
ZA 0
Z8 0
ZB 1
ZS 0
Z9 6
U1 0
U2 4
SN 0897-3806
EI 1098-2353
UT WOS:000492207700005
PM 31177571
ER

PT J
AU Sardana, Aayushi
   Kapani, Nisha
   Gu, Alex
   Petersen, Scott M.
   Gimovsky, Alexis C.
TI Why is applying to fellowship so difficult?
SO AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
VL 1
IS 4
AR 100042
DI 10.1016/j.ajogmf.2019.100042
PD NOV 2019
PY 2019
AB THE PROBLEM: The fellowship application process is a stressful time for
   both applicants and institutions; difficulty accessing pertinent program
   information can lead to increased emotional, financial, and
   administrative pressure.
   A SOLUTION: Further centralization of fellowship program information on
   the Society for Maternal Fetal Medicine (SMFM) website could make the
   application process more efficient and less taxing for both applicants
   and institutions because information would be more readably available
   and website upkeep would not be necessary.
OI Gu, Alex/0000-0002-4814-0796; Sardana, Aayushi/0000-0003-1227-6138;
   Gimovsky, Alexis/0000-0002-9358-8995
Z8 0
TC 0
ZB 0
ZR 0
ZS 0
ZA 0
Z9 0
U1 0
U2 0
SN 2589-9333
UT WOS:000658205200005
PM 33345837
ER

PT J
AU Teall, Alice M.
   Graham, Margaret
   Jenkins, Nathan
   Ali, Awais
   Pryba, John
   Overcash, Janine
TI Faculty Perceptions of Engaging Students in Active Learning to Address
   Implicit Bias Using Videos Exemplifying the Prenatal Visit of a Lesbian
   Couple
SO JOURNAL OF TRANSCULTURAL NURSING
VL 30
IS 6
BP 616
EP 626
DI 10.1177/1043659619828109
PD NOV 2019
PY 2019
AB Introduction: Implicit bias affects patient-nurse interactions and care
   management decisions. The purpose of this educational project was to
   explore faculty perceptions of engaging students in active learning to
   address implicit bias using videos vignettes. Method: Three videos were
   created with a corresponding instructor guide. The vignettes depicted
   insensitive behaviors, best practice clinical interactions, and a
   reflection about bias in health care. Faculty who implemented the active
   learning strategy were invited to complete an online, confidential
   survey regarding their perceptions. Results: Most faculty (83%) agreed
   that students benefit from discussing implicit bias using an active
   learning approach. All faculty (N = 12) believed the videos and
   instructor guide to be effective tools in creating meaningful
   discussion. Discussion: Video vignettes illustrating insensitive
   behaviors and demonstrating best practice enable faculty to actively
   engage students in addressing the impact of implicit bias. Educational
   strategies intended to ensure equitable care are indicated to support
   positive patient outcomes.
RI Teall, Alice M/AAN-9835-2021; Pryba, John/
OI Teall, Alice M/0000-0003-3706-6399; Pryba, John/0000-0002-5064-3229
ZR 0
Z8 0
TC 2
ZB 0
ZS 0
ZA 0
Z9 2
U1 0
U2 2
SN 1043-6596
EI 1552-7832
UT WOS:000489064800010
PM 30739554
ER

PT J
AU Nelson, Kimberly M.
   Perry, Nicholas S.
   Carey, Michael P.
TI Sexually Explicit Media Use Among 14-17-Year-Old Sexual Minority Males
   in the US
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 48
IS 8
BP 2345
EP 2355
DI 10.1007/s10508-019-01501-3
PD NOV 2019
PY 2019
AB Adolescent sexual minority males (ASMM; < 18 years old) do not typically
   receive sexual education that addresses male-male relationships from
   traditional sources (i.e., school, parents). Therefore, many rely on
   sexually explicit online media (SEOM; i.e., pornography) to find sexual
   health information. The current study describes SEOM use by ASMM in the
   U.S. and examined the association between exposure to condomless anal
   sex (CAS) in SEOM and engagement in CAS. In 2017, ASMM (N = 206; M age =
   16, range: 14-17; 51% racial/ethnic minorities) from across the U.S.
   completed an online sexual health survey, including questions about SEOM
   use and sexual behaviors. Most (86%) reported that they had viewed SEOM.
   Engagement with SEOM was frequent (86% reported viewing >= one time per
   week) and lengthy (70% reported viewing for >= 15 min per session).
   Youth perceived that SEOM influenced how they, and other ASMM, think and
   behave sexually. Further, exposure to risky sexual behavior in SEOM
   appeared to be associated with youths' dyadic sexual behavior. To
   support the healthy sexual development of ASMM, it is important to
   acknowledge the near-universal use of SEOM by ASMM, to identify ways to
   maximize its potential value, and to minimize potential harms.
OI Nelson, Kimberly/0000-0001-8893-5764
ZR 0
TC 11
ZA 0
ZB 0
Z8 0
ZS 2
Z9 11
U1 1
U2 16
SN 0004-0002
EI 1573-2800
UT WOS:000487552800013
PM 31506866
ER

PT J
AU Yorkgitis, Brian K.
   Paffett, Cole
   Brat, Gabriel A.
   Crandall, Marie
TI Effect of Surgery-Specific Opioid-Prescribing Education in a Safety-Net
   Hospital
SO JOURNAL OF SURGICAL RESEARCH
VL 243
BP 71
EP 74
DI 10.1016/j.jss.2019.05.003
PD NOV 2019
PY 2019
AB Background: As the nation works to improve the opioid epidemic, safer
   opioid prescribing is needed. Prescriber education is one method to
   assist with this aim. To gauge current surgical residents' opioid
   prescribing practices at a safety-net hospital, an evaluation was
   completed before a general surgery-specific opioid prescribing education
   (OPE) session. The effectiveness of this OPE was measured through a
   postparticipation evaluation.
   Methods: A voluntary, anonymous evaluation immediately before and after
   a one-hour OPE session was performed at an urban safety-net hospital.
   Descriptive statistics and Student's t-test comparisons of means were
   performed to analyze the results.
   Results: Twenty-three residents completed the surveys. Eleven (47.8%)
   completed prior OPE with the most common modality being online (7,
   63.6%). No participant performed an opioid risk assessment before
   prescribing opioids. More than half of the residents (14, 60.9%) never
   used the prescription drug monitoring program. Less than 1/3 (7, 30.4%)
   used preoperative gabinoids (gabapentin or pregabalin) for elective
   surgeries. Only two residents provided information on unused opioid
   disposal. After the OPE, the participants were more likely to prescribe
   preoperative gabinoids (7 versus 21, P < 0.001). The mean opioid pills
   prescribed for laparoscopic cholecystectomy, open inguinal hernia
   repair, laparoscopic ventral hernia repair, and laparoscopic
   appendectomy were reduced by 2.6 (14.2%, P = 0.23), 3.7 (18.9%, P =
   0.07), 2.6 (13.1%, P = 0.23), and 1.1 (7.3%, P = 0.60) pills,
   respectively.
   Conclusion: A short OPE delivered to surgical residents at a safety-net
   hospital significantly improved the use of preoperative gabinoids.
   Although the pill count reductions after the OPE were not statistically
   significant, there was a consistent reduction in amount of opiates
   prescribed after the OPE. However, clinical significance is important,
   as a reduction in any amount of opioid medication can help deter misuse
   and diversion. This suggests resident surgeons could participate in a
   specialty-specific OPE to improve opioid prescribing. (C) 2019 Elsevier
   Inc. All rights reserved.
OI Crandall, Marie/0000-0002-6536-3123
ZR 0
ZB 4
TC 10
ZS 0
ZA 0
Z8 0
Z9 10
U1 1
U2 9
SN 0022-4804
EI 1095-8673
UT WOS:000488045900013
PM 31158726
ER

PT J
AU Stukus, David R.
TI How Dr Google Is Impacting Parental Medical Decision Making
SO IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA
VL 39
IS 4
BP 583
EP +
DI 10.1016/j.iac.2019.07.011
PD NOV 2019
PY 2019
AB The Internet has forever changed the manner in which we communicate with
   one another and gather information. Patients and the general public are
   using online search engines to look for information pertaining to their
   own health as well as the health of friends and relatives.
   Unfortunately, the information they encounter is often incorrect and
   potentially harmful. Many of the sites offering misinformation directly
   profit by selling nonvali-dated tests or treatment options. More than
   ever, it is important for medical professionals to be aware of the
   misinformation their patients are encountering online and develop
   conversations to address this during individual encounters.
ZR 0
TC 15
ZA 0
ZB 3
Z8 0
ZS 0
Z9 15
U1 1
U2 7
SN 0889-8561
EI 1557-8607
UT WOS:000489677500014
PM 31563191
ER

PT J
AU Sawyer, Susan M.
   McNeil, Robyn
   Francis, Kate L.
   Matskarofski, Juliet Z.
   Patton, George C.
   Bhutta, Zulfigar A.
   Esangbedo, Dorothy O.
   Klein, Jonathan D.
TI The age of paediatrics
SO LANCET CHILD & ADOLESCENT HEALTH
VL 3
IS 11
BP 822
EP 830
DI 10.1016/S2352-4642(19)30266-4
PD NOV 2019
PY 2019
AB The epidemiological transition towards non-communicable diseases is
   characterised by an upward shift in age of disease burden across the
   lifecourse. One response, within a suite of wider actions, would be to
   extend the upper age limit of paediatric practice to embrace adolescent
   health. We did an online survey to explore the upper age limit of
   paediatric care, obtaining responses from 1372 paediatricians in 115
   countries. Marked variation in the upper age limit was apparent. Among
   high-income countries, a higher upper age limit was associated with
   greater disease burden in adolescents relative to young children (<5
   years). Although paediatricians reported the mean upper age limit of
   paediatrics had risen over the past 20 years, the mean preferred age of
   18.7 (SD 2.6) years was higher than the mean current age of 17.4 (SD
   2.5) years (p<0.0001). Paediatricians reported the main reasons for the
   rising age over time was their greater awareness of adolescent health
   and leadership by professional associations. Reports of the quality of
   adolescent health education within national paediatric training suggest
   that this education is largely inadequate. A greater focus on adolescent
   health is required within paediatrics to ensure that the future
   paediatric workforce is appropriately equipped to respond to the
   changing disease burden across childhood and adolescence.
RI Patton, George C/B-5246-2013; Bhutta, Zulfiqar/L-7822-2015; Francis, Kate/K-2679-2015; Klein, Jonathan/
OI Patton, George C/0000-0001-5039-8326; Bhutta,
   Zulfiqar/0000-0003-0637-599X; Francis, Kate/0000-0002-1751-5313; Klein,
   Jonathan/0000-0003-4185-1998
TC 22
ZA 0
ZB 3
ZR 0
ZS 0
Z8 0
Z9 22
U1 0
U2 1
SN 2352-4642
UT WOS:000489524200018
PM 31542355
ER

PT J
AU Famuyide, Mobolaji
   Compretta, Caroline
   Ellis, Melanie
TI Neonatal nurse practitioner ethics knowledge and attitudes
SO NURSING ETHICS
VL 26
IS 7-8
BP 2247
EP 2258
DI 10.1177/0969733018800772
PD NOV 2019
PY 2019
AB Background: Neonatal nurse practitioners have become the frontline staff
   exposed to a myriad of ethical issues that arise in the day-to-day
   environment of the neonatal intensive care unit. However, ethics
   competency at the time of graduation and after years of practice has not
   been described. Research aim: To examine the ethics knowledge base of
   neonatal nurse practitioners as this knowledge relates to decision
   making in the neonatal intensive care unit and to determine whether this
   knowledge is reflected in attitudes toward ethical dilemmas in the
   neonatal intensive care unit. Research design: This was a prospective
   cohort study that examined decision making at the threshold of
   viability, life-sustaining therapies for sick neonates, and a ranking of
   the five most impactful ethical issues. Participants and research
   context: All 47 neonatal nurse practitioners who had an active license
   in the State of Mississippi were contacted via e-mail. Surveys were
   completed online using Survey Monkey software. Ethical considerations:
   The study was approved by the University of Mississippi Medical Center
   Institutional Review Board (IRB; #2015-0189). Findings: Of the neonatal
   nurse practitioners who completed the survey, 87.5% stated that their
   religious practices affected their ethical decision making and 76% felt
   that decisions regarding life-sustaining treatment for a neonate should
   not involve consultation with the hospital's legal team or risk
   management. Only 11% indicated that the consent process involved patient
   understanding of possible procedures. Participating in the continuation
   or escalation of care for infants at the threshold of viability was the
   top ethical issue encountered by neonatal nurse practitioners.
   Discussion: Our findings reflect deficiencies in the neonatal nurse
   practitioner knowledge base concerning ethical decision making, informed
   consent/permission, and the continuation/escalation of care. Conclusion:
   In addition to continuing education highlighting ethics concepts,
   exploring the influence of religion in making decisions and knowing the
   most prominent dilemmas faced by neonatal nurse practitioners in the
   neonatal intensive care unit may lead to insights into potential
   solutions.
RI Famuyide, Mobolaji/Y-3584-2019
ZA 0
Z8 0
ZS 0
TC 3
ZB 1
ZR 0
Z9 3
U1 0
U2 13
SN 0969-7330
EI 1477-0989
UT WOS:000486024000032
PM 30319013
ER

PT J
AU Fino, Edita
   Agostini, Alessandro
   Mazzetti, Michela
   Colonnello, Valentina
   Caponera, Elisa
   Russo, Paolo Maria
TI There Is a Limit to Your Openness: Mental Illness Stigma Mediates
   Effects of Individual Traits on Preference for Psychiatry Specialty
SO FRONTIERS IN PSYCHIATRY
VL 10
AR 775
DI 10.3389/fpsyt.2019.00775
PD OCT 30 2019
PY 2019
AB Objective: The widening gap between the need for mental health
   professionals and the low percentages of medical students pursuing a
   psychiatric career urges an examination of how individual traits, stigma
   attitudes, and related intended behaviors interact to better explain the
   variance in preferences for psychiatry as a specialty choice. Methods:
   Participants were second-year, preclinical medical students at Bologna
   University, Italy. The study consisted in completion of an online
   questionnaire evaluating preferences for the psychiatry specialty (one
   single item and a scenario-based response), personality traits (the Big
   Five Questionnaire), attitudes (Mental Illness for Clinicians' Attitude
   scale), behaviors (Reported and Intended Behavior Scale), and fears
   toward mental illness (questionnaire created ad hoc). Sociodemographic
   data were also collected. Results: A total of 284 medical students
   [58.8% female, mean (SD) age 20.47 +/- 1.90] completed the
   questionnaire. Preference for the psychiatry specialty was significantly
   and positively associated with openness to experience and negatively
   related with Mental Illness for Clinicians' Attitude scale and Reported
   and Intended Behavior Scale. The full-mediation model provided good
   indices explaining 18% of the variance. Mental illness stigma was
   strongly and negatively associated with both openness to experience and
   preference for psychiatry, and the mediation results evidenced a
   positive and significant effect. Conclusions: Mental illness stigma
   influences medical students' choice of psychiatry as a specialty,
   accounting for the effects of the openness to experience trait. Stigma
   awareness and reduction programs should be introduced as early as
   possible in medical education.
RI Fino, Edita/AAO-5287-2021; Colonnello, Valentina/AAO-6702-2021; Mazzetti, Michela/AAC-1066-2022; Russo, Paolo/AAO-5351-2021; MAZZETTI, MICHELA/; Caponera, Elisa/; Colonnello, Valentina/; Agostini, Alessandro/; RUSSO, PAOLO MARIA/
OI Fino, Edita/0000-0001-8904-9086; MAZZETTI, MICHELA/0000-0001-9881-7825;
   Caponera, Elisa/0000-0003-3266-0372; Colonnello,
   Valentina/0000-0002-4204-7312; Agostini, Alessandro/0000-0002-3156-9967;
   RUSSO, PAOLO MARIA/0000-0002-0575-5360
ZS 0
ZA 0
Z8 0
ZB 0
TC 5
ZR 0
Z9 5
U1 0
U2 5
SN 1664-0640
UT WOS:000497414000001
PM 31736797
ER

PT J
AU Hessissen, Laila
   Patte, Catherine
   Martelli, Helene
   Coze, Carole
   Howard, Scott C.
   Kili, Amina
   Gagnepain-Lacheteau, Anne
   Harif, Mhamed
TI African School of Pediatric Oncology Initiative: Implementation of a
   Pediatric Oncology Diploma Program to Address Critical Workforce
   Shortages in French-Speaking Africa
SO JOURNAL OF GLOBAL ONCOLOGY
VL 5
DI 10.1200/JGO.19.00161
PD OCT 28 2019
PY 2019
AB PURPOSE In 2012, the French African Pediatric Oncology Group established
   the African School of Pediatric Oncology (EAOP), a training program
   supported by the Sanofi Espoir Foundation's My Child Matters program. As
   part of the EAOP, the pediatric oncology training diploma is a 1-year
   intensive training program. We present this training and certification
   program as a model for subspecialty training for low- and middle-income
   countries.
   METHODS A 14-member committee of multidisciplinary experts finalized a
   curriculum patterned on the French model Diplome Inter-Universitaire
   d'Oncologie Pediatrique. The program trained per year 15 to 25 physician
   participants committed to returning to their home country to work at
   their parent institutions. Training included didactic lectures, both in
   person and online; an onsite practicum; and a research project.
   Evaluation included participant evaluation and feedback on the
   effectiveness and quality of training.
   RESULTS The first cohort began in October 2014, and by January 2019, 72
   participants from three cohorts had been trained. Of the first 72
   trainees from 19 French-speaking African countries, 55 (76%) graduated
   and returned to their countries of origin. Four new pediatric oncology
   units have been established in Niger, Benin, Central African Republic,
   and Gabon by the graduates. Sixty-six participants registered on the
   e-learning platform and continue their education through the EAOP Web
   site.
   CONCLUSION This training model rapidly increased the pool of qualified
   pediatric oncology professionals in French-speaking countries of Africa.
   It is feasible and scalable but requires sustained funding and ongoing
   mentoring of graduates to maximize its impact. (C) 2019 by American
   Society of Clinical Oncology
RI Harif, Mhamed/AAZ-5628-2021
ZR 0
ZS 0
TC 10
ZA 0
ZB 3
Z8 0
Z9 10
U1 0
U2 1
SN 2378-9506
UT WOS:000588731500001
PM 31657980
ER

PT J
AU Madhavan, Sarina
   Bullis, Emily
   Myers, Rachel
   Zhou, Chris J.
   Cai, Elise M.
   Sharma, Anu
   Bhatia, Shreya
   Orlando, Lori A.
   Haga, Susanne B.
TI Awareness of family health history in a predominantly young adult
   population
SO PLOS ONE
VL 14
IS 10
AR e0224283
DI 10.1371/journal.pone.0224283
PD OCT 25 2019
PY 2019
AB Family health history (FHH) is a key predictor of health risk and is
   universally important in preventive care. However, patients may not be
   aware of the importance of FHH, and thus, may fail to accurately or
   completely share FHH with health providers, thereby limiting its
   utility. In this study, we conducted an online survey of 294 young
   adults and employees based at a US university setting regarding their
   knowledge, sharing behaviors, and perceived importance of FHH, and use
   of electronic clinical tools to document and update FHH. We also
   evaluated two educational interventions (written and video) to promote
   knowledge about FHH and its importance to health. We found that 93% of
   respondents were highly aware of their FHH, though only 39% reported
   collecting it and 4% using an online FHH tool. Seventy-three percent of
   respondents, particularly women, had shared FHH with their doctor when
   prompted, and fewer had shared it with family members. Participants in
   the video group were significantly more likely to understand the
   benefits of FHH than those in the written group (p = 0.02). In summary,
   educational resources, either video or written, will be helpful to
   promote FHH collection, sharing, and use of online FHH tools.
OI Orlando, Lori/0000-0003-2534-7855; Bhatia, Shreya/0000-0002-3661-7438;
   Cai, Elise/0000-0002-6650-8208
ZA 0
ZS 0
TC 7
ZR 0
Z8 0
ZB 4
Z9 7
U1 0
U2 1
SN 1932-6203
UT WOS:000532638300018
PM 31652289
ER

PT J
AU Prochazkova, Kamila
   Novotny, Petr
   Hancarova, Miroslava
   Prchalova, Darina
   Sedlacek, Zdenek
TI Teaching a difficult topic using a problem-based concept resembling a
   computer game: development and evaluation of an e-learning application
   for medical molecular genetics
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 390
DI 10.1186/s12909-019-1817-2
PD OCT 24 2019
PY 2019
AB Background Genetic testing rapidly penetrates into all medical
   specialties and medical students must acquire skills in this area.
   However, many of them consider it difficult. Furthermore, many find
   these topics less appealing and not connected to their future
   specialization in different fields of clinical medicine. Student-centred
   strategies such as problem-based learning, gamification and the use of
   real data can increase the appeal of a difficult topic such as genetic
   testing, a field at the crossroads of genetics, molecular biology and
   bioinformatics. Methods We designed an electronic teaching application
   which students registered in the undergraduate Medical Biology course
   can access online. A study was carried out to assess the influence of
   implementation of the new method. We performed pretest/posttest
   evaluation and analyzed the results using the sign test with median
   values. We also collected students' personal comments. Results The newly
   developed interactive application simulates the process of molecular
   genetic diagnostics of a hereditary disorder in a family. Thirteen tasks
   guide students through clinical and laboratory steps needed to reach the
   final diagnosis. Genetics and genomics are fields strongly dependent on
   electronic databases and computer-based data analysis tools. The tasks
   employ publicly available internet bioinformatic resources used
   routinely in medical genetics departments worldwide. Authenticity is
   assured by the use of modified and de-identified clinical and laboratory
   data from real families analyzed in our previous research projects. Each
   task contains links to databases and data processing tools needed to
   solve the task, and an answer box. If the entered answer is correct, the
   system allows the user to proceed to the next task. The solving of
   consecutive tasks arranged into a single narrative resembles a computer
   game, making the concept appealing. There was a statistically
   significant improvement of knowledge and skills after the practical
   class, and most comments on the application were positive. A demo
   version is available at . Full version is available on request from the
   authors. Conclusions Our concept proved to be appealing to the students
   and effective in teaching medical molecular genetics. It can be modified
   for training in the use of electronic information resources in other
   medical specialties.
RI Novotný, Petr/J-3350-2013; Hancarova, Miroslava/
OI Novotný, Petr/0000-0002-9655-6278; Hancarova,
   Miroslava/0000-0001-6772-8862
ZR 0
Z8 0
ZS 0
ZA 0
TC 7
ZB 0
Z9 7
U1 3
U2 19
EI 1472-6920
UT WOS:000492858800001
PM 31651301
ER

PT J
AU Senft, Emmanuel
   Lemaignan, Severin
   Baxter, Paul E.
   Bartlett, Madeleine
   Belpaeme, Tony
TI Teaching robots social autonomy from in situ human guidance
SO SCIENCE ROBOTICS
VL 4
IS 35
AR eaat1186
DI 10.1126/scirobotics.aat1186
PD OCT 23 2019
PY 2019
AB Striking the right balance between robot autonomy and human control is a
   core challenge in social robotics, in both technical and ethical terms.
   On the one hand, extended robot autonomy offers the potential for
   increased human productivity and for the off-loading of physical and
   cognitive tasks. On the other hand, making the most of human technical
   and social expertise, as well as maintaining accountability, is highly
   desirable. This is particularly relevant in domains such as medical
   therapy and education, where social robots hold substantial promise, but
   where there is a high cost to poorly performing autonomous systems,
   compounded by ethical concerns. We present a field study in which we
   evaluate SPARC (supervised progressively autonomous robot competencies),
   an innovative approach addressing this challenge whereby a robot
   progressively learns appropriate autonomous behavior from in situ human
   demonstrations and guidance. Using online machine learning techniques,
   we demonstrate that the robot could effectively acquire legible and
   congruent social policies in a high-dimensional child-tutoring situation
   needing only a limited number of demonstrations while preserving human
   supervision whenever desirable. By exploiting human expertise, our
   technique enables rapid learning of autonomous social and
   domain-specific policies in complex and nondeterministic environments.
   Last, we underline the generic properties of SPARC and discuss how this
   paradigm is relevant to a broad range of difficult human-robot
   interaction scenarios.
RI Belpaeme, Tony/AAR-8743-2020; Baxter, Paul/; Lemaignan, Severin/; Senft, Emmanuel/
OI Belpaeme, Tony/0000-0001-5207-7745; Baxter, Paul/0000-0002-7299-9234;
   Lemaignan, Severin/0000-0002-3391-8876; Senft,
   Emmanuel/0000-0001-7160-4352
ZA 0
ZB 0
TC 11
Z8 0
ZS 0
ZR 0
Z9 11
U1 2
U2 34
SN 2470-9476
UT WOS:000492725900001
PM 33137729
ER

PT J
AU Clarke, Eric
   Burns, Jane
   Bruen, Catherine
   Crehan, Martina
   Smyth, Erica
   Pawlikowska, Teresa
TI The 'connectaholic' behind the curtain: medical student use of computer
   devices in the clinical setting and the influence of patients
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 376
DI 10.1186/s12909-019-1811-8
PD OCT 17 2019
PY 2019
AB Background The use of mobile devices such as tablets and laptops by
   students to support their learning is now ubiquitous. The clinical
   setting is an environment, which lends itself to the use of mobile
   devices as students are exposed to novel clinical scenarios that may
   require rapid location of information to address knowledge gaps. It is
   unknown what preferences students have for these devices and how they
   are used in the clinical environment. Methods In this study we explored
   medical students' choices and their use of different devices in their
   first year of clinical attachments. We sought to evaluate learners'
   experiences with these devices using a mixed methods approach. All
   students newly entered into the clinical years were given the option of
   a MacBook Air or iPad. We surveyed these students using an online survey
   tool followed by individual semi-structured interviews to explore survey
   findings in more depth. Results Students owned a multitude of devices
   however their preferences were for the 11 in. MacBook Air Laptop over
   the iPad mini. Students made constant use of online information to
   support their clinical learning, however three major themes emerged from
   the interview data: connection and devices (diverse personal ownership
   of technology by students and how this is applied to source educational
   materials), influence and interaction with patients (use of any device
   in a clinical setting) and influence and interaction with staff. In
   general students preferred to use their device in the absence of
   patients however context had a significant influence. Conclusions These
   mobile devices were useful in the clinical setting by allowing access to
   online educational material. However, the presence of patients, and the
   behaviour of senior teaching staff significantly influenced their
   utilisation by students. Understanding the preferences of students for
   devices and how they use their preferred devices can help inform
   educational policy and maximise the learning from online educational
   content.
RI Bruen, Catherine/AAM-1982-2020; Burns, Jane/AAO-3101-2020; Smyth, Erica/; Clarke, Eric/
OI Bruen, Catherine/0000-0001-7115-1613; Burns, Jane/0000-0001-8708-5083;
   Smyth, Erica/0000-0002-8715-674X; Clarke, Eric/0000-0003-0375-6797
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
TC 4
Z9 4
U1 0
U2 2
EI 1472-6920
UT WOS:000490970800001
PM 31623637
ER

PT J
AU Tomlinson-Leah, Kirsty
   Sweatman, James
TI Investigating the supply and use of medical photographs in medical
   education
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 42
IS 4
BP 169
EP 181
DI 10.1080/17453054.2019.1657771
EA OCT 2019
PD OCT 2 2019
PY 2019
AB A survey-based exploration into the production and use of medical
   photographs in medical education. Qualitative data were collected on the
   use of medical photographs in medical education, ease of access to
   images and the qualities expected of a medical photograph used for
   teaching purposes. Our sample included participants from three
   stakeholder groups: medical students (n?=?45), medical educators (n?=?6)
   and medical photographers (n?=?11). Our data demonstrate that while use
   of medical images in clinical education is highly valued, user awareness
   of the role and value of medical illustration departments (MIDs) remains
   a barrier to use. Seventy-one percent of students had little or no
   awareness of the role of MIDs. Ninety-three percent of students and 66%
   of medical educators had never used a MID, opting instead to use
   open-access search engines and online specialist archives. Thematic
   analysis of the data revealed that stakeholders? priorities with regard
   to medical images centre on image quality, clarity and contextual
   information. This presents a key opportunity for MIDs to realign their
   services to meet user needs in this area. Further investigation is
   required to determine how to raise awareness of MIDs amongst users to
   deliver on this opportunity.
OI Sweatman, James/0000-0002-6012-4297
ZA 0
TC 2
ZR 0
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 1
SN 1745-3054
EI 1745-3062
UT WOS:000491000100001
PM 31619087
ER

PT J
AU Madar, Petru C.
   Petre, Oana
   Baban, Adriana
   Dumitrascu, Dan L.
TI Medical students' perception on fecal microbiota transplantation
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 368
DI 10.1186/s12909-019-1804-7
PD OCT 11 2019
PY 2019
AB Background Fecal microbiota transplantation (FMT) has become an emergent
   method in the therapy of several intestinal diseases, mainly in
   Clostridium difficile recurrence. The training of FMT in medical schools
   is at its beginning and in countries where FMT is only occasionally
   carried out, it is important to know the perception of medical students
   on FMT. Methods We undertook a survey of 3rd year medical students not
   exposed to official academic information on FMT in order to find out
   their knowledge, beliefs and attitude toward FMT. A number of 80
   students were asked to fill a dedicated online questionnaire. Results 52
   out of 80 third year medical students anonymously filled the
   questionnaire (65% response rate). 34% of respondents reported to have
   at least a medium level of knowledge regarding FMT. The top indication
   for FMT identified by 76.9% was C. difficile infection; however, 60%
   believed FMT to be a promising therapy for a high number of conditions
   and while almost all respondents (98.1%) would recommend it, 88.4% would
   explore other options first. Colonoscopy was considered the optimal
   method of delivery by 42.3%. Only 39% of participants believed that
   patients would accept FMT, however 71% considered that a more socially
   acceptable name for the procedure and anonymous donors would increase
   acceptance rate. The risk of transmitting a disease undetected by donor
   stool screening procedures to the recipient was the most worrying side
   effect considered by 75% of respondents. 54% believed that more research
   is required for FMT to enter clinical practice and 55.7% of respondents
   would enroll patients in controlled clinical trials. Conclusions Medical
   students not exposed to educational information on FMT seem to be
   somewhat well informed about this method and would recommend it to their
   patients. Students, however, need to know more on the indications of
   FMT.
RI PETRE, OANA ALEXANDRA/AAL-1607-2021; Madar, Petru Cosmin/AAF-5286-2019
OI Madar, Petru Cosmin/0000-0001-8390-7828
Z8 1
ZB 1
ZS 0
TC 6
ZR 0
ZA 0
Z9 7
U1 1
U2 6
EI 1472-6920
UT WOS:000489861200001
PM 31601212
ER

PT J
AU Garcia, Amandine
   Boffi, Sascha Moore
   Gayet-Ageron, Angele
   Vernaz, Nathalie
TI Access to unauthorized hepatitis C generics: Perception and knowledge of
   physicians, pharmacists, patients and non-healthcare professionals
SO PLOS ONE
VL 14
IS 10
AR e0223649
DI 10.1371/journal.pone.0223649
PD OCT 10 2019
PY 2019
AB Objectives
   Hepatitis C virus (HCV) causes both acute and chronic infection, which
   can potentially develop into cirrhosis and liver cancer. Healthcare
   systems are struggling to finance costly direct-acting antiviral agents
   through public funding for uninsured patients, despite the unprecedented
   high cure rates of these agents. Vulnerable populations are at higher
   risk of HCV infection. The personal importation scheme is based on the
   legal right to import any unauthorized generics for personal use. This
   study was designed to assess the knowledge and perceptions of
   stakeholders on unauthorized generics.
   Methods
   We conducted an anonymous online survey based on the fictitious
   situation of a patient diagnosed with HCV who lacked mandatory health
   insurance and personal financial resources.
   Results
   We obtained a sample of 781 respondents: 445 physicians, 77 pharmacists,
   51 patients and 207 non-healthcare professionals. We found that only 36%
   and 58% of respondents believe that the quality and efficacy,
   respectively, of unauthorized generics are equivalent to their
   corresponding brand. An overwhelming majority (98%) favoured quality
   control upon arrival, and 31% felt they could recognize fraudulent
   websites. A total of 79% expressed support for financial assistance for
   vulnerable patients, and support among physicians was 83%.
   Conclusions
   Overall, the limited knowledge of the efficacy and quality of
   unauthorized generics, despite evidence in peer-reviewed literature,
   contrasts with the overwhelmingly positive attitudes toward financial
   assistance for personal import. This finding emphasizes the need for
   clearer information on imported generics and the potential safety
   provided by buyers' club schemes to complete the WHO agenda of
   eradicating viral hepatitis by 2030 within otherwise excluded vulnerable
   populations.
OI Vernaz, Nathalie/0000-0002-1371-5510; Gayet-Ageron,
   Angele/0000-0002-6164-9693
ZR 0
TC 2
ZB 2
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 1
SN 1932-6203
UT WOS:000532467000106
PM 31600328
ER

PT J
AU Huang, Kaiyong
   Abdullah, Abu S.
   Ma, Zhenyu
   Urmi, Dilshat S.
   He, Huimin
   Quintiliani, Lisa
   Friedman, Robert H.
   Yang, Jun
   Yang, Li
TI Attitudes of Chinese health sciences postgraduate students' to the use
   of information and communication technology in global health research
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 367
DI 10.1186/s12909-019-1785-6
PD OCT 9 2019
PY 2019
AB Background: Information and communications technology (ICT) has been
   suggested as an important tool for improving global health education and
   building research capacity in developing countries. However, the
   existing curricula do not have adequate emphasis on global health
   research and training. This study was carried out to examine health
   sciences postgraduates' attitudes and practices regarding curriculum for
   ICT use in global health research and training in China.
   Methods: A cross-sectional study was conducted among health sciences
   postgraduates from six universities in southern China, during December
   2016 to March 2017. A self-administered online questionnaire was used to
   collect data through an online survey platform. Data were analyzed using
   SPSS for Windows 13.0.
   Results: A total of 1065 participants successfully completed the
   questionnaires. More than 90% of the students have not had any training
   about ICT, three quarters have not taken an online course, and 31% of
   the students do not use ICT in their current research. More than 65%
   thought that, in an ICT research training curriculum, it was important
   to learn: ICT utilization related knowledge, ICT research
   methods/resources, knowledge of databases, ways of data use and
   acquisition, and informatics search methods (ICT users compared to
   non-users were more likely to agree to these learning components (all p
   < 0.05)). Many of the respondents used or planned to use mobile phones
   (80%), Internet (59%), use computer and WeChat (> 40%), and QQ (a
   popular chat tool in China) (30%) as ICT tools in research activities.
   ICT users compared to non-users were more likely to consider using ICT
   and/or biomedical informatics methods in decision-support or support for
   information seeking, healthcare delivering, academic research, data
   gathering, and facilitating collaboration (all p < 0.05).
   Conclusions: The findings of this study showed that ICT utilization was
   very important to health sciences postgraduates for their research
   activities in China, but they lacked ICT-related training. The results
   suggested the need for specialized curriculum related to ICT use in
   global health research for health sciences postgraduates in China.
OI Abdullah, Abu/0000-0002-9841-0344
ZR 0
ZA 0
TC 3
Z8 0
ZB 0
ZS 1
Z9 4
U1 0
U2 9
EI 1472-6920
UT WOS:000502281700001
PM 31597576
ER

PT J
AU Connochie, Daniel
   Tingler, Ryan C.
   Bauermeister, Jose A.
TI Young men who have sex with men's awareness, acceptability, and
   willingness to participate in HIV vaccine trials: Results from a
   nationwide online pilot study
SO VACCINE
VL 37
IS 43
BP 6494
EP 6499
DI 10.1016/j.vaccine.2019.08.076
PD OCT 8 2019
PY 2019
AB Background: New cases of human immunodeficiency virus (HIV) among young
   men who have sex with men (YMSM) underscore the need to examine their
   willingness to use biomedical prevention methods, including an
   acceptable and efficacious HIV vaccine. We examined whether YMSM's
   vaccine altruism and vaccine-related socials concerns factors were
   associated with HIV vaccine acceptability across two vaccine efficacy
   scenarios, and their awareness and willingness to participate in HIV
   vaccine research.
   Methods: This secondary analysis uses data from a mHealth trial with
   YMSM at heightened HIV risk (N =137; 50% racial/ethnic minority; M =
   21.7 years). Most YMSM (91.2%) had tested for HIV, and 17.5% (N = 24)
   reported a prior STI. We used paired-samples t-test to compare
   differences in efficacy acceptability (50% vs 85%), followed by
   multivariable regressions examining whether vaccine attitudes (altruism
   and social concerns) were associated with vaccine acceptability and
   awareness and willingness to participate in HIV vaccine trials. We
   controlled for age, education, race/ethnicity, prior HIV testing, and
   STI diagnosis in our analyses.
   Results: Acceptability for the HIV vaccine with 85% efficacy (M = 8.86;
   SD = 1.76) was greater than acceptability in the 50% efficacy scenario
   (M = 7.60; SD = 2.58). Altruistic attitudes were associated with greater
   vaccine acceptability at 50% (beta = 0.62) and 85% (beta = 0.59)
   efficacy. Higher educational attainment was negatively associated with a
   vaccine with 50% efficacy (beta = -0.20, but not for 85% efficacy.
   Greater vaccine-related social concerns were negatively associated with
   HIV vaccine research awareness (AOR = 0.38 (95% CI: 0.22, 0.67).
   Willingness to participate in a HIV vaccine trial was positively
   associated with age (p = 0.18) and altruism (beta = 0.60), and
   negatively associated with education (beta = -0.21).
   Conclusions: YMSM find HIV vaccines as an acceptable prevention modality
   and are willing to participate in HIV vaccine trials. Findings highlight
   the need to consider YMSM's altruistic and social concerns attitudes in
   HIV vaccine research and explore how to leverage these attitudes in
   research campaigns. (C) 2019 Elsevier Ltd. All rights reserved.
RI Tingler, Ryan/; Bauermeister, Jose/X-8960-2018
OI Tingler, Ryan/0000-0002-4601-7401; Bauermeister,
   Jose/0000-0002-9276-2306
ZB 3
ZA 0
ZR 0
Z8 0
ZS 0
TC 4
Z9 4
U1 2
U2 3
SN 0264-410X
EI 1873-2518
UT WOS:000491685100036
PM 31522806
ER

PT J
AU O'Connor, Siobhan
   Moran, Kieran
   Burke, Cian
   Whyte, Enda
TI Sports-Related Concussion in Adolescent Gaelic Games Players
SO SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH
VL 11
IS 6
BP 498
EP 506
AR 1941738119875978
DI 10.1177/1941738119875978
EA OCT 2019
PD NOV 2019
PY 2019
AB Background: Gaelic games are some of the most popular sports played by
   Irish adolescents, and the Gaelic Athletic Association has undertaken
   educational initiatives to improve awareness of a sports-related
   concussion (SRC). However, SRC underreporting is common among adolescent
   athletes internationally, potentially due to poor knowledge or attitudes
   toward SRC. This study aimed to examine previous experiences with,
   knowledge of, and attitudes toward reporting SRCs, as well as views on
   future education in adolescent Gaelic games players and their parents.
   Hypotheses: The hypotheses were as follows: (1) A significant number of
   adolescent Gaelic games players experienced an SRC, (2) nondisclosure of
   SRCs will be common, and (3) adolescents display poorer attitudes toward
   reporting than parents. Study Design: Cross-sectional study. Methods:
   Adolescent male and female Gaelic games players (n = 113) and parents (n
   = 151) completed an anonymous questionnaire examining previous
   experiences with, knowledge of, and attitudes toward reporting SRCs, as
   well as views on future SRC education initiatives. Results: Overall,
   57.5% of adolescent Gaelic games players suspected they had suffered an
   SRC previously, and a greater number of suspected SRCs were reported
   than were medically diagnosed. Adolescent players (mean score, 11.4/14)
   and their parents (mean score, 11.8) displayed good knowledge of SRC
   signs and symptoms. However, adolescents were less likely to report an
   SRC during an important game or if an important game was coming up. Both
   adolescents and their parents would like more SRC education,
   particularly in the format of online videos or medical professional-led
   workshops. Conclusion: Underreporting of SRC occurs in adolescent
   players, despite good knowledge of SRC signs and symptoms. Education is
   required to highlight the importance of completing a return-to-play
   program after an SRC regardless of match importance.
RI O'Connor, Siobhan/Q-8568-2018; Moran, Kieran/D-4220-2016
OI O'Connor, Siobhan/0000-0002-2001-0746; Moran, Kieran/0000-0003-2015-8967
ZR 0
TC 7
ZB 1
ZA 0
ZS 0
Z8 0
Z9 7
U1 0
U2 1
SN 1941-7381
EI 1941-0921
UT WOS:000489411900001
PM 31592720
ER

PT J
AU Rahman, Aminur
   Begum, Tahmina
   Ashraf, Fatema
   Akhter, Sadika
   Ghosh, Tarun Kanti
   Rahman, Monjur
   Stekelenburg, Jelle
   Das, Sumon Kumar
   Fatima, Parveen
   Anwar, Iqbal
   Hoque, Dewan Md Emdadul
TI Feasibility and effectiveness of electronic vs. paper partograph on
   improving birth outcomes: A prospective crossover study design
SO PLOS ONE
VL 14
IS 10
AR e0222314
DI 10.1371/journal.pone.0222314
PD OCT 7 2019
PY 2019
AB Background
   The partograph has been endorsed by World Health Organization (WHO)
   since 1994 which presents an algorithm for assessing maternal and foetal
   conditions and labor progression. Monitoring labour with a partograph
   can reduce adverse pregnancy outcomes such as prolonged labor, emergency
   C-sections, birth asphyxia and stillbirths. However, partograph use is
   still very low, particularly in low and middle income countries (LMICs).
   In Bangladesh the reported partograph user rate varies from 1.4% to
   33.0%. Recently, an electronic version of the partograph, with the
   provision of online data entry and user aid for emergency clinical
   support, has been tested successfully in different settings. With this
   proven evidence, we conducted and operations research to test the
   feasibility and effectiveness of implementing an e-partograph, for the
   first time, in 2 public hospitals in Bangladesh
   Methods
   We followed a prospective crossover design. Two secondary level referral
   hospitals, Jessore and Kushtia District Hospital (DH) were the study
   sites. All pregnant women who delivered in the study hospitals were the
   study participants. All nurse-midwives working in the labor ward of
   study hospitals were trained on appropriate use of both types of
   partograph along with standard labour management guidelines. Collected
   quantitative data was analyzed using SPSS 23 statistical software.
   Discrete variables were expressed as percentages and presented as
   frequency distribution and cross tabulations. Chi square tests were
   employed to test the association between exposure and outcome variables.
   Potential confounding factors were adjusted using multivariate binary
   logistic regression methods. Ethical approval was obtained from the
   institutional review board of the International Centre for Diarrheal
   Disease Research, Bangladesh (icddr,b).
   Findings
   In total 2918 deliveries were conducted at Jessore DH and 2312 at
   Kushtia DH during one-year study period. Of them, 1012 (506 in each
   facility) deliveries were monitored using partograph (paper or
   electronic). The trends of facility based C-section rates was downwards
   in both the hospitals; 43% to 37% in Jessore and from 36% to 25% in
   Kushtia Hospital. There was a significant reduction of prolonged labour
   with e-partograph use. In Kushtia DH, the prolonged labour rate was 42%
   during phase 1 with the paper version which came down to 29% during
   phase-2 with the e-partograph use. The similar result was observed in
   Jessore DH where the prolonged labour rate reduced to 7% with paper
   partograph from the reported 30% prolonged labour with e-partograph. The
   e-partograph user rate was higher than the paper partograph during both
   phases (phase 1: 3.31, CI: 2.04-5.38, p < .001 and in phase 2: 15.20 CI:
   6.36-36.33, p < .001) after adjusting for maternal age, parity,
   gestational age, religion, mother's education, husband's education, and
   fetal sex
   Conclusion
   The partograph user rate has significantly improved with the
   e-partograph and was associated with an overall reduction in cesarean
   births. Use of the e-partograph was also associated with reduced rates
   of prolonged labour. This study has added to the growing body of
   evidence on the positive impact of e-partograph use. We recommend
   implementing e-partograph intervention at scale in both public and
   private hospitals in Bangladesh.
RI Rahman, Aminur/AAG-5391-2020; Begum, Tahmina/AAD-5258-2021; Stekelenburg, Jelle/B-3129-2017; Md. Emdadul Hoque, Dewan/O-3606-2015; Rahman, Md Monjur/
OI Rahman, Aminur/0000-0003-1434-3883; Begum, Tahmina/0000-0001-8106-2454;
   Stekelenburg, Jelle/0000-0002-2732-6620; Md. Emdadul Hoque,
   Dewan/0000-0001-8219-9196; Rahman, Md Monjur/0000-0002-7877-858X
ZS 0
TC 5
ZB 0
ZR 0
Z8 0
ZA 0
Z9 5
U1 1
U2 4
SN 1932-6203
UT WOS:000532427300004
PM 31589625
ER

PT J
AU Deng, Jie
   Savjani, Ricky R.
   Lee, Percy
TI Online Search Behavior for Cancer Immunotherapy Resources and
   Readability Analysis: An Opportunity to Aid in Medical Decision-making
SO CUREUS
VL 11
IS 10
AR e5857
DI 10.7759/cureus.5857
PD OCT 7 2019
PY 2019
AB Cancer patients are faced with increasing options for cancer care,
   especially with the introduction of cancer immunotherapy with immune
   checkpoint inhibitors (ICIs). Though many patients turn to online
   resources to supplement their decision-making, it is unknown whether
   online resources in cancer immunotherapy with ICIs are written at an
   appropriate level of readability according to national medical
   organizations. We performed a cross-sectional analysis of internet
   search behavior for cancer immunotherapy by ICIs and clinical trial
   availability per ClinicalTrials.gov in the United States (US) from 2004
   - 2018 with subsequent quantitation of readability by four readability
   formulas of top 50 online resources. Internet search behavior for
   "cancer immunotherapy" has steadily increased since 2013 and coincides
   with the year of the US Food and Drug Administration (FDA) approval for
   individual ICIs. Furthermore, internet search behavior was significantly
   correlated with clinical trial availability in the US (R = 0.97, p <
   0.0001). None of the top 50 resources available to patients were found
   to be within the recommended level of sixth-grade readability or less
   with only one (2%) written at the middle school level, 21(42%) at the
   high school level, 23 (46%) at the university level, and five (8%) at a
   graduate level. Population-level internet search patterns may reflect
   patient behavior in seeking relevant online health information and may
   be influenced by new options for cancer therapy, including via clinical
   trials. However, low readability of available online resources may
   impede patient comprehension and negatively affect medical
   decision-making.
OI Deng, Jie/0000-0003-0249-1969
ZB 0
ZS 0
Z8 1
ZA 0
TC 0
ZR 0
Z9 1
U1 0
U2 3
EI 2168-8184
UT WOS:000489017400007
PM 31763080
ER

PT J
AU Weyant, Emily C.
   Woodward, Nakia J.
   Walden, Rachel R.
   Wallace, Rick L.
TI Reflections on a Decade of Promoting Consumer Health Resources at Remote
   Area Medical Clinics
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 23
IS 4
BP 403
EP 410
DI 10.1080/15398285.2019.1687198
PD OCT 2 2019
PY 2019
AB Librarians at the East Tennessee State University (ETSU) Quillen College
   of Medicine Library have provided consumer health outreach services to
   rural and underserved populations at Remote Area Medical (RAM) clinics
   since 2009. These outreach services heavily depend upon and promote
   consumer health websites and National Library of Medicine (NLM)
   resources in order to reach the largest number of people at the lowest
   possible cost. This article will provide a brief overview of RAM clinics
   in Wise, VA, and Gray, TN, served by ETSU librarians for years.
   Additionally, this article will discuss the evolution of ETSU QCoM
   librarian outreach initiatives relating to these clinics over the past
   decade. This article includes a list of online consumer health resources
   used to support these initiatives as well as a list of most commonly
   addressed consumer health topics.
RI Walden, Rachel/AAM-9285-2020; Woodward, Nakia/; Weyant, Emily/
OI Walden, Rachel/0000-0003-4140-9446; Woodward, Nakia/0000-0002-4274-0002;
   Weyant, Emily/0000-0002-3183-4580
ZA 0
ZB 0
TC 2
ZR 0
ZS 0
Z8 0
Z9 2
U1 0
U2 0
SN 1539-8285
EI 1539-8293
UT WOS:000501348900009
ER

PT J
AU Sasaki, Noriko
   Groenewoud, Stef
   Kunisawa, Susumu
   Westert, Gert
   Imanaka, Yuichi
TI Public needs for information disclosure on healthcare performance
   Different determinants between Japan and the Netherlands
SO MEDICINE
VL 98
IS 43
AR e17690
DI 10.1097/MD.0000000000017690
PD OCT 2019
PY 2019
AB The accumulated healthcare performance data related to unwarranted
   practice variations are not necessarily disseminated to patients and
   citizens. To clarify the needs for public disclosure, we explored
   Japanese and Dutch citizens' preferences and values towards information
   disclosure and healthcare disparity.
   Online opt-in survey was conducted and we asked citizens their
   preference to know about the healthcare performance indicators of
   regions and hospitals, and their attitudes towards healthcare equity.
   After a descriptive statistical analysis, Chi-squared automatic
   interaction detection tree analysis was performed to explore the
   socio-demographic determinants which were associated with positive value
   for information disclosure and healthcare equity. Then, we compared the
   combination of attributes of the highest and the lowest subgroups of
   each country and compared within and between countries. Last, logistic
   regression analysis was performed to further evaluate the impact of each
   determinant.
   Significant differences were observed between the 2 countries (Japan
   [JPN] 1038; Netherlands [NL] 1040). The crucial attributes identified
   were age, sex, educational background, and living area (JPN), along with
   age and sex (NL). Japanese comprised multiple subgroups with
   heterogeneous values, showed relatively low interest in knowing the
   information, and seemed to accept healthcare inequality, especially
   among urban males aged 20 to 59 years. Contrarily, Dutch people mostly
   showed high interest in both items. Female and older respondents valued
   information disclosure highly across countries.
   To share healthcare performance knowledge and empowering the public,
   historical, cultural, and socio-demographic context including health
   literacy of citizens' subgroups should be considered in making
   comprehensive public reports.
RI Groenewoud, Stef/F-9443-2016
OI Groenewoud, Stef/0000-0001-5919-4856
ZB 1
TC 2
ZA 0
ZR 0
Z8 0
ZS 0
Z9 2
U1 2
U2 4
SN 0025-7974
EI 1536-5964
UT WOS:000497323200066
PM 31651898
ER

PT J
AU Condello, Giancarlo
   Capranica, Laura
   Doupona, Mojca
   Varga, Kinga
   Burk, Verena
TI Dual-career through the elite university student-athletes' lenses: The
   international FISU-EAS survey
SO PLOS ONE
VL 14
IS 10
AR e0223278
DI 10.1371/journal.pone.0223278
PD OCT 2 2019
PY 2019
AB Athletes have the right to combine their sport and higher education
   careers (e.g., dual career), but differences in the recognition of the
   student-athlete's status and availability of dual career programmes and
   services exist worldwide. The purpose of this study was to investigate
   the dual career phenomenon through the international student-athletes'
   views. Student-athletes competing at the 2017 Summer Universiade were
   recruited to respond a 31-item online survey encompassing demographic
   characteristics (Q1-8), sport and university engagement (Q9-13),
   student-athletes' knowledge and possible sources of information
   regarding dual career (Q14-22); and dual career support at personal,
   sport, and academic levels (Q23-31). Four hundred twenty-six respondents
   (males: 46%, females 54%), competing in 22 different sports (individual:
   74%, team: 26%) from Africa (4%), America (20%), Asia (34%), Europe
   (39%), and Oceania (3), had experienced previous international sports
   events (94%). Differences among continents emerged for sport (p<0.001)
   and university (p = 0.039) engagement, and transfer time from home to
   the training venue (p = 0.030). Individual sports student-athletes
   showed higher sport engagement (p = 0.003) compared to team sports
   counterparts. Differences among university majors emerged for university
   engagement (p<0.001). Long absence from classes (57%), limited leisure
   time (50%), financial uncertainty (44%), reduction of training due to
   education (42%), and overload feelings (37%) emerged. The majority of
   the sample resulted not familiar with dual career programmes (60%) and
   public authorities (69%), envisaging national dual career policies at
   university (37%) and sport (25%) levels. Multiple relevant dual career
   supporters at personal, sport, and university levels were identified,
   mainly parents (86%) and coaches (65%). To strengthen the potential of
   the student-athletes of the future, a dual career network should be
   established among several stakeholders, for transnational cooperation
   and sharing of knowledge and best practices through extensive
   communication between policy-makers, practitioners and those having a
   strong supportive dual career role (e.g., parents, coaches, and
   university sport staff).
RI Condello, Giancarlo/AAC-8365-2020; Laura, Capranica/AFW-3460-2022
OI Condello, Giancarlo/0000-0001-5092-3258; 
Z8 0
ZA 0
ZR 0
TC 29
ZS 1
ZB 5
Z9 29
U1 5
U2 24
SN 1932-6203
UT WOS:000489760700001
PM 31577823
ER

PT J
AU Choorakuttil, Rijo M.
   Patel, Hemant
   Bavaharan, Rajalingam
   Devarajan, Palanisamy
   Kanhirat, Saneej
   Shenoy, Ramesh S.
   Tiwari, Om P.
   Sodani, Rajendra K.
   Sharma, Lalit K.
   Nirmalan, Praveen K.
TI Samrakshan: An Indian Radiological and Imaging Association program to
   reduce perinatal mortality in India
SO INDIAN JOURNAL OF RADIOLOGY AND IMAGING
VL 29
IS 4
BP 412
EP 417
DI 10.4103/ijri.IJRI_386_19
PD OCT-DEC 2019
PY 2019
AB Context: India has a high perinatal mortality rate. The Indian
   Radiological and Imaging Association (IRIA) is supplementing efforts to
   address perinatal mortality in India through the Samrakshan program.
   Aims: To describe various elements of the Samrakshan program that aims
   to reduce perinatal mortality in India. Methods: Samrakshan focuses on
   two priority areas, preeclampsia (PE) and fetal growth restriction
   (FGR). Samrakshan aims at technical skill upgradation, specifically
   focused on improved interpretative ability, prognostic and therapeutic
   efficacy using Doppler studies, a free online learning platform and
   offline continuous medical educations (CMEs), building an evidence base
   from the program to develop policy and guidelines, and improving synergy
   with the RAKSHA program of IRIA and other fetal care stakeholders.
   Results: Two courses on Doppler studies focused on first trimester and
   third trimester, supplemented by case discussions and journal articles,
   have started on the online platform with 230 registrants. The first
   statewide CME was held at Indore. Samrakshan screening identified 10
   (17.24%, 95% CI: 8.59, 29.43) women at high risk for preterm PE and 29
   (50.00%, 95% CI 36.58, 63.42) women at high risk for FGR in the first
   trimester. Ten fetuses (7.63%, 95% CI: 3.72, 13.59) including 9 with
   stage 1 FGR were identified in the third-trimester screening.
   Conclusions: Samrakshan is a flagship program of IRIA that aims to
   reduce perinatal mortality in India through a synergistic, holistic
   approach that complements and supplements existing efforts in India.
RI Kanhirat, Saneej/AAE-2655-2020; Nirmalan, Praveen/
OI Nirmalan, Praveen/0000-0003-0655-8104
TC 2
ZS 0
ZR 0
ZA 0
Z8 0
ZB 0
Z9 2
U1 0
U2 0
SN 0971-3026
EI 1998-3808
UT WOS:000508564700012
PM 31949344
ER

PT J
AU Zhang, Li
   Chen, Yanhan
   Lv, Yalan
   Yang, Xia
   Yin, Qianyu
   Bai, Li
   Luo, Yaling
   Sharma, Manoj
   Zhao, Yong
TI The Perception and Intervention of Internship Nursing Students Helping
   Smokers to Quit: A Cross-Sectional Study in Chongqing, China
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 16
IS 20
AR 3882
DI 10.3390/ijerph16203882
PD OCT 2019
PY 2019
AB Background: Smoking is among the most preventable causes of death
   globally. Tobacco cessation can lessen the number of potential deaths.
   The China Tobacco Cessation Guidelines encourage medical staff to
   perform the 5As (Ask, Advise, Assess, Assist, Arrange) when delivering
   tobacco dependence treatments to patients. Nursing students will develop
   to be nurses in the future and they have to finish 9 months of clinical
   practicum study in the last year at hospitals or care centers. However,
   the frequency of behaviors used to help smokers quit among Chinese
   nursing internship students is unclear. This study analyzed the rate of
   nurse interns' performance of the 5As and which demographic
   characteristics, perceptions of smoking and knowledge predicted higher
   performance of the 5As. Methods: The cluster sampling method was used to
   select 13 teaching hospitals among 29. All nursing intern students were
   expected to finish the questionnaire about their 5As behaviors to help
   patients quit smoking. Their 5As performances were scored from one to
   five with 5 being the best and scores were summed. A multivariate linear
   mixed-effect model was employed to test the differences between their
   5As. Results: Participating in the survey were 1358 interns (62.4%
   response rate). The average scores were as follows-Ask-3.15,
   Advise-2.75, Assess-2.67, Assist-2.58 and Arrange-2.42. A total of 56.3%
   students perceived that medical staff should perform the 5As routinely
   to help patients quit smoking. On the other hand, 52.1% viewed clinical
   preceptors as role models of the 5As. School education regarding tobacco
   control, smoking dependence treatment, self-efficacy and positive
   intentions were predictors of higher performance of the 5As (p < 0.001).
   Conclusions: Nursing internship students seldom administered tobacco
   dependence treatments to patients. It is essential to improve the
   corresponding education, skills and self-efficacy of the 5As. Meanwhile,
   clinical preceptors should procure more training in the responsibilities
   and skills related to tobacco cessation. In this way, clinical
   preceptors can be role models of the 5As and impart positive influences
   on interns.
RI Zhao, Yong/Z-3231-2019; Sharma, Manoj/AAN-6133-2020
OI Zhao, Yong/0000-0001-9290-109X; Sharma, Manoj/0000-0002-4624-2414
ZB 0
Z8 0
TC 3
ZA 0
ZR 0
ZS 0
Z9 3
U1 1
U2 5
EI 1660-4601
UT WOS:000494779100096
PM 31614952
ER

PT J
AU Rodgers, Philip T.
   Cheng, Vivian
   Bush, Antonio A.
   Williams, Charlene
TI Characteristics of significant events identified by pharmacy students
   while on early immersion pharmacy practice experiences
SO PHARMACY PRACTICE-GRANADA
VL 17
IS 4
AR 1571
DI 10.18549/PharmPract.2019.4.1571
PD OCT-DEC 2019
PY 2019
AB Objective: The purpose of this study was to characterize and classify
   significant events of pharmacy students who completed an early practice
   experience.
   Methods: Significant event analyses (SEAs) were reflections submitted by
   students about events that they found impactful during their early
   practice experiences. An online repository has stored 287 SEAs submitted
   by first year pharmacy students for later use in a pharmacy course. For
   this study, all significant events were read and coded according to the
   pre-specified themes and tones (positive, negative, neutral, hybrids) of
   the event. Themes used were derived from prior literature characterizing
   major themes from other health professional students' experiences.
   Additional themes were added by authors for those that did not fit into
   the pre-set categories. All themes of the narratives were subsequently
   categorized. To assure confirmability, the investigators conferred to
   discuss new themes that emerged and events that were ambiguous. To
   assure credibility, an external audit of a sample of the coded SEAs was
   completed. Upon reaching consensus between primary reviewer and
   secondary reviewers, data were reported as frequencies and percentages.
   This study received ethics clearance from the Office of the University
   Registrar and was deemed exempt by the University Institutional Review
   Board.
   Results: A total of 1,055 coded responses were analyzed. The majority of
   SEAs were positive in tone (n=190, 66.2%) and many were hybrids of
   negative-turned-positive emotions (n=62, 21.6%). The most common major
   content theme was "patients and the provision of patient care" (n=412,
   39.1%), followed by "pharmacy students and their behavior" (n=260,
   24.6%). The most prevalent subthemes were "learning by doing" (n=134,
   12.7%) and "feelings of usefulness or uselessness" (n=111, 10.5%).
   Conclusions: The majority of students framed significant events in their
   pharmacy practice experiences in a positive light, even from challenging
   interactions. The events that resonated most frequently with these
   students centered around patient interactions and providing patient
   care. These results will be useful for pharmacy educators developing
   pharmacy school curriculums to better prepare students to excel and feel
   more comfortable in direct patient care experiences.
RI Practice, Pharmacy/AAP-5629-2020; Alexandr, Bush A/R-2287-2016; Bush, Antonio/
OI Alexandr, Bush A/0000-0003-3990-9847; Bush, Antonio/0000-0002-0889-3929
ZB 0
ZS 0
TC 2
Z8 0
ZR 0
ZA 0
Z9 2
U1 1
U2 1
SN 1885-642X
EI 1886-3655
UT WOS:000508119100002
PM 31897249
ER

PT J
AU Lander, Jonas
   Drixler, Karin
   Dierks, Marie-Luise
   Bitzer, Eva Maria
TI How Do Publicly Available Allergy-Specific Web-Based Training Programs
   Conform to the Established Criteria for the Reporting, Methods, and
   Content of Evidence-Based (Digital) Health Information and Education:
   Thematic Content Evaluation
SO INTERACTIVE JOURNAL OF MEDICAL RESEARCH
VL 8
IS 4
AR e12225
DI 10.2196/12225
PD OCT-DEC 2019
PY 2019
AB Background: Allergic diseases, such as allergic asthma, rhinitis, and
   atopic eczema, are widespread, and they are a considerable burden on the
   health care system. For patients and health care professionals,
   Web-based training programs may be helpful to foster self-management and
   provide allergy-specific information, given, for instance, their good
   accessibility.
   Objective: This study aimed to assess an exploratory sample of publicly
   available allergy-specific Web-based training programs-that is,
   interactive, feedback-oriented Web-based training platforms promoting
   health behavior change and improvement of personal skills-with regard to
   (1) general characteristics, aims, and target groups and (2) the extent
   to which these tools meet established criteria for the reporting,
   methods, and content of evidence-based (digital) health information and
   education.
   Methods: Web-based training programs were identified via an initial
   Google search and a search of English and German language websites of
   medical and public health services, such as the European Centre for
   Allergy Research Foundation (German), Asthma UK, and Anaphylaxis Canada.
   We developed a checklist from (1) established guidelines for Web-based
   health information (eg, the Journal of the American Medical Association
   benchmarks, DISCERN criteria, and Health On the Net code) and (2) a
   database search of related studies. The checklist contained 44 items
   covering 11 domains in 3 areas: (1) content (completeness, transparency,
   and evidence), (2) structure (data safety and qualification of trainers
   and authors), and (3) impact (effectiveness, user perspective, and
   integration into health care). We rated the Web-based training programs
   as completely, partly, or not satisfying each checklist item and
   calculated overall and domain-specific scores for each Web-based
   training program using SPSS 23.0 (SPSS Inc).
   Results: The 15 identified Web-based training programs covered an
   average of 37% of the items (score 33 out of 88). A total of 7 Web-based
   training programs covered more than 40% (35/88; maximum: 49%; 43/88). A
   total of 5 covered 30% (26/88) to 40% (35/88) of all rated items and the
   rest covered fewer (n=3; lowest score 24%; 21/88). Items relating to
   intervention (58%; 10/18), content (49%; 9/18), and data safety (60%;
   1/2) were more often considered, as opposed to user safety (10%; 0.4/4),
   qualification of staff (10%; 0.8/8), effectiveness (16%; 0.4/2), and
   user perspective (45%; 5/12). In addition, in 13 of 15 Web-based
   training programs, a minimum of 3 domains were not covered at all.
   Regarding evidence-based content, 46% of all Web-based training programs
   (7/15) scored on use of scientific research, 53% on regular information
   update (8/15), and 33% on provision of references (5/15). None of 15
   provided details on the quality of references or the strength of
   evidence.
   Conclusions: English and German language allergy-specific Web-based
   training programs, addressing lay audiences and health care
   professionals, conform only partly to established criteria for the
   reporting, methods, and content of evidence-based (digital) health
   information and education. Particularly, well-conducted studies on their
   effectiveness are missing.
OI Lander, Jonas/0000-0003-4960-3307
ZR 0
ZB 1
TC 2
Z8 0
ZA 0
ZS 0
Z9 2
U1 0
U2 3
SN 1929-073X
UT WOS:000519240300005
PM 31651401
ER

PT J
AU Monareng, V. L.
   Wolvaardt, J. E.
   Bac, M.
   Webb, E. M.
TI Practice choices of clinical associates: Policy realisation or practical
   reality?
SO SAMJ SOUTH AFRICAN MEDICAL JOURNAL
VL 109
IS 10
BP 761
EP 764
DI 10.7196/SAMJ.2019.v109i10.14052
PD OCT 2019
PY 2019
AB Background. The Bachelor of Clinical Medical Practice (BCMP) programme
   was introduced in South Africa as a strategy to fill human resource gaps
   in both the public sector and rural communities. A previous study
   explored the practice intentions of BCMP students from one university
   prior to graduation.
   Objectives. To determine whether the actual practice choices of these
   BCMP graduates reflect their practice intentions.
   Methods. A cross-sectional analytical study invited all graduates from
   the four cohorts of BCMP graduates (N=250) who graduated during the
   period 2011 - 2014 to complete an online survey. Data were exported and
   analysed using Stata 13. Chi-square tests of independence were done to
   explore associations in the data.
   Results. More than 80% of participants were currently employed in the
   public sector, with over 50% in rural settings. Factors such as where
   clinical associates spent most of their lives (i.e. where they were born
   and raised) and bursary obligations influenced their current practice
   choices. There was no association between gender and rural practice
   choice. Intention to emigrate was not associated with origin, gender or
   race. Almost 90% of participants indicated an interest in furthering
   their studies; 46% of these intended a change in career, with 65%
   interested in studying medicine.
   Conclusions. The practice choices of the first four cohorts of this
   degree were similar to their intended practice choices. Although the
   policy intentions of public sector employment and rural practice have
   been met, it is not clear what will happen once bursary obligations are
   fulfilled. The reasons for increased intentions to change career need
   further research, as a change of career would countermand gains achieved
   in implementing the policy.
ZA 0
ZS 0
Z8 0
TC 1
ZB 0
ZR 0
Z9 1
U1 0
U2 0
SN 0256-9574
EI 2078-5135
UT WOS:000488533800017
PM 31635574
ER

PT J
AU Alriksson-Schmidt, Ann I.
   Ahonen, Matti
   Andersen, Guro L.
   Eggertsdottir, Guobjorg
   Haula, Taru
   Jahnsen, Reidun
   Jarl, Johan
   Jeglinsky-Kankainen, Ira
   Jonsdottir, Gudny
   Seid, Abdu Kedir
   Asgeirsdottir, Tinna L.
   Moller-Madsen, Bjarne
   Nordbye-Nielsen, Kirsten
   Saha, Sanjib
   Steskal, Darina
   Saaksvuori, Lauri
   Hagglund, Gunnar
TI CP-North: living life in the Nordic countries? A retrospective register
   research protocol on individuals with cerebral palsy and their parents
   living in Sweden, Norway, Denmark, Finland and Iceland
SO BMJ OPEN
VL 9
IS 10
AR e024438
DI 10.1136/bmjopen-2018-024438
PD OCT 2019
PY 2019
AB Introduction Cerebral palsy (CP) is one of the most common
   neurodevelopmental disabilities. Yet, most individuals with CP are
   adults. How individuals with CP fare in terms of health, quality of life
   (QoL), education, employment and income is largely unknown. Further,
   little is known about the effects of having a child with CP on the
   parents. The Nordic countries are known for their strong welfare
   systems, yet it is unknown to what extent the added burden related to
   disability is actually compensated for. We will explore how living with
   CP affects health, QoL, healthcare utilisation, education, labour market
   outcomes, socioeconomic status and mortality throughout the lifespan of
   individuals with CP and their parents. We will also investigate if these
   effects differ between subgroups, within and across the Nordic
   countries.
   Methods and analyses CP-North is a multidisciplinary 4-year (1 August
   2017 to 31 July 2021) register research project. The research consortium
   comprises researchers and users from Sweden, Norway, Denmark, Iceland
   and Finland. Data from CP registries and follow-up programmes, or
   cohorts of individuals with CP, will be merged with general national
   registries. All individual studies are structured under three themes:
   medical outcomes, social and public health outcomes, and health
   economics. Both case-control and cohort designs will be included
   depending on the particular research question. Data will be analysed in
   the individual countries and later merged across nations.
   Ethics and dissemination The ethics approval processes in each
   individual country are followed. Findings will be published (open
   access) in international peer-reviewed journals in related fields.
   Updates on CP-North will be published online at
   http://rdi.arcada.fi/cpnorth/en/
RI Nordbye-Nielsen, Kirsten/ABA-6108-2021; Kedir, Abdu/; Alriksson-Schmidt, Ann/; Jarl, Johan/
OI Kedir, Abdu/0000-0003-2390-6860; Alriksson-Schmidt,
   Ann/0000-0001-9430-263X; Jarl, Johan/0000-0002-9274-2479
TC 6
ZS 0
ZA 0
ZB 2
Z8 0
ZR 0
Z9 6
U1 1
U2 5
SN 2044-6055
UT WOS:000512882200006
PM 31575533
ER

PT J
AU Trusson, Diane
   Rowley, Emma
   Bramley, Louise
TI A mixed-methods study of challenges and benefits of clinical academic
   careers for nurses, midwives and allied health professionals
SO BMJ OPEN
VL 9
IS 10
AR e030595
DI 10.1136/bmjopen-2019-030595
PD OCT 2019
PY 2019
AB Objectives The clinical academic trajectory for doctors and dentists is
   well-established, with research embedded in their career development.
   Recent years have also seen a burgeoning interest and push for nurses,
   midwives and allied health professionals (NMAHPs) to pursue a clinical
   academic career. However, the National Institute for Health Research
   (NIHR) 10-year review suggested that there may be problems with
   progression post Master's degree level for this group, with nurses and
   midwives receiving less NIHR funding than allied health professionals.
   This study responds to these concerns, tracking the progression and
   exploring experiences of NMAHPs in the East Midlands region of England.
   Design An online survey and in-depth interviews were used to capture a
   wide range of experiences.
   Participants 67 NMAHPs who were pursuing a clinical academic career were
   surveyed, supplemented by 16 semi-structured in-depth interviews.
   Results Three themes emerged during data analysis: Embarking on a
   clinical academic career, overcoming barriers and benefits.
   Conclusions NMAHPs are motivated to pursue a clinical academic career by
   a drive to improve services for the benefit of patients and the National
   Health Service more widely, as well as for personal development and
   career progression. People working in these roles have opportunities to
   explore possible solutions to issues that they encounter in their
   clinical role through academic study. Findings reveal benefits emanating
   from the individual level through to (inter)national levels, therefore
   academic study should be encouraged and supported. However, investment
   is needed to establish more clinical academic roles to enable NMAHPs to
   continue to use their experience and expertise post-PhD, otherwise the
   full extent of their value will not be recognised.
RI Trusson, Diane/AAE-5580-2020; Rowley, Emma/; Trusson, Diane/
OI Rowley, Emma/0000-0002-6668-1350; Trusson, Diane/0000-0002-6995-1192
ZR 0
Z8 0
ZA 0
ZS 0
ZB 0
TC 24
Z9 24
U1 0
U2 0
SN 2044-6055
UT WOS:000512882200150
PM 31594886
ER

PT J
AU Alamri, Yassar
   Wilkinson, Tim J.
TI Attrition among New Zealandmedical students completing research degrees:
   A 20-year analysis
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 8
IS 5
BP 284
EP 288
DI 10.1007/s40037-019-00531-w
PD OCT 2019
PY 2019
AB Introduction Not all medical students who intercalate research degrees
   go on to completion. No study to date has investigated the specific
   reasons. Understanding this minority would fill an important research
   gap.
   Methods A list was obtained of intercalating medical students who
   enrolled at our institution between 1995 and 2014. Students who withdrew
   from an intercalated research degree were then invited to complete an
   online survey via email.
   Results Over the study period, 178 medical students commenced an
   intercalated honours or PhD degree with their medical degree, and 13
   students withdrew from that program, giving an overall attrition rate of
   7.3%. Students who withdrew from the intercalated degree were also more
   likely to withdraw from their medical degree (40%); this is compared
   with 3.6% of students who completed the intercalated degree, but
   eventually withdrew from their medical degree.
   Discussion Demographics of this cohort were not dissimilar to those of
   completing students. Although withdrawing students had a higher exit
   rate from the medical degree, the rate of research involvement remained
   similar pre- and post-intercalation. The most commonly cited reasons for
   withdrawal were decreased satisfaction with research, and conflict with
   supervisors.
RI Alamri, Yassar/; Wilkinson, Tim/C-5515-2008
OI Alamri, Yassar/0000-0003-2519-3593; Wilkinson, Tim/0000-0002-4080-4164
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
TC 1
Z9 1
U1 0
U2 0
SN 2212-2761
EI 2212-277X
UT WOS:000514624500004
PM 31441011
ER

PT J
AU Wiener, R. Constance
   Waters, Christopher
   Bhandari, Ruchi
   Shockey, Alcinda K. Trickett
   Panagakos, Fotinos
TI US Re-Licensure Opioid/Pain Management Continuing Education Requirements
   in Dentistry, Dental Hygiene, and Medicine
SO JOURNAL OF DENTAL EDUCATION
VL 83
IS 10
BP 1166
EP 1173
DI 10.21815/JDE.019.115
PD OCT 2019
PY 2019
AB Drug-induced deaths have been accelerating over the last two decades.
   The aim of this study was to determine if states with high
   opioid-induced deaths and overall drug-induced deaths were more likely
   to have continuing education (CE) requirements related to opioid
   use/pain management than states with fewer opioid-induced deaths. Almost
   200 state dental and medical law boards' websites were examined for CE
   requirements, license renewal periods, and CE requirements for opioid
   use/pain management in December 2018 and January 2019. Drug-induced
   death data were obtained from the Centers for Disease Control and
   Prevention online database. States were categorized into quartiles of
   opioid-induced deaths per 100,000 population. A similar categorization
   was created for all drug-induced deaths. The results showed that states
   in the second, third, and fourth quartiles of opioid-induced deaths were
   more likely to have dental boards requiring opioid use/pain management
   CE than states in the first quartile in dentistry. This pattern was not
   the case with the medical boards' requirements. Dentists and physicians
   in states with higher all drug-induced deaths per 100,000 population
   were as likely to be required to attend opioid use/pain management CE as
   dentists and physicians in states with lower opioid-induced deaths.
   Although many licensing boards require opioid use/pain management CE in
   relation to their opioid-induced death rates, there is a need for
   policies to increase education in substance use disorders to reduce the
   number of drug-induced deaths.
RI Bhandari, Ruchi/GQP-0839-2022; Bhandari, Ruchi/
OI Bhandari, Ruchi/0000-0002-4288-6255
ZB 0
ZR 0
ZS 0
TC 2
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 0022-0337
EI 1930-7837
UT WOS:000512330900007
PM 31182622
ER

PT J
AU Maddali, Manoj V.
   Mehtani, Nicky J.
   Converse, Caro
   Kapoor, Sunaina
   Pham, Paul
   Li, Jonathan Z.
   Shah, Maunank
TI Development and Validation of HIV-ASSIST, an Online, Educational,
   Clinical Decision Support Tool to Guide Patient-Centered ARV Regimen
   Selection
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 82
IS 2
BP 188
EP 194
DI 10.1097/QAI.0000000000002118
PD OCT 1 2019
PY 2019
AB Background: Multiple antiretroviral (ARV) regimens are effective at
   achieving HIV viral suppression, but differ in pill burden, side
   effects, barriers to resistance, and impact on comorbidities. Current
   guidelines advocate for an individualized approach to ARV regimen
   selection, but synthesizing these modifying factors is complex and
   time-consuming.
   Methods: We describe the development of HIV-ASSIST
   (https://www.hivassist.com ), a free, online decision support tool for
   ARV selection and HIV education. HIV-ASSIST ranks potential ARV options
   for any given patient scenario using a composite objective of achieving
   viral suppression while maximizing tolerability and adherence. We used a
   multiple-criteria decision analysis framework to construct mathematical
   algorithms and synthesize various patientspecific (eg, comorbidities and
   treatment history) and virus-specific (eg, HIV mutations) attributes. We
   then conducted a validation study to evaluate HIV-ASSIST with
   prescribing practices of experienced HIV providers at 4 large academic
   centers. We report on concordance of provider ARV selections with the 5
   top-ranked HIV-ASSIST regimens for 10 diverse hypothetical patient-case
   scenarios.
   Results: In the validation cohort of 17 experienced HIV providers, we
   found 99% concordance between HIV-ASSIST recommendations and provider
   ARV selections for 4 case-scenarios of ARV-naive patients. Among 6 cases
   of ARV-experienced patients (3 with and 3 without viremia), there was
   84% and 88% concordance, respectively. Among 3 cases of ARV-experienced
   patients with viremia, providers reported 20 different ARV selections,
   suggesting substantial heterogeneity in ARV preferences in clinical
   practice.
   Conclusions: HIV-ASSIST is a novel patient-centric educational decision
   support tool that provides ARV recommendations concordant with
   experienced HIV providers for a diverse set of patient scenarios.
OI Maddali, Manoj/0000-0001-5149-0247
TC 4
ZR 0
ZS 0
ZB 2
ZA 0
Z8 0
Z9 4
U1 0
U2 2
SN 1525-4135
EI 1077-9450
UT WOS:000509681700021
PM 31513553
ER

PT J
AU Anandaiah, Asha M.
   Stevens, Jennifer P.
   Sullivan, Amy M.
TI Implementation of a Bundled Consent Process in the ICU: A Single-Center
   Experience*
SO CRITICAL CARE MEDICINE
VL 47
IS 10
BP 1332
EP 1336
DI 10.1097/CCM.0000000000003905
PD OCT 2019
PY 2019
AB Objectives: A bundled consent process, where patients or surrogates
   provide consent for all commonly performed procedures on a single form
   at the time of ICU admission, has been advocated as a method for
   improving both rates of documented consent and patient/family
   satisfaction, but there has been little published literature about the
   use of bundled consent. We sought to determine how residents in an
   academic medical center with a required bundled consent process actually
   obtain consent and how they perceive the overall value, efficacy, and
   effects on families of this approach. Design: Single-center survey
   study. Setting: Medical ICUs in an urban academic medical center.
   Subjects: Internal medicine residents. Interventions: We administered an
   online survey about bundled consent use to all residents. Quantitative
   and qualitative data were analyzed. Measurements and Main Results:
   One-hundred two of 164 internal medicine residents (62%) completed the
   survey. A majority of residents (55%) reported grouping procedures and
   discussing general risks and benefits; 11% reported conducting a
   complete informed consent discussion for each procedure. Respondents
   were divided in their perception of the value of bundled consent, but
   most (78%) felt it scared or stressed families. A minority (26%) felt
   confident that they obtained valid informed consent for critical care
   procedures with the use of bundled consent. An additional theme that
   emerged from qualitative data was concern regarding the validity of
   anticipatory consent. Conclusions: Resident physicians experienced with
   the use of bundled consent in the ICU held variable perceptions of its
   value but raised concerns about the effect on families and the validity
   of consent obtained with this strategy. Further studies are necessary to
   further explore what constitutes best practice for informed consent in
   critical care.
OI Sullivan, Amy/0000-0003-1020-3197
TC 5
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 5
U1 0
U2 1
SN 0090-3493
EI 1530-0293
UT WOS:000509227100016
PM 31305496
ER

PT J
AU Thompson, Mary E.
   Fong, Geoffrey T.
   Boudreau, Christian
   Driezen, Pete
   Li, Grace
   Gravely, Shannon
   Cummings, K. Michael
   Heckman, Bryan W.
   O'Connor, Richard
   Thrasher, James F.
   Nahhas, Georges
   Borland, Ron
   Yong, Hua-Hie
   McNeill, Ann
   Hitchman, Sara C.
   Quah, Anne C. K.
TI Methods of the ITC Four Country Smoking and Vaping Survey, wave 1 (2016)
SO ADDICTION
VL 114
SI SI
BP 6
EP 14
DI 10.1111/add.14528
SU 1
PD OCT 2019
PY 2019
AB Aim To describe the methods of the 2016 International Tobacco Control
   (ITC) Four Country Smoking and Vaping (4CV) Survey, conducted in 2016 in
   Australia (AU), Canada (CA), England (EN) and the United States (US).
   Methods The respondents were cigarette smokers, former smokers (quit
   within the previous 2 years), and at-least-weekly vapers, aged 18 years
   and older. Eligible cohort members from the ITC Four Country Survey (4C)
   were retained. New respondents were sampled by commercial firms from
   their panels. Where possible, ages 18-24 and vapers were oversampled.
   Data were collected online, and respondents were remunerated. Survey
   weights were calibrated to benchmarks from nationally representative
   surveys. Results Response rates by country for new recruits once invited
   ranged from 15.2 to 49.6%. Sample sizes for smokers/former smokers were
   1504 in AU, 3006 in CA, 3773 in EN and 2239 in the US. Sample sizes for
   additional vapers were 727 in CA, 551 in EN and 494 in the US.
   Conclusion The International Tobacco Control Four Country Smoking and
   Vaping Survey design and data collection methods allow analyses to
   examine prospectively the use of cigarettes and nicotine vaping products
   in jurisdictions with different regulatory policies. The effects on the
   sampling designs and response quality of recruiting the respondents from
   commercial panels are mitigated by the use of demographic and geographic
   quotas in sampling; by quality control measures; and by the construction
   of survey weights taking into account smoking/vaping status, sex, age,
   education and geography.
RI Gravely, Shannon/AAX-3499-2020; Heckman, Bryan W./AAY-7759-2020; Fong, Geoffrey T/H-2810-2014; Borland, Ron/; hitchman, sara/; McNeill, Ann/
OI Heckman, Bryan W./0000-0003-4148-2467; Fong, Geoffrey
   T/0000-0001-9098-6472; Borland, Ron/0000-0003-0059-178X; hitchman,
   sara/0000-0001-6155-6916; McNeill, Ann/0000-0002-6223-4000
Z8 0
TC 52
ZR 0
ZS 0
ZA 0
ZB 15
Z9 52
U1 0
U2 22
SN 0965-2140
EI 1360-0443
UT WOS:000491146000002
PM 30548345
ER

PT J
AU Fitzsimmons-Craft, Ellen E.
   Balantekin, Katherine N.
   Eichen, Dawn M.
   Graham, Andrea K.
   Monterubio, Grace E.
   Sadeh-Sharvit, Shiri
   Goel, Neha J.
   Flatt, Rachael E.
   Saffran, Kristina
   Karam, Anna M.
   Firebaugh, Marie-Laure
   Trockel, Mickey
   Taylor, C. Barr
   Wilfley, Denise E.
TI Screening and offering online programs for eating disorders: Reach,
   pathology, and differences across eating disorder status groups at 28 US
   universities
SO INTERNATIONAL JOURNAL OF EATING DISORDERS
VL 52
IS 10
SI SI
BP 1125
EP 1136
DI 10.1002/eat.23134
PD OCT 2019
PY 2019
AB Objective The Internet-based Healthy Body Image (HBI) Program, which
   uses online screening to identify individuals at low risk of, high risk
   of, or with an eating disorder (ED) and then directs users to tailored,
   evidence-based online or in-person interventions to address individuals'
   risk or clinical status, was deployed at 28 U.S. universities as part of
   a randomized controlled trial. The purpose of this study is to report
   on: (a) reach of HBI, (b) screen results, and (c) differences across ED
   status groups. Method All students on participating campuses ages 18
   years or older were eligible, although recruitment primarily targeted
   undergraduate females. Results The screen was completed 4,894 times,
   with an average of 1.9% of the undergraduate female student body on each
   campus taking the screen. ED risk in participating students was
   high-nearly 60% of students screened were identified as being at high
   risk for ED onset or having an ED. Key differences emerged across ED
   status groups on demographics, recruitment method, ED pathology,
   psychiatric comorbidity, and ED risk factors, highlighting increasing
   pathology and impairment in the high-risk group. Discussion Findings
   suggest efforts are needed to increase reach of programs like HBI.
   Results also highlight the increasing pathology and impairment in the
   high-risk group and the importance of programs such as HBI, which
   provide access to timely screening and intervention to prevent onset of
   clinical EDs.
RI Goel, Neha/AAU-1344-2020; Eichen, Dawn/; Taylor, C. Barr/
OI Goel, Neha/0000-0002-8191-3359; Eichen, Dawn/0000-0001-5619-2177;
   Taylor, C. Barr/0000-0002-4564-6548
Z8 0
ZS 0
ZB 11
ZA 0
ZR 0
TC 27
Z9 27
U1 1
U2 9
SN 0276-3478
EI 1098-108X
UT WOS:000490073100005
PM 31268183
ER

PT J
AU Sehgal, M.
   Syed, Q.
   Callahan, K. E.
   Powers, B. B.
   Eleazer, G. P.
   Gleason, Lauren J.
   Ramaswamy, R.
   Sauvigne, K.
   Leipzig, R. M.
   Shah, A.
TI Introducing Aquifer Geriatrics, the American Geriatrics Society National
   Online Curriculum (vol 67, pg 811, 2019)
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 67
IS 10
BP 2216
EP 2216
DI 10.1111/jgs.15955
PD OCT 2019
PY 2019
ZB 0
ZS 0
ZA 0
Z8 0
ZR 0
TC 0
Z9 0
U1 0
U2 0
SN 0002-8614
EI 1532-5415
UT WOS:000489944500046
ER

PT J
AU Waseem, Talat
   Ashraf, Muhammad Hasham
   Rabbani, Shaukat
   Shoaib, Hasan
   Khan, Rehan Ahmad
TI Evolving Role of Social Networking Sites in Undergraduate Surgical
   Education: Student Perspective
SO PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
VL 13
IS 4
BP 894
EP 899
PD OCT-DEC 2019
PY 2019
AB Background: Social Networking Sites (SNSs) like Facebook, YouTube,
   Twitter, WhatsApp etc. are evolving as an effective tool for content
   delivery and educational communications in medical field. However,
   researchers have identified potential concerns about reliability of
   content, its alignment and synchronization with curricular needs.
   Aim: To evaluate student perceptions regarding use of social networking
   sites through this controlled online platform.
   Methods: A paper-based questionnaire was redesigned with required
   modifications as described previously and was administered among fourth
   and final year medical students (n=135) at Shalamar Medical & Dental
   College, Lahore containing both quantitative and qualitative components.
   The questionnaire evaluated advantages and disadvantages of SNSs use in
   surgical education.
   Results: 92% of the participants agreed that social networking sites are
   the necessity of today's life. The students overwhelmingly think that
   SNSs are a source of easy, rapid, timely and up-to-date information on
   medical issues. These sites are source of effective healthcare
   communication and can be effectively utilized to promote own self and
   find career opportunities. Social networking sites are an effective tool
   for delivering lectures, notes and other study material. 79% of the
   students thought that SNSs improved their understanding about medical
   concepts, however only 72% agreed with the notion that SNSs improved
   their test and exam results. Many students agreed that SNSs work better
   when embedded within traditional teaching strategies.
   Conclusions: Medical students have a significantly positive impression
   about social networking websites and their role in medical education.
   Despite some concerns regarding privacy and security, majority of the
   students have shown willingness to interact through SNSs to improve
   their educational perspectives.
RI Khan, Rehan/AAR-4803-2020; Waseem, Talat/AAO-6081-2021
OI Khan, Rehan/0000-0001-8724-5788; Waseem, Talat/0000-0002-4656-1140
TC 2
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
Z9 2
U1 0
U2 3
SN 1996-7195
UT WOS:000508481500056
ER

PT J
AU Mentiplay, Benjamin F.
   Williams, Gavin
   Tan, Dawn
   Adair, Brooke
   Pua, Yong-Hao
   Bok, Chek Wai
   Bower, Kelly J.
   Cole, Michael H.
   Ng, Yee Sien
   Lim, Lek Syn
   Clark, Ross A.
TI Gait Velocity and Joint Power Generation After Stroke Contribution of
   Strength and Balance
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 10
BP 841
EP 849
DI 10.1097/PHM.0000000000001122
PD OCT 2019
PY 2019
AB Objective The aim of the study was to assess the degree to which
   isometric strength of multiple lower limb muscle groups and balance is
   associated with gait velocity and joint power generation during gait
   after stroke. Design Sixty-three participants in a multisite,
   multinational, cross-sectional, observational study underwent assessment
   of gait velocity (10-m walk test), standing balance (computerized
   posturography), and isometric strength (hand-held dynamometry).
   Twenty-seven participants had joint power generation assessed
   (three-dimensional gait analysis). Bivariate associations were examined
   using Spearman's correlations. Regression models with partial F tests
   were used to compare the contribution to gait between measures. Results
   Although all muscle groups demonstrated significant associations with
   gait velocity (rho = 0.40-0.72), partial F tests identified that ankle
   plantar flexor and hip flexor strength made the largest contribution to
   gait velocity. Ankle plantar flexor strength also had strong
   associations with habitual and fast-paced ankle power generation (rho =
   0.65 and 0.75). Balance had significant associations with habitual and
   fast gait velocity (rho = -0.57 and -0.53), with partial F tests showing
   that the contribution was independent of strength. Conclusions Ankle
   plantar flexor and hip flexor strength had the largest contribution to
   gait velocity. Future research may wish to refocus strength assessment
   and treatment to target the ankle plantar flexors and hip flexors. To
   Claim CME Credits Complete the self-assessment activity and evaluation
   online at CME Objectives Upon completion of this article, the reader
   should be able to: (1) Differentiate the contribution that lower limb
   strength of each muscle group has on gait velocity after stroke; (2)
   Appraise the relationship between isometric strength and joint power
   generation during gait; and (3) Interpret the contribution of both
   strength and balance to gait after stroke. Level Advanced Accreditation
   The Association of Academic Physiatrists is accredited by the
   Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim
   credit commensurate with the extent of their participation in the
   activity.
RI Mentiplay, Benjamin/A-2279-2019; Cole, Michael H/O-6816-2018; Clark, Ross/R-5664-2018; Pua, Yong-Hao/; Ng, Yee-Sien/
OI Mentiplay, Benjamin/0000-0002-4360-8310; Clark,
   Ross/0000-0002-7291-8553; Pua, Yong-Hao/0000-0003-2313-9665; Ng,
   Yee-Sien/0000-0003-1377-5852
ZA 0
ZS 0
Z8 3
TC 9
ZR 0
ZB 3
Z9 12
U1 0
U2 7
SN 0894-9115
EI 1537-7385
UT WOS:000505947300008
PM 30601159
ER

PT J
AU Kornafeld, Anna
   Gonzalez-Estrada, Alexei
   Dimov, Ves
TI 'Googling' anaphylaxis
SO CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY
VL 19
IS 5
BP 432
EP 438
DI 10.1097/ACI.0000000000000575
PD OCT 2019
PY 2019
AB Purpose of review Anaphylaxis is a systemic allergic reaction and
   without the appropriate treatment can progress fast and may be fatal.
   Information about allergy and immunology topics including anaphylaxis
   can be easily found online and are widely searched by patients as well
   as medical personnel. Social media and search engines not only bring a
   number of benefits to users but also carry risks for breaches of
   confidentiality and privacy, unprofessional behaviour, malpractice and
   litigation. Social media use by medical healthcare workers has liability
   risks and can result in malpractice. Recent findings We used PubMed with
   the terms anaphylaxis; social network; mobile apps that revealed a very
   small number of publications addressing the use of these platforms and
   anaphylaxis. Google Trends and KWFinder were used to analyse the
   relative search interest and absolute search volumes on 'anaphylaxis'.
   Multiple sources exist on the Internet for health-related searches for
   both healthcare providers and patients. We analysed different websites,
   mobile apps, Facebook, YouTube and Twitter. To avoid any posting of
   patient identifiers, it is imperative to be aware of the 18 HIPAA
   identifiers. We list websites with accurate information about
   anaphylaxis for the use of both patients and healthcare professionals
   for purposes of patient education. Further research on health
   information-seeking behaviour is clearly needed.
RI Gonzalez-Estrada, Alexei/AAV-8131-2020
Z8 0
ZR 0
ZB 0
TC 4
ZS 0
ZA 0
Z9 4
U1 0
U2 2
SN 1528-4050
EI 1473-6322
UT WOS:000507289100004
PM 31369414
ER

PT J
AU Sprague, Sheila
   Schneider, Prism S.
   Petrisor, Brad A.
   Furey, Andrew
   Hall, Jeremy A.
   Sietsema, Debra L.
   Schemitsch, Emil H.
   Adili, Anthony
   Scott, Taryn
   Arseneau, Erika
   Slobogean, Gerard P.
   Bhandari, Mohit
   Cook, Deborah
   Solomon, Patricia
CA EDUCATE Investigators
TI A Qualitative Evaluation of the Implementation of an Intimate Partner
   Violence Education Program in Fracture Clinics
SO JOURNAL OF FAMILY VIOLENCE
VL 34
IS 7
BP 621
EP 630
DI 10.1007/s10896-019-00052-4
PD OCT 2019
PY 2019
AB We developed an intimate partner violence educational program (EDUCATE)
   for health care providers which was implemented in seven fracture
   clinics by local IPV champions. The purpose of the program was to
   provide health care providers with the knowledge and skills required to
   comfortably identify and assist women experiencing IPV in the fracture
   clinic. The program consisted of an introductory video, interactive
   online modules, and an in-person presentation by a local IPV champion.
   The study aim was to qualitatively evaluate the feasibility,
   acceptability, and perceived value of the program. We conducted
   semi-structured interviews with 10 champions and 23 participants and
   identified themes using a qualitative descriptive approach. Champions
   and participants expressed a strong satisfaction with the program.
   Champions also described several barriers and facilitators to program
   implementation. Additionally, we identified themes through analysis of
   interview data from champions (champion training, program delivery, and
   perceptions about program participants' receptiveness to the training)
   and participants (value of the training experience, useful program
   content, desire for more education, and suggested program improvements).
   The program showed promising results, as both champions and program
   participants had overall positive experiences completing the program.
   Their suggestions for improvement have been used to refine the program,
   which is now publically available for educational purposes through
   www.IPVeducate.com.
RI Bhandari, Mohit/AAQ-1675-2021; Schemitsch, Emil/G-5706-2017; Petrisor, Brad/AAQ-2278-2021; Adili, Anthony/AAR-7196-2021; Schneider, Prism/AAV-9605-2020; Sprague, Sheila/AAQ-4232-2021
OI Schemitsch, Emil/0000-0002-6435-9069; Sprague,
   Sheila/0000-0003-1466-8063
TC 1
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
Z9 1
U1 0
U2 5
SN 0885-7482
EI 1573-2851
UT WOS:000487050900003
PM 31929680
ER

PT J
AU Bernard, Anne
   Chemaly, Pascale
   Dion, Fanny
   Laribi, Said
   Remerand, Francis
   Angoulvant, Denis
   Ivanes, Fabrice
TI Evaluation of the efficacy of a self-training programme in focus cardiac
   ultrasound with simulator
SO ARCHIVES OF CARDIOVASCULAR DISEASES
VL 112
IS 10
BP 576
EP 584
DI 10.1016/j.acvd.2019.06.001
PD OCT 2019
PY 2019
AB Background. - Focus cardiac ultrasound is a great tool for quick
   evaluation of cardiac function in acute settings with limited time and
   expertise in echocardiography. Adequate training is essential for
   physicians willing to use this imaging technique.
   Aim. - The goal of this study was to assess the efficacy of a
   self-training programme using a cardiac ultrasound simulator.
   Methods. - Thirty-five trainees in cardiology, emergency medicine or
   anaesthesiology entered the programme, which started with an e-learning
   lecture on focus cardiac ultrasound, with practice on a simulator,
   followed by implementation on patients, and ended with self-training in
   image analysis on an online platform. A post-test evaluation was carried
   out at the end of the theoretical training, followed by a final live
   evaluation on patients (timed acquisition of the five reference views
   used in focus cardiac ultrasound, grading each view on a scale of 1 to
   5). Trainees were also evaluated online regarding their interpretation
   of 20 video clips.
   Results. - The median (interquartile range) interpretability scores
   following simulator training were 5 (4-5) for the parasternal long-axis
   view, 5 (4-5) for the apical four-chamber view, and 4 (4-5) for the
   subcostal window. Interpretability was significantly inferior in the
   live evaluation compared with the post-test evaluation, except for the
   parasternal long-axis and subcostal views. The mean score for the video
   clips (out of 20) was 14.5 +/- 2.4.
   Conclusions. - After a short self-training programme, trainees were able
   to acquire the main views of focus cardiac ultrasound with sufficient
   quality and in a short time period. (C) 2019 Published by Elsevier
   Masson SAS.
RI Angoulvant, Denis/Q-9743-2019; Laribi, Said/S-3693-2016; Bernard, Anne/AAN-8311-2020
OI Angoulvant, Denis/0000-0003-0788-8092; Laribi, Said/0000-0003-4648-4672;
   
TC 7
Z8 0
ZA 0
ZR 0
ZS 0
ZB 0
Z9 7
U1 0
U2 2
SN 1875-2136
EI 1875-2128
UT WOS:000503916000006
PM 31350012
ER

PT J
AU Grealish, Laurie
   Todd, Jo-Anne
   Krug, Maree
   Teodorczuk, Andrew
TI Education for delirium prevention: Knowing, meaning and doing
SO NURSE EDUCATION IN PRACTICE
VL 40
AR 102622
DI 10.1016/j.nepr.2019.102622
PD OCT 2019
PY 2019
AB Hospital-acquired delirium is a common complication for older patients.
   Delirium prevention programs have been shown to reduce incident delirium
   and decrease length of stay; however, incorporating delirium prevention
   into nursing practice continues to be challenging. A three-element
   delirium prevention educational program was conducted with 42 nurses in
   a medical ward in a tertiary hospital in southeast Queensland. The
   education program focused on knowing, meaning and doing, consisting of a
   brief online course, case discussions with experts, and a high-fidelity
   simulation. A repeated cross-sectional design was utilised, with data
   collected over four time points before (T0), during the education
   program (T1, T2) and three months post completion of the study (T3).
   There were high levels of participation in the elements (48%-85%).
   Correct responses on the knowledge survey increased over time from 74.5%
   (T0) to 86.4% (T3; p = .003), suggesting a program focused on knowing,
   meaning and doing, was effective in improving nurses knowledge about
   delirium. The increase in knowledge post completion indicates that
   learning about delirium prevention continued without structured
   education. Further research into how knowledge might be shared between
   nurses as part of everyday work may reveal other practice-based learning
   techniques which support practice change.
RI Grealish, Laurie/Q-8762-2016
OI Grealish, Laurie/0000-0002-0699-2886
Z8 0
ZB 0
TC 4
ZS 0
ZR 0
ZA 0
Z9 4
U1 0
U2 4
SN 1471-5953
EI 1873-5223
UT WOS:000501410800003
PM 31521042
ER

PT J
AU Jouanjus, Emilie
   Lapeyre-Mestre, Maryse
   Nodot, Matthieu
   Roussin, Anne
   Franchitto, Nicolas
   Boyes, Jean-Paul
   Nasr, Nathalie
   Oustric, Stephane
   Dupouy, Julie
TI Teaching Basic Knowledge on Substance Use Disorders: The Impact of
   e-Learning on Health Professionals
SO CLINICAL THERAPEUTICS
VL 41
IS 10
BP 2154
EP 2161
DI 10.1016/j.clinthera.2019.07.012
PD OCT 2019
PY 2019
AB Purpose: Recent evolution toward a medical perspective on patients with
   substance use disorders (SUDs) has led to a lack of medical training in
   substance abuse. To increase this knowledge, a distance learning course
   ("e-learning") was implemented to teach the general concepts of SUDs to
   medical residents and health professionals before delivering on-campus
   courses. The purpose was to evaluate the impact on participants' basic
   knowledge.
   Methods: The e-learning on the general concepts of SUDs was based on
   short voiced presentations and additional educational material. It was
   proposed to 2 populations: medical residents in general practice and
   health professionals in continuing education. All of the participants
   answered questionnaires before and after the distance learning course to
   evaluate their basic knowledge of SUDs. These questionnaires were
   analyzed along with a satisfaction questionnaire to assess both the
   acquired knowledge about SUDs and the satisfaction level.
   Findings: Participants moved toward higher test scores independently of
   their initial background and for all the educational objectives targeted
   by the teachers. The mean progression on a 20-point scale between the
   pretest and posttest questionnaires was 5.48 (2.63) for health
   professionals and 5.90 (2.20) for residents in general practice.
   Satisfaction was rated 4 or 5 on a 5-point Likert scale by at least
   84.2% of participants. (C) 2019 Published by Elsevier Inc.
RI Dupouy, Julie/AAD-7436-2019; JOUANJUS, Emilie/G-9048-2019; Lapeyre-Mestre, Maryse/C-8710-2012; Roussin, Anne/E-3557-2018
OI Dupouy, Julie/0000-0001-7801-286X; JOUANJUS, Emilie/0000-0002-3510-2475;
   Lapeyre-Mestre, Maryse/0000-0002-5494-5873; 
ZS 0
ZB 0
TC 0
Z8 0
ZR 0
ZA 0
Z9 0
U1 0
U2 10
SN 0149-2918
EI 1879-114X
UT WOS:000498474000021
PM 31395392
ER

PT J
AU Bouwmeester, Rianne A. M.
   de Kleijn, Renske A. M.
   van den Berg, Inge E. T.
   ten Cate, Olle Th. J.
   van Rijen, Harold V. M.
   Westerveld, Hendrika E.
TI Flipping the medical classroom: Effect on workload, interactivity,
   motivation and retention of knowledge
SO COMPUTERS & EDUCATION
VL 139
BP 118
EP 128
DI 10.1016/j.compedu.2019.05.002
PD OCT 2019
PY 2019
AB Engagement with homework assignments is important to be able to actively
   process content during in-class activities in flipped classroom
   education. Active engagement with the content is assumed to promote
   deeper understanding and to improve retention of knowledge. This
   comparative case study aims to explore student workload during homework
   activities and examines in-class activities next to student motivation
   and their retention of knowledge in both traditional education and
   flipped classrooms.
   This quasi-experimental study was conducted in a Hematology and Oncology
   course, which is scheduled in the second year of medical education, in
   Utrecht, the Netherlands. Students' self-reported study time in
   traditional classrooms (2014) and flipped classrooms (2015) were
   measured during one course with a daily online questionnaire and
   in-class activities were explored using an observation scheme and audio
   recordings. Cognitive evaluation theory was used to investigate student
   motivation by measuring perceived autonomy and competence
   (self-efficacy) of students at the end of the course. Knowledge
   retention and self-efficacy were (again) measured after 10 months.
   The in-class observations suggested more interactivity in flipped
   classrooms. All participating students reported similar workload during
   the course, whereas exam preparation after flipped classrooms was
   significantly less time consuming. Students in flipped classrooms
   reported higher scores for self-efficacy, whereas perceived autonomy was
   comparable to students learning in traditional classrooms. Ten months
   after the course, retention of knowledge and self-efficacy scores showed
   no difference.
   This study indicated that flipped classroom education required less time
   investment when preparing for the end-of-course exam and students
   perceived higher self-efficacy, which is relevant in the light of
   student stress and burn-out. However, comparison of long-term
   measurements (retention of knowledge and self-efficacy) showed similar
   outcomes for students in traditional classrooms and flipped classrooms.
   It would be interesting to learn whether students trained in flipped
   classroom education turn out to be better problem solvers in their
   future careers. For example, if the students in this study are better
   able to handle patient cases during their clinical rotations.
RI Cate, Olle Th.J. ten/W-8382-2018
OI Cate, Olle Th.J. ten/0000-0002-6379-8780
ZS 0
ZR 1
Z8 2
ZA 0
TC 22
ZB 3
Z9 24
U1 4
U2 71
SN 0360-1315
EI 1873-782X
UT WOS:000474317300008
ER

PT J
AU Byeon, Haewon
TI Development Trends of Online-based Aural Rehabilitation Programs for
   Children with Cochlear Implant Coping with the Fourth Industrial
   Revolution and Implication in Speech-Language Pathology
SO INTERNATIONAL JOURNAL OF ADVANCED COMPUTER SCIENCE AND APPLICATIONS
VL 10
IS 10
BP 25
EP 31
PD OCT 2019
PY 2019
AB The Korea Research Foundation selected the miniaturization and
   development of home care devices as the future promising technologies in
   the biotechnology (BT) area along with the Fourth Industrial Revolution.
   Accordingly, it is believed that there will be innovative changes in the
   rehabilitation field, including the development of smart diagnostics and
   treatment devices. Moreover, rehabilitation equipped with
   individualization, precision, miniaturization, portability, and
   accessibility is expected to draw attention. It has been continuously
   reported in the past decade that hearingimpaired toddlers who became
   able to hear speech through cochlear implantation and hearing
   rehabilitation before the age of 3, which is a critical period of
   language development, show a language development pattern similar to
   that of healthy toddlers. As a result, the need for developing language
   rehabilitation programs customized for patients wearing artificial
   cochlea has emerged. In other words, since the improved hearing ability
   owing to cochlear implant does not guarantee to promote speech
   perception and language development, intensive rehabilitation and
   education are needed for patients to recognize the heard speech as a
   meaningful language for communication. Nevertheless, a literature search
   on domestic and foreign cases revealed that there are insufficient
   language rehabilitation programs for cochlear implant patients as well
   as customized programs for them in the clinical coalface. This study
   examined the trend and marketability of online-based aural
   rehabilitation programs for patients wearing artificial cochlea and
   described the implications for language rehabilitation. This study
   suggested the following implications for developing a customized aural
   rehabilitation program. It is needed to secure and develop contents that
   can implement "a hand-held hospital" by using medical devices and mobile
   devices owned by consumers that transcend time and space. Also, it is
   necessary to develop a cochlear implant hearing rehabilitation training
   program suitable for native Korean speakers.
ZR 0
ZA 0
Z8 0
ZB 0
TC 1
ZS 0
Z9 1
U1 0
U2 0
SN 2158-107X
EI 2156-5570
UT WOS:000499999700005
ER

PT J
AU Hlaing, WayWay M.
   Saddemi, Jack L.
   Goodman, Kenneth W.
TI Expanding ethics curriculum resources: American College of
   Epidemiology's syllabus collection project
SO ANNALS OF EPIDEMIOLOGY
VL 38
BP 1
EP 3
DI 10.1016/j.annepidem.2019.08.009
PD OCT 2019
PY 2019
AB This commentary provides an update on the evolution of the American
   College of Epidemiology's online and open-source collection of ethics
   syllabi in epidemiology and public health. Begun in 2011, the
   syllabus-collection project anticipated the Council on Education for
   Public Health's accreditation requirement calling for "the development
   of ethical practice" and identifying a need to "demonstrate our
   commitment to ethical dealings." The Ethics Committee of the American
   College of Epidemiology continued the project in 2018 seeking to acquire
   as many syllabi as possible for the repository; all 180 Council on
   Education for Public Health-accredited schools and programs were
   contacted and asked to share syllabi that addressed ethical and related
   issues. The overarching goal was to support institutions that have not
   yet introduced ethics into public health and epidemiology curricula. In
   total, 45 new syllabi were collected in 2018 and collated with the 38
   acquired in 2011; 83 syllabi have been compiled from 52 accredited
   entities. Having a readily available on-line resource to support
   institutions and faculty seeking to introduce or improve the
   presentation of ethics in public health and epidemiology curricula is
   believed to be an important contribution to public health science and
   pedagogy. (C) 2019 Elsevier Inc. All rights reserved.
ZR 0
TC 1
ZA 0
ZB 1
Z8 0
ZS 0
Z9 1
U1 1
U2 10
SN 1047-2797
EI 1873-2585
UT WOS:000493856500001
PM 31543226
ER

PT J
AU Al-Salom, Patricia
   Miller, Carlin J.
TI The Problem with Online Data Collection: Predicting Invalid Responding
   in Undergraduate Samples
SO CURRENT PSYCHOLOGY
VL 38
IS 5
BP 1258
EP 1264
DI 10.1007/s12144-017-9674-9
PD OCT 2019
PY 2019
AB The popularity of online research is increasing, but the validity of the
   results obtained is not yet clear. The purpose of this study was to
   examine some of the factors that influence the validity of computerized
   data collection in an undergraduate sample. Participants were 99
   university students randomly assigned to one of three data collection
   conditions: online survey platform, in-person computerized survey
   platform, and in-person pencil-and-paper survey. Results suggest
   self-reported inattention symptoms, exposure to more stressors, and
   computerized platforms predicted more invalid responding. In contrast,
   personality, self-reported impulsivity symptoms, and shorter completion
   times did not predict invalid responding. Overall, more than half of the
   participants failed at least one validity check and 11% failed three or
   more validity checks. Researchers, particularly those working with
   undergraduate samples, should consider implementing procedures to ensure
   the data collected online are valid.
ZS 0
ZR 0
TC 10
ZB 1
ZA 0
Z8 0
Z9 10
U1 1
U2 9
SN 1046-1310
EI 1936-4733
UT WOS:000494948800018
ER

PT J
AU Gimm, Gilbert
   Goldberg, Debora G.
   Ghanem, Nouran
   Haghighat, Sahar
   Want, Jay
   Hough, Dan
   Nichols, Len M.
TI Provider Experiences with a Payer-Based PCMH Program
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 10
BP 2047
EP 2053
DI 10.1007/s11606-019-05005-7
PD OCT 2019
PY 2019
AB BACKGROUND: The patient-centered medical home (PCMH) is an enhanced
   primary care model that aims to improve quality of care. Over the past
   several years, the PCMH model has been adopted by Medicare and private
   payers, which offer financial resources and technical assistance to
   participating practices. However, few studies have examined provider
   experiences and perspectives on the adoption of payer-based PCMH models
   in different practice settings.
   OBJECTIVE: The goal of this qualitative study was to analyze how
   providers experienced specific elements of a payer-based PCMH model and
   identify cross-cutting themes that can be applied to other payer-based
   PCMH initiatives.
   DESIGN: Observational qualitative study.
   PARTICIPANTS: A total of 65 individuals (which includes 57 primary care
   physicians) participated in focus group sessions. Telephone interviews
   were conducted with an additional 14 physicians and 2 practice
   administrators.
   APPROACH: Interviews and focus groups were recorded after obtaining the
   informed consent of participants. Written transcripts from the
   recordings were then imported into NVivo 11 for subsequent coding and
   qualitative analysis of themes.
   KEY RESULTS: We found that nurse care coordinators (NCCs) were the
   single most valuable and visible program element. Individual care plans
   served as effective tools of communication between the NCC and physician
   on patient care management goals and issues. The online data portal was
   viewed as the least valuable element. With regard to cross-cutting
   themes, some providers expressed a strained relationship with CareFirst
   due to communication challenges, a lack of trust, and differing
   priorities in selecting patients for care plans.
   CONCLUSION: Nurse care coordinators and the targeted use of
   individualized care plans are essential components in a payer-based PCMH
   program. Improving communication and trust in data reports are critical
   for effective implementation. Future research should examine provider
   experiences in other payer-based PCMH programs to see how interactions
   with payers affect program implementation.
OI Gimm, Gilbert/0000-0001-6361-6951
ZS 0
ZR 0
ZB 0
Z8 0
TC 5
ZA 0
Z9 5
U1 0
U2 0
SN 0884-8734
EI 1525-1497
UT WOS:000495477900032
PM 31011976
ER

PT J
AU Ryan, Kathleen A.
   Filipp, Stephanie L.
   Gurka, Matthew J.
   Zirulnik, Alexander
   Thompson, Lindsay A.
TI Understanding influenza vaccine perspectives and hesitancy in university
   students to promote increased vaccine uptake
SO HELIYON
VL 5
IS 10
AR e02604
DI 10.1016/j.heliyon.2019.e02604
PD OCT 2019
PY 2019
AB Introduction: Influenza vaccine hesitancy is a global barrier to
   controlling seasonal influenza. Influenza vaccination rates in
   university students lag behind current goals and pose a significant
   threat to the health of students on campuses. A broader understanding of
   the knowledge, attitudes and beliefs of university students are needed
   to develop targeted interventions to increase vaccination.
   Methods: An anonymous cross-sectional survey was developed and
   distributed via REDCap to graduate and undergraduate students via
   individual college listservs at a large public university. Survey
   questions included demographic information and questions about
   vaccination history, preference for vaccine type (inactivated vaccine
   (IIV) or live attenuated vaccine (LAIV), knowledge of influenza
   vaccines, reasons for accepting or refusing vaccine and preference for
   receiving vaccine information and education.
   Results: Students in 14 colleges received the survey and 1039
   respondents were included in analysis. Sixty two percent reported having
   been vaccinated for influenza and of those vaccinated most were in
   health-related fields that require vaccination. Graduate and vaccinated
   students were more knowledgeable about influenza; undergraduates had
   lower vaccination rates. Students preferred IIV over LAIV and were more
   knowledgeable about IIV. Those with history of vaccination during
   childhood had higher rates of vaccination. Twenty six percent overall
   and 41.6% of the unvaccinated still believed you could get the flu from
   the flu vaccine. Fear of needles and inconvenience were cited as major
   reasons for not getting vaccinated. Incentives were cited as important
   motivators by only 20%. Students preferred to receive vaccine
   information from medical providers followed by online information and
   campus events.
   Conclusions: A multipronged approach to increasing influenza vaccination
   of university students will be needed. Myths about influenza vaccine
   persist even in a relatively educated population. Programs will need to
   target undergraduate and students in non health-related fields, offer
   vaccine choices - IIV and LAIV and promote vaccination through medical
   providers and online information.
ZB 10
TC 29
ZR 0
ZA 0
Z8 0
ZS 0
Z9 29
U1 1
U2 15
EI 2405-8440
UT WOS:000494641300188
PM 31667418
ER

PT J
AU Cuevas, Heather
   Ward, Catherine
TI Application of cognitive screening guidelines by health care providers
   in diabetes care: A cross-sectional descriptive study
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 25
IS 5
BP 800
EP 805
DI 10.1111/jep.13085
PD OCT 2019
PY 2019
AB Rationale, aims, and objectives The risk of cognitive dysfunction is
   higher in people with diabetes than in the general population, and
   approximately 50% of those with diabetes will develop cognitive
   impairments as they age. Screening for cognitive dysfunction in people
   with diabetes can help identify both pathology and those who are at risk
   for higher health care utilization, but we do not know how health care
   providers implement cognitive screening recommendations in this
   population. In this study, we examined health care providers' knowledge
   of those recommendations and their application of them, as well as
   factors associated with guideline use. Methods This study used a
   cross-sectional, descriptive correlational design with a convenience
   sample. All data were collected with a 20-question online survey sent to
   advanced practice nurses (APNs), medical doctors/doctor of osteopathic
   medicines (MDs/DOs), and physician assistants (PAs) in Central Texas.
   Results One-hundred eighty-one health care providers responded.
   Participants most frequently said they were "moderately familiar" with
   guidelines for cognitive impairment screening (60.9%). Twenty-three per
   cent of physicians, 37.4% of APNs, and 8.3% of PAs indicated that they
   incorporated routine screening into daily practice. However, 64% did not
   use standardized tools to assess cognitive function. The most common
   clinical tasks related to cognitive screening were referral for more
   in-depth cognitive screening (44%) and education of families regarding
   cognitive problems (29%). Lack of time was the most common barrier to
   screening (57.7%). Conclusions Most respondents believed that there was
   a good rationale for assessing cognitive function in people with
   diabetes. However, despite some familiarity with guidelines for
   cognitive function screening, most respondents did not use standardized
   assessment tools. The results indicate variability in clinical practice
   regarding assessment and practices, such that there may be some
   variability in outcomes for patients.
OI Cuevas, Heather/0000-0003-4314-6686
Z8 0
ZS 0
ZB 0
ZR 0
ZA 0
TC 1
Z9 1
U1 0
U2 6
SN 1356-1294
EI 1365-2753
UT WOS:000489036200015
PM 30488518
ER

PT J
AU Althakafi, Kholoud A.
   Alrashed, Abdulaziz A.
   Aljammaz, Khalid, I
   Abdulwahab, Ihdaa J.
   Hamza, Raghad
   Hamad, Asalah F.
   Alhejaili, Khalid S.
TI Prevalence of short sleep duration and effect of co-morbid medical
   conditions - A cross-sectional study in Saudi Arabia
SO JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE
VL 8
IS 10
BP 3334
EP 3339
DI 10.4103/jfmpc.jfmpc_660_19
PD OCT 2019
PY 2019
AB Background: Sleep is crucial to human's health and essential for a
   person's wellbeing. It is involved in multiple physiological mechanisms,
   such as metabolism, appetite regulation, immune and hormone function,
   and cardiovascular systems. The National Sleep Foundation recommends 7-9
   h of sleep each night for adults. Short (<7 h) and long (<9 h) sleep
   duration has been reported to be associated with increased risk of
   morbidity and mortality. Aim: 1) To assess the prevalence of short sleep
   durations among Saudi adult population. 2) To examine comorbid medical
   condition's association with short sleep duration. Methods: A
   nation-wide quantitative cross-sectional study using an online
   self-administered constructed questionnaire during the period from
   August to October 2018 was conducted. The questionnaire included
   demographic characters, such as age, gender, education level, height,
   and weight. As well as some of the participants' habits such as
   consuming coffee and/or tea, smoking status, and other habits known to
   be associated with shorter sleep hours. The questionnaire also included
   self-reported duration of sleep and history of diagnosed medical
   illnesses. Results: The study included 805 adult Saudi participants with
   ages ranging from 15- to 60-year old and mean age of 21.8 +/- 10.7-year
   old. About 63% of the participants were females. It was established that
   almost half 49.6% of the participants sleep for <7 h daily, and 39.3% of
   them sleep for 7-9 h. Conclusion: About half of Saudi adults do not get
   enough hours of sleep. Especially, people who are married, above 30-year
   old, students or tea drinkers (P < 0.05): furthermore, people with
   medical comorbidities such as anxiety, depression, and insomnia had a
   higher association with short sleep duration. Last, sleep deprivation
   adversely affects the physical wellbeing and quality of life of
   participants, demonstrated in bad mood, somnolence, and tiredness during
   the day time.
TC 2
ZS 0
ZA 0
Z8 0
ZR 0
ZB 1
Z9 2
U1 1
U2 1
SN 2249-4863
EI 2278-7135
UT WOS:000648427900043
PM 31742164
ER

PT J
AU Garcin, B.
   Mariani, L. L.
   Meneret, A.
   Mongin, M.
   Delorme, C.
   Cormier, F.
   Renaud, M. -C.
   Roze, E.
   Degos, B.
TI The ''Neurological Hat Game'': A fun way to learn the neurological
   semiology
SO REVUE NEUROLOGIQUE
VL 175
IS 9
BP 528
EP 533
DI 10.1016/j.neurol.2019.01.395
PD OCT 2019
PY 2019
AB Introduction. - In-class courses are deserted by medical students who
   tend to find it more beneficial to study in books and through online
   material. New interactive teaching methods, such as serious games
   increase both performance and motivation. We developed and assessed a
   new teaching method for neurological semiology using the "Hat Game" as a
   basis.
   Methods. - In this game, two teams of second-year medical students are
   playing against one another. The game is played with a deck of cards. A
   neurological symptom or sign is written on each card. Each team gets a
   predefined period of time to guess as many words as possible. One member
   is the clue-giver and the others are the guessers. There are three
   rounds: during the first round, the clue-giver uses any descriptive term
   he wants and as many as he wants to make his team guess the maximum
   number of words within the allocated time. During the second round, the
   clue-giver can only choose one clue-word and, during the third round, he
   mimes the symptom or sign. The team that has guessed the most cards wins
   the game. To assess the efficacy of this learning procedure, multiple
   choices questions (MCQs) were asked before and after the game. Exam
   results of second-year students on their final university Neurology exam
   were analyzed. A satisfaction survey was proposed to all participating
   students.
   Results. - Among 373 students, 121 volunteers (32.4%) were enrolled in
   the "Neurology Hat Game" and 112 attended the game. One hundred and
   seven of the 112 students completed the MCQs with a significant
   improvement in their responses after the game (P < 0.001). The 112
   students who completed the satisfaction self-administered questionnaire
   were very satisfied with this funny new teaching method.
   Conclusions. - Teaching neurological semiology via the "Hat Game" is an
   interesting method because it is student-centered, playful and
   complementary to the lecturer-centered courses. A randomized controlled
   study would be necessary to confirm these preliminary results. (C) 2019
   Elsevier Masson SAS. All rights reserved.
ZS 0
Z8 0
ZR 0
ZB 0
TC 3
ZA 0
Z9 3
U1 0
U2 3
SN 0035-3787
EI 2213-0004
UT WOS:000491181500005
PM 31076136
ER

PT J
AU Cheng, Philip
   Kalmbach, David A.
   Tallent, Gabriel
   Joseph, Christine L. M.
   Espie, Colin A.
   Drake, Christopher L.
TI Depression prevention via digital cognitive behavioral therapy for
   insomnia: a randomized controlled trial
SO SLEEP
VL 42
IS 10
AR zsz150
DI 10.1093/sleep/zsz150
PD OCT 2019
PY 2019
AB Study Objectives: Insomnia is a common precursor to depression; yet, the
   potential for insomnia treatment to prevent depression has not been
   demonstrated. Cognitive behavioral therapy for insomnia (CBT-I)
   effectively reduces concurrent symptoms of insomnia and depression and
   can be delivered digitally (dCBT-I); however, it remains unclear whether
   treating insomnia leads to sustained reduction and prevention of
   depression. This randomized controlled trial examined the efficacy of
   dCBT-I in reducing and preventing depression over a 1-year follow-up
   period.
   Methods: Patients with Diagnostic and Statistical Manual of Mental
   Disorders, Fifth Edition (DSM-5) insomnia disorder were randomly
   assigned to receive dCBT-I or an attentional control. The follow-up
   sample included 358 patients in the dCBT-I condition and 300 patients in
   the online sleep education condition. The primary outcome measure was
   relative rate ratios for depression at 1-year follow-up. Insomnia
   responses to treatment were also tested as predictors of incident
   depression at the 1-year follow-up.
   Results: At 1-year follow-up, depression severity continued to be
   significantly lower in the dCBT-I condition relative to control. In
   addition, the number of individuals who reported no depression at 1-year
   follow-up was 51% higher in the dCBT-I condition relative to control. In
   those with minimal to no depression at baseline, the incident rate of
   moderate-to-severe depression at 1-year follow-up was reduced by half in
   the dCBT-I condition relative to the control condition.
   Conclusion: dCBT-I showed robust effects as an intervention that
   prevents depression. Future research should examine dose-response
   requirements and further characterize mechanisms of action of dCBT-I for
   depression prevention.
RI Kalmbach, David/GVS-3289-2022; Drake, Christopher/L-6274-2017; Cheng, Philip/AAY-4792-2021; Espie, Colin/
OI Drake, Christopher/0000-0002-5486-3587; Cheng,
   Philip/0000-0002-2874-658X; Espie, Colin/0000-0002-1294-8734
Z8 1
ZR 0
TC 57
ZB 22
ZS 0
ZA 0
Z9 58
U1 2
U2 23
SN 0161-8105
EI 1550-9109
UT WOS:000493385300015
PM 31535688
ER

PT J
AU Krusche, M.
   Sewerin, P.
   Kleyer, A.
   Mucke, J.
   Vossen, D.
   Morf, H.
TI Specialist training quo vadis?
SO ZEITSCHRIFT FUR RHEUMATOLOGIE
VL 78
IS 8
BP 692
EP 697
DI 10.1007/s00393-019-00690-5
PD OCT 2019
PY 2019
AB Background. In May 2018 a revision of the training regulations for
   German doctors (MWBO) was passed which will significantly impact the
   medical training for German rheumatologists. The goal of this paper was
   to create an overview of the status quo in advanced medical training in
   this field.
   Methods. A quantitative and qualitative analysis was conducted to
   identify the strengths and weaknesses of the current continuous
   education in the field of rheumatology in Germany. The number of newly
   trained specialists in rheumatology in the years 2015 to 2017 was
   determined from the regional medical associations. Furthermore, an
   online survey assessing the training conditions of assistant physicians
   was conducted. 71 physicians participated in the nationwide survey.
   Results. In 2015 (53 specialists), in 2016 (43 specialists) and in 2017
   (43 specialists) completed their training in the field of rheumatology.
   The online survey of assistant physicians found that the medical
   training was graded 3.1 on a scale of 1 to 6 (SD +/- 1.1). 19.4% of
   respondents reported that they had regular mentoring, and 41.7% had
   on-the-job evaluations. Deficits were evident concerning practical
   diagnostic skills: 22.8% of the physicians were not practicing joint
   ultrasonography and another 20% performed it only once a month. As
   points of criticism 46.6% mentioned a missing structure in training
   programme and 33.3% noted a lack of supervision. The majority of
   respondents wanted more training options, supervision and better
   practical training in ultrasound diagnostics.
   Conclusion. The nationwide number of newly acquired specialist
   qualifications (between 2015 and 2017) showed a decreasing trend. It is
   to be feared that the numbers will continue to stagnate, which increases
   the importance to invest further in medical education. The online survey
   also showed that the current medical training in Germany has deficits.
   Here, the new MWBO could create better guidelines for a structured
   training, which should be guided by the principle of "Teach to Target".
RI Sewerin, Philipp/AAG-7717-2020; Kleyer, Arnd/AAU-2689-2021; Mucke, Johanna/AAG-7722-2020; Krusche, Martin/
OI Sewerin, Philipp/0000-0001-8465-6207; Kleyer, Arnd/0000-0002-2026-7728;
   Krusche, Martin/0000-0002-0582-7790
ZA 0
ZB 7
ZR 0
ZS 0
TC 24
Z8 0
Z9 24
U1 0
U2 0
SN 0340-1855
EI 1435-1250
UT WOS:000489757900001
PM 31468164
ER

PT J
AU Cole, Jon B.
   Knack, Sarah K.
   Karl, Erin R.
   Horton, Gabriella B.
   Satpathy, Rajesh
   Driver, Brian E.
TI Human Errors and Adverse Hemodynamic Events Related to "Push Dose
   Pressors" in the Emergency Department
SO JOURNAL OF MEDICAL TOXICOLOGY
VL 15
IS 4
BP 276
EP 286
DI 10.1007/s13181-019-00716-z
PD OCT 2019
PY 2019
AB Background Though the use of small bolus doses of vasopressors, termed
   "push dose pressors," has become common in emergency medicine, data
   examining this practice are scant. Push dose pressors frequently involve
   bedside dilution, which may result in errors and adverse events. The
   objective of this study was to assess for instances of human error and
   adverse hemodynamic events during push dose pressor use in the emergency
   department. Methods This was a structured chart and video review of all
   patients age >= 16 years undergoing resuscitation and receiving push
   dose pressors from a single center from January 2010 to November 2017.
   Push dose pressors were defined as intended intravenous boluses of
   phenylephrine (any dose) or epinephrine (<= 100 mcg). Results A total of
   249 patients were analyzed. Median age was 60 years (range, 16-97), 58%
   were male, 49% survived to discharge. Median initial epinephrine dose
   was 20 mcg (n = 139, IQR 10-100, range 1-100); median phenylephrine dose
   was 100 mcg (n = 110, IQR 100-100, range 25-10,000). Adverse hemodynamic
   events occurred in 98 patients (39%); 30 in the phenylephrine group
   (27%; 95% CI, 19-36%), and 68 in the epinephrine group (50%; 95% CI,
   41-58%). Human errors were observed in 47 patients (19%), including 7
   patients (3%) experiencing dosing errors (all overdoses; range, 2.5- to
   100-fold) and 43 patients (17%) with a documentation error. Only one
   dosing error occurred when a pharmacist was present. Conclusions Human
   errors and adverse hemodynamic events were common with the use of push
   dose pressors in the emergency department. Adverse hemodynamic events
   were more common than in previous studies. Future research should
   determine if push dose pressors improve outcomes and if so, how to
   safely implement them into practice.
RI Cole, Jon B/J-5788-2019; Satpathy, Rajesh/; Knack, Sarah/
OI Cole, Jon B/0000-0002-7714-8826; Satpathy, Rajesh/0000-0002-6392-7749;
   Knack, Sarah/0000-0002-4220-0866
Z8 0
ZS 0
TC 7
ZA 0
ZR 0
ZB 2
Z9 7
U1 0
U2 1
SN 1556-9039
EI 1937-6995
UT WOS:000493657800009
PM 31270748
ER

PT J
AU Yadav, Ghanshyam S.
   Nagarkatti, Nupur R.
   Rohondia, Sagar O.
   Erfani, Hadi
   Kilpatrick, Charles C.
   Turrentine, Mark A.
TI Academic tweeting in #ObGyn. Where do we stand?
SO JOURNAL OF PERINATAL MEDICINE
VL 47
IS 8
BP 867
EP 870
DI 10.1515/jpm-2019-0166
PD OCT 2019
PY 2019
AB Objective: To describe the scenario of academic tweeting and utilization
   of Twitter by editorial board members of the leading journal in
   obstetrics and gynecology.
   Methods: The Twitter presence of an editorial board members of
   obstetrics and gynecology journal with an impact factor greater than 4
   was determined. Details of their Twitter activity, year of graduation
   from medical school and gender were analyzed. Median SparkScore (TM), an
   online influence measure, of journals was compared to the highest impact
   factor journals in medicine (New England Journal of Medicine, The
   Lancet, The British Medical Journal and Journal of the American Medical
   Association).
   Results: In the six highest impact factor journals in obstetrics and
   gynecology, 92 of 240 (38.3%) editorial board members had an active
   Twitter account. The Twitter presence of editorial members of Obstetrics
   and Gynecology was statistically less when compared to all other
   journals (P <0.01). The median number of tweets in the last 24 h and 7
   days were 0. Median SparkScore (TM) for the highest impact factor
   obstetrics and gynecology journals (24) were lower compared to the
   highest impact journals in medicine (66) (P=0.03).
   Conclusion: Editorial board members of the six highest impact factor
   journals in obstetrics and gynecology are not capitalizing on the
   dynamic nature of Twitter and its instant convenient access from our
   smartphones to further academia, when compared to specialties in
   medicine. There is a need for increased adoption of Twitter among
   physician leaders in the specialty.
RI Yadav, Ghanshyam/AAR-6817-2020; Rohondia, Sagar/AAG-2513-2020; Rohondia, Sagar/AAH-8896-2020
OI Yadav, Ghanshyam/0000-0002-5692-9033; 
ZB 1
TC 2
ZS 0
ZR 0
ZA 0
Z8 0
Z9 2
U1 0
U2 2
SN 0300-5577
EI 1619-3997
UT WOS:000489123200009
PM 31494634
ER

PT J
AU Zieschang, Tania
   Bauer, Juergen
   Kopf, Daniel
   Roesler, Alexander
TI Special care units for patients with cognitive impairment. Results of a
   nationwide survey in geriatric hospitals in Germany
SO ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE
VL 52
IS 6
BP 598
EP 606
DI 10.1007/s00391-018-1439-z
PD OCT 2019
PY 2019
AB Background A large number of older acutely ill patients with cognitive
   impairment are treated in geriatric care units. Since 1990 some
   geriatric departments in Germany have established special care units
   (SCU) for this patient population. In 2010 the first inventory of SCUs
   in Germany was carried out, which was not based on a nationwide
   systematic survey.
   Objective Nationwide systematic survey of SCUs for patients with
   cognitive impairment in geriatric institutions in Germany.
   Methods An online questionnaire (SurveyMonkey (R), San Mateo, CA, USA)
   was sent to all heads of geriatric departments that provide advanced
   education in geriatric medicine of at least 12 months as registered by
   the German Society for Geriatric Medicine (DGG).
   Results The questionnaire was sent to 495 geriatric institutions of
   which 161 answered (response rate 32.5%). Additionally, 13 institutions
   answered through a weblink sent in a newsletter by the DGG. In 2017 a
   total of 42 SCUs existed with a mean size of 13.5 +/- 4.7 beds. A
   further 15 hospitals plan to install an SCU in the near future, 5
   probably in 2018. In four geriatric departments an existing SCU was
   closed down. All SCUs implemented special architectural, structural and
   personnel measures as recommended by the position paper of the DGG. The
   few conducted evaluations indicated beneficial results for mobility and
   disruptive behavior.
   Conclusion In recent years the number of SCUs has increased
   considerably. A methodologically sound evaluation with respect to
   patient-related outcomes including follow-up and cost-effectiveness is
   lacking and should be carried out in the near future.
TC 2
Z8 0
ZR 0
ZB 1
ZS 0
ZA 0
Z9 2
U1 0
U2 6
SN 0948-6704
EI 1435-1269
UT WOS:000489754800014
PM 30178120
ER

PT J
AU Merrill, Katreena
   Hanson, Sandra Forsyth
   Sumner, Sharon
   Vento, Todd
   Veillette, John
   Webb, Brandon
TI Antimicrobial stewardship: Staff nurse knowledge and attitudes
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 47
IS 10
BP 1219
EP 1224
DI 10.1016/j.ajic.2019.03.022
PD OCT 2019
PY 2019
AB Background: Registered nurses are uniquely qualified to augment
   antimicrobial stewardship (AS) processes. However, the role of nursing
   in AS needs further development. More information is needed regarding
   gaps in registered nurse knowledge, attitudes toward AS, and how
   infection preventionists can help.
   Methods: An online descriptive survey was deployed to a convenience
   sample of approximately 2,000 nurses at the bedside. The survey included
   15 questions addressing: (1) overall knowledge of AS; (2) antimicrobial
   delivery; (3) knowledge and attitudes regarding antimicrobial use; (4)
   antimicrobial resistance; and (5) antimicrobial resources and education.
   Results: Three hundred sixteen staff nurses from 3 hospitals (15.8%)
   responded to the survey. Fifty-two percent of nurses were not familiar
   with the term "antimicrobial stewardship," although 39.6% of nurses
   indicated that an AS program was moderately or extremely important in
   their health care setting. Almost all nurses (95%) believed that they
   should be involved in AS interventions.
   Discussion: These findings suggest gaps in nursing knowledge rearding
   AS. However, nurses believed AS programs were important and were eager
   to be involved.
   Conclusions: This study showed that many nurses are not aware of AS, or
   do not understand their role in contributing to AS endeavors. Infection
   preventionist education should focus on increasing staff nurse awareness
   and demonstrating how nurses can make specific AS interventions. (C)
   2019 Association for Professionals in Infection Control and
   Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
RI Merrill, Katreena/AAU-2984-2020; Veillette, John/; Collette Merrill, Katreena/
OI Veillette, John/0000-0001-7662-7609; Collette Merrill,
   Katreena/0000-0001-6014-4776
ZR 0
ZA 0
ZB 4
Z8 0
TC 9
ZS 0
Z9 9
U1 0
U2 7
SN 0196-6553
EI 1527-3296
UT WOS:000487003300011
PM 31128981
ER

PT J
AU Spillane, Andrew J.
   Flitcroft, Kathy L.
   Warrier, Sanjay
   Katelaris, Annette G.
TI Evaluation of a structured clinical program and formal coursework in
   breast surgeon training in Australia and New Zealand
SO EJSO
VL 45
IS 10
BP 1821
EP 1826
DI 10.1016/j.ejso.2019.05.014
PD OCT 2019
PY 2019
AB Introduction: Breast surgeon training has been restructured since the
   inception of Breast Surgeons of Australia and New Zealand Inc.
   (BreastSurgANZ) in 2010. In 2016 a voluntary online course with a
   contemporary curriculum for breast surgery was initiated and taken up by
   the majority of post-fellowship trainees (PFTs). This article reports on
   PFT's perceptions of these major changes.
   Methods: A 46-item online survey was sent to the 56 PFTs enrolled in
   2015-2017. The survey canvassed PFT's views on aspects of the two-year
   training program, the Graduate Certificate in Breast Surgery (GCBS) and
   the role of BreastSurgANZ in training.
   Results: 33/56 participants responded. The training program was rated
   positively with variation in satisfaction levels depending on operating
   experience and quality of training between clinical placements. The
   majority of respondents endorsed restricting numbers of training
   positions. GCBS students valued the clinical knowledge and structured
   format of the course. A range of diverse, often opposing, opinions were
   expressed on the appropriate role of BreastSurgANZ in training and
   accreditation.
   Discussion: The dissonance caused by variability in training exposure
   and perceived mentor quality in different sites was the most important
   finding. The GCBS was well regarded by all students but time constraints
   and costs prevented some PFTs from undertaking the course.
   Standardisation of mandatory requirements for full BreastSurgANZ
   membership was identified as an issue for further consideration.
   Conclusion: This evaluation illuminates the challenges of providing
   consistently high quality breast surgical training. Many of the issues
   raised are being addressed by BreastSurgANZ. (C) 2019 Elsevier Ltd, BASO
   similar to The Association for Cancer Surgery, and the European Society
   of Surgical Oncology. All rights reserved.
RI Flitcroft, Kathy/ABB-8542-2020
ZB 0
Z8 1
ZS 0
ZA 0
ZR 0
TC 1
Z9 2
U1 0
U2 2
SN 0748-7983
EI 1532-2157
UT WOS:000491301600011
PM 31331802
ER

PT J
AU Chang, Kimberley L.
   Grubbs, Elizabeth G.
   Ingledew, Paris-Ann
TI AN ANALYSIS OF THE QUALITY OF THYROID CANCER WEBSITES
SO ENDOCRINE PRACTICE
VL 25
IS 10
BP 1003
EP 1011
DI 10.4158/EP-2018-0595
PD OCT 2019
PY 2019
AB Objective: This study evaluated online thyroid cancer patient
   information quality. This is essential, given increasing patient use of
   online health information.
   Methods: A total of 100 thyroid cancer websites, representing those
   patients find first, were identified using Google and two meta-search
   engines. Content accuracy and patient-evaluable quality markers,
   including attribution, currency, structure, and content
   comprehensiveness and readability, were assessed with a previously
   validated standardized rating tool, developed using design-based
   methods. Accuracy was defined compared to standard, peer-reviewed
   medical resources, UpToDate and the National Comprehensive Cancer
   Network. Responses to general and personal "patient" questions were
   evaluated for promptness and accuracy.
   Results: Of 100 websites, only 26% stated authorship, and 56% cited
   sources. Seventy-four percent had dates of creation or last update, with
   only half of those dates occurring within the past 2 years. Websites
   most often discussed the definition (94%), diagnosis (92%), and
   treatment (94%) of thyroid cancer, but diagnosis and treatment were also
   most frequently incomplete or inaccurate: diagnosis information was
   complete and accurate 50% of the time, and treatment 47%. Only 2% of
   websites were comprehensible without high school education. Of 83
   websites contacted with "patient" questions, 50 replied, 48 within 1
   week.
   Conclusion: Thyroid cancer information is widely available online, but
   quality varies. Sites often lack markers for patients to assess quality,
   and content may be difficult to understand. Information is frequently
   incomplete, particularly on topics important to patients, such as
   diagnosis and treatment. Educational resource developers may fill these
   gaps, and healthcare providers can direct thyroid cancer patients to
   reliable online resources.
ZA 0
Z8 0
ZR 0
ZS 0
TC 15
ZB 0
Z9 15
U1 0
U2 2
SN 1530-891X
EI 1934-2403
UT WOS:000490278900003
PM 31170373
ER

PT J
AU Saeed, Zeb L.
   Bancos, Irina
   Donegan, Diane
TI CURRENT KNOWLEDGE AND PRACTICES OF HEATH CARE PROFESSIONALS ON
   OPIOID-INDUCED ADRENAL INSUFFICIENCY
SO ENDOCRINE PRACTICE
VL 25
IS 10
BP 1012
EP 1021
DI 10.4158/EP-2019-0177
PD OCT 2019
PY 2019
AB Objective: Opioid-induced adrenal insufficiency (OIAI) is reported in up
   to 29% of chronic opioid users through suppression of the
   hypothalamus-pituitary-adrenal axis. Unrecognized adrenal insufficiency
   leads to increased morbidity and potentially death; thus, healthcare
   provider (HCP) awareness of OIAI is crucial. The aim of the present
   study was to assess the knowledge and current practices of HCPs
   regarding OIAI and to identify factors associated with decreased
   awareness.
   Methods: We carried out a cross-sectional, anonymous survey of HCPs in
   internal medicine specialties that prescribe or care for patients taking
   chronic opioids.
   Results: Of 91 (30%) participants who completed the survey, 51 (56%)
   were men and 52 (57%) were in training. Most responders were general
   internal medicine providers (n = 33, 36%), followed by endocrinologists
   (n = 13, 14%) and various other specialties (n = 45, 49%). While 61
   (67%) of respondents prescribed opioids, only 17 (19%) were comfortable
   in their knowledge of opioid side effects. Among nonendocrine providers,
   53 (68%) identified adrenal insufficiency as a known opioid-induced
   endocrinopathy. Compared to other providers, endocrinologists were more
   likely to recognize opioid-related endocrinopathies (69% versus 24%, P =
   .01) and to identify the correct symptoms for OIAI (38% versus 9%, P
   <.001). One in four nonendocrine providers reported discomfort in
   managing glucocorticoid replacement therapy. The majority (60%) of
   providers indicated that online resources and continuing medical
   education lectures would improve knowledge of OIAI.
   Conclusion: Our study identified several deficiencies in HCP knowledge
   of opioid-induced endocrine effects, especially in nonendocrine
   providers. As many symptoms of OIAI overlap with those of underlying
   conditions, OIAI could be potentially missed, highlighting the need to
   further educate providers about opioid-induced endocrinopathies.
RI Donegan, Diane/AAI-6066-2021; Bancos, Irina/J-6560-2019
ZB 2
Z8 0
ZS 0
ZR 0
ZA 0
TC 6
Z9 6
U1 1
U2 3
SN 1530-891X
EI 1934-2403
UT WOS:000490278900004
PM 31170362
ER

PT J
AU Stevenson, Fiona
   Hall, Laura
   Sequin, Maureen
   Atherton, Helen
   Barnes, Rebecca
   Leydon, Geraldine
   Pope, Catherine
   Murray, Elizabeth
   Ziebland, Sue
TI General Practitioner's use of online resources during medical visits:
   managing the boundary between inside and outside the clinic
SO SOCIOLOGY OF HEALTH & ILLNESS
VL 41
SI SI
BP 65
EP 81
DI 10.1111/1467-9566.12833
SU 1
PD OCT 2019
PY 2019
AB In an increasingly connected world, information about health can be
   exchanged at any time, in any location or direction, and is no longer
   dominated by traditional authoritative sources. We consider the ways
   information and advice given in consultations by doctors transcends the
   boundary between the clinic and the home. We explore how information
   that is widely accessible outside the consultation is transformed by
   General Practitioners (GPs) into a medical offering. Data comprise 18
   consultations identified from 144 consultations between unselected
   patients and five GPs. We use conversation analytic methods to explore
   four ways in which GPs used online resources; (i) to check information;
   (ii) as an explanatory tool; (iii) to provide information for patients
   for outside the consultation; (iv) to signpost further explanation and
   self-help. We demonstrate the interactional delicacy with which
   resources from the Internet are introduced and discussed, developing and
   extending Nettleton's (2004) idea of 'e-scaped medicine' to argue that
   Internet resources may be 'recaptured' by GPs, with information
   transformed and translated into a medical offering so as to maintain the
   asymmetry between patients and practitioners necessary for the
   successful functioning of medical practice.
RI Atherton, Helen/AFK-5296-2022; Stevenson, Fiona/AAJ-2727-2021; Ziebland, Sue/; Murray, Elizabeth/; Pope, Catherine/
OI Atherton, Helen/0000-0002-7072-1925; Stevenson,
   Fiona/0000-0003-2139-2309; Ziebland, Sue/0000-0002-6496-4859; Murray,
   Elizabeth/0000-0002-8932-3695; Pope, Catherine/0000-0002-8935-6702
ZA 0
ZR 0
ZB 0
Z8 0
TC 10
ZS 1
Z9 11
U1 1
U2 10
SN 0141-9889
EI 1467-9566
UT WOS:000489792800005
PM 31599991
ER

PT J
AU Bahji, A.
   Cheng, B.
   Gray, S.
   Stuart, H.
TI Reduction in mortality risk with opioid agonist therapy: a systematic
   review and meta-analysis
SO ACTA PSYCHIATRICA SCANDINAVICA
VL 140
IS 4
BP 313
EP 339
DI 10.1111/acps.13088
PD OCT 2019
PY 2019
AB Introduction Opioid agonist therapies are effective medications that can
   greatly improve the quality of life of individuals with opioid use
   disorder. However, there is significant uncertainty about the risks of
   cause-specific mortality in and out of treatment. Objective This
   systematic review and meta-analysis explored the association between
   methadone and buprenorphine with cause-specific mortality among
   opioid-dependent persons. Methods We searched six online databases to
   identify relevant cohort studies, calculating all-cause and
   overdose-specific mortality rates during periods in and out of
   treatment. We pooled mortality estimates using multivariate random
   effects meta-analysis of the crude mortality rate per 1000 person-years
   of follow-up as well as relative risks comparing mortality in vs. out of
   treatment. Results A total of 32 cohort studies (representing 150 235
   participants, 805 423.6 person-years, and 9112 deaths) met eligibility
   criteria. Crude mortality rates were substantially higher among
   methadone cohorts than buprenorphine cohorts. Relative risk reduction
   was substantially higher with methadone relative to buprenorphine when
   time in-treatment was compared to time out-of-treatment. Furthermore,
   the greatest mortality reduction was conferred during the first 4 weeks
   of treatment. Mortality estimates were substantially heterogeneous and
   varied significantly by country, region, and by the nature of the
   treatment provider. Conclusion Precautions are necessary for the safer
   implementation of opioid agonist therapy, including baseline assessments
   of opioid tolerance, ongoing monitoring during the induction period,
   education of patients about the risk of overdose, and coordination
   within healthcare services.
RI Bahji, Anees/AAA-4193-2020
OI Bahji, Anees/0000-0002-3490-314X
ZA 0
ZR 0
ZB 10
Z8 0
TC 20
ZS 0
Z9 20
U1 0
U2 1
SN 0001-690X
EI 1600-0447
UT WOS:000487088200003
PM 31419306
ER

PT J
AU Mahendran, Balaji
   Caiazzo, Anna
   Coleman, Mark
   Celentano, Valerio
TI Transanal total mesorectal excision (TaTME): are we doing it for the
   right indication? An assessment of the external validity of published
   online video resources
SO INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
VL 34
IS 10
BP 1823
EP 1826
DI 10.1007/s00384-019-03377-0
PD OCT 2019
PY 2019
AB Background The steep learning curve for safe introduction of transanal
   total mesorectal excision (TaTME) highlights the need for mentored
   training reserved for surgeons with expertise in minimally invasive
   colorectal surgery and transanal surgery. Video-based education in
   minimally invasive surgery is considered by surgical trainers as a
   useful teaching aid to maximize learning. This study aims to
   systematically assess the availability and quality of online TaTME
   videos. Methods TaTME videos were systematically searched on ,
   Colorectal diseases video channel, , and AIS channel. Data collected
   included video characteristics, presence of supplementary educational
   content, patient details, indication for surgery, different steps of
   TaTME presented, and surgical outcomes. Results Forty-six videos were
   included with a median of 92 views per month. Nineteen videos (41.3%)
   reported the age of the participants and 29 patients were male (63%).
   Body mass index (BMI) was reported in 20 videos (43.5%) with a median of
   27 and it indicated obesity (BMI >= 30) in 2 cases only. The use of
   neoadjuvant treatment was reported in 8 cases (17.4%). Eighteen videos
   (39.1%) reported the distance of the tumor from the anal verge, with a
   median of 6.4 cm and in 9 out of 18 cases, the tumor distance from the
   anal verge was 7 cm or higher. Pathological staging was reported in 17
   videos (37.0%), with 1 T1, 3 T2, 10 T3, and 3 T4 tumors. Conclusions
   There is considerable interest in TaTME videos. Lack of consensus on
   reporting of these videos limits the educational value of these
   resources, which are missing important patient details and postoperative
   outcomes.
Z8 0
TC 3
ZR 0
ZS 0
ZB 0
ZA 0
Z9 3
U1 0
U2 0
SN 0179-1958
EI 1432-1262
UT WOS:000487143200026
PM 31489443
ER

PT J
AU Payne, Katy-Louise
   Russell, Ailsa
   Mills, Richard
   Maras, Katie
   Rai, Dheeraj
   Brosnan, Mark
TI Is There a Relationship Between Cyber-Dependent Crime, Autistic-Like
   Traits and Autism?
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 10
BP 4159
EP 4169
DI 10.1007/s10803-019-04119-5
PD OCT 2019
PY 2019
AB International law enforcement agencies have reported an apparent
   preponderance of autistic individuals amongst perpetrators of
   cyber-dependent crimes, such as hacking or spreading malware (Ledingham
   and Mills in Adv Autism 1:1-10, 2015). However, no empirical evidence
   exists to support such a relationship. This is the first study to
   empirically explore potential relationships between cyber-dependent
   crime and autism, autistic-like traits, explicit social cognition and
   perceived interpersonal support. Participants were 290 internet users,
   23 of whom self-reported being autistic, who completed an anonymous
   online survey. Increased risk of committing cyber-dependent crime was
   associated with higher autistic-like traits. A diagnosis of autism was
   associated with a decreased risk of committing cyber-dependent crime.
   Around 40% of the association between autistic-like traits and
   cyber-dependent crime was mediated by advanced digital skills.
RI russell, ailsa/J-8268-2013; Payne, Katy-Louise/; Rai, Dheeraj/
OI russell, ailsa/0000-0002-8443-9381; Payne,
   Katy-Louise/0000-0001-8058-6571; Rai, Dheeraj/0000-0002-7239-3523
ZR 0
ZB 3
ZS 0
ZA 0
TC 11
Z8 0
Z9 11
U1 3
U2 13
SN 0162-3257
EI 1573-3432
UT WOS:000487027200020
PM 31267290
ER

PT J
AU Colmers-Gray, Isabelle N.
   Krishnan, Keeth
   Chan, Teresa M.
   Trueger, N. Seth
   Paddock, Michael
   Grock, Andrew
   Zaver, Fareen
   Thoma, Brent
TI The Revised METRIQ Score: A Quality Evaluation Tool for Online
   Educational Resources
SO AEM EDUCATION AND TRAINING
VL 3
IS 4
BP 387
EP 392
DI 10.1002/aet2.10376
PD OCT 2019
PY 2019
AB BackgroundWith the rapid proliferation of online medical education
   resources, quality evaluation is increasingly critical. The Medical
   Education Translational Resources: Impact and Quality (METRIQ) study
   evaluated the METRIQ-8 quality assessment instrument for blogs and
   collected feedback to improve it.
   MethodsAs part of the larger METRIQ study, participants rated the
   quality of five blog posts on clinical emergency medicine topics using
   the eight-item METRIQ-8 score. Next, participants used a 7-point Likert
   scale and free-text comments to evaluate the METRIQ-8 score on ease of
   use, clarity of items, and likelihood of recommending it to others.
   Descriptive statistics were calculated and comments were thematically
   analyzed to guide the development of a revised METRIQ (rMETRIQ) score.
   ResultsA total of 309 emergency medicine attendings, residents, and
   medical students completed the survey. The majority of participants felt
   the METRIQ-8 score was easy to use (mean SD = 2.7 +/- 1.1 out of 7, with
   1 indicating strong agreement) and would recommend it to others (2.7 +/-
   1.3 out of 7, with 1 indicating strong agreement). The thematic analysis
   suggested clarifying ambiguous questions, shortening the 7-point scale,
   specifying scoring anchors for the questions, eliminating the "unsure"
   option, and grouping-related questions. This analysis guided changes
   that resulted in the rMETRIQ score.
   ConclusionFeedback on the METRIQ-8 score contributed to the development
   of the rMETRIQ score, which has improved clarity and usability. Further
   validity evidence on the rMETRIQ score is required.
RI Thoma, Brent/AAS-8775-2020; Chan, Teresa/T-6676-2017
OI Thoma, Brent/0000-0003-1124-5786; Chan, Teresa/0000-0001-6104-462X
Z8 0
ZS 0
ZB 0
ZA 0
TC 12
ZR 0
Z9 12
U1 1
U2 2
EI 2472-5390
UT WOS:000769786200011
PM 31637356
ER

PT J
AU Reis, Daniela
   Guethlin, Corina
   Schildmann, Jan
   Zuzak, Tycho J.
   Hilje, Clara C.
   Laengler, Alfred
TI Information and Training Needs of Pediatric Oncologists in Complementary
   and Integrative Medicine: A Cross-Sectional Study
SO JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
VL 41
IS 7
BP 551
EP 556
DI 10.1097/MPH.0000000000001578
PD OCT 2019
PY 2019
AB More than one third of all German pediatric patients with cancer use
   complementary and integrative medicine (CIM). Parents want to discuss
   the topic of CIM with their pediatric oncologists (POs); however, POs
   mostly do not feel confident discussing these topics. POs report
   openness to receiving further information and training, but CIM training
   opportunities in medical education seem rare. We investigated POs'
   information and training needs and preference patterns regarding CIM
   training content with a paper-based or online survey. A total of 101 POs
   from Germany completed the survey. Only 11.4% agreed to being
   sufficiently informed of CIM. The participants stated needing further
   CIM information very often (8.6%), often (38.7%), or occasionally
   (44.1%). They considered an overview of CIM therapies and information
   about relaxation methods, herbal remedies, and acupuncture for
   cancer-related symptoms such as lack of appetite, nausea, or vomiting as
   most important in CIM training material, and also the topics of adverse
   effects and summary of evidence. Finally, POs reported on clinical
   situations in which a need for further information on CIM emerged. The
   results of our study indicate that there is a need for a structured
   training that offers knowledge and skills on the subject of patient
   counseling on CIM in pediatric oncology.
RI Güthlin, Corina/AAP-2322-2020
OI Güthlin, Corina/0000-0001-8490-467X
ZA 0
TC 5
ZR 0
Z8 0
ZB 0
ZS 0
Z9 5
U1 0
U2 6
SN 1077-4114
EI 1536-3678
UT WOS:000489633800022
PM 31403489
ER

PT J
AU Toews, Lorraine
TI Benchmarking veterinary librarians' participation in systematic reviews
   and scoping reviews
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 4
BP 499
EP 507
DI 10.5195/jmla.2019.710
PD OCT 2019
PY 2019
AB Objectives: The objectives of this study were to benchmark roles that
   veterinary librarians at universities and colleges play in systematic
   reviews (SRs) and scoping reviews that are conducted by faculty and
   students at their institutions, to benchmark the level of training that
   veterinary librarians have in conducting SRs, to identify barriers to
   their participation in SRs, and to identify other types of literature
   reviews that veterinary librarians participate in.
   Methods: Sixty veterinary librarians in universities and colleges in
   Canada, the United States, England, Scotland, Ireland, Australia, and
   New Zealand were surveyed online about their roles and training in
   conducting SRs, barriers to participation in SRs, and participation in
   other types of literature reviews.
   Results: Veterinary librarians' highest participation was at an advising
   level in traditional librarian roles as question formulator, database
   selector, search strategy developer, and reference manager. Most
   respondents reported pretty good to extensive training in traditional
   roles and no or some training in less traditional roles. Sixty percent
   of respondents received few or no requests to participate in SRs, and
   only half of respondents had participated in SRs as a review team
   member. Sixty percent of respondents stated that their libraries had no
   policies regarding librarian roles and participation in SRs.
   Conclusions: The surveyed veterinary librarians participated in SRs to a
   lesser degree than human health sciences librarians, experienced low
   demand from veterinary faculty and students to participate in SRs, and
   participated as review team members at significantly lower rates than
   human health sciences librarians. The main barriers to participation in
   SRs were lack of library policies, insufficient training, and lack of
   time.
RI Toews, Lorraine/N-1848-2014
OI Toews, Lorraine/0000-0003-4692-0358
TC 3
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
Z9 3
U1 1
U2 3
SN 1536-5050
UT WOS:000489732200005
PM 31607807
ER

PT J
AU Stevens, Gregg A.
   Hinton, Elizabeth G.
   Brown, Roy E.
TI Research and instruction services for online advanced practice nursing
   programs: a survey of North American academic librarians
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 4
BP 508
EP 514
DI 10.5195/jmla.2019.689
PD OCT 2019
PY 2019
AB Introduction: The increasing popularity of distance education has led
   many advanced practice nursing (APN) programs to shift to either online
   or hybrid models. To meet the needs of these students, some nursing
   librarians are using technology for virtual research and instruction.
   This study was designed to assess the extent to which librarians in
   North America are providing virtual research and instruction services
   for APN students.
   Methods: An institutional review board-approved, ten-question survey was
   developed to determine how librarians are providing services for APN
   students. It was announced in October 2017 through several health
   sciences librarian email discussion lists. The survey ran for four
   weeks. Data were analyzed using Qualtrics and Excel.
   Results: Eighty complete responses were received. The majority of
   respondents (66%) indicated that their universities' APN programs were
   conducted in a hybrid format. Sixty-seven percent also indicated that
   they provide library instruction in person. Most librarians indicated
   that they have provided research assistance through some virtual method
   (phone or email, at 90% and 97%, respectively), and some have used
   online chat (42%) and video chat (35%). A strong majority of librarians
   (96%) indicated that they felt comfortable using technology to provide
   research assistance and instruction.
   Conclusion: Opportunities exist to leverage technology to provide
   virtual research assistance and instruction. Greater promotion of these
   alternative methods can supplement traditional in-person services to
   provide greater flexibility for graduate nursing students' busy
   schedules. Some outreach may be necessary to highlight the advantages of
   virtual services, and further research is needed to identify other
   barriers and potential solutions.
RI Hinton, Elizabeth G./P-3797-2019; Stevens, Gregg A./D-9856-2018; Brown, Roy/
OI Hinton, Elizabeth G./0000-0002-3793-2683; Stevens, Gregg
   A./0000-0003-4088-6742; Brown, Roy/0000-0002-0627-9132
TC 1
ZA 0
ZB 1
ZS 0
ZR 0
Z8 0
Z9 2
U1 0
U2 3
SN 1536-5050
UT WOS:000489732200006
PM 31607808
ER

PT J
AU Volk, Ruti
   Obeid, Nabeel
TI What can we do about Dr. Google? Using the electronic medical record
   (EMR) to prescribe reliable online patient education
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 107
IS 4
BP 606
EP 608
DI 10.5195/jmla.2019.774
PD OCT 2019
PY 2019
AB Objective: The project enabled clinicians to utilize the electronic
   medical record (EMR) to easily prescribe preapproved online patient
   education resources to their patients.
   Background: Physicians and other clinicians are concerned about the wide
   use of "Dr. Google" and the difficulties of responding to patients who
   demand unproven or unnecessary tests and therapies they found out about
   on the Internet.
   Setting/Participants/Resources: Participants were providers at a large
   health system using Epic EMR. The institution maintains a web-based
   database that links to print and electronic patient education materials
   that have been vetted by content experts.
   Methods: Clinicians worked with librarians to create web pages that link
   to the resources they recommend for their patients. Librarians
   collaborated with the information technology (IT) department to
   implement a solution that enables clinicians to quickly and easily send
   the uniform resource locator (URL) to the after visit summary (AVS) or
   as a message via the patient portal.
   Results: This solution has been implemented in more than 20 units across
   the institution. Analytics data demonstrate that the majority of
   patients in a surgery clinic visited recommended resources.
   Conclusion: This simple solution is effective in directing patients to
   reliable resources. It can be easily adapted by other institutions using
   an EMR system such as EPIC or Cerner.
OI Obeid, Nabeel/0000-0002-5509-6527
ZS 0
ZA 0
ZB 1
TC 4
Z8 0
ZR 0
Z9 4
U1 1
U2 2
SN 1536-5050
UT WOS:000489732200020
PM 31607822
ER

PT J
AU London, Daniel A.
   Andelman, Steven M.
   Christiano, Anthony V.
   Kim, Joung Heon
   Hausman, Michael R.
   Kim, Jaehon M.
TI Is Wikipedia a complete and accurate source for musculoskeletal anatomy?
SO SURGICAL AND RADIOLOGIC ANATOMY
VL 41
IS 10
SI SI
BP 1187
EP 1192
DI 10.1007/s00276-019-02280-1
PD OCT 2019
PY 2019
AB Purpose Wikipedia is a popular online encyclopedia generating over 5.4
   billion visits per month, and it is also a common resource for the
   general public and professionals for medical information. The goal of
   this study is to determine the accuracy and completeness of Wikipedia as
   a resource for musculoskeletal anatomy. Methods The origin, insertion,
   innervation, and function of all muscles of the upper and lower
   extremities as detailed on Wikipedia was compared to the available
   corresponding information in Grant's Atlas of Anatomy (14th edition).
   Entries were scored for both accuracy and completeness. Descriptive
   statistics were calculated and associations between and within entries
   for accuracy and completeness were assessed by McNemar's tests.
   Information on Wikipedia's references was also collected. Results
   Overall, data on Wikipedia was 97.6% complete and 98.8% accurate when
   compared to Grant's Atlas of Anatomy. 78.6% of all entries were fully
   complete and accurate, with 15.3% of entries containing one error and
   6.1% containing two errors. There were no associations between or within
   entries' accuracy and completeness. Only 62% of references from
   Wikipedia included were from academic sources. Conclusions
   Musculoskeletal anatomy entries on Wikipedia are imperfect; they have
   inaccurate and missing information. Furthermore, a considerable
   proportion of references cited in entries are from poorly identified
   sources. While Wikipedia is an easily accessible resource for a large
   number of people and much of the anatomic information is appropriate, it
   cannot be considered to be an equivalent resource when compared to
   anatomic texts.
RI London, Daniel/ABG-4009-2020; London, Daniel/
OI London, Daniel/0000-0002-1711-0762
ZR 0
ZB 1
ZA 0
TC 10
Z8 0
ZS 0
Z9 10
U1 0
U2 35
SN 0930-1038
EI 1279-8517
UT WOS:000488966200013
PM 31264001
ER

PT J
AU Pospos, Sarah
   Tal, Ilanit
   Iglewicz, Alana
   Newton, Isabel G.
   Tai-Seale, Ming
   Downs, Nancy
   Jong, Pamela
   Lee, Daniel
   Davidson, Judy E.
   Lee, Soo Y.
   Rubanovich, Caryn Kseniya
   Ho, Emily, V
   Sanchez, Courtney
   Zisook, Sidney
TI Gender differences among medical students, house staff, and faculty
   physicians at high risk for suicide: A HEAR report
SO DEPRESSION AND ANXIETY
VL 36
IS 10
BP 902
EP 920
DI 10.1002/da.22909
PD OCT 2019
PY 2019
AB Background In comparison with the general population, physicians, and
   physicians-in-training are at greater risk for suicide. Although key
   gender differences in suicide risk factors and behaviors have been
   identified in the general population, the extent to which these
   differences apply to physicians and physicians-in-training is unclear.
   Here, we aimed to identify gender differences in risk factors, clinical
   presentation, and help-seeking behaviors of medical students, house
   staff, and physician faculty at high risk for suicide. Methods We
   explored gender differences among 450 physicians and trainees meeting
   criteria for high suicide risk on anonymous online questionnaires
   completed between 2009 and 2017. Results High-risk female trainees and
   physicians had higher mean Patient Health Questionnaire-9 (PHQ-9) scores
   compared with the males (11.1, standard deviation [SD] 5.1 vs. 9.8, SD
   4.7) and were more likely to endorse feeling worried (73.8% vs. 61.2%),
   irritable (60.4% vs. 49.4%), and stressed (79.6% vs. 70%). High-risk
   male trainees and physicians were more likely than females to endorse
   suicidal thoughts (31.2% vs. 22.1%), intense anger (24.3% vs. 16.1%),
   drinking too much (31.2% vs. 22.3%), and recreational drug or
   prescription medication use without clinically appropriate follow-up
   (9.4% vs. 4.3%). There were no gender differences in help-seeking
   behaviors. Conclusions This is the first study to report gender
   differences among risk factors, presentation, and help-seeking behaviors
   of physicians, and trainees at high risk for suicide. Our findings are
   mostly consistent with those of the general population and show that
   only a minority of at-risk men and women in healthcare sought treatment,
   highlighting the importance of intervention and suicide prevention in
   this population.
RI Rubanovich, Caryn K/L-2624-2018
OI Rubanovich, Caryn K/0000-0002-0975-6416
Z8 0
ZR 0
TC 9
ZA 0
ZB 0
ZS 1
Z9 10
U1 0
U2 12
SN 1091-4269
EI 1520-6394
UT WOS:000488424500001
PM 31102314
ER

PT J
AU Wang, Zhenrong
   Wang, Shuping
   Zhang, Yun
   Jiang, Xiaolian
TI Social media usage and online professionalism among registered nurses: A
   cross-sectional survey
SO INTERNATIONAL JOURNAL OF NURSING STUDIES
VL 98
BP 19
EP 26
DI 10.1016/j.ijnurstu.2019.06.001
PD OCT 2019
PY 2019
AB Background: Owing to its convenience and easy accessibility, social
   media is increasingly popular among healthcare professionals and has
   become a useful tool in the healthcare industry. Doctors' social media
   use patterns and online professionalism have been thoroughly studied.
   Various unprofessional behaviors such as excessive self-disclosure,
   violations of patient privacy and improper social media posts, were
   observed. However, studies exploring nurses' social media use and online
   professionalism are lacking.
   Objectives: The objective of this study was to understand the social
   media use and online professionalism of Chinese registered nurses.
   Design: A cross-sectional survey was adopted.
   Settings: Eight nursing conferences and one continuing-education program
   that took place in Sichuan, China.
   Participants: Convenience sampling was applied to select nurses who had
   obtained their Chinese nursing certificates, who were aged 18 years and
   above, and who worked in clinical settings. The final sample consisted
   of 658 registered nurses.
   Methods: Data were collected through the on-site distribution of an
   anonymous researcher-designed questionnaire. The questionnaire consisted
   of 41 items that focused on demographic and professional information,
   social media use and online professionalism. Medians, averages and
   percentages were used to describe the social media use patterns and
   online professionalism of Chinese registered nurses.
   Results: All participants in this study were social media users and
   84.5% of them believed that social media had positively influenced their
   clinical practice. WeChat was the most frequently used form of social
   media, which was used among 93.5% of the subjects. Common reasons for
   social media use included receiving messages from work, networking,
   receiving news and relaxing. Approximately 56% of the participants spent
   one to three hours on social media daily. Most of the participants had
   reposted medical knowledge on social media and had subscribed to at
   least one medical social media account. Additionally, 67.2% of the
   sample disclosed that they "often" communicate work-related information
   with colleagues via social media. Roughly 50% of the sample insisted
   that their facilities had social media guidelines. Registered nurses'
   professionalism was also assessed. Around half of the participants had
   received "friend request" from patients, while 63.5% of the sample
   acknowledged that there were no patients on their most frequently used
   social media platforms. About 7.6% of the respondents had "sometimes"
   posted identifiable patient information, which was much lower than the
   reported 32.5% rate of witnessing colleagues' disclosure of identifiable
   patient information. Fully 50.3% of the participants indicated that they
   had witnessed improper posts by colleagues. (C) 2019 Elsevier Ltd. All
   rights reserved.
Z8 0
ZR 0
ZB 5
ZS 1
TC 23
ZA 0
Z9 24
U1 3
U2 83
SN 0020-7489
EI 1873-491X
UT WOS:000488302800003
PM 31255853
ER

PT J
AU Mirmoghtadaie, Zohrehsadat
   Ahmady, Soleiman
   Kohan, Noushin
   Rakhshani, Tayebeh
TI EXPLAINING THE CONCEPT AND DIMENSIONS OF PROFESSIONAL FUNCTIONS IN
   ONLINE LEARNING SYSTEM OF MEDICAL SCIENCES: A QUALITATIVE CONTENT
   ANALYSIS
SO TURKISH ONLINE JOURNAL OF DISTANCE EDUCATION
VL 20
IS 4
BP 61
EP 72
AR 4
PD OCT 2019
PY 2019
AB The increasing growth of technology affects all aspects of life,
   including the system of education, and requires the implementation of a
   new education system. Since Electronic-learning (E-L) is a new and
   mutated form of education in Iran, its professional functions approach
   is different from that of traditional education. The present article
   aims to explain the concept and dimensions of professional functions in
   this field. Through a qualitative study, method and data source
   triangulation were used. To do so, the data sources were the professors,
   scholars, students, and graduates of this educational system in the
   field of medical sciences. To triangulate the methods, in-depth
   semi-structured interviews as well as focus groups, note-taking and
   reminders were used. The purposeful sampling consisted of 10 professors
   and scholars. Fifteen students and graduates participated in the
   four-session focus group discussions purposeful, and the sample
   consisted of 10 professors and scholars as well as seven students and
   graduates, and a total of 15 students and graduates were willing to
   participate in the focus group discussions. Inductive content analysis
   was used for the analysis of data. Three themes arose from the study as
   follows: E-learning prerequisites, E-Lcaning enabling factors, and
   E-Learning obstacles. Each of the themes is explained along with the
   relevant categories and subcategories.
   Discovering the dimensions and elements affecting professional functions
   in the E-Lsystem of medical sciences, this study provided documented
   meanings and dimensions of this phenomenon beyond the conventional
   sense. These dimensions can have direct or indirect impacts on
   professional functions in this field.
RI Ahmady, Soleiman/ABG-7343-2020; Ahmady, Soleiman/ABE-2299-2020; Mirmoghtadaie, zohrehsadat/AAY-7883-2020
OI Mirmoghtadaie, zohrehsadat/0000-0002-3267-9121
TC 3
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
Z9 3
U1 0
U2 2
SN 1302-6488
UT WOS:000488871100004
ER

PT J
AU Ganeshan, Dhakshinamoorthy
   Wei, Wei
   Yang, Wei
TI Burnout in Chairs of Academic Radiology Departments in the United States
SO ACADEMIC RADIOLOGY
VL 26
IS 10
BP 1378
EP 1384
DI 10.1016/j.acra.2018.12.006
PD OCT 2019
PY 2019
AB Objective: We aimed to estimate the self-reported prevalence of burnout
   in chairs of academic radiology departments in the United States and
   identify factors associated with high burnout in chairs.
   Materials and Methods: An anonymous cross-sectional online survey was
   conducted of members of the Society of Chairs of Academic Radiology
   Departments. Burnout was measured using the abbreviated Maslach Burnout
   Inventory Human Services Survey. Associations between survey
   participants' characteristics and burnout were tested using Fisher's
   exact test and Wilcoxon rank sum test.
   Results: Of the 123 chairs invited to complete the survey, 87 responded
   (response rate, 71%). The mean age of the participants was 58 years. The
   survey respondents had an average of 9 years of experience as department
   chair. The average number of work hours per week was 62 hours. Four
   participants (5%) of the academic chairs met all three criteria for high
   burnout including high emotional exhaustion, high depersonalization, and
   low personal accomplishment. Thirty-three participants (38%) had high
   emotional exhaustion and/or high depersonalization score. Low
   professional satisfaction score, low work-life balance satisfaction
   score, and low chair effectiveness score were significantly associated
   with high burnout. High emotional exhaustion and/or high
   depersonalization were significantly associated with numerous
   professional stressors. Lack of an institutional support group for
   chairs and lower number of faculty members in the department were
   significantly associated with burnout.
   Conclusion: A significant proportion of chairs of academic radiology
   departments are experiencing 1 or more symptoms of burnout. Efforts to
   address burnout in radiology chairs should be initiated promptly at the
   national, institutional, and departmental levels.
RI Wei, Wei/AGP-5085-2022
TC 12
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
Z9 12
U1 0
U2 4
SN 1076-6332
EI 1878-4046
UT WOS:000488147800015
PM 30638976
ER

PT J
AU Wade, Stuart W. T.
   Moscova, Michelle
   Tedla, Nicodemus
   Moses, Daniel A.
   Young, Noel
   Kyaw, Merribel
   Velan, Gary M.
TI Adaptive Tutorials Versus Web-Based Resources in Radiology: A Mixed
   Methods Analysis of Efficacy and Engagement in Senior Medical Students
SO ACADEMIC RADIOLOGY
VL 26
IS 10
BP 1421
EP 1431
DI 10.1016/j.acra.2019.02.021
PD OCT 2019
PY 2019
AB Rationale and Objectives: Radiology education is suited to delivery via
   e-learning which may be used to fill gaps in knowledge and help prepare
   medical students for internship. There is limited evidence of
   effectiveness of adaptive tutorials, a form of e-learning in a senior
   medical student cohort.
   Materials and Methods: A randomized mixed methods crossover trial was
   performed to assess effectiveness of adaptive tutorials on engagement
   and understanding of appropriate use and interpretation of basic imaging
   studies. Eighty-one volunteer medical students from years 5 and 6 of a
   6-year program were randomly allocated to one of two groups. In the
   first phase of the trial on head CT, one group received access to
   adaptive tutorials and the other to peer-reviewed web-based resources. A
   cross over was performed and the second phase of the trial addressing
   chest CT commenced. Examination style assessments were completed at the
   end of each phase. At the trial's conclusion, an online questionnaire
   was provided to evaluate student perceptions of engagement and efficacy
   of each educational resource.
   Results: Adaptive tutorial groups in both phases achieved higher mean
   scores than controls which were statistically significant in the first
   phase only. Students reported higher engagement and overall perceived
   value of the adaptive tutorials than controls.
   Conclusion: Adaptive tutorials are overwhelmingly supported by senior
   medical students. Questionnaire responses suggest the engaging nature of
   the tutorials efficiently aids participation and knowledge retention
   which is in principle supported by test results.
ZA 0
ZB 1
TC 7
ZR 0
Z8 0
ZS 0
Z9 7
U1 0
U2 5
SN 1076-6332
EI 1878-4046
UT WOS:000488147800025
PM 31047791
ER

PT J
AU Lee, Andrew H.
   Liao, Ross
   Young, Patrick
   Yi, Paul H.
   Reh, Douglas
   Eisele, David W.
   Hillel, Alexander T.
TI Otolaryngology Residency Interviewing Dates and Practices: What Should
   an Applicant Expect?
SO LARYNGOSCOPE
VL 129
IS 10
BP 2280
EP 2285
DI 10.1002/lary.27626
PD OCT 2019
PY 2019
AB Objectives/Hypothesis Scheduling otolaryngology interviews may be a
   challenge for residency applicants due to overlapping interview dates.
   Our objective was to identify otolaryngology interview date patterns and
   scheduling conflicts over the past six application cycles. Study Design
   Retrospective review of otolaryngology online forums ( and Student
   Doctor Network). Methods Online threads related to residency interview
   dates posted during the 2012 to 2013 through 2017 to 2018 interview
   seasons on were reviewed. Program directors were contacted to complete
   any missing data. The chi- goodness-of-fit test and the chi(2) test of
   independence was used to compare proportions. Analysis of variance was
   used to compare values across years. Results Data from an average of 98
   programs (99%) per year were obtained. The majority of invitations
   arrived late October (49%), followed by early November (37.1%).
   Interviews occurred primarily in December (48.4%) and January (37.5%).
   Programs on average scheduled 2.47 (range, 0-4) interview dates. Most
   interviews fell on Fridays (28.7%) and Saturdays (22.7%) (P < .0001),
   with an increasing trend toward interviewing on consecutive days. There
   was substantial overlap in interview dates, with six dates alone
   accounting for an average of 31.3% of all interviews in a given
   interview cycle. Conclusions The majority of otolaryngology interviews
   occur in December or January and fall on a Friday or Saturday. There is
   considerable overlap with the potential for scheduling conflicts. Our
   findings can help set expectations for applicants regarding interview
   invitations, as well as a strategy for scheduling interviews. Level of
   Evidence NA Laryngoscope, 129:2280-2285, 2019
CT 98th Annual Spring Meeting of the
   American-Broncho-Esophagological-Association (ABEA) at the Combined
   Otolaryngology Spring Meetings (COSM)
CY APR 18-23, 2018
CL National Harbor, MD
SP Amer Broncho Esophagol Assoc
ZS 0
ZA 0
ZB 0
ZR 0
TC 4
Z8 0
Z9 4
U1 0
U2 1
SN 0023-852X
EI 1531-4995
UT WOS:000488184200027
PM 30569459
ER

PT J
AU Nash, Louise
   Meltzer, Michele
   Karageorge, Aspasia
TI Career medical officers in psychiatry and addiction in NSW: description,
   role and educational needs
SO AUSTRALASIAN PSYCHIATRY
VL 27
IS 5
BP 528
EP 531
DI 10.1177/1039856219859284
PD OCT 2019
PY 2019
AB Objective: To describe the workforce of career medical officers (CMOs)
   working in psychiatry and addiction medicine across New South Wales
   (NSW) and to explore their training and education needs, and experience
   of their role. Method: A cross-sectional survey of CMOs in NSW working
   in psychiatry or addiction medicine. The survey consisted of
   quantitative data and free-text responses, and was conducted online in
   late 2017. Results: Of the 41 CMOs identified and sent the survey link,
   25 CMOs completed the survey (61% RR). Almost half had worked as a CMO
   for 11 years or longer. Only six respondents held a recognised senior
   CMO position. Common areas of expertise were clozapine, metabolic
   health, and electroconvulsive therapy (ECT). One-quarter of respondents
   did not receive supervision. Suggested education and training
   improvements included an annual 1-day training symposium and monthly
   peer review group for CMOs. Conclusion: CMOs are an often senior group
   of clinicians working in important areas of service provision. Ongoing
   educational support for this group of medical practitioners is prudent
   to ensure the delivery of best practice mental health and drug health
   care.
OI Karageorge, Aspasia/0000-0002-7898-042X
ZA 0
ZB 0
ZS 0
TC 0
ZR 0
Z8 0
Z9 0
U1 0
U2 2
SN 1039-8562
EI 1440-1665
UT WOS:000487513300025
PM 31267760
ER

PT J
AU Reed, Mary E.
   Huang, Jie
   Millman, Andrea
   Graetz, Ilana
   Hsu, John
   Brand, Richard
   Ballard, Dustin W.
   Grant, Richard
TI Portal Use Among Patients With Chronic Conditions Patient-reported Care
   Experiences
SO MEDICAL CARE
VL 57
IS 10
BP 809
EP 814
DI 10.1097/MLR.0000000000001178
PD OCT 2019
PY 2019
AB Background: Personal health records offer patients access to view their
   own health information and to manage their care online through secure
   patient portal tools. Little is known about the patient-reported
   experience in using health portals to manage chronic conditions.
   Objective: In a patient-centered research study, we examined how using
   portal tools affects patient health care experiences among patients with
   chronic conditions. We also examined barriers among nonportal users.
   Research Design: A cross-sectional patient survey. Subjects: Patients
   with a chronic condition in an integrated delivery system offering a
   patient portal. Measures: Respondents reported barriers, preferences,
   and experiences in using the patient portal, and whether using the
   portal changed their overall health. Results: Among all the 1824
   respondents (70% response rate), portal nonusers reported preferring
   in-person health care (54%) or experiencing internet access barriers
   (41%). Portal users reported that using the portal was convenient (90%),
   the information available was useful (92%), and that it integrated well
   with other health care (92%). Among users, 31% reported that using the
   portal had improved their overall health. After adjustment, patients
   were significantly more likely to report that portal use improved their
   health if they had also reported convenience, information usefulness, or
   integration with other care (P<0.05). Reassuringly, patient-reported
   impacts on overall health did not vary by patient characteristics
   (including age, race, sex, education, income, complex conditions).
   Conclusion: Patients with chronic conditions using the portal reported
   convenience, information usefulness, and integration of the patient
   portal with their health care; these may act as potential pathways
   improving health.
RI Graetz, Ilana/N-1189-2016
OI Graetz, Ilana/0000-0003-3664-5815
ZS 0
ZA 0
ZB 1
Z8 0
TC 12
ZR 0
Z9 13
U1 1
U2 6
SN 0025-7079
EI 1537-1948
UT WOS:000487642400011
PM 31415340
ER

PT J
AU Bientzle, Martina
   Lechner, Christine
   Cress, Ulrike
   Kimmerle, Joachim
TI Online peer consulting for health professionals
SO CLINICAL TEACHER
VL 16
IS 5
BP 463
EP 467
DI 10.1111/tct.12950
PD OCT 2019
PY 2019
AB Background Many health care professionals specialise in particular
   medical fields. Nevertheless, they often encounter patients with other
   indications for which they have only limited experience. In such
   situations it is helpful to consult colleagues who have specialised in
   the respective areas. The Internet provides the opportunity to connect
   with other specialists that can be used for peer consulting. We argue
   that health professionals should learn to make use of online peer
   consulting during vocational training. Methods We used an open-source
   platform that provided the opportunity to chat and upload documents. We
   recruited 45 first-year physiotherapy students as participants. The
   training for online peer consulting was integrated into courses where
   students were taught basic principles of gait analysis and learned how
   to document the findings of their examinations. Subsequently, the
   students evaluated the course and the online collaboration. Findings
   Students were highly motivated to use the online platform and perceived
   the online peer consulting and the atmosphere of collaboration on the
   platform to be very positive. In addition, students had a significant
   increase in content knowledge and were more confident in their own
   knowledge than they were before the online peer consulting. Discussion
   It seems appropriate to provide training for giving and gathering online
   peer feedback. This opportunity, provided at an early stage of training,
   could help prepare students for continuing co-operative exchange in
   their professional lives. Health care professionals should learn how to
   gather information from colleagues and how to provide adequate feedback
RI Kimmerle, Joachim/ABE-8803-2020; Cress, Ulrike/AAB-4264-2020; Cress, Ulrike/A-5615-2013
OI Cress, Ulrike/0000-0002-8996-8303; Cress, Ulrike/0000-0002-8996-8303
ZA 0
TC 3
ZS 0
ZB 0
Z8 0
ZR 0
Z9 3
U1 0
U2 3
SN 1743-4971
EI 1743-498X
UT WOS:000486213900007
PM 30298981
ER

PT J
AU Brownsworth, Christopher
   Kaniecki, Timothy
   Broom, Matthew
TI text4peds: a randomised text-messaging trial
SO CLINICAL TEACHER
VL 16
IS 5
BP 485
EP 489
DI 10.1111/tct.12958
PD OCT 2019
PY 2019
AB Background The use of cell phone text messaging in the medical field is
   of growing interest, but there are few data examining its value in
   medical education. The text4peds educational text-messaging program was
   created for third-year medical students preparing for the National Board
   of Medical Examiners (NBME) paediatric subject examination. Methods A
   randomised, controlled trial was conducted with third-year medical
   students on their paediatric clerkship. Students in the intervention
   group received daily messages consisting of multiple-choice questions
   with links to online material. The control group received no text
   messages. The impact of the intervention was assessed by examining the
   participants' NBME examination scores and by participant surveys.
   Results A total of 162 students participated in the study. There was no
   statistical difference between the two groups, with the texting group
   having a mean score of 77.7 and with the non-texting group having a mean
   score of 77.8 on the NBME. Subgroup analysis examining the effect of
   anticipated specialty and online material interaction also failed to
   find any statistically significant difference. Students reported
   satisfaction with the program, with 84% rating the text messages as
   helpful. The students rated their participation as high, with 92% saying
   that they looked at the messages more than 60% of the time. Among those
   who received text messages, 90% would recommend the program to others.
   There was no statistical difference between the two group Conclusion A
   text-messaging-based educational tool had a perceived positive
   educational value for medical students. This study failed to show any
   statistically significant impact on NBME examination scores from the
   text-messaging intervention.
OI Kaniecki, Timothy/0000-0002-4244-8917; Broom,
   Matthew/0000-0003-4147-2314
ZA 0
Z8 0
TC 0
ZS 0
ZR 0
ZB 0
Z9 0
U1 0
U2 0
SN 1743-4971
EI 1743-498X
UT WOS:000486213900011
PM 30345658
ER

PT J
AU Friedrichsdorf, Stefan J.
   Remke, Stacy
   Hauser, Joshua
   Foster, Laurie
   Postier, Andrea
   Kolste, Alison
   Wolfe, Joanne
TI Development of a Pediatric Palliative Care Curriculum and Dissemination
   Model: Education in Palliative and End-of-Life Care (EPEC) Pediatrics
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 58
IS 4
BP 707
EP +
DI 10.1016/j.jpainsymman.2019.06.008
PD OCT 2019
PY 2019
AB Context. Most children living and dying with serious illnesses
   experience high burden of distressing symptoms. Many seriously ill
   children and their families do not have access to subspecialist
   pediatric palliative care (PPC) services nor to clinicians trained in
   primary PPC. Lack of PPC education appears to be a significant barrier
   to PPC implementation.
   Objectives. Description of the development and dissemination of
   Education in Palliative and End-of-Life Care (EPEC)Pediatrics.
   Methods. Funded through a U.S. $1.6 million National Institutes of
   Health/National Cancer Institute grant 2010-2017, this 24-module
   curriculum was designed to teach primary palliative care. The target
   audience included interprofessional pediatric hematology/oncology
   providers and all other clinicians caring for seriously ill children.
   Results. The curriculum is delivered in a combination of online learning
   and in-person, face-to-face sessions. In addition, a one-day
   Professional Development Workshop was developed to teach EPEC-Pediatrics
   graduates, future "Trainers,'' thus becoming "Master Facilitators.''
   Between 2012-May 2019, a total of 867 EPEC-Pediatric Trainers and 75
   Master Facilitators from 58 countries participated in 17 Become an
   EPEC-Pediatrics-Trainer conferences and three Professional Development
   Workshops. The curriculum has also been adapted for large-scale
   dissemination across Canada and Latin-America, with translation to
   French and Spanish. Participants overwhelmingly report improvements in
   their PPC knowledge, attitudes, and skills, including teaching. Trainers
   subsequently anticipated improvements in patient care for children with
   serious illness at their home institutions.
   Conclusion. EPEC-Pediatrics has developed into the most comprehensive
   PPC curriculum worldwide. It is highly adaptable for local settings,
   became self-sustaining and six conferences are offered around the world
   in 2019. (C) 2019 American Academy of Hospice and Palliative Medicine.
   Published by Elsevier Inc. All rights reserved.
OI Friedrichsdorf, Stefan/0000-0001-6144-3620
ZS 1
ZB 4
ZR 0
TC 28
Z8 0
ZA 0
Z9 28
U1 0
U2 11
SN 0885-3924
EI 1873-6513
UT WOS:000486190100028
PM 31220594
ER

PT J
AU Luc, Jessica G. Y.
   Ouzounian, Maral
   Bender, Edward M.
   Blitz, Arie
   Stamp, Nikki L.
   Varghese, Thomas K., Jr.
   Cooke, David T.
   Antonoff, Mara B.
TI The Thoracic Surgery Social Media Network: Early experience and lessons
   learned
SO JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
VL 158
IS 4
BP 1127
EP 1136
DI 10.1016/j.jtcvs.2019.06.099
PD OCT 2019
PY 2019
AB Background: The Thoracic Surgery Social Media Network (TSSMN) is a
   social media collaborative formed in 2015 by The Annals of Thoracic
   Surgery and The Journal of Thoracic and Cardiovascular Surgery to bring
   social media attention to key publications from both journals and to
   highlight major accomplishments in the specialty. Our aim is to describe
   TSSMN's preliminary experience and lessons learned.
   Methods: Twitter analytics was used to obtain information regarding the
   @ TSSMN Twitter handle and #TSSMN hashtag. TweetChat and general hashtag
   #TSSMN analytics were measured using Symplur (Symplur LLC, Los Angeles,
   Calif). A TSSMN Tweeter App was created, and its use and downloads were
   analyzed.
   Results: Hashtag #TSSMN has a total of 17,181 tweets, 2100 users, and
   32,226,280 impressions, with peaks in tweeting activity corresponding to
   TweetChats. Thirteen 1-hour TweetChats drew a total of 489 participants,
   5195 total tweets, and 17,297,708 total impressions. The top demographic
   category of TweetChat participants included Doctors (47%),
   Advocates/Supports (11%), and Unknown (10%), with 3% characterized as
   patients. The TSSMN Tweeter iTunes App (Apple, Cupertino, Calif) was
   downloaded 3319 times with global representation. A total of 859
   articles were viewed through the App, with 450 articles from The Annals
   of Thoracic Surgery and 409 from The Journal of Thoracic and
   Cardiovascular Surgery.
   Conclusions: We demonstrate that TSSMN further enhances the ability for
   the journals to connect with their readership and the cardiothoracic
   community. Ongoing studies to correlate social media attention with
   article reads, article-level metrics, citations, and journal impact
   factor are eagerly awaited.
RI Luc, Jessica G.Y./S-7037-2016
OI Luc, Jessica G.Y./0000-0002-3567-3796
ZA 0
ZB 0
ZR 0
TC 16
Z8 0
ZS 0
Z9 16
U1 0
U2 2
SN 0022-5223
EI 1097-685X
UT WOS:000486317100047
PM 31422854
ER

PT J
AU Bandaragoda, C.
   Castronova, A.
   Istanbulluoglu, E.
   Strauch, R.
   Nudurupati, S. S.
   Phuong, J.
   Adams, J. M.
   Gasparini, N. M.
   Barnhart, K.
   Hutton, E. W. H.
   Hobley, D. E. J.
   Lyons, N. J.
   Tucker, G. E.
   Tarboton, D. G.
   Idaszak, R.
   Wang, S.
TI Enabling Collaborative Numerical Modeling in Earth Sciences using
   Knowledge Infrastructure
SO ENVIRONMENTAL MODELLING & SOFTWARE
VL 120
AR 104424
DI 10.1016/j.envsoft.2019.03.020
PD OCT 2019
PY 2019
AB Knowledge infrastructure is an intellectual framework for creating,
   sharing, and distributing knowledge. In this paper, we use knowledge
   infrastructure to address common barriers to entry into numerical
   modeling in Earth sciences as demonstrated in three computational
   narratives: physical process modeling education, replicating published
   model results, and reusing published models to extend research. We
   outline six critical functional requirements: 1) workflows designed for
   new users; 2) community-supported collaborative web platform; 3)
   distributed data storage; 4) software environment; 5) personalized
   cloud-based high-performance computing platform; and 6) a standardized
   open source modeling framework. Our methods meet these functional
   requirements by providing three interactive computational narratives for
   hands-on, problem-based research using Landlab on HydroShare. Landlab is
   an open-source toolkit for building, coupling, and exploring
   two-dimensional numerical models. HydroShare is an online collaborative
   environment for the sharing of data and models. We describe the methods
   we are using to accelerate knowledge development by providing a suite of
   modular and interoperable process components that allows students,
   domain experts, collaborators, researchers, and sponsors to learn by
   exploring shared data and modeling resources. The system is designed to
   support uses on the continuum from fully-developed modeling applications
   to prototyping research software tools. Landlab notebooks are available
   for interactive computing on HydroShare at
   https://doi.org/10.4211/hs.fdc3a06e6ad842abacfa5b896df73a76 and for
   further development on Github at
   https://zenodo.org/badge/latestdoi/187289993.
RI Barnhart, Katherine/W-9803-2018; Tarboton, David/G-8972-2011; Lyons, Nathan J/K-2388-2013; Tucker, Gregory/AAQ-7004-2021; Bandaragoda, Christina/; Castronova, Anthony/; Istanbulluoglu, Erkan/; HUTTON, ERIC/
OI Barnhart, Katherine/0000-0001-5682-455X; Tarboton,
   David/0000-0002-1998-3479; Lyons, Nathan J/0000-0001-6965-3374; Tucker,
   Gregory/0000-0003-0364-5800; Bandaragoda, Christina/0000-0003-1617-1288;
   Castronova, Anthony/0000-0002-1341-5681; Istanbulluoglu,
   Erkan/0000-0001-9453-4676; HUTTON, ERIC/0000-0002-5864-6459
TC 12
ZB 1
ZR 0
ZS 0
ZA 0
Z8 2
Z9 13
U1 2
U2 15
SN 1364-8152
EI 1873-6726
UT WOS:000485105700009
ER

PT J
AU Ambasta, Anshula
   Balan, Marko
   Mayette, Michael
   Goffi, Alberto
   Mulvagh, Sharon
   Buchanan, Brian
   Montague, Steven
   Ruzycki, Shannon
   Ma, Irene W. Y.
   Blouw, Marcus
   Buchanan, Brian
   Card, Sharon E.
   Chan, Barry
   Desy, Janeve
   Demchuk, Gabriel
   Gebhardt, Colin R.
   Goffi, Alberto
   Halman, Samantha
   Kerr, Brendan
   Ma, Irene W. Y.
   Martin, Leslie
   Mayette, Michael
   Montague, Steven J.
   Mulvagh, Sharon
   Ringrose, Jennifer
   Ruzycki, Shannon
   Schaefer, Jeffrey P.
   Yu, Jeffrey
CA Canadian Internal Med Ultrasound
TI Education Indicators for Internal Medicine Point-of-Care Ultrasound: a
   Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS)
   Group
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 10
BP 2123
EP 2129
DI 10.1007/s11606-019-05124-1
PD OCT 2019
PY 2019
AB BACKGROUND: Curriculum development and implementation for internal
   medicine point-of-care ultrasound (IM POCUS) continues to be a challenge
   for many residency training programs. Education indicators may provide a
   useful framework to support curriculum development and implementation
   efforts across programs in order to achieve a consistent high-quality
   educational experience.
   OBJECTIVE: This study seeks to establish consensus-based recommendations
   for education indicators for IM POCUS training programs in Canada.
   DESIGN: This consensus study uses a modified nominal group technique for
   voting in the initial round, followed by two additional rounds of online
   voting, with consensus defined as agreement by at least 80% of the
   participants.
   PARTICIPANTS: Participants were 22 leaders with POCUS and/or education
   expertise from 13 Canadian internal medicine residency programs across 7
   provinces.
   MAIN MEASURES: Education indicators considered were those that related
   to aspects of the POCUS educational system, could be presented by a
   single statistical measure, were readily understood, could be reliably
   measured to provide a benchmark for measuring change, and represented a
   policy issue. We excluded a priori indicators with low feasibility, are
   impractical, or assess learner reactions. Candidate indicators were
   drafted by two academic internists with post-graduate training in POCUS
   and medical education. These indicators were reviewed by two internists
   with training in quality improvement prior to presentation to the expert
   participants.
   KEY RESULTS: Of the 52 candidate education indicators considered, 6
   reached consensus in the first round, 12 in the second, and 4 in the
   third round. Only 5 indicators reached consensus to be excluded; the
   remaining indicators did not reach consensus.
   CONCLUSIONS: The Canadian Internal Medicine Ultrasound (CIMUS) group
   recommends 22 education indicators be used to guide and monitor internal
   medicine POCUS curriculum development efforts in Canada.
RI Martin, Leslie/AAH-9983-2019; Goffi, Alberto/AAE-2817-2020; Buchanan, Brian/AAT-2752-2020; Montague, Steven/; Ma, Irene/
OI Goffi, Alberto/0000-0002-9658-3903; Montague,
   Steven/0000-0003-0381-4846; Ma, Irene/0000-0002-7580-0171
ZA 0
TC 13
ZB 0
ZS 0
ZR 0
Z8 0
Z9 13
U1 2
U2 5
SN 0884-8734
EI 1525-1497
UT WOS:000495477900042
PM 31240603
ER

PT J
AU Addington, Elizabeth L.
   Cheung, Elaine O.
   Bassett, Sarah M.
   Kwok, Ian
   Schuette, Stephanie A.
   Shiu, Eva
   Yang, Dershung
   Cohn, Michael A.
   Leykin, Yan
   Saslow, Laura R.
   Moskowitz, Judith T.
TI The MARIGOLD study: Feasibility and enhancement of an online
   intervention to improve emotion regulation in people with elevated
   depressive symptoms
SO JOURNAL OF AFFECTIVE DISORDERS
VL 257
BP 352
EP 364
DI 10.1016/j.jad.2019.07.049
PD OCT 1 2019
PY 2019
AB Background: This manuscript describes the first two phases of pilot
   testing MARIGOLD, an online self-guided positive emotion skills
   intervention for adults with elevated depressive symptoms, along with
   enhancements to overcome retention and adherence problems reported in
   previous research.
   Methods: Adults with elevated depressive symptoms were recruited online
   and assessed at baseline, post-intervention, 1- and 3-month follow-up.
   Phase 1 participants (n = 58) were randomized to MARIGOLD, daily emotion
   reporting, or waitlist. Phase 2 participants (n = 79) were randomized to
   MARIGOLD plus one enhancement online discussion board (ODB), virtual
   badges (VB), or facilitator contact (FC). Post-intervention interviews
   assessed acceptability. Intention-to-treat analyses examined retention,
   adherence, and preliminary efficacy.
   Results: In both phases, retention and adherence did not differ between
   groups. MARIGOLD skills were highly acceptable, but qualitative results
   indicate web-based features (e.g., log-in, ODB, VB) require refinement
   prior to larger testing. Neither phase demonstrated between-group
   differences in preliminary efficacy. In Phase 1 within-group analyses,
   MARIGOLD and emotion reporting control demonstrated a similar pattern of
   findings (stable depressive symptoms, increased positive emotion,
   decreased negative emotion and stress), whereas the waitlist group
   significantly increased in depressive mood. Most Phase 2 within-group
   analyses demonstrated the expected pattern of results (i.e., decreases
   in PHQ-8 and negative emotion, increases in positive emotion). However,
   CES-D scores were stable in FC; perceived stress was stable in FC and
   ODB.
   Limitations: This pilot study is not powered to evaluate efficacy.
   Conclusion: Positive emotion skills, plus enhancements for web-based,
   self-guided delivery, warrant additional study in people with elevated
   depressive symptoms.
RI Leykin, Yan/ABE-5502-2021; Cohn, Michael/; Bassett, Sarah/
OI Leykin, Yan/0000-0002-9851-0142; Cohn, Michael/0000-0003-1677-5241;
   Bassett, Sarah/0000-0001-9070-5060
ZS 0
TC 13
ZR 0
ZB 1
ZA 0
Z8 0
Z9 13
U1 1
U2 17
SN 0165-0327
EI 1573-2517
UT WOS:000482376300045
PM 31302525
ER

PT J
AU Lane, Jessica L.
   Johnson-Agbakwu, Crista E.
   Warren, Nicole
   Budhathoki, Chakra
   Cole, Eugene C.
TI Female Genital Cutting: Clinical knowledge, Attitudes, and Practices
   from a Provider survey in the US
SO JOURNAL OF IMMIGRANT AND MINORITY HEALTH
VL 21
IS 5
BP 954
EP 964
DI 10.1007/s10903-018-0833-3
PD OCT 2019
PY 2019
AB Migration from countries where female genital cutting (FGC) is practiced
   means women's healthcare providers need to meet this population's unique
   healthcare needs. We explored providers' FGC-related experience,
   knowledge of the cultural practice, prior training, attitudes towards
   medicalization, including reinfibulation, and clinical practice. An
   online, 53-question survey to a multidisciplinary sample of women's
   health providers in the US were recruited by email via professional
   organizations, medical departments, and the authors' professional
   networks. From a total of 508 usable surveys, nearly half of respondents
   did not receive formal FGC training, but a majority had cared for
   FGC-affected women in their practice. A 'know-do' gap existed with
   managing infibulated patients; and surgical defibulation procedures were
   not routinely offered. Most respondents (79%, n = 402) reported a desire
   for additional education. Women's healthcare providers in the US,
   regardless of disciplinary backgrounds, are inadequately prepared to
   meet the needs of FGC-affected women. To address these, FGC content
   needs to be embedded in educational and training curricula, and ongoing
   clinical mentorship made available.
RI Budhathoki, Chakra/AAC-3180-2021; Budhathoki, Chakra/
OI Budhathoki, Chakra/0000-0002-1886-7847
ZR 0
Z8 0
ZA 0
ZS 0
ZB 4
TC 12
Z9 12
U1 0
U2 5
SN 1557-1912
EI 1557-1920
UT WOS:000484565500006
PM 30443876
ER

PT J
AU Alfonso, Allyson R.
   DeMitchell-Rodriguez, Evellyn M.
   Ramly, Elie P.
   Noel, Daphney Y.
   Levy-Lambert, Dina
   Wang, Maxime M.
   Kantar, Rami S.
   Flores, Roberto L.
TI Assessment of American Cleft Palate-Craniofacial Association-Approved
   Teams' Websites for Patient-Oriented Content and Readability
SO CLEFT PALATE-CRANIOFACIAL JOURNAL
VL 56
IS 9
BP 1213
EP 1219
DI 10.1177/1055665619850441
PD OCT 2019
PY 2019
AB Objective: Informed decision-making relies on available information,
   including online resources. We evaluated the content and readability of
   websites published by American Cleft Palate-Craniofacial Association
   (ACPA)-approved cleft lip and/or palate (CLP) teams in the United
   States. Design: Team websites were reviewed, and teams with no
   accessible website or <30 sentences of content were excluded. Website
   content was scored by presence/absence of 20 variables derived from ACPA
   approval standards. Readability was evaluated with 8 scales. Readability
   was then compared to American Medical Association (AMA) recommendations.
   The relationship between website content and readability was assessed.
   Main Outcome Measure(s): Content and readability of team websites.
   Results: From 167 reviewed teams, 47 (28.1%) had nonfunctional links, 17
   (10.2%) had no accessible website, and 39 (23.4%) had <30 sentences. The
   average content score for all 111 team websites included was 14.5 (2.6)
   of 20. The combined average reading level across all scales (10.7 [1.9])
   exceeded the AMA-recommended sixth-grade reading level; this finding
   held true for each individual website. Children's Hospital-affiliated
   teams (n = 86) had a significantly higher content score (14.8 vs 13.5; P
   = .03) and better readability as evidenced by lower reading grade level
   (10.5 vs 11.4; P = .04). On linear regression, a higher content score
   significantly predicted better readability (beta = -0.226; P < .001).
   Conclusions: Websites published by ACPA-approved CLP teams vary in
   accessibility and content and exceed the recommended reading level.
   These findings could inform future efforts to improve patient-oriented
   resources.
RI Kantar, Rami/J-7366-2019
OI Kantar, Rami/0000-0002-2245-2054
ZR 0
ZA 0
ZB 0
ZS 0
Z8 0
TC 5
Z9 5
U1 0
U2 1
SN 1055-6656
EI 1545-1569
UT WOS:000484912400011
PM 31129984
ER

PT J
AU Alishahedani, Mohammadali E.
   Sarosi, George A.
   Taylor, Janice A.
TI Implementing Survey-Based Changes and Analyzing Usage in an Online
   Curriculum for Surgical Interns
SO JOURNAL OF SURGICAL RESEARCH
VL 242
BP 87
EP 93
DI 10.1016/j.jss.2019.04.044
PD OCT 2019
PY 2019
AB Background: To improve the online curriculum at the authors' program,
   study habits and learning resources of surgical interns were evaluated.
   Based on the results, changes were implemented to align with their
   teaching conferences. We sought to determine utilization and
   satisfaction with the new materials.
   Methods: At the end of the 2017 academic year, surgical interns at a
   single institution voluntarily responded to an Institutional Review
   Board-approved survey regarding new and established learning material
   use and study habits. Responses were deidentified. Descriptive
   statistics were performed on demographics. Likert responses underwent
   Mann-Whitney analysis (alpha = 0.05).
   Results: The response rate was 52.9% (n = 9). The internet was the
   most-used resource (P < 0.05). All respondents used the internet to
   varying degrees. Textbooks and the internet were always used by 22.2%.
   33.3% never used textbooks to study. There was a statistically
   significant increase in internet access but not with other materials (P
   < 0.05). Regarding new material organized from the pilot, none was
   consistently accessed. 55.6% sometimes used new weekly reading links
   associated with a question bank. 66.7% were somewhat satisfied with
   these links. 44.4% were somewhat satisfied with new video links,
   organized in parallel with This Week in Surgical Council on Resident
   Education. Limited sample size did not allow for meaningful statistical
   analysis of material use with American Board of Surgery In-Training
   Examination scores.
   Conclusions: Overall, materials organized based on pilot study feedback
   were not widely used, and satisfaction was limited. The statistically
   significant increase in use of internet resources warrants attention.
   Focusing changes in future curricular design may help create a more
   effective learning environment. (C) 2019 Elsevier Inc. All rights
   reserved.
ZS 0
Z8 0
TC 0
ZR 0
ZA 0
ZB 0
Z9 0
U1 0
U2 4
SN 0022-4804
EI 1095-8673
UT WOS:000477948800013
PM 31071609
ER

PT J
AU Trautman, Jodie
   McAndrew, Darryl
   Craig, Steven J.
TI Anatomy teaching stuck in time? A 10-year follow-up of anatomy education
   in Australian and New Zealand medical schools
SO AUSTRALIAN JOURNAL OF EDUCATION
VL 63
IS 3
BP 340
EP 350
AR 0004944119878263
DI 10.1177/0004944119878263
EA SEP 2019
PD NOV 2019
PY 2019
AB Objectives To detail how human anatomy is currently being taught and
   assessed in Australian and New Zealand medical schools. Methods Medical
   schools in Australia and New Zealand were invited to respond to an
   online survey of their teaching and assessment of human anatomy in the
   2018 academic year. The results are compared with 2008 data. Changes in
   curricula and teaching methods are reported. Results Despite robust
   media and academic discussion over the last decade, very little has
   changed in the amount of anatomy teaching or assessment of anatomy in
   Australasian medical schools. One exception is that most universities
   have invested in new technology for teaching; however, the use of new
   technologies is irregular. Conclusions Australian and New Zealand
   medical schools should actively and cohesively respond to the changing
   requirements for anatomy education, or risk being left behind our
   international counterparts in the provision of anatomy education, to the
   detriment of doctors' training and the healthcare system.
RI McAndrew, Darryl/E-6515-2015
OI McAndrew, Darryl/0000-0001-8486-0064
TC 6
ZA 0
ZB 0
Z8 0
ZS 0
ZR 0
Z9 6
U1 0
U2 4
SN 0004-9441
EI 2050-5884
UT WOS:000491119000001
ER

PT J
AU Brusamento, Serena
   Kyaw, Bhone Myint
   Whiting, Penny
   Li, Li
   Car, Lorainne Tudor
TI Digital Health Professions Education in the Field of Pediatrics:
   Systematic Review and Meta-Analysis by the Digital Health Education
   Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 9
AR e14231
DI 10.2196/14231
PD SEP 25 2019
PY 2019
AB Background: Reducing childhood morbidity and mortality is challenging,
   particularly in countries with a shortage of qualified health care
   workers. Lack of trainers makes it difficult to provide the necessary
   continuing education in pediatrics for postregistration health
   professionals. Digital education, teaching and learning by means of
   digital technologies, has the potential to deliver medical education to
   a large audience while limiting the number of trainers needed.
   Objective: The goal of the research was to evaluate whether digital
   education can replace traditional learning to improve postregistration
   health professionals' knowledge, skills, attitudes, and satisfaction and
   foster behavior change in the field of pediatrics.
   Methods: We completed a systematic review of the literature by following
   the Cochrane methodology. We searched 7 major electronic databases for
   articles published from January 1990 to August 2017. No language
   restrictions were applied. We independently selected studies, extracted
   data, and assessed risk of bias, and pairs of authors compared
   information. We contacted authors of studies for additional information
   if necessary. All pooled analyses were based on random effects models.
   We included individually or cluster randomized controlled trials that
   compared digital education with traditional learning, no intervention,
   or other forms of digital education. We assessed the quality of evidence
   using the Grading of Recommendations, Assessment, Development, and
   Evaluations (GRADE) criteria.
   Results: Twenty studies (1382 participants) were included. Participants
   included pediatricians, physicians, nurses, and midwives. Digital
   education technologies were assessed including high-fidelity mannequins
   (6 studies), computer-based education (12 studies), mobile learning (1
   study), and virtual reality (1 study). Most studies reported that
   digital education was either as effective as or more effective than the
   control intervention for outcomes including skill, knowledge, attitude,
   and satisfaction. High-fidelity mannequins were associated with higher
   postintervention skill scores compared with low-fidelity mannequins
   (standardized mean difference 0.62; 95% CI 0.17-1.06; moderate effect
   size, low-quality evidence). One study reported physician change in
   practicing behavior and found similar effects between offline plus
   online digital education and no intervention. The only study that
   assessed impact on patient outcome found no difference between
   intervention and control groups. None of the included studies reported
   adverse or untoward effects or economic outcomes of the digital
   education interventions. The risk of bias was mainly unclear or high.
   The quality of evidence was low due to study inconsistencies,
   limitations, or imprecision across the studies.
   Conclusions: Digital education for postregistration health professions
   education in pediatrics is at least as effective as traditional learning
   and more effective than no learning. High-fidelity mannequins were found
   to be more effective at improving skills than traditional learning with
   low-fidelity mannequins. Computer-based offline/online digital education
   was better than no intervention for knowledge and skill outcomes and as
   good as traditional face-to-face learning. This review highlights
   evidence gaps calling for more methodologically rigorous randomized
   controlled trials on the topic.
RI Car, Lorainne Tudor/E-1205-2017; Kyaw, Bhone Myint/; Whiting, Penny/; Li, Li/
OI Car, Lorainne Tudor/0000-0001-8414-7664; Kyaw, Bhone
   Myint/0000-0002-1750-0330; Whiting, Penny/0000-0003-1138-5682; Li,
   Li/0000-0002-2625-6958
ZA 0
ZB 0
ZS 0
TC 19
ZR 0
Z8 1
Z9 20
U1 3
U2 28
SN 1438-8871
UT WOS:000487967400001
PM 31573906
ER

PT J
AU Shang, Lili
   Zuo, Meiyun
   Ma, Dan
   Yu, Qinjun
TI The Antecedents and Consequences of Health Care Professional-Patient
   Online Interactions: Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 9
AR e13940
DI 10.2196/13940
PD SEP 25 2019
PY 2019
AB Background: Online health care services effectively supplement
   traditional medical treatment. The development of online health care
   services depends on sustained interactions between health care
   professionals (HCPs) and patients. Therefore, it is necessary to
   understand the demands and gains of health care stakeholders in
   HCP-patient online interactions and determine an agenda for future work.
   Objective: This study aims to present a systematic review of the
   antecedents and consequences of HCP-patient online interactions. It
   seeks to reach a better understanding of why HCPs and patients are
   willing to interact with each other online and what the consequences of
   HCP-patient online interactions are for health care stakeholders. Based
   on this, we intend to identify the gaps in existing studies and make
   recommendations for future research.
   Methods: In accordance with the PRISMA (Preferred Reporting Items for
   Systematic Reviews and Meta-Analyses) guidelines, a systematic retrieval
   was carried out from the Web of Science, PubMed, and Scopus electronic
   databases. The search results were confined to those papers published in
   English between January 1, 2000 and June 30, 2018. Selected studies were
   then evaluated for quality; studies that did not meet quality criteria
   were excluded from further analysis. Findings of the reviewed studies
   related to our research questions were extracted and synthesized through
   inductive thematic analysis.
   Results: A total of 8440 records were found after the initial search, 28
   papers of which were selected for analysis. Accessibility to HCPs,
   self-management, and unmet needs were the main triggers for patients to
   participate in online interaction. For HCPs, patient education, career
   needs, and self-promotion were the major reasons why they took the
   online approach. There were several aspects of the consequences of
   HCP-patient online interactions on health care stakeholders.
   Consequences for patients included patient empowerment, health
   promotion, and acquisition of uncertain answers. Consequences for HCPs
   included social and economic returns, lack of control over their role,
   and gaining more appointments. HCP-patient online interactions also
   improved communication efficiency in offline settings and helped
   managers of online health care settings get a better understanding of
   patients' needs. Health care stakeholders have also encountered ethical
   and legal issues during online interaction.
   Conclusions: Through a systematic review, we sought out the antecedents
   and consequences of HCP-patient online interactions to understand the
   triggers for HCPs and patients to participate and the consequences of
   participating. Potential future research topics are the influences on
   the chain of online interaction, specifications and principles of
   privacy design within online health care settings, and roles that
   sociodemographic and psychological characteristics play. Longitudinal
   studies and the adoption of text-mining method are worth encouraging.
   This paper is expected to contribute to the sustained progress of online
   health care settings.
OI ma, dan/0000-0003-2630-6991; Shang, Lili/0000-0003-4389-131X
ZS 1
ZA 0
ZB 1
Z8 0
TC 9
ZR 0
Z9 10
U1 11
U2 52
SN 1438-8871
UT WOS:000487967300001
PM 31573908
ER

PT J
AU Yeager, David S.
   Hanselman, Paul
   Walton, Gregory M.
   Murray, Jared S.
   Crosnoe, Robert
   Muller, Chandra
   Tipton, Elizabeth
   Schneider, Barbara
   Hulleman, Chris S.
   Hinojosa, Cintia P.
   Paunesku, David
   Romero, Carissa
   Flint, Kate
   Roberts, Alice
   Trott, Jill
   Iachan, Ronaldo
   Buontempo, Jenny
   Yang, Sophia Man
   Carvalho, Carlos M.
   Hahn, P. Richard
   Gopalan, Maithreyi
   Mhatre, Pratik
   Ferguson, Ronald
   Duckworth, Angela L.
   Dweck, Carol S.
TI A national experiment reveals where a growth mindset improves
   achievement
SO NATURE
VL 573
IS 7774
BP 364
EP +
DI 10.1038/s41586-019-1466-y
PD SEP 19 2019
PY 2019
AB A global priority for the behavioural sciences is to develop
   cost-effective, scalable interventions that could improve the academic
   outcomes of adolescents at a population level, but no such interventions
   have so far been evaluated in a population-generalizable sample. Here we
   show that a short (less than one hour), online growth mindset
   intervention-which teaches that intellectual abilities can be
   developed-improved grades among lower-achieving students and increased
   overall enrolment to advanced mathematics courses in a nationally
   representative sample of students in secondary education in the United
   States. Notably, the study identified school contexts that sustained the
   effects of the growth mindset intervention: the intervention changed
   grades when peer norms aligned with the messages of the intervention.
   Confidence in the conclusions of this study comes from independent data
   collection and processing, pre-registration of analyses, and
   corroboration of results by a blinded Bayesian analysis.
RI Yeager, David S./AAC-5302-2019; Murray, Jared/AAF-3850-2021; Yang, Man/
OI Yeager, David S./0000-0002-8522-9503; Yang, Man/0000-0002-9116-7281
ZA 0
ZB 23
Z8 0
ZR 0
TC 336
ZS 0
Z9 336
U1 90
U2 389
SN 0028-0836
EI 1476-4687
UT WOS:000486647800039
PM 31391586
ER

PT J
AU Mahlknecht, Angelika
   Krisch, Laura
   Nestler, Nadja
   Bauer, Ulrike
   Letz, Nina
   Zenz, Daniel
   Schuler, Jochen
   Faehrmann, Laura
   Hempel, Georg
   Flamm, Maria
   Osterbrink, Juergen
TI Impact of training and structured medication review on medication
   appropriateness and patient-related outcomes in nursing homes: results
   from the interventional study InTherAKT
SO BMC GERIATRICS
VL 19
IS 1
AR 257
DI 10.1186/s12877-019-1263-3
PD SEP 18 2019
PY 2019
AB Background Uncoordinated interprofessional communication in nursing
   homes increases the risk of polypharmacy and inappropriate medication
   use. This may lead to augmented frequency of adverse drug events,
   hospitalizations and mortality. The aims of this study were (1) to
   improve interprofessional communication and medication safety using a
   combined intervention and thus, (2) to improve medication
   appropriateness and health-related outcomes of the included residents.
   Methods The single-arm interventional study (2014-2017) was conducted in
   Muenster, Germany and involved healthcare professionals and residents of
   nursing homes. The intervention consisted of systematic education of
   participating healthcare professionals and of a structured
   interprofessional medication review which was performed via an online
   communication platform. The primary endpoint was assessed using the
   Medication Appropriateness Index MAI. Secondary endpoints were:
   cognitive performance, delirium, agitation, mobility, number of drugs,
   number of severe drug-drug interactions and appropriateness of
   analgesics. Outcomes were measured before, during and after the
   intervention. Data were analyzed using descriptive and
   inference-statistical methods. Results Fourteen general practitioners,
   11 pharmacists, 9 nursing homes and 120 residents (n = 83 at all testing
   times) participated. Overall MAI sum-score decreased significantly over
   time (mean reduction: -7.1, CI95% -11.4 - - 2.8; median = - 3.0;
   d(Cohen) = 0.39), especially in cases with baseline sum-score >= 24
   points (mean reduction: -17.4, CI95% -27.6 - - 7.2; median = - 15.0;
   d(Cohen) = 0.86). MAI sum-score of analgesics also decreased (d(Cohen) =
   0.45). Mean number of severe drug-drug interactions rose slightly over
   time (d(Cohen) = 0.17). The proportion of residents showing agitated
   behavior diminished from 83.9 to 67.8%. Remaining secondary outcomes
   were without substantial change. Conclusion Medication appropriateness
   increased particularly in residents with high baseline MAI sum-scores.
   Cognitive decline of participating residents was seemingly decelerated
   when compared with epidemiologic studies. A controlled trial is required
   to confirm these effects. Interprofessional interaction was structured
   and performance of medication reviews was facilitated as the online
   communication platform provided unlimited and consistent access to all
   relevant and updated information.
OI Flamm, Maria/0000-0003-0816-6657
ZS 0
ZA 0
TC 14
ZB 3
Z8 0
ZR 0
Z9 14
U1 1
U2 11
EI 1471-2318
UT WOS:000487085900001
PM 31533630
ER

PT J
AU Yu, Catherine H.
   Ke, Calvin
   Jovicic, Aleksandra
   Hall, Susan
   Straus, Sharon E.
   Cantarutti, Paul
   Chu, Karen
   Frydrych, Paul
   Ivers, Noah
   Kaplan, David
   Leung, Fok-Han
   Maxted, John
   Rezmovitz, Jeremy
   Sodhi, Sumeet
   Telner, Deanna
   Sale, Joanna
   Shing, Li Ka
   Stacey, Dawn
   Straus, Sharon
CA IP-SDM Team
TI Beyond pros and cons - developing a patient decision aid to cultivate
   dialog to build relationships: insights from a qualitative study and
   decision aid development
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 19
IS 1
AR 186
DI 10.1186/s12911-019-0898-5
PD SEP 18 2019
PY 2019
AB Background An individualized approach using shared decision-making (SDM)
   and goal setting is a person-centred strategy that may facilitate
   prioritization of treatment options. SDM has not been adopted
   extensively in clinical practice. An interprofessional approach to SDM
   with tools to facilitate patient participation may overcome barriers to
   SDM use. The aim was to explore decision-making experiences of health
   professionals and people with diabetes (PwD), then develop an
   intervention to facilitate interprofessional shared decision-making
   (IP-SDM) and goal-setting. Methods This was a multi-phased study. 1)
   Feasibility: Using a descriptive qualitative study, individual
   interviews with primary care physicians, nurses, dietitians,
   pharmacists, and PwD were conducted. The interviews explored their
   experiences with SDM and priority-setting, including facilitators and
   barriers, relevance of a decision aid for priority-setting, and
   integration of SDM and a decision aid into practice. 2) Development: An
   evidence-based SDM toolkit was developed, consisting of an online
   decision aid, MyDiabetesPlan, and implementation tools. MyDiabetesPlan
   was reviewed by content experts for accuracy and comprehensiveness.
   Usability assessment was done with 3) heuristic evaluation and 4) user
   testing, followed by 5) refinement. Results Seven PwD and 10 clinicians
   participated in the interviews. From interviews with PwD, we identified
   that: (1) approaches to decision-making were diverse and dynamic; (2) a
   trusting relationship with the clinician and dialog were critical
   precursors to SDM; and, (3) goal-setting was a dynamic process. From
   clinicians, we found: (1) complementary (holistic and disease specific)
   approaches to the complex patient were used; (2) patient-provider
   agendas for goal-setting were often conflicting; (3) a flexible approach
   to decision-making was needed; and, (4) conflict could be resolved
   through SDM. Following usability assessment, we redesigned
   MyDiabetesPlan to consist of data collection and recommendation stages.
   Findings were used to finalize a multi-component toolkit and
   implementation strategy, consisting of MyDiabetesPlan, instructional
   card and videos, and orientation meetings with participating patients
   and clinicians. Conclusions A decision aid can provide information,
   facilitate clinician-patient dialog and strengthen the therapeutic
   relationship. Implementation of the decision aid can fit into a model of
   team care that respects and exemplifies professional identity, and can
   facilitate intra-team communication.
RI Ke, Calvin/K-6231-2016; Leung, Fok-Han/; Stacey, Dawn/; Ivers, Noah/O-7643-2018
OI Ke, Calvin/0000-0002-9944-4976; Leung, Fok-Han/0000-0001-8886-3625;
   Stacey, Dawn/0000-0002-2681-741X; Ivers, Noah/0000-0003-2500-2435
TC 10
Z8 0
ZB 2
ZA 0
ZR 0
ZS 0
Z9 10
U1 1
U2 10
EI 1472-6947
UT WOS:000487117500001
PM 31533828
ER

PT J
AU Guida, M.
   Troisi, J.
   Saccone, G.
   Sarno, L.
   Caiazza, M.
   Vivone, I
   Cinque, C.
   Aquino, C., I
TI Contraceptive use and sexual function: a comparison of Italian female
   medical students and women attending family planning services
SO EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
VL 24
IS 6
BP 430
EP 437
DI 10.1080/13625187.2019.1663500
EA SEP 2019
PD NOV 2 2019
PY 2019
AB Objectives: The aims of the study were to understand how education
   relates to contraceptive choice and how sexual function can vary in
   relation to the use of a contraceptive method. Methods: We surveyed
   female medical students and women attending a family planning service
   (FPS) in Italy. Participants completed an online questionnaire which
   asked for information on sociodemographics, lifestyle, sexuality and
   contraceptive use and also included items of the Female Sexual Function
   Index (FSFI). Results: The questionnaire was completed by 413 women (362
   students and 51 women attending the FPS) between the ages of 18 and 30
   years. FSFI scores revealed a lower risk of sexual dysfunction among
   women in the control group who did not use oral hormonal contraception.
   The differences in FSFI total scores between the two study groups, when
   subdivided by the primary contraceptive method used, was statistically
   significant (p < 0.005). Women using the vaginal ring had the lowest
   risk of sexual dysfunction, compared with all other women, and had a
   positive sexual function profile. In particular, the highest FSFI domain
   scores were lubrication, orgasm and satisfaction, also among the control
   group. Expensive contraception, such as long-acting reversible
   contraception, was not preferred by this young population, even though
   such methods are more contemporary and manageable. Compared with
   controls, students had lower compliance with contraception and a
   negative attitude towards voluntary termination of pregnancy.
   Conclusion: Despite their scientific knowledge, Italian female medical
   students were found to need sexual and contraceptive assistance. A
   woman's sexual function responds to her awareness of her body and varies
   in relation to how she is guided in her contraceptive choice.
   Contraceptive counselling is an excellent means to improve female
   sexuality.
RI Imma, Aquino Carmen/J-5935-2019; Sarno, Laura/ABC-7302-2020; Saccone, Gabriele/K-2792-2018; Cinque, Claudia/; GUIDA, MAURIZIO/
OI Imma, Aquino Carmen/0000-0002-4797-6161; Saccone,
   Gabriele/0000-0003-0078-2113; Cinque, Claudia/0000-0002-3249-0601;
   GUIDA, MAURIZIO/0000-0001-7372-0680
ZA 0
ZB 0
ZS 0
TC 5
ZR 0
Z8 0
Z9 5
U1 1
U2 5
SN 1362-5187
EI 1473-0782
UT WOS:000487360000001
PM 31545112
ER

PT J
AU Shaw, Jane R.
TI Evaluation of communication skills training programs at North American
   veterinary medical training institutions
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 255
IS 6
BP 722
EP 733
DI 10.2460/javma.255.6.722
PD SEP 15 2019
PY 2019
AB OBJECTIVE
   To describe how North American veterinary medical teaching institutions
   (VMTIs) provide communication skills training to students.
   SAMPLE
   Faculty coordinators of communication skills training programs (CSTPs)
   at 30 North American VMTIs.
   PROCEDURES
   An online survey instrument was designed and administered to each
   respondent followed by a telephone (n = 28) or in-person (2) interview.
   The survey and interview process were designed to evaluate all aspects
   of CSTPs, such as communication framework used, program format, number
   of student-contact hours, staffing models, outcome assessment, faculty
   background, program priorities, and challenges. Descriptive results were
   generated, and guidelines for future development of CSTPs were
   recommended.
   RESULTS
   27 US and 3 Canadian VMTIs were represented, and communication skills
   training was required at all. Twenty-five CSTPs used the
   Calgary-Cambridge Guide framework. Respondents provided a mean of 33
   student-contact hours of training, primarily in the first 3 years of the
   veterinary curriculum in lecture (mean, 12 hours), communication
   laboratory (13 hours), and self-study (8 hours) formats with formative
   feedback. Communication skills training was integrated with other
   disciplines at 27 VMTIs. Most CSTPs were coordinated and taught by 1
   faculty member with a < 0.50 full-time equivalent commitment and no
   administrative support. Stated priorities included acquisition of
   resources for CSTP faculty, administrative support, and video-equipped
   facilities; increasing integration of CSTPs into curricula; and
   assessment of educational outcomes.
   CONCLUSIONS AND CLINICAL RELEVANCE
   Results suggested that support for CSTPs and recognition of their value
   continue to grow, but a lack of resources, faculty expertise, validated
   methods for outcomes assessment, and leadership remain challenges.
ZS 0
ZB 3
ZA 0
Z8 0
TC 10
ZR 0
Z9 10
U1 1
U2 8
SN 0003-1488
EI 1943-569X
UT WOS:000483602000042
PM 31478810
ER

PT J
AU Perrault, Evan K.
   Beal, Jenny L.
TI Patients' knowledge about pharmacists, technicians, and physicians
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 76
IS 18
BP 1420
EP 1425
DI 10.1093/ajhp/zxz169
PD SEP 15 2019
PY 2019
AB Purpose. Including pharmacists within care teams can lead to positive
   health benefits, yet pharmacists remain underused. Misperceptions about
   pharmacists' duties and expertise compared to physicians may contribute.
   This study sought to determine how well patients know the differences
   between pharmacists, technicians, and physicians regarding their duties
   and levels of education about medications. It also investigated how
   patients' perceptions affect their likelihood to initiate interactions
   with pharmacists, as well as reasons why they choose not to speak with
   pharmacists.
   Methods. An online survey of 477 U.S. adults was administered via
   Amazon's Mechanical Turk. Participants' knowledge of pharmacists',
   pharmacy technicians', and medical doctors' education and expertise were
   measured. Logistic regression determined whether patients' attitudes
   toward pharmacists predicted patient-pharmacist interactions.
   Participants' reasons for choosing to not talk to pharmacists about
   their medications were assessed via an open-ended response.
   Results. Patients generally know the duties pharmacists can perform
   compared to technicians, but they incorrectly believe that physicians
   have more years of drug education than do pharmacists. Patients who have
   more positive attitudes toward pharmacists than with doctors are more
   likely to initiate interactions with pharmacists. Not seeing a need to,
   believing their doctors told them everything, or their ability to find
   information elsewhere (e.g., the Internet) were the 3 most cited reasons
   for not interacting with a pharmacist.
   Conclusion. Reaching across disciplinary lines to colleagues in health
   communication may assist the pharmacy profession in finding ways to
   increase patients' knowledge and perceptions about the important role
   pharmacists can play, thereby increasing the likelihood of patients
   wanting to interact with pharmacists.
RI Beal, Jenny/AAF-1654-2021
ZA 0
TC 2
ZS 0
ZB 0
Z8 0
ZR 0
Z9 2
U1 0
U2 6
SN 1079-2082
EI 1535-2900
UT WOS:000490466000012
PM 34278412
ER

PT J
AU Rowe, Michael
   Osadnik, Christian R.
   Pritchard, Shane
   Maloney, Stephen
TI These may not be the courses you are seeking: a systematic review of
   open online courses in health professions education
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 356
DI 10.1186/s12909-019-1774-9
PD SEP 14 2019
PY 2019
AB Introduction Open Online Courses (OOCs) are increasingly presented as a
   possible solution to the many challenges of higher education. However,
   there is currently little evidence available to support decisions around
   the use of OOCs in health professions education. The aim of this
   systematic review was to summarise the available evidence describing the
   features of OOCs in health professions education and to analyse their
   utility for decision-making using a self-developed framework consisting
   of point scores around effectiveness, learner experiences, feasibility,
   pedagogy and economics. Methods Electronic searches of PubMed, Medline,
   Embase, PsychInfo and CINAHL were made up to April 2019 using keywords
   related to OOC variants and health professions. We accepted any type of
   full text English publication with no exclusions made on the basis of
   study quality. Data were extracted using a custom-developed, a priori
   critical analysis framework comprising themes relating to effectiveness,
   economics, pedagogy, acceptability and learner experience. Results 54
   articles were included in the review and 46 were of the lowest levels of
   evidence, and most were offered by institutions based in the United
   States (n = 11) and United Kingdom (n = 6). Most studies provided
   insufficient course detail to make any confident claims about
   participant learning, although studies published from 2016 were more
   likely to include information around course aims and participant
   evaluation. In terms of the five categories identified for analysis, few
   studies provided sufficiently robust evidence to be used in formal
   decision making in undergraduate or postgraduate curricula. Conclusion
   This review highlights a poor state of evidence to support or refute
   claims regarding the effectiveness of OOCs in health professions
   education. Health professions educators interested in developing courses
   of this nature should adopt a critical and cautious position regarding
   their adoption.
RI Osadnik, Christian/C-3529-2015; Maloney, Stephen/; Rowe, Michael/
OI Osadnik, Christian/0000-0001-9040-8007; Maloney,
   Stephen/0000-0003-2612-5162; Rowe, Michael/0000-0002-1538-6052
TC 10
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 10
U1 0
U2 16
EI 1472-6920
UT WOS:000486160700002
PM 31521150
ER

PT J
AU Godinez-Oviedo, Angelica
   Sampedro Parra, Fernando
   Machuca Vergara, Jessica J.
   Gutierrez Gonzalez, Porfirio
   Hernandez Iturriaga, Montserrat
TI Food Consumer Behavior and Salmonella Exposure Self-Perception in the
   Central Region of Mexico
SO JOURNAL OF FOOD SCIENCE
VL 84
IS 10
BP 2907
EP 2915
DI 10.1111/1750-3841.14792
EA SEP 2019
PD OCT 2019
PY 2019
AB In Mexico, there is limited information regarding food consumer
   behaviors at home. The knowledge of food consumption and food handling
   practices can help to determine more realistically the exposure to
   different hazards, such as Salmonella spp. on the population. The main
   goal of this study was to characterize the food consumption habits of
   five food groups (fruits and vegetables, fresh meat, dairy products,
   processed meat products, and seafood), food handling practices, and
   Salmonella exposure self-perception of the population of the central
   region of Mexico using an online survey. A total of 1,199 surveys were
   analyzed. The group of fruits and vegetables is the most consumed and
   one of the most related to the consumer self-perception of suffering
   from salmonellosis. Mexican consumers regularly use refrigeration as the
   principal food storage method for the five food groups (42.2% to 90.8%),
   and generally, they store the products between 2 and 3 days (26.5% to
   38.1%). A total of 86.4% of consumers reported that they always wash
   their hands prior to food preparation. A total of 16.9% and 13.0% use
   the same cutting board and knife, respectively, to cut more than one
   product without applying sanitization. Men, people between 20 and 24
   years, and people between 60 and 64 years, had the highest risk food
   handling practices at home. Finally, age (P < 0.0001), education level
   (P = 0.0004), and suffering from gastrointestinal diseases (P = 0.0005)
   showed significant effects with self-perception of having salmonellosis.
   Practical Application Data presented in this study could be used in
   future risk and exposure assessment research to evaluate the public
   health risk from the consumption of contaminated food. In addition, it
   could be used by government agencies to design education campaigns in
   food safety area.
RI Sampedro, Fernando/AAH-8332-2020; Hernandez Iturriaga, Montserrat/
OI Sampedro, Fernando/0000-0003-1155-2751; Hernandez Iturriaga,
   Montserrat/0000-0002-3313-5433
TC 4
ZB 1
ZS 0
Z8 0
ZR 0
ZA 0
Z9 4
U1 2
U2 26
SN 0022-1147
EI 1750-3841
UT WOS:000486293500001
PM 31513724
ER

PT J
AU Finney Rutten, Lila J.
   Blake, Kelly D.
   Greenberg-Worisek, Alexandra J.
   Allen, Summer V.
   Moser, Richard P.
   Hesse, Bradford W.
TI Online Health Information Seeking Among US Adults: Measuring Progress
   Toward a Healthy People 2020 Objective
SO PUBLIC HEALTH REPORTS
VL 134
IS 6
BP 617
EP 625
AR 0033354919874074
DI 10.1177/0033354919874074
EA SEP 2019
PD NOV 2019
PY 2019
AB Objective: During the past decade, the availability of health
   information online has increased dramatically. We assessed progress
   toward the Healthy People 2020 (HP2020) health communication and health
   information technology objective of increasing the proportion of health
   information seekers who easily access health information online.
   Methods: We used data from 4 administrations of the Health Information
   National Trends Survey (HINTS 2008-2017) (N = 18 103). We conducted
   multivariable logistic regression analysis to evaluate trends over time
   in experiences with accessing health information and to examine
   differences by sociodemographic variables (sex, age, race/ethnicity,
   education, income, metropolitan status) separately for those who used
   the internet (vs other information sources) during their most recent
   search for health information. Results: Among US adults who looked for
   health information and used the internet for their most recent search,
   the percentage who reported accessing health information without
   frustration was stable during the study period (from 37.2% in 2008 to
   38.5% in 2017). Accessing information online without frustration was
   significantly and independently associated with age 35-49 (vs age 18-34)
   (odds ratio [OR] = 1.34; 95% confidence interval [CI], 1.03 -1.73),
   non-Hispanic black (vs non-Hispanic white) race/ethnicity (OR = 2.15;
   95% CI, 1.55-2.97), and annual household income <$20 000 (vs >$75 000)
   (OR = 0.66; 95% CI, 0.47-0.93). The percentage of adults who used an
   information source other than the internet and reported accessing health
   information online without frustration ranged from 31.3% in 2008 to
   42.7% in 2017. Survey year 2017 (vs 2008) (OR = 1.61; 95% CI, 1.09-2.35)
   and high school graduate education (vs college graduate) (OR = 0.69; 95%
   CI, 0.49-0.97) were significantly and independently associated with
   accessing health information without frustration from sources other than
   the internet. Conclusions: The percentage of online health information
   seekers reporting easily accessing health information did not meet the
   HP2020 objective. Continued efforts are needed to enable easy access to
   online health information among diverse populations.
OI Rutten, Lila/0000-0001-7487-9407
ZB 8
ZS 0
TC 58
ZA 0
Z8 0
ZR 0
Z9 58
U1 4
U2 19
SN 0033-3549
EI 1468-2877
UT WOS:000491043600001
PM 31513756
ER

PT J
AU Zweigenthal, Virginia E. M.
   Pick, William M.
   London, Leslie
TI Career Paths of Public Health Medicine Specialists in South Africa
SO FRONTIERS IN PUBLIC HEALTH
VL 7
AR 261
DI 10.3389/fpubh.2019.00261
PD SEP 12 2019
PY 2019
AB Public health (PH) skills are core to building responsive and
   appropriate health systems, and PH personnel including medical
   specialists are embedded in many countries' health systems. In South
   Africa, the medical specialty in PH, Public Health Medicine (PHM), has
   existed for over 40 years. Four years of accredited training plus
   success in a single national exit exam allows specialist registration
   with the Health Professions Council of South Africa (HPCSA). However,
   there are few posts designated specifically for PHM specialists in SA's
   health system. In view of uncertain roles, this research was designed to
   determine specialists' career paths, their work, job satisfaction, and
   perspectives on the future of the specialty. We combined three databases
   to generate the study population and invited all specialists to
   participate in an online or hard-copy survey. We found that in 2010, PHM
   was a small specialty of less 200 physicians. Of the 151 contactable,
   eligible physicians, 55.6% completed the questionnaire. Participants
   represented an aging group (median age = 49) of specialists and recent
   graduates were increasingly women. They largely worked in academic
   institutions (as managers, teachers, and researchers) and in the public
   sector health system; were motivated by a sense of social justice and
   their training was formative, exposing them to work settings which they
   later entered; were largely highly satisfied at work, but many worked in
   non-specialist positions. Indeed, one fifth had not registered with the
   HPCSA as specialists. They were concerned about the specialty's poor
   visibility and identity, but did not see other PH professionals as a
   threat. They believed that the specialty should refine its competencies,
   demonstrate its value and advocate for service positions at all levels
   of the public sector health service. PHM has a contribution to
   make-reorienting services to protect communities, preventing ill health,
   analyzing disease burdens locally, identifying innovations in a
   resource-constrained health service, largely preoccupied with curative
   care services.
RI Zweigenthal, Virginia/AAW-6425-2021
OI Zweigenthal, Virginia/0000-0003-3914-2156
Z8 0
TC 1
ZR 0
ZS 0
ZA 0
ZB 0
Z9 1
U1 0
U2 6
EI 2296-2565
UT WOS:000486070600001
PM 31572703
ER

PT J
AU Hammerich, Karin
   Stuber, Kent
   Hogg-Johnson, Sheilah
   Abbas, Anser
   Harris, Martin
   Lauridsen, Henrik Hein
   Lemeunier, Nadege
   Maiers, Michele
   McCarthy, Peter
   Morales, Vanessa
   Myburgh, Corrie
   Petrini, Vanessa
   Pohlman, Katherine
   Mior, Silvano
TI Assessing attitudes of patient-centred care among students in
   international chiropractic educational programs: a cross-sectional
   survey
SO CHIROPRACTIC & MANUAL THERAPIES
VL 27
IS 1
AR 46
DI 10.1186/s12998-019-0263-x
PD SEP 12 2019
PY 2019
AB Background: Patient-centred care is internationally recognized as a
   foundation of quality patient care. Attitudes of students towards
   patient-centred care have been assessed in various health professions.
   However, little is known how chiropractic students' attitudes towards
   patient-centred care compare to those of other health professions or
   whether they vary internationally, and between academic programs.
   Objective: To assess the association of select variables on student
   attitude towards patient-centred care among select chiropractic programs
   worldwide.
   Methods: We conducted a cross-sectional study using the
   Patient-Practitioner Orientation Scale (PPOS) to assess students'
   patient-centred attitudes towards the doctor-patient relationship.
   Eighteen items were scored on a 1 to 6 Likert scale; higher scores
   indicating more patient-centredness. All students from seven
   chiropractic educational programs worldwide were invited to complete an
   online survey. Results were analyzed descriptively and inferentially for
   overall, sharing and caring subscales. General linear regression models
   were used to assess the association of various factors with PPOS scores.
   Results: There were 1858 respondents (48.9% response rate). Student
   average age was 24.7 (range = 17-58) years and 56.2% were female. The
   average overall PPOS score was 4.18 (SD = 0.48) and average sharing and
   caring subscale scores were 3.89 (SD = 0.64) and 4.48 (SD = 0.52),
   respectively. There were small but significant differences in all PPOS
   scores by gender, age, and program. Year/semester of study within a
   program typically was not associated with scores, neither was history of
   previous chiropractic care nor having family members who are health
   professionals.
   Conclusion: This is the first international study assessing students'
   attitudes of patient-centred care in chiropractic educational programs.
   We found small but significantly different PPOS scores between
   chiropractic programs worldwide that did not change across year/semester
   of study. Scores tended to be lower than those reported among medical
   students. Observed differences may be related to curricular content,
   extent of patient exposure and/or regional cultural realities.
RI Pohlman, Katherine A/ABA-5860-2020; Myburgh, Corrie/L-6684-2016; LEMEUNIER, Nadege/; Lauridsen, Henrik/
OI Pohlman, Katherine A/0000-0002-1536-112X; Myburgh,
   Corrie/0000-0002-7741-1313; LEMEUNIER, Nadege/0000-0002-0032-7631;
   Lauridsen, Henrik/0000-0001-5198-5215
ZS 0
Z8 0
TC 6
ZA 0
ZB 0
ZR 0
Z9 6
U1 0
U2 2
EI 2045-709X
UT WOS:000485325300001
PM 31528334
ER

PT J
AU van Draanen, Jenna
   Krishna, Tanvi
   Tsang, Christie
   Liu, Sam
TI Keeping up with the times: how national public health and governmental
   organizations communicate about cannabis on Twitter
SO SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY
VL 14
IS 1
AR 38
DI 10.1186/s13011-019-0224-3
PD SEP 12 2019
PY 2019
AB Background: Public health and governmental organizations are expected to
   provide guidance to the public on emerging health issues in accessible
   formats. It is, therefore, important to examine how such organizations
   are discussing cannabis online and the information that is being
   provided to the public about this increasingly legal and available
   substance.
   Methods: This paper presents a concise thematic analysis of both the
   volume and content of cannabis-related health information from selected
   (n = 13) national-level public health and governmental organizations in
   Canada and the U.S. on Twitter.
   Results: There were eight themes identified in Tweets including 1)
   health-related topics; 2) legalization and legislation; 3) research on
   cannabis; 4) special populations; 5) driving and cannabis; 6) population
   issues; 7) medical cannabis, and 8) public health issues. The majority
   of cannabis-related Tweets from the organizations studied came from
   relatively few organizations and there were substantial differences
   between the topics covered by U.S. and Canadian organizations. The
   organizations studied provided limited information regarding how to use
   cannabis in ways that will minimize health-related harms.
   Conclusions: Authoritative organizations that deal with public health
   may consider designing timely social media communications with emerging
   cannabis-related information, to benefit a general public otherwise
   exposed to primarily pro-cannabis content on Twitter.
OI van Draanen, Jenna/0000-0003-0486-6525
ZS 0
Z8 0
ZB 0
ZR 0
TC 5
ZA 0
Z9 5
U1 0
U2 3
EI 1747-597X
UT WOS:000485257400001
PM 31511026
ER

PT J
AU VanderPluym, Juliana H.
   Hamilton, Katherine
   Hindiyeh, Nada A.
   Robbins, Matthew S.
   Starling, Amaal J.
   Vargas, Bert B.
   Gibbons, Sarah K.
   Vgontzas, Angeliki
TI Online Migraine Education and Support for Patients: Perspectives from
   the American Headache Society Emerging Leaders Program
SO HEADACHE
VL 59
IS 9
BP 1656
EP 1658
DI 10.1111/head.13649
EA SEP 2019
PD OCT 2019
PY 2019
RI Starling, Amaal/AGO-2311-2022; Vgontzas, Angeliki/; Robbins, Matthew/
OI Vgontzas, Angeliki/0000-0002-5191-1475; Robbins,
   Matthew/0000-0002-5426-5333
ZB 2
ZR 0
Z8 0
ZA 0
ZS 0
TC 2
Z9 2
U1 0
U2 0
SN 0017-8748
EI 1526-4610
UT WOS:000486572000001
PM 31508808
ER

PT J
AU Zhang, Xi Yue
   Holbrook, Anne M.
   Nguyen, Laura
   Lee, Justin
   Al Qahtani, Saeed
   Garcia, Michael Cristian
   Perri, Dan
   Levine, Mitchell
   Patel, Rakesh, V
   Maxwell, Simon
TI Evaluation of online clinical pharmacology curriculum resources for
   medical students
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 85
IS 11
BP 2599
EP 2604
DI 10.1111/bcp.14085
EA SEP 2019
PD NOV 2019
PY 2019
AB Aims To identify and evaluate clinical pharmacology (CP) online
   curricular (e-Learning) resources that are internationally available for
   medical students. Methods Literature searches of Medline, EMBASE and
   ERIC databases and an online survey of faculty members of international
   English language medical schools, were used to identify CP e-Learning
   resources. Resources that were accessible online in English and aimed to
   improve the quality of prescribing specific medications were then
   evaluated using a summary percentage score for comprehensiveness,
   usability and quality, and for content suitability. Results Our
   literature searches and survey of 252 faculty (40.7% response rate) in
   219 medical schools identified 22 and 59 resources respectively. After
   screening and removing duplicates, 8 eligible resources remained for
   evaluation. Mean total score was 53% (standard deviation = 13). The
   Australian National Prescribing Curriculum, ranked highest with a score
   of 77%, based primarily on very good ratings for usability, quality and
   suitable content. Conclusion Using a novel method and evaluation metric
   to identify, classify, and rate English language CP e-Learning
   resources, the National Prescribing Curriculum was the highest ranked
   open access resource. Future work is required to implement and evaluate
   its effectiveness on prescribing competence.
OI Zhang, Xi Yue/0000-0003-3819-5344; Holbrook, Anne/0000-0002-3371-4187;
   Garcia, Cristian/0000-0002-0564-8776
ZB 0
ZR 0
Z8 0
ZA 0
TC 3
ZS 0
Z9 3
U1 0
U2 9
SN 0306-5251
EI 1365-2125
UT WOS:000486001300001
PM 31385322
ER

PT J
AU Prince, Lisa K.
   Nee, Robert
   Yuan, Christina M.
   Gao, W.
   Lebrun, Christopher J.
   Little, Dustin J.
   Mahoney, David L.
   Saddler, Mark
   Watson, Maura A.
   Bolanos, Jonathan A.
   Frankston, Amy J.
   Martinez-Osorio, Jorge, I
   Moon, Deepti S.
   Owshalimpur, David
   Pasiuk, Bret
   Perkins, Robert M.
   Rivera, Ian M.
   Thurlow, John S.
   Yoon, Sylvia C.
   Baumstein, Donald, I
   Campbell, Ruth C.
   Elfering, Sarah
   Kalantari, Kambiz
   Kendrick, Jessica
   King, Joshua D.
   Lenz, Oliver
   Lit, Yiming Zhao
   Maursetter, Laura S.
   Maynard, Sharon E.
   Melamed, Michal
   Ortiz-Melo, David, I
   Raghavan, Rajeev
   Scalese, Ross J.
   Sparks, Matthew A.
   Sussman, Amy N.
   Wolfgram, Dawn F.
CA NERDC
TI The Acute Dialysis Orders Objective Structured Clinical Examination
   (OSCE) Fellow Performance on a Formative Assessment of Acute Kidney
   Replacement Therapy Competence
SO CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
VL 14
IS 9
BP 1346
EP 1354
DI 10.2215/CJN.02900319
PD SEP 6 2019
PY 2019
AB Background and objectives Acute kidney replacement therapy (KRT)
   prescription is a critical nephrology skill. We administered a formative
   objective structured clinical examination (OSCE) to nephrology fellows
   to assess acute KRT medical knowledge, patient care, and systems-based
   practice competencies.
   Design, setting, participants, & measurements Prospective cohort study
   of an educational test using the unified model of construct validity. We
   tested 117 fellows: 25 (four programs) in 2016 and 92 (15 programs) in
   2017; 51 first-year and 66 second-year fellows. Using institutional
   protocols and order sets, fellows wrote orders and answered open-ended
   questions on a three-scenario OSCE, previously validated by
   board-certified, practicing clinical nephrologists. Outcomes were
   overall and scenario pass percentage and score; percent correctly
   answering predetermined, evidence-based questions; second-year score
   correlation with in-training examination score; and satisfaction survey.
   Results A total of 76% passed scenario 1 (acute continuous RRT): 92%
   prescribed a >= 20 ml/kg per hour effluent dose; 63% estimated clearance
   as effluent volume. Forty-two percent passed scenario 2 (maintenance
   dialysis initiation); 75% correctly prescribed 3-4 mEq/L K+ dialysate
   and 12% identified the two absolute, urgent indications for maintenance
   dialysis initiation (uremic encephalopathy and pericarditis). Six
   percent passed scenario 3 (acute life-threatening hyperkalemia); 20%
   checked for rebound hyperkalemia with two separate blood draws.
   Eighty-three percent correctly withheld intravenous sodium bicarbonate
   for acute hyperkalemia in a nonacidotic, volume-overloaded patient on
   maintenance dialysis, and 32% passed overall. Second-year versus
   first-year fellow overall score was 44.4 +/- 4 versus 42.7 +/- 5
   (one-tailed P=0.02), with 39% versus 24% passing (P=0.08). Second-year
   in-training examination and OSCE scores were not significantly
   correlated (r=0.15; P=0.26). Seventy-seven percent of fellows agreed the
   OSCE was useful in assessing "proficiency in ordering" acute KRT.
   Limitations include lack of a validated criterion test, and
   unfamiliarity with open-ended question format.
   Conclusions The OSCE can provide quantitative data for formative
   Accreditation Council for Graduate Medical Education competency
   assessments and identify opportunities for dialysis curriculum
   development.
RI Sparks, Matthew/H-8865-2019; Nee, Robert/AAD-3838-2022; Lenz, Oliver/M-4672-2016; Baumstein, Donald/ABB-3332-2021
OI Sparks, Matthew/0000-0003-2075-2691; Nee, Robert/0000-0003-1201-6344;
   Lenz, Oliver/0000-0003-2997-3976; Baumstein, Donald/0000-0003-4105-514X
ZR 0
ZA 0
Z8 0
ZS 0
ZB 0
TC 4
Z9 4
U1 2
U2 8
SN 1555-9041
EI 1555-905X
UT WOS:000486400400012
PM 31409597
ER

PT J
AU Moffat, Karen A.
   Kiencke, Verena
   Blanco, Alicia N.
   McLintock, Claire
   Peyvandi, Flora
   de Maat, Moniek P. M.
   Adams, Murray J.
   Angchaisuksiri, Pantep
   Nair, Sukesh
   Tsuda, Hiroko
   Haddad, Munif
   Renne, Thomas
   Clark, R. Cary
   Ross, Michael T.
TI International Society on Thrombosis and Haemostasis core curriculum
   project: Core competencies in laboratory thrombosis and hemostasis
SO JOURNAL OF THROMBOSIS AND HAEMOSTASIS
VL 17
IS 11
BP 1848
EP 1859
DI 10.1111/jth.14601
EA SEP 2019
PD NOV 2019
PY 2019
AB Background Laboratory analyses of blood samples are essential for
   diagnostics and therapy monitoring of patients with bleeding and
   thromboembolic diseases. Following publication of the core curriculum
   for clinical thrombosis and hemostasis, the International Society on
   Thrombosis and Haemostasis (ISTH) recognized that thrombosis and
   hemostasis laboratory specialists require distinct competencies that
   differ from medical doctors working clinically with patients. To address
   this gap the ISTH formed a working group of international hemostasis and
   thrombosis laboratory specialists to develop an evidence-based core
   curriculum for laboratory specialists. Objective This research sought
   consensus from the international community on core competencies required
   for laboratory specialists in thrombosis and hemostasis. Methods A draft
   list of 64 competencies was developed and an online stakeholder survey
   was circulated electronically to 15 302 ISTH members and contacts in the
   wider international community. The results were analyzed and used to
   develop the final approved core curriculum. Results Three hundred and
   thirty responses contained meaningful data, with broad international
   representation of specialists. No draft competencies were excluded, and
   58 were rated as "does" or "shows how." The Leik measure of consensus
   for most competences was "moderate" (n = 30) or "fair" (n = 32).
   Conclusions The development of an international core curriculum for
   laboratory specialists provides a foundation for the development and
   enhancement of education and quality management of the laboratory.
   Although there is no formal designation for laboratory specialists,
   international governing bodies and regulatory organizations are
   encouraged to consider the diagnostic core curriculum for development
   and accreditation of more standardized educational programs and formal
   assessment across jurisdictions.
RI Peyvandi, Flora/AAK-7437-2020; Adams, Murray J/G-4269-2011; Renne, Thomas/; Moffat, Karen A./
OI Peyvandi, Flora/0000-0001-7423-9864; Adams, Murray
   J/0000-0002-7743-4515; Renne, Thomas/0000-0003-4594-5975; Moffat, Karen
   A./0000-0002-6431-5525
TC 3
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
Z9 3
U1 0
U2 1
SN 1538-7933
EI 1538-7836
UT WOS:000485119000001
PM 31400072
ER

PT J
AU van der Burgt, Stephanie M. E.
   Kusurkar, Rashmi A.
   Wilschut, Janneke A.
   Tsoi, Sharon L. N. M. Tjin A.
   Croiset, Gerda
   Peerdeman, Saskia M.
TI Medical specialists' basic psychological needs, and motivation for work
   and lifelong learning: a two-step factor score path analysis
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 339
DI 10.1186/s12909-019-1754-0
PD SEP 5 2019
PY 2019
AB Background Continuing professional development and lifelong learning are
   crucial to secure safe and good quality healthcare. Lack of motivation
   has been found to be among the most important barriers for participation
   in lifelong learning. This study was conducted to investigate the
   relationships between medical specialists' work motivation, lifelong
   learning motivation, autonomy, competence and relatedness satisfaction.
   Methods Self-Determination Theory was used as a theoretical framework
   for this study. Data were collected through an online survey, that was
   sent to all (N = 1591) medical specialists in four Dutch hospitals. The
   survey measured background characteristics, autonomy, competence, and
   relatedness satisfaction, autonomous and controlled work motivation, and
   lifelong learning motivation. Two step factor path analysis with the
   method of Croon was used to analyze the data from 193 cases. Results
   Autonomy need satisfaction was positively associated with autonomous
   work motivation which in turn was positively associated with lifelong
   learning motivation. Competence need satisfaction and age were
   negatively associated with controlled work motivation. Competence need
   satisfaction was also positively related with lifelong learning
   motivation. No significant nor any hypothesized associations were found
   for relatedness. Conclusions Our findings, in line with
   Self-determination Theory literature, show that autonomy and competence
   need satisfaction are the important factors as they were positively
   associated with medical specialists' motivation for work and for
   lifelong learning.
RI Kusurkar, Rashmi A/D-5239-2012
OI Kusurkar, Rashmi A/0000-0002-9382-0379
ZA 0
TC 9
ZS 0
ZB 0
Z8 0
ZR 0
Z9 9
U1 0
U2 9
EI 1472-6920
UT WOS:000485065600003
PM 31488116
ER

PT J
AU Puspitasari, Ira
   Firdauzy, Alia
TI Characterizing Consumer Behavior in Leveraging Social Media for
   E-Patient and Health-Related Activities
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 16
IS 18
AR 3348
DI 10.3390/ijerph16183348
PD SEP 2 2019
PY 2019
AB The emergence of e-patients has encouraged consumers, people who are
   non-medical experts, to be more engaged in healthcare needs by utilizing
   online sources via social media. However, the nature of social media and
   regulation issues have caused concerns for the reliability and validity
   of the shared information. These phenomena shape consumers behavior in
   leveraging social media for e-patient activities. This study
   investigates consumer behavior using an integrated model based on the
   Unified Theory of Acceptance and Use of Technology (UTAUT) and the
   Protection Motivation Theory (PMT). The data collected from the
   participants (N = 312) was analyzed using partial least square
   structural equation modelling. The results showed that behavioral
   intention to use social media for e-patient activities was significantly
   affected by performance expectancy, effort expectancy, perceived
   severity, perceived susceptibility, and response efficacy; and that
   behavioral intention corresponded positively to usage intention. In
   addition, the results also indicate that the intention to use social
   media for health-related purposes is driven by awareness of preventing
   health problems and attempts to reduce the risk of developing an
   illness. Based on findings, this study recommends strategies and
   initiatives to optimize social media for promoting a healthy lifestyle
   and educating society about public health and healthcare management.
RI Puspitasari, Ira/ABC-8974-2020
OI Puspitasari, Ira/0000-0001-5983-6257
ZR 0
ZB 0
ZS 0
Z8 0
ZA 0
TC 11
Z9 11
U1 4
U2 21
EI 1660-4601
UT WOS:000489178500122
PM 31514276
ER

PT J
AU Lwoga, Edda Tandi
TI Online and offline information seeking behaviours of people living with
   HIV in a clinic-based setting
SO GLOBAL KNOWLEDGE MEMORY AND COMMUNICATION
VL 68
IS 6-7
BP 517
EP 533
DI 10.1108/GKMC-03-2019-0031
PD SEP 2 2019
PY 2019
AB Purpose The purpose of this study sought to determine the
   characteristics that distinguish online from offline information seekers
   among people living with human immunodeficiency virus (PLHIV) in
   selected regional hospitals of Tanzania. Design/methodology/approach
   Questionnaire-based survey was conducted among 341 adults with human
   immunodeficiency virus (HIV) infection attending the HIV clinics in the
   regional referral hospitals in Mwanza, Mbeya and Dar es Salaam,
   Tanzania. The study used multivariate logistic regressions to determine
   factors that distinguish online HIV information seekers from offline HIV
   information seekers. Findings One in every five survey participants
   sought online HIV information (19.6 per cent, n = 67). Both higher level
   of education (odds ratio (OR) = 1.765, 95 per cent confidence interval
   (CI) = 1.208-2.58) and intention to use internet in future (OR = 1.566,
   95 per cent CI 1.148-2.136) were predictors of online HIV information
   seeking behaviour at multivariate analysis. Respondents who sought
   online information reported to have gained knowledge such as; to
   understand their conditions better (77.4 per cent, n = 41) and
   understand information received from health care workers (66 per cent, n
   = 35), as well as acquisition of health promoting behaviour such as;
   asking questions during doctor's visit (55 per cent, n = 35) and
   consulting a clinician when they have problems (64.3 per cent, n = 33).
   The offline HIV information seekers (n = 274) did not use internet due
   to lack of information seeking skills (44.3 per cent, n = 113) and lack
   of access to internet connectivity (30.2 per cent, n = 77).
   Originality/value This is a comprehensive study that differentiates
   online from offline HIV information seekers in the context of
   sub-Saharan Africa. The results suggest that interventions to improve
   online access information will empower patients and probably positively
   affect their health knowledge and health promoting behaviours.
RI Lwoga, Edda/B-2965-2014
OI Lwoga, Edda/0000-0002-3254-8770
ZS 0
Z8 0
ZA 0
ZB 0
TC 0
ZR 0
Z9 0
U1 0
U2 9
SN 2514-9342
EI 2514-9350
UT WOS:000484917600005
ER

PT J
AU Nicewonder, Jessica A.
   Buros, Amy F.
   Veltri, Charles A.
   Grundmann, Oliver
TI Distinct kratom user populations across the United States: A regional
   analysis based on an online survey
SO HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL
VL 34
IS 5
AR e2709
DI 10.1002/hup.2709
PD SEP 2019
PY 2019
AB Objective Kratom preparations have raised concerns of public health and
   safety in the United States. This paper analyzed the patterns and
   predictors of kratom use by four U.S. regions according to the U.S.
   Census.
   Method An anonymous cross-sectional online survey yielded 8,049 valid
   responses. The data were categorised by regions (Northeast, South,
   Midwest, and West) and analyzed for the following predictors: age,
   gender, marital status, ethnicity, employment status, insurance
   coverage, education, and household income.
   Results After adjusting for state population, the survey response rates
   were highest from Oregon, Idaho, and Florida. Kratom use was
   significantly lower for both prescription drug dependency and acute or
   chronic pain in the Northeast region than the rest of the country.
   Multiple logistic regression models found that gender, employment, and
   education were significant on the regional level. Higher education was
   associated with lower kratom use for an illicit drug dependency (p =
   .002) independent of region whereas men were less likely to use kratom
   for acute or chronic pain in the Northeast (p < .001) but more likely in
   the Midwest (p = .041).
   Conclusions The regional pattern of kratom use differed from opioid use
   data in both demographics and trend direction warranting further
   investigation.
RI Grundmann, Oliver/AAF-8411-2022; Grundmann, Oliver/AFK-1252-2022; Veltri, Charles/AAN-3295-2021; Veltri, Charles/
OI Grundmann, Oliver/0000-0003-2302-8949; Grundmann,
   Oliver/0000-0003-2302-8949; Veltri, Charles/0000-0001-7626-1555
Z8 0
ZA 0
ZB 3
TC 5
ZR 0
ZS 0
Z9 5
U1 1
U2 1
SN 0885-6222
EI 1099-1077
UT WOS:000533423500003
PM 31347212
ER

PT J
AU Fardousi, Nasser
   Douedari, Yazan
   Howard, Natasha
TI Healthcare under siege: a qualitative study of health-worker responses
   to targeting and besiegement in Syria
SO BMJ OPEN
VL 9
IS 9
AR e029651
DI 10.1136/bmjopen-2019-029651
PD SEP 2019
PY 2019
AB Objectives To explore health-worker perspectives on security, improving
   safety, managing constrained resources and handling mass casualties
   during besiegement in Syria.
   Design A qualitative study using semi-structured key informant
   interviews, conducted remotely over WhatsApp and Skype, and analysed
   thematically using inductive coding.
   Setting Secondary and tertiary health facilities affected by besiegement
   in Aleppo (from July to December 2016) and Rural Damascus (from August
   2013 to February 2018).
   Participants Twenty-one male Syrian health-workers and service-users who
   had experienced besiegement and targeting of their health facilities.
   Results Participants described four related challenges of: (i)
   conflict-related responses, particularly responding to mass casualties;
   (ii) targeted attack responses, particularly preventing/surviving
   facility bombings; (iii) besiegement responses, particularly mitigating
   severe resource constraints; and (iv) chronic risk responses,
   particularly maintaining emotional resilience. Mass casualty response
   involved triage and training to prioritise mortality reduction and
   available resources, for example those with greatest need and likelihood
   of survival. Targeting response was largely physical, including
   fortification, working underground, reducing visibility and services
   dispersal. Besiegement response required resource conservation, for
   example, controlling consumption, reusing consumables, low-technology
   equipment, finding alternative supply routes, stockpiling and
   strengthening available human resources through online trainings and
   establishing a medical school in Ghouta. Risk responses included
   managing safety worries, finding value in work and maintaining hope.
   Conclusion Besieged health-workers were most affected by severe resource
   constraints and safety concerns while responding to overwhelming mass
   casualty events. Lessons for targeting/besiegement planning include
   training staff and preparing for: (i) mass casualties, through
   local/online health-worker training in triage, emergency response and
   resource conservation; allowing task-shifting; and providing access to
   low-technology equipment; (ii) attacks, through strengthened facility
   security, for example, protection and deterrence through fortification,
   working underground and reducing visibility; and (iii) besiegement,
   through ensuring access to internet, electricity and
   low-technology/reusable equipment; securely stockpiling fuel, medicines
   and supplies; and establishing alternative supply routes.
RI Fardousi, Nasser/AAM-7763-2021; Howard, Natasha/; Douedari, Yazan/
OI Fardousi, Nasser/0000-0002-0306-8612; Howard,
   Natasha/0000-0003-4174-7349; Douedari, Yazan/0000-0001-7964-9408
ZB 2
Z8 0
ZA 0
ZS 0
TC 17
ZR 0
Z9 17
U1 0
U2 5
SN 2044-6055
UT WOS:000497787600203
PM 31488482
ER

PT J
AU Martos-Cabrera, Maria B.
   Mota-Romero, Emilio
   Martos-Garcia, Raul
   Gomez-Urquiza, Jose L.
   Suleiman-Martos, Nora
   Albendin-Garcia, Luis
   Canadas-De la Fuente, Guillermo A.
TI Hand Hygiene Teaching Strategies among Nursing Staff : A Systematic
   Review
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 16
IS 17
AR 3039
DI 10.3390/ijerph16173039
PD SEP 1 2019
PY 2019
AB Background: Patient safety is a priority of any healthcare system, and
   one of the most effective measures is hand hygiene. For this, it is
   important that health staff have correct adherence and perform the
   technique properly. Otherwise, the incidence of nosocomial infections
   can increase, with consequent complications. The aim here was to analyze
   hand hygiene training and the effectiveness of different methods and
   educational strategies among nurses and whether they maintained correct
   adherence over time. Methods: A systematic review was conducted in the
   sources CINAHL (Cumulative Index to Nursing and Allied Health
   Literature), Dialnet, Lilacs (Latin American and Caribbean Health
   Sciences Literature), ProQuest (Proquest Health and Medical Complete),
   Medline, SciELO (Scientific Electronic Library Online), and Scopus. The
   search equation with Medical Subject Headings (MeSH) descriptors was
   "Nurs* AND (handwashing OR hand hygiene) AND clinical trial". The review
   was performed following the recommendations of the guidelines of the
   Preferred Reporting Items for Systematic Reviews and Meta-Analyses
   (PRISMA) statement. Results: n = 17 clinical trials were included, with
   a total of 5747 nurses and nursing students. Strategies such as reminder
   sounds, practical simulations, videos, and audiovisual media improved
   handwashing compliance. Adherence overtime increased by up to 60%. The
   greatest effectiveness was related to the use of povidone-iodine, which
   reduced colony formation compared Hand hygiene teaching strategies among
   nursing staff : a systematic review to soap. Conclusions: The strategies
   that go beyond teaching techniques such as lectures may be more
   effective at increasing hand hygiene compliance. Combined approaches to
   learning/instruction improve user satisfaction by enabling
   self-management, flexibility, and repetition.
RI Suleiman-Martos, Nora/AAK-6666-2020; MARTOS-GARCIA, RAUL/H-9784-2013; Urquiza, Jose Luis Gómez/K-9421-2017; Albendin, Luis/K-9744-2017; Mota-Romero, Emilio/AAS-1040-2020; la Fuente, Guillermo A. Canadas-de/I-3679-2015
OI Suleiman-Martos, Nora/0000-0003-4133-0092; MARTOS-GARCIA,
   RAUL/0000-0001-5760-1120; Urquiza, Jose Luis Gómez/0000-0002-8684-1817;
   Albendin, Luis/0000-0002-2684-1778; Mota-Romero,
   Emilio/0000-0002-9980-9947; la Fuente, Guillermo A.
   Canadas-de/0000-0002-3012-3410
ZR 0
TC 13
ZS 3
ZA 0
Z8 0
ZB 2
Z9 14
U1 8
U2 28
EI 1660-4601
UT WOS:000487037500034
PM 31443355
ER

PT J
AU Li, Yinqing
   Tian, Miaomiao
TI 2019 China Symposium on Single-Cell Genomics
SO QUANTITATIVE BIOLOGY
VL 7
IS 3
BP 244
EP 246
DI 10.1007/s40484-019-0178-5
PD SEP 2019
PY 2019
ZS 0
ZB 0
ZA 0
ZR 0
TC 0
Z8 0
Z9 0
U1 0
U2 0
SN 2095-4689
EI 2095-4697
UT WOS:000538517700007
ER

PT J
AU Kazmerski, Traci M.
   Nelson, Eliza B.
   Newman, Lori R.
   Haviland, Miriam J.
   Luff, Donna
   Leichtner, Alan M.
   Hayes, Margaret M.
   Miller, Elizabeth
   Emans, S. Jean
   Sawicki, Gregory S.
TI Interprofessional provider educational needs and preferences regarding
   the provision of sexual and reproductive health care in cystic fibrosis
SO JOURNAL OF CYSTIC FIBROSIS
VL 18
IS 5
BP 671
EP 676
DI 10.1016/j.jcf.2019.01.015
PD SEP 2019
PY 2019
AB Background: Sexual and reproductive health (SRH) is an important
   disease-specific concern for adolescent and young adult (AYA) women that
   is not consistently addressed in cystic fibrosis (CF) centers. This
   study identifies educational needs and preferences of interprofessional
   CF providers regarding SRH in AYA women with CF.
   Methods: Interprofessional CF providers participated in an anonymous
   survey regarding general and CF-specific SRH knowledge and skills,
   factors for optimizing SRH care, and preferred approaches for SRH
   training. We calculated descriptive statistics for all respondents and
   stratified by provider type.
   Results: A total of 523 providers completed the survey (39%
   physicians/advanced practice providers, 19% nurses, 20% social workers,
   and 22% other disciplines). Half reported comfort responding to female
   AYA SRH concerns; however, only one-third were comfortable asking
   appropriate questions and confident taking a sexual history. Only 29%
   were comfortable with their current CF-specific SRH knowledge.
   Respondents' preferred SRH topics for further training included:
   pregnancy/parenthood planning, sexual functioning, urinary incontinence,
   intimate partner violence, and taking a sexual history. Nearly
   two-thirds felt having connection to women's health specialists familiar
   with CF would facilitate SRH care. Approximately one-third desired SRH
   educational materials for providers to view at point-of-care or through
   online case-based learning; <10% were interested in role playing SRH
   skills.
   Conclusion: Many interprofessional CF providers lack comfort and skills
   in addressing SRH with AYA women with CF. Provider training needs and
   approaches identified in this study can be used to develop tailored
   educational interventions to improve comprehensive CF care. (C) 2019
   Published by Elsevier B.V. on behalf of European Cystic Fibrosis
   Society.
RI Kazmerski, Traci/AFU-9352-2022; Haviland, Miriam/; Miller, Elizabeth/; Hayes, Margaret M/
OI Kazmerski, Traci/0000-0002-3916-8260; Haviland,
   Miriam/0000-0003-3553-6561; Miller, Elizabeth/0000-0002-7266-7766;
   Hayes, Margaret M/0000-0002-5848-6088
ZR 0
TC 7
ZA 0
Z8 0
ZS 0
ZB 2
Z9 7
U1 1
U2 5
SN 1569-1993
EI 1873-5010
UT WOS:000542303600022
PM 30795973
ER

PT J
AU Garett, Renee
   Young, Sean D.
TI Health Care Gamification: A Study of Game Mechanics and Elements
SO TECHNOLOGY KNOWLEDGE AND LEARNING
VL 24
IS 3
BP 341
EP 353
DI 10.1007/s10758-018-9353-4
PD SEP 2019
PY 2019
AB Internet users are searching for healthcare-related information at
   unprecedented rates. However, health researchers and providers have only
   just begun to utilize new technologies to deliver medical education
   online and through smartphone-based applications. Gamification, an
   increasingly popular method to produce positive behavioral change, has
   become a source of interest for private industry as well as academic
   researchers. In this review, we conducted literature searches to provide
   an initial framework for researchers to classify gamification studies.
   We provide a short list of popular gamification elements to help develop
   a definition for gamification in healthcare.
OI Young, Sean D./0000-0001-6052-4875
Z8 0
ZA 0
TC 18
ZB 2
ZS 0
ZR 0
Z9 18
U1 5
U2 42
SN 2211-1662
EI 2211-1670
UT WOS:000479261500002
ER

PT J
AU Cheung, Denise Shuk Ting
   Or, Calvin Kalun
   So, Mike Ka Pui
   Ho, Kendall
   Tiwari, Agnes
TI The Use of eHealth Applications in Hong Kong: Results of a Random-Digit
   Dialing Survey
SO JOURNAL OF MEDICAL SYSTEMS
VL 43
IS 9
AR 293
DI 10.1007/s10916-019-1422-2
PD SEP 2019
PY 2019
AB eHealth has become popular worldwide, and it is transforming health
   care. However, studies examining the use of eHealth applications in the
   Chinese population are scarce. The study reports on the characteristics
   of eHealth applications in Hong Kong information and communication
   technology (ICT) users, their attitudes towards eHealth, and their
   reasons for not using eHealth applications. A cross-sectional
   random-digit dialing survey targeting adults using ICT was conducted in
   Hong Kong to elicit information on respondents' use of and attitudes
   towards eHealth. A total of 495 ICT users completed the survey, of whom
   353 (71.3%) were eHealth users. A smartphone was the most frequent way
   of performing eHealth activities (71.7%). The most prevalent eHealth
   activity was reading about health/illness (86.4%), with 93.5% indicating
   that eHealth applications improved their understanding of health care
   issues. People with less education were less likely to use eHealth
   applications. Non-eHealth users indicated that the main reasons for not
   using eHealth applications were lack of interest in health information
   (49.3%) and lack of confidence in the reliability of online information
   (45.1%). Quality monitoring of health information available on ICTs and
   tailoring the design and readability are recommended to meet the needs
   of those seeking health resources and to promote eHealth. Evidence from
   the study demonstrates the potential of eHealth to improve the
   dissemination of health information in Hong Kong, and it provides a
   basis for improving eHealth integration.
OI So, Mike Ka Pui/0000-0003-0781-8166; Cheung, Denise Shuk
   Ting/0000-0002-8741-9271
TC 5
Z8 0
ZA 0
ZB 1
ZR 0
ZS 0
Z9 5
U1 2
U2 10
SN 0148-5598
EI 1573-689X
UT WOS:000477020600002
PM 31338682
ER

PT J
AU Ezequiel, Oscarina da Silva
   Cerrato Tibirica, Sandra Helena
   Damasio Moutinho, Ivana Lucia
   Granero Lucchetti, Alessandra Lamas
   Lucchetti, Giancarlo
   Grosseman, Suely
   Marcondes-Carvalho-Jr, Paulo
TI Medical students' critical thinking assessment with collaborative
   concept maps in a blended educational Strategy
SO EDUCATION FOR HEALTH
VL 32
IS 3
BP 127
EP 130
DI 10.4103/efh.EfH_306_15
PD SEP-DEC 2019
PY 2019
AB Background: Concept maps (CMs) are tools used to represent how new
   knowledge is integrated into the cognitive structure. In this study, we
   investigated the role of collaborative CMs in improving medical
   students' critical thinking and knowledge acquisition. Methods: A
   pre-post interventional study was conducted. In the 1st week of the
   clerkship rotation, a group of 10-14 students were asked by a faculty
   member to make a CM (CM1). After this first exposure (weeks 2/3),
   students learned the content through online forums. In the final week
   (week 4), students discussed what they had learned and made a final CM
   (CM2). Results: A total of 104 students participated in the study,
   making twenty CM1 and twenty CM2. There was a statistically significant
   difference between CM1 and CM2 for overall scores, proposition units,
   and hierarchy units (P < 0.001). Discussion: Collaborative CMs may be
   useful tools to help teachers better understand their students' critical
   thinking changes during a blended strategy.
RI Ezequiel, Oscarina/AAD-3761-2019; Lucchetti, Alessandra Lamas Granero/AAS-4250-2020; Lucchetti, Giancarlo/B-4679-2014; Lamas Granero Lucchetti, Alessandra/
OI Ezequiel, Oscarina/0000-0002-6836-8042; Lucchetti,
   Giancarlo/0000-0002-5384-9476; Lamas Granero Lucchetti,
   Alessandra/0000-0002-1096-1038
ZB 0
ZA 0
TC 1
Z8 0
ZS 0
ZR 0
Z9 1
U1 0
U2 7
SN 1357-6283
EI 1469-5804
UT WOS:000532493600005
PM 32317418
ER

PT J
AU Tuli, Anupriya
   Dalvi, Shruti
   Kumar, Neha
   Singh, Pushpendra
TI "It's a girl thing": Examining Challenges and Opportunities around
   Menstrual Health Education in India
SO ACM TRANSACTIONS ON COMPUTER-HUMAN INTERACTION
VL 26
IS 5
AR 29
DI 10.1145/3325282
PD SEP 2019
PY 2019
AB Cultural taboos and limiting social norms make it challenging to
   communicate and teach about menstrual health in India. We present
   findings from an inquiry of current approaches used to educate
   adolescents about menstruation, examining the perspectives of young
   adults, parents, teachers, social workers, and health professionals for
   identifying design opportunities and potential for impact. Our findings
   from the content analysis of education and training materials in use, an
   online survey of 391 adults, 52 interviews, and 2 focus groups indicate
   that although detailed and descriptive information materials are
   available for use, there exists a disconnect between parents' and
   teachers' expectations regarding who will introduce these topics to
   adolescents. We also highlight a clear difference in attitudes regarding
   who must be taught, how, where, and at what stages. Finally, we
   articulate factors that shape access and receptivity to this knowledge
   and engage with the lens of feminist HCI to discuss sociotechnical
   implications for the design of menstrual health education initiatives.
OI Tuli, Anupriya/0000-0001-8838-0391
ZB 0
ZA 0
Z8 0
TC 10
ZR 0
ZS 0
Z9 10
U1 1
U2 12
SN 1073-0516
EI 1557-7325
UT WOS:000496741100002
ER

PT J
AU Coulter, Robert W. S.
   Egan, James E.
   Kinsky, Suzanne
   Friedman, M. Reuel
   Eckstrand, Kristen L.
   Frankeberger, Jessica
   Folb, Barbara L.
   Mair, Christina
   Markovic, Nina
   Silvestre, Anthony
   Stall, Ron
   Miller, Elizabeth
TI Mental Health, Drug, and Violence Interventions for Sexual/Gender
   Minorities: A Systematic Review
SO PEDIATRICS
VL 144
IS 3
AR e20183367
DI 10.1542/peds.2018-3367
PD SEP 2019
PY 2019
AB Regarding interventions for SGMY, this review identified 9 interventions
   for mental health, 2 for substance use, and 1 for violence
   victimization. CONTEXT:Compared with cisgender (nontransgender),
   heterosexual youth, sexual and gender minority youth (SGMY) experience
   great inequities in substance use, mental health problems, and violence
   victimization, thereby making them a priority population for
   interventions.OBJECTIVE:To systematically review interventions and their
   effectiveness in preventing or reducing substance use, mental health
   problems, and violence victimization among SGMY.DATA SOURCES:PubMed,
   PsycINFO, and Education Resources Information Center.STUDY
   SELECTION:Selected studies were published from January 2000 to 2019,
   included randomized and nonrandomized designs with pretest and posttest
   data, and assessed substance use, mental health problems, or violence
   victimization outcomes among SGMY.DATA EXTRACTION:Data extracted were
   intervention descriptions, sample details, measurements, results, and
   methodologic rigor.RESULTS:With this review, we identified 9
   interventions for mental health, 2 for substance use, and 1 for violence
   victimization. One SGMY-inclusive intervention examined coordinated
   mental health services. Five sexual minority-specific interventions
   included multiple state-level policy interventions, a
   therapist-administered family-based intervention, a computer-based
   intervention, and an online intervention. Three gender minority-specific
   interventions included transition-related gender-affirming care
   interventions. All interventions improved mental health outcomes, 2
   reduced substance use, and 1 reduced bullying victimization. One study
   had strong methodologic quality, but the remaining studies' results must
   be interpreted cautiously because of suboptimal methodologic
   quality.LIMITATIONS:There exists a small collection of diverse
   interventions for reducing substance use, mental health problems, and
   violence victimization among SGMY.CONCLUSIONS:The dearth of
   interventions identified in this review is likely insufficient to
   mitigate the substantial inequities in substance use, mental health
   problems, and violence among SGMY.
RI Eckstrand, Kristen/AAV-4858-2020; Frankeberger, Jessica/U-9626-2019; Kinsky, Suzanne/; Miller, Elizabeth/; Frankeberger, Jessica/; Mair, Christina/
OI Eckstrand, Kristen/0000-0002-6506-3649; Kinsky,
   Suzanne/0000-0001-6957-2566; Miller, Elizabeth/0000-0002-7266-7766;
   Frankeberger, Jessica/0000-0002-8590-1304; Mair,
   Christina/0000-0003-3841-3313
ZA 0
Z8 0
ZS 0
ZB 9
TC 35
ZR 0
Z9 35
U1 5
U2 30
SN 0031-4005
EI 1098-4275
UT WOS:000484526900005
PM 31427462
ER

PT J
AU Golub, Sarit A.
   Fikslin, Rachel A.
   Starbuck, Lila
   Klein, Augustus
TI High Rates of PrEP Eligibility but Low Rates of PrEP Access Among a
   National Sample of Transmasculine Individuals
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 82
IS 1
BP E1
EP E7
DI 10.1097/QAI.0000000000002116
PD SEP 1 2019
PY 2019
AB Background: Transmasculine individuals have been largely ignored in HIV
   prevention research, and there is a lack of data regarding this
   population's eligibility for and utilization of HIV pre-exposure
   prophylaxis (PrEP).
   Setting: National online survey conducted in the United States.
   Methods: Between May and July 2017, we surveyed 1808 transmasculine
   individuals (aged 18-60 years; 30% people of color and/or Latinx),
   asking questions about sexual behavior and receipt of sexual health
   care, including PrEP. We examined the number of individuals who would
   meet eligibility criteria for PrEP and then used log-linked Poisson
   regression with robust variance estimation to examine predictors of PrEP
   eligibility.
   Results: Almost one-quarter of the sample (n = 439; 24.3%) met one or
   more criterion for PrEP eligibility. PrEP eligibility did not differ by
   age, race/ethnicity, education, or binary gender identity. PrEP
   eligibility was lower among heterosexual-identified and higher income
   participants, and was higher among participants who were in open
   relationships and reported substance use. Among PrEP-eligible
   individuals, 64.9% had received an HIV test in the past year, 33.9% had
   received PrEP information from a provider, and 10.9% (n = 48) had
   received a PrEP prescription. PrEP-eligible individuals who had received
   a PrEP prescription were more likely to have a binary gender identity,
   identify as gay, and be taking testosterone.
   Conclusions: A substantial proportion of transmasculine individuals meet
   PrEP eligibility criteria, but few are receiving adequate PrEP services.
   Enhanced efforts should be made by providers, programs, and systems to
   assess HIV-related risk in transmasculine patients and engage them in
   comprehensive sexual health care.
RI Fikslin, Rachel/ABD-2752-2020
ZR 0
ZS 0
ZB 6
ZA 0
Z8 0
TC 23
Z9 23
U1 0
U2 5
SN 1525-4135
EI 1077-9450
UT WOS:000509679700001
PM 31232834
ER

PT J
AU Dagar, Deepika
   Kakodkar, Pradnya
   Shetiya, Sahana Hegde
TI Evaluating the cyberchondria construct among computer engineering
   students in Pune (India) Using Cyberchondria Severity Scale (CSS-15)
SO INDIAN JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
VL 23
IS 3
BP 117
EP 120
DI 10.4103/ijoem.IJOEM_217_19
PD SEP-DEC 2019
PY 2019
AB Background: The Internet has become an important tool in day-to-day
   life. Reading medical data from Internet sources can have a negative
   impact on the common man. Anxiety due to excess searching for medical
   information online is known as cyberchondria. Aim: To evaluate the
   cyberchondria construct among the computer engineering students in Pune
   (India) using Cyberchondria Severity Scale (CSS-15). Settings and
   Design: A cross-sectional study was conducted among third- and
   fourth-year computer engineering students. Methods: The study recruited
   180 students. A self-administered, English-translated CSS-15
   questionnaire was used to collect the data. The responses were based on
   the Likert scale. Four constructs were scored from 0 to 4 while the
   mistrust of medical professional construct was scored in reverse order.
   Statistical Analysis: Descriptive statistics in the form of numbers and
   percentages were calculated. Results: The survey was completed by 171
   (95%) participants, 77 females and 94 males with the mean age of 19.77
   +/- 1.07 years. All (100%) participants were affected by excessiveness
   and reassurance construct, 92% by distress, and 75% by compulsion. Only
   19% were found to be affected by mistrust of a medical professional.
   Among all the domains, reassurance was severely affected among 52.04% of
   the participants. Conclusion: All the computer engineering students were
   affected by some or the other constructs of cyberchondria. This
   indicates that the Internet can affect an individual's mental, physical,
   and social activity by giving a vast amount of information and cause
   anxiety or distress related to their search.
OI Kakodkar, Pradnya/0000-0002-1540-8100; Hegde -Shetiya,
   Sahana/0000-0002-5661-5755
ZS 0
TC 2
ZA 0
ZB 0
ZR 0
Z8 1
Z9 3
U1 0
U2 6
SN 0973-2284
EI 1998-3670
UT WOS:000510753900005
PM 31920260
ER

PT J
AU Ong, Jun Jean
   Dhanapal, Sharmathi
   Ng, Yuki Julius We Yong
   Gan, Wei Cheen
   Chan, Xin Yi
TI KNOWLEDGE, ATTITUDES AND PRACTICES OF MEDICAL STUDENTS REGARDING
   INFLUENZA VACCINATION
SO SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH
VL 50
IS 5
BP 966
EP 975
PD SEP 2019
PY 2019
AB Medical students are at risk of contracting influenza and spreading it
   to others including vulnerable patients. We aimed to assess the
   knowledge, attitudes and practices of medical students regarding
   influenza vaccination, as an effort to promote influenza vaccination
   among this population. Study subjects were medical students studying in
   their first to fifth years at International Medical University Kuala
   Lumpur, Malaysia. Each subject was asked to complete an online
   questionnaire about their knowledge, attitudes and practices regarding
   influenza vaccination and some demographic questions. The study was
   conducted from August until November 2017. A total of 315 students were
   included in the study; 40.3% were male. The mean [+/- standard deviation
   (SD)] age of study subjects was 22.0 (+/- 1.8) years. Ninety-one (28.9%)
   of subjects had previously received influenza vaccination; however,
   70(76.9%) had received it > 1 year prior to the study. Those who had
   previously received influenza vaccination were significantly more likely
   to be in a preclinical study year (p < 0.05) or have a higher influenza
   knowledge score (p< 0.05). The mean influenza vaccine knowledge scores
   were significantly higher among the vaccinated subjects (11.5 vs 10.3,
   p<0.05) and the clinical year students (11.1 vs 9.5, p< 0.001).
   Thirty-six point eight percent of non-vaccinated subjects intended to be
   vaccinated against influenza. Commonly given reasons for not being
   vaccinated were the perception that they were healthy and did not need
   it, lack of time, vaccine cost and lack of recommendation by health care
   providers. In summary, subject influenza vaccine uptake and intention to
   be vaccinated were low. Improvement of influenza vaccination uptake in
   the study population can be further increased by educating subjects
   regarding the risks of contracting influenza, recommendation by the
   institution and vaccine made easily available.
OI Ong, Jun Jean/0000-0002-5200-5044
ZR 0
ZB 0
ZA 0
Z8 0
ZS 0
TC 0
Z9 0
U1 0
U2 2
SN 0125-1562
UT WOS:000498307700020
ER

PT J
AU Nordenmalm, Sofia
   Kimland, Elin
   Ligas, Franca
   Lehmann, Birka
   Claverol, Joana
   Nafria, Begonya
   Totterman, Ann Marie
   Pelle, Benjamin
TI Children's views on taking medicines and participating in clinical
   trials
SO ARCHIVES OF DISEASE IN CHILDHOOD
VL 104
IS 9
BP 900
EP 905
DI 10.1136/archdischild-2018-316511
PD SEP 2019
PY 2019
AB Introduction Limited information is available on the views of children
   taking medicines and participating in clinical trials. These views may
   contribute to a better understanding of what can be improved on in the
   development of medicines from their perspective.
   Objective To collect children's views on taking medicines and
   participating in clinical trials.
   Materials and methods A question-based survey was conducted among
   children living in European Union countries between January and August
   2015.
   Results Almost 900 children aged 10-17 years from Finland, Germany,
   Sweden, Spain and Hungary responded. Almost 40% had a chronic health
   condition. The most commonly used pharmaceutical forms were solid or
   liquid medicines for oral use and injectable medicines. Bad taste and
   pain during administration were reported as common problems. Of 785
   respondents, 17% had been taking part in a clinical trial. Most
   respondents would potentially agree to take part in a clinical trial
   because the investigational medicine might improve their own health or
   that of other children. Concern that the investigational medicine might
   be harmful was the main reason to refuse participation, if asked to.
   Over half of the respondents were willing to learn more about clinical
   trials, preferably online.
   Conclusions It is necessary to involve children in the development of
   age-appropriate pharmaceutical forms and in the design of clinical
   trials. Children and their carers should be provided with
   age-appropriate medical information in the most suitable channels. We
   have identified some common problems that children experience when
   taking medicines, and we conclude that children are interested in
   learning more and giving their opinions on clinical trials.
OI Nafria Escalera, Begonya/0000-0002-4494-3663; Nordenmalm,
   Sofia/0000-0003-3820-7245
ZA 0
TC 5
Z8 0
ZR 0
ZB 4
ZS 0
Z9 5
U1 0
U2 5
SN 0003-9888
EI 1468-2044
UT WOS:000495095400021
PM 31201156
ER

PT J
AU Andrikopoulou, Elisavet
   Scott, Philip
   Herrera, Helena
   Good, Alice
TI What are the important design features of personal health records to
   improve medication adherence for patients with long-term conditions? A
   systematic literature review
SO BMJ OPEN
VL 9
IS 9
AR e028628
DI 10.1136/bmjopen-2018-028628
PD SEP 2019
PY 2019
AB Objectives This systematic literature review aims to identify important
   design features of the electronic personal health record (PHR) that may
   improve medication adherence in the adult population with long-term
   conditions.
   Data sources PubMed (including MEDLINE), CINAHL, Science Direct
   (including EMBASE), BioMed Central, ACM digital, Emerald Insight, Google
   Scholar and Research Gate.
   Methods Studies that were published between 1 January 2002 and 31 May
   2018 in English were included if the participants were adults, with at
   least one long-term condition, were able to self-administer their
   medication and were treated in primary care settings. The quality of
   evidence was assessed with the Grading of Recommendations Assessment,
   Development, and Evaluation (GRADE) system and the risk of bias was
   appraised using the Cochrane risk of bias tool.
   Results From a total of 27 studies that matched the inclusion criteria,
   12 were excluded due to low quality of evidence, 10 were rated moderate
   and 5 were rated high quality. All the included studies had low sample
   size and limited follow-up duration. Thirteen of the included studies
   found that the use of a PHR has increased medication adherence. The
   identified design features are reminders, education, personalisation and
   tailoring, feedback and alerts, gamification, medication management,
   medical appointment management, diary and self-monitoring, health
   condition management, set goals, patient's blog and tethered. It was
   impossible to draw conclusions as to which feature is important to what
   group of patients and why. The most frequently identified conditions
   were HIV and diabetes. This review did not identify any papers with
   negative results. It was not possible to numerically aggregate the PHR
   effect due to high heterogeneity of the medication adherence
   measurement, study type, participants and PHRs used.
   Conclusion Although we found recurrent evidence that PHRs can improve
   medication adherence, there is little evidence to date to indicate which
   design features facilitate this process.
RI Andrikopoulou, Elisavet/AAB-4404-2020; Herrera, Helena/; Scott, Philip/
OI Andrikopoulou, Elisavet/0000-0002-4614-2907; Herrera,
   Helena/0000-0003-0107-8128; Scott, Philip/0000-0002-6289-4260
ZS 0
ZA 0
TC 6
ZB 1
Z8 1
ZR 0
Z9 7
U1 3
U2 9
SN 2044-6055
UT WOS:000497787600117
PM 31558449
ER

PT J
AU Harris, Michael
   Thulesius, Hans
   Neves, Ana Luisa
   Harker, Sophie
   Koskela, Tuomas
   Petek, Davorina
   Hoffman, Robert
   Brekke, Mette
   Buczkowski, Krzysztof
   Buono, Nicola
   Costiug, Emiliana
   Dinant, Geert-Jan
   Foreva, Gergana
   Jakob, Eva
   Marzo-Castillejo, Merce
   Murchie, Peter
   Sawicka-Powierza, Jolanta
   Schneider, Antonius
   Smyrnakis, Emmanouil
   Streit, Sven
   Taylor, Gordon
   Vedsted, Peter
   Weltermann, Birgitta
   Esteva, Magdalena
TI How European primary care practitioners think the timeliness of cancer
   diagnosis can be improved: a thematic analysis
SO BMJ OPEN
VL 9
IS 9
AR e030169
DI 10.1136/bmjopen-2019-030169
PD SEP 2019
PY 2019
AB Background National European cancer survival rates vary widely.
   Prolonged diagnostic intervals are thought to be a key factor in
   explaining these variations. Primary care practitioners (PCPs)
   frequently play a crucial role during initial cancer diagnosis; their
   knowledge could be used to improve the planning of more effective
   approaches to earlier cancer diagnosis.
   Objectives This study sought the views of PCPs from across Europe on how
   they thought the timeliness of cancer diagnosis could be improved.
   Design In an online survey, a final open-ended question asked PCPs how
   they thought the speed of diagnosis of cancer in primary care could be
   improved. Thematic analysis was used to analyse the data.
   Setting A primary care study, with participating centres in 20 European
   countries.
   Participants A total of 1352 PCPs answered the final survey question,
   with a median of 48 per country.
   Results The main themes identified were: patient-related factors,
   including health education; care provider-related factors, including
   continuing medical education; improving communication and
   interprofessional partnership, particularly between primary and
   secondary care; factors relating to health system organisation and
   policies, including improving access to healthcare; easier primary care
   access to diagnostic tests; and use of information technology.
   Re-allocation of funding to support timely diagnosis was seen as an
   issue affecting all of these.
   Conclusions To achieve more timely cancer diagnosis, health systems need
   to facilitate earlier patient presentation through education and better
   access to care, have well-educated clinicians with good access to
   investigations and better information technology, and adequate primary
   care cancer diagnostic pathway funding.
RI Petek, Davorina/ABG-5300-2021; Marzo-Castillejo, Merce/; Harris, Michael/; Buczkowski, Krzysztof/H-7696-2014; Murchie, Peter/; Esteva, Magdalena/; Hoffman, Robert/; Vedsted, Peter/C-2583-2008
OI Marzo-Castillejo, Merce/0000-0002-1201-3090; Harris,
   Michael/0000-0002-7166-2971; Buczkowski, Krzysztof/0000-0002-7700-0952;
   Murchie, Peter/0000-0001-9968-5991; Esteva,
   Magdalena/0000-0001-8238-7891; Hoffman, Robert/0000-0002-3053-835X;
   Vedsted, Peter/0000-0003-2113-5599
TC 6
ZS 0
ZA 0
ZR 0
Z8 0
ZB 0
Z9 6
U1 0
U2 4
SN 2044-6055
UT WOS:000497787600252
PM 31551382
ER

PT J
AU Al-Khaled, Tala
   Mikhail, Mikel
   Jonas, Karyn E.
   Wu, Wei-Chi
   Anzures, Rachelle
   Amphonphruet, Atchara
   Chuluunbat, Tsengelmaa
   Wu, Lihteh
   Chiang, Michael F.
   Campbell, J. Peter
   Chan, R. V. Paul
CA GEN-ROP
TI Training of Residents and Fellows in Retinopathy of Prematurity Around
   the World: An International Web-Based Survey
SO JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS
VL 56
IS 5
BP 282
EP 287
DI 10.3928/01913913-20190717-01
PD SEP-OCT 2019
PY 2019
AB Purpose: To characterize retinopathy of prematurity (ROP) training
   practices in international residency and fellowship programs.
   Methods: A publicly available online-based platform
   (http://www.SurveyMonkey.com) was used to develop a 28-question
   multiple-choice survey that targeted ROP screening and treatment
   methods. The authors solicited training programs in the
   Philippines,Thailand, and Taiwan.
   Results: Programs from three countries participated in the survey, and a
   total of 95 responses collected from residents, fellows, and attending
   ophthalmologists were analyzed. A descriptive analysis demonstrated that
   45 participants (47%) reported 1% to 33% of ROP screenings were
   performed under direct supervision of attending ophthalmologists, and 35
   (37%) reported the use of formal assessments. The majority of
   participants (Country A: 87%, Country B: 71%, and Country C: 75%)
   estimated 1% to 33% of their practice was spent screening for ROP.
   Notably, 44 participants (46%) reported performing zero laser
   photocoagulation treatments for ROP during training (Country A: 65%,
   Country B: 38%, and Country C: 38%).
   Conclusions: International ophthalmology trainees perform a limited
   number of ROP examinations and laser interventions. ROP screenings are
   often unsupervised and lead to no formal evaluation by an attending
   ophthalmologist. Limited ROP training among ophthalmologists may lead to
   misdiagnosis and ultimately mismanagement of a patient. Loss of vision
   and exposure to unwarranted treatments are among the implications of
   such errors. The findings highlight the need to improve ROP training in
   international ophthalmology residency and fellowship programs.
ZA 0
ZS 0
TC 5
Z8 0
ZB 1
ZR 0
Z9 5
U1 0
U2 2
SN 0191-3913
EI 1938-2405
UT WOS:000497961600003
PM 31545861
ER

PT J
AU Patterson, Susan Patricia
   Hilton, Shona
   Flowers, Paul
   McDaid, Lisa M.
TI What are the barriers and challenges faced by adolescents when searching
   for sexual health information on the internet? Implications for policy
   and practice from a qualitative study
SO SEXUALLY TRANSMITTED INFECTIONS
VL 95
IS 6
BP 462
EP 467
DI 10.1136/sextrans-2018-053710
PD SEP 2019
PY 2019
AB Objectives As sexual health information is increasingly presented
   digitally, and adolescents are increasingly seeking sexual health
   information on the internet, it is important to explore the challenges
   presented by this developing source of information provision. This study
   examined the key barriers and challenges faced by young people when
   accessing and using sexual health information online.
   Methods A novel qualitative approach was used which combined paired
   interviews with real-time online activities. A purposive sample of 49
   young people aged between 16 and 19 years and diverse in terms of
   gender, sexuality, religion and socio-demographic background were
   recruited from areas across Scotland. Data analysis comprised framework
   analysis of conversational data (including pair interactions),
   descriptive analysis of observational data, and data integration.
   Results This study highlighted practical and socio-cultural barriers to
   engagement with online sexual health content. Key practical barriers
   included difficulty filtering overabundant content; limited awareness of
   specific, relevant, trusted online sources; difficulties in finding
   locally relevant information about services; and difficulties in
   navigating large organisations' websites. Key socio-cultural barriers
   included fear of being observed; wariness about engaging with visual and
   auditory content; concern about unintentionally accessing sexually
   explicit content; and reticence to access sexual health information on
   social networking platforms or through smartphone applications. These
   practical and socio-cultural barriers restricted access to information
   and influenced searching practices.
   Conclusion This study provides insights into some of the key barriers
   faced by young people in accessing and engaging with sexual health
   information and support online. Reducing such challenges is essential.
   We highlight the need for sexual health information providers and
   intervention developers to produce online information that is accurate
   and accessible; to increase awareness of and promote reliable,
   accessible sources; and to be sensitive to young people's concerns about
   'being seen' accessing sexual health information regarding audio-visual
   content and platform choice.
OI McDaid, Lisa/0000-0002-7711-8723; Hilton, Shona/0000-0003-0633-8152;
   Patterson, Susan/0000-0003-1846-5749
ZA 0
Z8 0
TC 19
ZR 0
ZS 0
ZB 1
Z9 19
U1 1
U2 13
SN 1368-4973
EI 1472-3263
UT WOS:000496463400014
PM 31040251
ER

PT J
AU Markelz, Ana Elizabeth
   Barsoumian, Maj Alice
   Yun, Heather
TI Formalization of a Specialty-Specific Military Unique Curriculum: A
   Joint United States Army and United States Air Force Infectious Disease
   Fellowship Program
SO MILITARY MEDICINE
VL 184
IS 9-10
BP 509
EP 514
DI 10.1093/milmed/usz006
PD SEP-OCT 2019
PY 2019
AB Introduction: There are many unique aspects to the practice of military
   Infectious Diseases (ID). San Antonio Uniformed Services Health
   Consortium Infectious Disease (ID) Fellowship is a combined Army and Air
   Force active duty program. Program leadership thought ID military unique
   curriculum (MUC) was well integrated into the program. We sought to
   verify this assumption to guide the decision to formalize the ID MUC.
   This study describes our strategy for the refinement and implementation
   of ID specific MUC, assesses the fellow and faculty response to these
   changes, and provides an example for other programs to follow. Methods:
   We identified important ID areas through lessons learned from personal
   military experience, data from the ID Army Knowledge Online e-mail
   consult service, input from military ID physicians, and the Army and Air
   Force ID consultants to the Surgeons General. The consultants provided
   feedback on perceived gaps, appropriateness, and strategy. Due to
   restrictions in available curricular time, we devised a three-pronged
   strategy for revision: adapt current curricular practices to include MUC
   content, develop new learning activities targeted at the key content
   area, and sustain existing, effective MUC experiences. Learners were
   assessed by multiple choice question correct answer rate, performance
   during the simulation exercise, and burn rotation evaluation. Data on
   correct answer rate were analyzed according to level of training by
   using Mann-Whitney U test. Program assessment was conducted through
   anonymous feedback at midyear and end of year program evaluations.
   Results: Twelve military unique ID content areas were identified.
   Diseases of pandemic potential and blood borne pathogen management were
   added after consultant input. Five experiences were adapted to include
   military content: core and noon conference series, simulation exercises,
   multiple choice quizzes, and infection control essay questions. A burn
   intensive care unit (ICU) rotation, Transport Isolation System exercise,
   and tour of trainee health facilities were the new learning activities
   introduced. The formal tropical medicine course, infection prevention in
   the deployed environment course, research opportunities and
   participation in trainee health outbreak investigations were sustained
   activities. Ten fellows participated in the military-unique
   spaced-education multiple-choice question series. Twenty-seven questions
   were attempted 814 times. 50.37% of questions were answered correctly
   the first time, increasing to 100% correct by the end of the activity.
   No difference was seen in the initial correct answer rate between the
   four senior fellows (median 55% [IQR 49.75, 63.25]) and the six
   first-year fellows (median 44% [IQR 39.25, 53]) (p = 0.114). Six fellows
   participated in the simulated deployment scenario. No failure of
   material synthesis was noted during the simulation exercise and all of
   the fellows satisfied the stated objectives. One fellow successfully
   completed the piloted burn ICU rotation. Fellows and faculty reported
   high satisfaction with the new curriculum. Conclusions: Military GME
   programs are required by congress to address the unique aspects of
   military medicine. Senior fellow knowledge using the spaced interval
   multiple-choice quizzes did not differ from junior fellow rate,
   supporting our concern that the ID MUC needed to be enhanced.
   Enhancement of the MUC experience can be accomplished with minimal
   increases to curricular and faculty time.
TC 3
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
Z9 3
U1 0
U2 4
SN 0026-4075
EI 1930-613X
UT WOS:000496941400039
PM 30793189
ER

PT J
AU Summers, Shane M.
   Nagy, Christopher J.
   April, Michael D.
   Kuiper, Brandon W.
   Rodriguez, Rechell G.
   Jones, Woodson S.
TI The Prevalence of Faculty Physician Burnout in Military Graduate Medical
   Education Training Programs: A Cross-Sectional Study of Academic
   Physicians in the United States Department of Defense
SO MILITARY MEDICINE
VL 184
IS 9-10
BP E519
EP E527
DI 10.1093/milmed/usz055
PD SEP-OCT 2019
PY 2019
AB Introduction: In military populations, physician burnout has potential
   to adversely affect medical readiness to deploy in support of joint
   operations. Burnout among Graduate Medical Education (GME) faculty may
   further threaten the welfare of the medical force given the central role
   these officers have in training and developing junior physicians. The
   primary aim of this investigation was to estimate the prevalence of
   burnout among faculty physicians in United States (US) Army, Navy, and
   Air Force GME programs. Materials and Methods: We conducted a
   cross-sectional study of faculty physicians at US military GME training
   programs between January 2018 and July 2018. Through direct coordination
   with Designated Institutional Officials, we administered the Maslach
   Burnout Inventory Health Services Survey (MBI-HSS) via online web link
   to faculty physicians listed in Accreditation Data System at each
   sponsoring institution. In addition to the MBI-HSS, we collected
   demographic data and queried physicians about common occupational
   stressors in order to assist institutional leaders with identifying
   at-risk physicians and developing future interventions to address
   burnout. Results: Sixteen of 21 institutions that currently sponsor
   military GME programs agreed to distribute the MBI-HSS survey to core
   faculty. We received completed assessments from 622 of the 1,769 (35.1%)
   reported physician core faculty at these institutions. Of the 622
   physician respondents, 162 demonstrated high levels of emotional
   exhaustion and depersonalization for an estimated 26% prevalence of
   burnout. We identified only one independent risk factor for burnout:
   increasing numbers of deployments (OR 1.38, 95% CI 1.07-1.77).
   Physicians in our cohort who reported a desire to stay beyond their
   initial active duty service obligation were less likely to be classified
   with burnout (OR 0.45, 95% CI 0.26-0.77). The most common drivers of
   occupational distress were cumbersome bureaucratic tasks, insufficient
   administrative support, and overemphasis on productivity metrics.
   Conclusions: We estimate that 26% of physician faculty in military GME
   programs are experiencing burnout. No specialty, branch of service, or
   specific demographic was immune to burnout in our sample. Institutional
   leaders in the MHS should take action to address physician burnout and
   consider using our prevalence estimate to assess effectiveness of future
   interventions.
CT Scientific Assembly of the Government-Services of the
   American-College-of-Emergency-Physicians
CY FEB 03, 2019
CL Nashville, TN
SP Amer Coll Emergency Phys, Govt Serv
TC 7
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
Z9 7
U1 2
U2 7
SN 0026-4075
EI 1930-613X
UT WOS:000496941400017
PM 30941415
ER

PT J
AU Ehrbar, Verena
   Urech, Corinne
   Rochlitz, Christoph
   Dallenbach, Rosanna Zanetti
   Moffat, Rebecca
   Stiller, Ruth
   Germeyer, Ariane
   Nawroth, Frank
   Dangel, Astrid
   Findeklee, Sebastian
   Tschudin, Sibil
TI Randomized controlled trial on the effect of an online decision aid for
   young female cancer patients regarding fertility preservation
SO HUMAN REPRODUCTION
VL 34
IS 9
BP 1726
EP 1734
DI 10.1093/humrep/dez136
PD SEP 2019
PY 2019
AB STUDY QUESTION: Does the use of an online decision aid (DA) about
   fertility preservation (FP), in addition to standard counselling by a
   specialist in reproductive medicine, reduce decisional conflict compared
   to standard counselling alone?
   SUMMARY ANSWER: Female cancer patients who could make use of the online
   DA had a significantly lower short-term decisional conflict score.
   WHAT IS KNOWN ALREADY: Nowadays, female cancer patients have several
   options for preserving fertility, but having to decide whether to opt
   for FP within a short time frame after cancer diagnosis and before the
   start of treatment is challenging. According to previous studies
   focussing mainly on breast cancer patients, decisional conflict among
   these women is high, and they have expressed the need for additional
   support.
   STUDY DESIGN, SIZE, DURATION: The study was a randomized controlled
   trial including female cancer patients who were referred by their
   treating oncologist to a specialist in reproductive medicine for
   fertility counselling. Participants were randomly assigned to the
   control group (counselling only) or to the intervention group
   (counselling and additional use of the online DA immediately after
   counselling). Recruitment was ongoing from July 2016 to December 2017 at
   eight fertility centres in Switzerland and Germany.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: The online DA was developed by
   an interdisciplinary team of specialists in reproductive medicine,
   gynaecologists, oncologists and psychologists. Of 79 recruited
   participants, 59 completed the first assessment and could therefore be
   enrolled in the study. They were asked to complete an online
   questionnaire at three time points: at T1, after counselling (control
   group, n=27) or after counselling and the additional use of the DA
   (intervention group, n=24); at T2, 1 month later (N=41: control group,
   n=23; intervention group, n=18); and at T3, 12 months later (N=37:
   control group, n=20; intervention group, n=17). The survey comprised
   questions about fertility-related knowledge, attitude towards FP,
   willingness to undergo FP and socio-demographic data, as well as the
   decisional conflict and decisional regret scales.
   MAIN RESULTS AND THE ROLE OF CHANCE: All participants showed low
   decisional conflict scores. Women who used the online DA in addition to
   counselling (intervention group) showed a significantly lower total
   score on the Decisional Conflict Scale (DCS) compared to the control
   group at T1 (P=0.008; M=12.15, SD=4.38; 95% CI, 3.35-20.95) and at T2
   (P=0.043; M=9.35, SD=4.48; 95% CI, 0.31-18.38). At T3, the mean total
   score of the DCS was still lower in the intervention group compared to
   the control group; however, this group difference was no longer
   significant (P=0.199, M=6.86, SD=5.24; 95% CI, -3.78 to 17.51). The
   majority of participants had already made a decision regarding FP (yes
   or no) at T1 (72.5%): 91.7% in the intervention group compared to 55.6%
   in the control group (P=0.014). Those who had decided already at T1
   showed significantly lower decisional conflict (P=0.007; M=13.69,
   SD=4.89; 95% CI, 3.86-23.52). The average number of DA sessions per user
   was 2.23, and 80.8% of the participants completed the DA's value
   clarification exercises. Participants in the intervention group were
   satisfied with the DA and would recommend it to other patients.
   LIMITATIONS, REASONS FOR CAUTION: The recruitment of participants was
   challenging because of the emotionally difficult situation patients were
   in. This led to the limited sample size for final analysis. Education
   levels were high in two-thirds of the participants. It is difficult to
   say whether the DA would be equally effective in women with a lower
   educational background.
   WIDER IMPLICATIONS OF THE FINDINGS: There is evidence that the DA served
   as a helpful complement to the decision-making process for young female
   cancer patients qualifying for FP. This is, to our knowledge, the first
   randomized controlled trial evaluating a DA targeted at patients with
   several cancer types and in a language other than English (i.e. German).
   This study contributes to extending the range of the still limited
   number of DAs in the context of FP.
   STUDY FUNDING/COMPETING INTEREST(S): The study was supported by a
   research grant of the Swiss Cancer Research. The authors declare that no
   competing interests exist.
TC 18
Z8 1
ZR 0
ZB 3
ZA 0
ZS 0
Z9 19
U1 1
U2 11
SN 0268-1161
EI 1460-2350
UT WOS:000493096600011
PM 31398258
ER

PT J
AU Sunde, Marthe
   Nygaard, Marthe Marie
   Hoye, Sigurd
TI General Practitioners' Attitudes toward Municipal Initiatives to Improve
   Antibiotic Prescribing-A Mixed-Methods Study
SO ANTIBIOTICS-BASEL
VL 8
IS 3
AR 120
DI 10.3390/antibiotics8030120
PD SEP 2019
PY 2019
AB Antimicrobial stewardship (AMS) interventions directed at general
   practitioners (GPs) contribute to an improved antibiotic prescribing.
   However, it is challenging to implement and maintain such interventions
   at a national level. Involving the municipalities' Chief Medical Officer
   (MCMO) in quality improvement activities may simplify the implementation
   and maintenance, but may also be perceived challenging for the GPs. In
   the ENORM (Educational intervention in NORwegian Municipalities for
   antibiotic treatment in line with guidelines) study, MCMOs acted as
   facilitators of an AMS intervention for GPs. We explored GPs' views on
   their own antibiotic prescribing, and their views on MCMO involvement in
   improving antibiotic prescribing in general practice. This is a
   mixed-methods study combining quantitative and qualitative data from two
   data sources: e-mail interviews with 15 GPs prior to the ENORM
   intervention, and online-form answers to closed and open-ended questions
   from 132 GPs participating in the ENORM intervention. The interviews and
   open-ended responses were analyzed using systematic text condensation.
   Many GPs admitted to occasionally prescribing antibiotics without
   medical indication, mainly due to pressure from patients. Too liberal
   treatment guidelines were also seen as a reason for overtreatment. The
   MCMO was considered a suitable and acceptable facilitator of quality
   improvement activities in general practice, and their involvement was
   regarded as unproblematic (scale 0 (very problematic) to 10 (not
   problematic at all): mean 8.2, median 10). GPs acknowledge the need and
   possibility to improve their own antibiotic prescribing, and in doing
   so, they welcome engagement from the municipality. MCMOs should be
   involved in quality improvement and AMS in general practice.
ZS 0
ZA 0
TC 4
Z8 0
ZR 0
ZB 1
Z9 4
U1 0
U2 0
EI 2079-6382
UT WOS:000489181000036
PM 31426530
ER

PT J
AU Fagnani, Rafael
   Eleodoro, Josiane Ito
   Zanon, Emely Osti
TI Milk-borne infections awareness and the health status of consumers: An
   on-line survey
SO INTERNATIONAL DAIRY JOURNAL
VL 96
BP 85
EP 92
DI 10.1016/j.idairyj.2019.04.013
PD SEP 2019
PY 2019
AB Despite clear health risks associated with consuming unpasteurised milk,
   a considerable number of people are still consuming these products. We
   evaluated consumers' behaviour and perceptions about food safety risks
   related to raw milk and unpasteurised cheese product consumption,
   associating their awareness of foodborne diseases with the epidemiology
   of gastro-intestinal disorders. A cross-sectional study in Brazil was
   conducted using an online standard questionnaire. The consumption of raw
   milk and dairy products is widespread. Although 66% of consumers are
   misinformed about regulations, 90% of consumers are conscious about the
   risks of raw milk consumption. The level of awareness of milk-borne
   diseases is not equal across age and educational level. Although our
   results should be generalised with caution, we found that awareness of
   milk-borne diseases is a protective factor against abdominal pain,
   concluding that the ability to understand the risks of unpasteurised
   dairy product consumption was associated with health status of the
   population. (C) 2019 Elsevier Ltd. All rights reserved.
RI Fagnani, Rafael/H-9906-2014
OI Fagnani, Rafael/0000-0002-7392-2087
Z8 0
ZA 0
ZR 0
ZS 0
TC 4
ZB 2
Z9 4
U1 1
U2 23
SN 0958-6946
EI 1879-0143
UT WOS:000471250300012
ER

PT J
AU Manuel Moreno-Marcos, Pedro
   De Laet, Tinne
   Munoz-Merino, Pedro J.
   Van Soom, Carolien
   Broos, Tom
   Verbert, Katrien
   Delgado Kloos, Carlos
TI Generalizing Predictive Models of Admission Test Success Based on Online
   Interactions
SO SUSTAINABILITY
VL 11
IS 18
AR 4940
DI 10.3390/su11184940
PD SEP 2019
PY 2019
AB To start medical or dentistry studies in Flanders, prospective students
   need to pass a central admission test. A blended program with four Small
   Private Online Courses (SPOCs) was designed to support those students.
   The logs from the platform provide an opportunity to delve into the
   learners' interactions and to develop predictive models to forecast
   success in the test. Moreover, the use of different courses allows
   analyzing how models can generalize across courses. This article has the
   following objectives: (1) to develop and analyze predictive models to
   forecast who will pass the admission test, (2) to discover which
   variables have more effect on success in different courses, (3) to
   analyze to what extent models can be generalized to other courses and
   subsequent cohorts, and (4) to discuss the conditions to achieve
   generalizability. The results show that the average grade in SPOC
   exercises using only first attempts is the best predictor and that it is
   possible to transfer predictive models with enough reliability when some
   context-related conditions are met. The best performance is achieved
   when transferring within the same cohort to other SPOCs in a similar
   context. The performance is still acceptable in a consecutive edition of
   a course. These findings support the sustainability of predictive
   models.
RI Verbert, Katrien/L-5463-2015; De Laet, Tinne/AAK-8612-2020; Delgado Kloos, Carlos/C-2876-2011; Moreno-Marcos, Pedro Manuel/J-4252-2018; Munoz-Merino, Pedro/E-1678-2011; verbert, katrien/
OI De Laet, Tinne/0000-0003-0624-3305; Delgado Kloos,
   Carlos/0000-0003-4093-3705; Moreno-Marcos, Pedro
   Manuel/0000-0003-0835-1414; Munoz-Merino, Pedro/0000-0002-2552-4674;
   verbert, katrien/0000-0001-6699-7710
ZB 0
TC 7
ZA 0
ZR 0
Z8 0
ZS 0
Z9 7
U1 3
U2 15
EI 2071-1050
UT WOS:000489104700126
ER

PT J
AU Clark, Daniel O.
   Xu, Huiping
   Moser, Lyndsi
   Adeoye, Philip
   Lin, Annie W.
   Tangney, Christy C.
   Risacher, Shannon L.
   Saykin, Andrew J.
   Considine, Robert, V
   Unverzagt, Frederick W.
TI MIND food and speed of processing training in older adults with low
   education, the MINDSpeed Alzheimer's disease prevention pilot trial
SO CONTEMPORARY CLINICAL TRIALS
VL 84
AR 105814
DI 10.1016/j.cct.2019.105814
PD SEP 2019
PY 2019
AB Background: Multiple national organizations and leaders have called for
   increased attention to dementia prevention in those most vulnerable, for
   example persons with limited formal education. Prevention
   recommendations have included calls for multicomponent interventions
   that have the potential to improve both underlying neurobiological
   health and the ability to function despite neurobiological pathology, or
   what has been termed cognitive reserve.
   Objectives: Test feasibility, treatment modifier, mechanism, and
   cognitive function effects of a multicomponent intervention consisting
   of foods high in polyphenols (i.e., MIND foods) to target
   neurobiological health, and speed of processing training to enhance
   cognitive reserve. We refer to this multicomponent intervention as
   MINDSpeed.
   Design: MINDSpeed is being evaluated in a 2 x 2 randomized factorial
   design with 180 participants residing independently in a large
   Midwestern city. Qualifying participants are 60 years of age or older
   with no evidence of dementia, and who have completed 12 years or less of
   education. All participants receive a study-issued iPad to access the
   custom study application that enables participants, depending on
   randomization, to select either control or MIND food, and to play online
   cognitive games, either speed of processing or control games.
   Methods: All participants complete informed consent and baseline
   assessment, including urine and blood samples. Additionally, up to 90
   participants will complete neuroimaging. Assessments are repeated
   immediately following 12 weeks of active intervention, and at 24 weeks
   post-randomization. The primary outcome is an executive cognitive
   composite score. Secondary outcomes include oxidative stress,
   pro-inflammatory cytokines, and neuroimaging-captured structural and
   functional metrics of the hippocampus and cortical brain regions.
   Summary: MINDSpeed is the first study to evaluate the multicomponent
   intervention of high polyphenol intake and speed of processing training.
   It is also one of the first dementia prevention trials to target older
   adults with low education. The results of the study will guide future
   dementia prevention efforts and trials in high risk populations.
RI Risacher, Shannon/AAI-2141-2019; Lin, Annie/; Risacher, Shannon/
OI Lin, Annie/0000-0002-0045-8826; Risacher, Shannon/0000-0002-3304-7943
ZB 2
Z8 0
TC 2
ZA 0
ZS 0
ZR 0
Z9 2
U1 1
U2 9
SN 1551-7144
EI 1559-2030
UT WOS:000488654600002
PM 31326523
ER

PT J
AU Myrick, Jessica Gall
   Willoughby, Jessica Fitts
TI Educated but anxious: How emotional states and education levels combine
   to influence online health information seeking
SO HEALTH INFORMATICS JOURNAL
VL 25
IS 3
SI SI
BP 649
EP 660
DI 10.1177/1460458217719561
PD SEP 2019
PY 2019
AB This study combined conceptual frameworks from health information
   seeking, appraisal theory of emotions, and social determinants of health
   literatures to examine how emotional states and education predict online
   health information seeking. Nationally representative data from the
   Health Information National Trends Survey (HINTS 4, Cycle 3) were used
   to test the roles of education, anxiety, anger, sadness, hope,
   happiness, and an education by anxiety interaction in predicting online
   health information seeking. Results suggest that women, tablet owners,
   smartphone owners, the college educated, those who are sad some or all
   of the time, and those who are anxious most of the time were
   significantly more likely to seek online health information. Conversely,
   being angry all of the time decreased the likelihood of seeking.
   Furthermore, two significant interactions emerged between anxiety and
   education levels. Discrete psychological states and demographic factors
   (gender and education) individually and jointly impact information
   seeking tendencies.
TC 22
ZB 1
ZR 0
ZA 0
ZS 0
Z8 0
Z9 22
U1 6
U2 47
SN 1460-4582
EI 1741-2811
UT WOS:000492276100017
PM 28728457
ER

PT J
AU Kerr, Zachary Y.
   Scarneo-Miller, Samantha E.
   Yeargin, Susan W.
   Grundstein, Andrew J.
   Casa, Douglas J.
   Pryor, Riana R.
   Register-Mihalik, Johna K.
TI Exertional Heat-Stroke Preparedness in High School Football by Region
   and State Mandate Presence
SO JOURNAL OF ATHLETIC TRAINING
VL 54
IS 9
BP 921
EP 928
DI 10.4085/1062-6050-581-18
PD SEP 2019
PY 2019
AB Context: Exertional heat stroke (EHS) is a leading cause of sudden death
   in high school football players. Preparedness strategies can mitigate
   EHS incidence and severity.
   Objective: To examine EHS preparedness among high school football
   programs and its association with regional and state preseason
   heat-acclimatization mandates.
   Design: Cross-sectional study.
   Setting: Preseason high school football programs, 2017.
   Patients or Other Participants: A total of 910 athletic trainers (ATs)
   working with high school football (12.7% completion rate).
   Main Outcome Measure(s): We acquired data on high school football
   programs' EHS preparedness strategies in the 2017 preseason via an
   online questionnaire, looking at (1) whether schools' state high school
   athletic associations mandated preseason heat-acclimatization guidelines
   and (2) heat safety region based on warm-season wet-bulb globe
   temperature, ranging from the milder region 1 to the hotter region 3.
   Six EHS-preparedness strategies were assessed: EHS recognition and
   treatment education; policy for initiating emergency medical services
   response; emergency response plan enactment; immersion tub filled with
   ice water before practice; wet-bulb globe temperature monitoring; and
   hydration access. Multivariable binomial regression models estimated the
   prevalence of reporting all 6 strategies.
   Results: Overall, 27.5% of ATs described their schools as using all 6
   EHS-preparedness strategies. The highest prevalence was in region 3
   schools with state mandates (52.9%). The multivariable model
   demonstrated an interaction in which the combination of higher heat
   safety region and presence of a state mandate was associated with a
   higher prevalence of reporting all 6 strategies (P = .05). Controlling
   for AT and high school characteristics, the use of all 6 strategies was
   higher in region 3 schools with state mandates compared with region 1
   schools without state mandates (52.9% versus 17.8%; prevalence ratio =
   2.68; 95% confidence interval = 1.81, 3.95).
   Conclusions: Our findings suggest a greater use of EHS-preparedness
   strategies in environmentally warmer regions with state-level mandates
   for preseason heat acclimatization. Future researchers should identify
   factors influencing EHS preparedness, particularly in regions 1 and 2
   and in states without mandates.
OI Scarneo-Miller, Samantha/0000-0001-7555-2166; Pryor,
   Riana/0000-0002-7038-0884; Grundstein, Andrew/0000-0002-0574-6253
ZA 0
ZB 3
ZR 0
TC 8
ZS 0
Z8 0
Z9 8
U1 0
U2 0
SN 1062-6050
EI 1938-162X
UT WOS:000489168600001
PM 31454289
ER

PT J
AU Weber, Ulrike
   Zapletal, Bernhard
   Base, Eva
   Hambrusch, Michael
   Ristl, Robin
   Mora, Bruno
TI Resident performance in basic perioperative transesophageal
   echocardiography Comparing 3 teaching methods in a randomized controlled
   trial
SO MEDICINE
VL 98
IS 36
AR e17072
DI 10.1097/MD.0000000000017072
PD SEP 2019
PY 2019
AB Background: Training in transesophageal echocardiography (TEE) is based
   on hands-on training in the operating room, which is time consuming and
   therefore limits its experience among anesthesiologists. Medical
   simulations have been successfully used for training of invasive
   procedures in many areas.
   This paper compares the difference in effectiveness of teaching the 11
   basic TEE views using either e-learning, simulation based training or
   hands-on training in the operating room in 3 groups of residents.
   Methods: We included 51 anesthesia and intensive care residents of all
   training levels but no prior training in echocardiography in this
   prospective randomized single-center study.
   Residents received a tutorial about theoretical knowledge followed by 2
   practical study sessions either by e-learning using an online simulator
   (www.pie.med.utoronto.ca/TEE), with the simulation mannequin (CAE
   Vimedix Simulator) or in the operating room. Both, a theoretical
   multiple choice test (0-50 points) and a practical exam test (0-110
   points) on the simulation mannequin had to be completed.
   The primary endpoint was the post-training scores in the practical and
   theoretical exams after all training sessions.
   Results: Residents received significantly higher test scores in both
   practical and theoretical examinations after training with the
   simulation mannequin (108.41 +/- 2.09, 40.6 +/- 5.23, n=17) compared
   with e-learning (106.88 +/- 4.53, 36 +/- 4.76, n=17) or hands-on
   training (106.82 +/- 2.01, 34.94 +/- 4.72, n=17).
   Conclusions: Simulation based TEE training provides more effective
   training than other teaching methods. It is therefore especially
   suitable for the initial stages of TEE training to acquire psychomotor
   skills and knowledge of echo-anatomy.
OI Ristl, Robin/0000-0002-4163-9236
Z8 0
ZS 0
ZR 0
TC 9
ZA 0
ZB 2
Z9 9
U1 0
U2 2
SN 0025-7974
EI 1536-5964
UT WOS:000488777600049
PM 31490407
ER

PT J
AU Arriaza, Rafael
   Sancho, Carlos
   Fernandez-Gutierrez, Benjamin
TI Osteoarthritis in Spain: A nationwide survey of medical specialists
SO REUMATOLOGIA CLINICA
VL 15
IS 5
BP E14
EP E17
DI 10.1016/j.reuma.2017.10.006
PD SEP-OCT 2019
PY 2019
AB Objective: To determine the reality of the resources and care needs in
   Spain for the management of patients with osteoarthritis.
   Materials and method: An online survey.
   Results: Description of 190 responses to a structured questionnaire (141
   orthopedic surgeons and 49 rheumatologists).
   Conclusions: Osteoarthritis has yet to receive appropriate medical
   attention and a patient management model. (C) 2017 Elsevier Espana,
   S.L.U. and Sociedad Espanola de Reumatologia y Colegio Mexicano de
   Reumatologia. All rights reserved.
RI Fernandez-Gutierrez, Benjamin/AAM-9063-2020
TC 0
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
Z9 0
U1 0
U2 1
SN 1699-258X
EI 1885-1398
UT WOS:000492421900004
PM 29183710
ER

PT J
AU Khadpe, Jay
   Morley, Eric J.
   Rezaie, Salim R.
   Grock, Andrew
TI Academic Life in Emergency Medicine (ALiEM) Blog and Podcast Watch:
   Gastrointestinal Emergencies
SO CUREUS
VL 11
IS 9
AR e5545
DI 10.7759/cureus.5545
PD SEP 1 2019
PY 2019
AB The Academic Life in Emergency Medicine (ALiEM) Approved Instructional
   Resources (AIR) Series and Approved Instructional Resources -
   Professional (AIR-Pro) Series were created in 2014 and 2015,
   respectively, in response to the growing need to curate online
   educational content as well as create a nationally available curriculum
   that meets individualized interactive instruction criteria for emergency
   medicine (EM) trainees. These two online series identify high-quality
   educational blog and podcast content using an expert-based approach.
   We summarize the accredited posts on gastrointestinal emergencies that
   met our a priori determined quality criteria per evaluation by eight
   experienced faculty educators in EM.
Z8 0
ZS 0
ZB 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 2
EI 2168-8184
UT WOS:000484777700001
PM 31673482
ER

PT J
AU Liem, Andrian
TI A comparison of attitudes towards complementary and alternative medicine
   between psychologists in Australia and Indonesia: a short report
SO INTEGRATIVE MEDICINE RESEARCH
VL 8
IS 3
BP 195
EP 199
DI 10.1016/j.imr.2019.07.004
PD SEP 2019
PY 2019
AB Background: The growth of complementary and alternative medicine (CAM)
   has been increasing, including amongst psychological clients. Therefore,
   it is important to investigate psychologists' attitudes towards CAM.
   Negative attitudes towards CAM among psychologists could be a barrier to
   CAM integration into psychological services and may prevent clients to
   trust psychologists. This study aims to compare Indonesian and
   Australian psychologists' attitudes towards CAM using the previously
   published study on Psychologists' Attitudes Towards Complementary and
   Alternative Therapies (PATCAT) scale validation.
   Methods: The PATCAT scale was adapted from an Australian study to an
   Indonesian version using backward-and-forward translation. This scale
   was used to investigate attitudes towards: (1) CAM knowledge; (2) CAM
   integration; and (3) the risks associated with CAM. An online survey was
   sent to all Indonesian psychologists and completed by 247 participants.
   Afterward, the data were compared with the published data from 115
   Australian psychologists.
   Results: In general, psychologists in Indonesia and Australia showed
   relatively similar ambivalent attitudes towards CAM. This uncertainty
   may stem from the same Western psychology education, which is a basis
   for the medical models in both nations. They also considered it somewhat
   important to have an understanding of CAM. Participants in both nations
   displayed positive attitude towards CAM integration into psychological
   services. However, they felt that CAM usage for mental health holds some
   risks.
   Conclusion: Australian and Indonesian psychologists reported ambivalent
   attitudes towards CAM that might be reduced with clear regulation of CAM
   integration into psychological services from the government and
   professional organizations. (C) 2019 Korea Institute of Oriental
   Medicine. Publishing services by Elsevier B.V.
RI Liem, Andrian/I-1010-2016
OI Liem, Andrian/0000-0002-1746-7235
ZS 0
ZA 0
ZB 0
TC 2
Z8 0
ZR 0
Z9 2
U1 0
U2 4
SN 2213-4220
EI 2213-4239
UT WOS:000487842500009
PM 31463192
ER

PT J
AU Pienaar, L.
   Wolvaardt, L.
   Cilliers, F.
   Burch, V
TI Involvement, self-reported knowledge and ways in which clinicians learn
   about assessment in the clinical years of a medical curriculum
SO AFRICAN JOURNAL OF HEALTH PROFESSIONS EDUCATION
VL 11
IS 3
BP 83
EP 87
DI 10.7196/AJHPE.2019.v11i3.1129
PD SEP 2019
PY 2019
AB Background. Medical students in their clinical years are assessed by
   clinician educators (CEs) with different levels of involvement and
   responsibilities in the assessment process.
   Objective. To obtain a better understanding from CEs of their
   involvement in assessment activities in the clinical years of a medical
   degree programme, their self-reported knowledge of assessment and
   methods of learning about assessment. This study also explored the
   potential association between involvement in assessment activities,
   self-reported knowledge of assessment and employment profile.
   Methods. An online cross-sectional survey was conducted among CEs
   involved in assessment of an undergraduate medical programme (years 4 -
   6) at a South African university.
   Results. Fifty-four CEs were contacted and 30 responses (56%) were
   received. Assessment responsibilities included design of assessment
   instruments, participation in assessment activities and quality
   assurance of assessments. The top five assessment activities that CEs
   were involved in were conducting objective structured practical
   examinations (OSPEs)/objective structured clinical examinations (OSCEs),
   designing multiple-choice questions, being a clinical examiner,
   conducting portfolio-based oral examinations and marking written
   assessments. CEs (>= 80%) reported having some knowledge of formative
   and summative assessment, and of validity and reliability. Fewer CEs
   reported knowledge of constructive alignment, standard setting, item
   analysis and blueprinting. CEs acquired knowledge of assessment
   predominantly through informal methods such as practical experience and
   informal discussion rather than through formal education processes such
   as attending courses.
   Conclusions. CEs participated extensively in assessment, but their
   knowledge with regard to assessment concepts varied.
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 0
Z9 0
U1 0
U2 1
SN 2078-5127
UT WOS:000489985800007
ER

PT J
AU Jafarzadeh-Kenarsari, Fatemeh
   Abouzari-Gazafroodi, Kobra
   Zaersabet, Fatemeh
TI Exploration of the Experiences and Viewpoints of Faculty Members on
   Continuing Education Webinars: A Qualitative Study
SO QUALITATIVE REPORT
VL 24
IS 9
BP 2215
EP 2232
AR 6
PD SEP 2019
PY 2019
AB Continuing education is necessary to improve the professional knowledge
   and skills of graduates of medical sciences, which may be implemented
   via e-learning. This qualitative study aimed to explore the experiences
   and viewpoints of faculty members participating in continuing education
   webinars. The participants consisted of 15 faculty members selected
   purposefully and with maximal variation regarding their sex, age, the
   field of specialization, academic rank, and work experience. Data were
   collected through semi-structured individual face-to-face interviews.
   Data analysis of these transcripts using a qualitative content analysis
   approach revealed 3 themes and 9 sub-themes. The main themes included
   "Moving across the boundaries of knowledge," Virtual education
   challenges," and "Motivators and facilitators." These data suggest that
   the main prerequisites for holding successful and effective continuing
   education webinars are the existence of the necessary software and
   hardware infrastructures, high-speed and accessible Internet, purposeful
   educational design, as well as empowering, motivating, and encouraging
   faculty members to participate in such educational programs. The
   technical infrastructures and human elements remain critical in
   effective implementation of continuing education webinars.
RI Jafarzadeh-Kenarsari, Fatemeh/I-4852-2017
OI Jafarzadeh-Kenarsari, Fatemeh/0000-0002-0157-9195
ZB 0
Z8 0
TC 1
ZS 0
ZA 0
ZR 0
Z9 1
U1 0
U2 3
SN 2160-3715
UT WOS:000489570600008
ER

PT J
AU Ramaswamy, Raja S.
   Fung, Daniel
   Tiwari, Tatulya
   Foltz, Gretchen
   Akinwande, Olaguoke
   Mokkarala, Mahati
   Kim, Seung
   Malone, Christopher
TI Factors influencing selection of an interventional radiology training
   program
SO CLINICAL IMAGING
VL 57
BP 30
EP 34
DI 10.1016/j.clinimag.2019.05.001
PD SEP-OCT 2019
PY 2019
AB Purpose: To understand factors influencing the choice and ranking of
   Interventional Radiology (IR) training programs among a cohort of
   medical students and diagnostic radiology residents pursuing careers in
   IR.
   Materials and methods: An IRB approved, 34 question online survey
   (surveymonkey.com ) evaluated the impact of twenty-two different factors
   and demographics on IR training program selection for medical students
   and residents. The factors analyzed included programmatic features,
   location characteristics, academic reputation, program size,
   benefits/financial incentives, emphasis on clinical care, and future job
   opportunities. Comparison of Likert scale responses between medical
   students and residents were performed by using unpaired two-sample
   t-tests.
   Results: 181 (145 male, 35 female) individuals responded to the survey,
   74 medical students (40.9%) and 107 residents (59.1%). Medical students
   and residents both selected variety of IR cases as the most important
   and highest rated factor when choosing an IR program. Medical students
   ranked availability of a mentor (p = .03), inpatient consultation
   service (p = .003), outpatient clinic experience (p = .003), and ICU
   rotation experience (p < .001) significantly higher. Residents rated job
   placement/accomplishments of prior fellows (p = .03) and opinion of
   spouse/significant others (p = .002) significantly higher than medical
   students.
   Conclusions: The top rated factors are similar among medical students
   and residents however medical students value the clinical aspects of the
   program (ICU experience, inpatient consultation service, outpatient
   clinic) more than residents. Residents placed more value on job
   placement opportunities in selecting an IR program.
OI Ramaswamy, Raja/0000-0001-7409-3682
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
TC 3
Z9 3
U1 0
U2 1
SN 0899-7071
EI 1873-4499
UT WOS:000489189700006
PM 31102780
ER

PT J
AU Kurniawan, Moh Heri
   Hariyati, Rr Tutik Sri
TI Patient assessment responses in nursing practice to enhance patient
   safety: A systematic review
SO ENFERMERIA CLINICA
VL 29
BP 459
EP 463
DI 10.1016/j.enfcli.2019.04.068
SU 2
PD SEP 2019
PY 2019
AB Objective: Patients in the hospital should be treated promptly. It will
   improve the quality of services and patient safety. The objective of
   this paper is to investigate factors affecting patient assessment
   response in nursing practice based on a review of the literature.
   Method: A systematic review was utilized. The article was conducted
   using online databases, reference lists of key articles, and expert
   advice. Multiple keyword combinations were used. All relevant studies
   were subsequently appraised for rigorous and quality.
   Results: Eleven articles were critically appraised. The results show
   that there are six factors that affect patient assessment responses: (1)
   high specific competences; (2) clinical experiences; (3) patient safety
   culture; (4) education level; (5) team collaboration; and (6) medical
   systems. High specific competence of nurse is significant affected the
   patient assessment response.
   Conclusion: Factors that enhancing nurse's assessment response should be
   special attention in health care services. Nurses manager have a
   substantial role in enhancing response assessment of nurses'
   practitioner. (C) 2019 Elsevier Espana, S.L.U. All rights reserved.
OI Kurniawan, Moh Heri/0000-0001-6847-6484
TC 2
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 2
U1 0
U2 7
SN 1130-8621
EI 1579-2013
UT WOS:000489095200084
PM 31311737
ER

PT J
AU Oh, Justin
   Dennis, Kristopher
   Lefresne, Shilo
   Livergant, Jonathan
   McKenzie, Michael
TI End-of-life discussions in practice: survey among Canadian radiation
   oncologists
SO ANNALS OF PALLIATIVE MEDICINE
VL 8
IS 4
BP 420
EP +
DI 10.21037/apm.2019.06.01
PD SEP 2019
PY 2019
AB Background: Early end-of-life (EOL) discussions improve patient
   satisfaction, quality of care, and the cost-effectiveness of care.
   However, some US studies show that radiation oncologists (ROs) are
   unlikely to discuss EOL issues until the patients develop significant
   symptoms or the families initiate the discussion. There have been no
   prior studies describing the patterns of EOL, discussions among Canadian
   ROs. The objectives of this study were: (I) to describe the patterns of
   EOL discussions among Canadian ROs; (II) to identify the barriers to EOL
   conversation among Canadian ROs; (III) to assess the attitudes of
   Canadian ROs toward Medical Assistance in Dying (MAiD).
   Methods: The 22-question online survey was distributed to the members of
   Canadian Association of Radiation Oncologists (CARO). Demographics, EOL
   discussion patterns, perception of EOL discussions, barriers, and the
   impact of MAiD were evaluated.
   Results: Sixty ROs responded out of 326. Prognosis (57%) and goals of
   care (58%) were routinely discussed, while advanced directive (40%) and
   planned site of death (12%) were not. More than 90% felt that early EOL,
   discussions with palliative patients were important. The amount of
   palliative discussion training was correlated with confidence in EOL
   discussion (P<0.01), perceived importance of RO role in EOL (P=0.006),
   and the frequency of planned site of death discussion (P=0.041). The
   most frequently identified barriers were lack of time, uncertainty about
   prognosis, and concern for patient disappointment. Many ROs provided
   MAiD information upon request or case-by-case, but only 3% provided the
   information routinely.
   Conclusions: Canadian ROs recognize the importance of EOL discussions,
   but they do not routinely incorporate advanced directive or site of
   death in their discussions. ROs with more palliative discussion training
   were more confident in EOL discussion and likely to engage in them
   earlier. Short structured training may improve the confidence and
   quality of EOL discussion. Time constraint is the number one barrier
   that may be alleviated by delegation of tasks and patient education
   tools. Discussion about MAiD is supported but not routine among Canadian
   ROs.
Z8 1
ZA 0
TC 4
ZS 0
ZR 0
ZB 1
Z9 5
U1 0
U2 4
SN 2224-5820
EI 2224-5839
UT WOS:000488265800010
PM 31280579
ER

PT J
AU Ukachi, Ngozi B.
   Anasi, Stella N. I.
TI Information and communication technologies and access to maternal and
   child health information: Implications for sustainable development
SO INFORMATION DEVELOPMENT
VL 35
IS 4
BP 524
EP 534
DI 10.1177/0266666918767482
PD SEP 2019
PY 2019
AB Maternal and child mortality pose a great challenge in developing
   nations notwithstanding the robust initiatives instituted at both the
   global and national levels to ameliorate it. This study is aimed at
   ascertaining women's perception of the impact of information and
   communication technologies on access to maternal and child health
   information and its implication on sustainable development. The
   descriptive research design was adopted for the study. Purposive
   sampling technique was used in selecting University of Lagos Teaching
   Hospital and subsequently, the three clinics (Obstetrics and
   Gynaecology, Paediatrics Outpatient, and Antenatal clinics) where the
   needed groups could be seen. Questionnaire was the instrument used for
   data collection while SPSS statistical package was used for data
   analysis. The study revealed that the women perceive information and
   communication technologies to have a positive impact on their access to
   maternal and child health information while the key technological
   facilities used by the respondents in accessing maternal and child
   health information were mobile phones and social media tools such as
   Facebook, YouTube, blogs and Twitter. It was also found that irregular
   power supply, poor Internet access, and ignorance of the media that
   transmit maternal and child health information were the key factors that
   militate against effective access to maternal and child health
   information using communication technologies. The implication of this
   result on sustainable development is discussed and recommendations made.
RI Ukachi, Ngozi Blessing/A-5857-2015
OI Ukachi, Ngozi Blessing/0000-0002-3910-4654
Z8 0
ZB 1
TC 8
ZS 0
ZR 0
ZA 0
Z9 8
U1 2
U2 10
SN 0266-6669
EI 1741-6469
UT WOS:000482966700003
ER

PT J
AU Villegas, Catalina
   Haga, Susanne B.
TI Access to Genetic Counselors in the Southern United States
SO JOURNAL OF PERSONALIZED MEDICINE
VL 9
IS 3
AR 33
DI 10.3390/jpm9030033
PD SEP 2019
PY 2019
AB The expansion of genetic and genomic testing across medical specialties
   and the changing workforce demographics of certified genetic counselors
   (CGCs) have led to concerns of a workforce shortage. We assessed the
   number of genetic counselors working in the Southern United States-a
   rural and medically underserved region-using various online and
   professional resources. We identified 683 practicing genetic counselors
   across the Southern U.S. and 160 specializing in prenatal genetics. CGCs
   were concentrated in urban areas; counties with a CGC had a
   significantly higher proportion of minority residents and median
   household income than counties without a CGC. There is an average of
   2.97 prenatal CGCs per 5000 high-risk births in the South. Alternative
   delivery models are needed to increase access to counseling services in
   the Southern U.S., particularly for low income households and those of
   high risk pregnancies. Increased provider education and patient
   educational materials can help facilitate informed decision-making in
   prenatal settings as genetic technologies gain a stronger foothold and
   bring value to medical practice.
ZB 8
ZR 0
Z8 0
ZS 0
ZA 0
TC 17
Z9 17
U1 0
U2 0
EI 2075-4426
UT WOS:000487972000004
PM 31266141
ER

PT J
AU Bernstein, John P. K.
   Calamia, Matthew
   Mullenix, Shelly
TI Predictors of Collegiate Student-Athletes' Concussion-Related Knowledge
   and Behaviors
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 46
IS 5
BP 575
EP 584
AR PII S0317167119000763
DI 10.1017/cjn.2019.76
PD SEP 2019
PY 2019
AB Objective: This study aimed to explore student-athletes'
   concussion-related knowledge and attitudes toward reporting symptoms,
   demographic predictors of knowledge and attitudes, and determine whether
   responses to the survey changed following an online educational
   intervention. Methods: A total of 108 Division I student-athletes
   enrolled at a large southern university completed a survey evaluating
   knowledge regarding concussion-related terminology, symptoms and
   recovery trajectories, as well as attitudes toward reporting symptoms
   following a possible concussion. Student-athletes completed the
   questionnaire both 24-48 h before and one week after reviewing the
   educational presentation. Results: At baseline, participants correctly
   identified 72% of concussion symptoms included in the questionnaire, as
   well as correctly identified 75% of items related to the typical
   recovery trajectory post-concussion. A total of 54% of baseline
   attitudes toward reporting symptoms matched clinical best practices.
   Multiple analysis of variance (MANOVA) revealed that male sex and
   non-Caucasian race were associated with worse baseline knowledge of
   concussion symptoms. Concussion knowledge was not associated with
   attitudes toward reporting symptoms. Paired samples t-tests indicated
   that knowledge of concussion-related terminology improved modestly
   following the educational presentation. Conclusions: Some subsets of
   collegiate student-athletes show relatively lower knowledge about
   symptoms of concussion than others. As a result, these groups may
   benefit from increased educational efforts to ensure they recognize when
   a concussion may have occurred. Additionally, as knowledge and attitudes
   were unrelated and the intervention had a modest effect on knowledge but
   not attitudes, future work should explore interventions that are
   designed to directly alter attitudes.
OI Calamia, Matthew/0000-0002-7252-7181
ZA 0
ZB 3
Z8 0
ZR 0
ZS 0
TC 5
Z9 5
U1 1
U2 5
SN 0317-1671
EI 2057-0155
UT WOS:000485055100012
PM 31124763
ER

PT J
AU Samuel, David
   Vilardo, Nicole
   Isani, Sara S.
   Kuo, D. Y. S.
   Gressel, Gregory M.
TI Readability assessment of online gynecologic oncology patient education
   materials from major governmental, non-profit and pharmaceutical
   organizations
SO GYNECOLOGIC ONCOLOGY
VL 154
IS 3
BP 616
EP 621
DI 10.1016/j.ygyno.2019.06.026
PD SEP 2019
PY 2019
AB Objective. Patients are increasingly using online materials to learn
   about gynecologic cancer. Providers can refer patients to online
   educational materials produced by a number of different major medical
   organizations and pharmacology companies. The National Institutes of
   Health (NIH) and the American Medical Association (AMA) recommend that
   patient educational materials (PEMs) are written between a sixth and
   eighth grade reading level. In this study, we assess the readability of
   online PEMs published by major medical organizations and industry
   partners.
   Methods. Websites from twelve websites providing educational materials
   for gynecologic oncology patients were surveyed. Online PEMs were
   identified and analyzed using seven validated readability indices.
   One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc
   analysis were performed to detect differences in readability between
   publishers.
   Results. Two-hundred and sixty PEMs were included in this analysis.
   Overall, PEMs were written at a mean 11th +/- 0.6 grade reading level.
   Only 6.5% of articles were written at the AMA/NIH recommended reading
   grade level of 6th to 8th grade or below. ANOVA demonstrated a
   significant difference in readability between publishing associations
   (p<0.01). PEMs from the Centers for Disease Control had a mean 9th +/-
   12 grade reading level and were significantly lower than all other
   organizations. PEMs from The Foundation for Women's Cancer had a mean
   13th +/- 1.8 grade reading level and were significantly higher than most
   other organizations. PEMs from pharmaceutical companies (mean
   readability = 10.1 +/- 1.1, N = 30) required the lowest reading grade
   level and were significantly more readable than those from governmental
   organizations (11.1 +/- 1.7, p<0.05) and nonprofit medical associations
   (12.4 +/- 1.7, p<0.01) in ANOVA and Tukey-Kramer post hoc analysis.
   Conclusions. Gynecologic oncology PEMs available from twelve major
   organization websites are written well above the recommended sixth to
   eighth grade reading difficulty level. (C) 2019 Published by Elsevier
   Inc.
RI Gressel, Gregory/H-5408-2018
OI Gressel, Gregory/0000-0002-6729-4571
TC 0
ZR 0
ZS 0
ZA 0
ZB 0
Z8 0
Z9 0
U1 0
U2 5
SN 0090-8258
EI 1095-6859
UT WOS:000485859000025
PM 31324452
ER

PT J
AU Baig, Qaiser Ali
   Zaidi, Syed Jaffar Abbas
   Alam, Beenish Fatima
TI Perceptions of dental faculty and students of E-learning and its
   application in a public sector Dental College in Karachi, Pakistan
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 69
IS 9
BP 1319
EP 1324
PD SEP 2019
PY 2019
AB Objective: To assess e-learning resources and its application in
   dentistry among students and faculty of a dental college.
   Methods: The qualitative study was conducted at Dow International Dental
   College, Karachi, from April to July 2017, and comprised semi-structured
   one-to-one interviews of undergraduate and postgraduate dental students
   as well as faculty members. A questionnaire was used to collect data
   about the way learners were using computer or smart phones in addition
   to conventional learning. The data was analysed through analysis of
   themes that included familiarisation, identification of a theme
   framework, indexing, charting, followed by mapping and interpretation.
   Results: There were 21 subjects in the study. The use of smart phones
   was still limited to communication majorly. Majority of students
   utilised online resources like e-books and online searches. Faculty
   members used computers for reading articles and research.
   Conclusion: Blended asynchronous e-learning strategies were being
   practised by dental students and faculty.
RI Alam, Beenish/AAC-2277-2021; zaidi, syed/AAE-7249-2019
OI Alam, Beenish/0000-0002-7668-706X; 
TC 2
ZA 0
ZB 0
ZR 0
Z8 0
ZS 0
Z9 2
U1 0
U2 3
SN 0030-9982
UT WOS:000484778400014
ER

PT J
AU Luisa Sanchez-Ferrer, Maria
   Fernandez-Andres, Inigo
   Carlos Martinez-Escoriza, Juan
   Romero-Maroto, Jesus
   Sanchez del Campo, Francisco
   Gomez-Perez, Luis
TI Can the simultaneous laparoscopic approach improve the learning of
   vaginal surgery with meshes in the anatomical model?
SO NEUROUROLOGY AND URODYNAMICS
VL 38
IS 7
BP 1812
EP 1817
DI 10.1002/nau.24082
PD SEP 2019
PY 2019
AB Aims To evaluate the usefulness of simultaneous laparoscopic assistance
   to improve understanding of the nonvisible surgical steps in
   Thiel-embalmed cadaver models for training in vaginal surgery using
   vaginal mesh kits and to evaluate opinions of this surgical learning
   procedure in comparison with other learning models. Methods Recording of
   anterior compartment prolapse repair with vaginal mesh kits using an
   external camera simultaneously with laparoscopic vision during the
   execution of the procedure at the dissection room. To measure the
   usefulness of this procedure, we designed an anonymous online survey
   that was made available to program participants via a computer
   application (a link to video 1 and the survey is available at
   encuesta@um.es). Results After watching the video, 97.2% of participants
   agreed that laparoscopic vision combined with the vaginal approach was
   useful in learning this surgical technique, and 95.8% agreed they had
   learned details of the surgical anatomy of the pelvis. All participants
   agreed that it should be mandatory to train in these techniques with
   cadavers before practice with live patients. In addition, 84.7%
   responded that the cadaveric model was superior to animal and other
   types of models. Conclusion Laparoscopic inspection of the procedure
   performed with the vaginal approach allowed a better understanding of
   the surgical technique by making "visible" the anatomical structures
   that were commonly only palpated. Use of the cadaverous model was
   considered most efficient for training in this surgical technique.
RI Gómez-Pérez, Luis/AAV-7229-2020; Martinez Escoriza, Juan Carlos/C-8272-2016; Sanchez-Ferrer, Maria Luisa/M-3080-2014
OI Gómez-Pérez, Luis/0000-0003-1396-0484; Martinez Escoriza, Juan
   Carlos/0000-0002-9509-9941; Sanchez-Ferrer, Maria
   Luisa/0000-0001-9173-5229
ZB 0
TC 0
ZS 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 2
SN 0733-2467
EI 1520-6777
UT WOS:000482451400003
PM 31274225
ER

PT J
AU Zhang, Jingwen
   Le, Gem
   Larochelle, David
   Pasick, Rena
   Sawaya, George F.
   Sarkar, Urmimala
   Centola, Damon
TI Facts or stories? How to use social media for cervical cancer
   prevention: A multi-method study of the effects of sender type and
   content type on increased message sharing
SO PREVENTIVE MEDICINE
VL 126
AR 105751
DI 10.1016/j.ypmed.2019.105751
PD SEP 2019
PY 2019
AB Social media has become a valuable tool for disseminating cancer
   prevention information. However, the design of messages for achieving
   wide dissemination remains poorly understood. We conducted a
   multi-method study to identify the effects of sender type (individuals
   or organizations) and content type (personal experiences or factual
   information) on promoting the spread of cervical cancer prevention
   messages over social media. First, we used observational Twitter data to
   examine correlations between sender type and content type with retweet
   activity. Then, to confirm the causal impact of message properties, we
   constructed 900 experimental tweets according to a 2 (sender type) by 2
   (content type) factorial design and tested their probabilities of being
   shared in an online platform. A total of 782 female participants were
   randomly assigned to 87 independent 9-person online groups and each
   received a unique message feed of 100 tweets drawn from the 4
   experimental cells over 5 days. We conducted both tweet-level and
   group-level analyses to examine the causal effects of tweet properties
   on influencing sharing behaviors. Personal experience tweets and
   organizational senders were associated with more retweets. However, the
   experimental study revealed that informational tweets were shared
   significantly more (19%, 95% CI: 11 to 27) than personal experience
   tweets; and organizational senders were shared significantly more (10%,
   95% CI: 3 to 18) than individual senders. While rare personal experience
   messages can achieve large success, they are generally unsuccessful;
   however, there is a reproducible causal effect of messages that use
   organizational senders and factual information for achieving greater
   peer-to-peer dissemination.
RI Zhang, Jingwen/AAQ-3561-2020
OI Zhang, Jingwen/0000-0003-1733-6857
ZA 0
TC 15
ZB 5
ZR 0
Z8 0
ZS 1
Z9 15
U1 0
U2 23
SN 0091-7435
EI 1096-0260
UT WOS:000485788700022
PM 31226342
ER

PT J
AU Hann, Alexander
   Lammert, Frank
   Walter, Steffen
   Jansen, Petra Lynen
TI Survey: Why did you become a gastroenterologist?
SO ZEITSCHRIFT FUR GASTROENTEROLOGIE
VL 57
IS 9
BP 1124
EP 1130
DI 10.1055/a-0987-2211
PD SEP 2019
PY 2019
AB Introduction The specific support of medical students is indispensable
   in gastroenterology. The aim of this study was to identify factors that
   influenced members of the German Society of Gastroenterology, Digestive
   and Metabolic Diseases (DGVS) to choose their specialty.
   Methods Using an online survey all members of the DGVS were invited to
   assess the following factors: earliest time point of the decision to
   become a gastroenterologist, important role models and mentors,
   important course contents and teaching methods, the role of the doctoral
   thesis and other influencing aspects of the specialty gastroenterology.
   The evaluation included an additional subgroup analysis involving work
   experience (<= 8, 9-29, >= 30 years) and working place (university
   hospital, community-based hospital, private practice).
   Results 1358 participants representing 24.2 % of the DGVSmembers took
   part in the survey. Physicians with <= 8 years of work experience
   decided in 62.5 % during medical school to become a gastroenterologist
   compared to 37.1 % of the physicians with a work experience of >= 9
   years (p < 0.001). Senior physicians were regarded as important role
   models and mentors by 40.8 % of the participants. Doctoral supervisors
   were regarded as important mentors that influenced the selection of the
   specialty by 42.8 % of the participants that completed their doctoral
   thesis in gastroenterology. Hands-on courses like sonography were
   regarded as important course contents by 42.2 % of the participants.
   Interventional medicine in particular endoscopy and the diversity of
   gastroenterology were rated as important in the selection process for
   the specialty.
   Conclusion The decision to become a gastroenterologist is mainly made
   during medical school. The main influencing role models and mentors are
   senior physicians. Hands-on training in ultrasound and endoscopy were
   regarded as important course contents and teaching methods.
RI Weismüller, Tobias J./I-1879-2019
OI Weismüller, Tobias J./0000-0001-9736-1483
ZB 0
TC 1
Z8 0
ZA 0
ZR 0
ZS 0
Z9 1
U1 0
U2 3
SN 0044-2771
EI 1439-7803
UT WOS:000486251900022
PM 31525803
ER

PT J
AU Willis, Ross E.
TI An Online System to Help With Mock Oral Examination Administration
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 5
BP 1167
EP 1173
DI 10.1016/j.jsurg.2019.03.021
PD SEP-OCT 2019
PY 2019
AB OBJECTIVE: Describe an online system used to collect data, compute
   statistics, and provide reports for mock oral examinations.
   DESIGN: Forty general surgery residents, program directors, and faculty
   serving as examiners completed a survey regarding their experiences with
   the online mock oral examination system.
   SETTING: General surgery residency programs and national surgical
   conferences.
   PARTICIPANTS: General surgery residents, program directors, and faculty.
   RESULTS: System users had very positive attitudes toward the online
   system in terms of usability and reporting functions.
   CONCLUSIONS: The mock oral exam management online system is a useful
   tool that eases the burden of managing a mock oral exam session. (C)
   2019 Published by Elsevier Inc. on behalf of Association of Program
   Directors in Surgery.
ZA 0
TC 0
ZS 0
ZB 0
ZR 0
Z8 0
Z9 0
U1 4
U2 10
SN 1931-7204
EI 1878-7452
UT WOS:000487574300002
PM 31029576
ER

PT J
AU Posel, Nancy
   Hoover, Michael L.
   Bergman, Simon
   Grushka, Jeremy
   Rosenzveig, Alicia
   Fleiszer, David
TI Objective Assessment of the Entrustable Professional Activity Handover
   in Undergraduate and Postgraduate Surgical Learners
SO JOURNAL OF SURGICAL EDUCATION
VL 76
IS 5
BP 1258
EP 1266
DI 10.1016/j.jsurg.2019.03.008
PD SEP-OCT 2019
PY 2019
AB OBJECTIVE: This study used a virtual patient simulation (VPS) to
   quantifiably and objectively assess undergraduate (UG) to postgraduate
   (PG) medical learners' acquisition of the entrustable professional
   activity (EPA) "handover," focusing particularly on the transition to
   residency. This EPA is critical because it is part of a core competency
   for UG and PG training in both the United States and Canada, and is
   essential for patient safety and comprehensive professional
   communication.
   DESIGN: Data were collected from 3 separate groups of participants: 2 UG
   cohorts from an earlier study, as well as a PG cohort at the beginning
   of residency. All participants completed the same trauma VPS, which
   required a free text summary statement that was used as a surrogate for
   an oral handover. These were collected and scored independently, using
   previously developed validated rubrics, one procedural and the second
   semantic.
   SETTING: All study participants were from one site. The VPS case was
   completed online.
   PARTICIPANTS: Two different UG groups, one designated junior (N = 52),
   was studied at the beginning of their clerkship year, a second group,
   designated senior (N = 30), was studied at the end of their clerkship
   year. These groups were compared to a third group of PG learners (N =
   31) during the initial 2 weeks of their residency. Informed consent was
   obtained from all participants.
   RESULTS: A procedural rubric assessed learners' cognitive knowledge of
   trauma care-management. A semantic rubric assessed their use of the
   professional language necessary for a safe and succinct clinical
   handover communication. An Analysis of Variance comparing scores on the
   procedural rubric was highly significant with Tukey LSD tests indicating
   that all 3 groups were significantly different. Students increased their
   scores on the procedural rubric at each stage of their training. A
   parallel Analysis of Variance comparing students' scores on the semantic
   rubric revealed no significant increase in scores, indicating that
   students did not improve in their capacity to communicate professionally
   as they progressed through their training.
   CONCLUSIONS: Taken together, these results demonstrate that training was
   successful in teaching cognitive-based procedures, but not effective in
   teaching professional communication, which is critical to the EPA
   handover. Greater emphasis needs to be placed on ensuring the
   acquisition of professional communication skills throughout the
   continuum of UG and PG clinical activities. Faculty development should
   serve as a support to assist medical educators to address this
   requirement. These results also demonstrate that VPS with associated
   objective and validated rubrics can be used as an assessment methodology
   to quantifiably measure learner performance with respect to the EPA
   handover. A similar strategy should be considered across the UG and PG
   continuum for other EPAs and could form the nexus for further research.
   (C) 2019 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.
TC 2
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
Z9 2
U1 2
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000487574300012
PM 30948340
ER

PT J
AU Butler, Rachel
TI Health information seeking behaviour: the librarian's role in supporting
   digital and health literacy
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 36
IS 3
BP 278
EP 282
DI 10.1111/hir.12278
PD SEP 2019
PY 2019
AB This paper is based on Rachel Butler's dissertation carried out at the
   University of Sheffield as part of the MA Library and Information
   Services Management. The study examines people's online health
   information seeking skills, with the specific aim to identify how
   libraries and health services can work together in supporting digital
   and health literacy. A survey approach is used to explore online
   searching habits as well as librarian and health professionals' views on
   health literacy. The key findings indicate that whilst the majority of
   respondents consider themselves to be health literate, there was an
   overall agreement that effective education and support could be achieved
   through the collaboration between libraries and health services, and
   specifically to signpost information and to provide targeted education.
   The limitations of the research for dissertation are recognised leading
   to recommendations that further study focuses on the impact of
   signposting and education on health literacy.F.J.
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
TC 9
Z9 9
U1 3
U2 40
SN 1471-1834
EI 1471-1842
UT WOS:000486886900006
PM 31541531
ER

PT J
AU Miles, Randy C.
   Patel, Amy K.
TI The Radiology Twitterverse: A Starter's Guide to Utilization and Success
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 16
IS 9
BP 1225
EP 1231
DI 10.1016/j.jacr.2019.03.014
PN A
PD SEP 2019
PY 2019
AB The rise of social media use in medicine has changed how health care
   organizations and providers communicate with patients and interact with
   other members of the medical community. Active social media engagement
   has been associated with improvements in patient outreach, peer-to-peer
   interactions, and medical education. In radiology, however, social media
   is predominantly used among trainees, with significantly lower rates
   seen in attending physicians who have been in practice for greater than
   15 years. Twitter (Twitter. corn, San Francisco, California), along with
   other social media platforms, puts a face to radiology, helping both
   patients and other health care professionals understand contributions of
   radiologists to patient care, research, education, and public health. We
   aim to provide a starter's guide for radiologists unfamiliar with
   Twitter (1) to highlight benefits of active Twitter involvement and (2)
   to remove perceived barriers to active Twitter use. (C) 2019 Published
   by Elsevier on behalf of American College of Radiology
ZB 2
ZA 0
TC 15
ZR 0
Z8 0
ZS 0
Z9 15
U1 1
U2 2
SN 1546-1440
UT WOS:000486132000024
PM 31092350
ER

PT J
AU Lee, Rebecca K. Y.
   Ng, Bernard Y. N.
   Chen, Daisy M. H.
TI Using metro lines for integration of nucleotide metabolic pathways
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 47
IS 5
BP 532
EP 537
DI 10.1002/bmb.21256
PD SEP 2019
PY 2019
AB Students always encounter difficulties in studying biochemical pathways.
   They are especially weak in understanding the relationships between
   metabolic pathways and their integration because these pathways are
   always taught one-by-one in class. In the past, various online resources
   have been developed to facilitate students' understanding toward energy
   metabolism. Although these learning materials enable students to
   understand individual metabolic pathway in a clearer manner, many of
   them fail to demonstrate the linkages between these pathways. The "AG
   City" is a self-learning tool which aims to arouse students' interest in
   exploring nucleotide metabolism. We have designed a metro map as a
   concept map to allow students to have an overview of different pathways
   as well as their integration. Major pathways are presented as railway
   lines in an easy-to-understand and interactive manner using navigation,
   animations, and narrations. Key molecules involved in the pathways are
   presented as "railway stations". Students can easily identify common
   "railway stations" presented in different pathways and link the concepts
   that they have learnt together. This interactive self-learning tool has
   been packaged as a courseware using the Articulate Storyline eLearning
   authoring software. (c) 2019 International Union of Biochemistry and
   Molecular Biology, 47(5):532-537, 2019.
TC 2
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 2
U1 2
U2 8
SN 1470-8175
EI 1539-3429
UT WOS:000485305100006
PM 31125165
ER

PT J
AU Sommer, Adir C.
   Blumenthal, Eytan Z.
TI Implementations of 3D printing in ophthalmology
SO GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
VL 257
IS 9
BP 1815
EP 1822
DI 10.1007/s00417-019-04312-3
PD SEP 2019
PY 2019
AB Purpose The purpose of this paper is to provide an in-depth
   understanding of how to best utilize 3D printing in medicine, and more
   particularly in ophthalmology in order to enhance the clinicians'
   ability to provide out-of-the-box solutions for unusual challenges that
   require patient personalization. In this review, we discuss the main
   applications of 3D printing for diseases of the anterior and posterior
   segments of the eye and discuss their current status and implementation.
   We aim to raise awareness among ophthalmologists and report current and
   future developments. Methods A computerized search from inception up to
   2018 of the online electronic database PubMed was performed, using the
   following search strings: "3D," "printing," "ophthalmology," and
   "bioprinting." Additional data was extracted from relevant websites. The
   reference list in each relevant article was analyzed for additional
   relevant publications. Results 3D printing first appeared three decades
   ago. Nevertheless, the implementation and utilization of this technology
   in healthcare became prominent only in the last 5 years. 3D printing
   applications in ophthalmology are vast, including organ fabrication,
   medical devices, production of customized prosthetics, patient-tailored
   implants, and production of anatomical models for surgical planning and
   educational purposes. Conclusions The potential applications of 3D
   printing in ophthalmology are extensive. 3D printing enables
   cost-effective design and production of instruments that aid in early
   detection of common ocular conditions, diagnostic and therapeutic
   devices built specifically for individual patients, 3D-printed contact
   lenses and intraocular implants, models that assist in surgery planning
   and improve patient and medical staff education, and more. Advances in
   bioprinting appears to be the future of 3D printing in healthcare in
   general, and in ophthalmology in particular, with the emerging
   possibility of printing viable tissues and ultimately the creation of a
   functioning cornea, and later retina. It is expected that the various
   applications of 3D printing in ophthalmology will become part of
   mainstream medicine.
ZA 0
TC 30
Z8 0
ZR 0
ZB 14
ZS 1
Z9 31
U1 4
U2 50
SN 0721-832X
EI 1435-702X
UT WOS:000481772100001
PM 30993457
ER

PT J
AU Wilson, Donna M.
   Triscott, Jean A. C.
   Cohen, Joachim
   MacLeod, Rod
TI Educational needs of healthcare professionals and members of the general
   public in Alberta Canada, 2 years after the implementation of medical
   assistance in dying
SO HEALTH & SOCIAL CARE IN THE COMMUNITY
VL 27
IS 5
BP 1295
EP 1302
DI 10.1111/hsc.12766
PD SEP 2019
PY 2019
AB Medical assistance in dying (MAID) was implemented across Canada in June
   of 2016, after each Canadian province and territory had developed their
   own MAID processes. Over the first 2 years, just under 300 Alberta
   citizens received MAID services, a very small proportion (<0.5%) of all
   52,000 decedents. An online 2017-2018 survey of Alberta healthcare
   providers and members of the general public was conducted to assess and
   compare their knowledge of MAID. A devised brief survey tool was posted
   online, with broad-based advertising for voluntary participants. The
   survey was taken down after 282 Albertans had participated (100+
   healthcare professionals and 100+ members of the general public), a
   non-representative sample. Through SPSS data analysis, educational needs
   were clearly evident as only 30.5% knew the correct approximate number
   of MAID deaths to date, 33.0% correctly identified the point in life
   when MAID can be done, 48.9% correctly identified the locations where
   MAID can be performed, 49.3% correctly identified who can stop MAID from
   being carried out, and 52.8% correctly identified how MAID is performed
   to end life. Healthcare professionals were significantly more often
   correct; as were participants born in Canada, university degree holders,
   working persons, those who identified a religion, had experience with
   death and dying care, had direct prior experience with death hastening,
   thought adults had a right to request and receive MAID, had past
   experience with animal euthanasia, and had hospice/palliative education
   or work experience. Age, gender, and having previously worked or lived
   in a country where assisted suicide or euthanasia was performed were not
   significant for educational needs. These findings indicate new
   approaches to meet sudden assisted suicide educational needs are needed.
RI Cohen, Joachim/B-6803-2008; Wilson, Donna/; Triscott, Jean AC/
OI Cohen, Joachim/0000-0002-7224-9476; Wilson, Donna/0000-0002-4860-8440;
   Triscott, Jean AC/0000-0002-6383-5887
Z8 0
ZR 0
ZB 0
TC 4
ZA 0
ZS 0
Z9 4
U1 0
U2 6
SN 0966-0410
EI 1365-2524
UT WOS:000482452200048
PM 31149763
ER

PT J
AU Dack, Charlotte
   Ross, Jamie
   Stevenson, Fiona
   Pal, Kingshuk
   Gubert, Elsa
   Michie, Susan
   Yardley, Lucy
   Barnard, Maria
   May, Carl
   Farmer, Andrew
   Wood, Bindie
   Murray, Elizabeth
TI A digital self-management intervention for adults with type 2 diabetes:
   Combining theory, data and participatory design to develop HeLP-Diabetes
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 17
AR 100241
DI 10.1016/j.invent.2019.100241
PD SEP 2019
PY 2019
AB Background: Digital health interventions have potential to contribute to
   better health outcomes, better healthcare and lower costs. However,
   evidence for their effectiveness is variable. The development and
   content of digital health interventions are often not described in
   enough detail to enable others to replicate the research or improve on
   previous interventions. This has led to a call for transparent reporting
   of intervention content and development.
   Purpose: To describe the development process and content of a digital
   self-management intervention for people with type 2 diabetes
   (HeLP-Diabetes) that has been found to achieve its target clinical
   outcome, the reduction of HbA1c, a measure of glycaemic control.
   Method: We synthesised theory, data from existing research evidence and
   international guidelines, and new qualitative data from target users to
   identify the determinants of self-management and the content to be
   included in HeLP-Diabetes. Using an ongoing iterative participatory
   design approach the content of the intervention was written, produced,
   reviewed and changed.
   Conclusion: It is possible to develop and transparently report
   self-management programmes for long-term conditions, which reflect
   current best evidence, theoretical underpinning and user involvement. We
   intend that reporting the development process and content will inform
   future digital intervention development.
RI Stevenson, Fiona/AAJ-2727-2021; May, Carl/; Dack, Charlotte/; Farmer, Andrew/; Yardley, Lucy/; Pal, Kingshuk/; Michie, Susan/A-1745-2010; Ross, Jamie Anne Dolan/; Murray, Elizabeth/
OI Stevenson, Fiona/0000-0003-2139-2309; May, Carl/0000-0002-0451-2690;
   Dack, Charlotte/0000-0002-5124-094X; Farmer, Andrew/0000-0002-6170-4402;
   Yardley, Lucy/0000-0002-3853-883X; Pal, Kingshuk/0000-0001-6630-6684;
   Michie, Susan/0000-0003-0063-6378; Ross, Jamie Anne
   Dolan/0000-0001-8720-5911; Murray, Elizabeth/0000-0002-8932-3695
ZR 0
ZB 1
ZA 0
Z8 0
ZS 0
TC 9
Z9 9
U1 1
U2 15
EI 2214-7829
UT WOS:000485180400006
PM 31372349
ER

PT J
AU Piotrowicz, Agata K.
   McGill, Margaret J.
   Overland, Jane
   Molyneaux, Lynda
   Johnson, Nathan A.
   Twigg, Stephen M.
TI An on-line support tool to reduce exercise-related hypoglycaemia and
   improve confidence to exercise in type 1 diabetes
SO JOURNAL OF DIABETES AND ITS COMPLICATIONS
VL 33
IS 9
BP 682
EP 689
DI 10.1016/j.jdiacomp.2019.05.011
PD SEP 2019
PY 2019
AB Objective: Hypoglycaemia related to exercise and lack of confidence to
   exercise, are common in T1DM. An online educational exercise tool
   (ExT1D) was tested to determine whether these parameters can be
   improved.
   Research design and methods: Thirty two adults with T1DM (50%M, age 35.8
   +/- 9.5 yr diabetes duration 12.3 +/- 9.9 yr, median HbA1c 7.1%[ICR
   6.4-7.7] NGSPU) exercising >= 60 min/week enrolled in a RCT utilising
   ExT1D, with partial cross-over design. The primary end-point was
   Exercise-related hypoglycaemia (ErH) number corrected for exercise
   session number, with ErH defined as CGM episodes < 4.0 mM occurring
   within 24 h of exercise. Secondary RCT endpoints were total ErH
   duration, and ErH duration/episode. A pre-defined longitudinal analysis
   with each subject compared with their baseline was also undertaken, for
   the three ErH parameters, and using fear of hypoglycaemia
   questionnaires.
   Research: In the RCT a 50% lower median ErH number (P = 0.6) (37% lower
   ErH number per exercise session (P = 0.06, NS primary endpoint) occurred
   in the Intervention vs Control group. A 49% lower ErH duration per
   episode (P = 0.2), and 80% less ErH duration (P = 0.3), were also
   observed in the Intervention vs Control group. In the longitudinal
   study, ErH number reduced by 43% (P = 0.088), ErH duration per episode
   by 52% (P = 0.157) and total duration of ErH fell by 71% (P = 0.015).
   Confidence to prevent glucose lowering by exercise also improved (P =
   0.039). Post-hoc analysis showed those with the greatest ErH events at
   baseline benefited most Fructosamine and HbA1c levels were unchanged
   from baseline.
   Conclusions: ExT1D can reduce exercise-related hypoglycaemia and provide
   greater confidence to exercise. (C) 2019 Published by Elsevier Inc.
ZA 0
TC 3
ZS 0
Z8 0
ZR 0
ZB 1
Z9 3
U1 0
U2 1
SN 1056-8727
EI 1873-460X
UT WOS:000483910200014
PM 31253489
ER

PT J
AU Daraz, Lubna
   Morrow, Allison S.
   Ponce, Oscar J.
   Beuschel, Bradley
   Farah, Magdoleen H.
   Katabi, Abdulrahman
   Alsawas, Mouaz
   Majzoub, Abdul M.
   Benkhadra, Raed
   Seisa, Mohamed O.
   Ding, Jingyi (Francess)
   Prokop, Larry
   Murad, M. Hassan
TI Can Patients Trust Online Health Information? A Meta-narrative
   Systematic Review Addressing the Quality of Health Information on the
   Internet
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 34
IS 9
BP 1884
EP 1891
DI 10.1007/s11606-019-05109-0
PD SEP 2019
PY 2019
AB Background The Internet has become a leading source of health
   information accessed by patients and the general public. It is crucial
   that this information is reliable and accurate. Objectives The purpose
   of this systematic review was to evaluate the overall quality of online
   health information targeting patients and the general public. Methods
   The systematic review is based on a pre-established protocol and is
   reported according to the PRISMA statement. Eleven databases and
   Internet searches were performed for relevant studies. Descriptive
   statistics were used to synthesize data. The NIH Quality Assessment Tool
   for Observational Cohort and Cross-Sectional Studies was used to assess
   the methodological quality of the included studies. Results Out of 3393
   references, we included 153 cross-sectional studies evaluating 11,785
   websites using 14 quality assessment tools. The quality level varied
   across scales. Using DISCERN, none of the websites received a category
   of excellent in quality, 37-79% were rated as good, and the rest were
   rated as poor quality. Only 18% of websites were HON Code certified.
   Quality varied by affiliation (governmental was higher than academic,
   which was higher than other media sources) and by health specialty
   (likely higher in internal medicine and anesthesiology). Conclusion This
   comprehensive systematic review demonstrated suboptimal quality of
   online health information. Therefore, the Internet at the present time
   does not provide reliable health information for laypersons. The quality
   of online health information requires significant improvement which
   should be a mandate for policymakers and private and public
   organizations.
RI Daraz, Ph.D, Lubna/GRS-6972-2022; Murad, M. Hassan/AAW-4367-2020; Murad, Mohammad Hassan/; Farah, Magdoleen/; Ponce Ponte, Oscar Josue/
OI Daraz, Ph.D, Lubna/0000-0003-4502-835X; Murad, Mohammad
   Hassan/0000-0001-5502-5975; Farah, Magdoleen/0000-0001-9700-737X; Ponce
   Ponte, Oscar Josue/0000-0001-5729-8408
ZB 4
Z8 0
ZS 0
ZR 0
TC 51
ZA 0
Z9 51
U1 5
U2 28
SN 0884-8734
EI 1525-1497
UT WOS:000483539200044
PM 31228051
ER

PT J
AU Dimant, Oscar E.
   Cook, Tiffany E.
   Greene, Richard E.
   Radix, Asa E.
TI Experiences of Transgender and Gender Nonbinary Medical Students and
   Physicians
SO TRANSGENDER HEALTH
VL 4
IS 1
BP 209
EP 216
DI 10.1089/trgh.2019.0021
PD SEP 1 2019
PY 2019
AB Purpose: To explore the experiences of transgender and gender nonbinary
   (TGNB) medical students and physicians in the United States. Methods:
   The authors conducted a 79-item online survey using Likert-type and
   open-ended questions to assess the experiences of TGNB-identified U.S.
   medical students and physicians. Variables included demographic data,
   disclosure of TGNB status, exposure to transphobia, and descriptions of
   educational and professional experiences. Recruitment was conducted
   using snowball sampling through Lesbian, Gay, Bisexual, Transgender,
   Queer professional groups, list-servs, and social media. The survey was
   open from June 2017 through November 2017. Results: Respondents included
   21 students and 15 physicians (10 transgender women, 10 transgender men,
   and 16 nonbinary participants). Half (50%; 18) of the participants and
   60% (9) of physicians had not disclosed their TGNB identity to their
   medical school or residency program, respectively. Respondents faced
   barriers on the basis of gender identity/expression when applying to
   medical school (22%; 11) and residency (43%; 6). More than
   three-quarters (78%; 28) of participants censored speech and/or
   mannerisms half of the time or more at work/school to avoid
   unintentional disclosure of their TGNB status. More than two-thirds
   (69%; 25) heard derogatory comments about TGNB individuals at medical
   school, in residency, or in practice, while 33% (12) witnessed
   discriminatory care of a TGNB patient. Conclusion: TGNB medical students
   and physicians faced significant barriers during medical training,
   including having to hide their identities and witnessing anti-TGNB
   stigma and discrimination. This study, the first to exclusively assess
   experiences of TGNB medical students and physicians, reveals that
   significant disparities still exist on the basis of gender identity.
RI Radix, Asa/X-5189-2019; Cook, Tiffany/; Greene, Richard/
OI Radix, Asa/0000-0001-9611-4181; Cook, Tiffany/0000-0002-5362-4330;
   Greene, Richard/0000-0001-8618-7723
ZS 1
Z8 0
ZR 0
ZA 0
TC 32
ZB 1
Z9 32
U1 0
U2 3
SN 2688-4887
EI 2380-193X
UT WOS:000698145700003
PM 31552292
ER

PT J
AU Linden, A. J.
   Dinkel, A.
   Schiele, S.
   Meissner, V. H.
   Gschwend, J. E.
   Herkommer, K.
TI Internet use after prostate cancer Search for information and trust in
   disease-related information in long-term survivors
SO UROLOGE
VL 58
IS 9
SI SI
BP 1039
EP 1049
DI 10.1007/s00120-019-0966-6
PD SEP 2019
PY 2019
AB Background and objective The internet provides numerous sources of
   information about prostate cancer (PCa). The present study investigated
   internet use among long-term PCa survivors, trust in online PCa-related
   information, and associated factors. Materials and methods Based on the
   German national research project Familial Prostate Cancer long-term PCa
   survivors were asked about their internet use in 2017. Associations with
   sociodemographic (age at survey, children, intimate relationship,
   education) and disease-related parameters (time since diagnosis, PCa
   family history, progress) were analyzed using multivariable logistic
   regression. Results In all, 4636 long-term PCa survivors were included
   in the analysis (mean age 76.9 years; standard deviation 6.6 years).
   Mean follow-up was 14.0 years. Of long-term PCa survivors, 62.1% were
   using the internet. Among non-users 23.5% expressed strong concerns,
   among users only 2.8%. Furthermore, 47.2% of internet users sought
   information about PCa, 18.0% of them indicated difficulties while
   searching for information. More than half of the users found the online
   information inappropriate. Lower age, shorter time since diagnosis,
   progress, and a more frequent internet use were associated with search
   for information. Only one-third fully trusted online information. Trust
   in online information was associated with high age, higher educational
   level, and frequent search for online information. Many survivors
   stressed that they were primarily trusting their treating urologist.
   Conclusions Two-thirds of long-term PCa survivors are using the
   internet. A significant proportion expressed difficulties finding proper
   and reliable information. Urologists should be familiar with online
   resources on PCa in order to offer advice to patients and to recommend
   adequate information on the internet.
RI Dinkel, Andreas/AAP-4681-2021
OI Dinkel, Andreas/0000-0001-6587-1550
ZA 0
ZS 0
TC 1
ZR 0
ZB 0
Z8 0
Z9 1
U1 1
U2 1
SN 0340-2592
EI 1433-0563
UT WOS:000482908800006
PM 31172242
ER

PT J
AU Wang, Nancy N.
   Fan, Richard E.
   Ghanouni, Pejman
   Sonn, Geoffrey A.
TI Teaching Urologists "How to Read Multi-Parametric Prostate MRIs Using
   PIRADSv2": Results of an iBook Pilot Study
SO UROLOGY
VL 131
BP 40
EP 44
DI 10.1016/j.urology.2019.04.040
PD SEP 2019
PY 2019
AB OBJECTIVE To create an online resource that teaches urologists how to
   interpret prostate multiparametric magnetic resonance imaging (mpMRI).
   As prostate mpMRI becomes widely adopted for cancer diagnosis and
   targeted biopsy, it is increasingly important that urologists are
   comfortable and experienced in assessing the images. The purpose of this
   study was to create an online mpMRI ibook and measure its effect on
   instilling proficiency among urology residents.
   METHODS We created a case-based ibook aimed at teaching clinicians how
   to identify and score prostate lesions on mpMRI using the Prostate
   Imaging-Reporting and Data System (PIRADS) v2. Residents completed a
   43-question pretest before gaining access to the ibook for 1 month. The
   test asks participants to identify and score visible lesions using
   interactive mpMRI images. After a formal review of the material, they
   completed a post-test. Participants also rated their diagnostic
   confidence on a scale of 1-10 before and after reviewing the ibook. The
   change in performance and confidence scores for each resident was
   compared usingWilcoxon signed-rank test.
   RESULTS Eleven urology residents completed the pretest, review session
   and post-test. The mean test score rose from 37% (median 40%) to 57%
   (median 58%) after reviewing the ibook. Improvement was significant (P =
   .0039). Confidence scores also improved (P = .001).
   CONCLUSION We created an interactive ibook that teaches urologists how
   to evaluate prostate mpMRIs and demonstrated improved performance in
   interpretation among urology residents. This effective module can be
   incorporated into resident education on a national level and offered as
   a self-teaching resource for practicing urologists. (C) 2019 Elsevier
   Inc.
OI Sonn, Geoffrey/0000-0002-0850-1956
TC 3
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 3
U1 0
U2 4
SN 0090-4295
EI 1527-9995
UT WOS:000482627900018
PM 31150691
ER

PT J
AU Nolan, Michael W.
   Balogh, Marton
   Waltman, Suzanne Shelly
TI Teaching Tip: Virtual Oncology Clinic
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 46
IS 3
BP 367
EP 371
DI 10.3138/jvme.0817-107r
PD FAL 2019
PY 2019
AB Due to limitations in traditional approaches to didactic and clinical
   learning, professional veterinary medical students face challenges in
   developing skills and competencies related to clinical practice. The
   Veterinary Information Network's (VIN) Virtual Clinic (VVC) aims to
   support learning by using gaming techniques to simulate clinical case
   management in a low-risk setting. The VVC lets students explore medical
   scenarios inside a virtual hospital. The purpose of this article is to
   describe the development and implementation of a learning approach that
   blends classroom instructor-directed learning with online
   simulation-based learning, using the VVC.We share challenges and
   successes of this approach. The case vignettes in the specific example
   described herein are for canine multicentric lymphoma. However, the
   lessons learned through the implementation of this oncology clinic
   module are expected to apply to a wide range of clinical disciplines.
OI Nolan, Michael W/0000-0002-4432-9700; Balogh, Marton/0000-0001-6792-4791
ZR 0
ZB 0
Z8 0
TC 2
ZS 0
ZA 0
Z9 2
U1 1
U2 8
SN 0748-321X
EI 1943-7218
UT WOS:000484549500009
PM 30721107
ER

PT J
AU Anderson, Natalie Elizabeth
   Slark, Julia
   Faasse, Kate
   Gott, Merryn
TI Paramedic student confidence, concerns, learning and experience with
   resuscitation decision-making and patient death: A pilot survey
SO AUSTRALASIAN EMERGENCY CARE
VL 22
IS 3
BP 156
EP 161
DI 10.1016/j.auec.2019.07.001
PD SEP 2019
PY 2019
AB Background: Around the world, many paramedics are authorised to withhold
   or terminate resuscitation. Research indicates this can be a challenging
   part of their role. Little is known about graduating paramedic student
   confidence, concerns and learning in this area.
   Methods: An online cross-sectional survey of students nearing completion
   of a paramedic degree in New Zealand, including piloting of a
   newly-developed confidence scale.
   Results: Seventy-two participants reported varying exposure to
   termination of resuscitation and patient death. Participants felt most
   confident providing technical procedurally-based care and least
   confident with non-technical skills. Participants' greatest concerns
   included making 'the right call', supporting grieving family,
   controlling emotions and encountering conflict. Clinical exposure with
   supportive mentoring, clinical simulation, peer reflection and resolved
   personal experience with death, were considered most useful for
   professional development.
   Conclusions: Exposure to termination of resuscitation and management of
   the scene of a patient death is variable amongst graduating paramedics.
   Novice paramedics may benefit from opportunities to observe and rehearse
   non-technical skills including delivering death notification and
   communicating with bystanders and bereaved family. The Confidence with
   Resuscitation Decision-Making and Patient Death Scale has favourable
   psychometric properties and utility as an outcome measure for future
   research in this area. (C) 2019 College of Emergency Nursing
   Australasia. Published by Elsevier Ltd. All rights reserved.
RI Anderson, Natalie Elizabeth/AAG-9600-2020; Faasse, Kate/
OI Anderson, Natalie Elizabeth/0000-0001-6852-1660; Faasse,
   Kate/0000-0003-3073-3718
TC 8
ZS 0
ZB 0
ZR 0
Z8 1
ZA 0
Z9 9
U1 2
U2 13
EI 2588-994X
UT WOS:000484350700004
PM 31300298
ER

PT J
AU Boaventura, Isabel
   Costa, Joao
   Fernandes, Ricardo Miguel
   Ferreira, Joaquim
TI Perception and Attitudes About Rational Prescription During Medical
   Training: Results of Focus Groups Including Medical Students and
   Residents
SO ACTA MEDICA PORTUGUESA
VL 32
IS 9
BP 593
EP 599
DI 10.20344/amp.10945
PD SEP 2019
PY 2019
AB Introduction: Clinical pharmacology educational strategies for medicine
   students seek to foster skills that range from technical knowledge to
   the development of behaviors that ensure rational prescribing decisions.
   The authors present the results of a study to evaluate the perceptions,
   attitudes and behaviors linked with rational prescribing throughout
   training.
   Material and Methods: Four focus groups were held with first, third and
   fifth year medical students and residents from the first years of
   various specialties, with a total of 29 participants. A semi-structured
   questionnaire with open-ended questions was used to facilitate
   interaction between the participants, alongside case-studies to explore
   the behaviors associated with therapeutic decisions.
   Results: The analysis of the references showcased an evolution of
   concepts throughout academic training. References regarding guidelines
   and effectiveness emerge during the third year; safety and treatment
   personalization emerge during the fifth year and specialist training.
   Efficacy studies, systematic reviews, regulatory documents and online
   platforms were considered the most relevant sources of information.
   Discussion: The literature review showcases the need to implement
   strategies dedicated to the development of adequate skills for rational
   prescribing. The use of focus groups may be a useful methodology to
   engage students in self-evaluation of their skills and inform faculty of
   the perceptions and behaviors of students.
   Conclusion: This analysis illustrates the awareness of students and
   young physicians to the need to adapt therapeutic approaches to the
   characteristics of the patient. These concepts should be reinforced so
   that young doctors feel more prepared for rational prescription in
   complex clinical situations.
RI Costa, João/GRR-7688-2022; Fernandes, Ricardo M/C-7501-2015
OI Costa, João/0000-0002-5831-4921; Fernandes, Ricardo
   M/0000-0002-7253-6475
ZS 0
Z8 0
ZB 0
ZA 0
TC 0
ZR 0
Z9 0
U1 0
U2 1
SN 1646-0758
UT WOS:000484059600007
PM 31493363
ER

PT J
AU North, Crystal M.
   Attia, Engi F.
   Rudd, Kristina E.
   Siddharthan, Trishul
   Papali, Alfred
   Coruh, Basak
   Carter, E. Jane
   Christiani, David C.
   Richards, Jeremy B.
   Huang, Laurence
   Engelberg, Ruth
   Checkley, William
   West, T. Eoin
TI Global Health-related Training Opportunities A National Survey of
   Pulmonary and Critical Care Medicine Fellowship Programs
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 16
IS 9
BP 1171
EP 1178
DI 10.1513/AnnalsATS.201812-856OC
PD SEP 2019
PY 2019
AB Rationale: Clinical and research training opportunities in global health
   are of increasing interest to medical trainees, but little is known
   about such opportunities in U.S.-based pulmonary and pulmonary/critical
   care medicine (PCCM) fellowship programs.
   Objectives: Summarize currently available global health-related training
   opportunities and identify potential barriers to implementing global
   health curricula among U.S.-based PCCM fellowship programs.
   Methods: We sent a confidential, online, targeted needs assessment to
   PCCM fellowship program directors and associate program directors. Data
   collected included program demographics, currently available global
   health-related clinical and research training opportunities, potential
   barriers to the implementation of global health-related programmatic
   content, and perceived interest in global health-related training
   opportunities by current and/or prospective trainees. To evaluate for
   nonresponse bias, we performed an online search to identify global
   health-related training opportunities offered by nonresponding programs.
   Results: Out of 171 surveyed programs, 63 PCCM fellowship programs (37%)
   provided survey responses. Most responses (n = 56, 89%) were from
   combined PCCM training programs; 66% (n = 40) of programs offered at
   least one component of global health-related clinical or research
   training. Overall, 27% (n=17) had a Ruth L. Kirschstein National
   Research Service Award Institutional Research Training Grant (National
   Institutes of Health T32), 73% (n = 46) had fewer than 35 faculty
   members, and 51% (n = 32) had at least one faculty member conducting
   global health-focused research. Most responding programs (66%, n=40)
   offered at least one global health-related educational component. Among
   programs that would like to offer global health-related training
   components, the most common barriers included competing priorities for
   lecture content and a lack of in-division mentors with global health
   experience, a champion for global health-related activities, and
   established partnerships outside the United States.
   Conclusions: PCCM program leaders are interested in offering global
   health-related training opportunities, but important barriers include
   lack of mentorship, dedicated fellowship time, and established global
   partnerships. Future research is needed to better understand global
   health-related interests and training needs of incoming fellows and to
   design creative solutions for providing global health-related training
   across academic institutions with variable global health-related
   training capacities.
RI Çoruh, Başak/AAR-3290-2020; Rudd, Kristina/AFM-0440-2022; Siddharthan, Trishul/ABI-7593-2020; Richards, Jeremy B./J-4031-2019; Huang, Laurence/AAE-1590-2019; Huang, Laurence/AAZ-7120-2021; Rudd, Kristina/AAH-2770-2022; Attia, Engi Farouk/J-7793-2019; Checkley, William/; West, T Eoin/
OI Rudd, Kristina/0000-0002-6695-8401; Siddharthan,
   Trishul/0000-0001-9914-1839; Richards, Jeremy B./0000-0002-8922-1955;
   Huang, Laurence/0000-0003-3888-2195; Rudd, Kristina/0000-0002-6695-8401;
   Attia, Engi Farouk/0000-0002-5044-9602; Checkley,
   William/0000-0003-1106-8812; West, T Eoin/0000-0001-5503-7204
ZA 0
Z8 0
ZS 0
TC 3
ZR 0
ZB 1
Z9 3
U1 1
U2 4
SN 1546-3222
EI 2325-6621
UT WOS:000484046200018
PM 31199665
ER

PT J
AU Mueller, Beate Sigrid
   Beyer, Martin
   Blazejewski, Tatjana
   Gruber, Dania
   Mueller, Hardy
   Gerlach, Ferdinand Michael
TI Improving critical incident reporting in primary care through education
   and involvement
SO BMJ OPEN QUALITY
VL 8
IS 3
AR e000556
DI 10.1136/bmjoq-2018-000556
PD SEP 2019
PY 2019
AB BackgroundCritical incident reporting systems (CIRS) can be an important
   tool for the identification of organisational safety needs and thus to
   improve patient safety. In German primary care, CIRS use is obligatory
   but remains rare. Studies on CIRS implementation in primary care are
   lacking, but those from secondary care recommend involving management
   personnel.ObjectiveThis project aimed to increase CIRS use in 69
   practices belonging to a local practice network.MethodsThe intervention
   consisted of the provision of a web-based CIRS, accompanying measures to
   train practice teams in error management and CIRS, and the involvement
   of the network's management. Three measurements were used: (1) number of
   incident reports and user access rates to the web-based CIRS were
   recorded, (2) staff were given a questionnaire addressing incident
   reporting, error management and safety climate and (3) qualitative
   reflection conferences were held with network management.ResultsOver 20
   months, 17 critical incidents were reported to the web-based CIRS. The
   number of staff intending to report the next incident online decreased
   from 42% to 20% of participants. In contrast, the number of practices
   using an offline CIRS (eg, incident book) increased from 23% to 49% of
   practices. Practices also began proactively approaching network
   management for help with incidents. After project completion,
   participants scored higher in the patient safety climate factor
   'perception of causes of errors'. For many practices, the project
   provided the first contact with structured error
   management.ConclusionSpecific measures to improve the use of CIRS in
   primary care should focus on network management and practice owners.
   Practices need basic training on safety culture and error management.
   Continuing, practices should implement an offline CIRS, before they can
   profit from the exchange of reports via web-based CIRS. It is crucial
   that practices receive feedback on incidents, and trained network
   management personnel can provide such support.
RI Müller, Beate Sigrid/ABE-3230-2020
OI Müller, Beate Sigrid/0000-0002-6745-1047
ZR 0
ZA 0
ZB 0
TC 5
ZS 0
Z8 0
Z9 5
U1 0
U2 1
EI 2399-6641
UT WOS:000672549200028
PM 31523734
ER

PT J
AU Toolabi, Karamollah
   Parsaei, Reza
   Elyasinia, Fezzeh
   Zamanian, Abbas
TI Reliability and Educational Value of Laparoscopic Sleeve Gastrectomy
   Surgery Videos on YouTube
SO OBESITY SURGERY
VL 29
IS 9
BP 2806
EP 2813
DI 10.1007/s11695-019-03907-3
PD SEP 2019
PY 2019
AB Introduction Many surgery videos can be found in different social
   networks and video sharing websites. Watching surgeries performed by
   different surgical experts of various institutions can be an invaluable
   supplement to traditional methods of learning surgery. YouTube is a
   quite popular video sharing website, and many surgeons and trainees
   refer to it as a source of surgery videos. However, since its content is
   not peer-reviewed, there is a concern over reliability and educational
   value of its surgical videos. In this study, we aimed to investigate the
   reliability and educational value of laparoscopic sleeve gastrectomy
   (LSG) videos on YouTube. Methods We searched YouTube for videos of
   "Laparoscopic sleeve gastrectomy" on 20 July 2018. In order to assess
   videos, we evaluated ten key steps in laparoscopic sleeve gastrectomy.
   The videos were reviewed by two experienced surgeons in the field of
   bariatric surgery to determine their reliability. Results A total of 74
   videos were selected. After reviewing videos, 32 (43%) of them were
   considered as reliable. There was no relationship between reliability
   and views, likes, dislikes, resolution, and year of upload and
   affiliation of videos. Only 6 (8% of all) reliable videos showed
   operation setup and port placement and included voice commentary.
   Conclusion Importance of online media in the education of surgery cannot
   be overestimated. However, trainees are advised to search for
   peer-reviewed contents dedicated to education.
TC 13
ZB 0
ZA 0
ZR 0
ZS 1
Z8 1
Z9 15
U1 0
U2 1
SN 0960-8923
EI 1708-0428
UT WOS:000483706700013
PM 31073953
ER

PT J
AU Romanski, Phillip A.
   James, Kaitlyn E.
   Sabatini, Mary E.
TI Women's health providers' perspectives on preimplantation genetic
   testing
SO REPRODUCTIVE BIOMEDICINE ONLINE
VL 39
IS 3
BP 530
EP 537
DI 10.1016/j.rbmo.2019.05.005
PD SEP 2019
PY 2019
AB Research question: What are the perspectives of women's health providers
   on the use of preimplantation genetic testing (PGT) for common medical
   disorders?
   Design: A cross-sectional 15-question online anonymous survey was
   conducted of women's health providers specializing in general
   obstetrics/gynaecology, gynaecologic oncology and infertility at a
   tertiary care academic institution in Massachusetts, USA. Respondents
   could answer 'yes, 'no' or 'unsure' to each thematic question.
   Results: The survey was sent to 1060 providers and 240 providers
   responded (response rate 22.6%). Overall, 93% of respondents supported
   the use of PGT for the identification of genetic mutations which lead to
   childhood-onset disease, 83% supported the use of PGT for chromosomal
   aneuploidy screening, and 76% supported the use of PGT for
   cancer-related genetic disorders. Only 1.7% of respondents supported the
   use of PGT for non-disease-related indications, including sex selection
   and physical traits. Compared with general obstetrics/gynaecology
   providers, infertility specialists were more supportive of PGT. In
   total, 22.5% of respondents reported no prior knowledge of PGT.
   Conclusions: In a sample of women's health providers across multiple
   different obstetrics/gynaecology specialties, there was overall support
   for the use of PGT for a variety of common indications. Infertility
   specialists were the most supportive, which may reflect the familiarity
   that these providers have with this procedure. There was an
   overwhelmingly non-supportive response for the use of PGT for
   non-disease-related indications. The percentage of medical professionals
   working in women's health without prior knowledge of PGT (22.5%) was
   higher than expected, identifying the need for more education regarding
   the availability and potential indications for this procedure.
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
TC 0
Z9 0
U1 0
U2 6
SN 1472-6483
EI 1472-6491
UT WOS:000483914100020
PM 31300204
ER

PT J
AU Matthews, Christopher N.
   Estrada, Danielle C.
   Weinstein, Mindy George
   Claeson, Kerin M.
TI Integrating the Principles and Practice of Scholarly Activity Into
   Undergraduate Medical Education: A Narrative Review and Proposed Model
   for Implementation
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 119
IS 9
BP 598
EP 611
DI 10.7556/jaoa.2019.103
PD SEP 2019
PY 2019
AB The osteopathic undergraduate medical education standards have evolved
   over the past 2 decades to require undergraduate medical student
   participation in research and scholarly activity. The authors' objective
   was to review those evolving standards and develop a model for
   introducing the principles and practice of research that combines core
   content with experiential learning. They identified fundamental topics
   pertinent to the research process and herein provide their
   recommendations for incorporating these topics into the curriculum as
   self-study, online modules, and team-based and active learning
   exercises. The authors' proposed educational model would provide an
   avenue for osteopathic medical schools to meet the requirements for
   scholarly activity. Increasing students' and residents' knowledge of the
   research process will lay the foundation for their engagement in
   research and scholarly activity and their practice of evidence-based
   medicine.
RI Matthews, Christopher/AAL-9512-2021
OI Matthews, Christopher/0000-0001-9752-5812
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 2
Z9 2
U1 1
U2 4
SN 0098-6151
EI 1945-1997
UT WOS:000483915800007
PM 31449306
ER

PT J
AU Lawrence, Neil
   Cheetham, Tim
   Elder, Charlotte
TI How do paediatricians use and monitor antithyroid drugs in the UK? A
   clinician survey
SO CLINICAL ENDOCRINOLOGY
VL 91
IS 3
BP 417
EP 423
DI 10.1111/cen.14046
PD SEP 2019
PY 2019
AB Objective We aimed to document current practice in the medical
   management of paediatric hyperthyroidism in the UK and compare to
   international recommendations. Design A 27-question online survey
   distributed via an electronic newsletter in August 2018. Participants
   Responses from 48 members (11%) of the British Society for Paediatric
   Endocrinology and Diabetes. Measurements Information about antithyroid
   drug (ATD) preference, treatment duration, monitoring of full blood
   count (FBC), management of neutropaenia, agranulocytosis screening and
   patient education. Results Carbimazole is favoured by 98% of respondents
   and a "dose titration" regimen preferred over "block and replace" (65%
   vs 29%). TRAbs (thyroid-stimulating hormone receptor antibodies) are
   used for diagnostic purposes by 85% and by 33% to look for evidence of
   disease remission. The majority (81%) treat for a minimum of 2 years
   before considering a trial off ATD. All respondents reported that they
   "always/usually" warn their patients about the risk of agranulocytosis
   before starting ATD, but written information is "rarely/never" provided
   by 63%. Sore throat (98%) and fever (92%) are the most commonly cited
   symptoms used to alert a patient to possible agranulocytosis. FBC is
   measured prior to treatment by 65% and measured periodically during
   treatment by 70%. Conclusions The management of paediatric
   hyperthyroidism with ATDs in the UK is not consistent with all
   international recommendations because a block and replace ATD regimen
   remains widely used. TRAbs are utilized at presentation, but underused
   for detecting disease remission. National consensus guidelines and
   written patient information may refine the management of paediatric
   patients on ATDs.
OI Lawrence, Neil/0000-0002-7686-6172
ZS 0
Z8 0
ZA 0
TC 2
ZB 1
ZR 0
Z9 2
U1 0
U2 1
SN 0300-0664
EI 1365-2265
UT WOS:000482453600008
PM 31179554
ER

PT J
AU Eldenfria, Atef
   Al-Samarraie, Hosam
TI The effectiveness of an online learning system based on aptitude scores:
   An effort to improve students' brain activation
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 24
IS 5
BP 2763
EP 2777
DI 10.1007/s10639-019-09895-2
PD SEP 2019
PY 2019
AB The differences in learning preferences can be attributed to the
   differences in individuals' cognitive capacities which may lead them to
   undertake a certain behavior. It is argued that characterizing the
   learning complexity based on the volume of information presented to
   learners can eliminate any avoidable load on working memory. This study
   examined the effectiveness of an online continuous adaptive mechanism
   (OCAM) based on changes in learner aptitude scores across learning
   sessions. The representation of the learning content in these sessions
   was designed for a low-, medium-, and high-aptitude individual. The
   brain activation of 12 students (6 male and 4 female; aged 20-25 years),
   obtained from using the proposed system, was examined using an
   electroencephalogram (EEG). The result showed that OCAM helped learners
   to understand the content being presented according to their aptitude
   scores, thus improving their brain activation. Findings from this study
   can be used to inform online system designers and developers about the
   importance of incorporating aptitude scores for customizing the
   representation of learning materials in an online environment.
RI Eldenfria, Atef/AAW-2301-2021; Eldenfria, Atef/AAB-1602-2019; AL-SAMARRAIE, HOSAM/AAG-8941-2019; Eldenfria, Atef/AAW-8019-2021
OI AL-SAMARRAIE, HOSAM/0000-0002-9861-8989; Eldenfria,
   Atef/0000-0002-1463-4579
ZB 0
Z8 0
TC 2
ZS 0
ZR 0
ZA 0
Z9 2
U1 3
U2 12
SN 1360-2357
EI 1573-7608
UT WOS:000482394200008
ER

PT J
AU Malik, Rena D.
   Kowalik, Casey G.
TI Patient Education for Overactive Bladder in the Digital Era
SO CURRENT BLADDER DYSFUNCTION REPORTS
VL 14
IS 3
BP 186
EP 190
DI 10.1007/s11884-019-00520-z
PD SEP 2019
PY 2019
AB Purpose of Review To encourage clinicians to offer appropriate
   electronic resources to patients with overactive bladder (OAB) and to
   aid them in deciphering the quality of available online information.
   Recent Findings Patients are turning to the Internet, including social
   media sites and podcasts, for further education on their medical
   conditions. Mobile medical applications also have a role in patient
   education, symptom management, and treatment. Internet-based
   interventions using behavioral changes may be a suitable option for
   patients. However, many resources on the Internet are not validated so
   physicians are strongly encouraged to play a role in directing patients
   to appropriate resources. As Internet access and capabilities continue
   to expand, it will play an increasing role in healthcare, particularly
   with patient education and treatment. Clinicians should encourage
   patients to seek out certified sites that contain evidence-based
   information that aligns with current OAB recommendations.
RI Malik, Rena/S-9198-2018
OI Malik, Rena/0000-0001-8994-6764
TC 3
ZR 0
Z8 0
ZS 0
ZB 1
ZA 0
Z9 3
U1 0
U2 3
SN 1931-7212
EI 1931-7220
UT WOS:000482476800010
ER

PT J
AU Lorenzo-Alvarez, Rocio
   Rudolphi-Solero, Teodoro
   Ruiz-Gomez, Miguel J.
   Sendra-Portero, Francisco
TI Medical Student Education for Abdominal Radiographs in a 3D Virtual
   Classroom Versus Traditional Classroom: A Randomized Controlled Trial
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 213
IS 3
BP 644
EP 650
DI 10.2214/AJR.19.21131
PD SEP 2019
PY 2019
AB OBJECTIVE. The purpose of this article is to compare the effectiveness
   of practical radiology learning by medical students in a 3D virtual
   world versus the real world.
   SUBJECTS AND METHODS. Two hundred fifteen 3rd-year medical students were
   randomized into two groups to attend the same workshop on abdominal
   radiography interpretation in a virtual world classroom (VW group) and
   in real life (RL group). Pre- and post-training knowledge tests
   consisting of 12 multiple choice questions were performed at the
   beginning of the workshop and 2 months later.
   RESULTS. Fifty-four of 107 and five of 108 students refused to attend
   their respective group, resulting in the participation of 53 students
   (VW group) and 103 students (RL group) in this study. No significant
   differences were found between groups in the tests taken before (VW
   group, mean [+/- SD], 4.5 +/- 1.8 points; RL group, 4.0 +/- 1.3 points)
   and after (VW group, 6.2 +/- 1.2; RL group, 6.0 +/- 1.7 points)
   training.
   CONCLUSION. Radiology education in a 3D virtual classroom fosters
   participatory learning and results in similar acquisition of
   interpretive skills as a traditional face-to-face classroom. Virtual
   worlds allow the performance of online activities to learn interpretive
   skills with guaranteed success in learning similar to that of
   conventional activities. Additionally, the relative lack of identity in
   the virtual workshops makes students less afraid to speak and more
   participatory.
RI Sendra-Portero, Francisco/AAM-3468-2021; Ruiz-Gómez, Miguel J./G-9980-2011; Rudolphi-Solero, Teodoro/
OI Sendra-Portero, Francisco/0000-0001-9535-9806; Ruiz-Gómez, Miguel
   J./0000-0003-4630-7588; Rudolphi-Solero, Teodoro/0000-0001-7256-8787
ZB 2
ZS 0
ZA 0
Z8 0
TC 21
ZR 0
Z9 21
U1 1
U2 11
SN 0361-803X
EI 1546-3141
UT WOS:000482214600032
PM 31287725
ER

PT J
AU Jindal, Pranay
   Macdermid, Joy C.
   Rosenbaum, Peter
   Direzze, Briano
   Narayan, Amitesh
   Nayak, Sharada L.
TI Treatment and re/habilitation of children with cerebral palsy in India:
   a scoping review
SO DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
VL 61
IS 9
BP 1050
EP +
DI 10.1111/dmcn.14211
PD SEP 2019
PY 2019
AB Aim To describe the nature and extent of the literature addressing the
   medical and its re/habilitative management of cerebral palsy (CP) in
   India. Method Online worldwide scholarly databases, research hosting
   directories, Indian publishing houses, and grey literature were used to
   identify papers published between 2005 and 2016. We retrieved 144
   English language papers that described the medical and rehabilitative
   management of Indian children with CP. Results Quantitative,
   qualitative, and mixed research designs are published by a variety of
   health care professionals in India. Intervention (45%) and observational
   studies (30%) predominate. Outcomes were categorized using the World
   Health Organization's International Classification of Functioning,
   Disability and Health framework, with body structure and function most
   reported and activity/participation least reported; 57% described its
   re/habilitation interventions and 43% were medical interventions.
   Interpretation There is a substantial body of CP research in India that
   focuses on interventions to reduce impairments, with minimal attention
   given to activities and participation, environmental, and personal
   factors. Twenty-six per cent of studies are published in what appear to
   be 'predatory journals'. This paper serves as an alert about the
   presence of 'predatory journals' in medicine that may introduce
   publication bias, which can distort results reported in those studies
   individually, or from conclusions drawn in reviews that contain those
   studies. What this paper adds
   Cerebral palsy research in India focuses on interventions to reduce
   impairment. Activities, participation, and environmental factors are
   minimally addressed. Quantitative studies are more common than
   qualitative studies. Many Indian studies are published in journals that
   are not indexed in worldwide databases of scholarly journals.
RI Narayan, Amitesh/AAC-9761-2020; MacDermid, Joy C/H-7837-2013; Jindal, Pranay/GPK-5103-2022; Jindal, Pranay/I-1041-2014; Rosenbaum, Peter/AAW-7913-2021
OI Narayan, Amitesh/0000-0001-7587-8414; MacDermid, Joy
   C/0000-0001-9311-7379; Jindal, Pranay/0000-0001-5961-5518; Jindal,
   Pranay/0000-0001-5961-5518; Rosenbaum, Peter/0000-0001-6751-5613
ZA 0
TC 11
Z8 1
ZS 0
ZB 5
ZR 0
Z9 11
U1 1
U2 7
SN 0012-1622
EI 1469-8749
UT WOS:000478628700017
PM 30883735
ER

PT J
AU Perry, Laura M.
   Hoerger, Michael
   Seibert, Katherine
   Gerhart, James I.
   O'Mahony, Sean
   Duberstein, Paul R.
TI Financial Strain and Physical and Emotional Quality of Life in Breast
   Cancer
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 58
IS 3
BP 454
EP 459
DI 10.1016/j.jpainsymman.2019.05.011
PD SEP 2019
PY 2019
AB Context. Few studies have examined the association between financial
   strain and quality of life outcomes in breast cancer.
   Objectives. To examine the association between financial strain and key
   elements of physical and emotional quality of life among women with
   breast cancer.
   Methods. Across three geographically diverse samples (census regions:
   Northeast = 13.2%, Midwest = 26.8%, South = 35.5%, West = 17.4%;
   international = 7.1%), 309 women with a history of breast cancer
   completed online surveys including measures of financial strain,
   depression, anxiety, symptom burden, and perceived health. The third
   sample (N = 134) also reported financial toxicity that specifically
   documents financial strain because of medical care costs. Primary
   analyses assessed the association between financial strain and measures
   of emotional and physical quality of life. Sensitivity analyses examined
   associations using the measure of financial toxicity. All analyses were
   controlled for key covariates.
   Results. Results showed that 37.5% of women experienced financial strain
   (Samples 1-3), varying from 12.1% among older, married, and
   college-educated women to 81.0% among women who were younger, unmarried,
   and lacked a college education. In addition, 26.1% reported
   treatment-specific financial toxicity (Sample 3). Financial strain was
   associated with more severe symptoms of depression (P < 0.001) and
   anxiety (P < 0.001) and worse physical symptom burden (P < 0.001) and
   perceived health (P < 0.001). Observed effects were sustained in
   sensitivity analyses using the financial toxicity measure.
   Conclusions. The present investigation illustrates the importance of
   financial strain in breast cancer. Healthcare systems are encouraged to
   expand interdisciplinary palliative and supportive care services that
   have the expertise necessary to help financially strained patients
   navigate the cancer care continuum. (C) 2019 American Academy of Hospice
   and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
RI Duberstein, Paul Raphael/AAO-5302-2020
OI Duberstein, Paul Raphael/0000-0001-6882-0898
ZR 0
ZS 0
ZB 2
TC 17
ZA 0
Z8 0
Z9 17
U1 4
U2 10
SN 0885-3924
EI 1873-6513
UT WOS:000482180100017
PM 31163258
ER

PT J
AU Moriates, Christopher
   Valencia, Victoria
   Stamets, Sara
   Joo, Joseph
   MacClements, Jonathan
   Wilkerson, LuAnn
   Nelson, Elizabeth A.
   Bozic, Kevin
   Cox, Susan M.
TI Using Interactive Learning Modules to Teach Value-Based Health Care to
   Health Professions Trainees Across the United States
SO ACADEMIC MEDICINE
VL 94
IS 9
BP 1332
EP 1336
DI 10.1097/ACM.0000000000002670
PD SEP 2019
PY 2019
AB Problem Despite prominent calls to incorporate value-based health care
   (VBHC) into medical education, there is still a global need for robust
   programs to teach VBHC concepts throughout health professions training.
   Approach In June 2017, Dell Medical School released the first collection
   (three modules) of a set of free interactive online learning modules,
   which aim to teach the basic foundations of VBHC to health professions
   learners at any stage of training and can be incorporated across diverse
   educational settings. These modules were designed by an
   interprofessional team based on principles of cognitive engagement for
   active learning. Outcomes From June 2017 to September 2018, the website
   received 130,098 pageviews from 8,546 unique users (2,072 registered
   users), representing 45 states in the United States and 10 foreign
   countries. As of October 15, 2018, 568 (27%) of registered users
   completed modules 1-3. Five-hundred thirty-five of these users completed
   a survey (94% response rate). Nearly all (484/535; 90%) reported overall
   satisfaction with the curriculum, 522/535 (98%) agreed "after completing
   the modules, I can define value in health care," and 520/535 (97%)
   agreed "after completing the modules, I can provide examples of low- and
   high-value care." Second-year Dell Medical School students reported that
   they have incorporated value into their clinical clerkships (e.g., by
   discussing VBHC with peers [43/45; 96%]) as a result of completing the
   modules. Next Steps Future plans for the curriculum include the release
   of additional modules, more robust knowledge assessment, and an expanded
   learning platform that allows for further community engagement.
OI Joo, Joseph/0000-0002-3073-0237; Valencia, Victoria/0000-0001-5250-5359;
   Moriates, Christopher/0000-0002-3153-2558
ZS 0
Z8 1
ZA 0
ZR 0
ZB 1
TC 8
Z9 10
U1 0
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000482966800023
PM 31460928
ER

PT J
AU Zhang, Xiao-Min
   Yu, Jian-Yun
   Yang, Yuan
   Feng, Cui-Ping
   Lyu, Jing
   Xu, Shi-Lian
TI A flipped classroom method based on a small private online course in
   physiology
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 43
IS 3
BP 345
EP 349
DI 10.1152/advan.00143.2018
PD SEP 2019
PY 2019
AB A small private online course (SPOC) supports blended learning on a
   small scale, enabling students to have a more comprehensive and deeper
   learning experience. It also provides instructors with a flexible and
   feasible model to better understand the students' learning needs and to
   supervise students' learning behaviors. In this study, we adopted SPOC
   flipped classroom blended teaching in the physiology course for clinical
   undergraduate students of Kunming Medical University. Compared with the
   control group [lecture-based learning (LBL)], the SPOC flipped classroom
   method significantly increased the scores of students in the preclass
   test (65.13 +/- 12.45 vs. 53.46 +/- 8.09, SPOC vs. LBL) and postclass
   test (80.43 +/- 14.29 vs. 69.01 +/- 12.81, SPOC vs. LBL), which is
   induced by students' increased interest in self-learning. More
   importantly, the significant difference between the preclass scores of
   the two groups suggested that the video lecture-based preview is more
   effective than the textbook-based preview. The study indicated that the
   SPOC flipped classroom was effective in enhancing the examination scores
   of students, reflecting an improved learning efficiency and a deeper
   understanding of the knowledge. In summary, the flipped classroom based
   on SPOC improves learning outcomes compared with LBL and has a wide
   application in the learning of basic medical courses.
OI Zhang, Xiaomin/0000-0002-1179-979X
ZB 1
ZA 0
ZR 0
ZS 0
Z8 2
TC 18
Z9 20
U1 8
U2 40
SN 1043-4046
EI 1522-1229
UT WOS:000481681800016
PM 31305152
ER

PT J
AU O'Malley, Dervla
   Barry, Denis S.
   Rae, Mark G.
TI How much do preclinical medical students utilize the internet to study
   physiology?
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 43
IS 3
BP 383
EP 391
DI 10.1152/advan.00070.2019
PD SEP 2019
PY 2019
AB Medical students increasingly utilize social media platforms to
   supplement their preclinical learning; however, the prevalence of social
   media use for physiology learning in medical education remains unclear.
   The aim of the present study was to determine how first-year medical
   students from both direct entry medicine and graduate entry medicine
   interacted with social media as a learning tool by assessing its
   prevalence, perceived benefits, favored platforms, and reason(s) for its
   use. Seventy-one percent of surveyed students (out of 139 participants)
   stated that they interacted with social media in general more than 12
   times per week. However, 98% had previously used internet platforms to
   source physiology information, with 89.2% doing so at least once per
   week during term. YouTube was the primary source of learning for 76% of
   students. Significantly. 94% of students indicated that they would first
   search for answers online if they did not understand something in
   physiology rather than contacting their instructor in person or by
   e-mail. However, only 31% of students "fact-checked" physiology
   information obtained from online sources, by using textbooks, papers,
   and/or instructors. Our study has revealed that most preclinical medical
   students utilize social media extensively to study physiology. However,
   the absence of academic and ethical oversight, paired with students'
   lack of critical appraisal of possibly inaccurate information, does
   raise concerns about the overall utility of social media as part of
   physiology education.
OI Rae, Mark/0000-0002-9836-2688
TC 10
Z8 0
ZA 0
ZS 0
ZR 0
ZB 1
Z9 10
U1 1
U2 6
SN 1043-4046
EI 1522-1229
UT WOS:000481681800023
PM 31361149
ER

PT J
AU Kay, Denise
   Pasarica, Magdalena
TI Using technology to increase student (and faculty satisfaction with)
   engagement in medical education
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 43
IS 3
BP 408
EP 413
DI 10.1152/advan.00033.2019
PD SEP 2019
PY 2019
AB Faculty dissatisfaction with diminishing levels of student engagement in
   lifestyle medicine sessions prompted this exploratory project that
   compared differences in students' substantive engagement in medical
   preclinical and clinical level lifestyle medicine sessions. The
   preclinical and clinical level sessions had the same learning objectives
   and learning tasks, properly aligned with that level of student
   learning, but were offered in different learning formats, either
   traditional classroom approaches or technology-enhanced approaches. At
   the preclinical level, we transferred a nonmandatory, face-to-face
   session to a nonmandatory, fully online session. At the clinical level,
   we introduced two novel technology tools. We utilized Zoom technologies,
   which afforded students the ability to access the session from anywhere,
   and employed Hickey's use of "promoting" student submissions as one
   method for increasing student-student interaction during the synchronous
   session. We used indicators of behavioral engagement of Henrie et al.
   (Henrie CR, Halverson LR, Graham CR. Comput Educ 90: 36-53, 2015) as the
   framework for determining applicable engagement behaviors, including
   attendance, assignment completion, interactions
   (responding/feedback/endorsements), and the quality of (and faculty
   satisfaction with) the face-to-face and/or online interactions. We
   expected to observe higher levels of engagement behaviors in the
   technology-enhanced approach and found that to be the case at both the
   preclinical and clinical levels, in both mandatory/nonmandatory and
   synchronous/asynchronous formats. However, it was the increase in both
   the level and substance of the students' interactions in the
   technology-enhanced sessions that provided surprising results. A review
   of the sessions with enhanced engagement highlight the role of student
   autonomy, a construct with strongly established associations to student
   motivation and engagement.
OI Kay, Denise/0000-0002-1216-9220
ZS 0
Z8 0
ZA 0
ZB 4
TC 62
ZR 0
Z9 63
U1 3
U2 15
SN 1043-4046
EI 1522-1229
UT WOS:000481681800027
PM 31408381
ER

PT J
AU Crasta, Jewel E.
   Sibel, Jamie
   Slomine, Beth S.
   Mahone, E. Mark
   Mostofsky, Stewart H.
   Suskauer, Stacy J.
TI Subtle Motor Signs in Children With Chronic Traumatic Brain Injury
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 98
IS 9
BP 737
EP 744
DI 10.1097/PHM.0000000000001110
PD SEP 2019
PY 2019
AB Objective The aim of the study was to characterize subtle motor signs in
   children with moderate-severe traumatic brain injury in the chronic
   phase of injury. Design Fourteen children with moderate (n = 6) or
   severe (n = 8) traumatic brain injury, ages 11-18 yrs, who had sustained
   their injury at least 1-yr before study participation (range 1-14 yrs
   since injury), and 14 matched typically developing controls were
   examined using the Physical and Neurological Examination of Subtle Signs
   (PANESS). To examine the neural correlates of subtle motor signs,
   measures of total cerebral volume and motor/premotor volume were derived
   from magnetic resonance imaging. Results Children with traumatic brain
   injury had significantly poorer PANESS performance than controls on the
   total timed subscore, proximal overflow, and the PANESS total score.
   Participants with severe traumatic brain injury had greater proximal
   overflow than those with moderate injury, after controlling for age at
   injury. Across all participants, greater proximal overflow correlated
   with reduced total cerebral volume, whereas within the traumatic brain
   injury group, reduced motor/premotor volume correlated with lower PANESS
   total score. Conclusions The study highlights the importance of
   examining subtle motor signs including overflow during clinical
   evaluation of chronic pediatric traumatic brain injury and establishes
   the clinical utility of the PANESS as a measure sensitive to chronic
   subtle motor signs in this population. To Claim CME Credits Complete the
   self-assessment activity and evaluation online at CME Objectives Upon
   completion of this article, the reader should be able to: (1) Define
   subtle motor signs including motor overflow; (2) Identify subtle motor
   signs such as motor overflow during clinical evaluation of children with
   brain injury; and (3) Explain the relevance of examining subtle motor
   signs in chronic pediatric brain injury during clinical evaluations.
   Level Advanced. Accreditation The Association of Academic Physiatrists
   is accredited by the Accreditation Council for Continuing Medical
   Education to provide continuing medical education for physicians. The
   Association of Academic Physiatrists designates this Journal-based CME
   activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)(TM).
   Physicians should only claim credit commensurate with the extent of
   their participation in the activity.
RI Crasta, Jewel/S-9932-2019; Crasta, Jewel/AAV-4936-2021; Mahone, E. Mark/
OI Crasta, Jewel/0000-0002-5397-6336; Mahone, E. Mark/0000-0002-5022-1499
ZB 0
ZR 0
TC 2
ZS 0
ZA 0
Z8 0
Z9 2
U1 0
U2 5
SN 0894-9115
EI 1537-7385
UT WOS:000481525600007
PM 30550451
ER

PT J
AU Brewer, Nicole J.
   Turrise, Stephanie L.
   Kim-Godwin, Yeoun Soo
   Pond, Richard S., Jr.
TI Nurses' Knowledge and Treatment Beliefs: Use of Complementary and
   Alternative Medicine for Pain Management
SO JOURNAL OF HOLISTIC NURSING
VL 37
IS 3
BP 248
EP 259
DI 10.1177/0898010118822212
PD SEP 2019
PY 2019
AB Purpose: To examine the relationship between nurses' knowledge,
   attitudes, and beliefs about medicines, in general, and complementary
   and alternative medicine (CAM) and identify the predictors of referrals
   for pain management. Method: This descriptive, correlational study
   utilized an online survey to collect data from direct care nurses at a
   large medical center in southeastern United States. The online survey
   consisted of the Complementary and Alternative Medicines and Beliefs
   Inventory (CAMBI), the Beliefs about Medicine Questionnaire, and four
   open-ended questions. Referral data were obtained from the Information
   Management Department at this medical center. Results: Among the 218
   nurses who completed the survey (15.12%), majority (85%) supported CAM
   use, but only 32% reported utilizing CAM therapies with patients.
   Medical surgical, emergency department, and perioperative nurses scored
   higher on their CAMBI total score and were more likely to refer for CAM
   therapies when compared with intensive care unit nurses. Conclusions:
   Beliefs about CAM specifically were not related to referrals for CAM
   therapies. This study suggests the need for further education on the
   nurse's role in CAM usage. Understanding the link between nurses'
   knowledge, attitudes, and treatment beliefs and their relationship to
   CAM usage provides direction for future educational interventions.
RI Turrise, Stephanie/K-6732-2019
OI Turrise, Stephanie/0000-0002-0818-8269
ZR 0
ZS 0
TC 11
Z8 0
ZB 1
ZA 0
Z9 11
U1 0
U2 12
SN 0898-0101
EI 1552-5724
UT WOS:000481474900005
PM 30636555
ER

PT J
AU Yuan, Christina M.
   Oliver, James D., III
   Little, Dustin J.
   Narayan, Rajeev
   Prince, Lisa K.
   Raghavan, Rajeev
   Nee, Robert
CA NERDC
TI Survey of non-tunneled temporary hemodialysis catheter clinical practice
   and training
SO JOURNAL OF VASCULAR ACCESS
VL 20
IS 5
BP 507
EP 515
DI 10.1177/1129729818820231
PD SEP 2019
PY 2019
AB Background: Nephrologists are placing fewer non-tunneled temporary
   hemodialysis catheters. Requiring competence for nephrology fellow
   graduation is controversial. Methods: Anonymous, online survey of all
   graduates from a single, military nephrology training program (n = 81;
   1985-2017) and all US Nephrology program directors (n = 150). Results:
   Graduate response and completion rates were 59% and 100%, respectively;
   93% agreed they had been adequately trained; 58% (26/45) place
   non-tunneled temporary hemodialysis catheters, independent of academic
   practice or time in practice, but 12/26 did <= 5/year and 23/26 referred
   some or all. The most common reason for continuing non-tunneled
   temporary hemodialysis catheter placement was that it is an essential
   emergency procedure (92%). The single most significant barrier was time
   to do the procedure (49%). Program director response and completion
   rates were 50% and 79%, respectively. The single most important barrier
   to fellow competence was busyness of the service (36%), followed by
   disinterest (21%); 55% believed that non-tunneled temporary hemodialysis
   catheter insertion competence should be required, with 81% indicating it
   was an essential emergency procedure. The majority of graduates and
   program directors agreed that simulation training was valuable; 76% of
   programs employ simulation. Graduates who had simulation training and
   program directors with <= 20 years of practice were significantly more
   likely to agree that simulation training was necessary. Conclusion: Of
   the graduate respondents from a single training program, 58% continue to
   place non-tunneled temporary hemodialysis catheters; 55% of program
   directors believe non-tunneled temporary hemodialysis catheter
   procedural competence should be required. Graduates who had non-tunneled
   temporary hemodialysis catheter simulation training and younger program
   directors consider simulation training necessary. These findings should
   be considered in the discussion of non-tunneled temporary hemodialysis
   catheter curriculum requirements.
RI Nee, Robert/AAD-3838-2022
OI Nee, Robert/0000-0003-1201-6344
ZS 0
ZB 0
Z8 0
TC 2
ZA 0
ZR 0
Z9 2
U1 0
U2 2
SN 1129-7298
EI 1724-6032
UT WOS:000481479400009
PM 30590997
ER

PT J
AU Sevinc, Mustafa
TI Educational value of Internet videos in vascular access
SO JOURNAL OF VASCULAR ACCESS
VL 20
IS 5
BP 537
EP 544
DI 10.1177/1129729819845956
PD SEP 2019
PY 2019
AB Aim: The aim of the study was to evaluate individually uploaded Internet
   materials about catheter insertion and removal in terms of their
   educative value. Methods: YouTube videos for both catheter insertion and
   catheter removal were investigated. Rating, like, dislike, the position
   of a patient, maneuvers during removal, immediate coverage of removal
   site, and type of cover material were noted. A survey regarding daily
   practices for catheter interventions and approaches to educative social
   media platforms had been taken from medical professionals as well to
   determine the effect of social media on learning practices. Results: A
   total of 50 insertion and 35 removal videos were investigated. The
   popularity of insertion and removal videos was 4.7 (1.6-16.5) and 1.88
   (0.66-4.54), respectively. (p = 0.011). The position of a patient during
   insertion was supine in 80%, Trendelenburg in 18%, and upright in 82.9%
   of the removal videos (p = 0.000). The survey showed that medical
   professionals watched insertion videos (66%) more than removal videos
   (11.7%) (p = 0.002). Catheter insertion positions were similar among
   participants (p = 0.553). Removal positions were different in
   specialties (p = 0.023) in which especially nephrologists tend to remove
   the catheter at the sitting position. Conclusion: Medical professionals
   think that removal is an easier procedure than insertion. They both
   search more for insertion videos and upload more insertion videos.
   Insertion practices are similar among different specialties. However,
   removal practices are more heterogeneous. Individually uploaded catheter
   videos at YouTube are not reliable educative materials. More free
   official work should be produced to maintain sufficient qualified online
   material on social media platforms.
RI sevinc, mustafa/L-8486-2017
OI sevinc, mustafa/0000-0003-2804-4884
Z8 0
ZA 0
ZS 0
ZR 0
TC 2
ZB 0
Z9 2
U1 0
U2 0
SN 1129-7298
EI 1724-6032
UT WOS:000481479400013
PM 31084398
ER

PT J
AU Phillips, Jane L.
   Heneka, Nicole
   Bhattarai, Priyanka
   Fraser, Claire
   Shaw, Tim
TI Effectiveness of the spaced education pedagogy for clinicians'
   continuing professional development: a systematic review
SO MEDICAL EDUCATION
VL 53
IS 9
BP 886
EP 902
DI 10.1111/medu.13895
PD SEP 2019
PY 2019
AB Context Ensuring clinical practice reflects current evidence is
   challenging given the rapid proliferation of new knowledge. Changing
   entrenched clinical behaviours and facilitating the adoption of best
   practice evidence requires a range of strategies, including affordable,
   scalable and effective continuing professional development (CPD). Yet,
   identifying the CPD delivery method most likely to effectively change
   and improve patient outcomes is difficult given the variability in the
   evidence for different learning approaches. Although there is moderate
   level evidence for outreach education, audit and feedback, and
   face-to-face or online learning, little is known about the capacity of
   spaced education to change ineffective clinical practice(s). Spaced
   education harnesses the power of spacing, repetition and testing
   learning content to increase topic-specific knowledge. Although spaced
   education is widely used in undergraduate and postgraduate medical
   programmes, its effectiveness as a CPD delivery method that improves
   patient outcomes is less certain. Aim To determine the effectiveness of
   the spaced education CPD programmes to change targeted clinical
   knowledge and practice(s) to improve patient outcomes. Method A
   systematic review, appraising the spaced education CPD evidence
   generated from searching six specialist medical and psychosocial
   databases. Studies published in English peer-reviewed journals from 1
   January, 2000 to 31 August, 2018 were eligible for inclusion. A modified
   Kirkpatrick four levels of evaluation framework assisted with appraising
   the effect of spaced education CPD interventions on clinicians and
   patients. Results Of the 2396 studies identified, 17 met the inclusion
   criteria, involving 2701 practising clinicians from multiple disciplines
   and specialties. Five randomised controlled trials generated level II
   evidence, with the remaining 12 studies generating lower levels of
   evidence. The majority of studies (n = 14) involved the delivery of
   online spaced education. All studies were evaluated using the modified
   Kirkpatrick four levels of evaluation framework with: 10 studies
   demonstrating significant increases in participants' knowledge; seven
   studies reporting significant changes in clinician behaviour; four
   studies showing significant increases in clinician confidence; and three
   studies identifying significant and sustained increases in participants'
   clinical skills. Only two studies reported positive improvements in
   patient outcomes. Conclusion Spaced education via an online platform
   offers a scalable CPD format that can increase clinical knowledge and
   change practice. However, further adequately powered randomised
   controlled trials are required to confirm that spaced education CPD can
   impact positively on patients' reported outcomes.
RI Heneka, Nicole/AAP-1807-2021; Phillips, Jane/A-7780-2015; Vandersman, Priyanka/
OI Heneka, Nicole/0000-0001-8102-1871; Phillips, Jane/0000-0002-3691-8230;
   Vandersman, Priyanka/0000-0001-8527-6994
ZA 0
TC 40
ZB 2
Z8 0
ZR 0
ZS 0
Z9 40
U1 1
U2 6
SN 0308-0110
EI 1365-2923
UT WOS:000481459700008
PM 31144348
ER

PT J
AU Nahm, Eun-Shim
   Miller, Kenneth
   McQuaige, Mary
   Corbitt, Nancy
   Jaidar, Nick
   Rosenblatt, Paula
   Zhu, Shijun
   Son, Hyojin
   Hertsenberg, Lindsey
   Wickersham, Karen E.
   La, In Seo
   Yoon, Jungmin
   Powell, Kendall
TI Testing the Impact of a Cancer Survivorship Patient Engagement Toolkit
   on Selected Health Outcomes
SO ONCOLOGY NURSING FORUM
VL 46
IS 5
BP 572
EP 584
DI 10.1188/19.ONF.572-584
PD SEP 2019
PY 2019
AB OBJECTIVES: To evaluate an interactive electronic Cancer Survivorship
   Patient Engagement Toolkit (CaS-PET) using a single-group pre-/post-test
   design.
   SAMPLE& SETTING: 30 cancer survivors with a mean age of 56.5 years (SD =
   13.6) were recruited from the University of Maryland Medical Center in
   Baltimore.
   METHODS & VARIABLES: CaS-PET was designed to deliver survivorship care
   plans (SCPs) with multifactorial support and comprised of SCPs, biweekly
   follow-up using patient portal e-messages, and online resources.
   Outcomes included health-related quality of life, symptom burden, impact
   of cancer. fear of recurrence, physical activities, dietary behavior,
   patient-provider communication, adherence to treatment, and e-health
   literacy.
   RESULTS: At three months, there was a significant improvement in quality
   of life, physical symptom burden, and total symptom burden.
   IMPLICATIONS FOR NURSING: Findings suggest an excellent potential for
   using CaS-PET for survivors who are in transition from treatment to
   survivorship.
RI La, In Seo/ABF-1643-2020
OI La, In Seo/0000-0003-1426-726X
ZA 0
Z8 0
ZR 0
TC 4
ZS 0
ZB 0
Z9 4
U1 0
U2 9
SN 0190-535X
EI 1538-0688
UT WOS:000481649200010
PM 31424456
ER

PT J
AU MacLullich, Alasdair M. J.
   Shenkin, Susan D.
TI Delirium research, education and practice
SO AGE AND AGEING
VL 48
IS 5
BP 618
EP 623
DI 10.1093/ageing/afz090
PD SEP 2019
PY 2019
AB Delirium research and clinical care have seen great strides in the last
   decade. Age and Ageing is making freely available an online collection
   of 15 papers published since 2012 which provides an overview of the
   range of research in delirium. It covers prevention and prediction,
   interventions and their health economic evaluations, outcomes following
   delirium, and clinical application in a review of the recent SIGN
   guidelines. The majority of studies took place in hospitals, but we also
   introduce some important research about another group at high risk of
   delirium: care home residents. We highlight the importance of delirium
   education. The studies comprised a range of methodologies (systematic
   reviews/meta-analysis, observational studies, trials and qualitative
   research). The selected papers are exemplars of work that has clear
   clinical implications. Given that delirium affects 15-20% of hospital
   patients, studies or analysis of existing data with clinical relevance
   have the potential for enormous impact on practice and on more efficient
   use of healthcare resources. There is, however, still a great deal of
   work to be done to implement what is known to be effective, and so
   reduce the incidence of this distressing condition, and to support those
   affected: not only patients, but also families and carers, as well as
   staff in secondary and primary care, including care homes.
OI Shenkin, Susan/0000-0001-7375-4776; MacLullich,
   Alasdair/0000-0003-3159-9370
Z8 0
ZB 0
ZR 0
TC 2
ZA 0
ZS 1
Z9 3
U1 0
U2 3
SN 0002-0729
EI 1468-2834
UT WOS:000493373500005
PM 31334543
ER

PT J
AU Grosser, Johannes
   Bientzle, Martina
   Shiozawa, Thomas
   Hirt, Bernhard
   Kimmerle, Joachim
TI Acquiring Clinical Knowledge from an Online Video Platform: A Randomized
   Controlled Experiment on the Relevance of Integrating Anatomical
   Information and Clinical Practice
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 5
BP 478
EP 484
DI 10.1002/ase.1841
PD SEP 2019
PY 2019
AB Basic subjects in medical education, such as anatomy, are often taught
   through teaching formats that do not always sufficiently demonstrate the
   relevance of this basic information for clinical practice. Accordingly,
   it is a recent trend in anatomy education to link anatomical information
   more explicitly to clinical practice. This article presents an online
   video platform (Tuebingen's Sectio Chirurgica [TSC]) as one means of
   explicitly integrating preclinical anatomical knowledge and clinical
   application. The purpose of the study presented here was to examine the
   effects of videos through which medical students were educated about
   Anterior Cruciate Ligament reconstruction. A TSC video about this
   surgical procedure was compared to a video with a traditional lecture
   providing the identical information. Participants (n = 114) perceived
   the TSC video to be superior in comprehensibility of the presentation (P
   = 0.003) and conceivability of the surgical procedure (P = 0.027), and
   to be more entertaining (P < 0.001). Moreover, participants in the TSC
   condition acquired more clinical knowledge than in the lecture condition
   (P = 0.043) but did not differ in their acquisition of anatomical
   knowledge. Mediation analyses indicated that the effect on the
   acquisition of clinical knowledge was mediated by comprehensibility,
   conceivability, and entertainment. These findings are discussed
   regarding their implications for medical education in terms of
   contributing to the general trend of linking preclinical anatomical
   knowledge to clinical application. A discussion about the limitations of
   the study and suggestions for future research are also provided.
RI Shiozawa, Thomas/AAF-6083-2020; Kimmerle, Joachim/ABE-8803-2020
ZB 0
ZA 0
TC 11
ZS 0
Z8 0
ZR 0
Z9 11
U1 0
U2 6
SN 1935-9772
EI 1935-9780
UT WOS:000483712800003
PM 30347523
ER

PT J
AU Hortsch, Michael
TI How to Make Educational Lemonade Out of a Didactic Lemon: The Benefits
   of Listening to Your Students
SO ANATOMICAL SCIENCES EDUCATION
VL 12
IS 5
BP 572
EP 576
DI 10.1002/ase.1861
PD SEP 2019
PY 2019
AB When educators develop and introduce new learning approaches or
   resources, they usually have specific didactic goals in mind that they
   want to achieve. However, these goals may not always match the needs of
   their students, who often confound such plans by finding new and
   different uses for the educational tools that are offered to them.
   Originating from the author's work as the histology component director
   at the University of Michigan, the experience described here provides an
   example of a learning resource being reappropriated by the learning
   community. In order to encourage dental students to study histological
   micrographs after faculty-guided laboratory sessions were eliminated,
   the author prepared and offered them a series of PowerPoint files with
   histology images and some corresponding questions. However, instead of
   increasing their motivation to use the online virtual microscopy
   resources, students adapted this new tool for reviewing the material and
   for self-evaluation whether they were prepared for upcoming
   examinations. Although the product did not succeed as originally
   devised, it turned into a very popular review resource for the author's
   students. Students' feedback and critical input, as well as their active
   participation in producing additional, similar learning tools were the
   deciding factors for this successful change of purpose and the further
   development and refinement of this new learning resource.
OI Hortsch, Michael/0000-0002-3750-737X
TC 8
ZA 0
ZR 0
Z8 0
ZS 0
ZB 2
Z9 8
U1 0
U2 6
SN 1935-9772
EI 1935-9780
UT WOS:000483712800012
PM 30661298
ER

PT J
AU Ho, Veronica W.
   Meng, Meng
   Hwang, Gwo-Jen
   Pather, Nalini
   Kumar, Rakesh K.
   Vickery, Richard M.
   Velan, Gary M.
TI Knowledge Maps: an Online Tool for Knowledge Mapping with Automated
   Feedback
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 3
BP 625
EP 629
DI 10.1007/s40670-019-00736-y
PD SEP 2019
PY 2019
AB Concept and knowledge maps have been shown to improve students' learning
   by emphasising meaningful relationships between phenomena. A
   user-friendly online tool that enables assessment of students' maps with
   automated feedback might therefore have significant benefits for
   learning. For that purpose, we developed an online software platform
   known as Knowledge Maps. Two pilot studies were performed to evaluate
   the usability and efficacy of Knowledge Maps. Study A demonstrated
   significantly improved perceptions of learning after using Knowledge
   Maps to learn pathology. Study B showed significant improvement between
   pre-test and post-test scores in an anatomy course. These preliminary
   studies indicate that this software is readily accepted and may have
   potential benefits for learning.
RI Pather, Nalini/B-5793-2009; Velan, Gary/; Kumar, Rakesh/
OI Pather, Nalini/0000-0001-5288-7713; Velan, Gary/0000-0002-4535-6663;
   Kumar, Rakesh/0000-0002-9531-8411
ZA 0
ZS 0
TC 2
ZR 0
Z8 0
ZB 0
Z9 2
U1 3
U2 13
EI 2156-8650
UT WOS:000624414300003
PM 34457524
ER

PT J
AU Bettendorf, Brittany
   Quinn-Leering, Kathleen
   Toth, Heather
   Tews, Matthew
TI Teaching when Time Is Limited: a Resident and Fellow as Educator Video
   Module
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 3
BP 631
EP 635
DI 10.1007/s40670-019-00731-3
PD SEP 2019
PY 2019
AB BackgroundResearch has demonstrated that residents and fellows
   (hereafter referred to as "residents") play a significant role in the
   education of medical students. However, residents often feel unprepared
   to teach effectively and efficiently in busy clinical
   environments.ActivityThe Residents as Educators Committee at the Medical
   College of Wisconsin sought to create an online module for residents to
   promote five key elements of teaching medical students in a busy
   clinical environment when time is limited. The module includes a
   narrated presentation highlighting key attributes of excellent clinical
   teachers as well as video clips presenting teaching pearls from
   award-winning resident educators. All incoming residents during the
   2015-2016 academic year were required to view the module and complete a
   mandatory post-test, representing over 80 specialties and
   subspecialties.ResultsA total of 325 residents viewed the module and
   took the required post-test. Of this group, 294 residents (91.4%)
   completed the optional evaluation. The module was rated highly in terms
   of content, format, and likelihood to change teaching
   practices.DiscussionThe teaching provided by residents is vital to the
   success of future generations of medical students. The online module
   developed at the Medical College of Wisconsin may be useful to a larger
   audience of residents at other institutions. Additionally, further
   studies could determine the effectiveness of the module by examining the
   teaching evaluations of residents before and after viewing the module.
RI Bettendorf, Brittany/GLR-5740-2022; Tews, Matthew C/
OI Tews, Matthew C/0000-0002-4304-3452
ZB 0
TC 1
ZA 0
Z8 0
ZS 0
ZR 0
Z9 1
U1 0
U2 0
EI 2156-8650
UT WOS:000624414300004
PM 34457525
ER

PT J
AU Chan, Ana Yoe-Cheng Chang
   Custers, Eugene J. F. M.
   van Leeuwen, Maarten Simon
   Bleys, Ronald L. A. W.
   ten Cate, Olle
TI Does an Additional Online Anatomy Course Improve Performance of Medical
   Students on Gross Anatomy Examinations?
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 3
BP 697
EP 707
DI 10.1007/s40670-019-00751-z
PD SEP 2019
PY 2019
AB AimAn online learning course in anatomy was added to the regular
   academic anatomy course in the 2nd year of medicine at UNAN-Leon in
   Nicaragua, using the MOODLE platform. This study aims to determine the
   learning effect of this course.MethodSecond-year medical students were
   randomly allocated to an experimental (N = 25) and control group (N =
   50). Only the experimental group had access to the online learning
   module. We compared the performance of the experimental and the control
   group on both regular anatomy assessment and an objective structured
   practical exam (OSPE). Additionally, five focus groups were interviewed
   to learn about their experiences of the expanded course.ResultsOf
   students in the experimental group 94.1% and 81.6% of students in the
   control group took the OSPE. The experimental group significantly
   outperformed the control group (41.1 19.3 points vs. 32.1 +/- 23.1
   points) on the OSPE. No differences between the two groups were found on
   the regular anatomy examination. Focus group interviews revealed
   students' opinions about the online course were generally
   positive.Conclusion In general, the addition of an online course to the
   regular course was beneficial. The results of the qualitative evaluation
   of this intervention provides us with input about how to teach and
   evaluate the anatomy course and how to further improve the online course
   to enhance anatomy learning.
OI Chang Chan, Ana Yoe Cheng/0000-0002-9130-9606
ZR 0
TC 3
ZB 0
Z8 0
ZA 0
ZS 0
Z9 3
U1 1
U2 2
EI 2156-8650
UT WOS:000624414300013
PM 34457534
ER

PT J
AU Brateanu, Andrei
   Strang, Tara M.
   Garber, Ari
   Mani, Shylaja
   Spencer, Abby
   Spevak, Bruce
   Thomascik, James
   Mehta, Neil
   Colbert, Colleen Y.
TI Using an Adaptive, Self-Directed Web-Based Learning Module to Enhance
   Residents' Medical Knowledge Prior to a New Clinical Rotation
SO MEDICAL SCIENCE EDUCATOR
VL 29
IS 3
BP 779
EP 786
DI 10.1007/s40670-019-00772-8
PD SEP 2019
PY 2019
AB BackgroundThe effect of self-directed adaptive learning on internal
   medicine residents' knowledge prior to a new clinical rotation is not
   known.MethodsWe developed an adaptive, online, self-directed spaced
   repetition module and determined the effect on medical knowledge
   acquisition. We randomized postgraduate year 1 internal medicine
   residents into two groups. The intervention group (n = 27) received an
   electronic version of the clinical rotation curriculum as portable
   document format (PDF) files and participated in the online module,
   delivered via Moodle, a free, open-source learning management system.
   The non-intervention group (n = 27) only received the PDF files. All
   residents participated in a medical knowledge test at baseline and 3
   months later.ResultsBoth groups were similar at study baseline in terms
   of age, trainee type, years since graduation, results at United States
   Medical Licensing Examination (USMLE) Step 1, 2, In-Training Examination
   (ITE), and pre-intervention evaluation. There was a statistically
   significant improvement in scores on the post-intervention medical
   knowledge assessment for the intervention group when compared with the
   non-intervention group (24.2 15.4% vs. 8.6 +/- 9.9%, p <
   0.001).Conclusion An online, self-directed, adaptive spaced
   repetition-learning module can offer a simple and effective method to
   increase the medical knowledge present at the start of residents'
   clinical rotations.
OI Colbert, Colleen/0000-0002-2608-7218
Z8 0
ZA 0
ZB 0
ZS 0
TC 2
ZR 0
Z9 2
U1 0
U2 2
EI 2156-8650
UT WOS:000624414300022
PM 34457542
ER

PT J
AU Kim, Soung Yung
   Xydias, Theodoros
   Peters, Alan A.
   Bronnimann, Michael P.
   Wuethrich, Marcel
   Heverhagen, Johannes T.
   Maurer, Martin H.
TI Radiologists and nuclear medicine physicians are looking forward to a
   cross-curricular training
SO EUROPEAN RADIOLOGY
VL 29
IS 9
BP 4803
EP 4811
DI 10.1007/s00330-018-5989-7
PD SEP 2019
PY 2019
AB Objectives To obtain an overview of the attitudes toward
   interdisciplinary further education of residents and consultants in
   radiology and nuclear medicine and preferences regarding a future joint
   training curriculum in Switzerland. Methods A 34-item questionnaire was
   sent electronically (SurveyMonkey online survey tool) to 1244
   radiologists and nuclear physicians (residents and consultants) in
   Switzerland. The items asked about the motivation for further education
   in each other's specialty and preferences regarding a joint further
   education curriculum in radiology and nuclear medicine. Results Overall,
   370 questionnaires were analyzed (370/1244, 30%). There were 280 (76%)
   board-certified physicians in either radiology (238/370, 64%) or nuclear
   medicine (42/370, 12%) and 65 (18%) residents (radiology 54/370, 15%;
   nuclear medicine 11/370, 3%). More than half of all residents (34/65,
   52%) stated their conviction that a wide range of expertise in both
   disciplines could be fully guaranteed through adequate cross-curricular
   training. For responders already at a consultant level in radiology or
   nuclear medicine, the willingness to undergo further training in each
   other's specialty significantly increased with a shorter training
   period. The preferred option for a possible future joint training
   curriculum was a combination of a 5-year radiology training program with
   2 years of further training in nuclear medicine. Conclusions Both
   residents and board-certified physicians in Switzerland are highly
   interested in a cross-curricular training curriculum in radiology and
   nuclear medicine.
OI Bronnimann, Michael/0000-0003-0552-4850; Maurer,
   Martin/0000-0003-0153-3987; Heverhagen, Johannes/0000-0002-5416-6650
ZS 0
Z8 0
TC 1
ZA 0
ZR 0
ZB 0
Z9 1
U1 0
U2 3
SN 0938-7994
EI 1432-1084
UT WOS:000478873300029
PM 30741342
ER

PT J
AU Lei, Jiedi
   Ashwin, Chris
   Brosnan, Mark
   Russell, Ailsa
TI Developing an Online Tool to Measure Social Network Structure and
   Perceived Social Support Amongst Autistic Students in Higher Education:
   A Feasibility Study
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 9
BP 3526
EP 3542
DI 10.1007/s10803-019-04070-5
PD SEP 2019
PY 2019
AB The academic, daily-living, and social challenges all students face
   during university transition can become magnified for many autistic
   students, who might struggle to adapt to changes in their social network
   structure (SNS) and perceived social support (PSS). This study assessed
   the development, feasibility, and convergent validity of a novel online
   tool (Social Network and Perceived Social Support-SNaPSS) designed to
   quantitatively and qualitatively evaluate SNS and PSS during university
   transition. SNaPSS demonstrated good feasibility for completion amongst
   autistic students (Study 1, n=10, 17-19years), and adequate convergent
   validity against other PSS, autism symptom severity, and social anxiety
   measures amongst autistic (n=28) and typically developing students
   (Study 2, n=112, 17-19years). Broader implications of SNaPSS to measure
   SNS/PSS are discussed.
RI Ashwin, Chris/; russell, ailsa/J-8268-2013
OI Ashwin, Chris/0000-0003-4606-7318; russell, ailsa/0000-0002-8443-9381
ZB 3
ZA 0
ZR 0
TC 8
Z8 0
ZS 0
Z9 8
U1 1
U2 31
SN 0162-3257
EI 1573-3432
UT WOS:000477972200005
PM 31119511
ER

PT J
AU Hartmann, Kathrin
   Urbano, Maria R.
   Raffaele, C. Teal
   Qualls, Lydia R.
   Williams, Takeshia V.
   Warren, Clay
   Kreiser, Nicole L.
   Elkins, David E.
   Deutsch, Stephen I.
TI Sexuality in the Autism Spectrum Study (SASS): Reports from Young Adults
   and Parents
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 49
IS 9
BP 3638
EP 3655
DI 10.1007/s10803-019-04077-y
PD SEP 2019
PY 2019
AB Previous research indicates that although those with ASD desire sexual
   relationships, they may not effectively engage in romantic and intimate
   interactions. The purpose of this study was to compare reports from
   young adults with ASD and parents from the same families on the young
   adult's sexual behavior, experiences, knowledge, and communication. 100
   young adults (18-30years) and parents completed an online survey.
   Results indicated that young adults reported more typical privacy and
   sexual behaviors, and higher sexual victimization than their parents
   reported on their behalf. Our findings indicated that individuals with
   ASD desire and pursue sexual relationships typical of most people and
   suggest the need for sex education and communication about topics
   generally covered for neurotypically developing young adults.
OI Hartmann, Kathrin/0000-0001-9136-7366
ZA 0
Z8 0
TC 15
ZS 0
ZB 3
ZR 0
Z9 15
U1 0
U2 35
SN 0162-3257
EI 1573-3432
UT WOS:000477972200014
PM 31127485
ER

PT J
AU Degenholtz, Howard B.
   Creppage, Kathleen
   DaCosta, Damian
   Drozd, Alexandra
   Enos, Misty
   Himber, Meleah
   Lazzara, Kristin
   Razdan, Manik
   Resnick, Abby
   Shaw, Yomei
TI The Patients Save Lives Program to Facilitate Organ Donor Designation in
   Primary Care Offices
SO PROGRESS IN TRANSPLANTATION
VL 29
IS 3
BP 204
EP 212
DI 10.1177/1526924819853836
PD SEP 2019
PY 2019
AB Background: There are about 120 000 people on the US waiting list for a
   solid organ transplant; nearly 22 people die every day who could be
   helped through organ donation. Joining a donor registry and informing
   one's family of one's preferences increases recovery rates and can avoid
   misunderstandings during an emotionally difficult time. Although the
   vast majority of people support organ donation, only about half of
   adults have joined a state donor registry. Methods. A 3-group design was
   used. Primary care physician offices were randomly assigned to either
   web-based training, in-person training, or a control condition. The
   control condition consisted of a poster and traditional brochure and
   donor form placed in the waiting room. In the 2 intervention groups, the
   Patients Save Lives form was distributed during the check-in process in
   addition to the poster. Results: A total of 1521 physicians and office
   staff at 81 clinic sites (48 in-person and 33 web-based) received the
   training; there were 33 control locations. A total of 21 189 patients
   were exposed to the intervention over a 6-month period; 761 (8.1%) of
   9428 people who were not already registered completed the designation
   form to be organ donors. There were no donor designations in the control
   group locations. Conclusion: Organ donor designation can be incorporated
   into the office check-in procedure without disrupting the workflow or
   burdening clinicians. The program is available online and can be
   sustained inexpensively with cooperation between primary care offices
   and regional Organ Procurement Organizations.
ZR 0
ZB 1
ZA 0
ZS 0
TC 5
Z8 0
Z9 5
U1 0
U2 7
SN 1526-9248
EI 2164-6708
UT WOS:000479251900002
PM 31232179
ER

PT J
AU Lazow, Margot A.
   DeBlasio, Dominick
   Ollberding, Nicholas J.
   Real, Francis J.
   Klein, Melissa D.
TI Online Simulated Cases Assess Retention of Virtual Neighborhood Tour
   Curriculum
SO MATERNAL AND CHILD HEALTH JOURNAL
VL 23
IS 9
BP 1159
EP 1166
DI 10.1007/s10995-019-02790-9
PD SEP 2019
PY 2019
AB Background Learning to identify and address social determinants of
   health (SDH) is a crucial component of pediatric residency training. A
   virtual tour of an impoverished neighborhood previously demonstrated
   efficacy in increasing residents' self-assessed knowledge and
   competence, but its impact on performance has not yet been reported.
   Online simulated cases are emerging as feasible assessment tools to
   measure trainees' skills across various healthcare settings. We
   developed online simulated cases to evaluate residents' retention of the
   virtual tour's key SDH-related learning objectives 1month after
   completing this curriculum. Methods Three online simulated cases with
   interpolated open-ended questions were created to assess residents'
   ability to identify SDH, recommend appropriate resources, and display
   empathy. Scoring rubrics to objectively evaluate responses were
   developed and borderline scores were decided by a team of educators.
   Results 19 residents participated. Mean scores for all cases exceeded
   pre-established borderline scores (statistically significant in two of
   the three cases). More than 90% of residents identified relevant SDH in
   the primary care and emergency department cases. Ninety-five percent of
   residents recommended appropriate resources in all cases, and 89%
   displayed empathy. Discussion Residents' performance in online simulated
   cases demonstrated retention and application of the virtual tour's
   learning objectives, including recognizing SDH, offering appropriate
   resources, and displaying empathy, which supports the long-term
   effectiveness of the virtual tour curriculum to train pediatricians
   about SDH. Online simulated cases provided a standardized and
   cost-effective way to measure residents' skills related to curricular
   uptake, suggesting that this assessment approach may be adapted to
   evaluate other educational interventions.
OI Lazow, Margot/0000-0003-4362-4270
ZB 0
ZS 0
ZR 0
Z8 0
TC 0
ZA 0
Z9 0
U1 1
U2 6
SN 1092-7875
EI 1573-6628
UT WOS:000477582200003
PM 31267340
ER

PT J
AU Tanha, Mohammad R.
   Khalid, Fazal Rahman
   Hoeschen, Christoph
TI Assessment of radiation protection and awareness level among radiation
   workers and members of the public in Afghanistan-a pilot study
SO JOURNAL OF RADIOLOGICAL PROTECTION
VL 39
IS 3
BP N1
EP N7
DI 10.1088/1361-6498/ab2204
PD SEP 2019
PY 2019
AB In this study, the level of radiation protection and awareness among
   radiation workers and members of the public in Afghanistan is assessed
   using two different survey mechanisms. The onsite survey conducted by
   the regulatory authorities covered 472 facilities while the online
   survey covering 1200 responses was conducted via the Survey Monkey
   online survey platform. Both the onsite and the online surveys show that
   more than 70% of radiation workers have insufficient knowledge of
   radiation safety and protection rules and regulations while more than
   70% of the public just heard about radiation from one source or another.
   More than 50% of those members of the public, who have been through some
   sort of medical imaging using radiation were not given any instruction
   about the radiation hazards. The study is concluded with recommendations
   to the authorities for raising the knowledge of the radiation workers
   and general public awareness through launching regular radiation safety
   and protection training, TV spots and other means of mass media.
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 2
Z9 2
U1 0
U2 9
SN 0952-4746
EI 1361-6498
UT WOS:000474405000001
PM 31096207
ER

PT J
AU Morris, Matthew
   Cooper, Robert Lyle
   Ramesh, Aramandla
   Tabatabai, Mohammad
   Arcury, Thomas A.
   Shinn, Marybeth
   Im, Wansoo
   Juarez, Paul
   Matthews-Juarez, Patricia
TI Training to reduce LGBTQ-related bias among medical, nursing, and dental
   students and providers: a systematic review
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 325
DI 10.1186/s12909-019-1727-3
PD AUG 30 2019
PY 2019
AB Background Lesbian, gay, bisexual, transgender and questioning (LGBTQ)
   individuals experience higher rates of health disparities. These
   disparities may be driven, in part, by biases of medical providers
   encountered in health care settings. Little is known about how medical,
   nursing, or dental students are trained to identify and reduce the
   effects of their own biases toward LGBTQ individuals. Therefore, a
   systematic review was conducted to determine the effectiveness of
   programs to reduce health care student or provider bias towards these
   LGBTQ patients. Methods The authors performed searches of online
   databases (MEDLINE/PubMed, PsycINFO, Web of Science, Scopus, Ingenta,
   Science Direct, and Google Scholar) for original articles, published in
   English, between March 2005 and February 2017, describing intervention
   studies focused on reducing health care student or provider bias towards
   LGBTQ individuals. Data extracted included sample characteristics (i.e.,
   medical, nursing, or dental students or providers), study design (i.e.,
   pre-post intervention tests, qualitative), program format, program
   target (i.e., knowledge, comfort level, attitudes, implicit bias), and
   relevant outcomes. Study quality was assessed using a five-point scale.
   Results The search identified 639 abstracts addressing bias among
   medical, nursing, and dental students or providers; from these
   abstracts, 60 articles were identified as medical education programs to
   reduce bias; of these articles, 13 described programs to reduce bias
   towards LGBTQ patients. Bias-focused educational interventions were
   effective at increasing knowledge of LGBTQ health care issues.
   Experiential learning interventions were effective at increasing comfort
   levels working with LGBTQ patients. Intergroup contact was effective at
   promoting more tolerant attitudes toward LGBTQ patients. Despite
   promising support for bias education in increasing knowledge and comfort
   levels among medical, nursing, and dental students or providers towards
   LGBTQ persons, this systematic review did not identify any interventions
   that assessed changes in implicit bias among students or providers.
   Conclusions Strategies for assessing and mitigating implicit bias
   towards LGBTQ patients are discussed and recommendations for medical,
   nursing, and dental school curricula are presented.
RI Morris, Matt/AAI-7369-2021; Juarez, Paul D/S-1437-2016; Shinn, Marybeth/
OI Juarez, Paul D/0000-0002-3120-7333; Shinn, Marybeth/0000-0002-6681-8273
ZA 0
Z8 0
ZS 0
TC 82
ZR 0
ZB 11
Z9 82
U1 8
U2 30
EI 1472-6920
UT WOS:000483619300002
PM 31470837
ER

PT J
AU Cohen, Andrew J.
   Patino, German
   Kamal, Puneet
   Ndoye, Medina
   Tresh, Anas
   Mena, Jorge
   Butler, Christi
   Washington, Samuel
   Breyer, Benjamin N.
TI Perspectives From Authors and Editors in the Biomedical Disciplines on
   Predatory Journals: Survey Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 8
AR e13769
DI 10.2196/13769
PD AUG 30 2019
PY 2019
AB Background: Predatory journals fail to fulfill the tenets of biomedical
   publication: peer review, circulation, and access in perpetuity. Despite
   increasing attention in the lay and scientific press, no studies have
   directly assessed the perceptions of the authors or editors involved.
   Objective: Our objective was to understand the motivation of authors in
   sending their work to potentially predatory journals. Moreover, we aimed
   to understand the perspective of journal editors at journals cited as
   potentially predatory.
   Methods: Potential online predatory journals were randomly selected
   among 350 publishers and their 2204 biomedical journals. Author and
   editor email information was valid for 2227 total potential
   participants. A survey for authors and editors was created in an
   iterative fashion and distributed. Surveys assessed attitudes and
   knowledge about predatory publishing. Narrative comments were invited.
   Results: A total of 249 complete survey responses were analyzed. A total
   of 40% of editors (17/43) surveyed were not aware that they were listed
   as an editor for the particular journal in question. A total of 21.8% of
   authors (45/206) confirmed a lack of peer review. Whereas 77% (33/43) of
   all surveyed editors were at least somewhat familiar with predatory
   journals, only 33.0% of authors (68/206) were somewhat familiar with
   them (P<.001). Only 26.2% of authors (54/206) were aware of Beall's list
   of predatory journals versus 49% (21/43) of editors (P<.001). A total of
   30.1% of authors (62/206) believed their publication was published in a
   predatory journal. After defining predatory publishing, 87.9% of authors
   (181/206) surveyed would not publish in the same journal in the future.
   Conclusions: Authors publishing in suspected predatory journals are
   alarmingly uninformed in terms of predatory journal quality and
   practices. Editors' increased familiarity with predatory publishing did
   little to prevent their unwitting listing as editors. Some suspected
   predatory journals did provide services akin to open access publication.
   Education, research mentorship, and a realignment of research incentives
   may decrease the impact of predatory publishing.
RI Washington, Samuel L/X-7049-2019; Cohen, Andrew/; Patino, German/; ndoye, medina/; Breyer, Benjamin/; Mena, Jorge/
OI Washington, Samuel L/0000-0002-2467-6115; Cohen,
   Andrew/0000-0002-4508-6747; Patino, German/0000-0002-7495-5139; ndoye,
   medina/0000-0002-2864-3898; Breyer, Benjamin/0000-0002-0532-048X; Mena,
   Jorge/0000-0002-7372-243X
ZB 0
ZR 0
ZA 0
TC 12
ZS 0
Z8 0
Z9 12
U1 3
U2 11
SN 1438-8871
UT WOS:000483306700001
PM 31471960
ER

PT J
AU Balamuthusamy, Saravanan
   Miller, Larry E.
   Clynes, Diana
   Kahle, Erin
   Knight, Richard A.
   Conway, Paul T.
TI American Association of Kidney Patients survey of patient preferences
   for hemodialysis vascular access
SO JOURNAL OF VASCULAR ACCESS
VL 21
IS 2
BP 230
EP 236
AR 1129729819870962
DI 10.1177/1129729819870962
EA AUG 2019
PD MAR 2020
PY 2020
AB Objectives: To determine the vascular access modalities used for
   hemodialysis, the reasons for choosing them, and determinants of
   satisfaction with vascular access among patients with end-stage renal
   disease. Methods: The American Association of Kidney Patients Center for
   Patient Research and Education used the American Association of Kidney
   Patients patient engagement database to identify eligible adult
   hemodialysis patients. Participants completed an online survey
   consisting of 34 demographic, medical history, and hemodialysis history
   questions to determine which vascular access modalities were preferred
   and the reasons for these preferences. Results: Among 150 respondents
   (mean age 54 years, 53% females), hemodialysis was most frequently
   initiated with central venous catheter (64%) while the most common
   currently used vascular access was arteriovenous fistula (66%). Most
   (86%) patients previously received an arteriovenous fistula, among whom
   77% currently used the arteriovenous fistula for vascular access. Older
   patients and males were more likely to initiate hemodialysis with an
   arteriovenous fistula. The factors most frequently reported as important
   in influencing the selection of vascular access modality included
   infection risk (87%), physician recommendation (84%), vascular access
   durability (78%), risk of complications involving surgery (76%), and
   impact on daily activities (73%); these factors were influenced by
   patient age, sex, and race. Satisfaction with current vascular access
   was 90% with arteriovenous fistula, 79% with arteriovenous graft, and
   67% with central venous catheter. Conclusion: Most end-stage renal
   disease patients continue to initiate hemodialysis with central venous
   catheter despite being associated with the lowest satisfaction rates.
   While arteriovenous fistula was associated with the highest satisfaction
   rate, there are significant barriers to adoption that vary based on
   patient demographics and perception of procedure invasiveness.
OI Miller, Larry/0000-0003-1594-1885; Conway, Paul T./0000-0002-3344-6936
TC 2
Z8 1
ZR 0
ZS 0
ZA 0
ZB 2
Z9 3
U1 0
U2 1
SN 1129-7298
EI 1724-6032
UT WOS:000484492700001
PM 31464539
ER

PT J
AU Moore, Paul E.
   Boyer, Debra
   Perkins, Ryan
   Katz, Eliot S.
   Castro-Codesal, Maria L.
   MacLean, Joanna E.
   Akil, Nour
   Esther, Charles R., Jr.
   Kaslow, Jacob
   Lewis, Toby C.
   Krone, Katie A.
   Quizon, Annabelle
   Simpson, Ryne
   Benscoter, Dan
   Spielberg, David R.
   Melicoff, Ernestina
   Kuklinski, Cadence A.
   Blatter, Joshua A.
   Dy, Jamie
   Rettig, Jordan S.
   Horani, Amjad
   Gross, Jane
TI American Thoracic Society 2019 Pediatric Core Curriculum
SO PEDIATRIC PULMONOLOGY
VL 54
IS 12
BP 1880
EP 1894
DI 10.1002/ppul.24482
EA AUG 2019
PD DEC 2019
PY 2019
AB The American Thoracic Society Pediatric Core Curriculum updates
   clinicians annually in pediatric pulmonary disease in a 3 to 4 year
   recurring cycle of topics. The 2019 course was presented in May during
   the Annual International Conference. An American Board of Pediatrics
   Maintenance of Certification module and a continuing medical education
   exercise covering the contents of the Core Curriculum can be accessed
   online at .
RI Gross, Jane/AAY-9741-2020; Spielberg, David R./I-8543-2019; Codesal, Maria L Castro/D-2327-2015; MacLean, Joanna/; Perkins, Ryan/; katz, eliot/; Melicoff, Ernestina/; Kaslow, Jacob/; Spielberg, David/
OI Codesal, Maria L Castro/0000-0002-1079-2502; MacLean,
   Joanna/0000-0001-7994-9910; Perkins, Ryan/0000-0002-2470-9079; katz,
   eliot/0000-0003-2771-0814; Melicoff, Ernestina/0000-0001-5696-7112;
   Kaslow, Jacob/0000-0002-1832-9096; Spielberg, David/0000-0002-3720-6307
TC 0
ZB 0
ZR 0
ZA 0
Z8 0
ZS 0
Z9 0
U1 0
U2 3
SN 8755-6863
EI 1099-0496
UT WOS:000483898100001
PM 31456278
ER

PT J
AU Orique, Sabrina B.
   Despins, Laurel
   Wakefield, Bonnie J.
   Erdelez, Sanda
   Vogelsmeier, Amy
TI Perception of clinical deterioration cues among medical-surgical nurses
SO JOURNAL OF ADVANCED NURSING
VL 75
IS 11
BP 2627
EP 2637
DI 10.1111/jan.14038
EA AUG 2019
PD NOV 2019
PY 2019
AB Aim To examine medical-surgical nurses' capacity and tendency to
   perceive cues indicating clinical deterioration and nursing
   characteristics influencing deterioration cue perception. Design
   Cross-sectional, explorative study design. Methods Data were collected
   over 10 weeks between September-November 2017. Medical-surgical nurses
   completed an online survey consisting of a demographic questionnaire,
   the Occupational Fatigue, Exhaustion Recovery scale and 50 detection
   trials. Descriptive statistics and statistical tests were used to
   describe and interpret data. Findings A significant association was
   found between nurses' capacity and tendency to perceive deterioration
   cues. As nurses' capacity to perceive deterioration cues increased,
   nurses were more likely to classify patient cues as indicators of
   deterioration. Fatigue, education, and certification were not identified
   as characteristics associated with deterioration cue perception.
   However, experience was observed to significantly influence nurses'
   capacity to perceive deterioration cues based on levels of skills
   acquisition. Conclusion Study findings imply that future research should
   be directed at determining whether other individual factors and
   organizational system dynamics influence deterioration cue perception.
   Impact To better understand how nurses perceive deterioration cues, this
   study integrated concepts from the Situation Awareness model and Signal
   Detection Theory. Novice, advanced beginner and competent nurses were
   found to have a lower capacity to perceive deterioration cues compared
   with proficient and expert nurses. With simulation increasingly being
   used as a primary teaching modality in nursing, the development of a
   simulation-based signal detection training intervention may be
   beneficial in enhancing deterioration cue perception.
OI Despins, Laurel/0000-0001-6523-5765
ZB 0
ZS 0
TC 7
ZR 0
ZA 0
Z8 0
Z9 7
U1 0
U2 11
SN 0309-2402
EI 1365-2648
UT WOS:000483755600001
PM 31012138
ER

PT J
AU Kyaw, Bhone Myint
   Posadzki, Pawel
   Paddock, Sophie
   Car, Josip
   Campbell, James
   Car, Lorainne Tudor
TI Effectiveness of Digital Education on Communication Skills Among Medical
   Students: Systematic Review and Meta-Analysis by the Digital Health
   Education Collaboration
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 8
AR e12967
DI 10.2196/12967
PD AUG 27 2019
PY 2019
AB Background: Effective communication skills are essential in diagnosis
   and treatment processes and in building the doctor-patient relationship.
   Objective: Our aim was to evaluate the effectiveness of digital
   education in medical students for communication skills development.
   Broadly, we assessed whether digital education could improve the quality
   of future doctors' communication skills.
   Methods: We performed a systematic review and searched seven electronic
   databases and two trial registries for randomized controlled trials
   (RCTs) and cluster RCTs (cRCTs) published between January 1990 and
   September 2018. Two reviewers independently screened the citations,
   extracted data from the included studies, and assessed the risk of bias.
   We also assessed the quality of evidence using the Grading of
   Recommendations, Assessment, Development, and Evaluations assessment
   (GRADE).
   Results: We included 12 studies with 2101 medical students, of which 10
   were RCTs and two were cRCTs. The digital education included online
   modules, virtual patient simulations, and video-assisted oral feedback.
   The control groups included didactic lectures, oral feedback, standard
   curriculum, role play, and no intervention as well as less interactive
   forms of digital education. The overall risk of bias was high, and the
   quality of evidence ranged from moderate to very low. For skills
   outcome, meta-analysis of three studies comparing digital education to
   traditional learning showed no statistically significant difference in
   postintervention skills scores between the groups (standardized mean
   difference [SMD]=-0.19; 95% CI-0.9 to 0.52; I-2=86%, N=3 studies [304
   students]; small effect size; low-quality evidence). Similarly, a
   meta-analysis of four studies comparing the effectiveness of blended
   digital education (ie, online or offline digital education plus
   traditional learning) and traditional learning showed no statistically
   significant difference in postintervention skills between the groups
   (SMD=0.15; 95% CI-0.26 to 0.56; I-2=86%; N=4 studies [762 students];
   small effect size; low-quality evidence). The additional meta-analysis
   of four studies comparing more interactive and less interactive forms of
   digital education also showed little or no difference in
   postintervention skills scores between the two groups (SMD=0.12; 95%
   CI:-0.09 to 0.33; I-2=40%; N=4 studies [893 students]; small effect
   size; moderate-quality evidence). For knowledge outcome, two studies
   comparing the effectiveness of blended online digital education and
   traditional learning reported no difference in postintervention
   knowledge scores between the groups (SMD=0.18; 95% CI:-0.2 to 0.55;
   I-2=61%; N=2 studies [292 students]; small effect size; low-quality
   evidence). The findings on attitudes, satisfaction, and patient-related
   outcomes were limited or mixed. None of the included studies reported
   adverse outcomes or economic evaluation of the interventions.
   Conclusions: We found low-quality evidence showing that digital
   education is as effective as traditional learning in medical students'
   communication skills training. Blended digital education seems to be at
   least as effective as and potentially more effective than traditional
   learning for communication skills and knowledge. We also found no
   difference in postintervention skills between more and less interactive
   forms of digital education. There is a need for further research to
   evaluate the effectiveness of other forms of digital education such as
   virtual reality, serious gaming, and mobile learning on medical
   students' attitude, satisfaction, and patient-related outcomes as well
   as the adverse effects and cost-effectiveness of digital education.
RI Car, Josip/H-6755-2015; Car, Lorainne Tudor/E-1205-2017; Paddock, Sophie/; Kyaw, Bhone Myint/
OI Car, Josip/0000-0001-8969-371X; Car, Lorainne Tudor/0000-0001-8414-7664;
   Paddock, Sophie/0000-0002-1163-9710; Kyaw, Bhone
   Myint/0000-0002-1750-0330
ZA 0
ZB 3
ZS 0
ZR 1
Z8 0
TC 56
Z9 57
U1 10
U2 48
SN 1438-8871
UT WOS:000482738500001
PM 31456579
ER

PT J
AU Nayyar, Bushra
   Yasmeen, Rahila
   Khan, Rehan Ahmed
TI Using language of entrustable professional activities to define learning
   objectives of radiology clerkship: A modified Delphi study
SO MEDICAL TEACHER
VL 41
IS 12
BP 1419
EP 1426
DI 10.1080/0142159X.2019.1645951
EA AUG 2019
PD DEC 2 2019
PY 2019
AB Background: A standard undergraduate radiology education is essential to
   prepare graduates for multidisciplinary clinical practice yet the
   literature lacks clear guidelines or consensus about the learning
   objectives of an optimal radiology clerkship. Aim: To define a
   competency-based framework for undergraduate radiology education by
   using language of Entrustable Professional Activities (EPAs). Methods: A
   modified Delphi method with three iterative rounds was used as an expert
   consensus approach. An online questionnaire with Likert scale was
   formulated incorporating EPAs and their components (competencies,
   assessment strategies, and supervision level) and distributed to 45
   consultant radiologists following pilot study. Items reaching consensus
   were accepted and rest were resent in round 2. In round 3, a dichotomous
   scale was used for final approval and to see response stability.
   Results: A final set of six EPAs with 87 competencies and respective
   assessment strategies, all aiming for 'level 3a' of supervision was
   identified. These include recommending cost effective appropriate
   imaging tests for common pathologies, obtaining informed consent for
   diagnostic contrast studies, basic interpretation and communication of
   common pathologies/emergencies on radiographs (chest, abdominal, and
   skeletal) and on CT brain. Conclusion: This EPA framework for radiology
   clerkship is a first step towards a competency-based approach to
   undergraduate radiology training and assessment.
RI Khan, Rehan/G-1778-2016; Khan, Rehan/AAR-4803-2020; Khan, Rehan Ahmed/AAH-4099-2020; Yasmeen, Rahila/
OI Khan, Rehan/0000-0002-8045-1471; Khan, Rehan/0000-0001-8724-5788; Khan,
   Rehan Ahmed/0000-0002-8045-1471; Yasmeen, Rahila/0000-0001-9839-6987
ZR 0
ZA 0
ZB 0
ZS 0
TC 8
Z8 0
Z9 8
U1 0
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000483493200001
PM 31449433
ER

PT J
AU Jo, Sun-Jin
   Lee, Hae Kook
   Kang, Kyonghwa
   Joe, Keun Ho
   Lee, Soo-Bi
TI Efficacy of a Web-Based Screening and Brief Intervention to Prevent
   Problematic Alcohol Use in Korea: Results of a Randomized Controlled
   Trial
SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
VL 43
IS 10
BP 2196
EP 2202
DI 10.1111/acer.14169
EA AUG 2019
PD OCT 2019
PY 2019
AB Background Web-based alcohol screenings and brief interventions have
   been shown to be effective methods for changing drinking behavior. This
   study evaluated the efficacy of the online-based Brief Empowerment
   Program for Alcohol-Use Monitor (on-BEAM), a brief intervention applying
   personalized normative feedback (PNF) and components of motivational
   interviewing (MI) techniques. Methods A community-based, double-blind,
   parallel-group randomized controlled trial with individual randomization
   was conducted in Korea (registered at Clinical Research Information
   Service-KCT0003050). An e-mail about participating in a survey on
   drinking behavior was sent to 5,684 individuals, aged 20 to 40, that
   were registered as part of a research panel. Male and female
   participants with AUDIT-C scores of >= 4 and >= 3, respectively, were
   randomly assigned to either an intervention (received a drinking
   behavior assessment and the results with normative feedback) or control
   group (assessment and results without normative feedback). To evaluate
   the effects of the intervention with 2 sessions over the course of a
   month, a follow-up assessment was performed online 4 weeks after
   completion of the intervention. The main outcome was the number of
   standard drinks consumed during the past week measured using the
   timeline followback method. The rate ratios (RRs) were calculated to
   test the effects of the intervention. Results In total, 1,496
   participants were randomized and 93% of them followed up. The
   intervention group reported consuming less alcohol during the past week
   (RR = 0.13; p = 0.012) than the control group. Additionally, the
   intervention group had fewer binge drinkers (RR = 0.69; p < 0.001) and a
   lower AUDIT-C score (RR = 0.59; p = 0.009) than the control group.
   Conclusions The web-based intervention, on-BEAM, which applies PNF and
   MI components related to high-risk drinking reduced the amount of
   alcohol consumption in our study population. Further research is needed
   to determine the duration of on-BEAM's effects and evaluate its
   effectiveness in the real world.
RI Lee, SooBi/AAO-8622-2021
ZS 1
ZR 0
TC 9
Z8 0
ZB 3
ZA 0
Z9 10
U1 1
U2 9
SN 0145-6008
EI 1530-0277
UT WOS:000483042900001
PM 31386203
ER

PT J
AU Wang, Rong
   Liu, Chuanyong
TI The relation of dental students' learning styles to their satisfaction
   with traditional and inverted classroom models
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 315
DI 10.1186/s12909-019-1749-x
PD AUG 22 2019
PY 2019
AB Background The authors' medical school has adopted an inverted classroom
   model (ICM) for physiology classes. This study aimed to determine
   students' learning styles and investigate the relationship between
   learning style and satisfaction with different instruction approaches
   and components of the ICM. Methods One hundred and twenty-one
   second-year dental students participated in this study, which had a
   77.6% participation rate. The Kolb Learning Style Inventory, a
   sociodemographic questionnaire, and a satisfaction survey were
   administered after course completion. Results In both the traditional
   and ICM classes, most of the participants were convergers (56.9 and 54%)
   and assimilators (20.7 and 25.4%), and the rest of the participants were
   accommodators (15.5 and 12.7%) and divergers (6.9 and 8%). Learning
   style did not influence participants' satisfaction and did not predict
   their satisfaction with the traditional and ICM approaches. The
   satisfaction scores for the four components of the ICM were not
   significantly different by learning style. The mean satisfaction scores
   of the ICM approach were higher than those of the traditional approach
   in all learning style groups. All of the participants in the ICM class
   were more satisfied with the online and teacher-student interaction
   components than the student group discussion and presentation
   components. Conclusions Learning style may not be a potential
   contributing factor for optimizing the implementation of the ICM.
   Instead of focusing on learning styles, further research must
   investigate how to design more efficient online courses, determine
   appropriate levels of learning materials, provide more online
   instructional interaction, and help students overcome their feelings of
   fear.
ZB 0
ZR 0
Z8 0
ZS 0
TC 12
ZA 0
Z9 12
U1 2
U2 15
EI 1472-6920
UT WOS:000483073000007
PM 31438946
ER

PT J
AU Eichenberg, Christiane
   Khamis, Marwa
   Huebner, Lisa
TI The Attitudes of Therapists and Physicians on the Use of Sex Robots in
   Sexual Therapy: Online Survey and Interview Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 21
IS 8
AR e13853
DI 10.2196/13853
PD AUG 20 2019
PY 2019
AB Background: Various types of robots have already been successfully used
   in medical care, and the use of new technologies is also playing an
   increasing role in the area of sexuality. Sex robots are marketed as
   advanced sex toys and sex dolls with artificial intelligence. Only a few
   considerations about the therapeutic use of sex robots in sexual therapy
   are debated in expert discussions.
   Objective: The aim of this study was to conduct a first exploratory
   survey on the attitudes of sex therapists and physicians toward the
   therapeutic benefits of sex robots.
   Methods: This study comprised a quantitative online survey and a
   qualitative interview study. A self-constructed questionnaire was used
   to survey the general attitudes of sex therapists and physicians
   regarding the benefits of sex robots in therapy. The qualitative study
   was designed to gain in-depth insight into the participants' beliefs and
   attitudes. Therefore, semistructured interviews were conducted. The
   quantitative data were evaluated by statistical analysis, and the
   interviews were transcribed and analyzed by using a grounded theory
   approach.
   Results: A total of 72 sex therapists and physicians completed our
   self-constructed questionnaire (response rate 15%, 72/480). Only a few
   respondents (11%, 8/72) said that the use of sex robots was not
   conceivable for them, and almost half of all therapists and physicians
   could imagine recommending sex robots in therapy (45%, 33/72). The
   attitude toward sex robots as a therapeutic tool was very heterogeneous,
   with gender (P=. 006), age (P=. 03), and occupational differences (P=.
   05); female therapists, older therapists, and psychologists (in contrast
   to physicians) were more critical toward the therapeutic use of sex
   robots. The analysis of the 5 interviews identified 3 high-level core
   themes that were representative of the participants' responses: (1) the
   importance of the personal definition of sex robots for the assessment
   of their therapeutic benefits, (2) therapeutic benefits and dangers of
   sex robots, and (3) considerations on the quality of human-robot
   sexuality. Initial insights into the possible therapeutic use of sex
   robots in different disorders (eg, sexual dysfunction or pedophilia) and
   situations were gained from the perspective of sex therapists.
   Conclusions: The results of this study provide a first overview of the
   potential therapeutic use of sex robots. Moral, ethical, and
   treatment-related issues in this context are still unresolved and need
   to be further researched. We suggest integrating the topic into the
   training of sex therapists to form opinions beyond media images and to
   show therapy possibilities. Scientists engaged in sexual research should
   be involved in the development of sex robots to design robots with
   positive effects on sexual education, sexual therapy, sexual counseling,
   and sexual well-being for interested groups.
OI eichenberg, christiane/0000-0001-5803-4965
ZS 0
Z8 0
ZB 0
ZA 0
TC 17
ZR 0
Z9 17
U1 2
U2 33
SN 1438-8871
UT WOS:000482732900001
PM 31432784
ER

PT J
AU Sinitsky, Daniel M.
   Gowda, Siri B.
   Dawas, Khaled
   Fernando, Bimbi S.
TI Morbidity and mortality meetings to improve patient safety: a survey of
   109 consultant surgeons in London, United Kingdom
SO PATIENT SAFETY IN SURGERY
VL 13
IS 1
AR 27
DI 10.1186/s13037-019-0207-3
PD AUG 19 2019
PY 2019
AB Background Morbidity & Mortality (M&M) meetings are a critical component
   of clinical governance. They have the potential to improve patient
   outcomes, quality of care, attitudes towards patient safety and they
   contribute to the education of clinical staff. This study aimed to
   evaluate individual surgeons' experience of these meetings, and to
   explore their perceived usefulness and barriers to open discussion of
   adverse outcomes. Methods Consultant general surgeons in London, United
   Kingdom, were invited to anonymously complete an online survey
   consisting of 18 key items. Results Invitations were sent to 323
   consultant surgeons from 19 NHS Trusts. Responses were received from 109
   (33.7%), of which 99 (90.8%) answered all key items. Seventy-two of 104
   (69.2%) attend almost all or all M&M meetings. These were rated as being
   more conducive for learning than for service improvement (p = 0.001). On
   a scale of 1 to 10 (10 = fearless), 41 of 105 (39.0%) rated as <= 5 the
   fearfulness of legal or other negative repercussions resulting from open
   discussion of complications/mortalities. Ninety-eight respondents gave a
   median rating of 10 (IQR: 8-10) for willingness to talk openly about
   their complications/mortalities (10 = willing/able). Conclusions Many
   surgeons in London do not routinely attend M&M meetings, despite these
   occurring within 'protected time'. There may be a willingness to talk
   openly about complications, though there exists a fear of litigation.
   The nature, content and learning potential of such open M&M discussions
   should be explored in future research.
TC 5
ZB 0
ZA 0
Z8 0
ZS 0
ZR 0
Z9 5
U1 0
U2 0
SN 1754-9493
UT WOS:000483355900001
PM 31452683
ER

PT J
AU Zubala, Ania
   Lyszkiewicz, Kacper
   Lee, Elaine
   Underwood, Laura L.
   Renfrew, Mary J.
   Gray, Nicola M.
TI Large-scale online education programmes and their potential to effect
   change in behaviour and practice of health and social care
   professionals: a rapid systematic review
SO INTERACTIVE LEARNING ENVIRONMENTS
VL 27
IS 5-6
SI SI
BP 797
EP 812
DI 10.1080/10494820.2018.1465438
PD AUG 18 2019
PY 2019
AB This rapid systematic review examined the reported effects of
   large-scale online education on the behaviour and, ultimately, practice
   of health and social care professionals. Electronic databases of health
   and education literature were searched, 193 unique records were screened
   against inclusion and exclusion criteria, 31 papers were accessed for
   full text reading and six were included. Identified studies reported
   primarily qualitative results, which were synthesised according to
   outcomes. Factors that contributed to the results were also identified.
   All papers reported that participation in e-learning programmes resulted
   in changes in behaviour and practice, including: increased awareness,
   changes in attitudes, improved communication, increased confidence and
   the actual changes applied in a workplace. Observed benefits of these
   programmes ranged from gaining new insights into own practice, through
   feeling empowered to apply changes, to eventually being able to provide
   more person-centred services and willing to adopt and spread a more
   humane evidence-based practice. While the current study is an early
   indication of the potential of large-scale online education to effect
   practice change, further research is recommended as is further in-depth
   investigation into how these changes are achieved and what factors
   contribute to success.
RI Zubala, Ania/AAG-8065-2019; Renfrew, Mary/; Lee, Elaine/; Gray, Nicola M/
OI Zubala, Ania/0000-0001-8061-6777; Renfrew, Mary/0000-0003-2905-403X;
   Lee, Elaine/0000-0002-6556-1058; Gray, Nicola M/0000-0001-8497-394X
ZS 0
TC 5
ZB 0
Z8 0
ZA 0
ZR 0
Z9 5
U1 1
U2 32
SN 1049-4820
EI 1744-5191
UT WOS:000473520600015
ER

PT J
AU Garstka, Meghan E.
   Randolph, Gregory W.
   Haddad, Antoine B.
   Nathan, Cherie-Ann O.
   Ibraheem, Kareem
   Farag, Mahmoud
   Deot, Neal
   Adib, Hania
   Hoof, Marcus
   French, Kaley
   Killackey, Mary T.
   Kandil, Emad
TI Gender disparities are present in academic rank and leadership positions
   despite overall equivalence in research productivity indices among
   senior members of American Head and Neck Society (AHNS) Fellowship
   Faculty
SO HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND
   NECK
VL 41
IS 11
BP 3818
EP 3825
DI 10.1002/hed.25913
EA AUG 2019
PD NOV 2019
PY 2019
AB Background This study aims to examine potential disparities in scholarly
   performance based on sex, academic rank, leadership positions, and
   regional distribution of faculty in accredited Head and Neck Surgery
   fellowships in the United States. Methods Online faculty listings for 37
   accredited fellowships were organized according to academic rank,
   leadership position, sex, and institutional location. Academic
   productivity was measured with three bibliometric indices: h-index,
   m-index, and the weighted relative citation ratio. Results A total of
   732 faculty members were included, of which 153 (21%) were female.
   Fifty-eight males (89.2%) held leadership positions, compared to seven
   females (10.8%). There was no significant difference in overall
   productivity between male and female senior faculty. There were regional
   differences in productivity by sex. Conclusions Females are
   underrepresented in senior faculty and within three common leadership
   positions, although scholarly productivity for male and female senior
   faculty and for those in leadership positions is similar.
OI Garstka, Meghan/0000-0002-6462-3157
ZA 0
TC 11
ZB 2
ZR 0
Z8 0
ZS 0
Z9 11
U1 0
U2 4
SN 1043-3074
EI 1097-0347
UT WOS:000481344300001
PM 31418942
ER

PT J
AU Comp, Geoffrey B.
   Sharkey, Meenal
TI ED Stories: An Online Emergency Medicine Residency Community Building
   and Wellness Initiative
SO CUREUS
VL 11
IS 8
AR e5405
DI 10.7759/cureus.5405
PD AUG 16 2019
PY 2019
AB The "ED Stories" project is a novel method for promoting individual
   wellness and interpersonal relationships on a virtual platform in an
   emergency medicine residency program. We engaged multiple individuals
   across all levels of medical training on a virtual platform to
   facilitate discussion regarding difficult situations, patient
   interactions, and tips on how to succeed in challenge circumstances in
   the future. The platform was outlined as a "safe space," free of
   judgment and criticism. We engaged 54 participants with a culmination of
   131 interactions; there were 14 original posts with a total of 22
   comments. We believe that this virtual platform allowed for safe
   discussion of difficult concepts related to our jobs and served as an
   outlet to promote physician wellness and reduce burnout in the future.
RI Comp, Geoffrey/AAA-6914-2021
OI Comp, Geoffrey/0000-0001-8730-7854
Z8 0
ZR 0
ZB 0
ZS 0
TC 1
ZA 0
Z9 1
U1 0
U2 2
EI 2168-8184
UT WOS:000484751900011
PM 31632859
ER

PT J
AU Leach, Corinne R.
   Diefenbach, Michael A.
   Fleszar, Sara
   Alfano, Catherine M.
   Stephens, Robert L.
   Riehman, Kara
   Hudson, Shawna V.
TI A user centered design approach to development of an online
   self-management program for cancer survivors: Springboard Beyond Cancer
SO PSYCHO-ONCOLOGY
VL 28
IS 10
BP 2060
EP 2067
DI 10.1002/pon.5193
EA AUG 2019
PD OCT 2019
PY 2019
AB Objective The American Cancer Society and the National Cancer Institute
   launched and evaluated a personalized online program leveraging
   behavioral science principles to help people self-manage physical and
   emotional symptoms, improve communication skills, and lead healthier
   lives during and after a cancer diagnosis. Methods Cancer survivors were
   recruited from an academic medical and a community clinical setting (N =
   40) to complete in-person user testing of the Springboard Beyond Cancer
   website, which included action decks and content to promote
   self-management. Action decks were printable or savable collections of
   information and action steps related to a cancer topic or treatment side
   effect. Participants performed structured tasks to evaluate the
   program's content and usability. Comments and reactions were recorded,
   and qualitative thematic analyses were conducted. Results Most
   participants successfully found information about fatigue (95%), pain
   (83%), sexual side effects (90%), and support groups (85%). Survivors,
   particularly those in treatment, found information on the site to be
   clear, concise, and meeting their needs. Use of action decks to create
   self-management plans was inconsistent. Survivors reported needing more
   instruction and support within the program on how to best utilize
   enhanced functionality in action decks to prioritize their most pressing
   concerns. Conclusions Early stakeholder engagement throughout the
   multiple phases of prototyping and deployment are needed to fully
   maximize end user engagement. Providing actionable self-management
   content and activating tools to cancer survivors via an eHealth program
   is a feasible and scalable approach to increasing access to
   self-management tools and addressing cancer survivor needs.
OI Alfano, Catherine/0000-0001-6488-2186; Stephens,
   Robert/0000-0002-4992-404X; Hudson, Shawna/0000-0002-7026-0743
ZS 0
ZR 0
ZB 1
TC 10
Z8 0
ZA 0
Z9 10
U1 1
U2 6
SN 1057-9249
EI 1099-1611
UT WOS:000481171400001
PM 31379069
ER

PT J
AU Donkin, Rebecca
   Askew, Elizabeth
   Stevenson, Hollie
TI Video feedback and e-Learning enhances laboratory skills and engagement
   in medical laboratory science students
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 310
DI 10.1186/s12909-019-1745-1
PD AUG 14 2019
PY 2019
AB Background Traditionally, the training of medical laboratory science
   students has taken place in the laboratory and has been led by academic
   and pathology experts in a face-to-face context. In recent years,
   budgetary pressures, increasing student enrolments and limited access to
   laboratory equipment have resulted in reduced staff-student contact
   hours in medical laboratory science education. While this restructure in
   resources has been challenging, it has encouraged innovation in online
   blended learning. Methods Blended learning histology lessons were
   implemented in a face-to-face and e-Learning format in a medical
   laboratory science program to teach tissue morphology and technical
   procedures outside of the traditional laboratory classroom.
   Participating students were randomly allocated to either the 'video'
   group (n = 14) or the 'control' group (n = 14). After all students
   attempted the e-Learning lessons and viewed expert-led video recordings
   online, students demonstrated their hands-on practical skills in the
   laboratory. Technical skills, demonstration of safety awareness, and use
   of histology equipment was captured by video through first person 'point
   of view' recordings for the 'video' group only. The 'control' group
   performed the same activities but were not recorded. Prior to summative
   assessment, the 'video' group students had a digital resource portfolio
   that enabled them to review their skills, receive captured feedback and
   retain a visual copy of their recorded procedure. Results Results showed
   that students who participated in the online video format had
   statistically better practical examination scores and final grades
   compared to the control group. Conclusion Findings from this study
   suggest that students are engaged and motivated when being taught in a
   blended learning format and respond positively to the use of video
   recordings with expert feedback for the initial learning of hands-on
   techniques. For the academic, developing a blended learning medical
   laboratory science program, which includes annotated virtual microscopy,
   video demonstrations, and online interactive e-Learning activities,
   provides an effective and economic approach to learning and teaching.
RI Donkin, Rebecca/H-7523-2019
OI Donkin, Rebecca/0000-0003-1869-4461
ZS 3
Z8 0
TC 25
ZR 0
ZA 0
ZB 3
Z9 28
U1 1
U2 23
EI 1472-6920
UT WOS:000480808000001
PM 31412864
ER

PT J
AU Byrnes, Allison
   Haregu, Tilahun Nigatu
   Pasricha, Naanki
   Singh, Kavita
   Thirunavukkarasu, Sathish
   Wickkramasinghe, Kremlin
   Thankappan, Kavumpurathu Raman
   Oldenburg, Brian
TI Strengthening Noncommunicable Disease Research Capacity and Chronic
   Disease Outcomes in Low- and Middle-Income Countries in South Asia:
   Implementation and Evaluation of the ASCEND Program
SO ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
VL 31
IS 6
BP 536
EP 547
AR 1010539519867791
DI 10.1177/1010539519867791
EA AUG 2019
PD SEP 2019
PY 2019
AB This article describes the design, outcomes, challenges, and lessons
   learned from the ASian Collaboration for Excellence in Non-Communicable
   Disease (ASCEND) program, implemented between 2011 and 2015 in India,
   Sri Lanka, and Malaysia. The program involved a blended-delivery model,
   incorporating online and face-to-face training, mentoring, and
   supervision of trainees' research projects. Evaluation data were
   collected at baseline, 6, 12, 18, and 24 months. Intended outcomes,
   lessons, and challenges were summarized using a logic model. During the
   program period, 48 participants were trained over 2 cohorts in June 2011
   and 2012. The trainees published 83 peer-reviewed articles between 2011
   and 2015. Additionally, 154 presentations were given by trainees at
   national and international conferences. Underutilization of the online
   learning management system was an important challenge. Utilizing a
   combination of intensive face-to-face and online learning and mentoring
   of early career researchers in low- and middle-income countries has
   great potential to enhance the research capacity, performance, and
   outputs.
RI Thankappan, Kr/ABC-9551-2021; Thirunavukkarasu, Sathish/ABM-9697-2022; Haregu, Tilahun Nigatu/; , KR/
OI Thirunavukkarasu, Sathish/0000-0002-2016-4964; Haregu, Tilahun
   Nigatu/0000-0002-8797-0469; , KR/0000-0002-4536-2684
ZS 0
ZA 0
TC 2
ZB 1
Z8 0
ZR 0
Z9 2
U1 1
U2 10
SN 1010-5395
EI 1941-2479
UT WOS:000483207400001
PM 31409121
ER

PT J
AU Matthews, Jordan
   Bialocerkowski, Andrea
   Molineux, Matthew
TI Professional identity measures for student health professionals - a
   systematic review of psychometric properties
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 308
DI 10.1186/s12909-019-1660-5
PD AUG 13 2019
PY 2019
AB Background Professional identity is critical to the safe and effective
   clinical practice of all health professions. University programs play an
   important role in the formation of professional identity of students,
   and so it essential to understand professional identity at this stage of
   students' development. However, the majority of research into
   professional identity has been conducted using the qualitative paradigm
   so further quantitative analysis through the use of
   psychometrically-sound professional identity measures is required. This
   study aimed to identify professional identity measures used with
   university students enrolled in health programs and synthesise the
   evidence of their psychometric properties. Methods The systematic review
   was conducted in two phases. Phase 1 involved searching five online
   databases for studies that used professional identity measures with
   student health professionals. These studies were assessed against a
   priori criteria for inclusion and a list of measures was identified.
   Phase 2 involved searching the same databases for psychometric evidence
   of the measures identified in Phase 1. The psychometric properties of
   each measure were compared against the Consensus-based standards for the
   Selection of Health Measurement Instruments (COSMIN) checklist. Data
   were narratively synthesised, and comparisons were made between
   measures. Results Phase 1 identified eight professional identity
   measures. Phase 2 identified a total of 15 studies that evaluated the
   psychometric properties of at least one of the professional identity
   measures. There was a paucity of psychometric evidence for the measures.
   The revised Nurses' Professional Values Scale and Macleod Clark
   Professional Identity Scale had the greatest volume of psychometric
   evidence. None of the measures fulfilled all criteria in the COSMIN
   checklist. Conclusion There is a paucity of evidence underpinning the
   psychometric of professional identity measures. Evidence which uses
   these measures should be interpreted with caution. Further research is
   warranted to ensure that the results of quantitative professional
   identity studies are valid and reliable.
RI Molineux, Matthew/ABD-7481-2020
OI Molineux, Matthew/0000-0002-6671-4140
ZR 0
ZS 0
Z8 0
ZB 0
TC 17
ZA 0
Z9 17
U1 13
U2 44
EI 1472-6920
UT WOS:000480756500003
PM 31409410
ER

PT J
AU He, Xing
   Zhang, Rui
   Rizvi, Rubina
   Vasilakes, Jake
   Yang, Xi
   Guo, Yi
   He, Zhe
   Prosperi, Mattia
   Huo, Jinhai
   Alpert, Jordan
   Bian, Jiang
TI ALOHA: developing an interactive graph-based visualization for dietary
   supplement knowledge graph through user-centered design
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 19
SI SI
AR 150
DI 10.1186/s12911-019-0857-1
SU 4
PD AUG 8 2019
PY 2019
AB Background Dietary supplements (DSs) are widely used. However, consumers
   know little about the safety and efficacy of DSs. There is a growing
   interest in accessing health information online; however, health
   information, especially online information on DSs, is scattered with
   varying levels of quality. In our previous work, we prototyped a web
   application, ALOHA, with interactive graph-based visualization to
   facilitate consumers' browsing of the integrated DIetary Supplement
   Knowledge base (iDISK) curated from scientific resources, following an
   iterative user-centered design (UCD) process. Methods Following UCD
   principles, we carried out two design iterations to enrich the
   functionalities of ALOHA and enhance its usability. For each iteration,
   we conducted a usability assessment and design session with a focus
   group of 8-10 participants and evaluated the usability with a modified
   System Usability Scale (SUS). Through thematic analysis, we summarized
   the identified usability issues and conducted a heuristic evaluation to
   map them to the Gerhardt-Powals' cognitive engineering principles. We
   derived suggested improvements from each of the usability assessment
   session and enhanced ALOHA accordingly in the next design iteration.
   Results The SUS score in the second design iteration decreased to 52.2
   +/- 11.0 from 63.75 +/- 7.2 in our original work, possibly due to the
   high number of new functionalities we introduced. By refining existing
   functionalities to make the user interface simpler, the SUS score
   increased to 64.4 +/- 7.2 in the third design iteration. All
   participants agreed that such an application is urgently needed to
   address the gaps in how DS information is currently organized and
   consumed online. Moreover, most participants thought that the
   graph-based visualization in ALOHA is a creative and visually appealing
   format to obtain health information. Conclusions In this study, we
   improved a novel interactive visualization platform, ALOHA, for the
   general public to obtain DS-related information through two UCD design
   iterations. The lessons learned from the two design iterations could
   serve as a guide to further enhance ALOHA and the development of other
   knowledge graph-based applications. Our study also showed that
   graph-based interactive visualization is a novel and acceptable approach
   to end-users who are interested in seeking online health information of
   various domains.
CT 3rd International Workshop on Semantics-Powered Data Analytics (SEPDA)
   held in conjunction with the IEEE International Conference on
   Bioinformatics and Biomedicine (BIBM)
CY DEC 03, 2018
CL Madrid, SPAIN
SP IEEE
RI he, zhe/GSJ-2307-2022; He, Xing/; He, Zhe/J-2336-2014
OI He, Xing/0000-0003-0290-8058; He, Zhe/0000-0003-3608-0244
ZA 0
ZB 3
ZS 0
ZR 0
TC 10
Z8 1
Z9 11
U1 2
U2 21
EI 1472-6947
UT WOS:000479196800004
PM 31391091
ER

PT J
AU Bizimana, Paul
   Ortu, Giuseppina
   Van Geertruyden, Jean-Pierre
   Nsabiyumva, Frederic
   Nkeshimana, Audace
   Muhimpundu, Elvis
   Polman, Katja
TI Integration of schistosomiasis control activities within the primary
   health care system: a critical review
SO PARASITES & VECTORS
VL 12
IS 1
AR 393
DI 10.1186/s13071-019-3652-z
PD AUG 7 2019
PY 2019
AB Background Schistosomiasis is a chronic disease linked to poverty and is
   widely endemic, particularly in sub-Saharan Africa. For decades, the
   World Health Organization has called for a larger role of the primary
   health care system in schistosomiasis control, and its integration
   within the routine activities of primary health care facilities. Here,
   we reviewed existing studies on the integration of schistosomiasis
   control measures within the primary health care system, more precisely
   at the health centre, and we analysed their outcomes. Methods An online
   search of studies published via PubMed and Embase databases was carried
   out until December 2017. Keywords were used to identify articles related
   to the integration of schistosomiasis control within the primary health
   care system, especially at the health centre level. Studies on
   integration of the following control measures were included: diagnosis
   and treatment, supplemented or not with (i) health education; (ii) snail
   control; and (iii) clean water supply and sanitation. A qualitative
   review was undertaken. To conclude on the effectiveness of an
   intervention, intermediate outcomes (knowledge, attitude and practice,
   coverage, access to health care) and distal outcomes (prevalence,
   incidence, mortality) were considered, and pre/post-intervention results
   were compared. Results Of 569 records found, 11 met the inclusion
   criteria. Studies were classified in three groups, according to the
   control measures they included. Integration of diagnosis and treatment,
   and health education in the first group resulted in an improvement of
   knowledge level of care providers, access to health care and health care
   seeking behaviour of the community. However, no positive effect was
   observed on the knowledge level of symptoms and modes of transmission at
   the community level. Most studies in the second group (with snail
   control as additional measure) and the third group (with clean water
   supply and sanitation as additional measure) showed a positive effect on
   schistosomiasis prevalence and incidence post-intervention, independent
   of the additional control measures implemented. Conclusions The results
   of this review suggest a positive impact of integration of
   schistosomiasis control within the primary health care system. However,
   more robust studies are needed, especially in resource-limited regions,
   for conclusive evidence on the effectiveness and the sustainability of
   this strategy.
RI Ortu, Giuseppina/AAD-6151-2021; Van geertruyden, Jean-Pierre/K-6425-2014
OI Van geertruyden, Jean-Pierre/0000-0001-5006-6364
ZS 0
Z8 0
TC 6
ZA 0
ZR 0
ZB 3
Z9 6
U1 0
U2 6
SN 1756-3305
UT WOS:000479200800001
PM 31391100
ER

PT J
AU Blanker, Marco H.
   Admiraal, Anja
   Brandenbarg, Pim
   Steffens, Martijn G.
   van Balken, Michael R.
   Mulder, Henk-Jan
   van der Worp, Henk
TI Effectiveness of a newly developed online self-management program for
   male patients with uncomplicated lower urinary tract symptoms
SO NEUROUROLOGY AND URODYNAMICS
VL 38
IS 8
BP 2273
EP 2279
DI 10.1002/nau.24131
EA AUG 2019
PD NOV 2019
PY 2019
AB Aims To explore the effect of an online self-management program in
   secondary care for men with lower urinary tract symptoms (LUTS). Methods
   We performed a prospective nonrandomized double-cohort pilot study of
   consecutive adult men referred with uncomplicated LUTS to three urology
   outpatient departments. Men in both cohorts received care as usual from
   a urologist, but men in the intervention cohort also had access to an
   online self-management program. Outcomes were assessed after 6 and 12
   weeks: LUTS severity was assessed with the International Prostate
   Symptom Score (IPSS), the Overactive Bladder Questionnaire (OABq), and
   the Perceived Global Impression of Improvement (PGI-I). The main outcome
   of interest was a clear improvement in the PGI-I scores ("much better"
   or "very much better"). Results Age, symptom severity, and quality of
   life scores were comparable between the intervention (n = 113) and
   standard care (n = 54) cohorts. Clear improvement in the PGI-I scores
   was reported after 12 weeks in 19.4% and 26.1% of men in the
   intervention and standard care cohorts, respectively. However, logistic
   regression analysis indicated that the difference between cohorts was
   not significant. Multivariable linear regression analysis also indicated
   no significant differences between cohorts for the IPSS or the OABq
   score at either assessment point. Notably, the uptake of the
   intervention was low (53%). Conclusions We found no significant benefit
   from adding an online self-management program to standard care for men
   with LUTS, probably due to the low uptake of the intervention that may
   have resulted from the timing in the care pathway.
RI Blanker, Marco/AAV-7028-2020; van der Worp, Henk/AAF-6289-2019; Blanker, Marco/B-4453-2012; Brandenbarg, Pim/; Steffens, Martijn/
OI Blanker, Marco/0000-0002-1086-8730; Brandenbarg,
   Pim/0000-0002-6909-5111; Steffens, Martijn/0000-0001-7367-643X
ZB 0
ZS 0
ZR 0
ZA 0
TC 2
Z8 0
Z9 2
U1 0
U2 1
SN 0733-2467
EI 1520-6777
UT WOS:000479517600001
PM 31385388
ER

PT J
AU Lacey, Gerard
   Showstark, Mary
   Van Rhee, James
TI Training to Proficiency in the WHO Hand Hygiene Technique
SO JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
VL 6
AR 2382120519867681
DI 10.1177/2382120519867681
PD AUG 5 2019
PY 2019
AB OBJECTIVES: Hand hygiene is critical to patient safety. but low
   performance in terms of the quantity and quality of hand hygiene is
   often reported. Training-to-proficiency is common for other clinical
   skills, but no proficiency-based training program for hand hygiene has
   been reported in the literature. This study developed a
   proficiency-based training program to improve hand hygiene quality in
   line with World Health Organization (WHO) guidelines and assessed the
   amount of training required to reach proficiency. The training was
   delivered as part of a 5-day induction for students on the Physician
   Assistant online program.
   METHODS: A total of 42 students used a simulator to objectively measure
   hand hygiene technique over a 5-day period. Proficiency was achieved
   when students demonstrated all 6 steps of the WHO technique in less than
   42 seconds. The students also completed a postinter-vention
   questionnaire.
   RESULTS: The average training episode lasted 2.5 minutes and consisted
   of 4.5 hand hygiene exercises. The average student completed 5 training
   episodes (1 per day) taking a total of 17 minutes. A total of 40% (17)
   of the students achieved proficiency within the 5 days. Proficiency was
   strongly correlated with the number of training exercises completed (r =
   0.79, P < .001) and the total time spent training (r = 0.75, P < .001).
   Linear regression predicted that the 32 hand hygiene exercises or a
   total of 23-minute training were required to achieve proficiency.
   CONCLUSIONS: This is the first study to develop a train-to-proficiency
   program for hand hygiene quality and estimate the amount of training
   reaflred. Given the importance of hand hygiene quality to preventing
   health care-associated infections (HAIs), medical education programs
   should consider using proficiency-based training in hand hygiene
   technique.
OI Lacey, Gerard/0000-0002-1923-6852
Z8 0
ZA 0
TC 3
ZB 0
ZS 0
ZR 0
Z9 3
U1 0
U2 2
SN 2382-1205
UT WOS:000478775200001
PM 31428680
ER

PT J
AU Fontenot, Holly B.
   Rosenberger, Joshua G.
   McNair, Katelyn T.
   Mayer, Kenneth H.
   Zimet, Gregory
TI Perspectives and preferences for a mobile health tool designed to
   facilitate HPV vaccination among young men who have sex with men
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 15
IS 7-8
SI SI
BP 1815
EP 1823
DI 10.1080/21645515.2019.1568156
PD AUG 3 2019
PY 2019
AB We sought to understand young men who have sex with men (YMSM)
   perspectives and preferred features for a mobile health (mHealth) tool
   designed to facilitate human papillomavirus (HPV) vaccination. YMSM were
   recruited on a popular social/sexual networking app to participate in
   online focus groups. Discussions were designed to elicit what the men
   would want in a mHealth tool specific for sexual health and HPV.
   Demographic data were analyzed using descriptive statistics and focus
   group data were analyzed using conventional content analysis.
   Forty-eight YMSM participated. Mean age was 23.4years, and 70.0%
   reported their race as Black. Qualitative themes included general HPV
   knowledge and awareness, current patterns in technology use, desired app
   qualities, and desired app content. Youth described varying levels of
   HPV knowledge, utilized apps to engage socially, and for travel,
   banking, gaming, news and entertainment, and few used apps to facilitate
   personal health or engage with healthcare systems. Participants desired
   credible, relatable, secure, and easy to use interfaces that provided
   sexual health and HPV information in a positive context. They described
   ways to creatively engage and directly connect youth to health
   providers. We identified a culturally relevant youth driven approach to
   facilitate HPV vaccination and sexual health among YMSM.
OI Zimet, Gregory/0000-0003-3835-937X; Fontenot, Holly/0000-0002-7864-9171;
   Mayer, Kenneth/0000-0001-7460-733X
ZR 0
ZS 0
ZA 0
Z8 0
ZB 4
TC 13
Z9 13
U1 1
U2 8
SN 2164-5515
EI 2164-554X
UT WOS:000482271400047
PM 30625049
ER

PT J
AU Williams, Sarah Elizabeth
   Dewey, Charlene M.
TI Identification of training opportunities in medical education for
   academic faculty
SO MEDICAL TEACHER
VL 41
IS 8
BP 912
EP 916
DI 10.1080/0142159X.2019.1592138
PD AUG 3 2019
PY 2019
AB Introduction: Clinician-educators are responsible for providing
   education to trainees in medical centers. There is no clear overview of
   what opportunities exist for training clinician-educators in medical
   education related skills and techniques. Methods: We conducted a
   systematic review of multiple websites and a medical educator listserve
   to identify medical education training opportunities for
   clinician-educators. We included certificate level programs or programs
   with comparable recognition and excluded masters programs, programs
   specific to one medical specialty or institution, and brief
   modules/sessions. We categorized results by training/focus area(s) and
   program details relevant for faculty. Results: We identified 53
   programs. Most focus on general medical education skills (N = 19, 36%),
   leadership (N = 18, 34%), or learner assessment (N = 16, 30%). Fourteen
   programs (26%) were exclusively online, 27 (56%) exclusively in-person,
   and 12 (23%) require in-person and distance components. Time
   requirements for completion vary greatly, ranging from 1 day to 3 years,
   as did program costs, ranging from $327 to $15,000. Conclusions:
   Although training programs in medical education for clinical faculty
   exist, most focus on general medical education, leadership, and
   assessment. More programs focused on other topics, such as simulation or
   educational research, may be needed. Future investigations to understand
   the needs of this population would be valuable.
ZS 0
Z8 0
TC 1
ZA 0
ZR 0
ZB 1
Z9 1
U1 0
U2 1
SN 0142-159X
EI 1466-187X
UT WOS:000481868000008
PM 30957598
ER

PT J
AU Godfrey, Sarah
   Nickerson, Katherine
   Amiel, Jonathan
   Lebwohl, Benjamin
TI Development of an online public health curriculum for medical students:
   the public health commute
SO BMC MEDICAL EDUCATION
VL 19
IS 1
AR 298
DI 10.1186/s12909-019-1734-4
PD AUG 3 2019
PY 2019
AB Background As public health becomes increasingly central to the practice
   of medicine, educational efforts are necessary to prepare medical
   students to apply public health concepts in their care of patients.
   There are few accessible and informative tools to prepare students to
   engage with population health challenges. Methods We distributed an
   online questionnaire to clinical students, querying gaps in their
   education on public health topics. Based upon the responses, we
   developed a web-based curriculum for medical students rotating at a
   public safety-net hospital on pediatrics, medicine, primary care,
   psychiatry, and surgery services from April-December 2017 (available at
   ). Students received guiding questions and media-based resources (e.g.
   podcasts, TedTalks, YouTube videos) in weekly modules addressing topics
   in public health. Each module incorporated 30 min of mobile-optimized
   content, including specific data relating the topic to the Central
   Harlem community. Familiarity with public health was assessed with pre-
   and post-program quizzes, including 10 multiple-choice and 2 open-ended
   questions. Results Among the 70 participating students, 59 (84%)
   completed both the pre- and post-assessments. The five-week curriculum
   covered health systems, social determinants, race, substance use,
   violence, and alternative care models. After completing the five-week
   curriculum, the mean correct score on a multiple-choice quiz rose from
   57 to 66% (p = 0.001). In the qualitative section of the test, students
   were asked what public health topics should be taught in medical school.
   Frequently suggested topics included social determinants of health
   (25%), epidemiology (25%), health systems (25%), insurance (21%), policy
   (17%), economics (17%), racism (15%), and health disparities (8%). When
   asked how public health will impact their medical career, students
   frequently responded that it would greatly impact their clinical
   practice (49%), choice of residency program (17%), and decision to
   pursue advocacy or additional degrees (15%). Conclusions Learners
   participating in this five-week online public health curriculum
   demonstrated a significant increase in public health knowledge. The
   online format allowed for high participation across five different
   specialty rotations, and community-specific data allowed students to
   recognize the importance of public health in medical practice.
OI Godfrey, Sarah/0000-0003-2896-2124
TC 5
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 5
U1 0
U2 6
EI 1472-6920
UT WOS:000480252200001
PM 31376832
ER

PT J
AU Gomez Fernandez-Vegue, Marta
   Menendez Orenga, Miguel
TI National survey on breastfeeding knowledge amongst residents in
   Pediatrics in Spain
SO REVISTA ESPANOLA DE SALUD PUBLICA
VL 93
AR e201908060
PD AUG 2 2019
PY 2019
AB Background: Increasing breastfeeding rates is a desirable goal for
   improving maternal and child health. Pediatricians have a main role in
   this subject. The objective was to document breastfeeding knwoledge in
   Pediatric residents, and its relationship with the BFHI (Baby Friendly
   Hospital Initiative) status of their hospitals.
   Methods: Transversal study with a validated online survey (ECoLa).
   Polietapic sampling of Pediatric residentes in Spain by strata (BFHI
   degree) and clusters (hospitals). Estimated sample size was 142
   residents. 312 surveys were sent to 21 hospitals. Main variable was the
   percentage of correct answers to survey questions, it was analyzed with
   non parametric techniques.
   Results: 189 answers (response rate 60%). Global median (Me) of correct
   answers was 76.9% (95% Confidence Interval [95CI] 74.2-79.6). There was
   no difference among first and second year residents (Me=76.9%) and third
   and fourth year residents (Me=73.1%) (p=0.541). Residents from BFHI
   hospitals (Me=84.6%) achieved better results than those from non-BFHI
   hospitals (Me=73.1%) (p=0.002). Variability at non-BFHI hospitals was
   considerable, where some hospitals showed unacceptable scores.
   Prevalence of courses was greater at BFHI hospitals (95% vs 52%).
   Conclusions: There are some deficiencies in Pediatric residents'
   breastfeeding training. There are hospitals whose residents have an
   insufficient breastfeeding knowledge. No low scores were found in
   residents from BFHI hospitals. We consider neccesary to systematize and
   universalize breastfeeding training during Pediatric Residency.
Z8 0
ZR 0
ZB 0
ZA 0
TC 3
ZS 0
Z9 3
U1 0
U2 2
SN 1135-5727
UT WOS:000490253100002
ER

PT J
AU Padua, I
   Moreira, A.
   Moreira, P.
   Barros, R.
TI Welcoming Patients With Food Allergy: What Is The Preparation Of Schools
   And Restaurants?
SO ALLERGY
VL 74
SI SI
MA TP1098
BP 588
EP 589
SU 106
PD AUG 2019
PY 2019
CT Congress of the European-Academy-of-Allergy-and-Clinical-Immunology
   (EAACI)
CY JUN 01-05, 2019
CL Lisbon, PORTUGAL
SP European Acad Allergy & Clin Immunol
RI Moreira, Pedro/U-3034-2019; Pádua, Inês/ABF-3749-2021; Barros, Renata/AGC-2171-2022; Moreira, André/AAH-9683-2020
OI Moreira, Pedro/0000-0002-7035-7799; Pádua, Inês/0000-0003-1100-9441;
   Barros, Renata/0000-0002-3043-1720; Moreira, André/0000-0002-7294-9296
ZA 0
Z8 0
TC 1
ZR 0
ZB 1
ZS 0
Z9 1
U1 0
U2 1
SN 0105-4538
EI 1398-9995
UT WOS:000480254003429
ER

PT J
AU Lowell, Victoria L.
   Alshammari, Ali
TI Experiential learning experiences in an online 3D virtual environment
   for mental health interviewing and diagnosis role-playing: a comparison
   of perceived learning across learning activities
SO ETR&D-EDUCATIONAL TECHNOLOGY RESEARCH AND DEVELOPMENT
VL 67
IS 4
BP 825
EP 854
DI 10.1007/s11423-018-9632-8
PD AUG 2019
PY 2019
AB Role-playing simulations can provide students with experiential learning
   opportunities to develop strong interviewing and diagnosis skills, and
   practice skills they are learning in their classes. In this study,
   students completed role-playing activities in an online 3D virtual
   counselor training facility, and interviewed patient avatars with mental
   illnesses to compare their learning with other typical learning
   activities. Through implementing instructional methods, an environment,
   patient avatars, and other resources created based on the instructional
   needs, the instructor, assistants, and students were provided an
   opportunity to use an online 3D virtual environment for experiential
   learning experiences. The results determined students perceived using an
   online 3D virtual environment as beneficial. Students reported they
   perceived that they learned more during their activities in the online
   3D virtual environment than other learning activities and using an
   online 3D virtual environment for role-playing is an effective method to
   develop mental health interviewing and diagnosis skills.
RI Lowell, Victoria/L-3832-2018
OI Lowell, Victoria/0000-0002-0300-5304
ZR 0
ZA 0
ZB 0
Z8 1
TC 5
ZS 0
Z9 6
U1 10
U2 35
SN 1042-1629
EI 1556-6501
UT WOS:000474584000003
ER

PT J
AU Wernli, Karen J.
   Ichikawa, Laura
   Kerlikowske, Karla
   Buis, Diana S. M.
   Brandzel, Susan D.
   Bush, Mary
   Johnson, Dianne
   Hendersen, Louise M.
   Nekhlyudov, Larissa
   Onega, Tracy
   Sprague, Brian L.
   Lee, Janie M.
   Lehman, Constance D.
   Miglioretti, Diana L.
TI Surveillance Breast MRI and Mammography: Comparison in Women with a
   Personal History of Breast Cancer
SO RADIOLOGY
VL 292
IS 2
BP 311
EP 318
DI 10.1148/radiol.2019182475
PD AUG 2019
PY 2019
AB Background: There is lack of consensus regarding the use of breast MRI
   for routine surveillance for second breast cancer events in women with a
   personal history of breast cancer.
   Purpose: To compare performance of surveillance mammography with breast
   MRI.
   Materials and Methods: This observational cohort study used
   prospectively collected data and included 13 266 women age 18 years and
   older (mean age, 60 years +/- 13) with stage 0-III breast cancer who
   underwent 33 938 mammographic examinations and 2506 breast MRI
   examinations from 2005 to 2012 in the Breast Cancer Surveillance
   Consortium. Women were categorized into two groups: mammography alone (n
   = 11 745) or breast MRI (n = 1521). Performance measures were calculated
   by using end-of-day assessment and occurrence of second breast cancer
   events within 1 year of imaging. Logistic regression was used to compare
   performance for breast MRI versus mammography alone, adjusting for
   women, examination, and primary breast cancer characteristics. Analysis
   was conducted on a per-examination basis.
   Results: Breast MRI was associated with younger age at diagnosis,
   chemotherapy, and higher education and income. Raw performance measures
   for breast MRI versus mammography were as follows, respectively: cancer
   detection rates, 10.8 (95% confidence interval [CI]: 6.7, 14.8) versus
   8.2 (95% CI: 7.3, 9.2) per 1000 examinations; sensitivity, 61.4% (27 of
   44; 95% CI: 46.5%, 76.2%) versus 70.3% (279 of 397; 95% CI: 65.8%,
   74.8%); and biopsy rate, 10.1% (253 of 2506; 95% CI: 8.9%, 11.3%) versus
   4.0% (1343 of 33 938; 95% CI: 3.7%, 4.2%). In multivariable models,
   breast MRI was associated with higher biopsy rate (odds ratio [OR], 2.2;
   95% CI: 1.9, 2.7; P < .001) and cancer detection rate (OR, 1.7; 95% CI:
   1.1, 2.7; P = .03) than mammography alone. However, there were no
   differences in sensitivity (OR, 1.1; 95% CI: 0.4, 2.9; P = .84) or
   interval cancer rate (OR, 1.1; 95% CI: 0.6, 2.2; P = .70).
   Conclusion: Comparison of the performance of surveillance breast MRI
   with mammography must account for patient characteristics. Whereas
   breast MRI leads to higher biopsy and cancer detection rates, there were
   no significant differences in sensitivity or interval cancers compared
   with mammography. (C) RSNA, 2019
RI Wernli, Karen/AAM-2671-2020; Wernli, Karen/ABF-6379-2021; Brandzel, Susan/; Johnson, Dianne/; Buist, Diana/; Onega, Tracy/; Henderson, Louise/; Ichikawa, Laura/
OI Brandzel, Susan/0000-0002-9880-3797; Johnson,
   Dianne/0000-0001-5121-9449; Buist, Diana/0000-0001-5408-2804; Onega,
   Tracy/0000-0002-1633-3040; Henderson, Louise/0000-0001-8356-9267;
   Ichikawa, Laura/0000-0002-0882-6662
ZS 0
ZB 7
ZA 0
TC 27
Z8 0
ZR 0
Z9 27
U1 0
U2 3
SN 0033-8419
UT WOS:000476477100010
PM 31161975
ER

PT J
AU Burnside, Elizabeth S.
   Trentham-Dietz, Amy
   Shafer, Christina M.
   Hampton, John M.
   Alagoz, Oguz
   Cox, Jennifer R.
   Mischo, Eric
   Schrager, Sarina B.
   Wilke, Lee G.
TI Age-based versus Risk-based Mammography Screening in Women 40-49 Years
   Old: A Cross-sectional Study
SO RADIOLOGY
VL 292
IS 2
BP 321
EP 328
DI 10.1148/radiol.2019181651
PD AUG 2019
PY 2019
AB Background: Risk-based screening in women 40-49 years old has not been
   evaluated in routine screening mammography practice.
   Purpose: To use a cross-sectional study design to compare the trade-offs
   of risk-based and age-based screening for women 45 years of age or older
   to determine short-term outcomes.
   Materials and Methods: A retrospective cross-sectional study was
   performed by using a database of 20 539 prospectively interpreted
   consecutive digital screening mammograms in 10 280 average-risk women
   aged 40-49 years who were screened at an academic medical center between
   January 1, 2006, and December 31, 2013. Two hypothetical screening
   scenarios were compared: an age-based (>= 45 years) scenario versus a
   risk-based (a 5-year risk of breast cancer greater than that of an
   average 50-year-old) scenario. Risk factors for risk-based screening
   included family history, race, age, prior breast biopsy, and breast
   density. Outcomes included breast cancers detected at mammography,
   false-positive mammograms, and benign biopsy findings. Short-term
   outcomes were compared by using the chi(2) test.
   Results: The screening population included 71148 screening mammograms in
   24928 women with a mean age of 55.5 years +/- 8.9 (standard deviation)
   (age range, 40-74 years). In women 40-49 years old, usual care included
   50 screening- detected cancers, 1787 false-positive mammograms, and 384
   benign biopsy results. The age- based (>= 45 years) screening strategy
   revealed more cancers than did the risk-based strategy (34 [68%] vs 13
   [26%] of 50; P < .001), while prompting more false-positive mammograms
   (899 [50.3%] vs 216 [12.1%] of 1787; P < .001) and benign biopsy results
   (175 [45.6%] vs 49 [12.8%] of 384; P < .001). The risk-based strategy
   demonstrated low levels of eligibility (few screenings) in the
   40-44-year age group. Differences in outcomes in the 45-49-year age
   group explained the overall hypothetical screening strategy differences.
   Conclusion: Risk-based screening for women 40-49 years old includes few
   women in the 40-44-year age range. Significant trade-offs in the
   45-49-year age group explain the overall difference between hypothetical
   screening scenarios, both of which reduce the benefits as well as the
   harms of mammography for women 40-49 years old. (C) RSNA, 2019
RI Alagoz, Oguzhan/; Cox, Jennifer/; Wilke, Lee/; Burnside, Elizabeth/M-9414-2014
OI Alagoz, Oguzhan/0000-0002-5133-1382; Cox, Jennifer/0000-0001-6356-993X;
   Wilke, Lee/0000-0003-1210-6294; Burnside, Elizabeth/0000-0002-6600-435X
Z8 0
ZB 3
TC 9
ZS 0
ZA 0
ZR 0
Z9 9
U1 0
U2 2
SN 0033-8419
UT WOS:000476477100012
PM 31184557
ER

PT J
AU Kennedy, Maria B.
   Haq, Inam
   Ferns, Gordon
   Williams, Sian E.
   Okorie, Michael
TI The role of undergraduate teaching, learning and a national prescribing
   safety assessment in preparation for practical prescribing: UK medical
   students' perspective
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 85
IS 10
SI SI
BP 2390
EP 2398
DI 10.1111/bcp.14058
EA AUG 2019
PD OCT 2019
PY 2019
AB Aims To investigate medical students' perspectives on the influence of
   their undergraduate course and the UK prescribing safety assessment
   (PSA) on the acquisition of practical prescribing skills. Methods An
   online questionnaire comprising multiple choice and open-ended questions
   was available to UK medical students in years 3, 4 and 5. Descriptive
   statistics and thematic analysis were completed. Results In total, 1023
   medical students from 25 UK medical schools responded: 22% (3rd year),
   37% (4th year) and 41% (final year). A minority of medical students
   believed that their medical course prepared them sufficiently for
   practical prescribing (36.4%, n = 372, 95% confidence interval [CI] =
   32-41%), 52.6%, of students thought that practical prescribing should be
   introduced into the curriculum earlier (n = 538, CI = 48-57%), and 73.7%
   reported that a more consistent approach to the teaching and learning of
   practical prescribing might be beneficial (n = 754, CI = 71-77%). An
   awareness of the national PSA was high (86.5%, n = 885), particularly
   amongst final year students (98.3%, n = 413, CI = 97-100%); 67.4% of all
   students (n = 690, CI = 64-71%) and 72.1% (n = 303) of final year
   students perceived that the PSA will improve or had improved their
   practical prescribing skills. Conclusions The majority of medical
   students perceive that their undergraduate course does not adequately
   prepare them for practical prescribing. Many believe that there is some
   merit in introducing practical prescribing teaching earlier in the
   curriculum and medical schools adopting a more consistent approach.
   Among medical students, the PSA is thought to have a positive influence
   on prescribing skills learning. These data might be useful in developing
   a programme of study dedicated to practical prescribing.
RI Ghayour-Mobarhan, Majid/AAY-5963-2020; Kennedy, Maria/
OI Kennedy, Maria/0000-0002-7283-5117
Z8 0
ZR 0
ZS 0
TC 4
ZB 1
ZA 0
Z9 4
U1 0
U2 4
SN 0306-5251
EI 1365-2125
UT WOS:000479134300001
PM 31288298
ER

EF